Military reference books and manuals (2009-2023, Volume 6)

Appendix D

Table D-1. Sample internment facility inspection checklist (continued)

Preventive Medicine Inspection Checklist

Yes

Laundry Facilities

Short-term: 1 sink or bucket, preferably with a wringer, per tent plus detergent.

Long-term: Commercial laundry, if available; Army field laundry, individual machines.

Are adequate laundry facilities provided based on the anticipated use of the camp?

Are showers provided for long-term (greater than 5-day occupancy)?

Solid Waste: Are adequate waste containers provided (two-hundred 33-gallon trash cans for a 5,000-person

camp)?

Are cans covered and clean?

Is there evidence of flies or other insects or rodent harborage?

Is there medical or hazardous waste produced?

Is this waste disposed of in accordance with command directives?

Are waste collection and disposal personnel protected?

Describe:

Latrines

Note. Excavated (for example, slit trench) and receptacle (for example, burn-out and chemical) latrines are permissible,

however, excavated latrines are not recommended for long-term camps. Minimum distances for both short- and long-term

camps are: 100 feet from water supplies; 300 feet from any water source; 300 feet downwind from dining facility or food service

operation; and 50 feet from dwellings.

Are minimum distances met?

Are latrines located at the lowest elevation so rain water run off drains away from the camp?

Are latrines cleaned daily?

Are a minimum of one latrine for every 25 male detainees and one latrine for every 17 female detainees

provided?

Are adequate supplies available for the type of waste disposal used?

Are adequate handwashing facilities (one for every five latrines) with proper supplies available near latrines and

food operations?

Potable Water

Does the quantity of potable water provided comply with the water consumption planning factors applicable to

the type of camp and facilities provided?

•

1.5 gallons per person per day for drinking in temperate climates.

•

3.0 gallons per person per day for drinking in tropical and arid climates.

•

2.0 gallons per person per day for drinking in arctic climates.

•

1.7 gallons per person per day for personal hygiene.

•

1.7 gallons per person per day for centralized hygiene (showers) (one shower per week per person)

•

2.8 gallons per person per day for food preparation.

•

3.1 gallons per person per day for laundry.

•

1.24 gallons per person per day for medical treatment.

•

Detainees of certain religious faiths (for example, Islam) should be provided an additional 0.5-1.5

gallons of potable water per person per day for washing and drinking associated with religious

practices.

•

Detainees who practice anal washing following defecation require an additional 0.25-0.5 gallons per

day.

Does the quality of the potable water provided meet field water requirements specified in TB MED 577?

Note. Use DA Form 5457 and DA Form 5456 for potable water container and water point inspections.

Vector Control

Is there any evidence of insect and or rodent infestation?

D-2

FMI 4-02.46

8 November 2007

Appendix E

Planning Checklist for Medical Support

to Detainee Operations

This appendix provides a planning checklist for the conduct of medical support to

DO. Medical units and personnel may be called upon to provide health care to a

detainee population on an area support basis or as a direct support mission collocated

with an internment facility. During the planning process, each medical unit should

plan for supporting DO in the event they are called upon to do so. This checklist

should not be considered as all inclusive, each operation will have its own unique

requirements that must also be considered. This checklist is intended to be thought

provoking and serve as an initial point of consideration. Some areas of consideration

may overlap as they may affect more than one AMEDD function.

GENERAL CONSIDERATIONS

E-1. Are there any cultural, religious, or social beliefs that impact on the provision of health

care?

(Health care personnel must be aware of the detainee’s beliefs when prescribing courses of

treatment. Some cultures and religions have dietary restrictions or prohibitions concerning the use of

blood and blood products. Detainee compliance with prescribed courses of treatment will be higher if

they are not contrary to their beliefs. Social norms must also be considered as they pertain to gender

considerations and interactions. Health care personnel should be familiar with hand gestures which

might be offensive to someone from another culture. Additionally, health care personnel must ensure

they understand the importance of respectfully handling detainees’ religious documents,

books/scriptures, and articles.

[For additional guidance concerning detainee religious considerations

consult the supporting chaplain.])

E-2. Are interpreters available to translate detainee complaints to the attending health care

personnel?

