Generated Narrative: Questionnaire MEDB21RoutineLabPanelQuestionnaire

Structure
LinkIDTextCardinalityTypeFlagsDescription & Constraintsdoco
.. MEDB21RoutineLabPanelNASA Medical Requirements Integration Document for routine laboratory panel. Captures comprehensive blood chemistry, hematology, and urinalysis data for spaceflight crew members.Questionnairehttps://mitre.org/fhir/space-health/Questionnaire/medb-2-1-routine-lab-panel#0.5.12
... overviewMedical Requirements Overview0..1group
.... overview.mrid-numberMRID Number and Title0..1displayInitial Value: string = MEDB 2.1 Routine Laboratory Panel
.... overview.sponsorSponsor1..1choiceiconiconOptions: 1 option
Initial Value: Coding = NASA MRID Sponsor Organizations#medical-operations "Medical Operations"
.... overview.disciplineDiscipline1..1choiceiconiconOptions: 1 option
Initial Value: Coding = NASA MRID Medical Disciplines#laboratory "Laboratory"
.... overview.purposePurpose/Objectives1..1textInitial Value: string = To obtain comprehensive clinical laboratory data for health assessment, establish baselines, and monitor for spaceflight-related physiological changes.
.... overview.measurement-parametersMeasurement Parameters1..1stringInitial Value: string = Complete blood count, comprehensive metabolic panel, lipid panel, urinalysis
.... overview.flight-durationFlight Duration1..1stringInitial Value: string = All flights >= 30 days
... preflight-trainingPreflight Training0..1group
.... preflight-training.naNo Preflight Training Required0..1display
... preflight-activitiesPreflight Activities0..1group
.... preflight-activities.descriptionActivity Description0..1textInitial Value: string = Fasting blood draw and urine collection for comprehensive laboratory analysis.
.... preflight-activities.durationDuration (minutes)1..1integerInitial Value: integer = 30
.... preflight-activities.scheduleSchedule1..1stringInitial Value: string = AME L-9/6 m, L-60 to L-10 days
.... preflight-activities.fasting-requiredFasting Required (8-12 hours)1..1booleanInitial Value: boolean = true
.... preflight-activities.locationTest Location1..1choiceOptions: 1 option
Initial Value: Coding = NASA Medical Facility Locations#jsc "Johnson Space Center"
.... preflight-activities.collection-dateSample Collection Date0..1date
.... preflight-activities.collection-completedSample Collection Completed1..1boolean
... preflight-cbcPreflight Complete Blood Count0..1group
.... preflight-cbc.wbcWBC (10^3/uL)0..1decimal
.... preflight-cbc.rbcRBC (10^6/uL)0..1decimal
.... preflight-cbc.hemoglobinHemoglobin (g/dL)0..1decimal
.... preflight-cbc.hematocritHematocrit (%)0..1decimal
.... preflight-cbc.mcvMCV (fL)0..1decimal
.... preflight-cbc.mchMCH (pg)0..1decimal
.... preflight-cbc.mchcMCHC (g/dL)0..1decimal
.... preflight-cbc.plateletsPlatelets (10^3/uL)0..1decimal
... preflight-cmpPreflight Comprehensive Metabolic Panel0..1group
.... preflight-cmp.glucoseGlucose (mg/dL)0..1decimal
.... preflight-cmp.bunBUN (mg/dL)0..1decimal
.... preflight-cmp.creatinineCreatinine (mg/dL)0..1decimal
.... preflight-cmp.sodiumSodium (mEq/L)0..1decimal
.... preflight-cmp.potassiumPotassium (mEq/L)0..1decimal
.... preflight-cmp.chlorideChloride (mEq/L)0..1decimal
.... preflight-cmp.co2CO2 (mEq/L)0..1decimal
.... preflight-cmp.calciumCalcium (mg/dL)0..1decimal
.... preflight-cmp.total-proteinTotal Protein (g/dL)0..1decimal
.... preflight-cmp.albuminAlbumin (g/dL)0..1decimal
.... preflight-cmp.bilirubinTotal Bilirubin (mg/dL)0..1decimal
.... preflight-cmp.alpAlkaline Phosphatase (U/L)0..1decimal
.... preflight-cmp.astAST (U/L)0..1decimal
.... preflight-cmp.altALT (U/L)0..1decimal
... preflight-lipidPreflight Lipid Panel0..1group
.... preflight-lipid.total-cholesterolTotal Cholesterol (mg/dL)0..1decimal
.... preflight-lipid.hdlHDL Cholesterol (mg/dL)0..1decimal
.... preflight-lipid.ldlLDL Cholesterol (mg/dL)0..1decimal
.... preflight-lipid.triglyceridesTriglycerides (mg/dL)0..1decimal
... inflight-activitiesIn-Flight Activities0..1group
.... inflight-activities.naNo routine in-flight laboratory collection for this MRID0..1display
