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Exploration Medical Capability Clinical Decision Support System Concept of Operations

The Clinical Decision Support (CDS) project supports the Exploration Medical Capability (ExMC) Element of the Human Research Program (HRP). Specifically, the CDS project addresses the ExMC gap, Medical-701: 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 as we enter a new era in space exploration to return to the moon and explore Mars. These ambitious goals will require significant change in in-flight medical care due to constraints on mass, volume, power, crew time, skills reduction over time and medical evacuation capabilities. These constraints make it absolutely necessary to develop transformative solutions using new technologies. Unlike the current paradigm for crew health in low-Earth orbit missions that rely on constant communication with Mission Control, the deep space missions will experience communication delays and possibly, no communications for finite periods of time. Hence, crew health management will benefit from analytics’ capabilities to augment decision support. A comprehensive, multi-functional on-board clinical decision support system (CDSS) will help crews assess and diagnose conditions, decide appropriate responses, and guide the provision of tailored and evidence-based treatments, while reflecting contextual factors and constraints. The context may include present and historical data, viable diagnostic equipment, available supplies and medications, and vehicle and environmental health. Communication time with ground-based personnel is delayed or non-existent during significant portions of the mission so the crew will need to autonomously respond to health, performance and medical situations, particularly those that are unplanned. The CDSS must also provide additional capabilities as complex as training for an emergency situation while augmenting non-expert practitioner skillsets if the Crew Medical Officer (CMO) is incapacitated, and as routine as facilitating delayed communication with flight surgeons on the ground. The CDSS must connect complex issues involving health, wellness, task performance and environmental domains. Furthermore, CDSS functionality will focus on semi-autonomous and autonomous decision-making by the crew that is necessary to address challenges in executing a self-contained medical system that enables health care without assistance from ground clinical experts. The document, ExMC CDSS Architecture Recommendation, (HRP- 48032) establishes a description of the envisioned CDSS architecture. The analytics, descriptive or advanced, contained in a CDSS will interface with the integrated crew health and performance architecture that provides the appropriate data sets. The aim of the CDS project is to develop requirements for a CDSS through a series of test-bed prototype developments and demonstrations.

HRP↗

Studying Human-System Interaction within the UTM System

Over five years, NASA, together with partnering organizations, has been developing and successfully demonstrating the maturing capabilities of the Unmanned Aircraft Systems (UAS) Traffic Management (UTM) system and its ability to support communication and coordination among small UAS operations through a series of flight tests. During these flight tests, human-system interaction (HSI) elements were also explored in order to identify the barriers to implementation as human operators transitionally fulfill roles that will be ultimately tasked to future automation. Throughout the tests, similar issues were regularly documented and are expected to persist if not formally addressed by consistent procedures or regulation. Documented here, along with suggested mitigations, are the most frequently noted HSI items, which include operator training, data standardization, and information quantity. .

UTM↗

Studying Human-System Interaction with the UTM System

Over five years, NASA, together with partnering organizations, has been developing and successfully demonstrating the maturing capabilities of the Unmanned Aircraft Systems (UAS) Traffic Management (UTM) system and its ability to support communication and coordination among small UAS operations through a series of flight tests. During these flight tests, human-system interaction (HSI) elements were also explored in order to identify the barriers to implementation as human operators transitionally fulfill roles that will be ultimately tasked to future automation. Throughout the tests, similar issues were regularly documented and are expected to persist if not formally addressed by consistent procedures or regulation. Documented here, along with suggested mitigations, are the most frequently noted HSI items, which include operator training, data standardization, and information quantity.

UTM↗

Unmanned Aircraft Systems (UAS) Integration in the National Airspace System (NAS) Project KDP-C Review

