Generated Narrative: Questionnaire MEDB52StrengthAssessmentQuestionnaire

Structure
LinkIDTextCardinalityTypeFlagsDescription & Constraintsdoco
.. 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..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 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

  • 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 postflight-strength-results.muscle-atrophy-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 muscle strength assessment. Captures isokinetic and isometric strength data for spaceflight crew members."/> <purpose value="To assess pre- and postflight muscle strength using isokinetic and isometric testing to monitor for spaceflight-related muscle atrophy."/> <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 5.2 Muscle Strength 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 muscle strength using isokinetic dynamometry. Establish baseline and monitor for spaceflight-related muscle atrophy and strength loss."/> </initial> </item> <item> <linkId value="overview.measurement-parameters"/> <text value="Measurement Parameters"/> <type value="string"/> <required value="true"/> <initial> <valueString value="Peak torque, total work, average power for knee, ankle, trunk muscle groups"/> </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-activities"/> <text value="Preflight Activities"/> <type value="group"/> <item> <linkId value="preflight-activities.description"/> <text value="Activity Description"/> <type value="text"/> <initial> <valueString value="Isokinetic strength testing of major muscle groups including knee extensors/flexors, ankle plantar/dorsiflexors, and trunk extensors/flexors."/> </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.test-date"/> <text value="Test Date"/> <type value="date"/> </item> <item> <linkId value="preflight-activities.test-completed"/> <text value="Test Completed"/> <type value="boolean"/> </item> </item> <item> <linkId value="preflight-strength-results"/> <text value="Preflight Strength Results"/> <type value="group"/> <item> <linkId value="preflight-strength-results.knee-extension"/> <text value="Knee Extension"/> <type value="group"/> <item> <linkId value="preflight-strength-results.knee-extension.right-peak-torque"/> <text value="Right Peak Torque (Nm)"/> <type value="decimal"/> </item> <item> <linkId value="preflight-strength-results.knee-extension.left-peak-torque"/> <text value="Left Peak Torque (Nm)"/> <type value="decimal"/> </item> </item> <item> <linkId value="preflight-strength-results.knee-flexion"/> <text value="Knee Flexion"/> <type value="group"/> <item> <linkId value="preflight-strength-results.knee-flexion.right-peak-torque"/> <text value="Right Peak Torque (Nm)"/> <type value="decimal"/> </item> <item> <linkId value="preflight-strength-results.knee-flexion.left-peak-torque"/> <text value="Left Peak Torque (Nm)"/> <type value="decimal"/> </item> </item> <item> <linkId value="preflight-strength-results.ankle-plantarflexion"/> <text value="Ankle Plantarflexion"/> <type value="group"/> <item> <linkId value="preflight-strength-results.ankle-plantarflexion.right-peak-torque"/> <text value="Right Peak Torque (Nm)"/> <type value="decimal"/> </item> <item> <linkId value="preflight-strength-results.ankle-plantarflexion.left-peak-torque"/> <text value="Left Peak Torque (Nm)"/> <type value="decimal"/> </item> </item> <item> <linkId value="preflight-strength-results.trunk-extension"/> <text value="Trunk Extension Peak Torque (Nm)"/> <type value="decimal"/> </item> <item> <linkId value="preflight-strength-results.trunk-flexion"/> <text value="Trunk Flexion Peak Torque (Nm)"/> <type value="decimal"/> </item> <item> <linkId value="preflight-strength-results.grip-strength-right"/> <code> <system value="http://loinc.org"/> <code value="83174-3"/> <display value="Grip strength Hand - right"/> </code> <text value="Right Hand Grip Strength (kg)"/> <type value="decimal"/> </item> <item> <linkId value="preflight-strength-results.grip-strength-left"/> <code> <system value="http://loinc.org"/> <code value="83176-8"/> <display value="Grip strength Hand - left"/> </code> <text value="Left Hand Grip Strength (kg)"/> <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"/> </item> </item> <item> <linkId value="postflight-strength-results"/> <text value="Postflight Strength Results"/> <type value="group"/> <item> <linkId value="postflight-strength-results.knee-extension-right"/> <text value="Knee Extension Right Peak Torque (Nm)"/> <type value="decimal"/> </item> <item> <linkId value="postflight-strength-results.knee-extension-left"/> <text value="Knee Extension Left Peak Torque (Nm)"/> <type value="decimal"/> </item> <item> <linkId value="postflight-strength-results.percent-change-knee"/> <text value="Percent Change Knee Extension (%)"/> <type value="decimal"/> </item> <item> <linkId value="postflight-strength-results.trunk-extension"/> <text value="Trunk Extension Peak Torque (Nm)"/> <type value="decimal"/> </item> <item> <linkId value="postflight-strength-results.percent-change-trunk"/> <text value="Percent Change Trunk Extension (%)"/> <type value="decimal"/> </item> <item> <linkId value="postflight-strength-results.muscle-atrophy-assessment"/> <text value="Muscle Atrophy 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> <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> </Questionnaire>