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Medical System Concept of Operations for Mars Exploration Mission-11: Exploration Medical Capability (ExMC) Element - Human Research Program

NASA’s exploration missions to Mars will have durations of 2-3 years and will take humans farther away from Earth than ever before. This will result in a paradigm shift for mission planning, spacecraft design, human systems integration, and in-flight medical care. Constraints on real-time communication, resupply, and medical evacuation are major architectural drivers. These constraints require medical system development to be tightly integrated with mission and vehicle design to provide crew autonomy and enable mission success. This concept of operations provides a common vision of medical care for developing a medical system for Mars exploration missions. It documents an overview of the stakeholder needs and goals of a medical system and provides examples of the types of activities the system will be used for during the mission. Development of the concept of operations considers mission variables such as distance from Earth, duration of mission, time to definitive medical care, communication protocols between crewmembers and ground support, personnel capabilities and skill sets, medical hardware and software, and medical data management. The information provided in this document informs the ExMC Systems Engineering effort to define the functions to be provided by the medical system. In addition, this concept of operations will inform the subsequent systems engineering process of developing technical requirements, system architectures, interfaces, and verification and validation approaches for the medical system. This document supports the closure of ExMC Gap Med01: We do not have a concept of operations for medical care during exploration missions, corresponding to the ExMC-managed human system risk: Risk of Adverse Health Outcomes & Decrements in Performance due to Inflight Medical Conditions. This document is applicable to the ExMC Element Systems Engineering process and may be used for collaboration within the Human Research Program.

Urbina, Michelle↗

Modeling NASA’s Procedural Requirement Processes - Implications for Digital Future

The National Aeronautics and Space Administration (NASA) has an ongoing Digital Transformation effort and to leverage and showcase the power of Digital Transformation, an effort is underway to develop an integrated, datacentric, model representing NASA’s key process requirements. The task was divided into three phases: As Is modeling, Analysis, and To Be Planning. As part of this effort, a team has completed the first Phase I of the modeling task and is nearing completion of the second phase. This effort will capture the key elements as requirements, responsibilities, allocations, roles, products, and associated lifecycle elements. The scope of modeling included NASA’s NPR 7120.5 (Project and Program Management), NPR 7123.1 (Systems Engineering) and NPRs 8705.2 (Risk classification for Robotic Missions) and 8705.4 (Human-Rating Requirements for Space Missions). This paper will summarize the approach, scope, parsing patterns applied, metamodel, and associated workflows for the As-Is modeling. It will also summarize the results and insights gleaned during that phase, including the review process. These insights have informed the analysis and will be discussed. The analysis modeling phase will also be summarized including how the stakeholders were engaged, how the common elements were handled and dispositioned, and will also describe some of the plans for the future of NASA NPDs and NPRs.

Systems Engineering↗

The Use of the Integrated Medical Model for Forecasting and Mitigating Medical Risks for a Near-Earth Asteroid Mission

Introduction The Integrated Medical Model (IMM) is a decision support tool that is useful to space flight mission managers and medical system designers in assessing risks and optimizing medical systems. The IMM employs an evidence-based, probabilistic risk assessment (PRA) approach within the operational constraints of space flight. Methods Stochastic computational methods are used to forecast probability distributions of medical events, crew health metrics, medical resource utilization, and probability estimates of medical evacuation and loss of crew life. The IMM can also optimize medical kits within the constraints of mass and volume for specified missions. The IMM was used to forecast medical evacuation and loss of crew life probabilities, as well as crew health metrics for a near-earth asteroid (NEA) mission. An optimized medical kit for this mission was proposed based on the IMM simulation. Discussion The IMM can provide information to the space program regarding medical risks, including crew medical impairment, medical evacuation and loss of crew life. This information is valuable to mission managers and the space medicine community in assessing risk and developing mitigation strategies. Exploration missions such as NEA missions will have significant mass and volume constraints applied to the medical system. Appropriate allocation of medical resources will be critical to mission success. The IMM capability of optimizing medical systems based on specific crew and mission profiles will be advantageous to medical system designers. Conclusion The IMM is a decision support tool that can provide estimates of the impact of medical events on human space flight missions, such as crew impairment, evacuation, and loss of crew life. It can be used to support the development of mitigation strategies and to propose optimized medical systems for specified space flight missions. Learning Objectives The audience will learn how an evidence-based decision support tool can be used to help assess risk, develop mitigation strategies, and optimize medical systems for exploration space flight missions.

