Exploration Medical System Demonstration (EMSD) Project Aerospace Medical Association 12-16 May, 2013 Presented by: Ronak Shah, DO, MBA, MPH www.nasa.gov Prepared by: SF / David Rubin, MS SF / Sharmila Watkins, MD, MPH
Disclosure Information 84th Annual AsMA Scientific Meeting Ronak Shah, MD I have no financial relationships to disclose. I will not discuss off-label use and/or investigational use in my presentation.
EMSD Vision Utilize International Space Station (ISS) as a test bed to show that several medical technologies and informatics tools, needed for managing evidence and making decisions during an exploration mission, can be integrated into a single system and used by the on-orbit crew in an efficient and meaningful manner. Page No. 3
EMSD System Overview Page No. 4
EMSD System Overview Page No. 5
EMSD System Components Assisted Medical Procedures (AMP) Prime interface to the system displays the procedures Designed to provide step-by-step instructions on how to perform a specific task. Content will be different and tailored toward an individual s fund of knowledge. Pre-existing instructions for performing tasks will minimize the amount of system or medical knowledge required Uses logic pathway to determine the proper course of action based upon previously acquired data. Ensures consistent execution across multiple users. Page No. 6
EMSD System Components Electronic Medical Record (EMR) Goal: take a commercial EMR and integrate it with data capturing devices (i.e. EKG, sono, camera) All data, images, videos, and reports generated by medical devices and the crew will be routed to the EMR for storage. Currently, there is no EMR onboard ISS Page No. 7
EMSD System Components Middleware Provides a standardized set of device connectivity and data communications interface services for all of the components that make up the system. Minimizes system complexity by using standard system interfaces and data formats. Provides the ability to automatically transfer real-time and store-andforward data to and from medical devices (e.g. ultrasound, ECG) and components (e.g. EMR, AMP) without the need for crew intervention. Provides peripheral devices with robust data integrity and delivery capabilities. Enables routing of data from the EMR to the vehicle-to-ground interface for downlinking. Page No. 8
Medical Scenarios EMSD will be tested thru different medical cases Cases chosen based on likelihood of occurrence Cases chosen on what devices are needed to diagnosis the condition Goal: will EMSD be able to capture the data Medical Scenario Periodic Health Evaluation Corneal Abrasion Renal Stones Capability Demonstrated Vital signs and ECG collection Still image and video capture of eye Abdominal ultrasound capture Page No. 9
Reference Mission The EMSD is being designed according to a near-earth asteroid (NEA) mission and will be using the ISS as its test bed. The NEA mission will present significant new challenges to crew health: Limited medical equipment, Rx, and medical procedures Limited mass, power, volume, and crew time. They must be used efficiently to optimize delivery of in-flight medical care Limited communications with ground-based personnel for diagnosis and consultation of medical events greater need for crew autonomy Potential rendering of care by non-clinician crew members Page No. 10
EMSD Objectives 1) Reduce and even possibly eliminate the time required for on-orbit crew and ground personnel to access and move medical data from one application to another. 2) Demonstrate that the on-orbit astronauts have the ability to access medical data using an intuitive and crew-friendly software to guide in the treatment of a medical condition. 3) Develop a scalable data architecture to automate repetitive data collection, management, and communication tasks for medical activities. 4) Increase feasibility for development of peripheral hardware and software and lower costs. 5) Improve crew health outcome. Page No. 11
Summary Page No. 12
Backup Slides Page No. 14
Functional Diagram Page No. 15
Schedule Ops Con Review (OCR) in 10/7/2011 System Requirements Review (SRR) in 6/2012 Preliminary Design Review in 6/2013 Critical Design Review (CDR) in 12/2013 Ground Demonstration in 6/2014 Delta CDR after Ground Demonstration in 12/2014 Flight demo in 9/2016 Page No. 16