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Medical Optimization Network for Space Telemedicine Resources
INTRODUCTION: Long-duration missions beyond low Earth orbit introduce new constraints to the space medical system. Beyond the traditional limitations in mass, power, and volume, consideration must be given to other factors such as the inability to evacuate to Earth, communication delays, and limitations in clinical skillsets. As NASA develops the medical system for an exploration mission, it must have an ability to evaluate the trade space of what resources will be most important. The Medical Optimization Network for Space Telemedicine Resources (MONSTR) was developed over the past year for this reason, and is now a system for managing data pertaining to medical resources and their relative importance when addressing medical conditions. METHODS: The MONSTR web application with a Microsoft SQL database backend was developed and made accessible to Tableau v9.3 for analysis and visualization. The database was initially populated with a list of medical conditions of concern for an exploration mission taken from the Integrated Medical Model (IMM), a probabilistic model designed to quantify in-flight medical risk. A team of physicians working within the Exploration Medical Capability Element of NASA's Human Research Program compiled a list diagnostic and treatment medical resources required to address best- and worst-case scenarios of each medical condition using a terrestrial standard of care and entered this data into the system. This list included both tangible resources (e.g. medical equipment, medications) and intangible resources (e.g. clinical skills required to perform a procedure). The physician team then assigned criticality values to each instance of a resource, representing the importance of that resource to diagnosing or treating its associated condition(s). Medical condition probabilities of occurrence during a Mars mission were pulled from the IMM and imported into the MONSTR database for use within a resource criticality-weighting algorithm. DISCUSSION: The MONSTR tool is a novel approach to assess the relative value of individual resources needed for the diagnosis and treatment of medical conditions. Future work will add resources for prevention and long term care of these conditions. Once data collection is complete, MONSTR will provide the operational and research communities at NASA with information to support informed decisions regarding areas of research investment, future crew training, and medical supplies manifested as part of any exploration medical system.
Medical Optimization Network for Space Telemedicine Resources
INTRODUCTION: Long-duration missions beyond low Earth orbit introduce new constraints to the space medical system such as the inability to evacuate to Earth, communication delays, and limitations in clinical skillsets. NASA recognizes the need to improve capabilities for autonomous care on such missions. As the medical system is developed, it is important to have an ability to evaluate the trade space of what resources will be most important. The Medical Optimization Network for Space Telemedicine Resources was developed for this reason, and is now a system to gauge the relative importance of medical resources in addressing medical conditions. METHODS: A list of medical conditions of potential concern for an exploration mission was referenced from the Integrated Medical Model, a probabilistic model designed to quantify in-flight medical risk. The diagnostic and treatment modalities required to address best and worst-case scenarios of each medical condition, at the terrestrial standard of care, were entered into a database. This list included tangible assets (e.g. medications) and intangible assets (e.g. clinical skills to perform a procedure). A team of physicians working within the Exploration Medical Capability Element of NASA's Human Research Program ranked each of the items listed according to its criticality. Data was then obtained from the IMM for the probability of occurrence of the medical conditions, including a breakdown of best case and worst case, during a Mars reference mission. The probability of occurrence information and criticality for each resource were taken into account during analytics performed using Tableau software. RESULTS: A database and weighting system to evaluate all the diagnostic and treatment modalities was created by combining the probability of condition occurrence data with the criticalities assigned by the physician team. DISCUSSION: Exploration Medical Capabilities research at NASA is focused on providing a medical system to support crew medical needs in the context of a Mars mission. MONSTR is a novel approach to performing a quantitative risk analysis that will assess the relative value of individual resources needed for the diagnosis and treatment of various medical conditions. It will provide the operational and research communities at NASA with information to support informed decisions regarding areas of research investment, future crew training, and medical supplies manifested as part of the exploration medical system.
STBO Client User Manual
This document serves as a user manual for the STBO Client utilized by ATC in the Tower. It describes the elements of the STBO Client and provides explanations for how to interact with the interface. STBO Client functionality includes the display of live flight information and management of traffic restrictions. The STBO Client is a component of the NASA Airspace Technology Demonstration 2 (ATD-2) sub-project.