The topics discussed are the UAS-NAS project life-cycle and ARMD thrust flow down, as well as the UAS environments and how we operate in those environments. NASA's Armstrong Flight Research Center at Edwards, CA, is leading a project designed to help integrate unmanned air vehicles into the world around us. The Unmanned Aircraft Systems Integration in the National Airspace System project, or UAS in the NAS, will contribute capabilities designed to reduce technical barriers related to safety and operational challenges associated with enabling routine UAS access to the NAS. The project falls under the Integrated Systems Research Program office managed at NASA Headquarters by the agency's Aeronautics Research Mission Directorate. NASA's four aeronautics research centers - Armstrong, Ames Research Center, Langley Research Center, and Glenn Research Center - are part of the technology development project. With the use and diversity of unmanned aircraft growing rapidly, new uses for these vehicles are constantly being considered. Unmanned aircraft promise new ways of increasing efficiency, reducing costs, enhancing safety and saving lives 460265main_ED10-0132-16_full.jpg Unmanned aircraft systems such as NASA's Global Hawks (above) and Predator B named Ikhana (below), along with numerous other unmanned aircraft systems large and small, are the prime focus of the UAS in the NAS effort to integrate them into the national airspace. Credits: NASA Photos 710580main_ED07-0243-37_full.jpg The UAS in the NAS project envisions performance-based routine access to all segments of the national airspace for all unmanned aircraft system classes, once all safety-related and technical barriers are overcome. The project will provide critical data to such key stakeholders and customers as the Federal Aviation Administration and RTCA Special Committee 203 (formerly the Radio Technical Commission for Aeronautics) by conducting integrated, relevant system-level tests to adequately address safety and operational challenges of national airspace access by unmanned aircraft systems, or UAS. In the process, the project will work with other key stakeholders to define necessary deliverables and products to help enable such access. Within the project, NASA is focusing on five sub-projects. These five focus areas include assurance of safe separation of unmanned aircraft from manned aircraft when flying in the national airspace; safety-critical command and control systems and radio frequencies to enable safe operation of UAS; human factors issues for ground control stations; airworthiness certification standards for UAS avionics and integrated tests and evaluation designed to determine the viability of emerging UAS technology. Five Focus Areas of the UAS Integration in the NAS Project Separation Assurance Provide an assessment of how planned Next Generation Air Transportation System (NextGen) separation assurance systems, with different functional allocations, perform for UAS in mixed operations with manned aircraft Assess the applicability to UAS and the performance of NASA NextGen separation assurance systems in flight tests with realistic latencies and uncertain trajectories Assess functional allocations ranging from today's ground-based, controller-provided aircraft separation to fully autonomous airborne self-separation Communications Develop data and rationale to obtain appropriate frequency spectrum allocations to enable safe and efficient operation of UAS in the NAS Develop and validate candidate secure safety-critical command and control system/subsystem test equipment for UAS that complies with UAS international/national frequency regulations, standards and recommended practices and minimum operational and aviation system performance standards for UAS Perform analysis to support recommendations for integration of safety-critical command and control systems and air traffic control communications to ensure safe and efficient operation of UAS in the NAS Human Systems Integration Develop a research test bed and database to provide data and proof of concept for GCS - ground control station - operations in the NAS Coordinate with standards organizations to develop human-factors guidelines for GCS operation in the NAS Certification Define a UAS classification scheme and approach to determining Federal Aviation Regulation airworthiness requirements applicable to all UAS digital avionics Provide hazard and risk-related data to support development of type design criteria and best development practices Integrated Tests and Evaluation Integrate and test mature concepts from technical elements to demonstrate and test viability Evaluate the performance of technology development in a relevant environment (full-mission, human-in-the-loop simulations and flight tests)

outreach↗

eGridGPT: Trustworthy AI in the Control Room

This report outlines the synergy between human decision making and generative artificial intelligence (GenAI), where GenAI supports power system operators by analyzing procedures, suggesting actions, simulating scenarios with physics-based digital twins, and recommending optimal decisions. This report is the first research effort to apply large language models (LLMs), a type of GenAI, in the power grid control room. The authors describe the Electric Grid Generative Pretrained Transformer (eGridGPT), an LLM that virtually assists system operators. Developed with cybersecurity and regulatory requirements in mind, eGridGPT represents an opportunity to responsibly evolve control room technologies to meet the needs of a rapidly changing grid. As an innovative concept, eGridGPT seeks to spearhead productive discussions about the advanced technologies in the control room of the future amid the transition to clean energy.

24 POWER TRANSMISSION AND DISTRIBUTION↗

Recent Space Shuttle crew compartment design improvements

Significant design changes to the Space Shuttle waste management system (WMS) and its related personal hygiene support provisions (PHSP) have been made recently to improve overall operational performance and human factors interfaces. The WMS design improvements involve increased urinal flow, individual urinals, and provisions for manually compacting feces and cleanup materials to ensure adequate mission capacity. The basic arrangement and stowage of the PHSP used during waste management operations were extensively changed to better serve habitability concerns and operations needs, and to improve the hygiene of WMS operations. This paper describes these changes and the design, development, and flight test evaluation. In addition, provisions for an eighth crewmember and a new four-tier sleep station are described.

