MEDB21RoutineLabPanelQuestionnaire
type: Questionnaire
node role: treeRoot
id:
  v: MEDB21RoutineLabPanelQuestionnaire
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: Questionnaire MEDB21RoutineLabPanelQuestionnaire Structure LinkID Text Cardinality Type Flags Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> 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 #xD; overview Medical Requirements Overview 0..1 group #xD; overview.mrid-number MRID Number and Title 0..1 display Initial Value: string = MEDB 2.1 Routine Laboratory Panel #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 1..1 choice Options: 1 option Initial Value: Coding = NASA MRID Medical Disciplines#laboratory "Laboratory" #xD; 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. #xD; overview.measurement-parameters Measurement Parameters 1..1 string Initial Value: string = Complete blood count, comprehensive metabolic panel, lipid panel, urinalysis #xD; overview.flight-duration Flight Duration 1..1 string Initial Value: string = All flights >= 30 days #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 = Fasting blood draw and urine collection for comprehensive laboratory analysis. #xD; preflight-activities.duration Duration (minutes) 1..1 integer Initial Value: integer = 30 #xD; preflight-activities.schedule Schedule 1..1 string Initial V…
extension:
  extension:
    url:
      v: name
      l: name
    value: Coding
      system:
        v: http://hl7.org/fhir/uv/sdc/CodeSystem/launchContext
        l: launchContext
      code:
        v: patient
  extension:
    url:
      v: type
      l: type
    value: Code
      v: Patient
  extension:
    url:
      v: description
      l: description
    value: String
      v: The astronaut/crewmember subject of this medical requirement
  url:
    v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext
    l: sdc-questionnaire-launchContext
url:
  v: https://mitre.org/fhir/space-health/Questionnaire/medb-2-1-routine-lab-panel
  l: medb-2-1-routine-lab-panel
version:
  v: 0.5.12
name:
  v: MEDB21RoutineLabPanel
title:
  v: MEDB 2.1 Routine Laboratory Panel
status:
  v: active
date:
  v: 2017-06-05
publisher:
  v: MITRE
contact:
  name:
    v: MITRE
  telecom:
    system:
      v: url
    value:
      v: https://www.mitre.org/
description:
  v: NASA Medical Requirements Integration Document for routine laboratory panel. Captures comprehensive blood chemistry, hematology, and urinalysis data for spaceflight crew members.
purpose:
  v: To assess pre- and postflight clinical laboratory values for comprehensive health assessment of spaceflight crew members
copyright:
  v: NASA Johnson Space Center - Medical Requirements Integration Documents (MRIDs) JSC28913
item:
  link id:
    v: overview
  text:
    v: Medical Requirements Overview
  type:
    v: group
  item:
    link id:
      v: overview.mrid-number
    text:
      v: MRID Number and Title
    type:
      v: display
    initial:
      value: String
        v: MEDB 2.1 Routine Laboratory Panel
  item:
    link id:
      v: overview.sponsor
    text:
      v: Sponsor
    type:
      v: choice
    required:
      v: true
    read only:
      v: true
    answer option:
      value: Coding
    initial:
      value: Coding
  item:
    link id:
      v: overview.discipline
    text:
      v: Discipline
    type:
      v: choice
    required:
      v: true
    read only:
      v: true
    answer option:
      value: Coding
    initial:
      value: Coding
  item:
    link id:
      v: overview.purpose
    text:
      v: Purpose/Objectives
    type:
      v: text
    required:
      v: true
    initial:
      value: String
        v: To obtain comprehensive clinical laboratory data for health assessment, establish baselines, and monitor for spaceflight-related physiological changes.
  item:
    link id:
      v: overview.measurement-parameters
    text:
      v: Measurement Parameters
    type:
      v: string
    required:
      v: true
    initial:
      value: String
        v: Complete blood count, comprehensive metabolic panel, lipid panel, urinalysis
  item:
    link id:
      v: overview.flight-duration
    text:
      v: Flight Duration
    type:
      v: string
    required:
      v: true
    initial:
      value: String
        v: All flights >= 30 days
item:
  link id:
    v: preflight-training
  text:
    v: Preflight Training
  type:
    v: group
  item:
    link id:
      v: preflight-training.na
    text:
      v: No Preflight Training Required
    type:
      v: display
item:
  link id:
    v: preflight-activities
  text:
    v: Preflight Activities
  type:
    v: group
  item:
    link id:
      v: preflight-activities.description
    text:
      v: Activity Description
    type:
      v: text
    initial:
      value: String
        v: Fasting blood draw and urine collection for comprehensive laboratory analysis.
  item:
    link id:
      v: preflight-activities.duration
    text:
      v: Duration (minutes)
    type:
      v: integer
    required:
      v: true
    initial:
      value: Integer
        v: 30
  item:
    link id:
      v: preflight-activities.schedule
    text:
      v: Schedule
    type:
      v: string
    required:
      v: true
    initial:
      value: String
        v: AME L-9/6 m, L-60 to L-10 days