Advanced Capabilities for Emergency Response Operations (ACERO)
The Advanced Capabilities for Emergency Response Operations (ACERO) project is expected to develop, integrate, demonstrate, and transition to operations, evolving aviation technologies from NASA and industry to identify, monitor, and suppress wildland fires as a means to enhance safety, improve operational efficiency, and prevent economic loss. Some of the concepts ACERO explores are: wildfire airspace mangement to improve safety and resource utilization during a disaster, applying new aviation technologies to improve safety and demonstrate new mission-support capabilities, second-shift operations to enable progress towards 24/7 aerial response, and the integration of capabilities across NASA's Aeronautics Research, Science, and Space Technology mission directorates to enable expanded and scalable operations. Realizing this vision is expected to bring positive impact to such areas as: consistency of technology adoption through a unified concept of operations, airspace coordination and deconfliction that integrates portable solutions and enables diverse operations, remote sensing and data fusion for modeling and predictions that support in-time decision making, aircraft technologies for hazard avoidance and state management, and increased response capabilities through persistent communications and surveillance. ACERO continues the research begun under the Scalable Traffic Management for Emergency Response Operations (STEReO) activity, which brings together several technologies in Unmanned Aircraft Systems (UAS) Traffic Management (UTM), Autonomy, Communications, Human Factors, and Domain Expertise & Tools, aimed at providing scalability and flexibility, as well as operational resiliency to dynamic changes during a disaster event. Some of the concepts STEReO explores are: collaborative tools to ingest remote sensing information and distribute a common mission operating picture, apply ad-hoc communication networks to facilitate timely information sharing and communication of changes, vehicle-to-vehicle and onboard autonomy technologies ensure the safety and resiliency of operations, and apply NASA’s UAS traffic management system (UTM) as a public safety UAS Service Supplier (USS) to access and coordinate use of the airspace by both manned and unmanned operations. The potential benefits of STEReO include: standardized, cross-platform communication means increased interoperability and ease of cooperation/collaboration, increased situation awareness and common operating picture allow for earlier detection and decision making, and scalable to size and complexity of environment, operations, and mission objectives. This presentation gives an informational overview of the ACERO and STEReO projects to the Council of Western State Foresters (CWSF) Western State Fire Managers (WSFM) Committee.
End-user Assessment of the NASA SPoRT GLM Stoplight Product
National Weather Service (NWS) offices monitor and forecast the threat for lightning within their County Warning Areas for various impact-based decision support services (IDSS). These forecasts are provided routinely for aviation operations, but irregularly for large-scale, outdoor events, which typically have varying safety requirements with regards to lightning. Lightning monitoring and forecasting can require synthesizing a plethora of data, so products that make this process more efficient and effective are sought by the operational community. The NASA Short-term Prediction Research and Transition (SPoRT) Center has begun to develop several products to address these operational challenges during the lifecycle of lightning activity, and conduct evaluations in concentrated (Research-to-Operations/Operations-to-Research) efforts. The product evaluated for this study is the Geostationary Lightning Mapper (GLM) Stoplight product, which addresses lightning safety specifically with regards to lightning recency and cessation. The GLM Stoplight product displays the spatial extent of lightning and uses color-coded pixels to show the recency of lightning in 10-minute increments. This presentation highlights results from an assessment of the GLM Stoplight product by select NWS offices, as well as emergency managers, that took place over a 5-week period from May 1st to June 2nd. Feedback was collected on the GLM Stoplight product and on a new and interactive lightning viewer, which allowed participants to tailor visualization of the product based on their location and desired application. Results will help NASA SPoRT gain a better understanding of how forecasters and emergency managers use lightning data for safety applications. In addition, the assessment will inform research on any necessary modifications to this and future lightning products to assist end users.
