SpaceflightHealthSimulationsReferenceDocumentation - Local Development build (v0.5.12) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Questionnaire: MEDB 1.6 Resting ECG
| Official URL: https://mitre.org/fhir/space-health/Questionnaire/medb-1-6-resting-ecg | Version: 0.5.12 | |||
| Active as of 2013-12-19 | Computable Name: MEDB16RestingECG | |||
Copyright/Legal: NASA Johnson Space Center - Medical Requirements Integration Documents (MRIDs) JSC28913 |
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NASA Medical Requirements Integration Document for resting 12-lead ECG assessment. Captures pre- and postflight ECG recordings for cardiovascular evaluation of long-duration flight crew members.
To assess pre- and postflight ECG recordings on long-duration flight crew members at rest using a 12-lead electrocardiogram (ECG)
Structure
| LinkID | Text | Cardinality | Type | Flags | Description & Constraints |
|---|---|---|---|---|---|
  MEDB16RestingECG | NASA Medical Requirements Integration Document for resting 12-lead ECG assessment. Captures pre- and postflight ECG recordings for cardiovascular evaluation of long-duration flight crew members. | Questionnaire | https://mitre.org/fhir/space-health/Questionnaire/medb-1-6-resting-ecg#0.5.12 | ||
  overview | Medical Requirements Overview | 0..1 | group | ||
   overview.mrid-number | MRID Number and Title | 0..1 | display | Initial Value: string = MEDB 1.6 Resting ECG | |
 overview.sponsor | Sponsor | 1..1 | choice |  | Options: 1 option Initial Value: Coding = NASA MRID Sponsor Organizations#medical-operations "Medical Operations" |
| overview.discipline | Discipline | 0..1 | choice | | Options: 1 option |
 overview.category | Category | 1..1 | string | | Initial Value: string = Medical Requirements |
 overview.references | References | 0..1 | text | Initial Value: string = SSP 50260 ISS Medical Operations Requirements Document (MORD); SSP 50667 Medical Evaluations Document (MED) Volume B Section 1.6 | |
| overview.purpose | Purpose/Objectives | 1..1 | text | Initial Value: string = To assess pre- and postflight ECG recordings on long-duration flight crew members at rest using a 12-lead electrocardiogram (ECG) | |
| overview.measurement-parameters | Measurement Parameters | 1..1 | string | Initial Value: string = 12-lead ECG tracing | |
| overview.deliverables | Deliverables | 1..1 | text | Initial Value: string = Pre- and postflight ECG reports related to the cardiovascular examination. | |
| overview.flight-duration | Flight Duration | 1..1 | string | Initial Value: string = >= 30 days | |
| overview.number-of-flights | Number of Flights | 1..1 | string | Initial Value: string = All | |
 overview.crew-members-required | Number and Type of Crew Members Required | 1..1 | string | Initial Value: string = All ISS crew members | |
| preflight-training | Preflight Training | 0..1 | group | ||
| preflight-training.na | No Preflight Training Required | 0..1 | display | ||
| preflight-activities | Preflight Activities | 0..1 | group | ||
| preflight-activities.description | Activity Description | 0..1 | text | Initial Value: string = Subject lies supine for 15 minutes while ECG tracings are recorded from 10 electrode sites (using chest and limb leads). | |
 preflight-activities.duration | Duration (minutes) | 1..1 | integer | Initial Value: integer = 15 | |
| preflight-activities.schedule | Schedule | 1..1 | string | Initial Value: string = AME L-9/6 m to L-10 d & as clinically indicated | |
| preflight-activities.flexibility | Flexibility | 0..1 | string | Initial Value: string = Within specified range | |
