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OCHMO Mission-Enabling Assessments

Mission-enabling assessment plays a crucial role in NASA’s long-term success by addressing essential questions requiring rapid response to support further program development. The Office of the Chief Health and Medical Officer (OCHMO) uses this process as a tool for decision-making and providing unbiased insight into issues that arise concerning crew health and safety. Technical Interchange Meetings (TIMs) allow NASA subject matter experts (SMEs) to consult with outside experts from industry, academia, hospitals and clinical settings, and the military to better understand specific risks, gain knowledge of current best practices and cutting-edge research occurring outside NASA, and to answer questions on topics the NASA SMEs develop and share prior to the meeting. Results of these independent assessment TIMs are incorporated into the NASA-STD-3001 documents, future editions of OCHMO technical briefs, informative summary reports, and/or program technical memos. 

Learn More About Previous OCHMO Mission-Enabling Assessments

An astronaut practicing in a pool

Assessment of Oxygen Toxicity and Neurovestibular Disturbances during Neutral Buoyancy Laboratory (NBL) Exploration Spacesuit Testing

In March 2025, NASA’s Office of the Chief Health and Medical Officer (OCHMO) initiated a working group to investigate operations in the Neutral Buoyancy Laboratory (NBL) and determine the possible causes of adverse physiological effects that have been experienced by subjects operating exploration spacesuits during 1/6G simulations in the NBL training platform.

A medical illustration showing the sinus and approximate locations of thrombi in crew

Venous Thromboembolism During Spaceflight

NASA formed a working group in October 2024 after diagnosing venous thromboembolisms (VTEs) in astronauts during ISS missions. Experts reviewed case data, updated Clinical Practice Guidelines, and examined possible causes. A second meeting took place in December 2024 at ESA in Cologne. With new data showing altered blood flow in astronauts, a third meeting at Johnson Space Center in April 2026 reviewed research progress and developed updated recommendations to reduce VTE risk in spaceflight.

A medical illustration showing a cross section of the heart emphasizing PFO

Patent Foramen Ovale (PFO)

NASA’s Office of the Chief Health and Medical Officer (OCHMO) initiated a working group to review and provide analysis on the status and progress of research and clinical activities intended to mitigate the risk of decompression sickness (DCS) issues as related to Patent Foramen Ovale (PFO) during spaceflight and during associated ground testing and human subject studies involving decompression. The working group took place over two days at NASA’s Johnson Space Center (June 4 & 5, 2024).

Charlie Duke on a lunar EVA collecting samples

Hydrogen Sulfide (H2S)

NASA’s Office of the Chief Health and Medical Officer (OCHMO) assembled a small working group to review hydrogen sulfide (H2S) Spacecraft Maximum Allowable Concentration (SMAC) values. The group met virtually three times during February and March 2023, and panel members submitted individual opinion statements in April 2023.

Human Research Program Investigation Workshop (HRP IWS)

npj Microgravity Publication

The purpose of this paper is to describe NASA’s approach to establishing and maintaining a set of Agency-level Space Flight Human System Standards managed by the Office of the Chief Health and Medical Officer (OCHMO) at NASA that enables space flight missions by minimizing health risks to astronauts, providing vehicle design parameters, and supporting the performance of both flight and ground crews.

Read It Here about npj Microgravity Publication
Concept artwork for LEO Microgravity.