{ "resourceType" : "Questionnaire", "id" : "MR008LMedicalHardwareMaintenanceQuestionnaire", "text" : { "status" : "extensions", "div" : "

Generated Narrative: Questionnaire MR008LMedicalHardwareMaintenanceQuestionnaire

Structure\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
LinkIDTextCardinalityTypeFlagsDescription & Constraints\"doco\"
\".\"\".\" MR008LMedicalHardwareMaintenanceNASA Medical Requirements Integration Document for medical hardware maintenance. Tracks calibration schedules, preventive maintenance, and equipment functionality verification.Questionnairehttps://mitre.org/fhir/space-health/Questionnaire/mr008l-medical-hardware-maintenance#0.5.12
\".\"\".\"\".\" overviewMedical Requirements Overview0..1group
\".\"\".\"\".\"\".\" overview.mrid-numberMRID Number and Title0..1displayInitial Value: string = MR008L Medical Hardware Maintenance
\".\"\".\"\".\"\".\" overview.sponsorSponsor1..1choice\"icon\"/\"icon\"/Options: 1 option
Initial Value: Coding = NASA MRID Sponsor Organizations#medical-operations "Medical Operations"
\".\"\".\"\".\"\".\" overview.purposePurpose/Objectives0..1textInitial Value: string = Track calibration schedules, preventive maintenance, and equipment functionality.
\".\"\".\"\".\" equipment-itemEquipment Item Details0..1group
\".\"\".\"\".\"\".\" equipment-item.device-nameDevice Name1..1string
\".\"\".\"\".\"\".\" equipment-item.device-typeDevice Type0..1choiceOptions: 7 options
\".\"\".\"\".\"\".\" equipment-item.serial-numberSerial Number0..1string
\".\"\".\"\".\"\".\" equipment-item.locationLocation0..1string
\".\"\".\"\".\" calibrationCalibration Record0..1group
\".\"\".\"\".\"\".\" calibration.last-dateLast Calibration Date0..1date
\".\"\".\"\".\"\".\" calibration.next-dueNext Calibration Due0..1date
\".\"\".\"\".\"\".\" calibration.interval-daysCalibration Interval (days)0..1integer
\".\"\".\"\".\"\".\" calibration.performed-byCalibration Performed By0..1string
\".\"\".\"\".\"\".\" calibration.statusCalibration Status0..1choiceOptions: 4 options
\".\"\".\"\".\" preventive-maintenancePreventive Maintenance0..1group
\".\"\".\"\".\"\".\" preventive-maintenance.last-dateLast PM Date0..1date
\".\"\".\"\".\"\".\" preventive-maintenance.next-dueNext PM Due0..1date
\".\"\".\"\".\"\".\" preventive-maintenance.tasks-completedPM Tasks Completed0..*choiceOptions: 6 options
\".\"\".\"\".\"\".\" preventive-maintenance.issues-foundIssues Found During PM0..1boolean
\".\"\".\"\".\"\".\" preventive-maintenance.issues-detailsIssue Details0..1textEnable When: preventive-maintenance.issues-found =
\".\"\".\"\".\" functionality-statusFunctionality Status0..1group
\".\"\".\"\".\"\".\" functionality-status.operationalDevice Operational1..1boolean
\".\"\".\"\".\"\".\" functionality-status.conditionOverall Condition0..1choiceOptions: 5 options
\".\"\".\"\".\"\".\" functionality-status.replacement-neededReplacement Needed0..1boolean
\".\"\".\"\".\"\".\" functionality-status.notesAdditional Notes0..1text
\".\"\".\"\".\" data-deliveryData Delivery0..1group
\".\"\".\"\".\"\".\" data-delivery.archiveData Archive System0..1choiceOptions: 1 option
Initial Value: Coding = NASA Medical Data Archive Systems#meme "Medical Equipment Management Environment"

