MEDB31RadiationMonitoringQuestionnaire
type: Questionnaire
node role: treeRoot
id:
  v: MEDB31RadiationMonitoringQuestionnaire
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: Questionnaire MEDB31RadiationMonitoringQuestionnaire Structure LinkID Text Cardinality Type Flags Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> MEDB31RadiationMonitoring NASA Medical Requirements Integration Document for radiation monitoring and crew personal dosimetry. Captures crew radiation exposure data for occupational exposure documentation and health risk assessment. Questionnaire https://mitre.org/fhir/space-health/Questionnaire/medb-3-1-radiation-monitoring#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 3.1 Radiation Monitoring/Crew Personal Dosimetry #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#radiation "Radiation" #xD; overview.category Category 1..1 string Initial Value: string = Medical Requirements #xD; overview.references References 0..1 text Initial Value: string = SSP 50260 ISS Medical Operations Requirement Document; SSP 50667 Med Volume B, Section 3.1 #xD; overview.purpose Purpose/Objectives 1..1 text Initial Value: string = To monitor and document crew exposure to radiation and to maintain crew exposures 'as low as reasonably achievable'. To perform risk assessment. #xD; overview.measurement-parameters Measurement Parameters 1..1 string Initial Value: string = Radiation exposure #xD; overview.deliverables Deliverables 1..1 text Initial Value: string = Record of radiation doses used to document occupational exposure. Doses from each mission and accumulated doses, which shall be used for health risk assessment, are to be recorded in crewmembers' medical records. All U.S. crewmembers' medical records will be updated based on CPD data. #xD; overview.flig…
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-3-1-radiation-monitoring
  l: medb-3-1-radiation-monitoring
version:
  v: 0.5.12
name:
  v: MEDB31RadiationMonitoring
title:
  v: MEDB 3.1 Radiation Monitoring/Crew Personal Dosimetry
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 radiation monitoring and crew personal dosimetry. Captures crew radiation exposure data for occupational exposure documentation and health risk assessment.
purpose:
  v: To monitor and document crew exposure to radiation and to maintain crew exposures 'as low as reasonably achievable'. To perform risk assessment.
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 3.1 Radiation Monitoring/Crew Personal Dosimetry
  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.category
    text:
      v: Category
    type:
      v: string
    required:
      v: true
    read only:
      v: true
    initial:
      value: String
        v: Medical Requirements
  item:
    link id:
      v: overview.references
    text:
      v: References
    type:
      v: text
    required:
      v: false
    initial:
      value: String
        v: SSP 50260 ISS Medical Operations Requirement Document; SSP 50667 Med Volume B, Section 3.1
  item:
    link id:
      v: overview.purpose
    text:
      v: Purpose/Objectives
    type:
      v: text
    required:
      v: true
    initial:
      value: String
        v: To monitor and document crew exposure to radiation and to maintain crew exposures 'as low as reasonably achievable'. To perform risk assessment.
  item:
    link id:
      v: overview.measurement-parameters
    text:
      v: Measurement Parameters
    type:
      v: string
    required:
      v: true
    initial:
      value: String
        v: Radiation exposure
  item:
    link id:
      v: overview.deliverables
    text:
      v: Deliverables
    type:
      v: text
    required:
      v: true
    initial:
      value: String
        v: Record of radiation doses used to document occupational exposure. Doses from each mission and accumulated doses, which shall be used for health risk assessment, are to be recorded in crewmembers' medical records. All U.S. crewmembers' medical records will be updated based on CPD data.
  item:
    link id:
      v: overview.flight-duration
    text:
      v: Flight Duration
    type:
      v: string
    required:
      v: true
    initial:
      value: String
        v: All flights
  item:
    link id:
      v: overview.number-of-flights
    text:
      v: Number of Flights
    type:
      v: string
    required:
      v: true
    initial:
      value: String
        v: Every ISS Increment
  item:
    link id:
      v: overview.crew-members-required
    text:
      v: Number and Type of Crew Members Required

v: medical-operations

v: Medical Operations

v: medical-operations

v: Medical Operations

v: radiation

v: Radiation

v: radiation

v: Radiation

v: string

v: true

value: String
  v: ISS crewmembers (Primary and backup will be trained)