Kerstman, Eric↗

Development of technology needs for the SEI TNIM network

A comparison of the salient features of the SEI with previous space exploration programs shows the need for a telecommunications, navigation and information management (TNIM) system level reoptimization. An approach is developed that takes the various candidate mission plans and decomposes them into architectural building blocks, many of which are common to several of the plans. Once identified, each of these blocks can then be parametrically examined with respect to performance benefit, cost, technology, and schedule risk tradeoffs. As the Space Exploration Initiative plan is established, these TNIM building blocks may be fused into an optimized system architecture.

Wachs, M. R.↗

A Model-Based Systems Engineering Journey to Developing a Concept of Operations

Starting in 2017, NASA’s Human Research Program (HRP) Exploration Medical Capability (ExMC) element began a systems engineering transition from traditional, document-centric development to model-centric development when defining its foundation medical systems. These foundation medical systems define a Concept of Operations (ConOps) and identify the generic requirements for a medical system based on assumptions about a generic crew and mission environments and guidance from NASA standards (e.g., Medical “Levels of Care”). By making the transition, ExMC intends to improve communication among stakeholders about foundation medical system requirements and content. In addition, this transition will enable ExMC to lower both development and crew treatment risks for future, mission-specific medical systems. ExMC followed a Model Based Systems Engineering (MBSE) paradigm when developing the foundation medical systems. A model-based approach provides several advantages over a traditional, document-centric approach. First, when Systems Engineers (SE) develop diagrams in a model using a standard modeling language, they produce information dense pictures that facilitate understanding much more efficiently with less room for misinterpretation than text. Second, due to the evolving nature of projects, documentation becomes out of date the minute it is published. This can result in people making decisions based on information that is no longer current, especially if they are referencing a locally-stored copy of a document. A model, on the other hand, is always up to date with the latest approved changes and information. It serves as a single point of truth. Third, a model-centric approach centralizes all important information in one place. Rather than having to flip through separate ConOps documents, design specifications, requirements specifications, and the like to coordinate information, a model captures the content in one, integrated spot. This integration makes tracing information from end-to-end easier with greater reliability. The ExMC Systems Engineering Lifecycle follows a well-defined process. ExMC Systems Engineers perform all major steps of the process, regardless of the development methodology. One of the first steps in the process is developing the ConOps that describes the operation of the system from the point of view of the users. It includes a list of the users and their needs, the goals of the medical system, key assumptions about the system, and definitions of the medical system’s operational environments. For this development effort, ExMC chose to replace the traditional text-based ConOps document with a model. While the decision to change the development workflow was not difficult, implementing the structural and organizational workflows were. It required showing ExMC’s users, most of whom are not Systems Engineers, how the information they require would be presented in the model and to gain their acceptance of this approach. This paper documents key lessons learned during the ConOps transformation by focusing on how the model represents information, the agile workflow used by SEs when developing the model and how it integrates into a project plan, how leadership influenced key users to accept the transformation, and how the users interact with the model information.

