{ "resourceType" : "Questionnaire", "id" : "MEDB52StrengthAssessmentQuestionnaire", "text" : { "status" : "extensions", "div" : "

Generated Narrative: Questionnaire MEDB52StrengthAssessmentQuestionnaire

Structure\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
LinkIDTextCardinalityTypeFlagsDescription & Constraints\"doco\"
\".\"\".\" MEDB52StrengthAssessmentNASA Medical Requirements Integration Document for muscle strength assessment. Captures isokinetic and isometric strength data for spaceflight crew members.Questionnairehttps://mitre.org/fhir/space-health/Questionnaire/medb-5-2-strength-assessment#0.5.12
\".\"\".\"\".\" overviewMedical Requirements Overview0..1group
\".\"\".\"\".\"\".\" overview.mrid-numberMRID Number and Title0..1displayInitial Value: string = MEDB 5.2 Muscle Strength 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 muscle strength using isokinetic dynamometry. Establish baseline and monitor for spaceflight-related muscle atrophy and strength loss.
\".\"\".\"\".\"\".\" overview.measurement-parametersMeasurement Parameters1..1stringInitial Value: string = Peak torque, total work, average power for knee, ankle, trunk muscle groups
\".\"\".\"\".\"\".\" overview.flight-durationFlight Duration1..1stringInitial Value: string = >= 30 days
\".\"\".\"\".\" preflight-activitiesPreflight Activities0..1group
\".\"\".\"\".\"\".\" preflight-activities.descriptionActivity Description0..1textInitial Value: string = Isokinetic strength testing of major muscle groups including knee extensors/flexors, ankle plantar/dorsiflexors, and trunk extensors/flexors.
\".\"\".\"\".\"\".\" preflight-activities.scheduleSchedule0..1stringInitial Value: string = L-180 to L-60 days
\".\"\".\"\".\"\".\" preflight-activities.test-dateTest Date0..1date
\".\"\".\"\".\"\".\" preflight-activities.test-completedTest Completed0..1boolean
\".\"\".\"\".\" preflight-strength-resultsPreflight Strength Results0..1group
\".\"\".\"\".\"\".\" preflight-strength-results.knee-extensionKnee Extension0..1group
\".\"\".\"\".\"\".\"\".\" preflight-strength-results.knee-extension.right-peak-torqueRight Peak Torque (Nm)0..1decimal
\".\"\".\"\".\"\".\"\".\" preflight-strength-results.knee-extension.left-peak-torqueLeft Peak Torque (Nm)0..1decimal
\".\"\".\"\".\"\".\" preflight-strength-results.knee-flexionKnee Flexion0..1group
\".\"\".\"\".\"\".\"\".\" preflight-strength-results.knee-flexion.right-peak-torqueRight Peak Torque (Nm)0..1decimal
\".\"\".\"\".\"\".\"\".\" preflight-strength-results.knee-flexion.left-peak-torqueLeft Peak Torque (Nm)0..1decimal
\".\"\".\"\".\"\".\" preflight-strength-results.ankle-plantarflexionAnkle Plantarflexion0..1group
\".\"\".\"\".\"\".\"\".\" preflight-strength-results.ankle-plantarflexion.right-peak-torqueRight Peak Torque (Nm)0..1decimal
\".\"\".\"\".\"\".\"\".\" preflight-strength-results.ankle-plantarflexion.left-peak-torqueLeft Peak Torque (Nm)0..1decimal
\".\"\".\"\".\"\".\" preflight-strength-results.trunk-extensionTrunk Extension Peak Torque (Nm)0..1decimal
\".\"\".\"\".\"\".\" preflight-strength-results.trunk-flexionTrunk Flexion Peak Torque (Nm)0..1decimal
\".\"\".\"\".\"\".\" preflight-strength-results.grip-strength-rightRight Hand Grip Strength (kg)0..1decimal
\".\"\".\"\".\"\".\" preflight-strength-results.grip-strength-leftLeft Hand Grip Strength (kg)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 Completed0..1boolean
\".\"\".\"\".\" postflight-strength-resultsPostflight Strength Results0..1group
\".\"\".\"\".\"\".\" postflight-strength-results.knee-extension-rightKnee Extension Right Peak Torque (Nm)0..1decimal
\".\"\".\"\".\"\".\" postflight-strength-results.knee-extension-leftKnee Extension Left Peak Torque (Nm)0..1decimal
\".\"\".\"\".\"\".\" postflight-strength-results.percent-change-kneePercent Change Knee Extension (%)0..1decimal
\".\"\".\"\".\"\".\" postflight-strength-results.trunk-extensionTrunk Extension Peak Torque (Nm)0..1decimal
\".\"\".\"\".\"\".\" postflight-strength-results.percent-change-trunkPercent Change Trunk Extension (%)0..1decimal
\".\"\".\"\".\"\".\" postflight-strength-results.muscle-atrophy-assessmentMuscle Atrophy Assessment0..1choiceOptions: 4 options
\".\"\".\"\".\" 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"

