The objectives of the proposed activity are:- to provide an integrated approach to space medicine, allowing for health monitoring, diagnosis performance, surgical and emergency procedure execution support, in order to increase crew health and autonomy; - to support an integrated approach to manage medical data, including crew data and medical procedures, including pre-flight and in-flight data;- to allow for data collection from all medical devices of a spacecraft and usage of different assisting devices such as wearable augmented reality and robotic systems for medical and/or scientific purposes.

Crew health is a fundamental concern for any long term space mission. Different health-related projects are carried out by space agencies, including: continuous health monitoring (e.g. physiological data monitoring, muscles and bones mass loss studies), medical diagnosis and care using ultrasound. Most of these studies are however conducted independently relying on different assistance and medical systems. Based on crew medical data collection and health monitoring, a Crew Health Integrated Management System (CHIMS) could support long term missions; medical studies but also initiate and support diagnosis procedures. The CHIMS would provide autonomous (database) as well as remote (e.g. from the ground) guidance functionalities which allows for assisting the crew performing medical procedures (from diagnosis to surgery).A preliminary phase of the project shall aim at defining the requirements and the concepts and architectures of the CHIMS. The main tasks would include:- identification of all relevant medical procedures to be conducted onboard spacecraft;- identification of associated medical and health data to be managed;- identification of required/relevant medical systems to be used;- identification of potential tools and strategies that can be developed for supporting the execution of medical procedures (e.g. telerobotics, augmented reality);- identification/definition of the standards and interfaces to be used for an integrated approach to crew health management;- definition of the system architecture and concept;- definition of the requirements for the implementation of the system;- demonstration of some of the main functionalities;- analysis of potential spin-offs.Reference background ESA health-related projects: ADUM/ARTIS/CAMDASS/BIOSUIT/CPMM/EMD-CR.