Generated Narrative: Questionnaire MEDB51AerobicFitnessQuestionnaire

Structure
LinkIDTextCardinalityTypeFlagsDescription & Constraintsdoco
.. 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..1choiceiconiconOptions: 1 option
Initial Value: Coding = NASA MRID Sponsor Organizations#exercise-physiology "Exercise Physiology"
.... overview.disciplineDiscipline1..1choiceiconiconOptions: 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")
 <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 aerobic fitness assessment. Captures VO2max and related cardiovascular fitness data for spaceflight crew members."/> <purpose value="To assess pre- and postflight aerobic capacity (VO2max) using graded exercise testing to monitor cardiovascular deconditioning."/> <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 5.1 Aerobic Fitness Assessment"/> </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="exercise-physiology"/> <display value="Exercise Physiology"/> </valueCoding> </answerOption> <initial> <valueCoding> <system value="https://mitre.org/fhir/space-health/CodeSystem/nasa-mrid-sponsor-cs"/> <code value="exercise-physiology"/> <display value="Exercise Physiology"/> </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="bone-muscle-exercise"/> <display value="Bone/Muscle/Exercise"/> </valueCoding> </answerOption> <initial> <valueCoding> <system value="https://mitre.org/fhir/space-health/CodeSystem/nasa-mrid-discipline-cs"/> <code value="bone-muscle-exercise"/> <display value="Bone/Muscle/Exercise"/> </valueCoding> </initial> </item> <item> <linkId value="overview.purpose"/> <text value="Purpose/Objectives"/> <type value="text"/> <required value="true"/> <initial> <valueString value="To assess aerobic capacity (VO2max) using graded exercise testing. Establish baseline fitness and monitor for spaceflight-related cardiovascular deconditioning."/> </initial> </item> <item> <linkId value="overview.measurement-parameters"/> <text value="Measurement Parameters"/> <type value="string"/> <required value="true"/> <initial> <valueString value="VO2max, heart rate, blood pressure, workload, rating of perceived exertion"/> </initial> </item> <item> <linkId value="overview.flight-duration"/> <text value="Flight Duration"/> <type value="string"/> <required value="true"/> <initial> <valueString value=">= 30 days"/> </initial> </item> </item> <item> <linkId value="preflight-training"/> <text value="Preflight Training"/> <type value="group"/> <item> <linkId value="preflight-training.description"/> <text value="Training Description"/> <type value="text"/> <initial> <valueString value="Exercise hardware familiarization including T2 treadmill, CEVIS cycle, and ARED resistive exercise device."/> </initial> </item> <item> <linkId value="preflight-training.duration"/> <text value="Duration (minutes)"/> <type value="integer"/> <initial> <valueInteger value="120"/> </initial> </item> <item> <linkId value="preflight-training.schedule"/> <text value="Schedule"/> <type value="string"/> <initial> <valueString value="L-12 months"/> </initial> </item> <item> <linkId value="preflight-training.completed"/> <text value="Training Completed"/> <type value="boolean"/> </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="Graded exercise test (GXT) on treadmill or cycle ergometer with metabolic gas analysis. Test continues to volitional exhaustion or physician-determined endpoint."/> </initial> </item> <item> <linkId value="preflight-activities.duration"/> <text value="Duration (minutes)"/> <type value="integer"/> <initial> <valueInteger value="45"/> </initial> </item> <item> <linkId value="preflight-activities.schedule"/> <text value="Schedule"/> <type value="string"/> <initial> <valueString value="L-180 to L-60 days"/> </initial> </item> <item> <linkId value="preflight-activities.hardware"/> <text value="Test Hardware"/> <type value="choice"/> <answerOption> <valueCoding> <system value="https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-hardware-cs"/> <code value="quinton-treadmill"/> <display value="Quinton Treadmill"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-hardware-cs"/> <code value="cevis"/> <display value="CEVIS Cycle Ergometer"/> </valueCoding> </answerOption> </item> <item> <linkId value="preflight-activities.location"/> <text value="Test Location"/> <type value="choice"/> <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.test-date"/> <text value="Test Date"/> <type value="date"/> </item> <item> <linkId value="preflight-activities.test-completed"/> <text value="Test Completed"/> <type value="boolean"/> <required value="true"/> </item> </item> <item> <linkId value="preflight-fitness-results"/> <text value="Preflight Fitness Results"/> <type value="group"/> <item> <linkId value="preflight-fitness-results.vo2max-absolute"/> <code> <system value="http://loinc.org"/> <code value="62872-7"/> <display value="Oxygen consumption (VO2) at maximal exercise --peak"/> </code> <text value="VO2max Absolute (L/min)"/> <type value="decimal"/> </item> <item> <linkId value="preflight-fitness-results.vo2max-relative"/> <text value="VO2max Relative (mL/kg/min)"/> <type value="decimal"/> </item> <item> <linkId value="preflight-fitness-results.max-heart-rate"/> <code> <system