@prefix fhir: . @prefix loinc: . @prefix owl: . @prefix rdf: . @prefix rdfs: . @prefix xsd: . # - resource ------------------------------------------------------------------- a fhir:Questionnaire ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "MEDB51AerobicFitnessQuestionnaire"] ; # fhir:text [ fhir:status [ fhir:v "extensions" ] ; fhir:div [ fhir:v "

Generated Narrative: Questionnaire MEDB51AerobicFitnessQuestionnaire

Structure#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n
LinkIDTextCardinalityTypeFlagsDescription & Constraints\"doco\"
\".\"\".\" MEDB51AerobicFitnessNASA Medical Requirements Integration Document for aerobic fitness assessment. Captures VO2max and related cardiovascular fitness data for spaceflight crew members.Questionnairehttps://mitre.org/fhir/space-health/Questionnaire/medb-5-1-aerobic-fitness#0.5.12
\".\"\".\"\".\" overviewMedical Requirements Overview0..1group
\".\"\".\"\".\"\".\" overview.mrid-numberMRID Number and Title0..1displayInitial Value: string = MEDB 5.1 Aerobic Fitness Assessment
\".\"\".\"\".\"\".\" overview.sponsorSponsor1..1choice\"icon\"/\"icon\"/Options: 1 option
Initial Value: Coding = NASA MRID Sponsor Organizations#exercise-physiology \"Exercise Physiology\"
\".\"\".\"\".\"\".\" overview.disciplineDiscipline1..1choice\"icon\"/\"icon\"/Options: 1 option
Initial Value: Coding = NASA MRID Medical Disciplines#bone-muscle-exercise \"Bone/Muscle/Exercise\"
\".\"\".\"\".\"\".\" overview.purposePurpose/Objectives1..1textInitial Value: string = To assess aerobic capacity (VO2max) using graded exercise testing. Establish baseline fitness and monitor for spaceflight-related cardiovascular deconditioning.
\".\"\".\"\".\"\".\" overview.measurement-parametersMeasurement Parameters1..1stringInitial Value: string = VO2max, heart rate, blood pressure, workload, rating of perceived exertion
\".\"\".\"\".\"\".\" overview.flight-durationFlight Duration1..1stringInitial Value: string = >= 30 days
\".\"\".\"\".\" preflight-trainingPreflight Training0..1group
\".\"\".\"\".\"\".\" preflight-training.descriptionTraining Description0..1textInitial Value: string = Exercise hardware familiarization including T2 treadmill, CEVIS cycle, and ARED resistive exercise device.
\".\"\".\"\".\"\".\" preflight-training.durationDuration (minutes)0..1integerInitial Value: integer = 120
\".\"\".\"\".\"\".\" preflight-training.scheduleSchedule0..1stringInitial Value: string = L-12 months
\".\"\".\"\".\"\".\" preflight-training.completedTraining Completed0..1boolean
\".\"\".\"\".\" preflight-activitiesPreflight Activities0..1group
\".\"\".\"\".\"\".\" preflight-activities.descriptionActivity Description0..1textInitial Value: string = Graded exercise test (GXT) on treadmill or cycle ergometer with metabolic gas analysis. Test continues to volitional exhaustion or physician-determined endpoint.
\".\"\".\"\".\"\".\" preflight-activities.durationDuration (minutes)0..1integerInitial Value: integer = 45
\".\"\".\"\".\"\".\" preflight-activities.scheduleSchedule0..1stringInitial Value: string = L-180 to L-60 days
\".\"\".\"\".\"\".\" preflight-activities.hardwareTest Hardware0..1choiceOptions: 2 options
\".\"\".\"\".\"\".\" preflight-activities.locationTest Location0..1choiceOptions: 1 option
