{ "resourceType" : "Questionnaire", "id" : "MEDB19DentalExamQuestionnaire", "text" : { "status" : "extensions", "div" : "

Generated Narrative: Questionnaire MEDB19DentalExamQuestionnaire

Structure\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
LinkIDTextCardinalityTypeFlagsDescription & Constraints\"doco\"
\".\"\".\" MEDB19DentalExamNASA Medical Requirements Integration Document for dental examination. Captures comprehensive dental assessment data for spaceflight crew members.Questionnairehttps://mitre.org/fhir/space-health/Questionnaire/medb-1-9-dental-exam#0.5.12
\".\"\".\"\".\" overviewMedical Requirements Overview0..1group
\".\"\".\"\".\"\".\" overview.mrid-numberMRID Number0..1displayInitial Value: string = MEDB 1.9 Dental Examination
\".\"\".\"\".\"\".\" overview.sponsorSponsor0..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
Initial Value: Coding = NASA MRID Medical Disciplines#dental "Dental"
\".\"\".\"\".\" preflight-activitiesPreflight Activities0..1group
\".\"\".\"\".\"\".\" preflight-activities.scheduleSchedule0..1stringInitial Value: string = Annual, L-180 to L-90 days, L-14 to L-7 days (final clearance)
\".\"\".\"\".\"\".\" preflight-activities.exam-dateExamination Date0..1date
\".\"\".\"\".\"\".\" preflight-activities.exam-completedExamination Completed0..1boolean
\".\"\".\"\".\" dental-resultsDental Examination Results0..1group
\".\"\".\"\".\"\".\" dental-results.overall-statusOverall Dental Status0..1choiceOptions: 2 options
\".\"\".\"\".\"\".\" dental-results.caries-presentDental Caries Present0..1boolean
\".\"\".\"\".\"\".\" dental-results.periodontal-diseasePeriodontal Disease Present0..1boolean
\".\"\".\"\".\"\".\" dental-results.restorations-neededRestorations Needed0..1boolean
\".\"\".\"\".\"\".\" dental-results.restorations-completedRequired Restorations Completed0..1boolean
\".\"\".\"\".\"\".\" dental-results.panoramic-xrayPanoramic X-ray Obtained0..1boolean
\".\"\".\"\".\"\".\" dental-results.flight-riskIn-Flight Emergency Risk0..1choiceOptions: 3 options
\".\"\".\"\".\"\".\" dental-results.cleared-for-flightCleared for Flight0..1boolean
\".\"\".\"\".\"\".\" dental-results.notesExamination Notes0..1text
\".\"\".\"\".\" data-deliveryData Delivery0..1group
\".\"\".\"\".\"\".\" data-delivery.archiveData Archive0..1choiceOptions: 1 option

