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Questionnaire: MEDB 1.8 Audiometry
| Official URL: https://mitre.org/fhir/space-health/Questionnaire/medb-1-8-audiometry | Version: 0.5.12 | |||
| Active as of 2017-06-05 | Computable Name: MEDB18Audiometry | |||
Copyright/Legal: NASA Johnson Space Center - Medical Requirements Integration Documents (MRIDs) JSC28913 |
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NASA Medical Requirements Integration Document for audiometric assessment. Captures pre- and postflight hearing threshold data to monitor crew hearing status.
To assess pre- and postflight hearing thresholds on crew members using pure tone audiometry
Structure
| LinkID | Text | Cardinality | Type | Flags | Description & Constraints |
|---|---|---|---|---|---|
  MEDB18Audiometry | NASA Medical Requirements Integration Document for audiometric assessment. Captures pre- and postflight hearing threshold data to monitor crew hearing status. | Questionnaire | https://mitre.org/fhir/space-health/Questionnaire/medb-1-8-audiometry#0.5.12 | ||
  overview | Medical Requirements Overview | 0..1 | group | ||
   overview.mrid-number | MRID Number and Title | 0..1 | display | Initial Value: string = MEDB 1.8 Audiometry | |
 overview.sponsor | Sponsor | 1..1 | choice |  | Options: 1 option Initial Value: Coding = NASA MRID Sponsor Organizations#medical-operations "Medical Operations" |
| overview.discipline | Discipline | 1..1 | choice | | Options: 1 option Initial Value: Coding = NASA MRID Medical Disciplines#audiology "Audiology" |
 overview.purpose | Purpose/Objectives | 1..1 | text | Initial Value: string = To assess pre- and postflight hearing thresholds on crew members using pure tone audiometry. To track hearing changes across missions. | |
 overview.measurement-parameters | Measurement Parameters | 1..1 | string | Initial Value: string = Pure tone air conduction thresholds at 500, 1000, 2000, 3000, 4000, 6000, 8000 Hz | |
 overview.flight-duration | Flight Duration | 1..1 | string | Initial Value: string = >= 30 days | |
| 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 = Pure tone audiometry is performed in a sound-treated booth. Testing includes air conduction thresholds at standard frequencies. | |
 preflight-activities.duration | Duration (minutes) | 1..1 | integer | Initial Value: integer = 15 | |
| preflight-activities.schedule | Schedule | 1..1 | string | Initial Value: string = Annual medical examination and L-60 to L-10 days | |
| preflight-activities.hardware | Preflight Hardware | 1..1 | choice | Options: 1 option Initial Value: Coding = NASA Medical Hardware#audiometer "Audiometer" | |
| preflight-activities.location | Test Location | 1..1 | choice | Options: 1 option Initial Value: Coding = NASA Medical Facility Locations#jsc "Johnson Space Center" | |
 preflight-activities.test-date | Preflight Audiometry Date | 0..1 | date | ||
 preflight-activities.test-completed | Preflight Audiometry Completed | 1..1 | boolean | ||
| preflight-audiometry-results | Preflight Audiometry Results | 0..1 | group | ||
| preflight-audiometry-results.right-ear | Right Ear Thresholds | 0..1 | group | ||
| preflight-audiometry-results.right-ear.500hz | 500 Hz Threshold (dB HL) | 0..1 | integer | ||
| preflight-audiometry-results.right-ear.1000hz | 1000 Hz Threshold (dB HL) | 0..1 | integer | ||
| preflight-audiometry-results.right-ear.2000hz | 2000 Hz Threshold (dB HL) | 0..1 | integer | ||
| preflight-audiometry-results.right-ear.3000hz | 3000 Hz Threshold (dB HL) | 0..1 | integer | ||
| preflight-audiometry-results.right-ear.4000hz | 4000 Hz Threshold (dB HL) | 0..1 | integer | ||
| preflight-audiometry-results.right-ear.6000hz | 6000 Hz Threshold (dB HL) | 0..1 | integer | ||
| preflight-audiometry-results.right-ear.8000hz | 8000 Hz Threshold (dB HL) | 0..1 | integer | ||
| preflight-audiometry-results.left-ear | Left Ear Thresholds | 0..1 | group | ||
| preflight-audiometry-results.left-ear.500hz | 500 Hz Threshold (dB HL) | 0..1 | integer | ||
| preflight-audiometry-results.left-ear.1000hz | 1000 Hz Threshold (dB HL) | 0..1 | integer | ||
