@prefix fhir: . @prefix loinc: . @prefix owl: . @prefix rdf: . @prefix rdfs: . @prefix sct: . @prefix xsd: . # - resource ------------------------------------------------------------------- a fhir:Questionnaire ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "MEDB16RestingECGQuestionnaire"] ; # fhir:text [ fhir:status [ fhir:v "extensions" ] ; fhir:div [ fhir:v "

Generated Narrative: Questionnaire MEDB16RestingECGQuestionnaire

Structure#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n
LinkIDTextCardinalityTypeFlagsDescription & Constraints\"doco\"
\".\"\".\" MEDB16RestingECGNASA 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.Questionnairehttps://mitre.org/fhir/space-health/Questionnaire/medb-1-6-resting-ecg#0.5.12
\".\"\".\"\".\" overviewMedical Requirements Overview0..1group
\".\"\".\"\".\"\".\" overview.mrid-numberMRID Number and Title0..1displayInitial Value: string = MEDB 1.6 Resting ECG
\".\"\".\"\".\"\".\" overview.sponsorSponsor1..1choice\"icon\"/\"icon\"/Options: 1 option
Initial Value: Coding = NASA MRID Sponsor Organizations#medical-operations \"Medical Operations\"
\".\"\".\"\".\"\".\" overview.disciplineDiscipline0..1choice\"icon\"/\"icon\"/Options: 1 option
\".\"\".\"\".\"\".\" overview.categoryCategory1..1string\"icon\"/\"icon\"/Initial Value: string = Medical Requirements
\".\"\".\"\".\"\".\" overview.referencesReferences0..1textInitial Value: string = SSP 50260 ISS Medical Operations Requirements Document (MORD); SSP 50667 Medical Evaluations Document (MED) Volume B Section 1.6
\".\"\".\"\".\"\".\" overview.purposePurpose/Objectives1..1textInitial 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-parametersMeasurement Parameters1..1stringInitial Value: string = 12-lead ECG tracing
\".\"\".\"\".\"\".\" overview.deliverablesDeliverables1..1textInitial Value: string = Pre- and postflight ECG reports related to the cardiovascular examination.
\".\"\".\"\".\"\".\" overview.flight-durationFlight Duration1..1stringInitial Value: string = >= 30 days
\".\"\".\"\".\"\".\" overview.number-of-flightsNumber of Flights1..1stringInitial Value: string = All
\".\"\".\"\".\"\".\" overview.crew-members-requiredNumber and Type of Crew Members Required1..1stringInitial Value: string = All ISS crew members
\".\"\".\"\".\" preflight-trainingPreflight Training0..1group
\".\"\".\"\".\"\".\" preflight-training.naNo Preflight Training Required0..1display
\".\"\".\"\".\" preflight-activitiesPreflight Activities0..1group
\".\"\".\"\".\"\".\" preflight-activities.descriptionActivity Description0..1textInitial Value: string = Subject lies supine for 15 minutes while ECG tracings are recorded from 10 electrode sites (using chest and limb leads).
\".\"\".\"\".\"\".\" preflight-activities.durationDuration (minutes)1..1integerInitial Value: integer = 15
\".\"\".\"\".\"\".\" preflight-activities.scheduleSchedule1..1stringInitial Value: string = AME L-9/6 m to L-10 d & as clinically indicated
\".\"\".\"\".\"\".\" preflight-activities.flexibilityFlexibility0..1stringInitial Value: string = Within specified range
\".\"\".\"\".\"\".\" preflight-activities.personnelPersonnel Required1..1stringInitial Value: string = Lab Technician, crew member
\".\"\".\"\".\"\".\" preflight-activities.hardwarePreflight Hardware1..1choiceOptions: 1 option
Initial Value: Coding = NASA Medical Hardware#12-lead-ecg \"12-Lead ECG Machine\"
\".\"\".\"\".\"\".\" preflight-activities.locationTest Location1..*choiceOptions: 2 options
\".\"\".\"\".\"\".\" preflight-activities.constraintsConstraints/Special Requirements0..1textInitial Value: string = No caffeine or alcohol for 12 hours prior to testing.
