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Questionnaire: MEDB 7.1 Preflight Psychiatric/Psychological Status Check

Official URL: https://mitre.org/fhir/space-health/Questionnaire/medb-7-1-psych-status Version: 0.5.12
Active as of 2012-05-31 Computable Name: MEDB71PsychStatus

Copyright/Legal: NASA Johnson Space Center - Medical Requirements Integration Documents (MRIDs) JSC28913

NASA Medical Requirements Integration Document for preflight behavioral health assessment. Captures psychiatric/psychological assessment of behavioral readiness for flight and review of psychological services.

Psychiatric/Psychological assessment of behavioral readiness for flight. Review of individual and crew psychological services.

Structure

LinkIDTextCardinalityTypeFlagsDescription & Constraintsdoco
.. MEDB71PsychStatusNASA Medical Requirements Integration Document for preflight behavioral health assessment. Captures psychiatric/psychological assessment of behavioral readiness for flight and review of psychological services.Questionnairehttps://mitre.org/fhir/space-health/Questionnaire/medb-7-1-psych-status#0.5.12
... overviewMedical Requirements Overview0..1group
.... overview.mrid-numberMRID Number and Title0..1displayInitial Value: string = MEDB 7.1 Preflight Psychiatric/Psychological Status Check
.... overview.sponsorSponsor1..1choiceiconiconOptions: 1 option
Initial Value: Coding = NASA MRID Sponsor Organizations#bhp "Behavioral Health and Performance"
.... overview.disciplineDiscipline1..1choiceiconiconOptions: 1 option
Initial Value: Coding = NASA MRID Medical Disciplines#behavioral "Behavior and Performance"
.... overview.categoryCategory1..1stringiconiconInitial Value: string = Medical Requirements (MR)
.... overview.referencesReferences0..1textInitial Value: string = Medical Evaluation Documents (MED) Volume B, Section 7.1; ISS MORD
.... overview.purposePurpose/Objectives1..1textInitial Value: string = Psychiatric/Psychological assessment of behavioral readiness for flight. Review of individual and crew psychological services.
.... overview.measurement-parametersMeasurement Parameters0..1stringInitial Value: string = N/A
.... overview.deliverablesDeliverables0..1stringInitial Value: string = N/A
.... overview.flight-durationFlight Duration1..1stringInitial Value: string = >= 30 days
.... overview.number-of-flightsNumber of Flights1..1stringInitial Value: string = Each ISS long duration expedition
.... overview.crew-members-requiredNumber and Type of Crew Members Required1..1stringInitial Value: string = All ISS crewmembers
... preflight-trainingPreflight Training0..1group
.... preflight-training.naNo Preflight Training Required0..1display
... preflight-activitiesPreflight Activities0..1group
.... preflight-activities.descriptionActivity Description0..1textInitial Value: string = An assessment of crew flight readiness is conducted by BHP personnel. Preflight briefings between the crewmembers & BHP specialist are required to confirm behavioral readiness for flight & review of individual & crew psychological services. This will include a check of life events that would have an impact on the astronaut's fitness for launch. Behavioral Medicine Assessments to include Neurocognitive baseline and Behavioral health baseline needed for in flight monitoring to be completed between L-12 and launch.
.... preflight-activities.assessment1Behavioral Medicine Assessment 10..1group
..... preflight-activities.assessment1.durationDuration (minutes)1..1integerInitial Value: integer = 60
..... preflight-activities.assessment1.scheduleSchedule1..1stringInitial Value: string = L-12 m, L-240/180 d
..... preflight-activities.assessment1.dateAssessment Date0..1date
..... preflight-activities.assessment1.completedAssessment Completed1..1boolean
.... preflight-activities.assessment2Behavioral Medicine Assessment 20..1group
..... preflight-activities.assessment2.durationDuration (minutes)1..1integerInitial Value: integer = 60
..... preflight-activities.assessment2.scheduleSchedule1..1stringInitial Value: string = L-90/30 days
..... preflight-activities.assessment2.dateAssessment Date0..1date
..... preflight-activities.assessment2.completedAssessment Completed1..1boolean
.... preflight-activities.flexibilityFlexibility0..1stringInitial Value: string = May be conducted over 2 days between L-90/30
.... preflight-activities.personnelPersonnel Required1..*choiceOptions: 2 options
.... preflight-activities.locationTest Location1..1choiceOptions: 2 options
.... preflight-activities.room-requirementsRoom Requirements0..1stringInitial Value: string = 8' x 10' private room free of distractions
.... preflight-activities.constraintsConstraints/Special Requirements0..1textInitial Value: string = Request that the L-90/30 event be scheduled as close as possible to the crewmember's final departure from the US prior to their Soyuz launch.
.... assessment-results.behavioral-readinessBehavioral Readiness for Flight1..1choiceOptions: 4 options
.... assessment-results.neurocognitive-baselineNeurocognitive Baseline Completed1..1boolean
.... assessment-results.behavioral-baselineBehavioral Health Baseline Completed1..1boolean
.... assessment-results.life-events-reviewLife Events Review Completed1..1boolean
.... assessment-results.life-events-impactLife Events with Potential Impact Identified0..1boolean
.... assessment-results.psych-services-reviewIndividual Psychological Services Reviewed1..1boolean
.... assessment-results.crew-services-reviewCrew Psychological Services Reviewed1..1boolean
.... assessment-results.aeromedical-concernsAeromedical Concerns Identified1..1boolean
.... assessment-results.aeromedical-concerns-detailsAeromedical Concerns Details0..1textEnable When: assessment-results.aeromedical-concerns =
... behavioral-metricsBehavioral State Metrics0..1group
.... behavioral-metrics.mood-levelMood Level (-3 to +3)0..1integer
.... behavioral-metrics.anxiety-levelAnxiety Level (0-10)0..1integer
.... behavioral-metrics.coping-capacityCoping Capacity Assessment0..1choiceOptions: 5 options
.... behavioral-metrics.sleep-qualitySleep Quality Assessment0..1choiceOptions: 4 options
.... behavioral-metrics.cognitive-readinessCognitive Readiness for Mission0..1choiceOptions: 4 options
.... behavioral-metrics.social-connectednessSocial Connectedness (with crew/family)0..1choiceOptions: 4 options
... inflight-activitiesIn-Flight Activities0..1group
.... inflight-activities.naNo In-Flight Activities0..1display
... postflight-activitiesPostflight Activities0..1group
.... postflight-activities.naNo Postflight Activities0..1display
... data-deliveryData Delivery0..1group
.... data-delivery.data-controlData Control0..1textInitial Value: string = Data are crew member controlled. The crewmember is the designated recipient of the data and sharing this information is at his/her discretion.
.... data-delivery.emr-entryEMR Entry Made1..1boolean
.... data-delivery.emr-entry-notesEMR Entry Notes0..1textInitial Value: string = Entries will be made in the EMR for each event showing completion of the MEDB requirement and stating if any aeromedical concerns were identified.
.... data-delivery.archiveData Archive System1..1choiceOptions: 1 option
... postflight-debriefPostflight Debrief0..1group
.... postflight-debrief.naNo Postflight Debrief Required0..1display