\"doco\" Documentation for this format

Options Sets

Answer options for overview.sponsor

Answer options for overview.discipline

Answer options for postflight-strength-results.muscle-atrophy-assessment

Answer options for data-delivery.archive

" }, "extension" : [{ "extension" : [{ "url" : "name", "valueCoding" : { "system" : "http://hl7.org/fhir/uv/sdc/CodeSystem/launchContext", "code" : "patient" } }, { "url" : "type", "valueCode" : "Patient" }, { "url" : "description", "valueString" : "The astronaut/crewmember subject of this medical requirement" }], "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext" }], "url" : "https://mitre.org/fhir/space-health/Questionnaire/medb-5-2-strength-assessment", "version" : "0.5.12", "name" : "MEDB52StrengthAssessment", "title" : "MEDB 5.2 Strength Assessment", "status" : "active", "date" : "2017-06-05", "publisher" : "MITRE", "contact" : [{ "name" : "MITRE", "telecom" : [{ "system" : "url", "value" : "https://www.mitre.org/" }] }], "description" : "NASA Medical Requirements Integration Document for muscle strength assessment. Captures isokinetic and isometric strength data for spaceflight crew members.", "purpose" : "To assess pre- and postflight muscle strength using isokinetic and isometric testing to monitor for spaceflight-related muscle atrophy.", "copyright" : "NASA Johnson Space Center - Medical Requirements Integration Documents (MRIDs) JSC28913", "item" : [{ "linkId" : "overview", "text" : "Medical Requirements Overview", "type" : "group", "item" : [{ "linkId" : "overview.mrid-number", "text" : "MRID Number and Title", "type" : "display", "initial" : [{ "valueString" : "MEDB 5.2 Muscle Strength Assessment" }] }, { "linkId" : "overview.sponsor", "text" : "Sponsor", "type" : "choice", "required" : true, "readOnly" : true, "answerOption" : [{ "valueCoding" : { "system" : "https://mitre.org/fhir/space-health/CodeSystem/nasa-mrid-sponsor-cs", "code" : "exercise-physiology", "display" : "Exercise Physiology" } }], "initial" : [{ "valueCoding" : { "system" : "https://mitre.org/fhir/space-health/CodeSystem/nasa-mrid-sponsor-cs", "code" : "exercise-physiology", "display" : "Exercise Physiology" } }] }, { "linkId" : "overview.discipline", "text" : "Discipline", "type" : "choice", "required" : true, "readOnly" : true, "answerOption" : [{ "valueCoding" : { "system" : "https://mitre.org/fhir/space-health/CodeSystem/nasa-mrid-discipline-cs", "code" : "bone-muscle-exercise", "display" : "Bone/Muscle/Exercise" } }], "initial" : [{ "valueCoding" : { "system" : "https://mitre.org/fhir/space-health/CodeSystem/nasa-mrid-discipline-cs", "code" : "bone-muscle-exercise", "display" : "Bone/Muscle/Exercise" } }] }, { "linkId" : "overview.purpose", "text" : "Purpose/Objectives", "type" : "text", "required" : true, "initial" : [{ "valueString" : "To assess muscle strength using isokinetic dynamometry. Establish baseline and monitor for spaceflight-related muscle atrophy and strength loss." }] }, { "linkId" : "overview.measurement-parameters", "text" : "Measurement Parameters", "type" : "string", "required" : true, "initial" : [{ "valueString" : "Peak torque, total work, average power for knee, ankle, trunk muscle groups" }] }, { "linkId" : "overview.flight-duration", "text" : "Flight Duration", "type" : "string", "required" : true, "initial" : [{ "valueString" : ">= 30 days" }] }] }, { "linkId" : "preflight-activities", "text" : "Preflight Activities", "type" : "group", "item" : [{ "linkId" : "preflight-activities.description", "text" : "Activity Description", "type" : "text", "initial" : [{ "valueString" : "Isokinetic strength testing of major muscle groups including knee extensors/flexors, ankle plantar/dorsiflexors, and trunk extensors/flexors." }] }, { "linkId" : "preflight-activities.schedule", "text" : "Schedule", "type" : "string", "initial" : [{ "valueString" : "L-180 to L-60 days" }] }, { "linkId" : "preflight-activities.test-date", "text" : "Test Date", "type" : "date" }, { "linkId" : "preflight-activities.test-completed", "text" : "Test Completed", "type" : "boolean" }] }, { "linkId" : "preflight-strength-results", "text" : "Preflight