\".\"\".\"\".\"\".\" preflight-activities.test-datePreflight ECG Test Date0..1date
\".\"\".\"\".\"\".\" preflight-activities.test-completedPreflight ECG Completed1..1boolean
\".\"\".\"\".\"\".\" preflight-activities.constraints-metPre-test Constraints Met (no caffeine/alcohol 12h)0..1boolean
\".\"\".\"\".\" preflight-ecg-resultsPreflight ECG Results0..1group
\".\"\".\"\".\"\".\" preflight-ecg-results.heart-rateHeart Rate (bpm)0..1integer
\".\"\".\"\".\"\".\" preflight-ecg-results.pr-intervalPR Interval (ms)0..1integer
\".\"\".\"\".\"\".\" preflight-ecg-results.qrs-durationQRS Duration (ms)0..1integer
\".\"\".\"\".\"\".\" preflight-ecg-results.qt-intervalQT Interval (ms)0..1integer
\".\"\".\"\".\"\".\" preflight-ecg-results.qtc-intervalQTc Interval (ms)0..1integer
\".\"\".\"\".\"\".\" preflight-ecg-results.axisQRS Axis (degrees)0..1integer
\".\"\".\"\".\"\".\" preflight-ecg-results.rhythmRhythm0..1choiceOptions: 5 options
\".\"\".\"\".\"\".\" preflight-ecg-results.interpretationECG Interpretation0..1choiceOptions: 3 options
\".\"\".\"\".\"\".\" preflight-ecg-results.findingsECG Findings/Notes0..1text
\".\"\".\"\".\" inflight-activitiesIn-Flight Activities0..1group
\".\"\".\"\".\"\".\" inflight-activities.naNo In-Flight Activities0..1display
\".\"\".\"\".\" postflight-activitiesPostflight Activities0..1group
\".\"\".\"\".\"\".\" postflight-activities.descriptionActivity Description0..1textInitial Value: string = Subject lies supine for 15 minutes while ECG tracings are recorded from 10 electrode sites (using chest and limb leads).
\".\"\".\"\".\"\".\" postflight-activities.durationDuration (minutes)1..1integerInitial Value: integer = 15
\".\"\".\"\".\"\".\" postflight-activities.scheduleSchedule1..1stringInitial Value: string = R+0/3 days & as clinically indicated
\".\"\".\"\".\"\".\" postflight-activities.flexibilityFlexibility0..1stringInitial Value: string = Within specified range
\".\"\".\"\".\"\".\" postflight-activities.personnelPersonnel Required1..1stringInitial Value: string = Technician, crew member
\".\"\".\"\".\"\".\" postflight-activities.hardwarePostflight Hardware1..1choiceOptions: 1 option
Initial Value: Coding = NASA Medical Hardware#12-lead-ecg \"12-Lead ECG Machine\"
\".\"\".\"\".\"\".\" postflight-activities.locationTest Location1..*choiceOptions: 2 options
\".\"\".\"\".\"\".\" postflight-activities.constraintsConstraints/Special Requirements0..1textInitial Value: string = No caffeine or alcohol for 12 hours prior to testing.
\".\"\".\"\".\"\".\" postflight-activities.test-datePostflight ECG Test Date0..1date
\".\"\".\"\".\"\".\" postflight-activities.test-completedPostflight ECG Completed1..1boolean
\".\"\".\"\".\" postflight-ecg-resultsPostflight ECG Results0..1group
\".\"\".\"\".\"\".\" postflight-ecg-results.heart-rateHeart Rate (bpm)0..1integer
\".\"\".\"\".\"\".\" postflight-ecg-results.pr-intervalPR Interval (ms)0..1integer
\".\"\".\"\".\"\".\" postflight-ecg-results.qrs-durationQRS Duration (ms)0..1integer
\".\"\".\"\".\"\".\" postflight-ecg-results.qt-intervalQT Interval (ms)0..1integer
\".\"\".\"\".\"\".\" postflight-ecg-results.qtc-intervalQTc Interval (ms)0..1integer
\".\"\".\"\".\"\".\" postflight-ecg-results.axisQRS Axis (degrees)0..1integer
\".\"\".\"\".\"\".\" postflight-ecg-results.rhythmRhythm0..1choiceOptions: 5 options
\".\"\".\"\".\"\".\" postflight-ecg-results.interpretationECG Interpretation0..1choiceOptions: 3 options
\".\"\".\"\".\"\".\" postflight-ecg-results.findingsECG Findings/Notes0..1text
\".\"\".\"\".\"\".\" postflight-ecg-results.comparisonComparison to Preflight ECG0..1choiceOptions: 4 options
\".\"\".\"\".\" data-deliveryData Delivery0..1group
\".\"\".\"\".\"\".\" data-delivery.pacs-transferRaw Data Transferred to PACS0..1boolean
\".\"\".\"\".\"\".\" data-delivery.pacs-transfer-datePACS Transfer Date0..1dateTimeEnable When: data-delivery.pacs-transfer =
