A logical model representing the comprehensive environmental monitoring parameters for closed biome systems, including space habitats, lunar/Mars colonies, and Earth-based smart greenhouses.

A logical model representing Environmental Control and Life Support Systems (ECLSS) parameters monitored in spacecraft habitat modules.

A medical screening form for astronaut or space tourism flight readiness, based on FAA Form 8500-8, NASA/ESA standards, and commercial vendor practices.

FAA Form 8500-8 Application for Airman Medical Certificate converted to FHIR Questionnaire format

Pre-training screening questionnaire to determine eligibility for G-SHOCK multi-axis gimbal training

NASA Medical Requirements Integration Document for ophthalmologic examination. Captures comprehensive eye examination data for monitoring Spaceflight Associated Neuro-ocular Syndrome (SANS).

NASA Medical Requirements Integration Document for body composition assessment using DEXA.

NASA Medical Requirements Integration Document for body mass measurement tracking.

NASA Medical Requirements Integration Document for resting 12-lead ECG assessment. Captures pre- and postflight ECG recordings for cardiovascular evaluation of long-duration flight crew members.

NASA Medical Requirements Integration Document for audiometric assessment. Captures pre- and postflight hearing threshold data to monitor crew hearing status.

NASA Medical Requirements Integration Document for dental examination. Captures comprehensive dental assessment data for spaceflight crew members.

NASA Medical Requirements Integration Document for routine laboratory panel. Captures comprehensive blood chemistry, hematology, and urinalysis data for spaceflight crew members.

NASA Medical Requirements Integration Document for MRSA screening. Screens crew members for Methicillin-resistant Staphylococcus aureus colonization prior to spaceflight.

NASA Medical Requirements Integration Document for tuberculosis screening. Screens crew members for TB infection prior to spaceflight.

NASA Medical Requirements Integration Document for Helicobacter pylori screening. Screens crew members for H. pylori infection prior to long-duration spaceflight.

NASA Medical Requirements Integration Document for radiation monitoring and crew personal dosimetry. Captures crew radiation exposure data for occupational exposure documentation and health risk assessment.

NASA Medical Requirements Integration Document for aerobic fitness assessment. Captures VO2max and related cardiovascular fitness data for spaceflight crew members.

NASA Medical Requirements Integration Document for muscle strength assessment. Captures isokinetic and isometric strength data for spaceflight crew members.

NASA Medical Requirements Integration Document for exercise prescription. Documents in-flight exercise countermeasures protocol and adherence.

NASA Medical Requirements Integration Document for EVA medical requirements. Documents medical clearance, prebreathe protocol, and health monitoring for extravehicular activities.

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

NASA Medical Requirements Integration Document for crew dynamics assessment. Evaluates crew cohesion, interpersonal relationships, team functioning, and conflict management throughout mission phases.

NASA Medical Requirements Integration Document for family support evaluation. Assesses family support systems, identifies needs, and coordinates support services throughout mission phases.

NASA Medical Requirements Integration Document for medical hardware maintenance. Tracks calibration schedules, preventive maintenance, and equipment functionality verification.

NASA Medical Requirements Integration Document for atmospheric monitoring. Tracks air quality parameters to ensure crew health and safety.

NASA Medical Requirements Integration Document for postflight reconditioning. Tracks crew recovery and rehabilitation progress after long-duration spaceflight.

NASA Medical Requirements Integration Document for telemedicine setup and operations. Configures communication links, verifies equipment, and ensures readiness for remote medical support.

NASA Medical Requirements Integration Document for medical kit inventory management. Tracks medical supplies, equipment status, and expiration dates aboard ISS.

NASA Medical Requirements Integration Document for pharmaceutical management aboard ISS. Tracks medication inventory, storage conditions, dispensing, and stability monitoring.

NASA Medical Requirements Integration Document for water quality monitoring. Tracks potable and technical water quality parameters aboard the International Space Station.

NASA Medical Requirements Integration Document for microbial monitoring. Tracks microbial populations in air, water, and surfaces aboard ISS.

NASA Medical Requirements Integration Document for EVA prebreathe protocol. Tracks oxygen prebreathe procedures to prevent decompression sickness.

NASA Medical Requirements Integration Document for Solar Particle Event protocol. Monitors SPE alerts, coordinates crew protective actions, and tracks exposure during events.