... postflight-activitiesPostflight Activities0..1group
.... postflight-activities.scheduleSchedule0..1stringInitial Value: string = R+0 to R+3 days
.... postflight-activities.collection-dateSample Collection Date0..1date
.... postflight-activities.collection-completedSample Collection Completed1..1boolean
... postflight-cbcPostflight Complete Blood Count0..1group
.... postflight-cbc.wbcWBC (10^3/uL)0..1decimal
.... postflight-cbc.rbcRBC (10^6/uL)0..1decimal
.... postflight-cbc.hemoglobinHemoglobin (g/dL)0..1decimal
.... postflight-cbc.hematocritHematocrit (%)0..1decimal
.... postflight-cbc.plateletsPlatelets (10^3/uL)0..1decimal
... postflight-cmpPostflight Key Metabolic Values0..1group
.... postflight-cmp.glucoseGlucose (mg/dL)0..1decimal
.... postflight-cmp.creatinineCreatinine (mg/dL)0..1decimal
.... postflight-cmp.sodiumSodium (mEq/L)0..1decimal
.... postflight-cmp.potassiumPotassium (mEq/L)0..1decimal
... data-deliveryData Delivery0..1group
.... data-delivery.archiveData Archive System0..1choiceOptions: 1 option
Initial Value: Coding = NASA Medical Data Archive Systems#mmis "Medical Mission Information System"
... postflight-debriefPostflight Debrief0..1group
.... postflight-debrief.naN/A - Included as part of Medical Operations overall debrief0..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#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")
 <status value="active"/> <date value="2017-06-05"/> <publisher value="MITRE"/> <contact> <name value="MITRE"/> <telecom> <system value="url"/> <value value="https://www.mitre.org/"/> </telecom> </contact> <description value="NASA Medical Requirements Integration Document for routine laboratory panel. Captures comprehensive blood chemistry, hematology, and urinalysis data for spaceflight crew members."/> <purpose value="To assess pre- and postflight clinical laboratory values for comprehensive health assessment of spaceflight crew members"/> <copyright value="NASA Johnson Space Center - Medical Requirements Integration Documents (MRIDs) JSC28913"/> <item> <linkId value="overview"/> <text value="Medical Requirements Overview"/> <type value="group"/> <item> <linkId value="overview.mrid-number"/> <text value="MRID Number and Title"/> <type value="display"/> <initial> <valueString value="MEDB 2.1 Routine Laboratory Panel"/> </initial> </item> <item> <linkId value="overview.sponsor"/> <text value="Sponsor"/> <type value="choice"/> <required value="true"/> <readOnly value="true"/> <answerOption> <valueCoding> <system value="https://mitre.org/fhir/space-health/CodeSystem/nasa-mrid-sponsor-cs"/> <code value="medical-operations"/> <display value="Medical Operations"/> </valueCoding> </answerOption> <initial> <valueCoding> <system value="https://mitre.org/fhir/space-health/CodeSystem/nasa-mrid-sponsor-cs"/> <code value="medical-operations"/> <display value="Medical Operations"/> </valueCoding> </initial> </item> <item> <linkId value="overview.discipline"/> <text value="Discipline"/> <type value="choice"/> <required value="true"/> <readOnly value="true"/> <answerOption> <valueCoding> <system value="https://mitre.org/fhir/space-health/CodeSystem/nasa-mrid-discipline-cs"/> <code value="laboratory"/> <display value="Laboratory"/> </valueCoding> </answerOption> <initial> <valueCoding> <system value="https://mitre.org/fhir/space-health/CodeSystem/nasa-mrid-discipline-cs"/> <code value="laboratory"/> <display value="Laboratory"/> </valueCoding> </initial> </item> <item> <linkId value="overview.purpose"/> <text value="Purpose/Objectives"/> <type value="text"/> <required value="true"/> <initial> <valueString value="To obtain comprehensive clinical laboratory data for health assessment, establish baselines, and monitor for spaceflight-related physiological changes."