MEDB75FamilySupportQuestionnaire
type: Questionnaire
node role: treeRoot
id:
  v: MEDB75FamilySupportQuestionnaire
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: Questionnaire MEDB75FamilySupportQuestionnaire Structure LinkID Text Cardinality Type Flags Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> MEDB75FamilySupport NASA Medical Requirements Integration Document for family support evaluation. Assesses family support systems, identifies needs, and coordinates support services throughout mission phases. Questionnaire https://mitre.org/fhir/space-health/Questionnaire/medb-7-5-family-support#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 7.5 Family Support Evaluation #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.purpose Purpose/Objectives 1..1 text Initial Value: string = Evaluate family support systems, identify needs, and coordinate support services throughout mission phases. #xD; overview.flight-duration Flight Duration 1..1 string Initial Value: string = >= 30 days #xD; overview.crew-members-required Number and Type of Crew Members Required 1..1 string Initial Value: string = All long-duration crew members #xD; preflight-training Preflight Training 0..1 group #xD; preflight-training.family-orientation Family Orientation Briefing 0..1 group #xD; preflight-training.family-orientation.description Training Description 0..1 text Initial Value: string = Orientation for family members on mission timeline, communication options, support resources, and emergency procedures #xD; preflight-training.family-orientation.duration Duration (hours) 0..1 integer Initial Value: integer = 4 #xD; preflight-training.family-orientation.completed Orientation Completed 1..1 boolean #xD; preflight-train…
extension:
  extension:
    url:
      v: name
      l: name
    value: Coding
      system:
        v: http://hl7.org/fhir/uv/sdc/CodeSystem/launchContext
        l: launchContext
      code:
        v: patient
  extension:
    url:
      v: type
      l: type
    value: Code
      v: Patient
  extension:
    url:
      v: description
      l: description
    value: String
      v: The astronaut/crewmember subject of this evaluation
  url:
    v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext
    l: sdc-questionnaire-launchContext
url:
  v: https://mitre.org/fhir/space-health/Questionnaire/medb-7-5-family-support
  l: medb-7-5-family-support
version:
  v: 0.5.12
name:
  v: MEDB75FamilySupport
title:
  v: MEDB 7.5 Family Support Evaluation
status:
  v: active
date:
  v: 2024-01-15
publisher:
  v: MITRE
contact:
  name:
    v: MITRE
  telecom:
    system:
      v: url
    value:
      v: https://www.mitre.org/
description:
  v: NASA Medical Requirements Integration Document for family support evaluation. Assesses family support systems, identifies needs, and coordinates support services throughout mission phases.
purpose:
  v: Evaluate astronaut family support systems, identify needs, and coordinate appropriate support services before, during, and after spaceflight.
copyright:
  v: NASA Johnson Space Center - Medical Requirements Integration Documents (MRIDs)
item:
  link id:
    v: overview
  text:
    v: Medical Requirements Overview
  type:
    v: group
  item:
    link id:
      v: overview.mrid-number
    text:
      v: MRID Number and Title
    type:
      v: display
    initial:
      value: String
        v: MEDB 7.5 Family Support Evaluation
  item:
    link id:
      v: overview.sponsor
    text:
      v: Sponsor
    type:
      v: choice
    required:
      v: true
    read only:
      v: true
    answer option:
      value: Coding
    initial:
      value: Coding
  item:
    link id:
      v: overview.discipline
    text:
      v: Discipline
    type:
      v: choice
    required:
      v: true
    read only:
      v: true
    answer option:
      value: Coding
    initial:
      value: Coding
  item:
    link id:
      v: overview.purpose
    text:
      v: Purpose/Objectives
    type:
      v: text
    required:
      v: true
    initial:
      value: String
        v: Evaluate family support systems, identify needs, and coordinate support services throughout mission phases.
  item:
    link id:
      v: overview.flight-duration
    text:
      v: Flight Duration
    type:
      v: string
    required:
      v: true
    initial:
      value: String
        v: >= 30 days
  item:
    link id:
      v: overview.crew-members-required
    text:
      v: Number and Type of Crew Members Required
    type:
      v: string
    required:
      v: true
    initial:
      value: String
        v: All long-duration crew members
item:
  link id:
    v: preflight-training
  text:
    v: Preflight Training
  type:
    v: group
  item:
    link id:
      v: preflight-training.family-orientation
    text:
      v: Family Orientation Briefing
    type:
      v: group
    item:
      link id:
        v: preflight-training.family-orientation.description
      text:
        v: Training Description
      type:
        v: text
      initial:
        value: String
    item:
      link id:
        v: preflight-training.family-orientation.duration
      text:
        v: Duration (hours)
      type:
        v: integer
      initial:
        value: Integer
    item:
      link id:
        v: preflight-training.family-orientation.completed
      text:
        v: Orientation Completed
      type:
        v: boolean
      required:
        v: true
    item:
      link id:
        v: preflight-training.family-orientation.date
      text:
        v: Completion Date
      type:
        v: date
    item:
      link id:
        v: preflight-training.family-orientation.attendees
      text:
        v: Family Members Attending
      type:
        v: integer

v: bhp

v: Behavioral Health and Performance

v: bhp

v: Behavioral Health and Performance

v: behavioral

v: Behavior and Performance

v: behavioral

v: Behavior and Performance

String
v: Orientation for family members on mission timeline, communication options, support resources, and emergency procedures

