Generated Narrative: Questionnaire MEDB16RestingECGQuestionnaire 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 #xD; overview Medical Requirements Overview 0..1 group #xD; overview.mrid-number MRID Number and Title 0..1 display Initial Value: string = MEDB 1.6 Resting ECG #xD; overview.sponsor Sponsor 1..1 choice Options: 1 option Initial Value: Coding = NASA MRID Sponsor Organizations#medical-operations "Medical Operations" #xD; overview.discipline Discipline 0..1 choice Options: 1 option #xD; overview.category Category 1..1 string Initial Value: string = Medical Requirements #xD; 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 #xD; 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) #xD; overview.measurement-parameters Measurement Parameters 1..1 string Initial Value: string = 12-lead ECG tracing #xD; overview.deliverables Deliverables 1..1 text Initial Value: string = Pre- and postflight ECG reports related to the cardiovascular examination. #xD; overview.flight-duration Flight Duration 1..1 string Initial Value: string = >= 30 days #xD; overview.number-of-flights Number of Flights 1..1 string Initial Value: string = All #xD; overview.crew-members-required Number and Type of Crew Members Required 1..1 string Initial Value: string = All ISS crew members #xD; preflight-training Preflight Training 0..1 group #xD; preflight-training.na No Preflight Training Required 0..1 display #xD; preflight-activities Preflight Activities 0..1 group #xD; 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). #xD; preflight-activities.duration Duration (minutes) 1..1 integer Initial Value: integer = 15 #xD; preflight-activities.schedule Schedule 1..1 string Initial Value: string = AME L-9/6 m to L-10 d & as clinically indicated #xD; preflight-activities.flexibility Flexibility 0..1 string Initial Value: string = Within specified range #xD; preflight-activities.personnel Personnel Required 1..1 string Initial Value: string = Lab Technician, crew member #xD; preflight-activities.hardware Preflight Hardware 1..1 choice Options: 1 option Initial Value: Coding = NASA Medical Hardware#12-lead-ecg "12-Lead ECG Machine" #xD; preflight-activities.location Test Location 1..* choice Options: 2 options #xD; preflight-activities.constraints Constraints/Special Requirements 0..1 text Initial Value: string = No caffeine or alcohol for 12 hours prior to testing. #xD; preflight-activities.test-date Preflight ECG Test Date 0..1 date #xD; preflight-activities.test-completed Preflight ECG Completed 1..1 boolean #xD; preflight-activities.constraints-met Pre-test Constraints Met (no caffeine/alcohol 12h) 0..1 boolean #xD; preflight-ecg-results Preflight ECG Results 0..1 group #xD; preflight-ecg-results.heart-rate Heart Rate (bpm) 0..1 integer #xD; preflight-ecg-results.pr-interval PR Interval (ms) 0..1 integer #xD; preflight-ecg-results.qrs-duration QRS Duration (ms) 0..1 integer #xD; preflight-ecg-results.qt-interval QT Interval (ms) 0..1 integer #xD; preflight-ecg-results.qtc-interval QTc Interval (ms) 0..1 integer #xD; preflight-ecg-results.axis QRS Axis (degrees) 0..1 integer #xD; preflight-ecg-results.rhythm Rhythm 0..1 choice Options: 5 options #xD; preflight-ecg-results.interpretation ECG Interpretation 0..1 choice Options: 3 options #xD; preflight-ecg-results.findings ECG Findings/Notes 0..1 text #xD; inflight-activities In-Flight Activities 0..1 group #xD; inflight-activities.na No In-Flight Activities 0..1 display #xD; postflight-activities Postflight Activities 0..1 group #xD; 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). #xD; postflight-activities.duration Duration (minutes) 1..1 integer Initial Value: integer = 15 #xD; postflight-activities.schedule Schedule 1..1 string Initial Value: string = R+0/3 days & as clinically indicated #xD; postflight-activities.flexibility Flexibility 0..1 string Initial Value: string = Within specified range #xD; postflight-activities.personnel Personnel Required 1..1 string Initial Value: string = Technician, crew member #xD; postflight-activities.hardware Postflight Hardware 1..1 choice Options: 1 option Initial Value: Coding = NASA Medical Hardware#12-lead-ecg "12-Lead ECG Machine" #xD; postflight-activities.location Test Location 1..* choice Options: 2 options #xD; postflight-activities.constraints Constraints/Special Requirements 0..1 text Initial Value: string = No caffeine or alcohol for 12 hours prior to testing. #xD; postflight-activities.test-date Postflight ECG Test Date 0..1 date #xD; postflight-activities.test-completed Postflight ECG Completed 1..1 boolean #xD; postflight-ecg-results Postflight ECG Results 0..1 group #xD; postflight-ecg-results.heart-rate Heart Rate (bpm) 0..1 integer #xD; postflight-ecg-results.pr-interval PR Interval (ms) 0..1 integer #xD; postflight-ecg-results.qrs-duration QRS Duration (ms) 0..1 integer #xD; postflight-ecg-results.qt-interval QT Interval (ms) 0..1 integer #xD; postflight-ecg-results.qtc-interval QTc Interval (ms) 0..1 integer #xD; postflight-ecg-results.axis QRS Axis (degrees) 0..1 integer #xD; postflight-ecg-results.rhythm Rhythm 0..1 choice Options: 5 options #xD; postflight-ecg-results.interpretation ECG Interpretation 0..1 choice Options: 3 options #xD; postflight-ecg-results.findings ECG Findings/Notes 0..1 text #xD; postflight-ecg-results.comparison Comparison to Preflight ECG 0..1 choice Options: 4 options #xD; data-delivery Data Delivery 0..1 group #xD; data-delivery.pacs-transfer Raw Data Transferred to PACS 0..1 boolean #xD; data-delivery.pacs-transfer-date PACS Transfer Date 0..1 dateTime Enable When: data-delivery.pacs-transfer = #xD; data-delivery.archive Data Archive Systems 1..* choice Options: 2 options #xD; data-delivery.preflight-report-available Preflight Report Available in MMIS 0..1 boolean #xD; data-delivery.postflight-report-available Postflight Report Available in MMIS 0..1 boolean #xD; postflight-debrief Postflight Debrief 0..1 group #xD; postflight-debrief.na No Postflight Debrief Required 0..1 display #xD; 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")
The astronaut/crewmember subject of this medical requirement
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)
NASA Johnson Space Center - Medical Requirements Integration Documents (MRIDs) JSC28913
SSP 50260 ISS Medical Operations Requirements Document (MORD); SSP 50667 Medical Evaluations Document (MED) Volume B Section 1.6
Pre- and postflight ECG reports related to the cardiovascular examination.
Number and Type of Crew Members Required
Subject lies supine for 15 minutes while ECG tracings are recorded from 10 electrode sites (using chest and limb leads).
AME L-9/6 m to L-10 d & as clinically indicated
No caffeine or alcohol for 12 hours prior to testing.
Pre-test Constraints Met (no caffeine/alcohol 12h)
Picture Archiving and Communication System