The JOMIS (Joint Operational Medicine Information Systems) program constitutes the DoD’s framework for delivering interoperable medical information technology across military operations. It constitutes a portfolio of applications to modernize solutions for operational medical record documentation. These initiatives include the Battlefield Assisted Trauma Distributed Observation Kit – Joint (BATDOK-J) for point-of-injury documentation, the Operational Medicine Care Delivery Platform (OpMed CDP) for Role 1 and Role 2 care delivery, and Military Health System (MHS) GENESIS-Theater for Role 3 hospital-level documentation. The JOMIS system is designed to function in disconnected, intermittent, and low-bandwidth environments while maintaining data integrity and security compliance, enabling unified medical situational awareness from point-of-injury through definitive care across distributed forward-deployed military medical operations.

BATDOK-J

BATDOK-J is the DoD's standardized system of record for point-of-injury through Role 1 medical documentation, providing mobile electronic health record capabilities on ruggedized devices that function in austere forward environments. BATDOK-J incorporates veterinary-specific clinical workflows and reference libraries enabling combat medics and veterinary personnel to rapidly document canine casualties, including injury assessment, vital signs, treatment interventions, and administered medications – ensuring continuity of care from point of injury through early roles of care. BATDOK-J represents the digitization of Tactical Combat Casualty Cards, including the K9TCCC Card.

OPMED CDP

OpMed CDP provides clinical information system support for health care delivery at human Role 1 aid stations and Role 2 facilities. It integrates with BATDOK-J to enable seamless handoff of point-of-injury data to healthcare providers, allowing real-time reception and management of patient documentation to facilitate evidence-based clinical decision-making and ensure actionable medical intelligence reaches appropriate care providers. This solution also includes veterinary-specific clinical workflows to document treatment provided to canine casualties.

MHS GENESIS - THEATER

MHS GENESIS-Theater (MHSG-T) provides Role 3 forward-deployed hospital facilities with an electronic medical record for comprehensive patient care across all medical and dental specialties. The system operates autonomously in disconnected, intermittent, and low-bandwidth environments. It maintains longitudinal patient records from point-of-injury through hospital-level surgical care via the Operational Medicine Data Service. MHSG-T supports theater hospitals, forward resuscitative sites, and hospital ships with embedded clinical decision support and population health monitoring to enhance patient safety, clinical outcomes, and medical readiness.

Canine records are not maintained primarily in MHS GENESIS – Theater, as canine casualties have typically reached veterinary providers by the time they receive Role 3 care. Treatment and hospitalization records for canines will then be maintained in the eVHR. Any documentation recorded in BATDOK-J or Op Med CDP will be provided to veterinary personnel for inclusion in the canine’s eVHR.