Integer
v: 4

link id:
  v: preflight-activities
text:
  v: Preflight Activities
type:
  v: group
item:
  link id:
    v: preflight-activities.family-assessment
  text:
    v: Family Support Assessment
  type:
    v: group
  item:
    link id:
      v: preflight-activities.family-assessment.schedule
    text:
      v: Schedule
    type:
      v: string
    initial:
      value: String
        v: L-180 to L-90 days
  item:
    link id:
      v: preflight-activities.family-assessment.duration
    text:
      v: Duration (minutes)
    type:
      v: integer
    initial:
      value: Integer
        v: 60
  item:
    link id:
      v: preflight-activities.family-assessment.completed
    text:
      v: Assessment Completed
    type:
      v: boolean
    required:
      v: true
  item:
    link id:
      v: preflight-activities.family-assessment.date
    text:
      v: Completion Date
    type:
      v: date

link id:
  v: family-support-metrics
text:
  v: Family Support Metrics
type:
  v: group
item:
  link id:
    v: family-support-metrics.support-system
  text:
    v: Family Support System Strength
  type:
    v: choice
  required:
    v: true
  answer option:
    value: String
      v: Strong - extensive support network
  answer option:
    value: String
      v: Adequate - sufficient support available
  answer option:
    value: String
      v: Limited - some gaps in support
  answer option:
    value: String
      v: Insufficient - significant support needs
item:
  link id:
    v: family-support-metrics.communication-plan
  text:
    v: Communication Plan Established
  type:
    v: boolean
  required:
    v: true
item:
  link id:
    v: family-support-metrics.communication-frequency
  text:
    v: Planned Communication Frequency
  type:
    v: choice
  required:
    v: true
  answer option:
    value: String
      v: Daily
  answer option:
    value: String
      v: Several times per week
  answer option:
    value: String
      v: Weekly
  answer option:
    value: String
      v: As available
item:
  link id:
    v: family-support-metrics.dependent-care
  text:
    v: Dependent Care Arrangements
  type:
    v: choice
  required:
    v: true
  answer option:
    value: String
      v: No dependents
  answer option:
    value: String
      v: Arrangements finalized
  answer option:
    value: String
      v: Arrangements in progress
  answer option:
    value: String
      v: Assistance needed
item:
  link id:
    v: family-support-metrics.financial-preparedness
  text:
    v: Financial Preparedness
  type:
    v: choice
  required:
    v: true
  answer option:
    value: String
      v: Fully prepared
  answer option:
    value: String
      v: Adequately prepared
  answer option:
    value: String
      v: Some concerns
  answer option:
    value: String
      v: Assistance needed
item:
  link id:
    v: family-support-metrics.emergency-contacts
  text:
    v: Emergency Contacts Documented
  type:
    v: boolean
  required:
    v: true
item:
  link id:
    v: family-support-metrics.family-concerns
  text:
    v: Family Concerns Identified
  type:
    v: text
  required:
    v: false
item:
  link id:
    v: family-support-metrics.bhp-support-needed
  text:
    v: BHP Family Support Services Needed
  type:
    v: boolean
  required:
    v: true

link id:
  v: inflight-activities
text:
  v: In-Flight Activities
type:
  v: group
item:
  link id:
    v: inflight-activities.family-contact
  text:
    v: Family Contact Support
  type:
    v: group
  item:
    link id:
      v: inflight-activities.family-contact.frequency
    text:
      v: Check-in Frequency
    type:
      v: string
    initial:
      value: String
        v: Monthly or as needed
  item:
    link id:
      v: inflight-activities.family-contact.issues-identified
    text:
      v: Family Issues Identified During Mission
    type:
      v: boolean
    required:
      v: false
  item:
    link id:
      v: inflight-activities.family-contact.issues-details
    text:
      v: Issue Details
    type:
      v: text
    enable when:
      question:
        v: inflight-activities.family-contact.issues-identified
      operator:
        v: =
      answer: Boolean
        v: true
  item:
    link id:
      v: inflight-activities.family-contact.intervention-provided
    text:
      v: Intervention Provided
    type:
      v: boolean
    required:
      v: false

link id:
  v: postflight-activities
text:
  v: Postflight Activities
type:
  v: group
item:
  link id:
    v: postflight-activities.reunion-support
  text:
    v: Family Reunion Support
  type:
    v: group
  item:
    link id:
      v: postflight-activities.reunion-support.schedule
    text:
      v: Schedule
    type:
      v: string
    initial:
      value: String
        v: R+0 to R+30 days
  item:
    link id:
      v: postflight-activities.reunion-support.completed
    text:
      v: Support Completed
    type:
      v: boolean
    required:
      v: true
item:
  link id:
    v: postflight-activities.reintegration
  text:
    v: Family Reintegration Assessment
  type:
    v: group
  item:
    link id:
      v: postflight-activities.reintegration.schedule
    text:
      v: Schedule
    type:
      v: string
    initial:
      value: String
        v: R+30 to R+90 days
  item:
    link id:
      v: postflight-activities.reintegration.completed
    text:
      v: Assessment Completed
    type:
      v: boolean
    required:
      v: true
  item:
    link id:
      v: postflight-activities.reintegration.status
    text:
      v: Reintegration Status
    type:
      v: choice
    answer option:
      value: String
        v: Successful - no concerns
    answer option:
      value: String
        v: Progressing well
    answer option:
      value: String
        v: Some challenges - support provided
    answer option:
      value: String
        v: Significant challenges - ongoing support

link id:
  v: data-delivery
text:
  v: Data Delivery
type:
  v: group
item:
  link id:
    v: data-delivery.archive
  text:
    v: Data Archive System
  type:
    v: choice
  required:
    v: true
  answer option:
    value: Coding
      system:
        v: https://mitre.org/fhir/space-health/CodeSystem/nasa-data-archive-cs
        l: nasa-data-archive-cs
      code:
        v: emr
      display:
        v: Electronic Medical Record
item:
  link id:
    v: data-delivery.confidentiality
  text:
    v: Confidentiality Level
  type:
    v: string
  initial:
    value: String
      v: Crew member and family controlled