link id:
  v: preflight-training
text:
  v: Preflight Training
type:
  v: group
item:
  link id:
    v: preflight-training.description
  text:
    v: Training Activity Description
  type:
    v: text
  required:
    v: false
  initial:
    value: String
      v: Training will be covered in the following Radiation lesson (ISS): EHS Radiation Operations.
item:
  link id:
    v: preflight-training.activity-name
  text:
    v: Activity Name
  type:
    v: string
  required:
    v: true
  initial:
    value: String
      v: EHS Radiation Operations
item:
  link id:
    v: preflight-training.duration
  text:
    v: Duration (minutes)
  type:
    v: integer
  required:
    v: true
  initial:
    value: Integer
      v: 45
item:
  link id:
    v: preflight-training.schedule
  text:
    v: Schedule
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      system:
        v: https://mitre.org/fhir/space-health/CodeSystem/nasa-schedule-offset-cs
        l: nasa-schedule-offset-cs
      code:
        v: L-19m
      display:
        v: L-19 months
  initial:
    value: Coding
      system:
        v: https://mitre.org/fhir/space-health/CodeSystem/nasa-schedule-offset-cs
        l: nasa-schedule-offset-cs
      code:
        v: L-19m
      display:
        v: L-19 months
item:
  link id:
    v: preflight-training.flexibility
  text:
    v: Flexibility
  type:
    v: string
  required:
    v: false
  initial:
    value: String
      v: N/A
item:
  link id:
    v: preflight-training.personnel
  text:
    v: Personnel Required
  type:
    v: choice
  required:
    v: true
  repeats:
    v: true
  answer option:
    value: Coding
      system:
        v: https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-roles-cs
        l: nasa-medical-roles-cs
      code:
        v: crewmember
      display:
        v: Crewmember
  answer option:
    value: Coding
      system:
        v: https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-roles-cs
        l: nasa-medical-roles-cs
      code:
        v: instructor
      display:
        v: Instructor
item:
  link id:
    v: preflight-training.hardware
  text:
    v: Preflight Hardware
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      system:
        v: https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-hardware-cs
        l: nasa-medical-hardware-cs
      code:
        v: cpd
      display:
        v: Crew Passive Dosimeter
item:
  link id:
    v: preflight-training.software
  text:
    v: Preflight Software
  type:
    v: string
  required:
    v: false
  initial:
    value: String
      v: N/A
item:
  link id:
    v: preflight-training.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
item:
  link id:
    v: preflight-training.facilities
  text:
    v: Training Facilities
  type:
    v: string
  required:
    v: false
  initial:
    value: String
      v: Conference Room
item:
  link id:
    v: preflight-training.training-date
  text:
    v: Training Completion Date
  type:
    v: date
  required:
    v: false
item:
  link id:
    v: preflight-training.training-complete
  text:
    v: Training Completed
  type:
    v: boolean
  required:
    v: true

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: display
  initial:
    value: String
      v: No crew activities
item:
  link id:
    v: preflight-activities.constraints
  text:
    v: Constraints/Special Requirements
  type:
    v: text
  required:
    v: false
  initial:
    value: String
      v: When transporting hardware to launch location, hardware should not be x-rayed or stowed/shipped with radioactive material. Dosimeters should be transported inside lead-lined bags. If X-ray is necessary for security, the dosimeters must be kept inside the lead-lined bags and the number of X-rays should be recorded.
item:
  link id:
    v: preflight-activities.launch-delay
  text:
    v: Launch Delay Requirements
  type:
    v: text
  required:
    v: false
  initial:
    value: String
      v: If a launch delay of more than 90 days occurs, Space Radiation Analysis Group (SRAG) will decide whether to refurbish, replace or take no action.