Initial Value: Coding = NASA Medical Facility Locations#jsc \"Johnson Space Center\"
\".\"\".\"\".\"\".\" preflight-activities.test-dateTest Date0..1date
\".\"\".\"\".\"\".\" preflight-activities.test-completedTest Completed1..1boolean
\".\"\".\"\".\" preflight-fitness-resultsPreflight Fitness Results0..1group
\".\"\".\"\".\"\".\" preflight-fitness-results.vo2max-absoluteVO2max Absolute (L/min)0..1decimal
\".\"\".\"\".\"\".\" preflight-fitness-results.vo2max-relativeVO2max Relative (mL/kg/min)0..1decimal
\".\"\".\"\".\"\".\" preflight-fitness-results.max-heart-rateMaximum Heart Rate (bpm)0..1integer
\".\"\".\"\".\"\".\" preflight-fitness-results.max-workloadMaximum Workload (Watts or Speed/Grade)0..1string
\".\"\".\"\".\"\".\" preflight-fitness-results.resting-hrResting Heart Rate (bpm)0..1integer
\".\"\".\"\".\"\".\" preflight-fitness-results.resting-bp-systolicResting Systolic BP (mmHg)0..1integer
\".\"\".\"\".\"\".\" preflight-fitness-results.resting-bp-diastolicResting Diastolic BP (mmHg)0..1integer
\".\"\".\"\".\"\".\" preflight-fitness-results.respiratory-exchange-ratioPeak RER0..1decimal
\".\"\".\"\".\"\".\" preflight-fitness-results.test-termination-reasonTest Termination Reason0..1choiceOptions: 6 options
\".\"\".\"\".\"\".\" preflight-fitness-results.fitness-categoryFitness Category0..1choiceOptions: 5 options
\".\"\".\"\".\"\".\" preflight-fitness-results.notesTest Notes0..1text
\".\"\".\"\".\" inflight-activitiesIn-Flight Activities0..1group
\".\"\".\"\".\"\".\" inflight-activities.descriptionActivity Description0..1textInitial Value: string = Periodic submaximal exercise tests using CEVIS or T2 to estimate VO2max changes during mission.
\".\"\".\"\".\"\".\" inflight-activities.scheduleSchedule0..1stringInitial Value: string = Flight Day 14, monthly thereafter
\".\"\".\"\".\"\".\" inflight-activities.inflight-vo2-estimateIn-Flight VO2max Estimate (mL/kg/min)0..1decimal
\".\"\".\"\".\" postflight-activitiesPostflight Activities0..1group
\".\"\".\"\".\"\".\" postflight-activities.scheduleSchedule0..1stringInitial Value: string = R+5 to R+7 days, R+30 days
\".\"\".\"\".\"\".\" postflight-activities.test-datePostflight Test Date0..1date
\".\"\".\"\".\"\".\" postflight-activities.test-completedPostflight Test Completed1..1boolean
\".\"\".\"\".\" postflight-fitness-resultsPostflight Fitness Results0..1group
\".\"\".\"\".\"\".\" postflight-fitness-results.vo2max-absoluteVO2max Absolute (L/min)0..1decimal
\".\"\".\"\".\"\".\" postflight-fitness-results.vo2max-relativeVO2max Relative (mL/kg/min)0..1decimal
\".\"\".\"\".\"\".\" postflight-fitness-results.max-heart-rateMaximum Heart Rate (bpm)0..1integer
\".\"\".\"\".\"\".\" postflight-fitness-results.percent-changePercent Change from Preflight (%)0..1decimal
\".\"\".\"\".\"\".\" postflight-fitness-results.deconditioning-assessmentDeconditioning Assessment0..1choiceOptions: 4 options
\".\"\".\"\".\"\".\" postflight-fitness-results.reconditioning-planReconditioning Plan Required0..1boolean
\".\"\".\"\".\" 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.scheduleSchedule0..1stringInitial Value: string = R+30 days
\".\"\".\"\".\"\".\" postflight-debrief.completedDebrief Completed0..1boolean