\".\"\".\"\".\"\".\" data-delivery.archiveData Archive Systems1..*choiceOptions: 2 options
\".\"\".\"\".\"\".\" data-delivery.preflight-report-availablePreflight Report Available in MMIS0..1boolean
\".\"\".\"\".\"\".\" data-delivery.postflight-report-availablePostflight Report Available in MMIS0..1boolean
\".\"\".\"\".\" postflight-debriefPostflight Debrief0..1group
\".\"\".\"\".\"\".\" postflight-debrief.naNo Postflight Debrief Required0..1display

\"doco\" 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\")
"^^rdf:XMLLiteral ] ] ; # fhir:extension ( [ fhir:extension ( [ fhir:url [ fhir:v "name"^^xsd:anyURI ; fhir:l fhir:name ] ; fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "http://hl7.org/fhir/uv/sdc/CodeSystem/launchContext"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "patient" ] ] ] [ fhir:url [ fhir:v "type"^^xsd:anyURI ; fhir:l fhir:type ] ; fhir:value [ a fhir:Code ; fhir:v "Patient" ] ] [ fhir:url [ fhir:v "description"^^xsd:anyURI ; fhir:l fhir:description ] ; fhir:value [ a fhir:String ; fhir:v "The astronaut/crewmember subject of this medical requirement" ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext"^^xsd:anyURI ; fhir:l ] ] ) ; # fhir:url [ fhir:v "https://mitre.org/fhir/space-health/Questionnaire/medb-1-6-resting-ecg"^^xsd:anyURI ; fhir:l ] ; # fhir:version [ fhir:v "0.5.12"] ; # fhir:name [ fhir:v "MEDB16RestingECG"] ; # fhir:title [ fhir:v "MEDB 1.6 Resting ECG"] ; # fhir:status [ fhir:v "active"] ; # fhir:date [ fhir:v "2013-12-19"^^xsd:date] ; # fhir:publisher [ fhir:v "MITRE"] ; # fhir:contact ( [ fhir:name [ fhir:v "MITRE" ] ; fhir:telecom ( [ fhir:system [ fhir:v "url" ] ; fhir:value [ fhir:v "https://www.mitre.org/" ] ] ) ] ) ; # fhir:description [ fhir:v "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."] ; # fhir:purpose [ fhir:v "To assess pre- and postflight ECG recordings on long-duration flight crew members at rest using a 12-lead electrocardiogram (ECG)"] ; # fhir:copyright [ fhir:v "NASA Johnson Space Center - Medical Requirements Integration Documents (MRIDs) JSC28913"] ; # fhir:item ( [ fhir:linkId [ fhir:v "overview" ] ; fhir:text [ fhir:v "Medical Requirements Overview" ] ; fhir:type [ fhir:v "group" ] ; fhir:item ( [ fhir:linkId [ fhir:v "overview.mrid-number" ] ; fhir:text [ fhir:v "MRID Number and Title" ] ; fhir:type [ fhir:v "display" ] ; fhir:initial ( [ fhir:value [ a fhir:String ; fhir:v "MEDB 1.6 Resting ECG" ] ] ) ] [ fhir:linkId [ fhir:v "overview.sponsor" ] ; fhir:text [ fhir:v "Sponsor" ] ; fhir:type [ fhir:v "choice" ] ; fhir:required [ fhir:v true ] ; fhir:readOnly [ fhir:v true ] ; fhir:answerOption ( [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "https://mitre.org/fhir/space-health/CodeSystem/nasa-mrid-sponsor-cs"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "medical-operations" ] ; fhir:display [ fhir:v "Medical Operations" ] ] ] ) ; fhir:initial ( [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "https://mitre.org/fhir/space-health/CodeSystem/nasa-mrid-sponsor-cs"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "medical-operations" ] ; fhir:display [ fhir:v "Medical Operations" ] ] ] ) ] [ fhir:linkId [ fhir:v "overview.discipline" ] ; fhir:text [ fhir:v "Discipline" ] ; fhir:type [ fhir:v "choice" ] ; fhir:required [ fhir:v false ] ; fhir:readOnly [ fhir:v true ] ; fhir:answerOption ( [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "https://mitre.org/fhir/space-health/CodeSystem/nasa-mrid-discipline-cs"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "cardiovascular" ] ; fhir:display [ fhir:v "Cardiovascular" ] ] ] ) ] [ fhir:linkId [ fhir:v "overview.category" ] ; fhir:text [ fhir:v "Category" ] ; fhir:type [ fhir:v "string" ] ; fhir:required [ fhir:v true ] ; fhir:readOnly [ fhir:v true ] ; fhir:initial ( [ fhir:value [ a fhir:String ; fhir:v "Medical Requirements" ] ] ) ] [ fhir:linkId [ fhir:v "overview.references" ] ; fhir:text [ fhir:v "References" ] ; fhir:type [ fhir:v "text" ] ; fhir:required [ fhir:v false ] ; fhir:initial ( [ fhir:value [ a fhir:String ; fhir:v "SSP 50260 ISS Medical Operations Requirements Document (MORD); SSP 50667 Medical Evaluations Document (MED) Volume B Section 1.6" ] ] ) ] [ fhir:linkId [ fhir:v "overview.purpose" ] ; fhir:text [ fhir:v "Purpose/Objectives" ] ; fhir:type [ fhir:v "text" ] ; fhir:required [ fhir:v true ] ; fhir:initial ( [ fhir:value [ a fhir:String ; fhir:v "To assess pre- and postflight ECG recordings on long-duration flight crew members at rest using a 12-lead electrocardiogram (ECG)" ] ] ) ] [ fhir:linkId [ fhir:v "overview.measurement-parameters" ] ; fhir:text [ fhir:v "Measurement Parameters" ] ; fhir:type [ fhir:v "string" ] ; fhir:required [ fhir:v true ] ; fhir:initial ( [ fhir:value [ a fhir:String ; fhir:v "12-lead ECG tracing" ] ] ) ] [ fhir:linkId [ fhir:v "overview.deliverables" ] ; fhir:text [ fhir:v "Deliverables" ] ; fhir:type [ fhir:v "text" ] ; fhir:required [ fhir:v true ] ; fhir:initial ( [ fhir:value [ a fhir:String ; fhir:v "Pre- and postflight ECG reports related to the cardiovascular examination." ] ] ) ] [ fhir:linkId [ fhir:v "overview.flight-duration" ] ; fhir:text [ fhir:v "Flight Duration" ] ; fhir:type [ fhir:v "string" ] ; fhir:required [ fhir:v true ] ; fhir:initial ( [ fhir:value [ a fhir:String ; fhir:v ">= 30 days" ] ] ) ] [ fhir:linkId [ fhir:v "overview.number-of-flights" ] ; fhir:text [ fhir:v "Number of Flights" ] ; fhir:type [ fhir:v "string" ] ; fhir:required [ fhir:v true ] ; fhir:initial ( [ fhir:value [ a fhir:String ; fhir:v "All" ] ] ) ] [ fhir:linkId [ fhir:v "overview.crew-members-required" ] ; fhir:text [ fhir:v "Number and Type of Crew Members Required" ] ; fhir:type [ fhir:v "string" ] ; fhir:required [ fhir:v true ] ; fhir:initial ( [ fhir:value [ a fhir:String ; fhir:v "All ISS crew members" ] ] ) ] ) ] [ fhir:linkId [ fhir:v "preflight-training" ] ; fhir:text [ fhir:v "Preflight Training" ] ; fhir:type [ fhir:v "group" ] ; fhir:item ( [ fhir:linkId [ fhir:v "preflight-training.na" ] ; fhir:text [ fhir:v "No Preflight Training Required" ] ; fhir:type [ fhir:v "display" ] ] ) ] [ fhir:linkId [ fhir:v "preflight-activities" ] ; fhir:text [ fhir:v "Preflight Activities" ] ; fhir:type [ fhir:v "group" ] ; fhir:item ( [ fhir:linkId [ fhir:v "preflight-activities.description" ] ; fhir:text [ fhir:v "Activity Description" ] ; fhir:type [ fhir:v "text" ] ; fhir:required [ fhir:v false ] ; fhir:initial ( [ fhir:value [ a fhir:String ; fhir:v "Subject lies supine for 15 minutes while ECG tracings are recorded from 10 electrode sites (using chest and limb leads)." ] ] ) ] [ fhir:linkId [ fhir:v "preflight-activities.duration" ] ; fhir:text [ fhir:v "Duration (minutes)" ] ; fhir:type [ fhir:v "integer" ] ; fhir:required [ fhir:v true ] ; fhir:initial ( [ fhir:value [ a fhir:Integer ; fhir:v 15 ] ] ) ] [ fhir:linkId [ fhir:v "preflight-activities.schedule" ] ; fhir:text [ fhir:v "Schedule" ] ; fhir:type [ fhir:v "string" ] ; fhir:required [ fhir:v true ] ; fhir:initial ( [ fhir:value [ a fhir:String ; fhir:v "AME L-9/6 m to L-10 d & as clinically indicated" ] ] ) ] [ fhir:linkId [ fhir:v "preflight-activities.flexibility" ] ; fhir:text [ fhir:v "Flexibility" ] ; fhir:type [ fhir:v "string" ] ; fhir:required [ fhir:v false ] ; fhir:initial ( [ fhir:value [ a fhir:String ; fhir:v "Within specified range" ] ] ) ] [ fhir:linkId [ fhir:v "preflight-activities.personnel" ] ; fhir:text [ fhir:v "Personnel Required" ] ; fhir:type [ fhir:v "string" ] ; fhir:required [ fhir:v true ] ; fhir:initial ( [ fhir:value [ a fhir:String ; fhir:v "Lab Technician, crew member" ] ] ) ] [ fhir:linkId [ fhir:v "preflight-activities.hardware" ] ; fhir:text [ fhir:v "Preflight Hardware" ] ; fhir:type [ fhir:v "choice" ] ; fhir:required [ fhir:v true ] ; fhir:answerOption ( [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-hardware-cs"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "12-lead-ecg" ] ; fhir:display [ fhir:v "12-Lead ECG Machine" ] ] ] ) ; fhir:initial ( [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-hardware-cs"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "12-lead-ecg" ] ; fhir:display [ fhir:v "12-Lead ECG Machine" ] ] ] ) ] [ fhir:linkId [ fhir:v "preflight-activities.location" ] ; fhir:text [ fhir:v "Test Location" ] ; fhir:type [ fhir:v "choice" ] ; fhir:required [ fhir:v true ] ; fhir:repeats [ fhir:v true ] ; fhir:answerOption ( [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-facility-cs"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "jsc" ] ; fhir:display [ fhir:v "Johnson Space Center" ] ] ] [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-facility-cs"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "russia-gctc" ] ; fhir:display [ fhir:v "Gagarin Cosmonaut Training Center" ] ] ] ) ] [ fhir:linkId [ fhir:v "preflight-activities.constraints" ] ; fhir:text [ fhir:v "Constraints/Special Requirements" ] ; fhir:type [ fhir:v "text" ] ; fhir:required [ fhir:v false ] ; fhir:initial ( [ fhir:value [ a fhir:String ; fhir:v "No caffeine or alcohol for 12 hours prior to testing." ] ] ) ] [ fhir:linkId [ fhir:v "preflight-activities.test-date" ] ; fhir:text [ fhir:v "Preflight ECG Test Date" ] ; fhir:type [ fhir:v "date" ] ; fhir:required [ fhir:v false ] ] [ fhir:linkId [ fhir:v "preflight-activities.test-completed" ] ; fhir:text [ fhir:v "Preflight ECG Completed" ] ; fhir:type [ fhir:v "boolean" ] ; fhir:required [ fhir:v true ] ] [ fhir:linkId [ fhir:v "preflight-activities.constraints-met" ] ; fhir:text [ fhir:v "Pre-test Constraints Met (no caffeine/alcohol 12h)" ] ; fhir:type [ fhir:v "boolean" ] ; fhir:required [ fhir:v false ] ] ) ] [ fhir:linkId [ fhir:v "preflight-ecg-results" ] ; fhir:text [ fhir:v "Preflight ECG Results" ] ; fhir:type [ fhir:v "group" ] ; fhir:item ( [ fhir:linkId [ fhir:v "preflight-ecg-results.heart-rate" ] ; fhir:code ( [ a loinc:8867-4 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "8867-4" ] ; fhir:display [ fhir:v "Heart rate" ] ] ) ; fhir:text [ fhir:v "Heart Rate (bpm)" ] ; fhir:type [ fhir:v "integer" ] ; fhir:required [ fhir:v false ] ] [ fhir:linkId [ fhir:v "preflight-ecg-results.pr-interval" ] ; fhir:code ( [ a loinc:8625-6 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "8625-6" ] ; fhir:display [ fhir:v "PR interval" ] ] ) ; fhir:text [ fhir:v "PR Interval (ms)" ] ; fhir:type [ fhir:v "integer" ] ; fhir:required [ fhir:v false ] ] [ fhir:linkId [ fhir:v "preflight-ecg-results.qrs-duration" ] ; fhir:code ( [ a loinc:8633-0 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "8633-0" ] ; fhir:display [ fhir:v "QRS duration" ] ] ) ; fhir:text [ fhir:v "QRS Duration (ms)" ] ; fhir:type [ fhir:v "integer" ] ; fhir:required [ fhir:v false ] ] [ fhir:linkId [ fhir:v "preflight-ecg-results.qt-interval" ] ; fhir:code ( [ a loinc:8634-8 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "8634-8" ] ; fhir:display [ fhir:v "QT interval" ] ] ) ; fhir:text [ fhir:v "QT Interval (ms)" ] ; fhir:type [ fhir:v "integer" ] ; fhir:required [ fhir:v false ] ] [ fhir:linkId [ fhir:v "preflight-ecg-results.qtc-interval" ] ; fhir:code ( [ a loinc:8636-3 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "8636-3" ] ; fhir:display [ fhir:v "QT interval corrected" ] ] ) ; fhir:text [ fhir:v "QTc Interval (ms)" ] ; fhir:type [ fhir:v "integer" ] ; fhir:required [ fhir:v false ] ] [ fhir:linkId [ fhir:v "preflight-ecg-results.axis" ] ; fhir:text [ fhir:v "QRS Axis (degrees)" ] ; fhir:type [ fhir:v "integer" ] ; fhir:required [ fhir:v false ] ] [ fhir:linkId [ fhir:v "preflight-ecg-results.rhythm" ] ; fhir:text [ fhir:v "Rhythm" ] ; fhir:type [ fhir:v "choice" ] ; fhir:required [ fhir:v false ] ; fhir:answerOption ( [ fhir:value [ a fhir:Coding, sct:426783006 