MEDB51AerobicFitnessQuestionnaire
type: Questionnaire
node role: treeRoot
id:
  v: MEDB51AerobicFitnessQuestionnaire
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: Questionnaire MEDB51AerobicFitnessQuestionnaire Structure LinkID Text Cardinality Type Flags Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> MEDB51AerobicFitness NASA Medical Requirements Integration Document for aerobic fitness assessment. Captures VO2max and related cardiovascular fitness data for spaceflight crew members. Questionnaire https://mitre.org/fhir/space-health/Questionnaire/medb-5-1-aerobic-fitness#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 5.1 Aerobic Fitness Assessment #xD; overview.sponsor Sponsor 1..1 choice Options: 1 option Initial Value: Coding = NASA MRID Sponsor Organizations#exercise-physiology "Exercise Physiology" #xD; overview.discipline Discipline 1..1 choice Options: 1 option Initial Value: Coding = NASA MRID Medical Disciplines#bone-muscle-exercise "Bone/Muscle/Exercise" #xD; overview.purpose Purpose/Objectives 1..1 text Initial Value: string = To assess aerobic capacity (VO2max) using graded exercise testing. Establish baseline fitness and monitor for spaceflight-related cardiovascular deconditioning. #xD; overview.measurement-parameters Measurement Parameters 1..1 string Initial Value: string = VO2max, heart rate, blood pressure, workload, rating of perceived exertion #xD; overview.flight-duration Flight Duration 1..1 string Initial Value: string = >= 30 days #xD; preflight-training Preflight Training 0..1 group #xD; preflight-training.description Training Description 0..1 text Initial Value: string = Exercise hardware familiarization including T2 treadmill, CEVIS cycle, and ARED resistive exercise device. #xD; preflight-training.duration Duration (minutes) 0..1 integer Initial Value: integer = 120 #xD; preflight-training.schedule Schedule 0..1 string Initial Value: string = L-12 months #xD; preflight-training.completed Training Completed 0..1 boolean #xD; preflig…
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-5-1-aerobic-fitness
  l: medb-5-1-aerobic-fitness
version:
  v: 0.5.12
name:
  v: MEDB51AerobicFitness
title:
  v: MEDB 5.1 Aerobic Fitness Assessment
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 aerobic fitness assessment. Captures VO2max and related cardiovascular fitness data for spaceflight crew members.
purpose:
  v: To assess pre- and postflight aerobic capacity (VO2max) using graded exercise testing to monitor cardiovascular deconditioning.
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 5.1 Aerobic Fitness Assessment
  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 assess aerobic capacity (VO2max) using graded exercise testing. Establish baseline fitness and monitor for spaceflight-related cardiovascular deconditioning.
  item:
    link id:
      v: overview.measurement-parameters
    text:
      v: Measurement Parameters
    type:
      v: string
    required:
      v: true
    initial:
      value: String
        v: VO2max, heart rate, blood pressure, workload, rating of perceived exertion
  item:
    link id:
      v: overview.flight-duration
    text:
      v: Flight Duration
    type:
      v: string
    required:
      v: true
    initial:
      value: String
        v: >= 30 days
item:
  link id:
    v: preflight-training
  text:
    v: Preflight Training
  type:
    v: group
  item:
    link id:
      v: preflight-training.description
    text:
      v: Training Description
    type:
      v: text
    initial:
      value: String
        v: Exercise hardware familiarization including T2 treadmill, CEVIS cycle, and ARED resistive exercise device.
  item:
    link id:
      v: preflight-training.duration
    text:
      v: Duration (minutes)
    type:
      v: integer
    initial:
      value: Integer
        v: 120
  item:
    link id:
      v: preflight-training.schedule
    text:
      v: Schedule
    type:
      v: string
    initial:
      value: String
        v: L-12 months
  item:
    link id:
      v: preflight-training.completed
    text:
      v: Training Completed
    type:
      v: boolean
item:
  link id:
    v: preflight-activities
  text:
    v: Preflight Activities
  type:
    v: group
  item:
    link id:
      v: preflight-activities.description
    text:
      v: Activity Description

v: exercise-physiology

v: Exercise Physiology

v: exercise-physiology

v: Exercise Physiology

v: bone-muscle-exercise

v: Bone/Muscle/Exercise

v: bone-muscle-exercise

v: Bone/Muscle/Exercise

v: text

value: String
  v: Graded exercise test (GXT) on treadmill or cycle ergometer with metabolic gas analysis. Test continues to volitional exhaustion or physician-determined endpoint.

link id:
  v: preflight-activities.duration
text:
  v: Duration (minutes)
type:
  v: integer
initial:
  value: Integer
    v: 45

link id:
  v: preflight-activities.schedule
text:
  v: Schedule
type:
  v: string
initial:
  value: String
    v: L-180 to L-60 days

link id:
  v: preflight-activities.hardware
text:
  v: Test Hardware
type:
  v: choice
answer option:
  value: Coding
    system:
      v: https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-hardware-cs
      l: nasa-medical-hardware-cs
    code:
      v: quinton-treadmill
    display:
      v: Quinton Treadmill
answer option:
  value: Coding
    system:
      v: https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-hardware-cs
      l: nasa-medical-hardware-cs
    code:
      v: cevis
    display:
      v: CEVIS Cycle Ergometer

link id:
  v: preflight-activities.location
text:
  v: Test Location
type:
  v: choice
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.test-date
text:
  v: Test Date
type:
  v: date