\"doco\" Documentation for this format

Options Sets

Answer options for overview.sponsor

  • https://mitre.org/fhir/space-health/CodeSystem/nasa-mrid-sponsor-cs#exercise-physiology (\"Exercise Physiology\")

Answer options for overview.discipline

  • https://mitre.org/fhir/space-health/CodeSystem/nasa-mrid-discipline-cs#bone-muscle-exercise (\"Bone/Muscle/Exercise\")

Answer options for preflight-activities.hardware

  • https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-hardware-cs#quinton-treadmill (\"Quinton Treadmill\")
  • https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-hardware-cs#cevis (\"CEVIS Cycle Ergometer\")

Answer options for preflight-activities.location

  • https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-facility-cs#jsc (\"Johnson Space Center\")

Answer options for preflight-fitness-results.test-termination-reason

  • Volitional exhaustion
  • Target heart rate achieved
  • ECG abnormality
  • Blood pressure response
  • Symptoms
  • Equipment failure

Answer options for preflight-fitness-results.fitness-category

  • Superior
  • Excellent
  • Good
  • Fair
  • Poor

Answer options for postflight-fitness-results.deconditioning-assessment

  • Minimal (<5% decline)
  • Mild (5-10% decline)
  • Moderate (10-20% decline)
  • Significant (>20% decline)