doco Documentation for this format

Options Sets

Answer options for overview.sponsor

  • https://mitre.org/fhir/space-health/CodeSystem/nasa-mrid-sponsor-cs#bhp ("Behavioral Health and Performance")

Answer options for overview.discipline

  • https://mitre.org/fhir/space-health/CodeSystem/nasa-mrid-discipline-cs#behavioral ("Behavior and Performance")

Answer options for preflight-activities.personnel

  • https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-roles-cs#crewmember ("Crewmember")
  • https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-roles-cs#bhp-specialist ("BHP Specialist")

Answer options for preflight-activities.location

  • https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-facility-cs#jsc ("Johnson Space Center")
  • https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-facility-cs#russia-gctc ("Gagarin Cosmonaut Training Center")

Answer options for assessment-results.behavioral-readiness

  • http://snomed.info/sct#17621005 ("Normal")
  • http://snomed.info/sct#263654008 ("Abnormal")
  • Cleared with conditions
  • Not cleared

Answer options for behavioral-metrics.coping-capacity

  • Excellent
  • Good
  • Adequate
  • Marginal
  • Inadequate

Answer options for behavioral-metrics.sleep-quality

  • Excellent
  • Good
  • Fair
  • Poor

Answer options for behavioral-metrics.cognitive-readiness

  • Fully ready
  • Ready with minor concerns
  • Ready with monitoring
  • Not ready

Answer options for behavioral-metrics.social-connectedness

  • Strong
  • Adequate
  • Weak
  • Concerning

Answer options for data-delivery.archive

  • https://mitre.org/fhir/space-health/CodeSystem/nasa-data-archive-cs#emr ("Electronic Medical Record")