Jeffrey Robert Cohen↗

Assessment of Model Outcomes Between the Integrated Medical Model (IMM) and the Medical Extensible Dynamic Probabilistic Risk Assessment Tool (MEDPRAT)

The Medical Extensible Dynamic Probabilistic Risk Assessment Tool (MEDPRAT) is a computational model that provides human health and medical risk predictions for crewed spaceflight missions. MEDPRAT utilizes discrete event modeling and dynamic probabilistic simulation to predict critical mission outcomes (total medical events, crew health index, quality time lost, loss of crew life, removal to definitive care), condition occurrences, and resource consumption. Input parameters for MEDPRAT include crew attributes (e.g., sex), types of mission activities (e.g., whether and where crew members perform an extravehicular activity (EVA)), available resources, treatment information, and probability distributions for medical conditions. As an evolution of the Integrated Medical Model (IMM), MEDPRAT provides enhanced capabilities and higher fidelity, and incorporates more appropriate assumptions for long-duration spaceflight. IMM is the currently accepted standard for quantifying spaceflight mission medical risk in NASA operations that uses a probabilistic risk assessment (PRA) approach. MEDPRAT builds on the same logical foundation as IMM but implements the model architecture through highly optimized Monte Carlo sampling methods. An analysis is performed comparing the outputs from IMM with those from MEDPRAT V1.0 and V2.0 for the same reference missions in order to quantify similarities and differences in the model outcomes. The juxtaposition between IMM and MEDPRAT V1.0 and 2.0 shown in this report demonstrates that these two models generate very similar results; where differences in outcomes are shown, these are in accordance with the underlying assumptions and differences in the model architectures. This validation effort further establishes the credibility and reliability of the MEDPRAT software.

Matthew T Prelich↗

Managing a project's legacy: implications for organizations and project management

Organizations that rely on projects to implement their products must find effective mechanisms for propagating lessons learned on one project throughout the organization. A broad view of what constitutes a project's 'legacy' is presented that includes not just the design products and leftover parts, but new processes, relationships, technology, skills, planning data, and performance metrics. Based on research evaluating knowledge reuse in innovative contexts, this paper presents an approach to project legacy management that focuses on collecting and using legacy knowledge to promote organizational learning and effective reuse, while addressing factors of post-project responsibility, information obsolescence, and the importance of ancillary contextual information. .

risk management↗

Analyzing Risks of Virtual Private Network Connections

The use of Splunk for analyzing VPN logs is an effective approach for identifying vulnerabilities in network endpoints. Splunk, a powerful platform for searching, monitoring, and analyzing machine-generated data, enables organizations to aggregate VPN logs in real-time, providing insights into network activity, user behavior, and potential security risks. By indexing VPN traffic and authentication logs, security teams can track abnormal patterns such as multiple failed login attempts, unusual IP addresses, or unexpected changes in bandwidth usage, all of which could indicate potential vulnerabilities or breaches. With Splunk’s advanced search and reporting capabilities, users can create custom dashboards and alerts to detect suspicious activities. Automated searches can flag endpoints exhibiting unusual behavior, while correlation analysis can identify links between compromised devices and broader network vulnerabilities. In particular, Splunk's machine learning capabilities can be leveraged to predict and prevent threats by identifying trends that might otherwise be missed in traditional log analysis. This proactive approach to monitoring VPN logs allows for the early detection of security weaknesses, enabling rapid response and minimizing potential damage to network integrity. By enhancing endpoint visibility, Splunk plays a crucial role in securing remote connections and safeguarding sensitive information. Additionally, Splunk’s automation and alerting features allow teams to create custom workflows that notify them of vulnerable or misconfigured endpoints identified through Shodan. This synergy between Splunk’s log analysis and Shodan’s device intelligence enhances an organization’s ability to proactively identify and mitigate security risks, improving the overall resilience of their VPN infrastructure.