NASA Medical Requirements Integration Document for radiation contingency events. Documents unexpected radiation events, crew response, and medical assessment.

Application for the Human Exploration Research Analog (HERA) mission at NASA Johnson Space Center

Comprehensive dive profile with enhanced data collection and regulatory compliance

Radiation exposure observation for deep space missions with GCR vs SPE differentiation and shielding context

An observation of a satellite or celestial object's orbital characteristics, using orbital elements.

Patient profile for astronauts and space travelers

Encounter profile for crew-led medical events with no real-time ground support due to communication delays

A calculated average of two or more blood pressure readings in a specified time period or according to a specified algorithm or protocol. The average blood pressure has a systolic and a diastolic component.

Assessment of pressure-related injuries (barotrauma)

Point-in-time behavioral and psychological state assessment for aerospace missions.

A profile of the Device resource used specifically for blood pressure devices and includes an extension for blood pressure cuff size.

Blood Pressure Panel; a grouping of systolic, diastolic, and mean arterial blood pressure components.

The measurement in centimeters or feet and inches from the top of the head to the heel, usually while standing.

A numerical index based on an individual's weight in kilograms divided by the square of their height in meters.

The measured heat of an individual's body.

The measured mass of an individual's body.

Quantifies acute and cumulative calorie deficits for astronauts

STUB - Device profile for commercial space equipment.

Assessment of communication system performance during underwater training

Enhanced cumulative radiation dose tracking with comprehensive time periods

Longitudinal, integrated measure of cumulative stress burden analogous to cumulative radiation dose.

Standardized decompression procedures for diving operations and space analog training

Decompression sickness occurring during diving or altitude training

Medical clearance examination for diving operations

Comprehensive dive profile including depth, time, and environmental data

Equipment used for diving operations and underwater training

Comprehensive hyperbaric oxygen therapy with full monitoring and safety protocols

Comprehensive neutral buoyancy training session with full regulatory compliance tracking

Profile for environmental monitoring.

Record of an Artemis mission EVA (moonwalk) with duration, location, participants, suit device, and metabolic data

Screening protocol for Multi Axis Gimbal training device.

Observation of environmental conditions inside Mars habitat (pressure, O2, CO2, temperature, humidity, dust)

Location profile for lunar habitats, Gateway modules, and landing sites with selenographic coordinates and region code

The number of heart beats in a minute.

Hydration status monitoring for space missions

A medical facility equipped with a hyperbaric chamber for pressurized treatment

Hyperbaric oxygen therapy or chamber treatment

Tracking ISRU propellant production (CH4/O2) for Mars return journey

Profile for NASA Medical Requirements Integration Document (MRID) questionnaires. This profile standardizes the structure and metadata for MEDB (Medical Evaluation Document Baseline) and MR (Medical Requirements) documents translated to FHIR Questionnaire resources for structured data capture.

All MRID questionnaires follow a standard structure with groups for:

• Medical Requirements Overview (MRID metadata)
• Preflight Training
• Preflight Activities
• In-Flight Activities
• Postflight Activities
• Data Delivery
• Domain-Specific Results (e.g., radiation doses, ECG findings)
• Postflight Debrief

The profile supports SDC-compatible extensions for:

• Launch context (astronaut/patient reference)
• Observation extraction from QuestionnaireResponse

Patient profile for Mars crew with extensions for radiation career dose, flight certification, and baseline health metrics

Record of Mars surface EVA with duration, location, participants, suit device, metabolic data, and dust exposure

Radiation exposure risk assessment for long-duration deep space missions

Evaluates risk from prolonged caloric deficits and metabolic stress

Artemis mission timeline with phases, events, constraints, and medical protocols

STUB - Risk assessment for space missions.

Mars mission timeline with phases, events, EVA schedules, and medical protocols

Facility for underwater astronaut training

Training session in neutral buoyancy facility for EVA simulation

A measurement of the percentage to which oxygen is bound to hemoglobin in arterial blood via pulse oximetry.

A measurement of the percentage to which oxygen is bound to hemoglobin in arterial blood.

Documentation of psychological countermeasure interventions for behavioral health in aerospace missions.

Fixed device profile for radiation monitoring in space with properly constrained properties

Assessment of compliance with diving and space medicine regulatory standards

The measured number of breaths taken in a minute.