Answer options for data-delivery.archive

  • https://mitre.org/fhir/space-health/CodeSystem/nasa-data-archive-cs#mmis (\"Medical Mission Information System\")
"^^rdf:XMLLiteral ] ] ; # fhir:extension ( [ fhir:extension ( [ fhir:url [ fhir:v "name"^^xsd:anyURI ; fhir:l fhir:name ] ; fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "http://hl7.org/fhir/uv/sdc/CodeSystem/launchContext"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "patient" ] ] ] [ fhir:url [ fhir:v "type"^^xsd:anyURI ; fhir:l fhir:type ] ; fhir:value [ a fhir:Code ; fhir:v "Patient" ] ] [ fhir:url [ fhir:v "description"^^xsd:anyURI ; fhir:l fhir:description ] ; fhir:value [ a fhir:String ; fhir:v "The astronaut/crewmember subject of this medical requirement" ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext"^^xsd:anyURI ; fhir:l ] ] ) ; # fhir:url [ fhir:v "https://mitre.org/fhir/space-health/Questionnaire/medb-5-1-aerobic-fitness"^^xsd:anyURI ; fhir:l ] ; # fhir:version [ fhir:v "0.5.12"] ; # fhir:name [ fhir:v "MEDB51AerobicFitness"] ; # fhir:title [ fhir:v "MEDB 5.1 Aerobic Fitness Assessment"] ; # fhir:status [ fhir:v "active"] ; # fhir:date [ fhir:v "2017-06-05"^^xsd:date] ; # fhir:publisher [ fhir:v "MITRE"] ; # fhir:contact ( [ fhir:name [ fhir:v "MITRE" ] ; fhir:telecom ( [ fhir:system [ fhir:v "url" ] ; fhir:value [ fhir:v "https://www.mitre.org/" ] ] ) ] ) ; # fhir:description [ fhir:v "NASA Medical Requirements Integration Document for aerobic fitness assessment. Captures VO2max and related cardiovascular fitness data for spaceflight crew members."] ; # fhir:purpose [ fhir:v "To assess pre- and postflight aerobic capacity (VO2max) using graded exercise testing to monitor cardiovascular deconditioning."] ; # fhir:copyright [ fhir:v "NASA Johnson Space Center - Medical Requirements Integration Documents (MRIDs) JSC28913"] ; # fhir:item ( [ fhir:linkId [ fhir:v "overview" ] ; fhir:text [ fhir:v "Medical Requirements Overview" ] ; fhir:type [ fhir:v "group" ] ; fhir:item ( [ fhir:linkId [ fhir:v "overview.mrid-number" ] ; fhir:text [ fhir:v "MRID Number and Title" ] ; fhir:type [ fhir:v "display" ] ; fhir:initial ( [ fhir:value [ a fhir:String ; fhir:v "MEDB 5.1 Aerobic Fitness Assessment" ] ] ) ] [ fhir:linkId [ fhir:v "overview.sponsor" ] ; fhir:text [ fhir:v "Sponsor" ] ; fhir:type [ fhir:v "choice" ] ; fhir:required [ fhir:v true ] ; fhir:readOnly [ fhir:v true ] ; fhir:answerOption ( [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "https://mitre.org/fhir/space-health/CodeSystem/nasa-mrid-sponsor-cs"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "exercise-physiology" ] ; fhir:display [ fhir:v "Exercise Physiology" ] ] ] ) ; fhir:initial ( [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "https://mitre.org/fhir/space-health/CodeSystem/nasa-mrid-sponsor-cs"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "exercise-physiology" ] ; fhir:display [ fhir:v "Exercise Physiology" ] ] ] ) ] [ fhir:linkId [ fhir:v "overview.discipline" ] ; fhir:text [ fhir:v "Discipline" ] ; fhir:type [ fhir:v "choice" ] ; fhir:required [ fhir:v true ] ; fhir:readOnly [ fhir:v true ] ; fhir:answerOption ( [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "https://mitre.org/fhir/space-health/CodeSystem/nasa-mrid-discipline-cs"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "bone-muscle-exercise" ] ; fhir:display [ fhir:v "Bone/Muscle/Exercise" ] ] ] ) ; fhir:initial ( [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "https://mitre.org/fhir/space-health/CodeSystem/nasa-mrid-discipline-cs"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "bone-muscle-exercise" ] ; fhir:display [ fhir:v "Bone/Muscle/Exercise" ] ] ] ) ] [ fhir:linkId [ fhir:v "overview.purpose" ] ; fhir:text [ fhir:v "Purpose/Objectives" ] ; fhir:type [ fhir:v "text" ] ; fhir:required [ fhir:v true ] ; fhir:initial ( [ fhir:value [ a fhir:String ; fhir:v "To assess