Structure

LinkID	Text	Cardinality	Type	Flags	Description & Constraints
MEDB74CrewDynamics	NASA Medical Requirements Integration Document for crew dynamics assessment. Evaluates crew cohesion, interpersonal relationships, team functioning, and conflict management throughout mission phases.		Questionnaire		https://mitre.org/fhir/space-health/Questionnaire/medb-7-4-crew-dynamics#0.5.12
overview	Medical Requirements Overview	0..1	group
overview.mrid-number	MRID Number and Title	0..1	display		Initial Value: string = MEDB 7.4 Crew Dynamics Assessment
overview.sponsor	Sponsor	1..1	choice		Options: 1 option Initial Value: Coding = NASA MRID Sponsor Organizations#bhp "Behavioral Health and Performance"
overview.discipline	Discipline	1..1	choice		Options: 1 option Initial Value: Coding = NASA MRID Medical Disciplines#behavioral "Behavior and Performance"
overview.purpose	Purpose/Objectives	1..1	text		Initial Value: string = Monitor crew cohesion, interpersonal dynamics, and team performance throughout mission phases.
overview.flight-duration	Flight Duration	1..1	string		Initial Value: string = >= 30 days
overview.crew-members-required	Number and Type of Crew Members Required	1..1	string		Initial Value: string = All crew members
preflight-training	Preflight Training	0..1	group
preflight-training.crew-cohesion	Crew Cohesion Training	0..1	group
preflight-training.crew-cohesion.description	Training Description	0..1	text		Initial Value: string = Team building activities, conflict resolution training, and cross-cultural communication skills
preflight-training.crew-cohesion.duration	Duration (hours)	0..1	integer		Initial Value: integer = 16
preflight-training.crew-cohesion.completed	Training Completed	1..1	boolean
preflight-training.crew-cohesion.date	Completion Date	0..1	date
preflight-activities	Preflight Activities	0..1	group
preflight-activities.baseline-assessment	Crew Dynamics Baseline Assessment	0..1	group
preflight-activities.baseline-assessment.schedule	Schedule	0..1	string		Initial Value: string = L-180 to L-90 days
preflight-activities.baseline-assessment.duration	Duration (minutes)	0..1	integer		Initial Value: integer = 90
preflight-activities.baseline-assessment.completed	Assessment Completed	1..1	boolean
preflight-activities.baseline-assessment.date	Completion Date	0..1	date
inflight-activities	In-Flight Activities	0..1	group
inflight-activities.periodic-assessment	Periodic Crew Dynamics Assessment	0..1	group
inflight-activities.periodic-assessment.frequency	Assessment Frequency	0..1	string		Initial Value: string = Monthly during mission
inflight-activities.periodic-assessment.duration	Duration (minutes)	0..1	integer		Initial Value: integer = 30
inflight-activities.periodic-assessment.date	Assessment Date	0..1	date
inflight-activities.periodic-assessment.completed	Assessment Completed	0..1	boolean
crew-dynamics-metrics	Crew Dynamics Metrics	0..1	group
crew-dynamics-metrics.cohesion-rating	Overall Crew Cohesion (1-10)	1..1	integer
crew-dynamics-metrics.communication-quality	Communication Quality	1..1	choice		Options: 5 options
crew-dynamics-metrics.conflict-level	Interpersonal Conflict Level	1..1	choice		Options: 4 options
crew-dynamics-metrics.leadership-effectiveness	Leadership Effectiveness	1..1	choice		Options: 4 options
crew-dynamics-metrics.workload-distribution	Workload Distribution Perception	1..1	choice		Options: 4 options
crew-dynamics-metrics.cultural-integration	Cross-Cultural Integration	0..1	choice		Options: 4 options
crew-dynamics-metrics.morale	Crew Morale	1..1	choice		Options: 4 options
crew-dynamics-metrics.concerns	Specific Concerns or Issues	0..1	text
crew-dynamics-metrics.intervention-needed	BHP Intervention Recommended	1..1	boolean
postflight-activities	Postflight Activities	0..1	group
postflight-activities.debrief	Crew Dynamics Debrief	0..1	group
postflight-activities.debrief.schedule	Schedule	0..1	string		Initial Value: string = R+30 to R+60 days
postflight-activities.debrief.completed	Debrief Completed	1..1	boolean
postflight-activities.debrief.date	Completion Date	0..1	date
data-delivery	Data Delivery	0..1	group
data-delivery.archive	Data Archive System	1..1	choice		Options: 2 options
data-delivery.confidentiality	Confidentiality Level	0..1	string		Initial Value: string = Crew member controlled - sharing at individual discretion
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 crew-dynamics-metrics.communication-quality

• Excellent
• Good
• Adequate
• Needs Improvement
• Poor

Answer options for crew-dynamics-metrics.conflict-level

• None
• Minor - Managed
• Moderate - Requires Attention
• Significant - Intervention Needed

Answer options for crew-dynamics-metrics.leadership-effectiveness

• Highly Effective
• Effective
• Adequate
• Needs Support

Answer options for crew-dynamics-metrics.workload-distribution

• Fair and Balanced
• Mostly Fair
• Somewhat Uneven
• Unfair/Problematic

Answer options for crew-dynamics-metrics.cultural-integration

• Excellent
• Good
• Adequate
• Challenging

Answer options for crew-dynamics-metrics.morale

• High
• Good
• Moderate
• Low

Answer options for data-delivery.archive

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