{ "resourceType" : "Questionnaire", "id" : "MEDB61EVAMedicalRequirementsQuestionnaire", "text" : { "status" : "extensions", "div" : "

Generated Narrative: Questionnaire MEDB61EVAMedicalRequirementsQuestionnaire

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LinkIDTextCardinalityTypeFlagsDescription & Constraints\"doco\"
\".\"\".\" MEDB61EVAMedicalNASA Medical Requirements Integration Document for EVA medical requirements. Documents medical clearance, prebreathe protocol, and health monitoring for extravehicular activities.Questionnairehttps://mitre.org/fhir/space-health/Questionnaire/medb-6-1-eva-medical#0.5.12
\".\"\".\"\".\" overviewMedical Requirements Overview0..1group
\".\"\".\"\".\"\".\" overview.mrid-numberMRID Number and Title0..1displayInitial Value: string = MEDB 6.1 EVA Medical Requirements
\".\"\".\"\".\"\".\" overview.sponsorSponsor1..1choice\"icon\"/\"icon\"/Options: 1 option
Initial Value: Coding = NASA MRID Sponsor Organizations#medical-operations "Medical Operations"
\".\"\".\"\".\"\".\" overview.disciplineDiscipline1..1choice\"icon\"/\"icon\"/Options: 1 option
Initial Value: Coding = NASA MRID Medical Disciplines#eva-medical "EVA Medical"
\".\"\".\"\".\"\".\" overview.purposePurpose/Objectives1..1textInitial Value: string = To ensure crew medical fitness for EVA, document prebreathe protocol compliance, and monitor crew health during and after EVA operations.
\".\"\".\"\".\"\".\" overview.measurement-parametersMeasurement Parameters1..1stringInitial Value: string = Medical clearance, prebreathe compliance, vitals during EVA, DCS symptoms, post-EVA assessment
\".\"\".\"\".\" preflight-trainingPreflight Training0..1group
\".\"\".\"\".\"\".\" preflight-training.descriptionTraining Description0..1textInitial Value: string = EVA medical training including DCS recognition, emergency procedures, and suit operations from medical perspective.
\".\"\".\"\".\"\".\" preflight-training.nbl-runsNBL Training Runs Completed0..1integer
\".\"\".\"\".\"\".\" preflight-training.eva-certificationEVA Medical Certification0..1boolean
\".\"\".\"\".\"\".\" preflight-training.certification-dateCertification Date0..1date
\".\"\".\"\".\" pre-eva-activitiesPre-EVA Activities0..1group
\".\"\".\"\".\"\".\" pre-eva-activities.eva-numberEVA Number0..1string
\".\"\".\"\".\"\".\" pre-eva-activities.planned-datePlanned EVA Date0..1date
\".\"\".\"\".\"\".\" pre-eva-activities.medical-clearanceFlight Surgeon Medical Clearance0..1boolean
\".\"\".\"\".\"\".\" pre-eva-activities.clearance-dateClearance Date/Time0..1dateTime
\".\"\".\"\".\"\".\" pre-eva-activities.prebreathe-protocolPrebreathe Protocol0..1choiceOptions: 3 options
\".\"\".\"\".\"\".\" pre-eva-activities.prebreathe-startPrebreathe Start Time (GMT)0..1time
\".\"\".\"\".\"\".\" pre-eva-activities.prebreathe-durationPrebreathe Duration (minutes)0..1integer
\".\"\".\"\".\"\".\" pre-eva-activities.prebreathe-completePrebreathe Protocol Completed0..1boolean
\".\"\".\"\".\"\".\" pre-eva-activities.suit-donning-completeSuit Donning Complete0..1boolean
\".\"\".\"\".\" during-evaDuring EVA Monitoring0..1group
\".\"\".\"\".\"\".\" during-eva.eva-start-timeEVA Start Time (Airlock Depress)0..1dateTime
\".\"\".\"\".\"\".\" during-eva.eva-end-timeEVA End Time (Airlock Repress)0..1dateTime
\".\"\".\"\".\"\".\" during-eva.eva-durationEVA Duration (hours:minutes)0..1string
\".\"\".\"\".\"\".\" during-eva.metabolic-rate-avgAverage Metabolic Rate (BTU/hr)0..1decimal
\".\"\".\"\".\"\".\" during-eva.water-consumedWater Consumed (oz)0..1decimal
\".\"\".\"\".\"\".\" during-eva.dcs-symptomsDCS Symptoms Reported During EVA0..1boolean
\".\"\".\"\".\"\".\" during-eva.dcs-symptoms-descriptionDCS Symptoms Description0..1textEnable When: during-eva.dcs-symptoms =
\".\"\".\"\".\"\".\" during-eva.medical-issuesOther Medical Issues During EVA0..1boolean