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "426783006" ] ; fhir:display [ fhir:v "Sinus rhythm" ] ] ] [ fhir:value [ a fhir:Coding, sct:49710005 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "49710005" ] ; fhir:display [ fhir:v "Sinus bradycardia" ] ] ] [ fhir:value [ a fhir:Coding, sct:11092001 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "11092001" ] ; fhir:display [ fhir:v "Sinus tachycardia" ] ] ] [ fhir:value [ a fhir:Coding, sct:49436004 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "49436004" ] ; fhir:display [ fhir:v "Atrial fibrillation" ] ] ] [ fhir:value [ a fhir:Coding, sct:698247007 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "698247007" ] ; fhir:display [ fhir:v "Cardiac arrhythmia" ] ] ] ) ] [ fhir:linkId [ fhir:v "preflight-ecg-results.interpretation" ] ; fhir:code ( [ a loinc:11524-6 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "11524-6" ] ; fhir:display [ fhir:v "EKG study" ] ] ) ; fhir:text [ fhir:v "ECG Interpretation" ] ; fhir:type [ fhir:v "choice" ] ; fhir:required [ fhir:v false ] ; fhir:answerOption ( [ fhir:value [ a fhir:Coding, sct:17621005 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "17621005" ] ; fhir:display [ fhir:v "Normal" ] ] ] [ fhir:value [ a fhir:Coding, sct:263654008 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "263654008" ] ; fhir:display [ fhir:v "Abnormal" ] ] ] [ fhir:value [ a fhir:Coding, sct:442564008 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "442564008" ] ; fhir:display [ fhir:v "Evaluation not done" ] ] ] ) ] [ fhir:linkId [ fhir:v "preflight-ecg-results.findings" ] ; fhir:text [ fhir:v "ECG Findings/Notes" ] ; fhir:type [ fhir:v "text" ] ; fhir:required [ fhir:v false ] ] ) ] [ fhir:linkId [ fhir:v "inflight-activities" ] ; fhir:text [ fhir:v "In-Flight Activities" ] ; fhir:type [ fhir:v "group" ] ; fhir:item ( [ fhir:linkId [ fhir:v "inflight-activities.na" ] ; fhir:text [ fhir:v "No In-Flight Activities" ] ; fhir:type [ fhir:v "display" ] ] ) ] [ fhir:linkId [ fhir:v "postflight-activities" ] ; fhir:text [ fhir:v "Postflight Activities" ] ; fhir:type [ fhir:v "group" ] ; fhir:item ( [ fhir:linkId [ fhir:v "postflight-activities.description" ] ; fhir:text [ fhir:v "Activity Description" ] ; fhir:type [ fhir:v "text" ] ; fhir:required [ fhir:v false ] ; fhir:initial ( [ fhir:value [ a fhir:String ; fhir:v "Subject lies supine for 15 minutes while ECG tracings are recorded from 10 electrode sites (using chest and limb leads)." ] ] ) ] [ fhir:linkId [ fhir:v "postflight-activities.duration" ] ; fhir:text [ fhir:v "Duration (minutes)" ] ; fhir:type [ fhir:v "integer" ] ; fhir:required [ fhir:v true ] ; fhir:initial ( [ fhir:value [ a fhir:Integer ; fhir:v 15 ] ] ) ] [ fhir:linkId [ fhir:v "postflight-activities.schedule" ] ; fhir:text [ fhir:v "Schedule" ] ; fhir:type [ fhir:v "string" ] ; fhir:required [ fhir:v true ] ; fhir:initial ( [ fhir:value [ a fhir:String ; fhir:v "R+0/3 days & as clinically indicated" ] ] ) ] [ fhir:linkId [ fhir:v "postflight-activities.flexibility" ] ; fhir:text [ fhir:v "Flexibility" ] ; fhir:type [ fhir:v "string" ] ; fhir:required [ fhir:v false ] ; fhir:initial ( [ fhir:value [ a fhir:String ; fhir:v "Within specified range" ] ] ) ] [ fhir:linkId [ fhir:v "postflight-activities.personnel" ] ; fhir:text [ fhir:v "Personnel Required" ] ; fhir:type [ fhir:v "string" ] ; fhir:required [ fhir:v true ] ; fhir:initial ( [ fhir:value [ a fhir:String ; fhir:v "Technician, crew member" ] ] ) ] [ fhir:linkId [ fhir:v "postflight-activities.hardware" ] ; fhir:text [ fhir:v "Postflight Hardware" ] ; fhir:type [ fhir:v "choice" ] ; fhir:required [ fhir:v true ] ; fhir:answerOption ( [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-hardware-cs"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "12-lead-ecg" ] ; fhir:display [ fhir:v "12-Lead ECG Machine" ] ] ] ) ; fhir:initial ( [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-hardware-cs"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "12-lead-ecg" ] ; fhir:display [ fhir:v "12-Lead ECG Machine" ] ] ] ) ] [ fhir:linkId [ fhir:v "postflight-activities.location" ] ; fhir:text [ fhir:v "Test Location" ] ; fhir:type [ fhir:v "choice" ] ; fhir:required [ fhir:v true ] ; fhir:repeats [ fhir:v true ] ; fhir:answerOption ( [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-facility-cs"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "jsc" ] ; fhir:display [ fhir:v "Johnson Space Center" ] ] ] [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-facility-cs"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "russia-gctc" ] ; fhir:display [ fhir:v "Gagarin Cosmonaut Training Center" ] ] ] ) ] [ fhir:linkId [ fhir:v "postflight-activities.constraints" ] ; fhir:text [ fhir:v "Constraints/Special Requirements" ] ; fhir:type [ fhir:v "text" ] ; fhir:required [ fhir:v false ] ; fhir:initial ( [ fhir:value [ a fhir:String ; fhir:v "No caffeine or alcohol for 12 hours prior to testing." ] ] ) ] [ fhir:linkId [ fhir:v "postflight-activities.test-date" ] ; fhir:text [ fhir:v "Postflight ECG Test Date" ] ; fhir:type [ fhir:v "date" ] ; fhir:required [ fhir:v false ] ] [ fhir:linkId [ fhir:v "postflight-activities.test-completed" ] ; fhir:text [ fhir:v "Postflight ECG Completed" ] ; fhir:type [ fhir:v "boolean" ] ; fhir:required [ fhir:v true ] ] ) ] [ fhir:linkId [ fhir:v "postflight-ecg-results" ] ; fhir:text [ fhir:v "Postflight ECG Results" ] ; fhir:type [ fhir:v "group" ] ; fhir:item ( [ fhir:linkId [ fhir:v "postflight-ecg-results.heart-rate" ] ; fhir:code ( [ a loinc:8867-4 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "8867-4" ] ; fhir:display [ fhir:v "Heart rate" ] ] ) ; fhir:text [ fhir:v "Heart Rate (bpm)" ] ; fhir:type [ fhir:v "integer" ] ; fhir:required [ fhir:v false ] ] [ fhir:linkId [ fhir:v "postflight-ecg-results.pr-interval" ] ; fhir:code ( [ a loinc:8625-6 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "8625-6" ] ; fhir:display [ fhir:v "PR interval" ] ] ) ; fhir:text [ fhir:v "PR Interval (ms)" ] ; fhir:type [ fhir:v "integer" ] ; fhir:required [ fhir:v false ] ] [ fhir:linkId [ fhir:v "postflight-ecg-results.qrs-duration" ] ; fhir:code ( [ a loinc:8633-0 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "8633-0" ] ; fhir:display [ fhir:v "QRS duration" ] ] ) ; fhir:text [ fhir:v "QRS Duration (ms)" ] ; fhir:type [ fhir:v "integer" ] ; fhir:required [ fhir:v false ] ] [ fhir:linkId [ fhir:v "postflight-ecg-results.qt-interval" ] ; fhir:code ( [ a loinc:8634-8 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "8634-8" ] ; fhir:display [ fhir:v "QT interval" ] ] ) ; fhir:text [ fhir:v "QT Interval (ms)" ] ; fhir:type [ fhir:v "integer" ] ; fhir:required [ fhir:v false ] ] [ fhir:linkId [ fhir:v "postflight-ecg-results.qtc-interval" ] ; fhir:code ( [ a loinc:8636-3 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "8636-3" ] ; fhir:display [ fhir:v "QT interval corrected" ] ] ) ; fhir:text [ fhir:v "QTc Interval (ms)" ] ; fhir:type [ fhir:v "integer" ] ; fhir:required [ fhir:v false ] ] [ fhir:linkId [ fhir:v "postflight-ecg-results.axis" ] ; fhir:text [ fhir:v "QRS Axis (degrees)" ] ; fhir:type [ fhir:v "integer" ] ; fhir:required [ fhir:v false ] ] [ fhir:linkId [ fhir:v "postflight-ecg-results.rhythm" ] ; fhir:text [ fhir:v "Rhythm" ] ; fhir:type [ fhir:v "choice" ] ; fhir:required [ fhir:v false ] ; fhir:answerOption ( [ fhir:value [ a fhir:Coding, sct:426783006 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "426783006" ] ; fhir:display [ fhir:v "Sinus rhythm" ] ] ] [ fhir:value [ a fhir:Coding, sct:49710005 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "49710005" ] ; fhir:display [ fhir:v "Sinus bradycardia" ] ] ] [ fhir:value [ a fhir:Coding, sct:11092001 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "11092001" ] ; fhir:display [ fhir:v "Sinus tachycardia" ] ] ] [ fhir:value [ a fhir:Coding, sct:49436004 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "49436004" ] ; fhir:display [ fhir:v "Atrial fibrillation" ] ] ] [ fhir:value [ a fhir:Coding, sct:698247007 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "698247007" ] ; fhir:display [ fhir:v "Cardiac arrhythmia" ] ] ] ) ] [ fhir:linkId [ fhir:v "postflight-ecg-results.interpretation" ] ; fhir:code ( [ a loinc:11524-6 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "11524-6" ] ; fhir:display [ fhir:v "EKG study" ] ] ) ; fhir:text [ fhir:v "ECG Interpretation" ] ; fhir:type [ fhir:v "choice" ] ; fhir:required [ fhir:v false ] ; fhir:answerOption ( [ fhir:value [ a fhir:Coding, sct:17621005 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "17621005" ] ; fhir:display [ fhir:v "Normal" ] ] ] [ fhir:value [ a fhir:Coding, sct:263654008 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "263654008" ] ; fhir:display [ fhir:v "Abnormal" ] ] ] [ fhir:value [ a fhir:Coding, sct:442564008 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "442564008" ] ; fhir:display [ fhir:v "Evaluation not done" ] ] ] ) ] [ fhir:linkId [ fhir:v "postflight-ecg-results.findings" ] ; fhir:text [ fhir:v "ECG Findings/Notes" ] ; fhir:type [ fhir:v "text" ] ; fhir:required [ fhir:v false ] ] [ fhir:linkId [ fhir:v "postflight-ecg-results.comparison" ] ; fhir:text [ fhir:v "Comparison to Preflight ECG" ] ; fhir:type [ fhir:v "choice" ] ; fhir:required [ fhir:v false ] ; fhir:answerOption ( [ fhir:value [ a fhir:String ; fhir:v "No significant change" ] ] [ fhir:value [ a fhir:String ; fhir:v "Improved" ] ] [ fhir:value [ a fhir:String ; fhir:v "New findings" ] ] [ fhir:value [ a fhir:String ; fhir:v "Unable to compare" ] ] ) ] ) ] [ fhir:linkId [ fhir:v "data-delivery" ] ; fhir:text [ fhir:v "Data Delivery" ] ; fhir:type [ fhir:v "group" ] ; fhir:item ( [ fhir:linkId [ fhir:v "data-delivery.pacs-transfer" ] ; fhir:text [ fhir:v "Raw Data Transferred to PACS" ] ; fhir:type [ fhir:v "boolean" ] ; fhir:required [ fhir:v false ] ] [ fhir:linkId [ fhir:v "data-delivery.pacs-transfer-date" ] ; fhir:text [ fhir:v "PACS Transfer Date" ] ; fhir:type [ fhir:v "dateTime" ] ; fhir:enableWhen ( [ fhir:question [ fhir:v "data-delivery.pacs-transfer" ] ; fhir:operator [ fhir:v "=" ] ; fhir:answer [ a fhir:Boolean ; fhir:v true ] ] ) ; fhir:required [ fhir:v false ] ] [ fhir:linkId [ fhir:v "data-delivery.archive" ] ; fhir:text [ fhir:v "Data Archive Systems" ] ; fhir:type [ fhir:v "choice" ] ; fhir:required [ fhir:v true ] ; fhir:repeats [ fhir:v true ] ; fhir:answerOption ( [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "https://mitre.org/fhir/space-health/CodeSystem/nasa-data-archive-cs"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "pacs" ] ; fhir:display [ fhir:v "Picture Archiving and Communication System" ] ] ] [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "https://mitre.org/fhir/space-health/CodeSystem/nasa-data-archive-cs"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "mmis" ] ; fhir:display [ fhir:v "Medical Mission Information System" ] ] ] ) ] [ fhir:linkId [ fhir:v "data-delivery.preflight-report-available" ] ; fhir:text [ fhir:v "Preflight Report Available in MMIS" ] ; fhir:type [ fhir:v "boolean" ] ; fhir:required [ fhir:v false ] ] [ fhir:linkId [ fhir:v "data-delivery.postflight-report-available" ] ; fhir:text [ fhir:v "Postflight Report Available in MMIS" ] ; fhir:type [ fhir:v "boolean" ] ; fhir:required [ fhir:v false ] ] ) ] [ fhir:linkId [ fhir:v "postflight-debrief" ] ; fhir:text [ fhir:v "Postflight Debrief" ] ; fhir:type [ fhir:v "group" ] ; fhir:item ( [ fhir:linkId [ fhir:v "postflight-debrief.na" ] ; fhir:text [ fhir:v "No Postflight Debrief Required" ] ; fhir:type [ fhir:v "display" ] ] ) ] ) . # # -------------------------------------------------------------------------------------