97 MATHEMATICS AND COMPUTING↗

Transition flight control room automation

The Workstation Prototype Laboratory is currently working on a number of projects which can have a direct impact on ground operations automation. These projects include: (1) The fuel cell monitoring system (FCMS), which will monitor and detect problems with the fuel cells on the shuttle. FCMS will use a combination of rules (forward/backward) and multithreaded procedures, which run concurrently with the rules, to implement the malfunction algorithms of the EGIL flight controllers. The combination of rule-based reasoning and procedural reasoning allows us to more easily map the malfunction algorithms into a real-time system implementation. (2) A graphical computation language (AGCOMPL) is an experimental prototype to determine the benefits and drawbacks of using a graphical language to design computations (algorithms) to work on shuttle or space station telemetry and trajectory data. (3) The design of a system will allow a model of an electrical system, including telemetry sensors, to be configured on the screen graphically using previously defined electrical icons. This electrical model would then be used to generate rules and procedures for detecting malfunctions in the electrical components of the model. (4) A generic message management (GMM) system is being designed for real-time applications as a message management system which sends advisory messages to a user. The primary purpose of GMM is to reduce the risk of overloading a user with information when multiple failures occur and to assist the developer in the devising an explanation facility. The emphasis of our work is to develop practical tools and techniques, including identification of appropriate software tools to support research, application, and tool building activities, while determining the feasibility of a given approach.

Welborn, Curtis Ray↗

Future Opportunities and Challenges in Remote Sensing of Drought

The value of satellite remote sensing for drought monitoring was first realized more than two decades ago with the application of Normalized Difference Index (NDVI) data from the Advanced Very High Resolution Radiometer (AVHRR) for assessing the effect of drought on vegetation. Other indices such as the Vegetation Health Index (VHI) were also developed during this time period, and applied to AVHRR NDVI and brightness temperature data for routine global monitoring of drought conditions. These early efforts demonstrated the unique perspective that global imagers such as AVHRR could provide for operational drought monitoring through their near-daily, global observations of Earth's land surface. However, the advancement of satellite remote sensing of drought was limited by the relatively few spectral bands of operational global sensors such as AVHRR, along with a relatively short period of observational record. Remote sensing advancements are of paramount importance given the increasing demand for tools that can provide accurate, timely, and integrated information on drought conditions to facilitate proactive decision making (NIDIS, 2007). Satellite-based approaches are key to addressing significant gaps in the spatial and temporal coverage of current surface station instrument networks providing key moisture observations (e.g., rainfall, snow, soil moisture, ground water, and ET) over the United States and globally (NIDIS, 2007). Improved monitoring capabilities will be particularly important given increases in spatial extent, intensity, and duration of drought events observed in some regions of the world, as reported in the International Panel on Climate Change (IPCC) report (IPCC, 2007). The risk of drought is anticipated to further increase in some regions in response to climatic changes in the hydrologic cycle related to evaporation, precipitation, air temperature, and snow cover (Burke et al., 2006; IPCC, 2007; USGCRP, 2009). Numerous national, regional, and global efforts such as the Famine and Early Warning System (FEWS), National Integrated Drought Information System (NIDIS), and Group on Earth Observations (GEO), as well as the establishment of regional drought centers (e.g., European Drought Observatory) and geospatial visualization and monitoring systems (e.g, NASA SERVIR) have been undertaken to improve drought monitoring and early warning systems throughout the world. The suite of innovative remote sensing tools that have recently emerged will be looked upon to fill important data and knowledge gaps (NIDIS, 2007; NRC, 2007) to address a wide range of drought-related issues including food security, water scarcity, and human health.

Wardlow, Brian D.↗

Plan for the Development and Application of a Risk Assessment Approach for Transportation Package Approval of a Transportable Nuclear Power Plant for Maritime Shipment (Rev. 1)

This plan proposes a strategy for licensing a transportable nuclear power plant, containing its unirradiated and irradiated fuel, as a transportation package for maritime transport using a probabilistic risk assessment framework in order to meet the regulatory requirements of 10 CFR Part 71. It is anticipated that initially, the deterministic transportation package licensing approach will be challenging due to the functional requirements of the transportable nuclear power plant. As such, a partial exemption request from the U.S. Nuclear Regulatory Commission coupled with applied compensatory measures are anticipated in support of providing equivalent safety to the public, worker, and environment. A plan is outlined as to how this would be demonstrated and a pathway is primarily outlined using the accompanying low accident rates which in turn support very low probabilities of release for a maritime application. Wherever possible, the proposed plan is supported by actual accident (casualty) data. Additional supporting information regarding a highway transportation probabilistic risk assessment in support of the Project Pele demonstration reactor that is currently under development is also referenced and discussed.