Strength Results", "type" : "group", "item" : [{ "linkId" : "preflight-strength-results.knee-extension", "text" : "Knee Extension", "type" : "group", "item" : [{ "linkId" : "preflight-strength-results.knee-extension.right-peak-torque", "text" : "Right Peak Torque (Nm)", "type" : "decimal" }, { "linkId" : "preflight-strength-results.knee-extension.left-peak-torque", "text" : "Left Peak Torque (Nm)", "type" : "decimal" }] }, { "linkId" : "preflight-strength-results.knee-flexion", "text" : "Knee Flexion", "type" : "group", "item" : [{ "linkId" : "preflight-strength-results.knee-flexion.right-peak-torque", "text" : "Right Peak Torque (Nm)", "type" : "decimal" }, { "linkId" : "preflight-strength-results.knee-flexion.left-peak-torque", "text" : "Left Peak Torque (Nm)", "type" : "decimal" }] }, { "linkId" : "preflight-strength-results.ankle-plantarflexion", "text" : "Ankle Plantarflexion", "type" : "group", "item" : [{ "linkId" : "preflight-strength-results.ankle-plantarflexion.right-peak-torque", "text" : "Right Peak Torque (Nm)", "type" : "decimal" }, { "linkId" : "preflight-strength-results.ankle-plantarflexion.left-peak-torque", "text" : "Left Peak Torque (Nm)", "type" : "decimal" }] }, { "linkId" : "preflight-strength-results.trunk-extension", "text" : "Trunk Extension Peak Torque (Nm)", "type" : "decimal" }, { "linkId" : "preflight-strength-results.trunk-flexion", "text" : "Trunk Flexion Peak Torque (Nm)", "type" : "decimal" }, { "linkId" : "preflight-strength-results.grip-strength-right", "code" : [{ "system" : "http://loinc.org", "code" : "83174-3", "display" : "Grip strength Hand - right" }], "text" : "Right Hand Grip Strength (kg)", "type" : "decimal" }, { "linkId" : "preflight-strength-results.grip-strength-left", "code" : [{ "system" : "http://loinc.org", "code" : "83176-8", "display" : "Grip strength Hand - left" }], "text" : "Left Hand Grip Strength (kg)", "type" : "decimal" }] }, { "linkId" : "postflight-activities", "text" : "Postflight Activities", "type" : "group", "item" : [{ "linkId" : "postflight-activities.schedule", "text" : "Schedule", "type" : "string", "initial" : [{ "valueString" : "R+5 to R+7 days, R+30 days" }] }, { "linkId" : "postflight-activities.test-date", "text" : "Postflight Test Date", "type" : "date" }, { "linkId" : "postflight-activities.test-completed", "text" : "Postflight Test Completed", "type" : "boolean" }] }, { "linkId" : "postflight-strength-results", "text" : "Postflight Strength Results", "type" : "group", "item" : [{ "linkId" : "postflight-strength-results.knee-extension-right", "text" : "Knee Extension Right Peak Torque (Nm)", "type" : "decimal" }, { "linkId" : "postflight-strength-results.knee-extension-left", "text" : "Knee Extension Left Peak Torque (Nm)", "type" : "decimal" }, { "linkId" : "postflight-strength-results.percent-change-knee", "text" : "Percent Change Knee Extension (%)", "type" : "decimal" }, { "linkId" : "postflight-strength-results.trunk-extension", "text" : "Trunk Extension Peak Torque (Nm)", "type" : "decimal" }, { "linkId" : "postflight-strength-results.percent-change-trunk", "text" : "Percent Change Trunk Extension (%)", "type" : "decimal" }, { "linkId" : "postflight-strength-results.muscle-atrophy-assessment", "text" : "Muscle Atrophy Assessment", "type" : "choice", "answerOption" : [{ "valueString" : "Minimal (<5% decline)" }, { "valueString" : "Mild (5-10% decline)" }, { "valueString" : "Moderate (10-20% decline)" }, { "valueString" : "Significant (>20% decline)" }] }] }, { "linkId" : "data-delivery", "text" : "Data Delivery", "type" : "group", "item" : [{ "linkId" : "data-delivery.archive", "text" : "Data Archive System", "type" : "choice", "answerOption" : [{ "valueCoding" : { "system" : "https://mitre.org/fhir/space-health/CodeSystem/nasa-data-archive-cs", "code" : "mmis", "display" : "Medical Mission Information System" } }], "initial" : [{ "valueCoding" : { "system" : "https://mitre.org/fhir/space-health/CodeSystem/nasa-data-archive-cs", "code" : "mmis", "display" : "Medical Mission Information System" } }] }] }] }