| preflight-activities.personnel | Personnel Required | 1..1 | string | Initial Value: string = Lab Technician, crew member | |
| preflight-activities.hardware | Preflight Hardware | 1..1 | choice | Options: 1 option Initial Value: Coding = NASA Medical Hardware#12-lead-ecg "12-Lead ECG Machine" | |
| preflight-activities.location | Test Location | 1..* | choice | Options: 2 options | |
| preflight-activities.constraints | Constraints/Special Requirements | 0..1 | text | Initial Value: string = No caffeine or alcohol for 12 hours prior to testing. | |
 preflight-activities.test-date | Preflight ECG Test Date | 0..1 | date | ||
 preflight-activities.test-completed | Preflight ECG Completed | 1..1 | boolean | ||
| preflight-activities.constraints-met | Pre-test Constraints Met (no caffeine/alcohol 12h) | 0..1 | boolean | ||
| preflight-ecg-results | Preflight ECG Results | 0..1 | group | ||
| preflight-ecg-results.heart-rate | Heart Rate (bpm) | 0..1 | integer | ||
| preflight-ecg-results.pr-interval | PR Interval (ms) | 0..1 | integer | ||
| preflight-ecg-results.qrs-duration | QRS Duration (ms) | 0..1 | integer | ||
| preflight-ecg-results.qt-interval | QT Interval (ms) | 0..1 | integer | ||
| preflight-ecg-results.qtc-interval | QTc Interval (ms) | 0..1 | integer | ||
| preflight-ecg-results.axis | QRS Axis (degrees) | 0..1 | integer | ||
| preflight-ecg-results.rhythm | Rhythm | 0..1 | choice | Options: 5 options | |
| preflight-ecg-results.interpretation | ECG Interpretation | 0..1 | choice | Options: 3 options | |
| preflight-ecg-results.findings | ECG Findings/Notes | 0..1 | text | ||
| inflight-activities | In-Flight Activities | 0..1 | group | ||
| inflight-activities.na | No In-Flight Activities | 0..1 | display | ||
| postflight-activities | Postflight Activities | 0..1 | group | ||
| postflight-activities.description | Activity Description | 0..1 | text | Initial Value: string = Subject lies supine for 15 minutes while ECG tracings are recorded from 10 electrode sites (using chest and limb leads). | |
| postflight-activities.duration | Duration (minutes) | 1..1 | integer | Initial Value: integer = 15 | |
| postflight-activities.schedule | Schedule | 1..1 | string | Initial Value: string = R+0/3 days & as clinically indicated | |
| postflight-activities.flexibility | Flexibility | 0..1 | string | Initial Value: string = Within specified range | |
| postflight-activities.personnel | Personnel Required | 1..1 | string | Initial Value: string = Technician, crew member | |
| postflight-activities.hardware | Postflight Hardware | 1..1 | choice | Options: 1 option Initial Value: Coding = NASA Medical Hardware#12-lead-ecg "12-Lead ECG Machine" | |
| postflight-activities.location | Test Location | 1..* | choice | Options: 2 options | |
| postflight-activities.constraints | Constraints/Special Requirements | 0..1 | text | Initial Value: string = No caffeine or alcohol for 12 hours prior to testing. | |
| postflight-activities.test-date | Postflight ECG Test Date | 0..1 | date | ||
| postflight-activities.test-completed | Postflight ECG Completed | 1..1 | boolean | ||
| postflight-ecg-results | Postflight ECG Results | 0..1 | group | ||
| postflight-ecg-results.heart-rate | Heart Rate (bpm) | 0..1 | integer | ||
| postflight-ecg-results.pr-interval | PR Interval (ms) | 0..1 | integer | ||
| postflight-ecg-results.qrs-duration | QRS Duration (ms) | 0..1 | integer | ||
| postflight-ecg-results.qt-interval | QT Interval (ms) | 0..1 | integer | ||
| postflight-ecg-results.qtc-interval | QTc Interval (ms) | 0..1 | integer | ||
| postflight-ecg-results.axis | QRS Axis (degrees) | 0..1 | integer | ||
| postflight-ecg-results.rhythm | Rhythm | 0..1 | choice | Options: 5 options | |