aerobic capacity (VO2max) using graded exercise testing. Establish baseline fitness and monitor for spaceflight-related cardiovascular deconditioning." ] ] ) ] [ fhir:linkId [ fhir:v "overview.measurement-parameters" ] ; fhir:text [ fhir:v "Measurement Parameters" ] ; fhir:type [ fhir:v "string" ] ; fhir:required [ fhir:v true ] ; fhir:initial ( [ fhir:value [ a fhir:String ; fhir:v "VO2max, heart rate, blood pressure, workload, rating of perceived exertion" ] ] ) ] [ fhir:linkId [ fhir:v "overview.flight-duration" ] ; fhir:text [ fhir:v "Flight Duration" ] ; fhir:type [ fhir:v "string" ] ; fhir:required [ fhir:v true ] ; fhir:initial ( [ fhir:value [ a fhir:String ; fhir:v ">= 30 days" ] ] ) ] ) ] [ fhir:linkId [ fhir:v "preflight-training" ] ; fhir:text [ fhir:v "Preflight Training" ] ; fhir:type [ fhir:v "group" ] ; fhir:item ( [ fhir:linkId [ fhir:v "preflight-training.description" ] ; fhir:text [ fhir:v "Training Description" ] ; fhir:type [ fhir:v "text" ] ; fhir:initial ( [ fhir:value [ a fhir:String ; fhir:v "Exercise hardware familiarization including T2 treadmill, CEVIS cycle, and ARED resistive exercise device." ] ] ) ] [ fhir:linkId [ fhir:v "preflight-training.duration" ] ; fhir:text [ fhir:v "Duration (minutes)" ] ; fhir:type [ fhir:v "integer" ] ; fhir:initial ( [ fhir:value [ a fhir:Integer ; fhir:v 120 ] ] ) ] [ fhir:linkId [ fhir:v "preflight-training.schedule" ] ; fhir:text [ fhir:v "Schedule" ] ; fhir:type [ fhir:v "string" ] ; fhir:initial ( [ fhir:value [ a fhir:String ; fhir:v "L-12 months" ] ] ) ] [ fhir:linkId [ fhir:v "preflight-training.completed" ] ; fhir:text [ fhir:v "Training Completed" ] ; fhir:type [ fhir:v "boolean" ] ] ) ] [ fhir:linkId [ fhir:v "preflight-activities" ] ; fhir:text [ fhir:v "Preflight Activities" ] ; fhir:type [ fhir:v "group" ] ; fhir:item ( [ fhir:linkId [ fhir:v "preflight-activities.description" ] ; fhir:text [ fhir:v "Activity Description" ] ; fhir:type [ fhir:v "text" ] ; fhir:initial ( [ fhir:value [ a fhir:String ; fhir:v "Graded exercise test (GXT) on treadmill or cycle ergometer with metabolic gas analysis. Test continues to volitional exhaustion or physician-determined endpoint." ] ] ) ] [ fhir:linkId [ fhir:v "preflight-activities.duration" ] ; fhir:text [ fhir:v "Duration (minutes)" ] ; fhir:type [ fhir:v "integer" ] ; fhir:initial ( [ fhir:value [ a fhir:Integer ; fhir:v 45 ] ] ) ] [ fhir:linkId [ fhir:v "preflight-activities.schedule" ] ; fhir:text [ fhir:v "Schedule" ] ; fhir:type [ fhir:v "string" ] ; fhir:initial ( [ fhir:value [ a fhir:String ; fhir:v "L-180 to L-60 days" ] ] ) ] [ fhir:linkId [ fhir:v "preflight-activities.hardware" ] ; fhir:text [ fhir:v "Test Hardware" ] ; fhir:type [ fhir:v "choice" ] ; fhir:answerOption ( [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-hardware-cs"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "quinton-treadmill" ] ; fhir:display [ fhir:v "Quinton Treadmill" ] ] ] [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-hardware-cs"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "cevis" ] ; fhir:display [ fhir:v "CEVIS Cycle Ergometer" ] ] ] ) ] [ fhir:linkId [ fhir:v "preflight-activities.location" ] ; fhir:text [ fhir:v "Test Location" ] ; fhir:type [ fhir:v "choice" ] ; fhir:answerOption ( [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-facility-cs"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "jsc" ] ; fhir:display [ fhir:v "Johnson Space Center" ] ] ] ) ; fhir:initial ( [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-facility-cs"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "jsc" ] ; fhir:display [ fhir:v "Johnson Space Center" ] ] ] ) ] [ fhir:linkId [ fhir:v "preflight-activities.test-date" ] ; fhir:text [ fhir:v "Test Date" ] ; fhir:type [ fhir:v "date" ] ] [ fhir:linkId [ fhir:v "preflight-activities.test-completed" ] ; fhir:text [ fhir:v "Test Completed" ] ; fhir:type [ fhir:v "boolean" ] ; fhir:required [ fhir:v true ] ] ) ] [ fhir:linkId [ fhir:v "preflight-fitness-results" ] ; fhir:text [ fhir:v "Preflight Fitness Results" ] ; fhir:type [ fhir:v "group" ] ; fhir:item ( [ fhir:linkId [ fhir:v "preflight-fitness-results.vo2max-absolute" ] ; fhir:code ( [ a loinc:62872-7 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "62872-7" ] ; fhir:display [ fhir:v "Oxygen consumption (VO2) at maximal exercise --peak" ] ] ) ; fhir:text [ fhir:v "VO2max Absolute (L/min)" ] ; fhir:type [ fhir:v "decimal" ] ] [ fhir:linkId [ fhir:v "preflight-fitness-results.vo2max-relative" ] ; fhir:text [ fhir:v "VO2max Relative (mL/kg/min)" ] ; fhir:type [ fhir:v "decimal" ] ] [ fhir:linkId [ fhir:v "preflight-fitness-results.max-heart-rate" ] ; fhir:code ( [ a loinc:55426-2 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "55426-2" ] ; fhir:display [ fhir:v "Heart rate --peak exercise" ] ] ) ; fhir:text [ fhir:v "Maximum Heart Rate (bpm)" ] ; fhir:type [ fhir:v "integer" ] ] [ fhir:linkId [ fhir:v "preflight-fitness-results.max-workload" ] ; fhir:text [ fhir:v "Maximum Workload (Watts or Speed/Grade)" ] ; fhir:type [ fhir:v "string" ] ] [ fhir:linkId [ fhir:v "preflight-fitness-results.resting-hr" ] ; fhir:code ( [ a loinc:8867-4 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "8867-4" ] ; fhir:display [ fhir:v "Heart rate" ] ] ) ; fhir:text [ fhir:v "Resting Heart Rate (bpm)" ] ; fhir:type [ fhir:v "integer" ] ] [ fhir:linkId [ fhir:v "preflight-fitness-results.resting-bp-systolic" ] ; fhir:code ( [ a loinc:8480-6 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "8480-6" ] ; fhir:display [ fhir:v "Systolic blood pressure" ] ] ) ; fhir:text [ fhir:v "Resting Systolic BP (mmHg)" ] ; fhir:type [ fhir:v "integer" ] ] [ fhir:linkId [ fhir:v "preflight-fitness-results.resting-bp-diastolic" ] ; fhir:code ( [ a loinc:8462-4 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "8462-4" ] ; fhir:display [ fhir:v "Diastolic blood pressure" ] ] ) ; fhir:text [ fhir:v "Resting Diastolic BP (mmHg)" ] ; fhir:type [ fhir:v "integer" ] ] [ fhir:linkId [ fhir:v "preflight-fitness-results.respiratory-exchange-ratio" ] ; fhir:code ( [ a loinc:20564-1 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "20564-1" ] ; fhir:display [ fhir:v "Oxygen content/Oxygen consumption ratio" ] ] ) ; fhir:text [ fhir:v "Peak RER" ] ; fhir:type [ fhir:v "decimal" ] ] [ fhir:linkId [ fhir:v "preflight-fitness-results.test-termination-reason" ] ; fhir:text [ fhir:v "Test Termination Reason" ] ; fhir:type [ fhir:v "choice" ] ; fhir:answerOption ( [ fhir:value [ a fhir:String ; fhir:v "Volitional exhaustion" ] ] [ fhir:value [ a fhir:String ; fhir:v "Target heart rate achieved" ] ] [ fhir:value [ a fhir:String ; fhir:v "ECG abnormality" ] ] [ fhir:value [ a fhir:String ; fhir:v "Blood pressure response" ] ] [ fhir:value [ a fhir:String ; fhir:v "Symptoms" ] ] [ fhir:value [ a fhir:String ; fhir:v "Equipment failure" ] ] ) ] [ fhir:linkId [ fhir:v "preflight-fitness-results.fitness-category" ] ; fhir:text [ fhir:v "Fitness Category" ] ; fhir:type [ fhir:v "choice" ] ; fhir:answerOption ( [ fhir:value [ a fhir:String ; fhir:v "Superior" ] ] [ fhir:value [ a fhir:String ; fhir:v "Excellent" ] ] [ fhir:value [ a fhir:String ; fhir:v "Good" ] ] [ fhir:value [ a fhir:String ; fhir:v "Fair" ] ] [ fhir:value [ a fhir:String ; fhir:v "Poor" ] ] ) ] [ fhir:linkId [ fhir:v "preflight-fitness-results.notes" ] ; fhir:text [ fhir:v "Test Notes" ] ; fhir:type [ fhir:v "text" ] ] ) ] [ fhir:linkId [ fhir:v "inflight-activities" ] ; fhir:text [ fhir:v "In-Flight Activities" ] ; fhir:type [ fhir:v "group" ] ; fhir:item ( [ fhir:linkId [ fhir:v "inflight-activities.description" ] ; fhir:text [ fhir:v "Activity Description" ] ; fhir:type [ fhir:v "text" ] ; fhir:initial ( [ fhir:value [ a fhir:String ; fhir:v "Periodic submaximal exercise tests using CEVIS or