Goodman, Jerry R.↗

USSR Space Life Sciences Digest, issue 14

This is the fourteenth issue of NASA's USSR Space Life Sciences Digest. It contains abstracts of 32 papers recently published in Russian language periodicals and bound collections and of three new Soviet monographs. Selected abstracts are illustrated with figures and tables from the original. Also included is a review of a recent Soviet conference on Space Biology and Aerospace Medicine. Current Soviet life sciences titles available in English are cited. The materials included in this issue have been identified as relevant to the following areas of aerospace medicine and space biology: adaptation, biological rhythms, body fluids, botany, cardiovascular and respiratory systems, developmental biology, endocrinology, enzymology, equipment and instrumentation, gastrointestinal systems, habitability and environment effects, human performance, immunology, life support systems, mathematical modeling, metabolism, musculoskeletal system, neurophysiology, nutrition, operational medicine, perception, personnel selection, psychology, radiobiology, and space biology and medicine.

Hooke, Lydia Razran↗

An operator interface design for a telerobotic inspection system

The operator interface has recently emerged as an important element for efficient and safe interactions between human operators and telerobotics. Advances in graphical user interface and graphics technologies enable us to produce very efficient operator interface designs. This paper describes an efficient graphical operator interface design newly developed for remote surface inspection at NASA-JPL. The interface, designed so that remote surface inspection can be performed by a single operator with an integrated robot control and image inspection capability, supports three inspection strategies of teleoperated human visual inspection, human visual inspection with automated scanning, and machine-vision-based automated inspection.

Kim, Won S.↗

Abort Options for Human Lunar Missions between Earth Orbit and Lunar Vicinity

Apollo mission design emphasized operational flexibility that supported premature return to Earth. However, that design was tailored to use expendable hardware for short expeditions to low-latitude sites and cannot be applied directly to an evolutionary program requiring long stay times at arbitrary sites. This work establishes abort performanc e requirements for representative onorbit phases of missions involvin g rendezvous in lunar-orbit, lunar-surface and at the Earth-Moon libr ation point. This study submits reference abort delta-V requirements and other Earth return data (e.g., entry speed, flight path angle) and also examines the effect of abort performance requirements on propul sive capability for selected vehicle configurations.

Condon, Gerald L.↗

2011 Highlights: Advanced Simulation Research at NASA Ames

The Simulation Laboratories (SimLabs) at NASA Ames support a wide range of research in aerospace vehicles, aerospace systems and operations, human factors, and aviation safety. Our state-of-the-art simulation facilities are available to develop your future concepts and technologies.

simulation research↗

Exploration Medical Capability System Engineering Overview

Deep Space Gateway and Transport missions will change the way NASA currently practices medicine. The missions will require more autonomous capability compared to current low Earth orbit operations. For the medical system, lack of consumable resupply, evacuation opportunities, and real-time ground support are key drivers toward greater autonomy. Recognition of the limited mission and vehicle resources available to carry out exploration missions motivates the Exploration Medical Capability (ExMC) Element's approach to enabling the necessary autonomy. The ExMC Systems Engineering team's mission is to "Define, develop, validate, and manage the technical system design needed to implement exploration medical capabilities for Mars and test the design in a progression of proving grounds." The Element's work must integrate with the overall exploration mission and vehicle design efforts to successfully provide exploration medical capabilities. ExMC is using Model-Based System Engineering (MBSE) to accomplish its integrative goals. The MBSE approach to medical system design offers a paradigm shift toward greater integration between vehicle and the medical system, and directly supports the transition of Earth-reliant ISS operations to the Earth-independent operations envisioned for Mars. This talk will discuss how ExMC is using MBSE to define operational needs, decompose requirements and architecture, and identify medical capabilities needed to support human exploration. How MBSE is being used to integrate across disciplines and NASA Centers will also be described. The medical system being discussed in this talk is one system within larger habitat systems. Data generated within the medical system will be inputs to other systems and vice versa. This talk will also describe the next steps in model development that include: modeling the different systems that comprise the larger system and interact with the medical system, understanding how the various systems work together, and developing tools to support trade studies.

