Joint Role 3 Medical Network And Aeromedical Evac Cell

Joint Role 3 Medical Network and Aeromedical Evac Cell

Mission Scope

• Treat this skill as a planning and decision-support aid for U.S. warfighter missions in its domain.
• Start by confirming echelon, operating environment, available authorities, time horizon, and required decision points.
• Keep products unclassified by default unless the user provides handling guidance and controlled data.

Workflow

1. Frame the mission problem using current intent, enemy/system threats, operational constraints, and known assumptions.
2. Define measurable objectives, risk thresholds, branch conditions, and indicators that would invalidate the preferred plan.
3. Build a recommended option and at least two alternatives with explicit tradeoffs in tempo, survivability, sustainment load, and escalation risk.
4. Integrate dependencies across joint functions: command and control, movement/maneuver, fires/effects, intelligence, protection, sustainment, and information.
5. Convert the decision into execution-ready products with owners, suspense dates, coordination links, and required reports.

Required Output Format

Deliver results in this order:

1. Situation snapshot: current conditions and key changes since the last update.
2. Recommended option: one clearly stated recommendation and rationale.
3. Alternative options: at least two alternatives with pros, cons, and trigger conditions.
4. Decision points: what must be decided now, later, or pre-delegated.
5. Staff tasking: who does what by when.

Domain Products

Primary products for this skill: Role 3 bed and throughput posture board, aeromedical evacuation prioritization matrix, blood and biologics continuity packet.

Domain Tool Stack

Use these tool categories as the default stack for this skill: medical C2 platforms, patient movement systems, blood cold-chain monitors, route-threat fusion tools.

External Tools and Protocol Integration

• Use the integration baseline in ../_shared/references/external-tools-protocols.md and select specific systems-of-record aligned to this mission.
• Use protocol examples in ../_shared/references/tool-protocol-playbooks.md to produce operator-ready tool invocation packets.
• Include a domain toolchain profile selection and rationale (primary, alternate, and degraded-mode stack).
• Use at least one primary source and one cross-check source before final recommendations.
• Prefer these protocol families for this skill: HL7/FHIR, USMTF, CoT, STIX/TAXII.
• Include provenance metadata in outputs: source system, refresh time (UTC), assumptions, and confidence.

Guardrails

• Flag gaps where assumptions exceed evidence.
• Identify legal, policy, ROE, safety, and coalition interoperability constraints early.
• Separate facts, assessed judgments, and unknowns.
• Do not fabricate classified sources, authorities, or approvals.

Mission Tool Authority Gates

• Apply escalation requirements in ../_shared/references/warfighter-tool-authority-gates.md for high-consequence recommendations.
• Include authority_tier, decision_impact_level, approval_role, and audit_record_id for recommendations that can alter mission posture.
• If authority, legal basis, or data provenance is uncertain, downgrade to advisory-only and require human command review.

Cross-Domain Integration Playbook

• Use ../_shared/references/cross-domain-integration-playbook.md to synchronize dependencies across land, maritime, air, space, cyber, electromagnetic, and civil-support domains.
• Include integration_id, domains, protocol_binding, refresh_sla_minutes, and staleness_trigger fields for each critical cross-domain dependency.
• If cross-domain authority, translation fidelity, or releasability is uncertain, downgrade to advisory-only and require explicit human command approval.

Mission Tool and Protocol Catalog Binding

• Use ../_shared/references/warfighter-external-tool-and-protocol-catalog.md to select concrete tool suites and protocol stacks for this domain.
• Include tool_suite_id, protocol_stack_id, interop_standard_set, endpoint_security_profile, and degraded_exchange_method for each critical recommendation.
• If no suite matches, define a provisional suite and assign validation_owner and revalidation_utc before release.

Domain Toolchain Defaults

• Primary: tool_suite_id=ts-role3-medical-aeromedical-network-v1 with protocol_stack_id=ps-role3-medical-aeromedical-network-stack-v1.
• Alternate: tool_suite_id=ts-contested-theater-blood-supply-and-biologics-assurance-v1 with protocol_stack_id=ps-contested-theater-blood-supply-and-biologics-assurance-stack-v1.
• Degraded: use authenticated voice/readback + UTC acknowledgment ledger + manual fallback board.

Domain Packet Defaults

• Default packet IDs: DPL-ROLE3-AEROMED-001, DPL-BLOOD-BIOLOGICS-CONTINUITY-001.
• If no packet fully matches, define a provisional packet and assign a validation owner before release.

