Generated Narrative: Questionnaire MEDB31RadiationMonitoringQuestionnaire Structure LinkID Text Cardinality Type Flags Description & Constraints 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.flight-duration Flight Duration 1..1 string Initial Value: string = All flights #xD; overview.number-of-flights Number of Flights 1..1 string Initial Value: string = Every ISS Increment #xD; overview.crew-members-required Number and Type of Crew Members Required 1..1 string Initial Value: string = ISS crewmembers (Primary and backup will be trained) #xD; preflight-training Preflight Training 0..1 group #xD; preflight-training.description Training Activity Description 0..1 text Initial Value: string = Training will be covered in the following Radiation lesson (ISS): EHS Radiation Operations. #xD; preflight-training.activity-name Activity Name 1..1 string Initial Value: string = EHS Radiation Operations #xD; preflight-training.duration Duration (minutes) 1..1 integer Initial Value: integer = 45 #xD; preflight-training.schedule Schedule 1..1 choice Options: 1 option Initial Value: Coding = NASA Schedule Offset Notation#L-19m "L-19 months" #xD; preflight-training.flexibility Flexibility 0..1 string Initial Value: string = N/A #xD; preflight-training.personnel Personnel Required 1..* choice Options: 2 options #xD; preflight-training.hardware Preflight Hardware 1..1 choice Options: 1 option #xD; preflight-training.software Preflight Software 0..1 string Initial Value: string = N/A #xD; preflight-training.location Test Location 1..1 choice Options: 1 option Initial Value: Coding = NASA Medical Facility Locations#jsc "Johnson Space Center" #xD; preflight-training.facilities Training Facilities 0..1 string Initial Value: string = Conference Room #xD; preflight-training.training-date Training Completion Date 0..1 date #xD; preflight-training.training-complete Training Completed 1..1 boolean #xD; preflight-activities Preflight Activities 0..1 group #xD; preflight-activities.description Activity Description 0..1 display Initial Value: string = No crew activities #xD; preflight-activities.constraints Constraints/Special Requirements 0..1 text Initial Value: string = 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. #xD; preflight-activities.launch-delay Launch Delay Requirements 0..1 text Initial Value: string = 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. #xD; inflight-activities In-Flight Activities 0..1 group #xD; inflight-activities.description Activity Description 0..1 text Initial Value: string = 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. #xD; inflight-activities.activity-name Activity 1..1 string Initial Value: string = Crew Passive Dosimeter #xD; inflight-activities.duration Duration 1..1 string Initial Value: string = Continuous monitoring #xD; inflight-activities.schedule Schedule 1..1 string Initial Value: string = Worn continuously during the mission, including ascent and EVAs #xD; inflight-activities.personnel Personnel Required 1..1 text Initial Value: string = All U.S. crewmembers, CSA and JAXA crewmembers by agreement #xD; inflight-activities.hardware In-Flight Hardware 1..1 choice Options: 1 option Initial Value: Coding = NASA Medical Hardware#cpd "Crew Passive Dosimeter" #xD; inflight-activities.cpd-serial CPD Serial Number 0..1 string #xD; inflight-activities.cpd-distributed CPD Distribution Date 0..1 date #xD; inflight-activities.mid-mission-exchange Mid-Mission CPD Exchange Required (>180 days) 0..1 boolean #xD; inflight-activities.mid-cpd-serial Mid-Mission CPD Serial Number 0..1 string Enable When: inflight-activities.mid-mission-exchange = #xD; inflight-activities.notes Notes 0..1 text Initial Value: string = 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. #xD; postflight-activities Postflight Activities 0..1 group #xD; postflight-activities.description Activity Description 0..1 text Initial Value: string = Returning Crewmembers will have their dosimeters returned via flight surgeons. #xD; postflight-activities.schedule Schedule 1..1 choice Options: 1 option Initial Value: Coding = NASA Schedule Offset Notation#R-0 "R+0" #xD; postflight-activities.personnel Personnel Required 1..* choice Options: 2 options #xD; postflight-activities.constraints Constraints/Special Requirements 0..1 text Initial Value: string = 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. #xD; postflight-activities.cpd-recovered CPD Recovered 1..1 boolean #xD; postflight-activities.cpd-recovery-date CPD Recovery Date 0..1 date #xD; data-delivery Data Delivery 0..1 group #xD; data-delivery.cpd-report CPD Analytical Report 0..1 group #xD; data-delivery.cpd-report.due Report Due (R+ days) 1..1 integer Initial Value: integer = 30 #xD; data-delivery.cpd-report.recipient Report Recipient 1..1 choice Options: 1 option Initial Value: Coding = NASA Medical Personnel Roles#rho "Radiation Health Officer" #xD; data-delivery.cpd-report.delivered Report Delivered 0..1 boolean #xD; data-delivery.cpd-report.delivery-date Delivery Date 0..1 date #xD; data-delivery.dosimetry-report Mission Dosimetry and Risk Report 0..1 group #xD; data-delivery.dosimetry-report.due Report Due (R+ days) 1..1 integer Initial Value: integer = 60 #xD; data-delivery.dosimetry-report.recipients Report Recipients 1..