(Has a local language guide been developed to assist asking medical questions? Have

pictograph translation tools been developed? Are translation technologies that may augment

translation capability available? Is a commercial product available? Could visual products used

offend the detainees [such as detailed, realistic drawings of the human body?])

E-3. Is there a PAO assigned to the TIF or to the medical unit?

(If there is not a PAO assigned—

what is the theater policy on release of information concerning detainee health care operations? What

procedures are there for when inquiries are made by NGOs or other organizations present in the AO?

What is the policy concerning the ICRC? Has this policy been articulated and disseminated to all

health care personnel assigned to the detainee health care mission?)

E-4. How is the information flow within the facility managed?

(What types of outside information

reaches the detainee population? What are the sources of this information? Can negative information

on detainee health care that is propagated by the enemy be countered? How is the detainee population

impacted [such as compliance with treatment regimes, refusal to take prescriptions, or detainees not

seeking medical assistance] by this negative information?)

E-5. What is the probable composition of the detainee population?

(What is the probable age

range of detainees? What will be the percentage of detainees who are female? Will there be any

children requiring pediatric care? Will there be any pregnant women? Will there be detainees

requiring geriatric care? Will there be any detainees suffering from major behavioral disorders?)

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E-1

Appendix E

E-6. What is the health status of the general population in the AO?

(What are the endemic and

epidemic diseases? What are the ten leading causes of death? What is the nutritional status of the

population? What is the dental status of the population? Do pregnant women receive prenatal care?

Do children receive immunizations? If so, what kinds? What is the mental status of the population

[such as has the nation been at war for a long period of time]? Has the civilian population been

exposed to atrocities? Is there a continuing threat of violence or civil unrest? Does the civilian

population have the basic necessities for life [housing, food, work, and a feeling of security or safety]?)

E-7. What is the visitation policy for detainees?

(Will detainees be permitted visitors? If detainees

may have visitors what are the PVNTMED considerations [such as introduction of diseases] posed by

visitors? Will detainees be permitted to accept food products from visitors? What PVNTMED

measures may be necessary [such as storing food products in domicile area]?)

E-8. What are the capabilities of the HN medical infrastructure?

(What are the capabilities of the

local medical infrastructure? Can they support the needs of detainees? Do they have the capability to

accept detainees who require medical specialty care? What is the HN’s capability with regards to the

treatment and management of those suffering from mental disorders? Are there any facilities in

country that can manage this population? Has an evaluation of the HN medical infrastructure been

accomplished? Refer to Tables E-1 and E-2 for an evaluation checklist.)

Table E-1. Evaluation of available public health services

Public Health System/Services

•

Number of public health personnel, facilities, and capabilities.

•

Hospitals by type and location (such as general medical, psychiatric, or orthopedic).

•

Number of hospital beds by type (such as surgical, intensive care, intermediate care, or

general medicine).

•

Number of operating room tables and table hours.

•

Medical clinics (private, public, or sponsored by NGOs) and locations.

•

Number of physicians per population.

•

Number of physicians by specialty.

•

Ancillary services available (such as PT, occupational therapy (OT), diagnostic

laboratory, prosthetics capability, community health nurses, magnetic resonance imaging

[MRI], computed tomography [CT] scan, or respiratory therapy).

•

Number of nonphysician health care providers (such as PAs, nurse practitioners,

podiatrists, audiologists, or optometrists) by type.

•

Medical evacuation/casualty transport systems (public, private, and military ground and

air ambulances).

•

Number of dental providers and types of dental care available (such as emergency and

essential care and/or oral surgery).

•

Number of BH clinics and available services.

•

Number and types of BH personnel (such as psychiatrists, psychologists, social workers,

and the like).

•

Number and types of medical research facilities.

•

Veterinary medicine personnel, facilities, and capabilities.

•

Pharmaceutical manufacturing.

•

Availability and types of medical equipment, medical equipment repair, and medical

supplies.

•

Availability and quality of blood and blood products.

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Planning Checklist for Medical Support to Detainee Operations

Table E-1. Evaluation of available public health services (continued)

• Availability, quality, and production capability of medicinal gases.

Public Health System/Services

•

Optical fabrication capabilities.

•

Assistive listening devices fabrication capabilities.

•

Prosthetics manufacturing capabilities.