link id:
  v: inflight-activities
text:
  v: In-Flight Activities
type:
  v: group
item:
  link id:
    v: inflight-activities.description
  text:
    v: Activity Description
  type:
    v: text
  required:
    v: false
  initial:
    value: String
      v: The Crew Passive Dosimeters (CPDs) are preintegrated into the crewed launch vehicle and then distributed to the appropriate crewmembers post launch. Each crewmember is required to carry his/her CPD continuously, including during EVAs. Prior to descent, crewmembers are to wear or stow the CPDs to be recovered at landing.
item:
  link id:
    v: inflight-activities.activity-name
  text:
    v: Activity
  type:
    v: string
  required:
    v: true
  initial:
    value: String
      v: Crew Passive Dosimeter
item:
  link id:
    v: inflight-activities.duration
  text:
    v: Duration
  type:
    v: string
  required:
    v: true
  initial:
    value: String
      v: Continuous monitoring
item:
  link id:
    v: inflight-activities.schedule
  text:
    v: Schedule
  type:
    v: string
  required:
    v: true
  initial:
    value: String
      v: Worn continuously during the mission, including ascent and EVAs
item:
  link id:
    v: inflight-activities.personnel
  text:
    v: Personnel Required
  type:
    v: text
  required:
    v: true
  initial:
    value: String
      v: All U.S. crewmembers, CSA and JAXA crewmembers by agreement
item:
  link id:
    v: inflight-activities.hardware
  text:
    v: In-Flight Hardware
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      system:
        v: https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-hardware-cs
        l: nasa-medical-hardware-cs
      code:
        v: cpd
      display:
        v: Crew Passive Dosimeter
  initial:
    value: Coding
      system:
        v: https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-hardware-cs
        l: nasa-medical-hardware-cs
      code:
        v: cpd
      display:
        v: Crew Passive Dosimeter
item:
  link id:
    v: inflight-activities.cpd-serial
  text:
    v: CPD Serial Number
  type:
    v: string
  required:
    v: false
item:
  link id:
    v: inflight-activities.cpd-distributed
  text:
    v: CPD Distribution Date
  type:
    v: date
  required:
    v: false
item:
  link id:
    v: inflight-activities.mid-mission-exchange
  text:
    v: Mid-Mission CPD Exchange Required (>180 days)
  type:
    v: boolean
  required:
    v: false
item:
  link id:
    v: inflight-activities.mid-cpd-serial
  text:
    v: Mid-Mission CPD Serial Number
  type:
    v: string
  enable when:
    question:
      v: inflight-activities.mid-mission-exchange
    operator:
      v: =
    answer: Boolean
      v: true
  required:
    v: false
item:
  link id:
    v: inflight-activities.notes
  text:
    v: Notes
  type:
    v: text
  required:
    v: false
  initial:
    value: String
      v: Resupply Requirements: At launch each crewmember will be supplied with a crew passive dosimeter (CPD) for continuous wear. Longer duration crew (greater than 180 days) may receive mid-mission CPDs to exchange with their beginning of mission CPD to assess mid-mission exposures.

link id:
  v: postflight-activities
text:
  v: Postflight Activities
type:
  v: group
item:
  link id:
    v: postflight-activities.description
  text:
    v: Activity Description
  type:
    v: text
  required:
    v: false
  initial:
    value: String
      v: Returning Crewmembers will have their dosimeters returned via flight surgeons.
item:
  link id:
    v: postflight-activities.schedule
  text:
    v: Schedule
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      system:
        v: https://mitre.org/fhir/space-health/CodeSystem/nasa-schedule-offset-cs
        l: nasa-schedule-offset-cs
      code:
        v: R-0
      display:
        v: R+0
  initial:
    value: Coding
      system:
        v: https://mitre.org/fhir/space-health/CodeSystem/nasa-schedule-offset-cs
        l: nasa-schedule-offset-cs
      code:
        v: R-0
      display:
        v: R+0
item:
  link id:
    v: postflight-activities.personnel
  text:
    v: Personnel Required
  type:
    v: choice
  required:
    v: true
  repeats:
    v: true
  answer option:
    value: Coding
      system:
        v: https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-roles-cs
        l: nasa-medical-roles-cs
      code:
        v: flight-surgeon
      display:
        v: Flight Surgeon
  answer option:
    value: Coding
      system:
        v: https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-roles-cs
        l: nasa-medical-roles-cs
      code:
        v: landing-team
      display:
        v: Landing Team
item:
  link id:
    v: postflight-activities.constraints
  text:
    v: Constraints/Special Requirements
  type:
    v: text
  required:
    v: false
  initial:
    value: String
      v: Upon the return of hardware, hardware should not be x-rayed or stowed/shipped with radioactive material. Dosimeters should be transported inside lead-lined bags. If X-ray is necessary for security, the dosimeters must be kept inside the lead-lined bags and the number of X-rays should be recorded.
item:
  link id:
    v: postflight-activities.cpd-recovered
  text:
    v: CPD Recovered
  type:
    v: boolean
  required:
    v: true
item:
  link id:
    v: postflight-activities.cpd-recovery-date
  text:
    v: CPD Recovery Date
  type:
    v: date
  required:
    v: false