Towards an Indian Land Data Assimilation System (ILDAS): A Coupled Hydrologic-Hydraulic System for Water Balance Assessments
Effective management of water resources requires reliable estimates of land surface states and fluxes, including water balance components. But most land surface models run in uncoupled mode and do not produce river discharge at catchment scales to be useful for water resources management applications. Such integrated systems are also rare over India where hydrometeorological extremes have wreaked havoc on the economy and people. So, an Indian Land Data Assimilation System (ILDAS) with a coupled land surface and a hydrodynamic model has been developed and driven by multiple meteorological forcings (0.1°, daily) to estimate land surface states, channel discharge, and floodplain inundation. ILDAS benefits from an integrated framework as well as the largest suite of observation records collected over India and has been used to produce a reanalysis product for 1981–2021 using four forcing datasets, namely, Modern-Era Retrospective Analysis for Research and Applications, Version 2 (MERRA-2), Climate Hazards Group InfraRed Precipitation with Station data (CHIRPS), ECMWF’s ERA-5, and Indian Meteorological Department (IMD) gridded precipitation. We assessed the uncertainty and bias in these precipitation datasets and validated all major components of the terrestrial water balance, i.e., surface runoff, soil moisture, terrestrial water storage anomalies, evapotranspiration, and streamflow, against a combination of satellite and in situ observation datasets. Our assessment shows that ILDAS can represent the hydrological processes reasonably well over the Indian landmass with IMD precipitation showing the best relative performance. Evaluation against ESA-CCI soil moisture shows that MERRA-2 based estimates outperform the others, whereas ERA-5 performs best in simulating evapotranspiration when evaluated against MODIS ET. Evaluations against observed records show that CHIRPS-based estimates have the highest performance in reconstructing surface runoff and streamflow. Once operational, this system will be useful for supporting transboundary water management decision making in the region.
Domain specific software design for decision aiding
McDonnell Aircraft Company (MCAIR) is involved in many large multi-discipline design and development efforts of tactical aircraft. These involve a number of design disciplines that must be coordinated to produce an integrated design and a successful product. Our interpretation of a domain specific software design (DSSD) is that of a representation or framework that is specialized to support a limited problem domain. A DSSD is an abstract software design that is shaped by the problem characteristics. This parallels the theme of object-oriented analysis and design of letting the problem model directly drive the design. The DSSD concept extends the notion of software reusability to include representations or frameworks. It supports the entire software life cycle and specifically leads to improved prototyping capability, supports system integration, and promotes reuse of software designs and supporting frameworks. The example presented in this paper is the task network architecture or design which was developed for the MCAIR Pilot's Associate program. The task network concept supported both module development and system integration within the domain of operator decision aiding. It is presented as an instance where a software design exhibited many of the attributes associated with DSSD concept.
Earth Independent Medical Operations (EIMO)
Inherent in interplanetary space travel are unprecedented challenges that could threaten mission success and negatively impact crew health and performance. Return to definitive care is essentially untenable and resources will be constrained with practically no re-supply capability. Access to ground-based medical expertise will be significantly delayed under nominal conditions with exacerbation during conjunction or prolonged dust storms. Taken together, these challenges necessitate the development of a progressively autonomous medical operational support system to assist the crew medical officer (CMO). While support from ground based medical experts will remain indispensable for pre-mission planning, the approach to management of acute/emergent medical contingencies will require a gradual transition of medical care and decision making from terrestrial to space-based assets, enabling support of astronaut health and performance and reducing overall mission risk. To progressively enable EIMO, a series of meetings were convened with subject matter experts from within NASA, academia and industry to facilitate mapping of the path to support autonomous medical operations. Topics explored in these meetings included the scope of data (storage capacity, usage, transmission rate and bandwidth, computing capacity), CMO training, supply and resource management and task load balance. Recommendations from these meetings will inform the EIMO Concept of Operations and definition of the associated requirements culminating in updates to the NASA 3001 standards. The EIMO project team will work with stakeholders to conceptualize a clinical decision support system (CDSS) to assist the CMO in response to medical contingencies when terrestrial support is delayed or otherwise unavailable. The CDSS will be a system of systems that will utilize data from numerous input vectors. Successful deployment of the CDSS will facilitate medical decision making while decreasing the cognitive load leading to an improvement in task load balancing. Additional benefits of the envisioned CDSS include assistance with inventory management, locating resources, storage/retrieval of medical records, highlighting trends in recorded data, in addition to providing a consult for diagnosis and treatment. More advanced features might include passive monitoring to identify early warning signs of behavioral or medical anomalies to possibly pre-empt onset of conditions that would compromise crew health and performance.