Panel observation grouping related exercise measures for a single session (type, duration, intensity, HR)

Individual exercise measurement (duration, intensity, heart rate, power output) for space-based physical activity

Procedural record of a space-based exercise event, linking prescriptions, goals, devices, and observations

Weekly exercise volume derived from mission exercise sessions (EVS - Exercise Vital Sign)

Health conditions specific to outerspace environment.

STUB - Health procedures specific to outerspace environment.

STUB - Specialized contract coverage for space travel

Documentation of actual daily intake and hydration events for space missions

Tracks food stores aboard spacecraft or planetary habitats

Space-rated food, supplements, and electrolytes with mission-specific properties

STUB - Organizations involved with astronautics and space travel.

Corrected radiation dose measurement for space missions with proper extension contexts

Comprehensive radiation dose summary with proper mission context

STUB - Vehicles that maintain controled environments or life support systems (ambulances, space craft, submarines, etc)

STUB - Insurance plan for space travel

An average blood pressure (systolic and diastolic) over a twenty four hour period.

Communication equipment for underwater training operations

Extravehicular activity simulation conducted underwater

Emergency response procedures during underwater training operations

A vital signs panel as defined by Logica Health. It includes Oxygen Saturation via Pulse Oximetry, Oxygen Saturation in Arterial blood, body height, body length, body weight, body temperature, blood pressure panel, heart rate, respiratory rate, head-occcipital/frontal circumference, oxygen saturation via pulse oximetry, and body mass index.

STUB - Locations in outerspace, past the Karman line, such as a space ship or space habitat.

Mars latitude and longitude for surface locations

Assessment of cardiovascular fitness for diving

Earth-Mars light-time delay for data transmission context

Communication systems and protocols used during training

Monitoring for treatment complications

Assessment of crew coordination during simulation

The specific decompression algorithm or table used

Links aggregated metrics to source activity group observations

Medical conditions that contraindicate diving

Sequential EVA identifier within a mission (e.g., EVA-1, EVA-2)

Emergency decompression procedures if applicable

Assessment of emergency response procedures

Time from emergency recognition to response initiation

Total daily energy expenditure in kcal/day

Environmental conditions during training session

Environmental conditions affecting decompression requirements

Reference to the exercise equipment used (e.g., T2 Treadmill, ARED, CEVIS)

Percentage of body weight applied by harness during treadmill exercise

Daily hydration deficit in liters per day

Specific capabilities of the hyperbaric chamber

Configuration and setup of the hyperbaric chamber

Type of hyperbaric chamber (monoplace, multiplace, etc.)

Specific treatment table used (e.g., USN Table 6)

In-Situ Resource Utilization system status and propellant production levels

Risk level for nutrition inventory status

Captures isolation and confinement risk factors affecting behavioral health

Lessons learned and recommendations from emergency response

Specific capabilities and equipment available at location

Hierarchical relationship between locations (parent/child)

Selenographic latitude and longitude for lunar surface locations

The medical discipline category for the medical requirement

The official MRID document identifier (e.g., MEDB 3.1, MR004L, MR005S)

Indicates the flight duration requirements for this medical requirement (e.g., 'All flights', '>= 30 days', '>= 180 days')

How often this medical requirement applies (e.g., 'Every ISS Increment', 'Annual', 'Per mission')

Context for pre-populating the questionnaire with astronaut/patient reference. Compatible with SDC launchContext pattern.

The NASA organizational sponsor responsible for the medical requirement

Maximum depth reached during the dive requiring decompression

Maximum pressure the chamber can safely operate at

Maximum depth reached during training session

Medical interventions provided during emergency response

Links radiation exposure to specific space missions

Links diagnostic reports to specific space missions

Current operational status of the facility

Oxygen concentration during treatment

Oxygen delivery capabilities of the chamber

Continuous patient monitoring during hyperbaric treatment

Assessment of respiratory function for diving

Protective measures taken during radiation exposure

Shielding mass and composition for habitat or vehicle

Regulatory standards compliance during training session

Amount of water required to prepare space food

Specific rescue procedures and techniques employed

Safety protocols and procedures followed during training

Compliance with required safety stops during ascent

Degradation of nutritional value over time in space conditions

Effective shielding mass in g/cm²

Type of space radiation exposure

Configuration of space suit simulator used in training

Performance metrics for tasks completed during training

Assessment of tool manipulation and usage effectiveness

Total time required for decompression including all stops

Duration of the neutral buoyancy training session

Specific training objectives for the session

Total duration of hyperbaric treatment

Classification of the emergency situation

Assessment of inner ear and balance function

Bone health adaptations observed in spaceflight conditions.

