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Questionnaire: MEDB 2.1 Routine Laboratory Panel
| Official URL: https://mitre.org/fhir/space-health/Questionnaire/medb-2-1-routine-lab-panel | Version: 0.5.12 | |||
| Active as of 2017-06-05 | Computable Name: MEDB21RoutineLabPanel | |||
Copyright/Legal: NASA Johnson Space Center - Medical Requirements Integration Documents (MRIDs) JSC28913 |
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NASA Medical Requirements Integration Document for routine laboratory panel. Captures comprehensive blood chemistry, hematology, and urinalysis data for spaceflight crew members.
To assess pre- and postflight clinical laboratory values for comprehensive health assessment of spaceflight crew members
Structure
| LinkID | Text | Cardinality | Type | Flags | Description & Constraints |
|---|---|---|---|---|---|
  MEDB21RoutineLabPanel | NASA Medical Requirements Integration Document for routine laboratory panel. Captures comprehensive blood chemistry, hematology, and urinalysis data for spaceflight crew members. | Questionnaire | https://mitre.org/fhir/space-health/Questionnaire/medb-2-1-routine-lab-panel#0.5.12 | ||
  overview | Medical Requirements Overview | 0..1 | group | ||
   overview.mrid-number | MRID Number and Title | 0..1 | display | Initial Value: string = MEDB 2.1 Routine Laboratory Panel | |
 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#laboratory "Laboratory" |
 overview.purpose | Purpose/Objectives | 1..1 | text | Initial Value: string = To obtain comprehensive clinical laboratory data for health assessment, establish baselines, and monitor for spaceflight-related physiological changes. | |
 overview.measurement-parameters | Measurement Parameters | 1..1 | string | Initial Value: string = Complete blood count, comprehensive metabolic panel, lipid panel, urinalysis | |
 overview.flight-duration | Flight Duration | 1..1 | string | Initial Value: string = All flights >= 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 = Fasting blood draw and urine collection for comprehensive laboratory analysis. | |
 preflight-activities.duration | Duration (minutes) | 1..1 | integer | Initial Value: integer = 30 | |
| preflight-activities.schedule | Schedule | 1..1 | string | Initial Value: string = AME L-9/6 m, L-60 to L-10 days | |
 preflight-activities.fasting-required | Fasting Required (8-12 hours) | 1..1 | boolean | Initial Value: boolean = true | |
| preflight-activities.location | Test Location | 1..1 | choice | Options: 1 option Initial Value: Coding = NASA Medical Facility Locations#jsc "Johnson Space Center" | |
 preflight-activities.collection-date | Sample Collection Date | 0..1 | date | ||
| preflight-activities.collection-completed | Sample Collection Completed | 1..1 | boolean | ||
| preflight-cbc | Preflight Complete Blood Count | 0..1 | group | ||
 preflight-cbc.wbc | WBC (10^3/uL) | 0..1 | decimal | ||
| preflight-cbc.rbc | RBC (10^6/uL) | 0..1 | decimal | ||
| preflight-cbc.hemoglobin | Hemoglobin (g/dL) | 0..1 | decimal | ||
| preflight-cbc.hematocrit | Hematocrit (%) | 0..1 | decimal | ||
| preflight-cbc.mcv | MCV (fL) | 0..1 | decimal | ||
| preflight-cbc.mch | MCH (pg) | 0..1 | decimal | ||
| preflight-cbc.mchc | MCHC (g/dL) | 0..1 | decimal | ||
| preflight-cbc.platelets | Platelets (10^3/uL) | 0..1 | decimal | ||
| preflight-cmp | Preflight Comprehensive Metabolic Panel | 0..1 | group | ||
| preflight-cmp.glucose | Glucose (mg/dL) | 0..1 | decimal | ||
| preflight-cmp.bun | BUN (mg/dL) | 0..1 | decimal | ||
| preflight-cmp.creatinine | Creatinine (mg/dL) | 0..1 | decimal | ||
| preflight-cmp.sodium | Sodium (mEq/L) | 0..1 | decimal | ||
| preflight-cmp.potassium | Potassium (mEq/L) | 0..1 | decimal | ||
| preflight-cmp.chloride | Chloride (mEq/L) | 0..1 | decimal | ||
| preflight-cmp.co2 | CO2 (mEq/L) | 0..1 | decimal | ||
| preflight-cmp.calcium | Calcium (mg/dL) | 0..1 | decimal | ||
| preflight-cmp.total-protein | Total Protein (g/dL) | 0..1 | decimal | ||
| preflight-cmp.albumin | Albumin (g/dL) | 0..1 | decimal | ||
| preflight-cmp.bilirubin | Total Bilirubin (mg/dL) | 0..1 | decimal | ||
| preflight-cmp.alp | Alkaline Phosphatase (U/L) | 0..1 | decimal | ||
| preflight-cmp.ast | AST (U/L) | 0..1 | decimal | ||
| preflight-cmp.alt | ALT (U/L) | 0..1 | decimal | ||
| preflight-lipid | Preflight Lipid Panel | 0..1 | group | ||
| preflight-lipid.total-cholesterol | Total Cholesterol (mg/dL) | 0..1 | decimal | ||
| preflight-lipid.hdl | HDL Cholesterol (mg/dL) | 0..1 | decimal | ||
| preflight-lipid.ldl | LDL Cholesterol (mg/dL) | 0..1 | decimal | ||
| preflight-lipid.triglycerides | Triglycerides (mg/dL) | 0..1 | decimal | ||
| inflight-activities | In-Flight Activities | 0..1 | group | ||
| inflight-activities.na | No routine in-flight laboratory collection for this MRID | 0..1 | display | ||
| postflight-activities | Postflight Activities | 0..1 | group | ||
| postflight-activities.schedule | Schedule | 0..1 | string | Initial Value: string = R+0 to R+3 days | |
| postflight-activities.collection-date | Sample Collection Date | 0..1 | date | ||
| postflight-activities.collection-completed | Sample Collection Completed | 1..1 | boolean | ||
| postflight-cbc | Postflight Complete Blood Count | 0..1 | group | ||
| postflight-cbc.wbc | WBC (10^3/uL) | 0..1 | decimal | ||
| postflight-cbc.rbc | RBC (10^6/uL) | 0..1 | decimal | ||
| postflight-cbc.hemoglobin | Hemoglobin (g/dL) | 0..1 | decimal | ||
| postflight-cbc.hematocrit | Hematocrit (%) | 0..1 | decimal | ||
| postflight-cbc.platelets | Platelets (10^3/uL) | 0..1 | decimal | ||
| postflight-cmp | Postflight Key Metabolic Values | 0..1 | group | ||
| postflight-cmp.glucose | Glucose (mg/dL) | 0..1 | decimal | ||
| postflight-cmp.creatinine | Creatinine (mg/dL) | 0..1 | decimal | ||
| postflight-cmp.sodium | Sodium (mEq/L) | 0..1 | decimal | ||
| postflight-cmp.potassium | Potassium (mEq/L) | 0..1 | decimal | ||
| 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#laboratory ("Laboratory")
Answer options for preflight-activities.location
- https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-facility-cs#jsc ("Johnson Space Center")
Answer options for data-delivery.archive
- https://mitre.org/fhir/space-health/CodeSystem/nasa-data-archive-cs#mmis ("Medical Mission Information System")