Mindock, J.↗

Exploration Medical Cap Ability System Engineering Overview

Deep Space Gateway and Transport missions will change the way NASA currently practices medicine. The missions will require more autonomous capability compared to current low Earth orbit operations. For the medical system, lack of consumable resupply, evacuation opportunities, and real-time ground support are key drivers toward greater autonomy. Recognition of the limited mission and vehicle resources available to carry out exploration missions motivates the Exploration Medical Capability (ExMC) Element's approach to enabling the necessary autonomy. The ExMC Systems Engineering team's mission is to "Define, develop, validate, and manage the technical system design needed to implement exploration medical capabilities for Mars and test the design in a progression of proving grounds." The Element's work must integrate with the overall exploration mission and vehicle design efforts to successfully provide exploration medical capabilities. ExMC is using Model-Based System Engineering (MBSE) to accomplish its integrative goals. The MBSE approach to medical system design offers a paradigm shift toward greater integration between vehicle and the medical system, and directly supports the transition of Earth-reliant ISS operations to the Earth-independent operations envisioned for Mars. This talk will discuss how ExMC is using MBSE to define operational needs, decompose requirements and architecture, and identify medical capabilities needed to support human exploration. How MBSE is being used to integrate across disciplines and NASA Centers will also be described. The medical system being discussed in this talk is one system within larger habitat systems. Data generated within the medical system will be inputs to other systems and vice versa. This talk will also describe the next steps in model development that include: modeling the different systems that comprise the larger system and interact with the medical system, understanding how the various systems work together, and developing tools to support trade studies.

McGuire, K.↗

Effects of Autonomous sUAS Separation Methods on Subjective Workload, Situation Awareness, and Trust

The Unmanned Aircraft System (UAS) Traffic Management (UTM) concept was designed to support autonomous small UAS operations at a large-scale and without direct human intervention. However, human-autonomy interactions will be impacted by situation awareness, workload, and trust in the autonomy. Method: Nine participants monitored live small UAS operations in a representative UTM system during a series of traffic conflict scenarios and then provided subjective responses regarding situation awareness, workload, and trust in the autonomous separation method. The study employed a 3 (Separation Method: Autonomous Sense and Avoid, Geofence, Manual) × 2 (Incursion: High, Medium) within subjects design. Results: Situation awareness ratings for both autonomous separation methods were significantly lower than the manual condition. An interaction indicated differential workload ratings for the Autonomous Sense and Avoid separation ratings. Trust ratings significantly dropped when the Geofencing separation method failed. Conclusion: Subjective responses of remote operators in the UTM system are affected by the vehicle separation methods. Operators’ understanding of decisions made by the autonomous systems onboard the vehicle likely influence this effect

UAS↗

Development of a Mars Environmental Control and Life Support System (ECLSS).

ECLS systems for very long-duration human missions to Mars will be designed to operate reliably for many years and will never be returned to Earth. The need for high reliability is driven by unsympathetic abort scenarios. Abort from a Mars mission could be as long as 450 days to return to Earth. Simply put, the goal of an ECLSS is to duplicate the functions the Earth provides in terms of human living and working on our home planet but without the benefit of the Earth's large buffers - the atmospheres, the oceans and land masses. With small buffers a space-based ECLSS must operate as a true dynamic system rather than independent processors taking things from tanks, processing them, and then returning them to product tanks. Key is a development process that allows for a logical sequence of validating successful development (maturation) in a stepwise manner with key performance parameters (KPPs) at each step; especially KPPs for technologies evaluated in a full systems context with human crews on Earth and on space platforms such as the ISS. This paper will explore the implications of such an approach to ECLSS development and the roles of ground and space-based testing necessary to develop a highly reliable life support system for long duration human exploration missions. Historical development and testing of ECLS systems from Mercury to the International Space Station (ISS) will be reviewed. Current work as well as recommendations for future work will be described.