Health impacts from exposure to aircraft contaminated air and fume events.

Both certified and prototype Artemis devices

Both certified and prototype Mars devices

Flight-qualified Artemis mission hardware

Candidate Artemis III south pole landing regions for Location bindings

All Artemis program missions I-XXX

Developmental and test Artemis hardware

Back pain and associated conditions observed in astronauts and their potential terrestrial applications.

Key behavioral health state metrics used in aerospace behavioral health monitoring.

Value set for behavioral/psychological flight readiness outcomes.

Concepts related to physiological and neurological changes from prolonged space travel.

Risk categorization for caloric deficits

Cognitive and vigilance performance indicators relevant to operational readiness.

Comprehensive codes for organ-specific radiation dose measurements

Comprehensive list of protective measures against space radiation

Comprehensive list of radiation detection devices used in space

Comprehensive codes for radiation dose measurements in space environments

Comprehensive list of ionizing radiation types encountered in space

Standardized decompression procedures and protocols

Medical conditions that contraindicate diving activities

Types of medical examinations for diving fitness

Types of radiation dosimeters

Value set for ECG interpretation outcomes.

Units for Exercise Vital Sign measurements

Value set for fitness test termination criteria and outcomes.

Contraindicated conditions for riding a multi-axis gimbal

Proposed and conceptual human mission architectures to Mars

Types of hydration products used in space

Capabilities available in hyperbaric chambers

Types of hyperbaric chambers

Value set for types of ISS crewmembers by agency.

Risk factors related to isolation and confinement that affect behavioral health.

Capabilities and services available at aerospace medicine locations

Conditions and effects associated with lunar dust exposure, including respiratory, ocular, and systemic toxicities.

Names for launch context variables in MRID questionnaires

FHIR resource types for launch context in MRID questionnaires

Measurement types for macronutrient tracking

Candidate landing sites for human Mars missions

Flight-qualified hardware for Mars missions

Developmental and test hardware for Mars missions

All Mars missions (robotic and human, completed and planned)

Concepts related to muscle stiffness and health in the context of spaceflight and Earth-based applications.

Value set for cardiovascular assessment hardware.

Value set for exercise and fitness assessment hardware.

Value set for NASA MRID medical disciplines.

Value set for NASA MRID sponsor organizations.

Value set for data archive and delivery systems.

Value set for medical testing facility locations.

Complete value set for all NASA medical hardware.

Value set for medical personnel roles.

Value set for mission phase timing.

Value set for R-plus postflight schedule offsets.

Value set for L-minus preflight schedule offsets.

Value set for radiation monitoring hardware.

Complete value set for all mission schedule offsets.

Types of training activities conducted in neutral buoyancy environments

Status levels for nutrition inventory management

Operational status codes for facilities and vehicles

Protective measures against radiation

Units for radiation dose measurements

Regulatory standards and compliance requirements

Concepts related to the physiological and cognitive effects of sleep loss and hypoxia.

Concepts related to sleep deprivation and physiological/cognitive responses to systemic environmental hypoxia.

Cardiovascular effects and conditions relevant to human spaceflight, including orthostatic intolerance, heart rate changes, and blood pressure

Environmental factors relevant to human spaceflight, including weightlessness, radiation, isolation, and decompression

Permitted space exercise modalities, derived from the Space Exercise Modality Code System.

Performance metrics for space exercise (defined in SpacePerformanceMetricCS)

Monitoring procedures relevant to human spaceflight, including vital signs monitoring and physiological monitoring

Neurological effects relevant to human spaceflight, including vestibular conditions, motion sickness, and intracranial pressure changes

Types of nutritional products available in space missions

Physiological effects and conditions relevant to human spaceflight, including motion sickness, bone loss, muscle atrophy, and sleep disorders

Psychological effects relevant to human spaceflight, including sleep disorders, isolation, anxiety, and depression

Radiation effects and conditions relevant to human spaceflight, including cosmic radiation, radiation sickness, and radiation injuries

Concepts relevant to space radiation risks and associated health concerns identified from Artemis I mission data.