v: medical-operations

v: Medical Operations

v: medical-operations

v: Medical Operations

v: laboratory

v: Laboratory

v: laboratory

v: Laboratory

link id:
  v: preflight-activities.fasting-required
text:
  v: Fasting Required (8-12 hours)
type:
  v: boolean
required:
  v: true
initial:
  value: Boolean
    v: true

link id:
  v: preflight-activities.location
text:
  v: Test Location
type:
  v: choice
required:
  v: true
answer option:
  value: Coding
    system:
      v: https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-facility-cs
      l: nasa-medical-facility-cs
    code:
      v: jsc
    display:
      v: Johnson Space Center
initial:
  value: Coding
    system:
      v: https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-facility-cs
      l: nasa-medical-facility-cs
    code:
      v: jsc
    display:
      v: Johnson Space Center

link id:
  v: preflight-activities.collection-date
text:
  v: Sample Collection Date
type:
  v: date

link id:
  v: preflight-activities.collection-completed
text:
  v: Sample Collection Completed
type:
  v: boolean
required:
  v: true

link id:
  v: preflight-cbc
text:
  v: Preflight Complete Blood Count
type:
  v: group
item:
  link id:
    v: preflight-cbc.wbc
  code: https://loinc.org/rdf/6690-2
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 6690-2
    display:
      v: Leukocytes [#/volume] in Blood by Automated count
  text:
    v: WBC (10^3/uL)
  type:
    v: decimal
item:
  link id:
    v: preflight-cbc.rbc
  code: https://loinc.org/rdf/789-8
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 789-8
    display:
      v: Erythrocytes [#/volume] in Blood by Automated count
  text:
    v: RBC (10^6/uL)
  type:
    v: decimal
item:
  link id:
    v: preflight-cbc.hemoglobin
  code: https://loinc.org/rdf/718-7
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 718-7
    display:
      v: Hemoglobin [Mass/volume] in Blood
  text:
    v: Hemoglobin (g/dL)
  type:
    v: decimal
item:
  link id:
    v: preflight-cbc.hematocrit
  code: https://loinc.org/rdf/4544-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 4544-3
    display:
      v: Hematocrit [Volume Fraction] of Blood by Automated count
  text:
    v: Hematocrit (%)
  type:
    v: decimal
item:
  link id:
    v: preflight-cbc.mcv
  code: https://loinc.org/rdf/787-2
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 787-2
    display:
      v: MCV [Entitic volume] by Automated count
  text:
    v: MCV (fL)
  type:
    v: decimal
item:
  link id:
    v: preflight-cbc.mch
  code: https://loinc.org/rdf/785-6
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 785-6
    display:
      v: MCH [Entitic mass] by Automated count
  text:
    v: MCH (pg)
  type:
    v: decimal
item:
  link id:
    v: preflight-cbc.mchc
  code: https://loinc.org/rdf/786-4
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 786-4
    display:
      v: MCHC [Mass/volume] by Automated count
  text:
    v: MCHC (g/dL)
  type:
    v: decimal
item:
  link id:
    v: preflight-cbc.platelets
  code: https://loinc.org/rdf/777-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 777-3
    display:
      v: Platelets [#/volume] in Blood by Automated count
  text:
    v: Platelets (10^3/uL)
  type:
    v: decimal