Henninger, Donald L.↗

NASA Deep Space Network Commitments for Human Missions to the Moon and Beyond

NASA’s Deep Space Network (DSN) serves as a critical element in the exploration of deep space, typically supporting 30-40 operational missions at any given time, each with unique characteristics and telecommunications requirements. In order to meet the needs of its diverse customer base, DSN relies on the Mission Support Definition and Commitments Office to interface with its customers and to develop, negotiate, and document the appropriate service commitments to meet each mission’s needs. Members of this office provide the needed support throughout each mission’s lifetime. While DSN’s primary focus in recent years has been supporting scientific missions by robotic spacecraft deployed across the solar system, the network is ramping-up to provide support for human spaceflight (HSF) endeavours to the moon and beyond, starting with the Artemis missions which aim to land humans on the lunar surface in the 2020’s. These HSF missions pose unique challenges for the DSN, including technical, operational, and programmatic concerns. Examples of challenges in each of these areas are provided, along with descriptions of how they are being addressed and open issues remaining.

Turcios, Ricky↗

Third International Symposium on Space Mission Operations and Ground Data Systems, part 2

Under the theme of 'Opportunities in Ground Data Systems for High Efficiency Operations of Space Missions,' the SpaceOps '94 symposium included presentations of more than 150 technical papers spanning five topic areas: Mission Management, Operations, Data Management, System Development, and Systems Engineering. The symposium papers focus on improvements in the efficiency, effectiveness, and quality of data acquisition, ground systems, and mission operations. New technology, methods, and human systems are discussed. Accomplishments are also reported in the application of information systems to improve data retrieval, reporting, and archiving; the management of human factors; the use of telescience and teleoperations; and the design and implementation of logistics support for mission operations. This volume covers expert systems, systems development tools and approaches, and systems engineering issues.

Rash, James L.↗

Reduction of Maintenance Error Through Focused Interventions

It is well known that a significant proportion of aviation accidents and incidents are tied to human error. In flight operations, research of operational errors has shown that so-called "pilot error" often involves a variety of human factors issues and not a simple lack of individual technical skills. In aircraft maintenance operations, there is similar concern that maintenance errors which may lead to incidents and accidents are related to a large variety of human factors issues. Although maintenance error data and research are limited, industry initiatives involving human factors training in maintenance have become increasingly accepted as one type of maintenance error intervention. Conscientious efforts have been made in re-inventing the "team" concept for maintenance operations and in tailoring programs to fit the needs of technical operations. Nevertheless, there remains a dual challenge: to develop human factors interventions which are directly supported by reliable human error data, and to integrate human factors concepts into the procedures and practices of everyday technical tasks. In this paper, we describe several varieties of human factors interventions and focus on two specific alternatives which target problems related to procedures and practices; namely, 1) structured on-the-job training and 2) procedure re-design. We hope to demonstrate that the key to leveraging the impact of these solutions comes from focused interventions; that is, interventions which are derived from a clear understanding of specific maintenance errors, their operational context and human factors components.

Kanki, Barbara G.↗

Toward an IMU-Based Space Suit Motion Capture System

Spacesuits are complex engineering systems that sustain human health and enable performance outside Earth-like environments. These systems must support human mobility and physical workload demands while minimizing injury risk during extravehicular activity (EVA). Future EVA operations on the Lunar surface are expected to be more frequent and require higher physical workloads than previously during the ISS, Shuttle, and Apollo programs. To characterize the workloads and ergonomics needs a suit must support, the kinematics of the space suit must be measured during operationally-relevant tasks in ground analog environments. Kinematics capture of the suit is challenging for traditional optical motion capture (OMC) approaches due to marker occlusion, harsh lighting or environmental conditions, and tests with suit surrogates in outdoor field environments. To this end, engineers at NASA are developing the Augmented Suit Inverse Kinematics (ASIK) system, a complete motion capture method and inverse kinematics solver which relies solely on a network of wireless inertial measurement units (IMUs) attached to the major kinematic segments of the spacesuit. The ASIK modeling language allows for the simple inclusion of probabilistic priors such as suit size and shape or IMU poses. The ASIK system was tested in a 7-subject pilot study. Each subject donned NASA’s new prototype exploration spacesuit in the Active Response Gravity Offload System (ARGOS) facility at Johnson Space Center in Houston, TX. The suits were outfitted with 12 IMUs to estimate lower body and trunk kinematics. The suits were also outfitted with a set of reflective OMC markers, and traditional OMC data was collected and processed. Characterization of the ASIK-derived suit joint angles’ accuracy against an optical motion capture datum will be presented. Discussion of these results, as well as discussion of system calibration and nuances of mathematical observability, will be included.

IMU↗