MEDB52StrengthAssessmentQuestionnaire
type: Questionnaire
node role: treeRoot
id:
  v: MEDB52StrengthAssessmentQuestionnaire
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: Questionnaire MEDB52StrengthAssessmentQuestionnaire Structure LinkID Text Cardinality Type Flags Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> MEDB52StrengthAssessment NASA Medical Requirements Integration Document for muscle strength assessment. Captures isokinetic and isometric strength data for spaceflight crew members. Questionnaire https://mitre.org/fhir/space-health/Questionnaire/medb-5-2-strength-assessment#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 5.2 Muscle Strength 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 muscle strength using isokinetic dynamometry. Establish baseline and monitor for spaceflight-related muscle atrophy and strength loss. #xD; overview.measurement-parameters Measurement Parameters 1..1 string Initial Value: string = Peak torque, total work, average power for knee, ankle, trunk muscle groups #xD; overview.flight-duration Flight Duration 1..1 string Initial Value: string = >= 30 days #xD; preflight-activities Preflight Activities 0..1 group #xD; preflight-activities.description Activity Description 0..1 text Initial Value: string = Isokinetic strength testing of major muscle groups including knee extensors/flexors, ankle plantar/dorsiflexors, and trunk extensors/flexors. #xD; preflight-activities.schedule Schedule 0..1 string Initial Value: string = L-180 to L-60 days #xD; preflight-activities.test-date Test Date 0..1 date #xD; preflight-activities.test-completed Test Completed 0..1 boolean #xD; pre…
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-5-2-strength-assessment
  l: medb-5-2-strength-assessment
version:
  v: 0.5.12
name:
  v: MEDB52StrengthAssessment
title:
  v: MEDB 5.2 Strength 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 muscle strength assessment. Captures isokinetic and isometric strength data for spaceflight crew members.
purpose:
  v: To assess pre- and postflight muscle strength using isokinetic and isometric testing to monitor for spaceflight-related muscle atrophy.
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 5.2 Muscle Strength 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 muscle strength using isokinetic dynamometry. Establish baseline and monitor for spaceflight-related muscle atrophy and strength loss.
  item:
    link id:
      v: overview.measurement-parameters
    text:
      v: Measurement Parameters
    type:
      v: string
    required:
      v: true
    initial:
      value: String
        v: Peak torque, total work, average power for knee, ankle, trunk muscle groups
  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-activities
  text:
    v: Preflight Activities
  type:
    v: group
  item:
    link id:
      v: preflight-activities.description
    text:
      v: Activity Description
    type:
      v: text
    initial:
      value: String
        v: Isokinetic strength testing of major muscle groups including knee extensors/flexors, ankle plantar/dorsiflexors, and trunk extensors/flexors.
  item:
    link id:
      v: preflight-activities.schedule
    text:
      v: Schedule
    type:
      v: string
    initial:
      value: String
        v: L-180 to L-60 days
  item:
    link id:
      v: preflight-activities.test-date
    text:
      v: Test Date
    type:
      v: date
  item:
    link id:
      v: preflight-activities.test-completed
    text:
      v: Test Completed
    type:
      v: boolean
item:
  link id:
    v: preflight-strength-results
  text:
    v: Preflight Strength Results
  type:
    v: group
  item:
    link id:
      v: preflight-strength-results.knee-extension
    text:
      v: Knee Extension
    type:
      v: group

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

link id:
  v: preflight-strength-results.knee-extension.right-peak-torque
text:
  v: Right Peak Torque (Nm)
type:
  v: decimal

link id:
  v: preflight-strength-results.knee-extension.left-peak-torque
text:
  v: Left Peak Torque (Nm)
type:
  v: decimal

link id:
  v: preflight-strength-results.knee-flexion
text:
  v: Knee Flexion
type:
  v: group
item:
  link id:
    v: preflight-strength-results.knee-flexion.right-peak-torque
  text:
    v: Right Peak Torque (Nm)
  type:
    v: decimal
item:
  link id:
    v: preflight-strength-results.knee-flexion.left-peak-torque
  text:
    v: Left Peak Torque (Nm)
  type:
    v: decimal

link id:
  v: preflight-strength-results.ankle-plantarflexion
text:
  v: Ankle Plantarflexion
type:
  v: group
item:
  link id:
    v: preflight-strength-results.ankle-plantarflexion.right-peak-torque
  text:
    v: Right Peak Torque (Nm)
  type:
    v: decimal
item:
  link id:
    v: preflight-strength-results.ankle-plantarflexion.left-peak-torque
  text:
    v: Left Peak Torque (Nm)
  type:
    v: decimal

link id:
  v: preflight-strength-results.trunk-extension
text:
  v: Trunk Extension Peak Torque (Nm)
type:
  v: decimal

link id:
  v: preflight-strength-results.trunk-flexion
text:
  v: Trunk Flexion Peak Torque (Nm)
type:
  v: decimal

link id:
  v: preflight-strength-results.grip-strength-right
code: https://loinc.org/rdf/83174-3
  system:
    v: http://loinc.org
    l: loinc.org
  code:
    v: 83174-3
  display:
    v: Grip strength Hand - right
text:
  v: Right Hand Grip Strength (kg)
type:
  v: decimal

link id:
  v: preflight-strength-results.grip-strength-left
code: https://loinc.org/rdf/83176-8
  system:
    v: http://loinc.org
    l: loinc.org
  code:
    v: 83176-8
  display:
    v: Grip strength Hand - left
text:
  v: Left Hand Grip Strength (kg)
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

link id:
  v: postflight-strength-results
text:
  v: Postflight Strength Results
type:
  v: group
item:
  link id:
    v: postflight-strength-results.knee-extension-right
  text:
    v: Knee Extension Right Peak Torque (Nm)
  type:
    v: decimal
item:
  link id:
    v: postflight-strength-results.knee-extension-left
  text:
    v: Knee Extension Left Peak Torque (Nm)
  type:
    v: decimal
item:
  link id:
    v: postflight-strength-results.percent-change-knee
  text:
    v: Percent Change Knee Extension (%)
  type:
    v: decimal
item:
  link id:
    v: postflight-strength-results.trunk-extension
  text:
    v: Trunk Extension Peak Torque (Nm)
  type:
    v: decimal
item:
  link id:
    v: postflight-strength-results.percent-change-trunk
  text:
    v: Percent Change Trunk Extension (%)
  type:
    v: decimal
item:
  link id:
    v: postflight-strength-results.muscle-atrophy-assessment
  text:
    v: Muscle Atrophy 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)

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