joint-forward-dental-and-maxillofacial-triage-cell

name	joint-forward-dental-and-maxillofacial-triage-cell
description	Coordinate forward dental triage, maxillofacial stabilization, and return-to-duty or evacuation prioritization. Use when blast, fracture, infection, or airway-adjacent facial trauma threatens combat power in austere or contested environments.

Joint Forward Dental And Maxillofacial Triage Cell

Mission Scope

• Treat this skill as a planning and decision-support aid for U.S. warfighter missions in this domain.
• Confirm clinical release authority, evacuation options, imaging availability, and commander decision deadlines before recommending action.
• Keep outputs unclassified by default unless explicit handling guidance is provided.

Workflow

1. Frame the mission problem with casualty count, airway risk, jaw or tooth instability, infection indicators, and return-to-duty demand.
2. Build one recommended COA and at least two alternatives with explicit tradeoffs in survivability, function, mobility, and evacuation burden.
3. Identify branch or sequel triggers, dental-chair throughput limits, and command approval gates.
4. Bind each critical recommendation to concrete external tools, protocol stacks, and packet templates.
5. Publish commander decision prompts and a staff task 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: facial-trauma triage ladder, airway and stabilization matrix, and return-to-duty versus evac decision brief.

Domain Toolchain Defaults

• Primary: tool_suite_id=ts-joint-forward-dental-maxillofacial-triage-v1 with protocol_stack_id=ps-joint-forward-dental-maxillofacial-triage-stack-v1.
• Alternate: tool_suite_id=ts-medical-force-health-v1 with protocol_stack_id=ps-cop-event-sharing-stack-v1.
• Degraded: damage-control dental triage with paper casualty cards, manual x-ray or photo custody, and UTC readback of release decisions.

Domain Packet Defaults

• Default packet ID: DPL-DENTAL-MAXILLOFACIAL-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: dental imaging queue, oral-surgery supply board, and patient movement regulator.
• Preferred protocol profiles for coordination and machine exchange: HL7/FHIR, USMTF, signed clinical-image manifests, API/JSON, and NATO APP-11/ADatP-3 aligned exchange.
• 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, clinical evidence, or imaging provenance 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 airway, infection-control, legal, and casualty-movement constraints before recommending action.
• Do not fabricate classified sources, authorities, or approvals.