Joint Casualty Rehabilitation Prosthetics And Return To Duty Cell

Joint Casualty Rehabilitation Prosthetics And Return To Duty Cell

Mission Scope

• Treat this skill as a planning and decision-support aid for U.S. warfighter missions in this domain.
• Confirm echelon, casualty profile, rehabilitation capacity, prosthetic-device availability, family-support needs, and decision deadlines before recommending action.
• Keep outputs unclassified by default unless explicit handling guidance is provided.

Workflow

1. Frame the mission problem with injury pattern, rehabilitation milestones, prosthetic demand, occupational task requirements, and transition constraints.
2. Build one recommended COA and at least two alternatives with explicit tradeoffs in recovery quality, return-to-duty speed, long-term function, and family or transition burden.
3. Identify branch or sequel triggers, device-release thresholds, and authority or release gates.
4. Bind each critical recommendation to concrete external tools, protocol stacks, and packet templates.
5. Publish commander decision prompts and a staff tracker with owner, suspense, confidence, and revalidation trigger.

Required Output Format

1. Situation snapshot and key changes.
2. Recommended COA and rationale.
3. Alternative COAs with trigger conditions.
4. Decision points and escalation gates.
5. Staff tasks by owner and suspense.
6. Tool invocation packets with protocol bindings.

Domain Products

Primary products: rehabilitation milestones board, prosthetic fitting matrix, and return-to-duty or transition decision ledger.

Domain Toolchain Defaults

• Primary: tool_suite_id=ts-joint-casualty-rehabilitation-prosthetics-return-to-duty-v1 with protocol_stack_id=ps-joint-casualty-rehabilitation-prosthetics-return-to-duty-stack-v1.
• Alternate: select a mission-adjacent force-health or casualty-management suite or stack from ../_shared/references/warfighter-external-tool-and-protocol-catalog.md and explain tradeoffs.
• Degraded: manual rehab milestone board with prosthetic-custody log and command-approved functional assessment checkpoints.

Domain Packet Defaults

• Default packet ID: DPL-REHAB-PROSTHETICS-001.
• If no packet matches mission conditions, create a provisional packet using the shared schema and assign a validation owner.

External Tool Stack And Protocols

• Preferred external toolsets for this domain: rehabilitation progress tracker, prosthetic fitting board, gait or function assessment monitor, and return-to-duty review ledger.
• Preferred protocol profiles for coordination and machine exchange: HL7/FHIR, DICOM, signed device manifests, API/JSON, and USMTF.
• Use ../_shared/references/warfighter-external-tool-and-protocol-catalog.md, ../_shared/references/domain-tool-packet-library.md, and ../_shared/references/tool-protocol-playbooks.md.
• Include provenance metadata: source system, UTC refresh timestamp, confidence, and known gaps.

Tool Invocation Contract

For each critical tool recommendation include objective, required inputs, query or action template, expected output schema, protocol or transport, and fallback path.

Mission Tool Authority Gates

• Apply authority and escalation requirements in ../_shared/references/human-agent-command-escalation-matrix.md and ../_shared/references/warfighter-tool-authority-gates.md.
• Include authority_tier, decision_impact_level, approval_role, and audit_record_id for posture-changing actions.
• If authority, legal basis, device pedigree, or functional-assessment evidence is uncertain, downgrade to advisory-only and request command decision.

Interoperability Validation Checklist

• Run ../_shared/references/mission-assurance-checklist.md and ../_shared/references/us-joint-protocol-assurance-drill.md before release.
• Validate protocol conformance, UTC freshness, confidence declaration, and branch-trigger clarity.
• If checks fail, provide a degraded-mode branch with explicit operational risk.

Guardrails

• Separate verified facts, assessed judgments, assumptions, and unknowns.
• Flag prosthetic-device safety, long-term overuse risk, chronic-pain concerns, family-transition needs, and classification or privacy constraints before recommending action.
• Do not fabricate authorities, approvals, or source evidence.

Domain Toolchain Override (2026-04-06, Expansion Wave LXIX Addendum)

• Add tool_suite_id=ts-strategic-va-dod-trauma-bed-rehabilitation-bridge-v1 + protocol_stack_id=ps-strategic-va-dod-trauma-bed-rehabilitation-bridge-stack-v1 when rehabilitation planning depends on VA or DOD bed availability, specialty rehab continuity, or long-tail transition timing after major casualty surges.
• Add packet_id=DPL-VA-DOD-TRAUMA-REHAB-BRIDGE-001 for recommendations that materially change rehabilitation transfer posture, return-to-duty expectations, or family-transition sequencing.

Domain Toolchain Override (2026-04-06, Expansion Wave LXXIII Addendum)

• Add toolchain_id=TC-BPHARM-286, tool_suite_id=ts-joint-base-pharmacy-refill-tricare-coldchain-v1, and protocol_stack_id=ps-joint-base-pharmacy-refill-tricare-coldchain-stack-v1 when rehabilitation continuity depends on refill transfer, specialty medication protection, or TRICARE override confidence for wounded-warrior families.
• Add toolchain_id=TC-HOMEMOD-289, tool_suite_id=ts-joint-wounded-warrior-home-modification-caregiver-ramp-v1, and protocol_stack_id=ps-joint-wounded-warrior-home-modification-caregiver-ramp-stack-v1 when return-to-duty or transition planning depends on home accessibility, caregiver readiness, or discharge-to-home sequencing.
• Add packet_id=DPL-BASE-PHARMACY-TRICARE-COLDCHAIN-001 and packet_id=DPL-WOUNDED-WARRIOR-HOME-CAREGIVER-001 for branches that materially alter rehabilitation posture, family-transition timing, or safe discharge assumptions.