11 NUCLEAR FUEL CYCLE AND FUEL MATERIALS↗

Sensor Based Engine Life Calculation: A Probabilistic Perspective

It is generally known that an engine component will accumulate damage (life usage) during its lifetime of use in a harsh operating environment. The commonly used cycle count for engine component usage monitoring has an inherent range of uncertainty which can be overly costly or potentially less safe from an operational standpoint. With the advance of computer technology, engine operation modeling, and the understanding of damage accumulation physics, it is possible (and desirable) to use the available sensor information to make a more accurate assessment of engine component usage. This paper describes a probabilistic approach to quantify the effects of engine operating parameter uncertainties on the thermomechanical fatigue (TMF) life of a selected engine part. A closed-loop engine simulation with a TMF life model is used to calculate the life consumption of different mission cycles. A Monte Carlo simulation approach is used to generate the statistical life usage profile for different operating assumptions. The probabilities of failure of different operating conditions are compared to illustrate the importance of the engine component life calculation using sensor information. The results of this study clearly show that a sensor-based life cycle calculation can greatly reduce the risk of component failure as well as extend on-wing component life by avoiding unnecessary maintenance actions.

Guo, Ten-Huei↗

Supply Chain Research and Analysis for Space Systems

The implementation of NASA GSFC's portfolio of mission projects relies upon inter-connected, multi-tiered supply chains of organizations operating under direct and indirect contracts and other agreements throughout the U.S. and around the world. These supply chains are subject to an inter-related array of technical/production, business, market and security risks that are amplified by the ongoing globalization of industry and technology and which can disrupt or threaten the production and delivery of products and services when needed and in conformance with requirements. In recognition of such risks and associated challenges, GSFC's SMA directorate launched an innovative Supply Chain Research and Analysis capability three years ago to gain greater insight into the operating environment, performance, capabilities and viability of current and prospective suppliers for GSFC projects and proposals. The capability uses business intelligence techniques and primarily open source information resources as part of a cost-effective, non-intrusive methodology to produce several types of research and analysis reports. The reports are based on a holistic analytical framework encompassing key technical/production, business enterprise management, market and security factors, and feature in-depth information, summary information profiles, SWOT (Strengths, Weaknesses, Opportunities, Threats) analysis, and candidate risk concerns in order to pro-actively support SMA and project management needs. The SRA capability, which is designed to complement and support ongoing SMA/project management activities and practices, has produced over 105 reports since its start-up in early 2015.This presentation addresses the approach, methodology and performance of the Supply Chain Research and Analysiscapability and its value in assuring the success of NASA mission projects. In doing so, the presentation provides lessons-learned, best practices, case examples and address how it fits into the development of an enterprise-level Supply Chain Risk Management capability.

supply chain risk management↗

MRI-Based Computational Fluid Dynamics in Experimental Vascular Models: Toward the Development of an Approach for Prediction of Cardiovascular Changes During Prolonged Space Missions

A priority of NASA is to identify and study possible risks to astronauts health during prolonged space missions [l]. The goal is to develop a procedure for a preflight evaluation of the cardiovascular system of an astronaut and to forecast how it will be affected during the mission. To predict these changes, a computational cardiovascular model must be constructed. Although physiology data can be used to make a general model, a more desirable subject-specific model requires anatomical, functional, and flow data from the specific astronaut. MRI has the unique advantage of providing images with all of the above information, including three-directional velocity data which can be used as boundary conditions in a computational fluid dynamics (CFD) program [2,3]. MRI-based CFD is very promising for reproduction of the flow patterns of a specific subject and prediction of changes in the absence of gravity. The aim of this study was to test the feasibility of this approach by reconstructing the geometry of MRI-scanned arterial models and reproducing the MRI-measured velocities using CFD simulations on these geometries.