Predicting Airport Runway Configurations for Decision-Support Using Supervised Learning
One of the most challenging tasks for air traffic controllers is runway configuration management (RCM). It deals with the optimal selection of runways to operate on (for arrivals and departures) based on current and forecast of traffic, surface wind speed, wind direction, other environmental variables, noise constraints, and several other airport-specific factors. In this paper, a methodology using supervised learning is developed to build a predictive model for RCM decision-support from large volumes of historical data. Data from two full years (2018 and 2019) related to current and forecast weather, demand/capacity, etc. is collected, analyzed, and fused together. A variety of supervised learning algorithms are tested for predicting runway configuration and hyperparameter tuning is carried out to select the best performing model. The validation process involves two airports of low (Charlotte Douglas International Airport, CLT) and high (Denver International Airport, DEN) complexity of configuration decision-making. The results show significant promise for the two airports with test accuracy of 93% (CLT) and 73% (DEN). The methodology is scalable and generalizable to other airports across the U.S. National Airspace System.
Predicting Airport Runway Configuration for Decision-Support Using Supervised Learning
One of the most challenging tasks for air traffic controllers is runway configuration management (RCM). It deals with the optimal selection of runways to operate on (for arrivals and departures) based on current and forecast of traffic, surface wind speed, wind direction, other environmental variables, noise constraints, and several other airport-specific factors. In this paper, a methodology using supervised learning is developed to build a predictive model for RCM decision-support from large volumes of historical data. Data from two full years (2018 and 2019) related to current and forecast weather, demand/capacity, etc. is collected, analyzed, and fused together. A variety of supervised learning algorithms are tested for predicting runway configuration and hyperparameter tuning is carried out to select the best performing model. The validation process involves two airports of low (Charlotte Douglas International Airport, CLT) and high (Denver International Airport, DEN) complexity of configuration decision-making. The results show significant promise for the two airports with test accuracy of 93% (CLT) and 73% (DEN). The methodology is scalable and generalizable to other airports across the U.S. National Airspace System.
Clinical Decision Support - Overview and Update
We are entering a new era in space exploration to return to the moon and explore Mars. These ambitious goals will require significant changes to in-flight and habitat medical care due to constraints on mass, volume, power, crew time and medical evacuation capabilities. These constraints make it absolutely necessary to develop transformative solutions using new technologies. The Exploration Medical Capability (ExMC) Element of the Human Research Program (HRP) pushes the boundary of space medical systems to advance the care of astronauts on future exploration missions beyond low Earth orbit by identifying and testing next-generation medical care and crew health maintenance technologies. The Clinical Decision Support (CDS) project addresses the gap Medical-701 within the Inflight Medical Conditions risk: Enhance medical capabilities within an exploration medical system. For long-duration, deep space missions, computational and data resources will play an important role in maintaining crew health, wellness and performance where the crew will need to be more self-reliant. The aim of the CDS project is to develop and provide recommended requirements for an in-vehicle CDSS that acts as an assistant for delivering optimal health and performance and medical care during exploration missions. The CDSS is envisioned as a software-based tool that will augment a crewmembers’ knowledge, skills and abilities to assist in decision-making and crew health and performance (CHP) management thus increasing CHP systems capabilities. The human interface will be context aware and lessen the cognitive load to assimilate and use information as well as combine large disparate data sets in such a manner that provides the crew with actionable insight to decisions related to crew medical, health and performance management. Crew autonomy will be provided through a CDS that presents knowledge and data in a context aware manner to augment a crew members’ knowledge, skills and abilities during the process of observation, orientation, decisions and action. The CDS project addresses the need for crew members to operate independently during long duration space exploration missions that require medical Levels of Care (LoC) V, the highest level specified by NASA-STD-3001 and described in more detail by the ExMC interpretation of LoC document (NASA/TM-2017-219290), where