/> </initial> </item> <item> <linkId value="overview.measurement-parameters"/> <text value="Measurement Parameters"/> <type value="string"/> <required value="true"/> <initial> <valueString value="Complete blood count, comprehensive metabolic panel, lipid panel, urinalysis"/> </initial> </item> <item> <linkId value="overview.flight-duration"/> <text value="Flight Duration"/> <type value="string"/> <required value="true"/> <initial> <valueString value="All flights >= 30 days"/> </initial> </item> </item> <item> <linkId value="preflight-training"/> <text value="Preflight Training"/> <type value="group"/> <item> <linkId value="preflight-training.na"/> <text value="No Preflight Training Required"/> <type value="display"/> </item> </item> <item> <linkId value="preflight-activities"/> <text value="Preflight Activities"/> <type value="group"/> <item> <linkId value="preflight-activities.description"/> <text value="Activity Description"/> <type value="text"/> <initial> <valueString value="Fasting blood draw and urine collection for comprehensive laboratory analysis."/> </initial> </item> <item> <linkId value="preflight-activities.duration"/> <text value="Duration (minutes)"/> <type value="integer"/> <required value="true"/> <initial> <valueInteger value="30"/> </initial> </item> <item> <linkId value="preflight-activities.schedule"/> <text value="Schedule"/> <type value="string"/> <required value="true"/> <initial> <valueString value="AME L-9/6 m, L-60 to L-10 days"/> </initial> </item> <item> <linkId value="preflight-activities.fasting-required"/> <text value="Fasting Required (8-12 hours)"/> <type value="boolean"/> <required value="true"/> <initial> <valueBoolean value="true"/> </initial> </item> <item> <linkId value="preflight-activities.location"/> <text value="Test Location"/> <type value="choice"/> <required value="true"/> <answerOption> <valueCoding> <system value="https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-facility-cs"/> <code value="jsc"/> <display value="Johnson Space Center"/> </valueCoding> </answerOption> <initial> <valueCoding> <system value="https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-facility-cs"/> <code value="jsc"/> <display value="Johnson Space Center"/> </valueCoding> </initial> </item> <item> <linkId value="preflight-activities.collection-date"/> <text value="Sample Collection Date"/> <type value="date"/> </item> <item> <linkId value="preflight-activities.collection-completed"/> <text value="Sample Collection Completed"/> <type value="boolean"/> <required value="true"/> </item> </item> <item> <linkId value="preflight-cbc"/> <text value="Preflight Complete Blood Count"/> <type value="group"/> <item> <linkId value="preflight-cbc.wbc"/> <code> <system value="http://loinc.org"/> <code value="6690-2"/> <display value="Leukocytes [#/volume] in Blood by Automated count"/> </code> <text value="WBC (10^3/uL)"/> <type value="decimal"/> </item> <item> <linkId value="preflight-cbc.rbc"/> <code> <system value="http://loinc.org"/> <code value="789-8"/> <display value="Erythrocytes [#/volume] in Blood by Automated count"/> </code> <text value="RBC (10^6/uL)"/> <type value="decimal"/> </item> <item> <linkId value="preflight-cbc.hemoglobin"/> <code> <system value="http://loinc.org"/> <code value="718-7"/> <display value="Hemoglobin [Mass/volume] in Blood"/> </code> <text value="Hemoglobin (g/dL)"/> <type value="decimal"/> </item> <item> <linkId value="preflight-cbc.hematocrit"/> <code> <system value="http://loinc.org"/> <code value="4544-3"/> <display value="Hematocrit [Volume Fraction] of Blood by Automated count"/> </code> <text value="Hematocrit (%)"/> <type value="decimal"/> </item> <item> <linkId value="preflight-cbc.mcv"/> <code> <system value="http://loinc.org"/> <code value="787-2"/> <display value="MCV [Entitic volume] by Automated count"/> </code> <text value="MCV (fL)"/> <type value="decimal"/> </item> <item> <linkId value="preflight-cbc.mch"/> <code> <system value="http://loinc.org"/> <code value="785-6"/> <display value="MCH [Entitic mass] by Automated count"/> </code> <text value="MCH (pg)"/> <type value="decimal"/> </item> <item> <linkId value="preflight-cbc.mchc"/> <code> <system value="http://loinc.org"/> <code value="786-4"/> <display value="MCHC [Mass/volume] by Automated count"/> </code> <text value="MCHC (g/dL)"/> <type value="decimal"/> </item> <item> <linkId value="preflight-cbc.platelets"/> <code> <system value="http://loinc.org"/> <code value="777-3"/> <display value="Platelets [#/volume] in Blood by Automated count"/> </code> <text value="Platelets (10^3/uL)"/> <type value="decimal"/> </item> </item> <item> <linkId value="preflight-cmp"/> <text value="Preflight Comprehensive Metabolic Panel"/> <type value="group"/> <item> <linkId value="preflight-cmp.glucose"/> <code> <system value="http://loinc.org"/> <code value="2345-7"/> <display value="Glucose [Mass/volume] in Serum or Plasma"/> </code> <text value="Glucose (mg/dL)"/> <type value="decimal"/> </item> <item> <linkId value="preflight-cmp.bun"/> <code> <system value="http://loinc.org"/> <code value="3094-0"/> <display value="Urea nitrogen [Mass/volume] in Serum or Plasma"/> </code> <text value="BUN (mg/dL)"/> <type value="decimal"/> </item> <item> <linkId value="preflight-cmp.creatinine"/> <code> <system value="http://loinc.org"/> <code value="2160-0"/> <display value="Creatinine [Mass/volume] in Serum or Plasma"/> </code> <text value="Creatinine (mg/dL)"/> <type value="decimal"/> </item> <item> <linkId value="preflight-cmp.sodium"/> <code> <system value="http://loinc.org"/> <code value="2951-2"/> <display value="Sodium [Moles/volume] in Serum or Plasma"/> </code> <text value="Sodium (mEq/L)"/> <type value="decimal"/> </item> <item> <linkId value="preflight-cmp.potassium"/> <code> <system value="http://loinc.org"/> <code value="2823-3"/> <display value="Potassium [Moles/volume] in Serum or Plasma"/> </code> <text value="Potassium (mEq/L)"/> <type value="decimal"/> </item> <item> <linkId value="preflight-cmp.chloride"/> <code> <system value="http://loinc.org"/> <code value="2075-0"/> <display value="Chloride [Moles/volume] in Serum or Plasma"/> </code> <text value="Chloride (mEq/L)"/> <type value="decimal"/> </item> <item> <linkId value="preflight-cmp.co2"/> <code> <system value="http://loinc.org"/> <code value="2028-9"/> <display value="Carbon dioxide, total [Moles/volume] in Serum or Plasma"/> </code> <text value="CO2 (mEq/L)"/> <type value="decimal"/> </item> <item> <linkId value="preflight-cmp.calcium"/> <code> <system value="http://loinc.org"/> <code value="17861-6"/> <display value="Calcium [Mass/volume] in Serum or Plasma"/> </code> <text value="Calcium (mg/dL)"/> <type value="decimal"/> </item> <item> <linkId value="preflight-cmp.total-protein"/> <code> <system value="http://loinc.org"/> <code value="2885-2"/> <display value="Protein [Mass/volume] in Serum or Plasma"/> </code> <text value="Total Protein (g/dL)"/> <type value="decimal"/> </item> <item> <linkId value="preflight-cmp.albumin"/> <code> <system value="http://loinc.org"/> <code value="1751-7"/> <display value="Albumin [Mass/volume] in Serum or Plasma"/> </code> <text value="Albumin (g/dL)"/> <type value="decimal"/> </item> <item> <linkId value="preflight-cmp.bilirubin"/> <code> <system value="http://loinc.org"/> <code value="1975-2"/> <display value="Bilirubin.total [Mass/volume] in Serum or Plasma"/> </code> <text value="Total Bilirubin (mg/dL)"/> <type value="decimal"/> </item> <item> <linkId value="preflight-cmp.alp"/> <code> <system value="http://loinc.org"/> <code value="6768-6"/> <display value="Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"/> </code> <text value="Alkaline Phosphatase (U/L)"/> <type value="decimal"/> </item> <item> <linkId value="preflight-cmp.ast"/> <code> <system value="http://loinc.org"/> <code value="1920-8"/> <display value="Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/> </code> <text value="AST (U/L)"/> <type value="decimal"/> </item> <item> <linkId value="preflight-cmp.alt"/> <code> <system value="http://loinc.org"/> <code value="1742-6"/> <display value="Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/> </code> <text value="ALT (U/L)"/> <type value="decimal"/> </item> </item> <item> <linkId value="preflight-lipid"/> <text value="Preflight Lipid Panel"/> <type value="group"/> <item> <linkId