T2 to estimate VO2max changes during mission." ] ] ) ] [ fhir:linkId [ fhir:v "inflight-activities.schedule" ] ; fhir:text [ fhir:v "Schedule" ] ; fhir:type [ fhir:v "string" ] ; fhir:initial ( [ fhir:value [ a fhir:String ; fhir:v "Flight Day 14, monthly thereafter" ] ] ) ] [ fhir:linkId [ fhir:v "inflight-activities.inflight-vo2-estimate" ] ; fhir:text [ fhir:v "In-Flight VO2max Estimate (mL/kg/min)" ] ; fhir:type [ fhir:v "decimal" ] ] ) ] [ fhir:linkId [ fhir:v "postflight-activities" ] ; fhir:text [ fhir:v "Postflight Activities" ] ; fhir:type [ fhir:v "group" ] ; fhir:item ( [ fhir:linkId [ fhir:v "postflight-activities.schedule" ] ; fhir:text [ fhir:v "Schedule" ] ; fhir:type [ fhir:v "string" ] ; fhir:initial ( [ fhir:value [ a fhir:String ; fhir:v "R+5 to R+7 days, R+30 days" ] ] ) ] [ fhir:linkId [ fhir:v "postflight-activities.test-date" ] ; fhir:text [ fhir:v "Postflight Test Date" ] ; fhir:type [ fhir:v "date" ] ] [ fhir:linkId [ fhir:v "postflight-activities.test-completed" ] ; fhir:text [ fhir:v "Postflight Test Completed" ] ; fhir:type [ fhir:v "boolean" ] ; fhir:required [ fhir:v true ] ] ) ] [ fhir:linkId [ fhir:v "postflight-fitness-results" ] ; fhir:text [ fhir:v "Postflight Fitness Results" ] ; fhir:type [ fhir:v "group" ] ; fhir:item ( [ fhir:linkId [ fhir:v "postflight-fitness-results.vo2max-absolute" ] ; fhir:text [ fhir:v "VO2max Absolute (L/min)" ] ; fhir:type [ fhir:v "decimal" ] ] [ fhir:linkId [ fhir:v "postflight-fitness-results.vo2max-relative" ] ; fhir:text [ fhir:v "VO2max Relative (mL/kg/min)" ] ; fhir:type [ fhir:v "decimal" ] ] [ fhir:linkId [ fhir:v "postflight-fitness-results.max-heart-rate" ] ; fhir:text [ fhir:v "Maximum Heart Rate (bpm)" ] ; fhir:type [ fhir:v "integer" ] ] [ fhir:linkId [ fhir:v "postflight-fitness-results.percent-change" ] ; fhir:text [ fhir:v "Percent Change from Preflight (%)" ] ; fhir:type [ fhir:v "decimal" ] ] [ fhir:linkId [ fhir:v "postflight-fitness-results.deconditioning-assessment" ] ; fhir:text [ fhir:v "Deconditioning Assessment" ] ; fhir:type [ fhir:v "choice" ] ; fhir:answerOption ( [ fhir:value [ a fhir:String ; fhir:v "Minimal (<5% decline)" ] ] [ fhir:value [ a fhir:String ; fhir:v "Mild (5-10% decline)" ] ] [ fhir:value [ a fhir:String ; fhir:v "Moderate (10-20% decline)" ] ] [ fhir:value [ a fhir:String ; fhir:v "Significant (>20% decline)" ] ] ) ] [ fhir:linkId [ fhir:v "postflight-fitness-results.reconditioning-plan" ] ; fhir:text [ fhir:v "Reconditioning Plan Required" ] ; fhir:type [ fhir:v "boolean" ] ] ) ] [ fhir:linkId [ fhir:v "data-delivery" ] ; fhir:text [ fhir:v "Data Delivery" ] ; fhir:type [ fhir:v "group" ] ; fhir:item ( [ fhir:linkId [ fhir:v "data-delivery.archive" ] ; fhir:text [ fhir:v "Data Archive System" ] ; fhir:type [ fhir:v "choice" ] ; fhir:answerOption ( [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "https://mitre.org/fhir/space-health/CodeSystem/nasa-data-archive-cs"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "mmis" ] ; fhir:display [ fhir:v "Medical Mission Information System" ] ] ] ) ; fhir:initial ( [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "https://mitre.org/fhir/space-health/CodeSystem/nasa-data-archive-cs"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "mmis" ] ; fhir:display [ fhir:v "Medical Mission Information System" ] ] ] ) ] ) ] [ fhir:linkId [ fhir:v "postflight-debrief" ] ; fhir:text [ fhir:v "Postflight Debrief" ] ; fhir:type [ fhir:v "group" ] ; fhir:item ( [ fhir:linkId [ fhir:v "postflight-debrief.schedule" ] ; fhir:text [ fhir:v "Schedule" ] ; fhir:type [ fhir:v "string" ] ; fhir:initial ( [ fhir:value [ a fhir:String ; fhir:v "R+30 days" ] ] ) ] [ fhir:linkId [ fhir:v "postflight-debrief.completed" ] ; fhir:text [ fhir:v "Debrief Completed" ] ; fhir:type [ fhir:v "boolean" ] ] ) ] ) . # # -------------------------------------------------------------------------------------