significant changes to in-flight and habitat medical care necessitate increasing crew autonomy in decision making and task performance. The CDS project will develop and test a series of iterative and increasingly more complex system prototypes. These annual demonstrations of the data system integration with the crew health and performance domain will inform exploration medical system requirements for an on-board Clinical Decision Support System (CDSS) through a series of use cases that guide CDS prototype functionality. CDS concepts are based on ExMC Concept of Operations documents (presented separately) and will highlight architecture extensibility to other more complex analyses and tests using core crew health and performance integrated data management, processing and visualization capabilities. This approach also establishes how externally developed analyses and approaches could be added to expand a clinical decision support system and thus highlight how a comprehensive system can be commercially and/or globally developed. The CDS project will build upon the concept of an integrated data management approach based on the Medical Data Architecture (MDA) project to more fully address challenges associated with in-flight and habitat medical, health and performance care due to constraints on mass, volume, power, crew time and medical evacuation capabilities required for medical LoC V. These requirements will be derived through systems engineering approaches and software prototype developments over the course of the multi-year CDS project to address crew health and performance decision-making and task performance, often autonomously executed by the crew, in a manner that is consistent with the appropriate medical level of care for the mission. This presentation will provide an overview of the vision for the CDS project and highlight the initial accomplishments in project planning, implementation and requirements identification in fiscal year 2020.
Objective Measurement Assessment of Departure Advisories for Ramp Controllers from a Human-In-The-Loop Simulation
NASA has developed and demonstrated an integrated arrival, departure, and surface concept and technology for efficient air traffic management in busy terminal environments under the Airspace Technology Demonstration 2 (ATD-2) subproject. In April/May 2019, NASA conducted a human-in-the-loop (HITL) simulation with ramp and tower controllers having experience at Dallas/Fort Worth International Airport (DFW). The purpose of this HITL was to evaluate the impacts of various surface metering goals in ramp operations at DFW and test new features of the ATD-2 ramp controller decision support tools. This paper evaluates the quantitative metrics from the simulation results related to airport performance and surface metering given various departure scheduling advisories for ramp controllers. The objective measurements compared include the controller’s compliance with the target times for pushback and spot arrival, the number of metered flights, aircraft gate hold and taxi time, runway throughput, and the number of aircraft on the surface. The simulation results show that there were no statistically significant benefits from surface metering at DFW for airport performance due to several simulation artifacts notably different from real operations. Considering controller workload and situation awareness, following either gate pushback or spot arrival advisory could be a better metering option than utilizing both advisories when surface metering is applied at DFW.
Operability Engineering for the Europa Clipper Mission: Formulation Phase Results and Lessons
Operability is an important factor in both success and cost of space missions, but is difficult to quantify, and can suffer if not considered as part of early formulation and design. The Europa Clipper mission has taken a deliberate approach to infusing operability into the concepts and designs since early in the formulation phase. This paper reports on that approach to operability and the results thus far, as the Europa Clipper mission approaches its Preliminary Design Review. Definitions for operability and its various aspects are presented along with a description of the engineering and organizational approach taken to infusing operability into designs. A number of examples of operability requirements are shown, and key examples of trade studies and design decisions are described, along with influence on outcomes motivated by operability considerations. We find that support from management, empowerment of a cross-discipline Operability Working Group, consistent tracking of operability aspects over time, and broad infusion and participation in operability considerations are all significant factors in implementing operability. In particular, thoughtful and deliberate consideration of operability criteria has led to design decisions that include proper consideration of concerns related to the mission operations phase, and seem likely to provide better science results and mission outcomes.