| preflight-audiometry-results.left-ear.2000hz | 2000 Hz Threshold (dB HL) | 0..1 | integer | ||
| preflight-audiometry-results.left-ear.3000hz | 3000 Hz Threshold (dB HL) | 0..1 | integer | ||
| preflight-audiometry-results.left-ear.4000hz | 4000 Hz Threshold (dB HL) | 0..1 | integer | ||
| preflight-audiometry-results.left-ear.6000hz | 6000 Hz Threshold (dB HL) | 0..1 | integer | ||
| preflight-audiometry-results.left-ear.8000hz | 8000 Hz Threshold (dB HL) | 0..1 | integer | ||
| preflight-audiometry-results.interpretation | Audiometric Interpretation | 0..1 | choice | Options: 3 options | |
| preflight-audiometry-results.notes | Audiometric 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.schedule | Schedule | 0..1 | string | Initial Value: string = R+3 to R+7 days | |
| postflight-activities.test-date | Postflight Audiometry Date | 0..1 | date | ||
| postflight-activities.test-completed | Postflight Audiometry Completed | 1..1 | boolean | ||
| postflight-audiometry-results | Postflight Audiometry Results | 0..1 | group | ||
| postflight-audiometry-results.right-ear | Right Ear Thresholds | 0..1 | group | ||
| postflight-audiometry-results.right-ear.500hz | 500 Hz Threshold (dB HL) | 0..1 | integer | ||
| postflight-audiometry-results.right-ear.1000hz | 1000 Hz Threshold (dB HL) | 0..1 | integer | ||
| postflight-audiometry-results.right-ear.2000hz | 2000 Hz Threshold (dB HL) | 0..1 | integer | ||
| postflight-audiometry-results.right-ear.4000hz | 4000 Hz Threshold (dB HL) | 0..1 | integer | ||
| postflight-audiometry-results.right-ear.6000hz | 6000 Hz Threshold (dB HL) | 0..1 | integer | ||
| postflight-audiometry-results.right-ear.8000hz | 8000 Hz Threshold (dB HL) | 0..1 | integer | ||
| postflight-audiometry-results.left-ear | Left Ear Thresholds | 0..1 | group | ||
| postflight-audiometry-results.left-ear.500hz | 500 Hz Threshold (dB HL) | 0..1 | integer | ||
| postflight-audiometry-results.left-ear.1000hz | 1000 Hz Threshold (dB HL) | 0..1 | integer | ||
| postflight-audiometry-results.left-ear.2000hz | 2000 Hz Threshold (dB HL) | 0..1 | integer | ||
| postflight-audiometry-results.left-ear.4000hz | 4000 Hz Threshold (dB HL) | 0..1 | integer | ||
| postflight-audiometry-results.left-ear.6000hz | 6000 Hz Threshold (dB HL) | 0..1 | integer | ||
| postflight-audiometry-results.left-ear.8000hz | 8000 Hz Threshold (dB HL) | 0..1 | integer | ||
| postflight-audiometry-results.interpretation | Audiometric Interpretation | 0..1 | choice | Options: 3 options | |
| postflight-audiometry-results.comparison | Comparison to Preflight | 0..1 | choice | Options: 3 options | |
| data-delivery | Data Delivery | 0..1 | group | ||
| data-delivery.archive | Data Archive System | 0..1 | choice | Options: 1 option Initial Value: Coding = NASA Medical Data Archive Systems#mmis "Medical Mission Information System" | |
 postflight-debrief | Postflight Debrief | 0..1 | group | ||
 postflight-debrief.na | N/A - Included as part of Medical Operations overall debrief | 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#audiology ("Audiology")
Answer options for preflight-activities.hardware
- https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-hardware-cs#audiometer ("Audiometer")
Answer options for preflight-activities.location
- https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-facility-cs#jsc ("Johnson Space Center")
Answer options for preflight-audiometry-results.interpretation
- http://snomed.info/sct#162339002 ("Hearing normal")
- http://snomed.info/sct#15188001 ("Hearing loss")
- http://snomed.info/sct#95820000 ("Bilateral hearing loss")
Answer options for postflight-audiometry-results.interpretation
- http://snomed.info/sct#162339002 ("Hearing normal")
- http://snomed.info/sct#15188001 ("Hearing loss")
- http://snomed.info/sct#95820000 ("Bilateral hearing loss")
Answer options for postflight-audiometry-results.comparison
- No significant change
- Threshold shift detected
- Unable to compare
Answer options for data-delivery.archive
- https://mitre.org/fhir/space-health/CodeSystem/nasa-data-archive-cs#mmis ("Medical Mission Information System")