Autonomous Medical Officer Support (AMOS) ISS Technology Demonstration: Enabling Earth-Independnt Procedure Guidance

Successful performance of medical procedures during missions beyond low Earth orbit requires novel solutions to replace real-time support from the ground since the communication delay will be longer as the crew travels farther from Earth. The Autonomous Medical Officer Support software Technology Demonstration project (AMOS Tech Demo) on the International Space Station (ISS) evaluates a novel software tool that shifts the emphasis from preflight training and real-time guidance (current ISS paradigm) to in-flight just-in-time (JIT) instruction (a new paradigm for crew medical autonomy). The AMOS platform introduces a novel, streamlined, skill-management archetype for exploration missions; the current AMOS version features comprehensive training and guidance modules for urinary bladder and kidney ultrasound examinations. The primary goal of the AMOS Tech Demo was to confirm telemedical proof-of-concept through initial use of the platform for autonomous imaging activities in an operational setting. Success metrics encompassed 1) successful software deployment, 2) collection of click tracking data, and 3) recording of ultrasound images. Additional aims included collecting crew feedback on a) AMOS implementation, and b) integrated training and procedure support concepts, as well as c) evaluation of AMOS use in an operational setting.