\".\"\".\"\".\"\".\" during-eva.issues-descriptionMedical Issues Description0..1textEnable When: during-eva.medical-issues =
\".\"\".\"\".\" post-eva-assessmentPost-EVA Medical Assessment0..1group
\".\"\".\"\".\"\".\" post-eva-assessment.assessment-timePost-EVA Assessment Time0..1dateTime
\".\"\".\"\".\"\".\" post-eva-assessment.general-conditionGeneral Condition0..1choiceOptions: 4 options
\".\"\".\"\".\"\".\" post-eva-assessment.dcs-symptoms-postDCS Symptoms Post-EVA0..1boolean
\".\"\".\"\".\"\".\" post-eva-assessment.joint-painJoint/Limb Pain0..1boolean
\".\"\".\"\".\"\".\" post-eva-assessment.neurological-symptomsNeurological Symptoms0..1boolean
\".\"\".\"\".\"\".\" post-eva-assessment.skin-issuesSkin Issues (blisters, abrasions)0..1boolean
\".\"\".\"\".\"\".\" post-eva-assessment.hand-issuesHand/Finger Issues0..1boolean
\".\"\".\"\".\"\".\" post-eva-assessment.suit-fit-issuesSuit Fit Issues Noted0..1boolean
\".\"\".\"\".\"\".\" post-eva-assessment.fluid-intakePost-EVA Fluid Intake Adequate0..1boolean
\".\"\".\"\".\"\".\" post-eva-assessment.cleared-for-next-evaCleared for Next EVA (if planned)0..1boolean
\".\"\".\"\".\"\".\" post-eva-assessment.notesPost-EVA Medical Notes0..1text
\".\"\".\"\".\" 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 pre-eva-activities.prebreathe-protocol

Answer options for post-eva-assessment.general-condition

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-6-1-eva-medical", "version" : "0.5.12", "name" : "MEDB61EVAMedical", "title" : "MEDB 6.1 EVA Medical Requirements", "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 EVA medical requirements. Documents medical clearance, prebreathe protocol, and health monitoring for extravehicular activities.", "purpose" : "To document medical requirements for EVA including crew certification, prebreathe protocol compliance, and post-EVA health assessment.", "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 6.1 EVA Medical Requirements" }] }, { "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" : "medical-operations", "display" : "Medical Operations" } }], "initial" : [{ "valueCoding" : { "system" : "https://mitre.org/fhir/space-health/CodeSystem/nasa-mrid-sponsor-cs", "code" : "medical-operations", "display" : "Medical Operations" } }] }, { "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" : "eva-medical", "display" : "EVA Medical" } }], "initial" : [{ "valueCoding" : { "system" : "https://mitre.org/fhir/space-health/CodeSystem/nasa-mrid-discipline-cs", "code" : "eva-medical", "display" : "EVA Medical" } }] }, { "linkId" : "overview.purpose", "text" : "Purpose/Objectives", "type" : "text", "required" : true, "initial" : [{ "valueString" : "To ensure crew medical fitness for EVA, document prebreathe protocol compliance, and monitor crew health during and after EVA operations." }] }, { "linkId" : "overview.measurement-parameters", "text" : "Measurement Parameters", "type" : "string", "required" : true, "initial" : [{ "valueString" : "Medical clearance, prebreathe compliance, vitals during EVA, DCS symptoms, post-EVA assessment" }] }] }, { "linkId" : "preflight-training", "text" : "Preflight Training", "type" : "group", "item" : [{ "linkId" : "preflight-training.description", "text" : "Training Description", "type" : "text", "initial" : [{ "valueString" : "EVA medical training including DCS recognition, emergency procedures, and suit operations from medical perspective." }] }, { "linkId" : "preflight-training.nbl-runs", "text" : "NBL Training Runs Completed", "type" : "integer" }, { "linkId" : "preflight-training.eva-certification", "text" : "EVA Medical Certification", "type" : "boolean" }, { "linkId" : "preflight-training.certification-date", "text" : "Certification Date", "type" : "date" }] }, { "linkId" : "pre-eva-activities", "text" : "Pre-EVA Activities", "type" : "group", "item" : [{ "linkId" : "pre-eva-activities.eva-number", "text" : "EVA