link id:
  v: data-delivery
text:
  v: Data Delivery
type:
  v: group
item:
  link id:
    v: data-delivery.cpd-report
  text:
    v: CPD Analytical Report
  type:
    v: group
  item:
    link id:
      v: data-delivery.cpd-report.due
    text:
      v: Report Due (R+ days)
    type:
      v: integer
    required:
      v: true
    initial:
      value: Integer
        v: 30
  item:
    link id:
      v: data-delivery.cpd-report.recipient
    text:
      v: Report Recipient
    type:
      v: choice
    required:
      v: true
    answer option:
      value: Coding
    initial:
      value: Coding
  item:
    link id:
      v: data-delivery.cpd-report.delivered
    text:
      v: Report Delivered
    type:
      v: boolean
    required:
      v: false
  item:
    link id:
      v: data-delivery.cpd-report.delivery-date
    text:
      v: Delivery Date
    type:
      v: date
    required:
      v: false
item:
  link id:
    v: data-delivery.dosimetry-report
  text:
    v: Mission Dosimetry and Risk Report
  type:
    v: group
  item:
    link id:
      v: data-delivery.dosimetry-report.due
    text:
      v: Report Due (R+ days)
    type:
      v: integer
    required:
      v: true
    initial:
      value: Integer
        v: 60
  item:
    link id:
      v: data-delivery.dosimetry-report.recipients
    text:
      v: Report Recipients
    type:
      v: choice
    required:
      v: true
    repeats:
      v: true
    answer option:
      value: Coding
    answer option:
      value: Coding
  item:
    link id:
      v: data-delivery.dosimetry-report.preliminary
    text:
      v: Preliminary Report Issued
    type:
      v: boolean
    required:
      v: false
  item:
    link id:
      v: data-delivery.dosimetry-report.final
    text:
      v: Final Report Issued
    type:
      v: boolean
    required:
      v: false
item:
  link id:
    v: data-delivery.archive
  text:
    v: Data Archive System
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      system:
        v: https://mitre.org/fhir/space-health/CodeSystem/nasa-data-archive-cs
        l: nasa-data-archive-cs
      code:
        v: areas
      display:
        v: Astronaut Radiation Exposure Assessment System
  initial:
    value: Coding
      system:
        v: https://mitre.org/fhir/space-health/CodeSystem/nasa-data-archive-cs
        l: nasa-data-archive-cs
      code:
        v: areas
      display:
        v: Astronaut Radiation Exposure Assessment System

v: rho

v: Radiation Health Officer

v: rho

v: Radiation Health Officer

v: flight-surgeon

v: Flight Surgeon

v: crew-surgeon

v: Crew Surgeon

link id:
  v: dose-results
text:
  v: Radiation Dose Results
type:
  v: group
item:
  link id:
    v: dose-results.mission-dose
  code: https://loinc.org/rdf/73536-5
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 73536-5
    display:
      v: Radiation dose
  text:
    v: Mission Dose (mSv)
  type:
    v: decimal
  required:
    v: false
item:
  link id:
    v: dose-results.dose-rate
  text:
    v: Average Dose Rate (mSv/day)
  type:
    v: decimal
  required:
    v: false
item:
  link id:
    v: dose-results.cumulative-dose
  text:
    v: Career Cumulative Dose (mSv)
  type:
    v: decimal
  required:
    v: false
item:
  link id:
    v: dose-results.alara-compliant
  text:
    v: ALARA Compliance Confirmed
  type:
    v: boolean
  required:
    v: false
item:
  link id:
    v: dose-results.notes
  text:
    v: Dose Assessment Notes
  type:
    v: text
  required:
    v: false

link id:
  v: postflight-debrief
text:
  v: Postflight Debrief
type:
  v: group
item:
  link id:
    v: postflight-debrief.schedule
  text:
    v: Schedule
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      system:
        v: https://mitre.org/fhir/space-health/CodeSystem/nasa-schedule-offset-cs
        l: nasa-schedule-offset-cs
      code:
        v: R-30d
      display:
        v: R+30 days
  initial:
    value: Coding
      system:
        v: https://mitre.org/fhir/space-health/CodeSystem/nasa-schedule-offset-cs
        l: nasa-schedule-offset-cs
      code:
        v: R-30d
      display:
        v: R+30 days
item:
  link id:
    v: postflight-debrief.duration
  text:
    v: Duration
  type:
    v: string
  required:
    v: false
  initial:
    value: String
      v: No extra time (included as part of Med Ops overall debrief)
item:
  link id:
    v: postflight-debrief.personnel
  text:
    v: Personnel Required
  type:
    v: string
  required:
    v: false
  initial:
    value: String
      v: Crewmembers/Radiation Team
item:
  link id:
    v: postflight-debrief.completed
  text:
    v: Debrief Completed
  type:
    v: boolean
  required:
    v: false
item:
  link id:
    v: postflight-debrief.date
  text:
    v: Debrief Date
  type:
    v: date
  required:
    v: false