link id:
  v: preflight-cmp
text:
  v: Preflight Comprehensive Metabolic Panel
type:
  v: group
item:
  link id:
    v: preflight-cmp.glucose
  code: https://loinc.org/rdf/2345-7
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 2345-7
    display:
      v: Glucose [Mass/volume] in Serum or Plasma
  text:
    v: Glucose (mg/dL)
  type:
    v: decimal
item:
  link id:
    v: preflight-cmp.bun
  code: https://loinc.org/rdf/3094-0
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 3094-0
    display:
      v: Urea nitrogen [Mass/volume] in Serum or Plasma
  text:
    v: BUN (mg/dL)
  type:
    v: decimal
item:
  link id:
    v: preflight-cmp.creatinine
  code: https://loinc.org/rdf/2160-0
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 2160-0
    display:
      v: Creatinine [Mass/volume] in Serum or Plasma
  text:
    v: Creatinine (mg/dL)
  type:
    v: decimal
item:
  link id:
    v: preflight-cmp.sodium
  code: https://loinc.org/rdf/2951-2
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 2951-2
    display:
      v: Sodium [Moles/volume] in Serum or Plasma
  text:
    v: Sodium (mEq/L)
  type:
    v: decimal
item:
  link id:
    v: preflight-cmp.potassium
  code: https://loinc.org/rdf/2823-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 2823-3
    display:
      v: Potassium [Moles/volume] in Serum or Plasma
  text:
    v: Potassium (mEq/L)
  type:
    v: decimal
item:
  link id:
    v: preflight-cmp.chloride
  code: https://loinc.org/rdf/2075-0
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 2075-0
    display:
      v: Chloride [Moles/volume] in Serum or Plasma
  text:
    v: Chloride (mEq/L)
  type:
    v: decimal
item:
  link id:
    v: preflight-cmp.co2
  code: https://loinc.org/rdf/2028-9
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 2028-9
    display:
      v: Carbon dioxide, total [Moles/volume] in Serum or Plasma
  text:
    v: CO2 (mEq/L)
  type:
    v: decimal
item:
  link id:
    v: preflight-cmp.calcium
  code: https://loinc.org/rdf/17861-6
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 17861-6
    display:
      v: Calcium [Mass/volume] in Serum or Plasma
  text:
    v: Calcium (mg/dL)
  type:
    v: decimal
item:
  link id:
    v: preflight-cmp.total-protein
  code: https://loinc.org/rdf/2885-2
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 2885-2
    display:
      v: Protein [Mass/volume] in Serum or Plasma
  text:
    v: Total Protein (g/dL)
  type:
    v: decimal
item:
  link id:
    v: preflight-cmp.albumin
  code: https://loinc.org/rdf/1751-7
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 1751-7
    display:
      v: Albumin [Mass/volume] in Serum or Plasma
  text:
    v: Albumin (g/dL)
  type:
    v: decimal
item:
  link id:
    v: preflight-cmp.bilirubin
  code: https://loinc.org/rdf/1975-2
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 1975-2
    display:
      v: Bilirubin.total [Mass/volume] in Serum or Plasma
  text:
    v: Total Bilirubin (mg/dL)
  type:
    v: decimal
item:
  link id:
    v: preflight-cmp.alp
  code: https://loinc.org/rdf/6768-6
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 6768-6
    display:
      v: Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma
  text:
    v: Alkaline Phosphatase (U/L)
  type:
    v: decimal
item:
  link id:
    v: preflight-cmp.ast
  code: https://loinc.org/rdf/1920-8
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 1920-8
    display:
      v: Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma
  text:
    v: AST (U/L)
  type:
    v: decimal

link id:
  v: preflight-cmp.alt
code: https://loinc.org/rdf/1742-6
  system:
    v: http://loinc.org
    l: loinc.org
  code:
    v: 1742-6
  display:
    v: Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma
text:
  v: ALT (U/L)
type:
  v: decimal