Domain Toolchain Override (2026-04-07, Expansion Wave LXXVII Addendum)

• Add toolchain_id=TC-MEBPEB-308, tool_suite_id=ts-joint-medical-evaluation-board-physical-evaluation-board-va-claim-continuity-v1, and protocol_stack_id=ps-joint-medical-evaluation-board-physical-evaluation-board-va-claim-continuity-stack-v1 when rehabilitation or return-to-duty planning depends on board timing, disability disposition, or VA or DOD handoff continuity.
• Add toolchain_id=TC-RETIRE-312, tool_suite_id=ts-joint-retirement-sbp-tsp-transition-counseling-continuity-v1, and protocol_stack_id=ps-joint-retirement-sbp-tsp-transition-counseling-continuity-stack-v1 when long-tail recovery branches depend on medical-retirement decisions, SBP elections, or transition counseling timing.
• Add toolchain_id=TC-CRED-313, tool_suite_id=ts-joint-professional-license-cyber-certification-ceu-readiness-continuity-v1, and protocol_stack_id=ps-joint-professional-license-cyber-certification-ceu-readiness-continuity-stack-v1 when safe return-to-duty depends on restored licensure, certification, or CEU readiness after injury or extended treatment.
• Add packet_id=DPL-MEB-PEB-VA-CLAIM-001, packet_id=DPL-RETIREMENT-SBP-TSP-001, and packet_id=DPL-PRO-LICENSE-CYBER-CEU-001 for branches that materially alter rehabilitation posture, medical-retirement timing, or safe return-to-duty confidence.

Domain Toolchain Override (2026-04-07, Expansion Wave LXXIX Addendum)

• Add toolchain_id=TC-PRIV-319, tool_suite_id=ts-joint-clinical-privileging-credentialing-deployment-readiness-v1, and protocol_stack_id=ps-joint-clinical-privileging-credentialing-deployment-readiness-stack-v1 when rehabilitation or return-to-duty planning depends on restored privileging, deployment-safe scope-of-practice, or provider staffing legitimacy after injury or treatment interruption.
• Add packet_id=DPL-CLINICAL-PRIVILEGING-DEPLOYMENT-001 for branches that materially alter rehabilitation posture, safe-provider employment, or return-to-duty confidence.

Domain Toolchain Override (2026-04-07, Expansion Wave LXXXIII Addendum)

• Add toolchain_id=TC-TAMPHC-332, tool_suite_id=ts-joint-transitional-healthcare-tamp-chcbp-pharmacy-bridge-v1, and protocol_stack_id=ps-joint-transitional-healthcare-tamp-chcbp-pharmacy-bridge-stack-v1 when rehabilitation continuity crosses separation, demobilization, or medical transition and treatment access depends on uninterrupted coverage or pharmacy bridge actions.
• Add toolchain_id=TC-VACARE-333, tool_suite_id=ts-joint-va-caregiver-support-program-stipend-training-respite-continuity-v1, and protocol_stack_id=ps-joint-va-caregiver-support-program-stipend-training-respite-continuity-stack-v1 when rehabilitation or safe return-to-duty depends on caregiver sustainment, training completion, or respite viability.
• Add toolchain_id=TC-VREIL-334, tool_suite_id=ts-joint-vre-independent-living-adaptive-employment-continuity-v1, and protocol_stack_id=ps-joint-vre-independent-living-adaptive-employment-continuity-stack-v1 when long-tail recovery planning depends on adaptive employment, vocational rehabilitation, or independent-living support after injury.
• Add toolchain_id=TC-SAHAA-335, tool_suite_id=ts-joint-specially-adapted-housing-automobile-allowance-home-accessibility-benefit-bridge-v1, and protocol_stack_id=ps-joint-specially-adapted-housing-automobile-allowance-home-accessibility-benefit-bridge-stack-v1 when discharge or transition planning depends on adaptive housing, automobile allowance, or home-accessibility benefit execution.
• Add toolchain_id=TC-MEDHOLD-336, tool_suite_id=ts-joint-convalescent-leave-limited-duty-medical-hold-continuity-v1, and protocol_stack_id=ps-joint-convalescent-leave-limited-duty-medical-hold-continuity-stack-v1 when rehabilitation sequencing depends on lawful convalescent leave, medhold continuity, or limited-duty order legitimacy.
• Add packet_id=DPL-TRANSITIONAL-HEALTHCARE-TAMP-CHCBP-001, packet_id=DPL-VA-CAREGIVER-STIPEND-RESPITE-001, packet_id=DPL-VRE-INDEPENDENT-LIVING-001, packet_id=DPL-SAH-AUTOMOBILE-HOME-ACCESS-001, and packet_id=DPL-CONVALESCENT-LEAVE-MEDHOLD-001 for branches that materially alter rehabilitation posture, discharge timing, or safe return-to-duty confidence.

Domain Toolchain Override (2026-04-07, Expansion Wave LXXXIV Addendum)

• Add toolchain_id=TC-ADSPORT-342, tool_suite_id=ts-joint-adaptive-sports-community-reintegration-peer-mentor-continuity-v1, and protocol_stack_id=ps-joint-adaptive-sports-community-reintegration-peer-mentor-continuity-stack-v1 when long-tail recovery, identity restoration, or safe return-to-duty confidence depends on adaptive-sports access, peer mentors, or reintegration momentum outside clinical settings.
• Add packet_id=DPL-ADAPTIVE-SPORTS-REINTEGRATION-001 for branches that materially alter reintegration posture, family confidence in recovery trajectory, or nonclinical recovery support timing.