•

What type of sterilization/sanitation equipment capabilities are in service?

•

Number, types, and capabilities of medical laboratories (such as public health,

clinical/diagnostic, and research).

•

Names and titles of key personnel within the public and private health care

infrastructures.

•

Number, types, and location of medical schools or medical training centers.

•

Determine the leading causes of death of the general population or specified

subpopulations.

•

What is the infant mortality rate?

•

What is the life expectancy (in years)?

•

Determine the prevalence of endemic and epidemic diseases in the AO.

•

Determine the prevalence of HIV/acquired immunodeficiency syndrome.

•

Determine the prevalence for STDs (such as gonorrhea, syphilis, hepatitis, and herpes).

•

Determine the OEH risk (to include heat and cold injury, exposure to loud

noise/radiation/toxic industrial materials [TIMs], and poisonous or toxic flora and fauna).

•

Determine the nutritional status of the general population or specified subpopulations.

•

Determine immunization level of general population or specified subpopulations.

Table E-2. Evaluation checklist for a host nation medical treatment facility

Medical Facility Checklist

• Is the medical facility a private, public, military institution, or provided by an NGO?

• Is the medical facility a hospital, clinic (such as outpatient, emergency, or substance

abuse), doctor’s office, or long-term care facility?

• Where is the facility located? How accessible is it (such as on a major thoroughfare, on

side streets, or accessible by air)?

• What type of care does the facility provide (such as emergency and general medicine,

surgical, orthopedic, maternity/obstetrics, pediatric, psychiatric, rehabilitative, or long-

term care)?

• What are the number and types of beds (such as surgical, intensive care, intermediate

care, or general medicine)?

• What ancillary services are available (such as PT, OT, audiology, respiratory therapy,

diagnostic x-ray, nuclear medicine, PVNTMED, or diagnostic laboratory services)?

• What is the staffing level of the facility?

• Does the facility provide outpatient services? If so, what types of care?

• What is the standard of care provided at the facility? How does it compare to US

facilities?

• How are medical professionals credentialed? What is their scope of practice?

• What is the nosocomial infectious disease rate for the facility?

8 November 2007

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E-3

Appendix E

Table E-2. Evaluation checklist for a host nation medical treatment facility (continued)

• Does the facility have the capability to isolate infectious disease patients?

Medical Facility Checklist

•

What types of medical equipment are available in the facility (such as diagnostic [CT

scan or MRI], rehabilitative, or patient care [ventilators, respirators, or orthopedic])?

•

What types of support services are available (such as laundry, housekeeping, or food

service)? Are there shared services with another facility? If not, how are the patients fed

(such as by relatives)?

•

Does the facility have an emergency room? Is it staffed and equipped to provide trauma

care?

•

What is the capacity of the facility to respond to a mass casualty situation (resulting from

urban combat, terrorist incidents, man-made or natural disasters, or employment of

chemical, biological, radiological, and nuclear [CBRN] weapons)?

•

What is the level of medical supplies maintained within the facility (days of supply)?

•

How is the facility resupplied with expendable and nonexpendable medical supplies?

Are medicines readily available or must they be obtained on an individual case basis?

Are relatives required to obtain required medications? Is local vegetation collected and

used for medicinal purposes?

•

Does the facility have the capability to collect, test, and store blood? What are the

diseases for which blood is tested?

•

If the facility cannot collect and test blood, where do blood and blood products come

from? Has it been tested? Does the facility have a refrigerated storage capability? What

are the maximum units of blood which can be stored?

•

Does the facility have its own ambulances (number and type [air and ground]) or is this a

service which is provided by another agency/business?

•

Is the hospital accredited by its parent nation and/or hospital organization (such as in the

US by the JCAHO)?

•

Does the facility perform its own medical equipment maintenance or must be it sent out

for repair?

•

Does the facility have dependable electric service? Does it have a backup generator for

power outages?

•

Does the facility have running water? If not, from what source does the staff obtain

water? Is it potable or does it require treatment before use?

•

Does the facility have an operational environmental control system? Heat? Air

conditioning?

•

What sanitation facilities are available in the facility? Restrooms for patients and staff?

Bath tubs/showers for patients? Handwashing stations/capabilities in patient care areas?