link id:
  v: preflight-lipid
text:
  v: Preflight Lipid Panel
type:
  v: group
item:
  link id:
    v: preflight-lipid.total-cholesterol
  code: https://loinc.org/rdf/2093-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 2093-3
    display:
      v: Cholesterol [Mass/volume] in Serum or Plasma
  text:
    v: Total Cholesterol (mg/dL)
  type:
    v: decimal
item:
  link id:
    v: preflight-lipid.hdl
  code: https://loinc.org/rdf/2085-9
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 2085-9
    display:
      v: Cholesterol in HDL [Mass/volume] in Serum or Plasma
  text:
    v: HDL Cholesterol (mg/dL)
  type:
    v: decimal
item:
  link id:
    v: preflight-lipid.ldl
  code: https://loinc.org/rdf/2089-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 2089-1
    display:
      v: Cholesterol in LDL [Mass/volume] in Serum or Plasma
  text:
    v: LDL Cholesterol (mg/dL)
  type:
    v: decimal
item:
  link id:
    v: preflight-lipid.triglycerides
  code: https://loinc.org/rdf/2571-8
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 2571-8
    display:
      v: Triglyceride [Mass/volume] in Serum or Plasma
  text:
    v: Triglycerides (mg/dL)
  type:
    v: decimal

link id:
  v: inflight-activities
text:
  v: In-Flight Activities
type:
  v: group
item:
  link id:
    v: inflight-activities.na
  text:
    v: No routine in-flight laboratory collection for this MRID
  type:
    v: display

link id:
  v: postflight-activities
text:
  v: Postflight Activities
type:
  v: group
item:
  link id:
    v: postflight-activities.schedule
  text:
    v: Schedule
  type:
    v: string
  initial:
    value: String
      v: R+0 to R+3 days
item:
  link id:
    v: postflight-activities.collection-date
  text:
    v: Sample Collection Date
  type:
    v: date
item:
  link id:
    v: postflight-activities.collection-completed
  text:
    v: Sample Collection Completed
  type:
    v: boolean
  required:
    v: true

link id:
  v: postflight-cbc
text:
  v: Postflight Complete Blood Count
type:
  v: group
item:
  link id:
    v: postflight-cbc.wbc
  text:
    v: WBC (10^3/uL)
  type:
    v: decimal
item:
  link id:
    v: postflight-cbc.rbc
  text:
    v: RBC (10^6/uL)
  type:
    v: decimal
item:
  link id:
    v: postflight-cbc.hemoglobin
  text:
    v: Hemoglobin (g/dL)
  type:
    v: decimal
item:
  link id:
    v: postflight-cbc.hematocrit
  text:
    v: Hematocrit (%)
  type:
    v: decimal
item:
  link id:
    v: postflight-cbc.platelets
  text:
    v: Platelets (10^3/uL)
  type:
    v: decimal

link id:
  v: postflight-cmp
text:
  v: Postflight Key Metabolic Values
type:
  v: group
item:
  link id:
    v: postflight-cmp.glucose
  text:
    v: Glucose (mg/dL)
  type:
    v: decimal
item:
  link id:
    v: postflight-cmp.creatinine
  text:
    v: Creatinine (mg/dL)
  type:
    v: decimal
item:
  link id:
    v: postflight-cmp.sodium
  text:
    v: Sodium (mEq/L)
  type:
    v: decimal
item:
  link id:
    v: postflight-cmp.potassium
  text:
    v: Potassium (mEq/L)
  type:
    v: decimal

link id:
  v: data-delivery
text:
  v: Data Delivery
type:
  v: group
item:
  link id:
    v: data-delivery.archive
  text:
    v: Data Archive System
  type:
    v: choice
  answer option:
    value: Coding
      system:
        v: https://mitre.org/fhir/space-health/CodeSystem/nasa-data-archive-cs
        l: nasa-data-archive-cs
      code:
        v: mmis
      display:
        v: Medical Mission Information System
  initial:
    value: Coding
      system:
        v: https://mitre.org/fhir/space-health/CodeSystem/nasa-data-archive-cs
        l: nasa-data-archive-cs
      code:
        v: mmis
      display:
        v: Medical Mission Information System

link id:
  v: postflight-debrief
text:
  v: Postflight Debrief
type:
  v: group
item:
  link id:
    v: postflight-debrief.na
  text:
    v: N/A - Included as part of Medical Operations overall debrief
  type:
    v: display