\"doco\" Documentation for this format

Options Sets

Answer options for overview.sponsor

Answer options for overview.discipline

Answer options for dental-results.overall-status

Answer options for dental-results.flight-risk

Answer options for data-delivery.archive

" }, "extension" : [{ "extension" : [{ "url" : "name", "valueCoding" : { "system" : "http://hl7.org/fhir/uv/sdc/CodeSystem/launchContext", "code" : "patient" } }, { "url" : "type", "valueCode" : "Patient" }], "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext" }], "url" : "https://mitre.org/fhir/space-health/Questionnaire/medb-1-9-dental-exam", "version" : "0.5.12", "name" : "MEDB19DentalExam", "title" : "MEDB 1.9 Dental Examination", "status" : "active", "date" : "2017-06-05", "publisher" : "MITRE", "contact" : [{ "name" : "MITRE", "telecom" : [{ "system" : "url", "value" : "https://www.mitre.org/" }] }], "description" : "NASA Medical Requirements Integration Document for dental examination. Captures comprehensive dental assessment data for spaceflight crew members.", "purpose" : "To assess dental fitness for spaceflight and ensure crew are free of dental conditions that could cause in-flight emergencies.", "copyright" : "NASA Johnson Space Center - Medical Requirements Integration Documents (MRIDs) JSC28913", "item" : [{ "linkId" : "overview", "text" : "Medical Requirements Overview", "type" : "group", "item" : [{ "linkId" : "overview.mrid-number", "text" : "MRID Number", "type" : "display", "initial" : [{ "valueString" : "MEDB 1.9 Dental Examination" }] }, { "linkId" : "overview.sponsor", "text" : "Sponsor", "type" : "choice", "readOnly" : true, "answerOption" : [{ "valueCoding" : { "system" : "https://mitre.org/fhir/space-health/CodeSystem/nasa-mrid-sponsor-cs", "code" : "medical-operations", "display" : "Medical Operations" } }], "initial" : [{ "valueCoding" : { "system" : "https://mitre.org/fhir/space-health/CodeSystem/nasa-mrid-sponsor-cs", "code" : "medical-operations", "display" : "Medical Operations" } }] }, { "linkId" : "overview.discipline", "text" : "Discipline", "type" : "choice", "readOnly" : true, "answerOption" : [{ "valueCoding" : { "system" : "https://mitre.org/fhir/space-health/CodeSystem/nasa-mrid-discipline-cs", "code" : "dental", "display" : "Dental" } }], "initial" : [{ "valueCoding" : { "system" : "https://mitre.org/fhir/space-health/CodeSystem/nasa-mrid-discipline-cs", "code" : "dental", "display" : "Dental" } }] }] }, { "linkId" : "preflight-activities", "text" : "Preflight Activities", "type" : "group", "item" : [{ "linkId" : "preflight-activities.schedule", "text" : "Schedule", "type" : "string", "initial" : [{ "valueString" : "Annual, L-180 to L-90 days, L-14 to L-7 days (final clearance)" }] }, { "linkId" : "preflight-activities.exam-date", "text" : "Examination Date", "type" : "date" }, { "linkId" : "preflight-activities.exam-completed", "text" : "Examination Completed", "type" : "boolean" }] }, { "linkId" : "dental-results", "text" : "Dental Examination Results", "type" : "group", "item" : [{ "linkId" : "dental-results.overall-status", "text" : "Overall Dental Status", "type" : "choice", "answerOption" : [{ "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "17621005", "display" : "Normal" } }, { "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "263654008", "display" : "Abnormal" } }] }, { "linkId" : "dental-results.caries-present", "text" : "Dental Caries Present", "type" : "boolean" }, { "linkId" : "dental-results.periodontal-disease", "text" : "Periodontal Disease Present", "type" : "boolean" }, { "linkId" : "dental-results.restorations-needed", "text" : "Restorations Needed", "type" : "boolean" }, { "linkId" : "dental-results.restorations-completed", "text" : "Required Restorations Completed", "type" : "boolean" }, { "linkId" : "dental-results.panoramic-xray", "text" : "Panoramic X-ray Obtained", "type" : "boolean" }, { "linkId" : "dental-results.flight-risk", "text" : "In-Flight Emergency Risk", "type" : "choice", "answerOption" : [{ "valueString" : "Low risk" }, { "valueString" : "Moderate risk" }, { "valueString" : "High risk" }] }, { "linkId" : "dental-results.cleared-for-flight", "text" : "Cleared for Flight", "type" : "boolean" }, { "linkId" : "dental-results.notes", "text" : "Examination Notes", "type" : "text" }] }, { "linkId" : "data-delivery", "text" : "Data Delivery", "type" : "group", "item" : [{ "linkId" : "data-delivery.archive", "text" : "Data Archive", "type" : "choice", "answerOption" : [{ "valueCoding" : { "system" : "https://mitre.org/fhir/space-health/CodeSystem/nasa-data-archive-cs", "code" : "mmis", "display" : "Medical Mission Information System" } }] }] }] }