link id:
  v: preflight-activities.test-completed
text:
  v: Test Completed
type:
  v: boolean
required:
  v: true

link id:
  v: preflight-fitness-results
text:
  v: Preflight Fitness Results
type:
  v: group
item:
  link id:
    v: preflight-fitness-results.vo2max-absolute
  code: https://loinc.org/rdf/62872-7
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 62872-7
    display:
      v: Oxygen consumption (VO2) at maximal exercise --peak
  text:
    v: VO2max Absolute (L/min)
  type:
    v: decimal
item:
  link id:
    v: preflight-fitness-results.vo2max-relative
  text:
    v: VO2max Relative (mL/kg/min)
  type:
    v: decimal
item:
  link id:
    v: preflight-fitness-results.max-heart-rate
  code: https://loinc.org/rdf/55426-2
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 55426-2
    display:
      v: Heart rate --peak exercise
  text:
    v: Maximum Heart Rate (bpm)
  type:
    v: integer
item:
  link id:
    v: preflight-fitness-results.max-workload
  text:
    v: Maximum Workload (Watts or Speed/Grade)
  type:
    v: string
item:
  link id:
    v: preflight-fitness-results.resting-hr
  code: https://loinc.org/rdf/8867-4
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 8867-4
    display:
      v: Heart rate
  text:
    v: Resting Heart Rate (bpm)
  type:
    v: integer
item:
  link id:
    v: preflight-fitness-results.resting-bp-systolic
  code: https://loinc.org/rdf/8480-6
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 8480-6
    display:
      v: Systolic blood pressure
  text:
    v: Resting Systolic BP (mmHg)
  type:
    v: integer
item:
  link id:
    v: preflight-fitness-results.resting-bp-diastolic
  code: https://loinc.org/rdf/8462-4
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 8462-4
    display:
      v: Diastolic blood pressure
  text:
    v: Resting Diastolic BP (mmHg)
  type:
    v: integer
item:
  link id:
    v: preflight-fitness-results.respiratory-exchange-ratio
  code: https://loinc.org/rdf/20564-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 20564-1
    display:
      v: Oxygen content/Oxygen consumption ratio
  text:
    v: Peak RER
  type:
    v: decimal
item:
  link id:
    v: preflight-fitness-results.test-termination-reason
  text:
    v: Test Termination Reason
  type:
    v: choice
  answer option:
    value: String
      v: Volitional exhaustion
  answer option:
    value: String
      v: Target heart rate achieved
  answer option:
    value: String
      v: ECG abnormality
  answer option:
    value: String
      v: Blood pressure response
  answer option:
    value: String
      v: Symptoms
  answer option:
    value: String
      v: Equipment failure
item:
  link id:
    v: preflight-fitness-results.fitness-category
  text:
    v: Fitness Category
  type:
    v: choice
  answer option:
    value: String
      v: Superior
  answer option:
    value: String
      v: Excellent
  answer option:
    value: String
      v: Good
  answer option:
    value: String
      v: Fair
  answer option:
    value: String
      v: Poor
item:
  link id:
    v: preflight-fitness-results.notes
  text:
    v: Test Notes
  type:
    v: text

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
  initial:
    value: String
      v: Periodic submaximal exercise tests using CEVIS or T2 to estimate VO2max changes during mission.
item:
  link id:
    v: inflight-activities.schedule
  text:
    v: Schedule
  type:
    v: string
  initial:
    value: String
      v: Flight Day 14, monthly thereafter
item:
  link id:
    v: inflight-activities.inflight-vo2-estimate
  text:
    v: In-Flight VO2max Estimate (mL/kg/min)
  type:
    v: decimal

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+5 to R+7 days, R+30 days
item:
  link id:
    v: postflight-activities.test-date
  text:
    v: Postflight Test Date
  type:
    v: date
item:
  link id:
    v: postflight-activities.test-completed
  text:
    v: Postflight Test Completed
  type:
    v: boolean
  required:
    v: true

link id:
  v: postflight-fitness-results
text:
  v: Postflight Fitness Results
type:
  v: group
item:
  link id:
    v: postflight-fitness-results.vo2max-absolute
  text:
    v: VO2max Absolute (L/min)
  type:
    v: decimal
item:
  link id:
    v: postflight-fitness-results.vo2max-relative
  text:
    v: VO2max Relative (mL/kg/min)
  type:
    v: decimal
item:
  link id:
    v: postflight-fitness-results.max-heart-rate
  text:
    v: Maximum Heart Rate (bpm)
  type:
    v: integer
item:
  link id:
    v: postflight-fitness-results.percent-change
  text:
    v: Percent Change from Preflight (%)
  type:
    v: decimal
item:
  link id:
    v: postflight-fitness-results.deconditioning-assessment
  text:
    v: Deconditioning Assessment
  type:
    v: choice
  answer option:
    value: String
      v: Minimal (<5% decline)
  answer option:
    value: String
      v: Mild (5-10% decline)
  answer option:
    value: String
      v: Moderate (10-20% decline)
  answer option:
    value: String
      v: Significant (>20% decline)
item:
  link id:
    v: postflight-fitness-results.reconditioning-plan
  text:
    v: Reconditioning Plan Required
  type:
    v: boolean

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.schedule
  text:
    v: Schedule
  type:
    v: string
  initial:
    value: String
      v: R+30 days
item:
  link id:
    v: postflight-debrief.completed
  text:
    v: Debrief Completed
  type:
    v: boolean