value="http://loinc.org"/> <code value="55426-2"/> <display value="Heart rate --peak exercise"/> </code> <text value="Maximum Heart Rate (bpm)"/> <type value="integer"/> </item> <item> <linkId value="preflight-fitness-results.max-workload"/> <text value="Maximum Workload (Watts or Speed/Grade)"/> <type value="string"/> </item> <item> <linkId value="preflight-fitness-results.resting-hr"/> <code> <system value="http://loinc.org"/> <code value="8867-4"/> <display value="Heart rate"/> </code> <text value="Resting Heart Rate (bpm)"/> <type value="integer"/> </item> <item> <linkId value="preflight-fitness-results.resting-bp-systolic"/> <code> <system value="http://loinc.org"/> <code value="8480-6"/> <display value="Systolic blood pressure"/> </code> <text value="Resting Systolic BP (mmHg)"/> <type value="integer"/> </item> <item> <linkId value="preflight-fitness-results.resting-bp-diastolic"/> <code> <system value="http://loinc.org"/> <code value="8462-4"/> <display value="Diastolic blood pressure"/> </code> <text value="Resting Diastolic BP (mmHg)"/> <type value="integer"/> </item> <item> <linkId value="preflight-fitness-results.respiratory-exchange-ratio"/> <code> <system value="http://loinc.org"/> <code value="20564-1"/> <display value="Oxygen content/Oxygen consumption ratio"/> </code> <text value="Peak RER"/> <type value="decimal"/> </item> <item> <linkId value="preflight-fitness-results.test-termination-reason"/> <text value="Test Termination Reason"/> <type value="choice"/> <answerOption> <valueString value="Volitional exhaustion"/> </answerOption> <answerOption> <valueString value="Target heart rate achieved"/> </answerOption> <answerOption> <valueString value="ECG abnormality"/> </answerOption> <answerOption> <valueString value="Blood pressure response"/> </answerOption> <answerOption> <valueString value="Symptoms"/> </answerOption> <answerOption> <valueString value="Equipment failure"/> </answerOption> </item> <item> <linkId value="preflight-fitness-results.fitness-category"/> <text value="Fitness Category"/> <type value="choice"/> <answerOption> <valueString value="Superior"/> </answerOption> <answerOption> <valueString value="Excellent"/> </answerOption> <answerOption> <valueString value="Good"/> </answerOption> <answerOption> <valueString value="Fair"/> </answerOption> <answerOption> <valueString value="Poor"/> </answerOption> </item> <item> <linkId value="preflight-fitness-results.notes"/> <text value="Test Notes"/> <type value="text"/> </item> </item> <item> <linkId value="inflight-activities"/> <text value="In-Flight Activities"/> <type value="group"/> <item> <linkId value="inflight-activities.description"/> <text value="Activity Description"/> <type value="text"/> <initial> <valueString value="Periodic submaximal exercise tests using CEVIS or T2 to estimate VO2max changes during mission."/> </initial> </item> <item> <linkId value="inflight-activities.schedule"/> <text value="Schedule"/> <type value="string"/> <initial> <valueString value="Flight Day 14, monthly thereafter"/> </initial> </item> <item> <linkId value="inflight-activities.inflight-vo2-estimate"/> <text value="In-Flight VO2max Estimate (mL/kg/min)"/> <type value="decimal"/> </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+5 to R+7 days, R+30 days"/> </initial> </item> <item> <linkId value="postflight-activities.test-date"/> <text value="Postflight Test Date"/> <type value="date"/> </item> <item> <linkId value="postflight-activities.test-completed"/> <text value="Postflight Test Completed"/> <type value="boolean"/> <required value="true"/> </item> </item> <item> <linkId value="postflight-fitness-results"/> <text value="Postflight Fitness Results"/> <type value="group"/> <item> <linkId value="postflight-fitness-results.vo2max-absolute"/> <text value="VO2max Absolute (L/min)"/> <type value="decimal"/> </item> <item> <linkId value="postflight-fitness-results.vo2max-relative"/> <text value="VO2max Relative (mL/kg/min)"/> <type value="decimal"/> </item> <item> <linkId value="postflight-fitness-results.max-heart-rate"/> <text value="Maximum Heart Rate (bpm)"/> <type value="integer"/> </item> <item> <linkId value="postflight-fitness-results.percent-change"/> <text value="Percent Change from Preflight (%)"/> <type value="decimal"/> </item> <item> <linkId value="postflight-fitness-results.deconditioning-assessment"/> <text value="Deconditioning Assessment"/> <type value="choice"/> <answerOption> <valueString value="Minimal (<5% decline)"/> </answerOption> <answerOption> <valueString value="Mild (5-10% decline)"/> </answerOption> <answerOption> <valueString value="Moderate (10-20% decline)"/> </answerOption> <answerOption> <valueString value="Significant (>20% decline)"/> </answerOption> </item> <item> <linkId value="postflight-fitness-results.reconditioning-plan"/> <text value="Reconditioning Plan Required"/> <type value="boolean"/> </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.schedule"/> <text value="Schedule"/> <type value="string"/> <initial> <valueString value="R+30 days"/> </initial> </item> <item> <linkId value="postflight-debrief.completed"/> <text value="Debrief Completed"/> <type value="boolean"/> </item> </item> </Questionnaire>