Derivation of Failure Rates and Probability of Failures for the International Space Station Probabilistic Risk Assessment Study
National Aeronautics and Space Administration s (NASA) International Space Station (ISS) Program uses Probabilistic Risk Assessment (PRA) as part of its Continuous Risk Management Process. It is used as a decision and management support tool to not only quantify risk for specific conditions, but more importantly comparing different operational and management options to determine the lowest risk option and provide rationale for management decisions. This paper presents the derivation of the probability distributions used to quantify the failure rates and the probability of failures of the basic events employed in the PRA model of the ISS. The paper will show how a Bayesian approach was used with different sources of data including the actual ISS on orbit failures to enhance the confidence in results of the PRA. As time progresses and more meaningful data is gathered from on orbit failures, an increasingly accurate failure rate probability distribution for the basic events of the ISS PRA model can be obtained. The ISS PRA has been developed by mapping the ISS critical systems such as propulsion, thermal control, or power generation into event sequences diagrams and fault trees. The lowest level of indenture of the fault trees was the orbital replacement units (ORU). The ORU level was chosen consistently with the level of statistically meaningful data that could be obtained from the aerospace industry and from the experts in the field. For example, data was gathered for the solenoid valves present in the propulsion system of the ISS. However valves themselves are composed of parts and the individual failure of these parts was not accounted for in the PRA model. In other words the failure of a spring within a valve was considered a failure of the valve itself.
A System for Fault Management and Fault Consequences Analysis for NASA's Deep Space Habitat
NASA's exploration program envisions the utilization of a Deep Space Habitat (DSH) for human exploration of the space environment in the vicinity of Mars and/or asteroids. Communication latencies with ground control of as long as 20+ minutes make it imperative that DSH operations be highly autonomous, as any telemetry-based detection of a systems problem on Earth could well occur too late to assist the crew with the problem. A DSH-based development program has been initiated to develop and test the automation technologies necessary to support highly autonomous DSH operations. One such technology is a fault management tool to support performance monitoring of vehicle systems operations and to assist with real-time decision making in connection with operational anomalies and failures. Toward that end, we are developing Advanced Caution and Warning System (ACAWS), a tool that combines dynamic and interactive graphical representations of spacecraft systems, systems modeling, automated diagnostic analysis and root cause identification, system and mission impact assessment, and mitigation procedure identification to help spacecraft operators (both flight controllers and crew) understand and respond to anomalies more effectively. In this paper, we describe four major architecture elements of ACAWS: Anomaly Detection, Fault Isolation, System Effects Analysis, and Graphic User Interface (GUI), and how these elements work in concert with each other and with other tools to provide fault management support to both the controllers and crew. We then describe recent evaluations and tests of ACAWS on the DSH testbed. The results of these tests support the feasibility and strength of our approach to failure management automation and enhanced operational autonomy
The Automated Logistics Element Planning System (ALEPS)
The design and functions of ALEPS (Automated Logistics Element Planning System) is a computer system that will automate planning and decision support for Space Station Freedom Logistical Elements (LEs) resupply and return operations. ALEPS provides data management, planning, analysis, monitoring, interfacing, and flight certification for support of LE flight load planning activities. The prototype ALEPS algorithm development is described.
Key Metrics and Goals for NASA's Advanced Air Transportation Technologies Program
NASA's Advanced Air Transportation Technologies (AATT) program is developing a set of decision support tools to aid air traffic service providers, pilots, and airline operations centers in improving operations of the National Airspace System (NAS). NASA needs a set of unifying metrics to tie these efforts together, which it can use to track the progress of the AATT program and communicate program objectives and status within NASA and to stakeholders in the NAS. This report documents the results of our efforts and the four unifying metrics we recommend for the AATT program. They are: airport peak capacity, on-route sector capacity, block time and fuel, and free flight-enabling.