Generated Narrative: Questionnaire MEDB71PsychStatusQuestionnaire Structure LinkID Text Cardinality Type Flags Description & Constraints MEDB71PsychStatus NASA Medical Requirements Integration Document for preflight behavioral health assessment. Captures psychiatric/psychological assessment of behavioral readiness for flight and review of psychological services. Questionnaire https://mitre.org/fhir/space-health/Questionnaire/medb-7-1-psych-status#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 7.1 Preflight Psychiatric/Psychological Status Check #xD; overview.sponsor Sponsor 1..1 choice Options: 1 option Initial Value: Coding = NASA MRID Sponsor Organizations#bhp "Behavioral Health and Performance" #xD; overview.discipline Discipline 1..1 choice Options: 1 option Initial Value: Coding = NASA MRID Medical Disciplines#behavioral "Behavior and Performance" #xD; overview.category Category 1..1 string Initial Value: string = Medical Requirements (MR) #xD; overview.references References 0..1 text Initial Value: string = Medical Evaluation Documents (MED) Volume B, Section 7.1; ISS MORD #xD; overview.purpose Purpose/Objectives 1..1 text Initial Value: string = Psychiatric/Psychological assessment of behavioral readiness for flight. Review of individual and crew psychological services. #xD; overview.measurement-parameters Measurement Parameters 0..1 string Initial Value: string = N/A #xD; overview.deliverables Deliverables 0..1 string Initial Value: string = N/A #xD; overview.flight-duration Flight Duration 1..1 string Initial Value: string = >= 30 days #xD; overview.number-of-flights Number of Flights 1..1 string Initial Value: string = Each ISS long duration expedition #xD; overview.crew-members-required Number and Type of Crew Members Required 1..1 string Initial Value: string = All ISS crewmembers #xD; preflight-training Preflight Training 0..1 group #xD; preflight-training.na No Preflight Training Required 0..1 display #xD; preflight-activities Preflight Activities 0..1 group #xD; preflight-activities.description Activity Description 0..1 text Initial 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. #xD; preflight-activities.assessment1 Behavioral Medicine Assessment 1 0..1 group #xD; preflight-activities.assessment1.duration Duration (minutes) 1..1 integer Initial Value: integer = 60 #xD; preflight-activities.assessment1.schedule Schedule 1..1 string Initial Value: string = L-12 m, L-240/180 d #xD; preflight-activities.assessment1.date Assessment Date 0..1 date #xD; preflight-activities.assessment1.completed Assessment Completed 1..1 boolean #xD; preflight-activities.assessment2 Behavioral Medicine Assessment 2 0..1 group #xD; preflight-activities.assessment2.duration Duration (minutes) 1..1 integer Initial Value: integer = 60 #xD; preflight-activities.assessment2.schedule Schedule 1..1 string Initial Value: string = L-90/30 days #xD; preflight-activities.assessment2.date Assessment Date 0..1 date #xD; preflight-activities.assessment2.completed Assessment Completed 1..1 boolean #xD; preflight-activities.flexibility Flexibility 0..1 string Initial Value: string = May be conducted over 2 days between L-90/30 #xD; preflight-activities.personnel Personnel Required 1..* choice Options: 2 options #xD; preflight-activities.location Test Location 1..1 choice Options: 2 options #xD; preflight-activities.room-requirements Room Requirements 0..1 string Initial Value: string = 8' x 10' private room free of distractions #xD; preflight-activities.constraints Constraints/Special Requirements 0..1 text Initial 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. #xD; assessment-results Behavioral Assessment Results 0..1 group #xD; assessment-results.behavioral-readiness Behavioral Readiness for Flight 1..1 choice Options: 4 options #xD; assessment-results.neurocognitive-baseline Neurocognitive Baseline Completed 1..1 boolean #xD; assessment-results.behavioral-baseline Behavioral Health Baseline Completed 1..1 boolean #xD; assessment-results.life-events-review Life Events Review Completed 1..1 boolean #xD; assessment-results.life-events-impact Life Events with Potential Impact Identified 0..1 boolean #xD; assessment-results.psych-services-review Individual Psychological Services Reviewed 1..1 boolean #xD; assessment-results.crew-services-review Crew Psychological Services Reviewed 1..1 boolean #xD; assessment-results.aeromedical-concerns Aeromedical Concerns Identified 1..1 boolean #xD; assessment-results.aeromedical-concerns-details Aeromedical Concerns Details 0..1 text Enable When: assessment-results.aeromedical-concerns = #xD; behavioral-metrics Behavioral State Metrics 0..1 group #xD; behavioral-metrics.mood-level Mood Level (-3 to +3) 0..1 integer #xD; behavioral-metrics.anxiety-level Anxiety Level (0-10) 0..1 integer #xD; behavioral-metrics.coping-capacity Coping Capacity Assessment 0..1 choice Options: 5 options #xD; behavioral-metrics.sleep-quality Sleep Quality Assessment 0..1 choice Options: 4 options #xD; behavioral-metrics.cognitive-readiness Cognitive Readiness for Mission 0..1 choice Options: 4 options #xD; behavioral-metrics.social-connectedness Social Connectedness (with crew/family) 0..1 choice Options: 4 options #xD; inflight-activities In-Flight Activities 0..1 group #xD; inflight-activities.na No In-Flight Activities 0..1 display #xD; postflight-activities Postflight Activities 0..1 group #xD; postflight-activities.na No Postflight Activities 0..1 display #xD; data-delivery Data Delivery 0..1 group #xD; data-delivery.data-control Data Control 0..1 text Initial 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. #xD; data-delivery.emr-entry EMR Entry Made 1..1 boolean #xD; data-delivery.emr-entry-notes EMR Entry Notes 0..1 text Initial 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. #xD; data-delivery.archive Data Archive System 1..1 choice Options: 1 option #xD; postflight-debrief Postflight Debrief 0..1 group #xD; postflight-debrief.na No Postflight Debrief Required 0..1 display #xD; 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")
The astronaut/crewmember subject of this medical requirement
MEDB 7.1 Preflight Psychiatric/Psychological Status Check
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.
NASA Johnson Space Center - Medical Requirements Integration Documents (MRIDs) JSC28913
Medical Evaluation Documents (MED) Volume B, Section 7.1; ISS MORD
Number and Type of Crew Members Required
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.
May be conducted over 2 days between L-90/30
8' x 10' private room free of distractions
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.
Life Events with Potential Impact Identified
Individual Psychological Services Reviewed
Data are crew member controlled. The crewmember is the designated recipient of the data and sharing this information is at his/her discretion.
Entries will be made in the EMR for each event showing completion of the MEDB requirement and stating if any aeromedical concerns were identified.