Disposal capabilities for general, medical, and human waste? Disposal capabilities for

wastewater? How are medical and hazardous waste segregated and disposed of?

•

Does the facility have a pest management problem (rats, ants, flies, lice, and/or other

animals and insects)?

•

Other. Any other issues, concerns, or situations that affect the specific facility being

evaluated.

E-4

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Planning Checklist for Medical Support to Detainee Operations

TRAINING

E-9. Have all unit members received refresher training in the Law of Land Warfare and military

regulations?

(Have unit members been briefed on the aspects of the Geneva Conventions,

international laws, and military regulations as they pertain to the treatment and care of EPWs,

detainees, and civilians?)

E-10. Have all unit members received an orientation briefing to the AO?

(Have unit members

received an orientation briefing to the cultural, social, economic, and religious beliefs, practices, and

language of the civilian population in the AO. Did the orientation include information on endemic and

epidemic diseases and OEH threats found in the AO? If there are different sects or subpopulations in

the AO, have these been delineated?)

E-11. Have all unit members received refresher training in medical ethics?

(Has refresher

training in medical ethics been conducted? Did training address the ethical issues of treating EPWs

and detainees as developed and directed by OTSG? Did the training address the recognition of the

signs and symptoms of abuse/maltreatment and how to report it? Does the MTF [above Role 2]

convene a medical ethics board when ethical issues arise? Do medical personnel know the reporting

process when an alleged or suspected abuse occurs?)

E-12. Have all unit members received refresher training in field hygiene and sanitation?

(Has

refresher training on field hygiene and sanitation practices been conducted? Did the training include

personal protective measures for the individual, the small unit leader, and the unit? Did the training

address field sanitation and personal hygiene requirements for internment facilities, DHAs, or DCPs

and what actions are required if deficiencies are noted?)

E-13. Have clinical and PAD personnel received training on the creation, maintenance, storage,

and disposition of detainee medical records? (Have all providers and administrative personnel been

trained on the requirements for creating and maintaining detainee medical records? Have tactical

standing operating procedures been developed at all roles of care delineating procedures for creating

and maintaining these records? Have all personnel been trained on the release and/or access to a

patient’s medical information/record?)

E-14. Are training aids available (such as posters, handouts, and pocket-sized cards) that can be

displayed or given to unit members to reinforce training?

(Has the unit produced or obtained

training aids covering areas such as medical ethics, Geneva Conventions, reporting of abuse or

mistreatment, or similar subjects to serve as reminders to unit members?)

E-15. Has training been conducted for unit members/care givers on the hazards and recognition

of combat and operational stress reactions resulting from working in an internment facility?

(Unit members should receive training on stress prevention and the recognition of signs and symptoms

of stress resulting from working in internment facilities. Who will provide the stress prevention

training/refresher training which should be accomplished periodically during the deployment? Is there

a unit-level peer mentor program in place? What is their scope of training? Who will provide training

and consultation for the peer mentor program?)

E-16. Have unit members received training on self-defense and how to act if taken hostage?

(Have unit members received training in self-defense techniques? Have unit members been instructed

on how to act if taken hostage? Have unit members been instructed on how to react if a riot or unruly

detainees are encountered? Have unit members received training in the separation of providing

medical care and not performing custody and control functions?)

E-17. Has medical education that can earn the medical staff continuing education units and

initial capabilities training been conducted?

(Have instructors been identified to conduct training?

What are the instructors’ qualifications and credentials? Have medical focus training areas been

identified that are unique to the AO?)

8 November 2007

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E-5

Appendix E

COMMAND, CONTROL, COMMUNICATIONS, COMPUTERS, AND

INTELLIGENCE

E-18. What medical information systems are available?

(Have the appropriate medical

information systems been considered for installation in particular for Class VIII support and medical

epidemiological reporting of infectious disease? Are medical information systems available for

preparing and maintaining medical records and reports? In Role 3 facilities, are the pharmacy

functions, to include provider prescription functions, automated?)

E-19. What are the command and support relationships between key participants? (What is the

relationship between the organic MP unit medical personnel and the supporting medical unit/task

force? What is the relationship to the CDO? What is the relationship with the DOMD? What

command relationship exists within the facility [MP, MI, and medical]? Is there an actual perceived

separation of detention functions? Do medical personnel participate in any form of custody or

interrogation operations? Do MPs or security personnel participate in any health care functions? Are

interrogation personnel of all types forbidden from access to any and all medical information on

detainees?)