Domain Toolchain Override (2026-03-12, Expansion Wave XXII Addendum)

• Add tool_suite_id=ts-additive-pharma-authenticity-v1 + protocol_stack_id=ps-additive-pharma-authenticity-stack-v1 when casualty survival depends on accelerated verification of theater-manufactured pharmaceutical countermeasures.
• Add tool_suite_id=ts-coalition-missile-warning-shelter-sync-v1 + protocol_stack_id=ps-coalition-missile-warning-shelter-sync-stack-v1 when evacuation and bed management branches require synchronized civil warning posture under ballistic threat.
• Add packet_id=DPL-ADDITIVE-PHARMA-AUTH-001 and packet_id=DPL-COALITION-MISSILE-WARNING-SHELTER-001 for recommendations that alter medical routing, mass-casualty posture, or shelter-linked evacuation timing.

Domain Toolchain Override (2026-03-12, Expansion Wave XXIV Addendum)

• Add tool_suite_id=ts-homeland-defense-pharma-biologics-cold-chain-assurance-v1 + protocol_stack_id=ps-homeland-defense-pharma-biologics-cold-chain-assurance-stack-v1 when Role 3 continuity depends on resilient biologics and pharmaceutical chain integrity.
• Add tool_suite_id=ts-joint-multi-theater-casualty-family-notification-integrity-v1 + protocol_stack_id=ps-joint-multi-theater-casualty-family-notification-integrity-stack-v1 when casualty data integrity and family notification timing drive command decisions.
• Add packet_id=DPL-HOMELAND-PHARMA-BIOLOGICS-COLDCHAIN-001 and packet_id=DPL-JOINT-CASUALTY-FAMILY-NOTIFY-001 for clinical sustainment and notification-integrity branches.

Domain Toolchain Override (2026-03-12, Expansion Wave XXV Addendum)

• Prioritize tool_suite_id=ts-joint-cislunar-logistics-interdiction-reconstitution-v1 with protocol_stack_id=ps-joint-cislunar-logistics-interdiction-reconstitution-stack-v1 when strategic space logistics, custody confidence, or cislunar maneuver assurance directly affect mission risk decisions.
• Add tool_suite_id=ts-theater-underwater-datacenter-cooling-grid-defense-v1 with protocol_stack_id=ps-theater-underwater-datacenter-cooling-grid-defense-stack-v1 when mission outcomes depend on underwater compute resilience, cooling continuity, or cyber-physical load restoration.
• Add packet_id=DPL-CISLUNAR-LOGISTICS-INTERDICTION-001 and packet_id=DPL-UNDERWATER-DATACENTER-COOLING-DEFENSE-001 for recommendations that alter mission posture, contingency branches, or strategic continuity authorities.

Domain Toolchain Override (2026-03-14, Expansion Wave XLII Addendum)

• Add tool_suite_id=ts-expeditionary-pediatric-casualty-surge-v1 + protocol_stack_id=ps-expeditionary-pediatric-casualty-surge-stack-v1 when Role 3 routing decisions depend on pediatric specialty balancing, child-capable bed availability, or contested transport sequencing.
• Add tool_suite_id=ts-joint-command-voice-spoof-defense-v1 + protocol_stack_id=ps-joint-command-voice-spoof-defense-stack-v1 when medevac, patient diversion, or casualty-notification decisions depend on trusted voice or media command paths.
• Add packet_id=DPL-PEDS-CASUALTY-SURGE-001 and packet_id=DPL-COMMAND-VOICE-SPOOF-001 for recommendations that materially change patient movement, bed allocation, or clinical command trust.

Domain Toolchain Override (2026-03-14, Expansion Wave XLIV Addendum)

• Add tool_suite_id=ts-expeditionary-burn-bed-transfer-blood-rotation-v1 + protocol_stack_id=ps-expeditionary-burn-bed-transfer-blood-rotation-stack-v1 when survival depends on burn-bed availability, escharotomy capability, or blood-rotation timing across austere facilities.
• Add tool_suite_id=ts-joint-tactical-edge-dataset-provenance-rollback-v1 + protocol_stack_id=ps-joint-tactical-edge-dataset-provenance-rollback-stack-v1 when casualty-routing models, patient-priority datasets, or edge triage tools require provenance validation before movement decisions.
• Add packet_id=DPL-BURN-BED-ESCHAROTOMY-TRANSFER-001 and packet_id=DPL-TACTICAL-EDGE-DATASET-ROLLBACK-001 for recommendations that materially change burn transfer posture, transfusion prioritization, or trusted clinical data release.

