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Policy / Governance

Congressional Mandate

• National Defense Authorization Act of FY 2017 Conference Report to accompany S. 2943, 30 Nov 2016.

Policy Memorandums

• Initial Capabilities Document (ICD) for Combat Casualty Care (C3) Support for Future Operations, 05 Jan 2021, Version 1.0
• Joint DOTmLPF-P Change Recommendation (DCR) for Combat Casualty Care (C3) Support for Future Operations, 05 Jan 2021, Version 1.0
• DHA Memo to all Services, Guidance on Completion of a COVID-19 Pre-Testing Questionnaire at Military Medical Treatment Facilities (MTFs), 18 Dec 2020.
• HA Guidance for Corona virus Disease 2019 (COVID-19) Laboratory Pre-Testing Questionnaire, 17 Dec 2020.
• DHA Memorandum for Assistant Secretary of Defense for Health Affairs, 29 Jul 2020. DoD Distribution of Tactical Combat Casualty Care, Combat Lifesaver Curriculum.
• Assistant Secretary of the Army, 06 May 2020, Updated Guidance on Implementing Tactical Combat Casualty Care Training
• EXSUM, Medical Readiness Skills Sustainment, 01 Apr 2010
• Medical Readiness Skills Sustainment Work Group Charter, 01 Apr 2020
• Under Secretary of Defense, 07 Apr 2020. DoD Force Health Protection Guidance for Movement and Medical Treatment of COVID-19 Patients, Symptomatic Persons under Investigation, or Potentially Exposed COVID-19 Persons.
• U.S. Special Operations Command Memorandum 20-03, 03 Mar 2020. Trauma Documentation, After Action Review, and Personnel Protective Equipment Recovery within U.S. Special Operations Command.
• Under Secretary of Defense P&R Memorandum, Joint Trauma System, 28 Jun 2018. Aligns JTS within DHA
• MCMR-ZA, Major General Barbara R. Holcomb Memorandum, 6 Jan 2017, Status and Alignment of the Joint Trauma System..
• JROCM Memorandum, Policy 125-17, 11 Dec 2017, Forward Resuscitative Care in Support of Dispersed Operations Doctrine, Organization, Training, Materiel, Leadership and Education, Personnel, Facilities, and Policy Change Recommendation.
• JROCM Memorandum, Policy 126-17, 11 Dec 2017, Joint Doctrine, Organization, Training, Materiel, Leadership and Education, Personnel, Facilities, and Policy Change Recommendation
• DHA-PI, Policy 6040.01, 20 Jan 2017, Implementation Guidance for the Utilization of DD Form 1380, Tactical Combat Casualty Care (TCCC) Card, June 2014.
• DCoE DASD Memorandum, 19 Jun 2013. Designation of the JTS as a Defense Center of Excellence.
• DHB Memorandum, 14 Jun 2011, Tactical Combat Casualty Care Training for Deployed Personnel
• OTSG, MCMR-SRZ Memorandum, 25 Mar 2010, Organizational Placement of the Joint Theater Trauma System
• ASD/HA Memorandum, Policy: 08-017, 3 Nov 2008, Policy on Worldwide Use of the Theater Medical Information Program-Joint.
• OTSG, DASG-ZA Memorandum, 24 Sep 2007, Collection of Specialty Service Injury Data in the Joint Theater Trauma Registry JTTR.
• OTSG, SASG-HSZ Memorandum, 11 May 2007, Improvements to Joint Theater Trauma Registry.
• ASD/HA Memorandum, 5 Aug 2005, Joint Theater Trauma Records. Established the requirement for trauma record forms.
• OASD/HA Memorandum, 19 Dec 2005, Joint Theater Trauma Records. Established the standard template of record.
• OASD/HA Memorandum, Policy: 04-031, 22 Dec 2004, Coordination of Policy to Establish a Joint Theater Trauma Registry (JTTR).

DoD Directives

• Defense Committee on Trauma (DCoT) Charter, 26 Mar 2020.
• DoD Directive 6025.21E, 05 Jul 2006, Medical Research for Prevention, Mitigation, and Treatment of Blast Injuries.

DoD Instructions

• DHA-PI 6040.06, Combatant Command (CCMD) Trauma System (CTS), 08 Sept 2020
• JTS Concept of Operations for the Combatant Command Trauma System, 24 Oct 2020
• DHA-Procedural Instruction 6040.05, Enterprise Processes for Translating Defense Health Program (DHP) Funded Research into Standards of Clinical Trauma Care across the DoD, 26 Jun 2020
• DHA-Administrative Instruction 107, 29 Jul 2019, Comprehensive Review of All Trauma-Related Deaths in the Deployed Setting.
• DOD Instruction 6000.19, Military medical treatment facility support of medical readiness skills of health care providers February 7, 2020.
• DHA-PI 6040.03, Change 1 29 Aug 2019, Joint Trauma Lexicon. Procedures to develop a universally accepted, standardized Joint Trauma Lexicon.
  • DHA-PI 6040.03 Appendix, Version: 29 May 2019
• DoD Instruction 6040.47. Joint Trauma System (JTS) Change 2, 14 Jun 2022. Expanded responsibilities, composition, and procedures of the DHA JTS.
• DoD Instruction 1322.24, Medical Readiness Training, 16 Mar 2018. Establishes a Requirement to Record Tactical Combat Casualty Care Certification in Service-designated Training Tracking Systems.

Manuals/Guides

• CJCS Manual 3500.4, Universal Joint Tasks from the Chairman. Covers relationships and included the Registry function.
• Joint Publication 4-02, Joint Health Services, 11 Dec 2017, Change 1 28 Sep 2018