\"doco\" Documentation for this format

Options Sets

Answer options for overview.sponsor

Answer options for equipment-item.device-type

Answer options for calibration.status

Answer options for preventive-maintenance.tasks-completed

Answer options for functionality-status.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/mr008l-medical-hardware-maintenance", "version" : "0.5.12", "name" : "MR008LMedicalHardwareMaintenance", "title" : "MR008L Medical Hardware Maintenance", "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 medical hardware maintenance. Tracks calibration schedules, preventive maintenance, and equipment functionality verification.", "purpose" : "Track calibration and maintenance of medical equipment to ensure proper function and reliability.", "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" : "MR008L Medical Hardware Maintenance" }] }, { "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.purpose", "text" : "Purpose/Objectives", "type" : "text", "initial" : [{ "valueString" : "Track calibration schedules, preventive maintenance, and equipment functionality." }] }] }, { "linkId" : "equipment-item", "text" : "Equipment Item Details", "type" : "group", "item" : [{ "linkId" : "equipment-item.device-name", "text" : "Device Name", "type" : "string", "required" : true }, { "linkId" : "equipment-item.device-type", "text" : "Device Type", "type" : "choice", "answerOption" : [{ "valueCoding" : { "system" : "https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-hardware-cs", "code" : "12-lead-ecg", "display" : "12-Lead ECG Machine" } }, { "valueCoding" : { "system" : "https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-hardware-cs", "code" : "blood-pressure-monitor", "display" : "Blood Pressure Monitor" } }, { "valueCoding" : { "system" : "https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-hardware-cs", "code" : "dexa", "display" : "DEXA Scanner" } }, { "valueCoding" : { "system" : "https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-hardware-cs", "code" : "audiometer", "display" : "Audiometer" } }, { "valueString" : "Ultrasound" }, { "valueString" : "Defibrillator" }, { "valueString" : "Pulse Oximeter" }] }, { "linkId" : "equipment-item.serial-number", "text" : "Serial Number", "type" : "string" }, { "linkId" : "equipment-item.location", "text" : "Location", "type" : "string" }] }, { "linkId" : "calibration", "text" : "Calibration Record", "type" : "group", "item" : [{ "linkId" : "calibration.last-date", "text" : "Last Calibration Date", "type" : "date" }, { "linkId" : "calibration.next-due", "text" : "Next Calibration Due", "type" : "date" }, { "linkId" : "calibration.interval-days", "text" : "Calibration Interval (days)", "type" : "integer" }, { "linkId" : "calibration.performed-by", "text" : "Calibration Performed By", "type" : "string" }, { "linkId" : "calibration.status", "text" : "Calibration Status", "type" : "choice", "answerOption" : [{ "valueString" : "Current" }, { "valueString" : "Due Soon (within 30 days)" }, { "valueString" : "Overdue" }, { "valueString" : "Not Applicable" }] }] }, { "linkId" : "preventive-maintenance", "text" : "Preventive Maintenance", "type" : "group", "item" : [{ "linkId" : "preventive-maintenance.last-date", "text" : "Last PM Date", "type" : "date" }, { "linkId" : "preventive-maintenance.next-due", "text" : "Next PM Due", "type" : "date" }, { "linkId" : "preventive-maintenance.tasks-completed", "text" : "PM Tasks Completed", "type" : "choice", "repeats" : true, "answerOption" : [{ "valueString" : "Visual inspection" }, { "valueString" : "Cleaning" }, { "valueString" : "Battery check/replacement" }, { "valueString" : "Consumables replacement" }, { "valueString" : "Functional verification" }, { "valueString" : "Software update" }] }, { "linkId" : "preventive-maintenance.issues-found", "text" : "Issues Found During PM", "type" : "boolean" }, { "linkId" : "preventive-maintenance.issues-details", "text" : "Issue Details", "type" : "text", "enableWhen" : [{ "question" : "preventive-maintenance.issues-found", "operator" : "=", "answerBoolean" : true }] }] }, { "linkId" : "functionality-status", "text" : "Functionality Status", "type" : "group", "item" : [{ "linkId" : "functionality-status.operational", "text" : "Device Operational", "type" : "boolean", "required" : true }, { "linkId" : "functionality-status.condition", "text" : "Overall Condition", "type" : "choice", "answerOption" : [{ "valueString" : "Excellent" }, { "valueString" : "Good" }, { "valueString" : "Fair - Minor issues" }, { "valueString" : "Poor - Needs repair" }, { "valueString" : "Non-functional" }] }, { "linkId" : "functionality-status.replacement-needed", "text" : "Replacement Needed", "type" : "boolean" }, { "linkId" : "functionality-status.notes", "text" : "Additional 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" : "meme", "display" : "Medical Equipment Management Environment" } }], "initial" : [{ "valueCoding" : { "system" : "https://mitre.org/fhir/space-health/CodeSystem/nasa-data-archive-cs", "code" : "meme", "display" : "Medical Equipment Management Environment" } }] }] }] }