Design of Autonomous Medical Response Agent (AMRA) Aggregate Information Dashboard (AID)

Future astronauts in deep space missions will rely on tools and technologies empowering them to self-diagnose and self-treat medical conditions. Given communications delays and limited bandwidth in future long-duration exploration missions (LDEMs), medical decision support technologies must empower the crew to manage routine medical activities, acute medical incidents, as well as emergency medical scenarios independently from ground support.The Autonomous Medical Response Agent (AMRA) is envisioned as a digital tool enabling crew to issue medical complaints and interact with a medical decision support algorithm which develops a differential diagnosis and recommends a treatment protocol for the condition. AMRA will draw from individual crew medical history in addition to crew symptoms to more efficiently identify high-risk medical conditions. A new symptom could be indicative of a chronic condition or a normal adaptation to long-duration spaceflight, but could just as easily be indicative of an adverse vehicle condition affecting the entire crew.While real-time communication with a flight surgeon may not possible, the crew will nonetheless require a means to communicate and document both routine and emergency medical incidents to ground support. Conversely, flight surgeons and medical specialists on the ground will need to understand information such as crew vitals or responses to medical check-ups and examinations within the larger context of crew schedule, mission activities, and vehicle performance. A user interface which establishes communication protocols between an individual crew member and AMRA, as well as ground support to the crew is a significant area of research demanding input and consideration.The design of AMRA AID is intended to: a) represent routine medical activities as well as new (unplanned) medical incidents within the larger context of crew schedule and mission activities, and b) increase confidence between ground support and crew members over the course of LDEMs. Maintaining situation awareness of unplanned medical incidents between ground and crew will be a critical element within LDEMs. Two medical incidents headache and difficulty breathing are being explored within a user interface prototype which captures communications protocols between crew members and mission control, human health monitoring, vehicle or environmental monitoring, as well as crew schedule and mission activities holistically.