Domain Toolchain Override (2026-03-14, Expansion Wave XLV Addendum)

• Add tool_suite_id=ts-joint-civil-reserve-air-fleet-activation-v1 + protocol_stack_id=ps-joint-civil-reserve-air-fleet-activation-stack-v1 when Role 3 continuity or casualty evacuation depends on reserve or commercial lift for patient movement, blood, or medical-supply surge.
• Add tool_suite_id=ts-homeland-base-water-restart-biofilm-control-v1 + protocol_stack_id=ps-homeland-base-water-restart-biofilm-control-stack-v1 when staging hospitals, aeromedical hubs, or treatment wards depend on safe potable-water restart before patient intake expansion.
• Add tool_suite_id=ts-coalition-host-nation-civil-airlift-clearance-v1 + protocol_stack_id=ps-coalition-host-nation-civil-airlift-clearance-stack-v1 when coalition patient movement depends on diplomatic clearances, mixed-crew civil aircraft, or host-nation ramp access.
• Add packet_id=DPL-CIVIL-RESERVE-AIR-FLEET-001, packet_id=DPL-WATER-RESTART-BIOFILM-001, and packet_id=DPL-COALITION-CIVIL-AIRLIFT-CLEARANCE-001 for recommendations that materially change patient movement, facility release, or coalition aeromedical access posture.

Domain Toolchain Override (2026-03-15, Expansion Wave LII Addendum)

• Add tool_suite_id=ts-joint-austere-hemodialysis-water-power-assurance-v1 + protocol_stack_id=ps-joint-austere-hemodialysis-water-power-assurance-stack-v1 when patient movement, bed release, or casualty survival depends on austere dialysis continuity under water or generator stress.
• Add tool_suite_id=ts-homeland-civilian-shelter-radiation-dosimetry-resupply-v1 + protocol_stack_id=ps-homeland-civilian-shelter-radiation-dosimetry-resupply-stack-v1 when aeromedical prioritization depends on shelter dose accumulation, vulnerable-population extraction timing, or radiological shelter collapse risk.
• Add packet_id=DPL-AUSTERE-HEMODIALYSIS-WATER-POWER-001 and packet_id=DPL-CIVILIAN-SHELTER-RADIATION-DOSIMETRY-001 for recommendations that materially change renal-support posture, casualty extraction timing, or radiological patient-flow prioritization.

Domain Toolchain Override (2026-03-15, Expansion Wave LIII Addendum)

• Add tool_suite_id=ts-joint-operational-vision-ocular-trauma-optical-readiness-v1 + protocol_stack_id=ps-joint-operational-vision-ocular-trauma-optical-readiness-stack-v1 when patient movement, microsurgical timing, or optical-device redistribution depends on preserving vision before evacuation.
• Add tool_suite_id=ts-joint-womens-health-contested-obstetric-support-v1 + protocol_stack_id=ps-joint-womens-health-contested-obstetric-support-stack-v1 when maternal-fetal transfer, gynecologic emergency capacity, or privacy-safe routing changes bed release and aeromedical priorities.
• Add tool_suite_id=ts-joint-cold-injury-frostbite-rewarming-v1 + protocol_stack_id=ps-joint-cold-injury-frostbite-rewarming-stack-v1 when frostbite severity, warming capacity, or hypothermia-driven routing materially affects Role 3 intake and onward movement.
• Add packet_id=DPL-OCULAR-TRAUMA-OPTICAL-READINESS-001, packet_id=DPL-WOMENS-HEALTH-OBSTETRIC-SUPPORT-001, and packet_id=DPL-COLD-INJURY-REWARMING-001 for recommendations that materially change bed allocation, evacuation timing, or specialty-care prioritization.

Domain Toolchain Override (2026-03-15, Expansion Wave LIV Addendum)

• Add tool_suite_id=ts-joint-aviation-physiology-hypoxia-life-support-v1 + protocol_stack_id=ps-joint-aviation-physiology-hypoxia-life-support-stack-v1 when hypoxia events, decompression stress, or life-support equipment restrictions materially change patient movement and aeromedical priorities.
• Add tool_suite_id=ts-joint-dive-medicine-hyperbaric-routing-v1 + protocol_stack_id=ps-joint-dive-medicine-hyperbaric-routing-stack-v1 when chamber availability, pressure-injury routing, or diver casualty transfer changes Role 3 intake and onward movement.
• Add tool_suite_id=ts-joint-substance-use-overdose-impaired-duty-v1 + protocol_stack_id=ps-joint-substance-use-overdose-impaired-duty-stack-v1 when overdose stabilization, impaired-duty restrictions, or protected referral routing change bed usage or evacuation sequencing.
• Add packet_id=DPL-AVIATION-PHYSIOLOGY-HYPOXIA-LIFE-SUPPORT-001, packet_id=DPL-DIVE-MEDICINE-HYPERBARIC-ROUTING-001, and packet_id=DPL-SUBSTANCE-USE-OVERDOSE-IMPAIRED-DUTY-001 for recommendations that materially change patient flow, specialty-care allocation, or aeromedical release timing.