Spirka, T. A.↗

Proceedings of the NASA Technical Interchange Meeting on Active Optical Systems for Supporting Science, Exploration, and Aeronautics Measurements Needs

Active optical (Laser/Lidar) measurement techniques are critical for the future National Aeronautics and Space Administration (NASA) Earth, Planetary Science, Exploration, and Aeronautics measurements. The latest science decadal surveys recommend a number of missions requiring active optical systems to meet the science measurement objectives and the aeronautics community continues to use Laser/Lidar technologies to meet the aeronautics measurement objectives. With these drivers, the NASA Agency Program Management Council (APMC), chaired by the NASA Associate Administrator, has tasked the NASA Sensors and Instrumentation (S&I) Capability Leadership Team (CLT) Leader to determine if the Agency has the necessary expertise and capabilities to execute successfully the active optical-based systems necessary to make the required measurements for Science, Exploration, and Aeronautics. This NASA Technical Interchange Meeting (TIM) was a forum to exchange perspectives on the current state of the discipline’s technologies and the direction NASA needs to take in the future to raise the Technical Readiness Level (TRL) of the measurement technologies to meet these measurement needs in the applications domains. The information developed at this TIM was used in formulating the Agency-level strategy and solutions for advancing high-risk Laser/Lidar technologies that are not currently being sufficiently planned, developed, or risk-reduced to meet NASA’s mission requirements. Given the crosscutting synergies in critical Active Optical measurements for NASA Science, Exploration, and Aeronautics, a strategic approach is needed to identify areas where NASA should “lead, leverage or collaborate” with existing national and international industries to meet its future needs. The TIM aimed at focusing NASA’s directions to attain the necessary TRLs to meet the Agency-level priority Active Optical measurements in Space and Aeronautics. The TIM presentations and strategic inputs were synthesized by the NASA Active Optical Tiger Team for presentation to the NASA APMC with a suggested strategy to address the Agency’s needs in a crosscutting, synergistic and cost-effective manner.

Singh, Upendra N↗

Applying Cyber-Informed Engineering to Power System Operations

This presentation covers the interaction of the discipline of system operations with the growing body of knowledge around Cyber-Informed Engineering (CIE). First is discussion of a number of fundamental concepts for system operators - organizational division of responsibilities, human and machine cooperation, goals, and priorities. The next section covers the reasons why CIE was developed, what it is, and the key design and operational, and organizational principles of CIE. Finally, some thoughts on how CIE can be applied to power system operations are offered, along with some examples of how an organization can approach applying CIE principles in their particular circumstances.

24 POWER TRANSMISSION AND DISTRIBUTION↗

Optimizing Information Automation Using a New Method Based on System-Theoretic Process Analysis: Tool Development and Method Evaluation