* choice Options: 2 options #xD; data-delivery.dosimetry-report.preliminary Preliminary Report Issued 0..1 boolean #xD; data-delivery.dosimetry-report.final Final Report Issued 0..1 boolean #xD; data-delivery.archive Data Archive System 1..1 choice Options: 1 option Initial Value: Coding = NASA Medical Data Archive Systems#areas "Astronaut Radiation Exposure Assessment System" #xD; dose-results Radiation Dose Results 0..1 group #xD; dose-results.mission-dose Mission Dose (mSv) 0..1 decimal #xD; dose-results.dose-rate Average Dose Rate (mSv/day) 0..1 decimal #xD; dose-results.cumulative-dose Career Cumulative Dose (mSv) 0..1 decimal #xD; dose-results.alara-compliant ALARA Compliance Confirmed 0..1 boolean #xD; dose-results.notes Dose Assessment Notes 0..1 text #xD; postflight-debrief Postflight Debrief 0..1 group #xD; postflight-debrief.schedule Schedule 1..1 choice Options: 1 option Initial Value: Coding = NASA Schedule Offset Notation#R-30d "R+30 days" #xD; postflight-debrief.duration Duration 0..1 string Initial Value: string = No extra time (included as part of Med Ops overall debrief) #xD; postflight-debrief.personnel Personnel Required 0..1 string Initial Value: string = Crewmembers/Radiation Team #xD; postflight-debrief.completed Debrief Completed 0..1 boolean #xD; postflight-debrief.date Debrief Date 0..1 date #xD; 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#radiation ("Radiation") Answer options for preflight-training.schedule https://mitre.org/fhir/space-health/CodeSystem/nasa-schedule-offset-cs#L-19m ("L-19 months") Answer options for preflight-training.personnel https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-roles-cs#crewmember ("Crewmember") https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-roles-cs#instructor ("Instructor") Answer options for preflight-training.hardware https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-hardware-cs#cpd ("Crew Passive Dosimeter") Answer options for preflight-training.location https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-facility-cs#jsc ("Johnson Space Center") Answer options for inflight-activities.hardware https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-hardware-cs#cpd ("Crew Passive Dosimeter") Answer options for postflight-activities.schedule https://mitre.org/fhir/space-health/CodeSystem/nasa-schedule-offset-cs#R-0 ("R+0") Answer options for postflight-activities.personnel https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-roles-cs#flight-surgeon ("Flight Surgeon") https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-roles-cs#landing-team ("Landing Team") Answer options for data-delivery.cpd-report.recipient https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-roles-cs#rho ("Radiation Health Officer") Answer options for data-delivery.dosimetry-report.recipients https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-roles-cs#flight-surgeon ("Flight Surgeon") https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-roles-cs#crew-surgeon ("Crew Surgeon") Answer options for data-delivery.archive https://mitre.org/fhir/space-health/CodeSystem/nasa-data-archive-cs#areas ("Astronaut Radiation Exposure Assessment System") Answer options for postflight-debrief.schedule https://mitre.org/fhir/space-health/CodeSystem/nasa-schedule-offset-cs#R-30d ("R+30 days")
The astronaut/crewmember subject of this medical requirement
MEDB 3.1 Radiation Monitoring/Crew Personal Dosimetry
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.
To monitor and document crew exposure to radiation and to maintain crew exposures 'as low as reasonably achievable'. To perform risk assessment.
NASA Johnson Space Center - Medical Requirements Integration Documents (MRIDs) JSC28913
SSP 50260 ISS Medical Operations Requirement Document; SSP 50667 Med Volume B, Section 3.1
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.
Number and Type of Crew Members Required
ISS crewmembers (Primary and backup will be trained)
Training will be covered in the following Radiation lesson (ISS): EHS Radiation Operations.
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.
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.
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.
Worn continuously during the mission, including ascent and EVAs
All U.S. crewmembers, CSA and JAXA crewmembers by agreement
Mid-Mission CPD Exchange Required (>180 days)
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.
Returning Crewmembers will have their dosimeters returned via flight surgeons.
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.
Astronaut Radiation Exposure Assessment System
No extra time (included as part of Med Ops overall debrief)