value="preflight-lipid.total-cholesterol"/> <code> <system value="http://loinc.org"/> <code value="2093-3"/> <display value="Cholesterol [Mass/volume] in Serum or Plasma"/> </code> <text value="Total Cholesterol (mg/dL)"/> <type value="decimal"/> </item> <item> <linkId value="preflight-lipid.hdl"/> <code> <system value="http://loinc.org"/> <code value="2085-9"/> <display value="Cholesterol in HDL [Mass/volume] in Serum or Plasma"/> </code> <text value="HDL Cholesterol (mg/dL)"/> <type value="decimal"/> </item> <item> <linkId value="preflight-lipid.ldl"/> <code> <system value="http://loinc.org"/> <code value="2089-1"/> <display value="Cholesterol in LDL [Mass/volume] in Serum or Plasma"/> </code> <text value="LDL Cholesterol (mg/dL)"/> <type value="decimal"/> </item> <item> <linkId value="preflight-lipid.triglycerides"/> <code> <system value="http://loinc.org"/> <code value="2571-8"/> <display value="Triglyceride [Mass/volume] in Serum or Plasma"/> </code> <text value="Triglycerides (mg/dL)"/> <type value="decimal"/> </item> </item> <item> <linkId value="inflight-activities"/> <text value="In-Flight Activities"/> <type value="group"/> <item> <linkId value="inflight-activities.na"/> <text value="No routine in-flight laboratory collection for this MRID"/> <type value="display"/> </item> </item> <item> <linkId value="postflight-activities"/> <text value="Postflight Activities"/> <type value="group"/> <item> <linkId value="postflight-activities.schedule"/> <text value="Schedule"/> <type value="string"/> <initial> <valueString value="R+0 to R+3 days"/> </initial> </item> <item> <linkId value="postflight-activities.collection-date"/> <text value="Sample Collection Date"/> <type value="date"/> </item> <item> <linkId value="postflight-activities.collection-completed"/> <text value="Sample Collection Completed"/> <type value="boolean"/> <required value="true"/> </item> </item> <item> <linkId value="postflight-cbc"/> <text value="Postflight Complete Blood Count"/> <type value="group"/> <item> <linkId value="postflight-cbc.wbc"/> <text value="WBC (10^3/uL)"/> <type value="decimal"/> </item> <item> <linkId value="postflight-cbc.rbc"/> <text value="RBC (10^6/uL)"/> <type value="decimal"/> </item> <item> <linkId value="postflight-cbc.hemoglobin"/> <text value="Hemoglobin (g/dL)"/> <type value="decimal"/> </item> <item> <linkId value="postflight-cbc.hematocrit"/> <text value="Hematocrit (%)"/> <type value="decimal"/> </item> <item> <linkId value="postflight-cbc.platelets"/> <text value="Platelets (10^3/uL)"/> <type value="decimal"/> </item> </item> <item> <linkId value="postflight-cmp"/> <text value="Postflight Key Metabolic Values"/> <type value="group"/> <item> <linkId value="postflight-cmp.glucose"/> <text value="Glucose (mg/dL)"/> <type value="decimal"/> </item> <item> <linkId value="postflight-cmp.creatinine"/> <text value="Creatinine (mg/dL)"/> <type value="decimal"/> </item> <item> <linkId value="postflight-cmp.sodium"/> <text value="Sodium (mEq/L)"/> <type value="decimal"/> </item> <item> <linkId value="postflight-cmp.potassium"/> <text value="Potassium (mEq/L)"/> <type value="decimal"/> </item> </item> <item> <linkId value="data-delivery"/> <text value="Data Delivery"/> <type value="group"/> <item> <linkId value="data-delivery.archive"/> <text value="Data Archive System"/> <type value="choice"/> <answerOption> <valueCoding> <system value="https://mitre.org/fhir/space-health/CodeSystem/nasa-data-archive-cs"/> <code value="mmis"/> <display value="Medical Mission Information System"/> </valueCoding> </answerOption> <initial> <valueCoding> <system value="https://mitre.org/fhir/space-health/CodeSystem/nasa-data-archive-cs"/> <code value="mmis"/> <display value="Medical Mission Information System"/> </valueCoding> </initial> </item> </item> <item> <linkId value="postflight-debrief"/> <text value="Postflight Debrief"/> <type value="group"/> <item> <linkId value="postflight-debrief.na"/> <text value="N/A - Included as part of Medical Operations overall debrief"/> <type value="display"/> </item> </item> </Questionnaire>