This report is an update to a prior report that describes progress and findings for a program of research supporting the design and optimization of information automation systems for nuclear power plants. Much of the domestic nuclear fleet is currently focused on modernizing technologies and processes, including transitioning toward digitalization in the control room and throughout the plant, along with a greater interest in the use of automation, artificial intelligence, robotics, and other emerging technologies. While there are significant opportunities to apply these technologies toward greater plant safety, efficiency, and overall cost-effectiveness, optimizing their design and avoiding potential safety and performance risks depends on ensuring that human performance-related organizational and technical design issues are identified and addressed early in the design process. This report describes modeling tools and techniques, based on sociotechnical systems theory, to support these design goals and their application in the current research effort. The report is primarily intended for senior nuclear energy stakeholders, including regulators, corporate management, and senior plant management. We have developed and employed a method to design an optimized information automation ecosystem (IAE) based on the systems-theoretic constructs underlying sociotechnical systems theory in general and the Systems-Theoretic Accident Modeling and Processes (STAMP) approach in particular. We argue that an IAE can be modeled as an interactive information control system whose behavior can be understood in terms of dynamic control, feedback, and communication relationships amongst the system’s technical and organizational components. We have employed two STAMP-based tools in this effort. The first is Causal Analysis based on STAMP (CAST), an accident and incident analysis technique that was used to examine a performance- and safety-related incident at an industry partner’s plant involving the unintentional activation of an emergency diesel generator. This analysis provided insight into the behavior of the plant’s current information control structure within the context of a specific, significant event. The second tool is Systems Theoretic Process Analysis (STPA) which is a proactive risk analysis tool used to examine existing and potential, planned sociotechnical systems. STPA was used to identify risk factors in the current design of a generic nuclear power plant (NPP) preventive maintenance system. Our analyses focused on identifying near-term system improvements and longer-term design requirements for an optimized IAE system. CAST analysis findings indicate an important underlying contributor to the incident under investigation, and a significant risk to information automation system performance, was perceived time and schedule pressure, which exposed weaknesses in interdepartmental coordination between and within responsible plant organizations and challenged the resilience of established plant processes, until a human caused the eventual event. These findings are discussed in terms of their risk to overall system performance and their implications for information automation system resilience and brittleness. STPA findings exposed several areas of concern in the design of current preventive maintenance systems. We also present two preliminary information automation models. The proactive issue resolution (PIR) model is a test case of an information automation concept with significant near-term potential for application and subsequent reduction in significant plant events. The IAE model is a more general representation of a broader, plantwide information automation system and represents an end-state vision for our work. From our results, we have generated an initial set of preliminary system-level requirements and safety constraints for these models. We have also focused on early development of easy to learn, easy to use “transportable” tools for sociotechnical systems analysis. We intend these to be used by NPP personnel as a means of gaining reliable and relatively quick insight into (1) sociotechnical systems factors impacting incidents and accidents, (2) potential sociotechnical risk factors in existing or planned system designs, and (3) potential weaknesses in a system’s safety and/or information control structure. We conclude the report with a set of summary recommendations, a discussion of planned and potential follow-on research and development, and a draft list of system-level requirements and safety constraints for optimized information automation systems.

99 GENERAL AND MISCELLANEOUS↗

Exploration Medical Capability - Advancing Medical System Design and Risk-Informed Decision Making for Deep Space Exploration

BACKGROUND: Within NASA’s Human Research Program, the Exploration Medical Capability (ExMC) Element has three primary focus areas: clinical and scientific research, systems engineering and trade space analysis, and technology development and demonstrations. These focus areas feed into the overarching goal of enabling progressively Earth-Independent Medical Operations (EIMO), a new paradigm that will be necessary for future Artemis and Mars medical and vehicle systems. This EIMO end state aligns with NASA’s Moon to Mars Objectives, which clearly outline the need for NASA deep space exploration missions to reduce their reliance upon Earth and become increasingly autonomous, in preparation for the first human Mars mission. OVERVIEW: To advance exploration medical systems and ultimately, integrated crew health and performance systems, ExMC’s portfolio includes: funding ground development & testing of novel medical capabilities; creation of new approaches for the development of medical protocols and procedures; deployment of innovative technologies into analog environments; technology demonstrations in spaceflight; and eventual transition to operations of new capabilities for deep space exploration missions. The portfolio also includes: pharmaceutical research targeting stability, pharmacokinetics, and pharmacodynamics; integrated data architectures and clinical decision support tools; and systems engineering and trade space analysis tools to assist NASA in the development of future medical system models as well as the medical system requirements that can serve as a foundation for deep space exploration missions. All of these investments are done in a collaborative and coordinated fashion with other NASA stakeholders, such as the Environmental Control and Life Support Systems – Crew Health and Performance System Capability Leadership Team and the Health and Medical Technical Authority. DISCUSSION: In this presentation, ExMC will provide an overview of our work from across our portfolio, all of which will inform future EIMO efforts at NASA. ExMC’s research and development investments are targeted to reduce the human system risks associated with deep space exploration to the Moon and Mars.

Kris Lehnhardt↗