| postflight-ecg-results.interpretation | ECG Interpretation | 0..1 | choice | Options: 3 options | |
| postflight-ecg-results.findings | ECG Findings/Notes | 0..1 | text | ||
| postflight-ecg-results.comparison | Comparison to Preflight ECG | 0..1 | choice | Options: 4 options | |
| data-delivery | Data Delivery | 0..1 | group | ||
| data-delivery.pacs-transfer | Raw Data Transferred to PACS | 0..1 | boolean | ||
 data-delivery.pacs-transfer-date | PACS Transfer Date | 0..1 | dateTime | Enable When: data-delivery.pacs-transfer = | |
| data-delivery.archive | Data Archive Systems | 1..* | choice | Options: 2 options | |
| data-delivery.preflight-report-available | Preflight Report Available in MMIS | 0..1 | boolean | ||
| data-delivery.postflight-report-available | Postflight Report Available in MMIS | 0..1 | boolean | ||
 postflight-debrief | Postflight Debrief | 0..1 | group | ||
 postflight-debrief.na | No Postflight Debrief Required | 0..1 | display | ||
| Documentation for this format | |||||
Options Sets
Answer options for overview.sponsor
- https://mitre.org/fhir/space-health/CodeSystem/nasa-mrid-sponsor-cs#medical-operations ("Medical Operations")
Answer options for overview.discipline
- https://mitre.org/fhir/space-health/CodeSystem/nasa-mrid-discipline-cs#cardiovascular ("Cardiovascular")
Answer options for preflight-activities.hardware
- https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-hardware-cs#12-lead-ecg ("12-Lead ECG Machine")
Answer options for preflight-activities.location
- https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-facility-cs#jsc ("Johnson Space Center")
- https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-facility-cs#russia-gctc ("Gagarin Cosmonaut Training Center")
Answer options for preflight-ecg-results.rhythm
- http://snomed.info/sct#426783006 ("Sinus rhythm")
- http://snomed.info/sct#49710005 ("Sinus bradycardia")
- http://snomed.info/sct#11092001 ("Sinus tachycardia")
- http://snomed.info/sct#49436004 ("Atrial fibrillation")
- http://snomed.info/sct#698247007 ("Cardiac arrhythmia")
Answer options for preflight-ecg-results.interpretation
- http://snomed.info/sct#17621005 ("Normal")
- http://snomed.info/sct#263654008 ("Abnormal")
- http://snomed.info/sct#442564008 ("Evaluation not done")
Answer options for postflight-activities.hardware
- https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-hardware-cs#12-lead-ecg ("12-Lead ECG Machine")
Answer options for postflight-activities.location
- https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-facility-cs#jsc ("Johnson Space Center")
- https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-facility-cs#russia-gctc ("Gagarin Cosmonaut Training Center")
Answer options for postflight-ecg-results.rhythm
- http://snomed.info/sct#426783006 ("Sinus rhythm")
- http://snomed.info/sct#49710005 ("Sinus bradycardia")
- http://snomed.info/sct#11092001 ("Sinus tachycardia")
- http://snomed.info/sct#49436004 ("Atrial fibrillation")
- http://snomed.info/sct#698247007 ("Cardiac arrhythmia")
Answer options for postflight-ecg-results.interpretation
- http://snomed.info/sct#17621005 ("Normal")
- http://snomed.info/sct#263654008 ("Abnormal")
- http://snomed.info/sct#442564008 ("Evaluation not done")
Answer options for postflight-ecg-results.comparison
- No significant change
- Improved
- New findings
- Unable to compare
Answer options for data-delivery.archive
- https://mitre.org/fhir/space-health/CodeSystem/nasa-data-archive-cs#pacs ("Picture Archiving and Communication System")
- https://mitre.org/fhir/space-health/CodeSystem/nasa-data-archive-cs#mmis ("Medical Mission Information System")