Types of radiation encountered in space

Visual and ocular effects relevant to human spaceflight, including visual impairment, optic nerve conditions, and intraocular pressure changes

Standardized set of psychological countermeasures used to mitigate stress and support mental health.

Concepts related to stress, physiological, and psychological factors during spaceflight analog missions.

Communication systems used in underwater training operations

Procedures and activities conducted during underwater training

Units for measuring water volume

Codes describing behavioral and psychological state parameters in aerospace missions.

Flight-qualified hardware and systems used in Artemis missions (Orion, xEMU, Starship-HLS, Gateway, LTV, etc.)

Unified device inventory for the Artemis program including crewed vehicles, EVA systems, landers, Gateway modules, LunaNet communications and navigation infrastructure, surface mobility (LTV variants and rovers), habitats, logistics assets, ISRU, and power systems

Candidate Artemis III landing regions near the lunar south pole (within 6° of pole, near permanently shadowed craters)

Historical and planned Artemis program missions with target destinations, launch dates, and status

Developmental and test hardware not yet flight-certified (demo units, ground analogs, next-gen prototypes)

Codes for physiologic and digital biomarkers related to behavioral health and stress.

Risk categorization for caloric deficits

Standardized decompression protocols and safety procedures

Medical codes specific to diving medicine and hyperbaric treatments

Regulatory standards and compliance codes for diving and space medicine

Comprehensive code system for aerospace medicine concepts including all referenced codes

Proposed or conceptual human mission architectures to Mars (Mars Direct, NASA DRMs, SpaceX, etc.)

Types of hydration products used in space

Capabilities and services available in hyperbaric chambers

Types of hyperbaric chambers

Factors contributing to isolation, confinement, and psychosocial risk in aerospace missions.

Capabilities and services available at aerospace medicine locations

Names for launch context variables

FHIR resource types for launch context

Measurement types for macronutrient tracking

Candidate landing sites for human Mars missions with are

ographic coordinates and site characteristics

Flight-qualified hardware and systems operational or used in Mars mission planning (ISS heritage, Orion, etc.)

Developmental or conceptual hardware for Mars missions (prototypes, test articles, planned systems)

NASA and international missions to Mars (robotic and conceptual human missions)

Medical disciplines categorizing NASA Medical Requirements Integration Documents.

Organizations that sponsor medical requirements within NASA's Medical Requirements Integration Documents.

Data archive and delivery systems for NASA medical data.

Medical testing facility locations for NASA medical requirements.

Medical equipment and hardware used in NASA medical requirements.

Personnel roles involved in NASA medical requirements.

Mission phases and timing codes for medical requirements scheduling.

L-minus and R-plus notation codes for mission timeline scheduling.

Specialized codes for neutral buoyancy training activities and assessments

Status levels for nutrition inventory management

Operational status codes for facilities and vehicles

Codes for psychological countermeasure interventions in aerospace missions.

Protective measures against space radiation

Types of radiation detection equipment

CodeSystem for space cardiovascular effects not found in SNOMED CT

CodeSystem for space environmental factors not found in SNOMED CT

Spaceflight-specific exercise modalities used in microgravity and partial gravity environments (e.g., ISS treadmill, ARED resistive training, artificial gravity).

Key performance metrics for space-based exercise sessions (e.g., power output, VO2 surrogate, effective ground reaction force).

CodeSystem for space monitoring procedures not found in SNOMED CT

CodeSystem for space neurological effects not found in SNOMED CT

Types of nutritional products used in space missions

CodeSystem for space physiological effects not found in SNOMED CT

CodeSystem for space preventive health concepts not found in SNOMED CT

CodeSystem for space psychological effects not found in SNOMED CT

Types of radiation encountered in space environments

CodeSystem for space treatment procedures not found in SNOMED CT

CodeSystem for space visual effects not found in SNOMED CT

Communication systems and protocols for underwater training operations

NOAA's Aquarius underwater research station used for NEEMO missions

Artemis lunar surface habitat module

First lunar surface EVA of Artemis III mission at Malapert Massif

Radiation dose during first lunar surface EVA (6.5 hours unshielded)