Number", "type" : "string" }, { "linkId" : "pre-eva-activities.planned-date", "text" : "Planned EVA Date", "type" : "date" }, { "linkId" : "pre-eva-activities.medical-clearance", "text" : "Flight Surgeon Medical Clearance", "type" : "boolean" }, { "linkId" : "pre-eva-activities.clearance-date", "text" : "Clearance Date/Time", "type" : "dateTime" }, { "linkId" : "pre-eva-activities.prebreathe-protocol", "text" : "Prebreathe Protocol", "type" : "choice", "answerOption" : [{ "valueString" : "Campout (overnight in airlock)" }, { "valueString" : "In-suit Light Exercise (ISLE)" }, { "valueString" : "Exercise Prebreathe Protocol" }] }, { "linkId" : "pre-eva-activities.prebreathe-start", "text" : "Prebreathe Start Time (GMT)", "type" : "time" }, { "linkId" : "pre-eva-activities.prebreathe-duration", "text" : "Prebreathe Duration (minutes)", "type" : "integer" }, { "linkId" : "pre-eva-activities.prebreathe-complete", "text" : "Prebreathe Protocol Completed", "type" : "boolean" }, { "linkId" : "pre-eva-activities.suit-donning-complete", "text" : "Suit Donning Complete", "type" : "boolean" }] }, { "linkId" : "during-eva", "text" : "During EVA Monitoring", "type" : "group", "item" : [{ "linkId" : "during-eva.eva-start-time", "text" : "EVA Start Time (Airlock Depress)", "type" : "dateTime" }, { "linkId" : "during-eva.eva-end-time", "text" : "EVA End Time (Airlock Repress)", "type" : "dateTime" }, { "linkId" : "during-eva.eva-duration", "text" : "EVA Duration (hours:minutes)", "type" : "string" }, { "linkId" : "during-eva.metabolic-rate-avg", "text" : "Average Metabolic Rate (BTU/hr)", "type" : "decimal" }, { "linkId" : "during-eva.water-consumed", "text" : "Water Consumed (oz)", "type" : "decimal" }, { "linkId" : "during-eva.dcs-symptoms", "text" : "DCS Symptoms Reported During EVA", "type" : "boolean" }, { "linkId" : "during-eva.dcs-symptoms-description", "text" : "DCS Symptoms Description", "type" : "text", "enableWhen" : [{ "question" : "during-eva.dcs-symptoms", "operator" : "=", "answerBoolean" : true }] }, { "linkId" : "during-eva.medical-issues", "text" : "Other Medical Issues During EVA", "type" : "boolean" }, { "linkId" : "during-eva.issues-description", "text" : "Medical Issues Description", "type" : "text", "enableWhen" : [{ "question" : "during-eva.medical-issues", "operator" : "=", "answerBoolean" : true }] }] }, { "linkId" : "post-eva-assessment", "text" : "Post-EVA Medical Assessment", "type" : "group", "item" : [{ "linkId" : "post-eva-assessment.assessment-time", "text" : "Post-EVA Assessment Time", "type" : "dateTime" }, { "linkId" : "post-eva-assessment.general-condition", "text" : "General Condition", "type" : "choice", "answerOption" : [{ "valueString" : "Good - no issues" }, { "valueString" : "Fatigued but well" }, { "valueString" : "Minor discomfort" }, { "valueString" : "Requires medical attention" }] }, { "linkId" : "post-eva-assessment.dcs-symptoms-post", "text" : "DCS Symptoms Post-EVA", "type" : "boolean" }, { "linkId" : "post-eva-assessment.joint-pain", "text" : "Joint/Limb Pain", "type" : "boolean" }, { "linkId" : "post-eva-assessment.neurological-symptoms", "text" : "Neurological Symptoms", "type" : "boolean" }, { "linkId" : "post-eva-assessment.skin-issues", "text" : "Skin Issues (blisters, abrasions)", "type" : "boolean" }, { "linkId" : "post-eva-assessment.hand-issues", "text" : "Hand/Finger Issues", "type" : "boolean" }, { "linkId" : "post-eva-assessment.suit-fit-issues", "text" : "Suit Fit Issues Noted", "type" : "boolean" }, { "linkId" : "post-eva-assessment.fluid-intake", "text" : "Post-EVA Fluid Intake Adequate", "type" : "boolean" }, { "linkId" : "post-eva-assessment.cleared-for-next-eva", "text" : "Cleared for Next EVA (if planned)", "type" : "boolean" }, { "linkId" : "post-eva-assessment.notes", "text" : "Post-EVA Medical Notes", "type" : "text" }] }, { "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" } }] }] }] }