Cognitive Monitoring Tool FRD (April2026)_redacted.pdf

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Functional Requirements Document (FRD) for

Cognitive Monitoring Tool

Version 0.01

April 2026

Cognitive Monitoring Program (CMP) Functional Requirements Document iii

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Cognitive Monitoring Program (CMP)

DOCUMENT CHANGE RECORD Sheet: 1 of 1

DESCRIPTION OF CHANGE

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APPROVED

Functional Requirements Document iv

Cognitive Monitoring Program (CMP)

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TABLE OF CONTENTS

Page

1.0 SCOPE

1.1 Background and Problem Statement 1

1.2 Objectives

2.0 REFERENCE DOCUMENTS

3.0 REQUIREMENTS

3.1 Minimum Viable Capability (MVC) for Urgent Fielding

3.2 Functional Requirements for Full Operational Capability (FOC)

Appendix A. Abbreviations and Acronyms..............................................................A-1

LIST OF FIGURES

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LIST OF TABLES

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software installation required.

MVC-2: UNSUPERVISED SELF-ADMINISTRATION: The solution MUST be designed for and proven to support unsupervised, self-administered testing by the Service ember, eliminating the need for a trained proctor.

MVC-3: PROVEN ENTERPRISE SCALABILITY: The solution MUST be a currently fielded, "battle-tested" platform with documented proof of its ability to support enterprise-level user loads (minimum 35,000 simultaneous sessions).

3.2 FUNCTIONAL REQUIREMENTS FOR FULL OPERATIONAL CAPABILITY (FOC)

The following functional requirements define the capabilities for the enduring, enterprise-wide solution to be built upon the initial MVC foundation.

FOC-1: Foundational System of Record.

FOC-1.1: The capability MUST create and maintain a unique, longitudinal cognitive health record for each individual ervice member, preserved according to NARA-approved schedules.

FOC-1.2: The capability MUST support the establishment and maintenance of an individual cognitive baseline, against which all future assessments for that individual are compared.

FOC-2: Comprehensive Assessment Platform.

FOC-2.1: The capability MUST support the administration of baseline cognitive tests and enable comparative post-injury tests to detect changes in cognitive function.

FOC-2.2: The capability MUST include assessments for the following core cognitive domains: Attention/Concentration, Memory, Processing Speed, and Executive Function.

FOC-2.3: The capability MUST provide a library of customizable cognitive tasks that allow authorized personnel to create and deploy tailored assessment batteries.

FOC-3: Data, Integration, and Analytics.

FOC-3.1: The capability MUST provide a modern, standards-based API to allow for secure data exchange with DoW enterprise systems, including MHS GENESIS, ILER, and authorized readiness platforms.

FOC-3.2: The capability MUST provide the ability to ingest historical data from the legacy ANAM system.

FOC-3.3: The capability MUST provide role-based dashboards and

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reporting tools for clinicians, commanders, and senior leaders.

FOC-3.4: The capability MUST enforce a Common Data Model (CDM) for all cognitive assessment data.

FOC-4: Security, Privacy, and Governance.

FOC-4.1: The capability MUST adhere to the DoW Risk Management Framework (RMF) and be capable of operating in a DoW IL5 cloud environment.

FOC-4.2: The capability MUST adhere to HIPAA rules and be governed by a strict Role-Based Access Control (RBAC) framework.

FOC-4.3: The capability MUST provide tools for administrators to manage approved assessment tools, data sources, and business rules.

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APPENDIX A. ABBREVIATIONS AND ACRONYMS

ABBREVIATION/

ACRONYM

DEFINITION

ATO Authority to Operate BOP Blast Overpressure CCMD Combatant Command CDM Common Data Model CFR Code of Federal Regulations CMP Cognitive Monitoring Program CQM Clinical Quality Management DCR DOTMLPF-P Change Recommendation DHA Defense Health Agency DoD Department of Defense DoDI Department of Defense Instruction EHR Electronic Health Record EXORD Executive Order FIPS Federal Information Processing Standards FOC Full Operational Capability FRD Functional Requirements Document HIPAA Health Insurance Portability and Accountability Act IOC Initial Operational Capability IT Information Technology JROC Joint Requirements Oversight Council MHS Military Health System TBI Traumatic Brain Injury CAT Cognitive Assessment Tool NDAA National Defense Authorization Act NIST National Institute of Standards and Technology PHI/PII Protected Health Information/Personally Identifiable Information