Second lunar surface EVA of Artemis III mission exploring shadowed crater

Encounter representing the entire Artemis III mission from launch to splashdown

Complete mission plan for Artemis III including phases, timelines, and EVA schedules

Cumulative radiation dose during 4-day translunar cruise

Crew-led emergency appendectomy on Mars with 15-minute Earth communication delay

University of Arizona Biosphere 2 analog training facility

Blue Origin suborbital flight operations

Boeing CST-100 Starliner spacecraft

High-altitude environmental training facility

USAF School of Aerospace Medicine hyperbaric facility

Commercial underwater training facility

Canadian Space Agency testing facility

Canadian Space Agency life sciences research division

Oxygen deprivation

Blunt injury (disorder)

Burn injury (morphologic abnormality)

Myocardial infarction (disorder)

Oxygen deprivation

Microgravity induced occular degeneration.

Microgravity induced bone loss.

Radiation exposure (rads)

Smoke inhalation injury (disorder)

Cerebrovascular accident (disorder)

SpaceX Crew Dragon spacecraft Endeavour

SpaceX Crew Dragon spacecraft Resilience

German Aerospace Center medical research institute

Organization - Department of Defense

Air Lock

Ascent/Entry Spacesuit

Astro Spacesuit

Space traffic patrol system

Cyber truck

Space Vehicle

Mission flight recorder that monitors astronaut and passenger activities.

Flight suit for space travel.

General hospital bed.

Deep space telescope at Legrange Point 2

Lunar Crater Radio Telescope

Lunar rover

Space Station

ECG enabled undershirt

Space Garage

Environmental suit for extra-vehicular operations.

Space Tent

Monitoring terminal that supports both video conferencing and streaming vital sign signals.

Vital signs monitor (heart rate, respiration, blood pressure, temperature).

xEMU Spacesuit

xEVAS Spacesuit

European Space Agency centrifuge facility

Space habitats at Earth-Moon Lagrange points

USAF Test Pilot School and aerospace medicine research

ESA's neutral buoyancy facility in Cologne, Germany

Example astronaut for testing radiation tracking

Example medical clearance for diving operations

Example hyperbaric chamber facility

Example of a typical neutral buoyancy training session

Example dive profile from neutral buoyancy training

Atmospheric monitoring inside Mars habitat on Sol 125

Hyperbaric medicine treatment facility

Cumulative propellant production by Sol 210 (7 months operation)

In-situ resource utilization plant for CH4/O2 production from Martian atmosphere

Pre-EVA anxiety assessment with HRV biomarker showing elevated stress.

Scheduled bright light exposure to stabilize circadian rhythm and improve sleep quality.

Telemedicine cognitive behavioral therapy session addressing mid-mission mood decline.

Cognitive readiness assessment following ammonia leak alarm (false positive).

International Space Station European laboratory module

Structured crew debrief following ammonia leak false alarm to process stress and restore team cohesion.

End-of-mission cumulative stress burden showing sustained elevation despite countermeasures.

Third-quarter phenomenon stress accumulation with breakdown by emotional, cognitive, and social domains.

International Space Station Cupola observation module

International Space Station US laboratory module

EVS minutes per week derived from ISS treadmill and ARED exercise sessions during Expedition 75, mission week 23.

Encounter representing the in-flight period of ISS Expedition 75

Daily 15-minute guided meditation session for stress reduction and mood regulation.

Sleep-wake cycle misalignment due to shift work and 16 sunrises per day.

Assessment of confinement stress during prolonged mission.

Documented interpersonal tension between crew members during third quarter.

International Space Station Japanese laboratory module

Weekly mood and anxiety assessment with cortisol biomarker during mid-mission period.

Treadmill 2 (T2) on the International Space Station with vibration isolation

Activity-based measure indicating the type of ISS T2 treadmill running.

Activity-based measure capturing duration (minutes) of an ISS T2 treadmill session.

Mean heart rate during an ISS treadmill session.

Panel Observation representing a single 30-minute ISS T2 treadmill session.

Procedure resource representing a single ISS T2 treadmill session linked to PA artifacts and the SpaceExerciseActivityGroup panel.

International Space Station Unity connecting node

International Space Station Russian service module with enhanced shielding

STUB - Space tourist insurance coverage.

Space tourist insurance plan.

Japan Aerospace Exploration Agency medical research

James Webb Space Telescope at Sun-Earth L2

KSC astronaut medical support facility

Airlock 1

Artemis space camp (Pending)

Biosphere 2 ecology dome at University of Arizona

Lunar crater with no known scientific or industrial uses.

Tesla cyber truck

Dragon capsule, part of the SpaceX Crew Dragon flight system.

Lunar Gateway - outpost and transfer station in lunar orbit. (Pending)

Lunar micro-crater suitable for habitat construction.

Intensive Care Unit - Bed

Intensive Care Unit - Ward

International Space Station - football field sized orbital space station in low earth orbit (LEO)

Lunar crater containing ice

Kennedy Space Center, Florida

Lab To Orbit - Colorado

Legrange Point 2

Inflatable lunar tent with controlled atmosphere.

EU Lunar Village (Pending)

Lunar buggy for the Artemis mission (GM / Lockheed Martin)

Mir Space Station (Decomissioned)

Orbital Reef Space Station

Palace in the Sky (Taingong)

Soyez capsule, part of the Korolev Design Bureau lunar landing flight system.

Space Lab (Decomissioned)

Space Garage

Lunar crater suitable for a space telescope.

Habitation and Logistics Outpost module of Lunar Gateway in NRHO

Lunar Gateway Habitation and Logistics Outpost

Lunar Gateway Power and Propulsion Element

Permanent lunar base near the South Pole

Artemis III landing site at Malapert Massif, lunar south pole region

Mars surface to orbit transport

First permanent Mars surface base

Example Mars crew member (Commander Sarah Chen) with baseline health data

Entire Mars Direct mission encounter (launch to splashdown)

Complete mission timeline for Mars Direct architecture mission

Surface EVA to collect geological samples at crater rim, duration 6.5 hours

Pressurized habitat module at Jezero Crater landing site

Deep space transport for Mars missions

Mayo Clinic aerospace medicine and altitude research

NASA Ames centrifuge and spatial disorientation research

NASA's hyperbaric chamber for diving medicine and space analog training

NASA's Neutral Buoyancy Laboratory at Johnson Space Center, Houston, Texas

US Navy diving medicine and hyperbaric research facility

Equipment used in neutral buoyancy training facility

Environmental monitoring status report

Observation - Orbital Elements

Organization - Axiom Space

Organization - Collins Aerospace

Organization - Department of Commerce

Organization - Glenn Research Center

Organization - ILC Dover

Organization - National Aeronautics and Space Administration

Organization - Oceaneering

Organization - Office of Space Commerce

Organization - Pine Park Engineering

Organization - Sierra Space

Organization - US Space Force

Organization - Star Harbor Academy

Organization - Translational Research Institute for Space Health

Patient - Ambassador Sarek

Patient - Catherine Janeway

Patient - James Kirk

Patient - Red Shirt 1

Patient - Red Shirt 2

Patient - Space Construction Engineer

Patient - Space Engineer

Patient - Space Miner

US Navy Test Pilot School

Bone densitometry scan

Atmospheric compression of vehicle compartment

Decompression of vehicle compartment

Eye exam

Hearing exam

Ultrasound scan of the abdomen

Cancer risk assessment after 6-month outbound transit to Mars

Risk of flight running out of breathable atmosphere. (i.e. suffocation)

Risk of calorie restriction among passengers. (i.e. starvation)

Post-flight risk of cancer. (i.e. cancer)

Risk of flight having a catastrophic engineering failure. (i.e. explotion)

Risk assessment of microbial contamination. (i.e. mildew)

Overall mission risk assessment for a space mission

Self-contained underwater breathing apparatus

Research station at Shackleton Crater rim

Russian Soyuz MS crew vehicle

SpaceX manufacturing and mission control facility

SpaceX Starship development and launch facility

Virgin Galactic commercial spaceport

SpaceX Starship Human Landing System variant for Artemis III lunar landing

Space weather monitoring station at L1

Russian cosmonaut centrifuge training facility

University of Texas Medical Branch aerospace medicine program

Academic hyperbaric medicine and research center

USAF aerospace medicine research facility

Russian cosmonaut training facility with underwater training capabilities

First xEMU suit certified for Artemis III lunar surface EVAs

A product used for nutritional purposes. Backported from FHIR R5 for use in this R4 implementation guide.