E-20. What is the potential threat against the TIF?

(Is the internment facility and its collocated

medical units a potential target for enemy combatants, terrorists, or insurgents? Is there a possibility

that the internment facility could fall under a siege? Is there the possibility that CBRN weapons could

be employed against the facility? How do these threats impact medical support and are plans in place

to mitigate the adverse effects should an event occur?)

E-21. What is the morale of the facility (both cadre and detainees)?

(What is the morale of the

care givers, the guards, and the detainees? How does this affect good order and discipline? What

actions can be taken to improve morale, if it is low? What are the causes of low morale?)

PREVENTIVE MEDICINE

E-22. What PVNTMED assets/resources are available/organic to the internment facility? (What

organic resources does the MP unit operating the facility have? What is the scope of their training?

Do they have required supplies and equipment? Will they require augmentation to support the TIF

operation? What is the availability of PVTMED assets to augment the TIF? Are other Service

PVNTMED assets available for support? Are there plans for contracted PVNTMED support?)

E-23. What is the level of awareness of the detainee population to basic field sanitation and

personal hygiene practices?

(Will PVNTMED personnel be required to conduct PVNTMED training

to the detainee population? Are handouts, posters, or other training aids on PVNTMED practices

available in the detainees’ language? Are there any social, religious, or cultural considerations that

may impact PVNTMED practices and reduce compliance with appropriate standards?)

E-24. What is the frequency of required PVNTMED inspections?

(Are the organic internment

facility PVNTMED personnel going to conduct the routine PVNTMED inspections and at what

frequency? Are the organic resources going to require augmentation to accomplish the inspection

mission? Has a unit needs assessment been requested by the commander from a combat and

operational stress control-type unit or element? What is the recommended frequency for a formal unit

needs assessment? How often are x-ray machine surveys conducted and who conducts them?)

E-25. Has a site survey been accomplished for proposed or existing internment facility locations?

(Was an environmental health site assessment and an equivalent base camp assessment done prior to

establishing the internment facility? Are there any indications of environmental contamination at the

site? If a preexisting facility is to be used, does it have the minimum space requirements for detainee

domiciles/cells, adequate ventilation, and sufficient sanitary facilities/devices for the supported

population? What are the environmental considerations of the area surrounding the facility or upon

which it was developed? What is the impact of weather conditions [such as heavy rains] on the

site/facility [such as flooding]? There are several site surveys available.)

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Planning Checklist for Medical Support to Detainee Operations

E-26. Has the facility been planned, designed, and constructed to comply with sanitation and

hygiene standards and criteria?

(Has adequate space been provided for detainee living space? Are

adequate sanitation, feeding, and medical facilities provided? Was the site selected considering

disease and injury threats?)

E-27. What vector and pest control activities are required at the facility?

(Are there clinical

evidence of vectorborne diseases? What is the immune status of the population? What are the

pathogens of concern and what is their behavior/ecology? Are there factors in the facility that increase

the risk of vectorborne diseases? Does the facility have any signs of rodent activity? Is there an insect

or arthropod infestation within the facility or on the grounds? If yes, what is the source of the

infestation? Is aerial spraying required?)

E-28. Are adequate supplies of appropriate and safe food provided in quantities and quality to

meet detainee needs?

(Are food sources approved by military veterinarians? Are food service

personnel trained and adequately supervised in food service sanitation? Do food service personnel

apply sanitary practices during food transport, storage, preparation and serving? Do food service

facilities meet Army sanitary requirements?)

E-29. Are medical and OEH surveillances being conducted?

(What surveillance activities are

being performed? How often is the data collected and what is the frequency of reporting? Who is

analyzing data to determine trends and patterns?)

E-30. How are the needs for field hygiene and sanitation being met at temporary holding areas?

(Do temporary holding areas have sufficient latrines and handwashing devices? Are field expedient

measures being employed [such as individual waste collection bags]? Are field latrines being properly

constructed and cleaned daily? How are all types of waste [garbage, hazardous waste, and regulated

medical waste] segregated, stored, transported, and disposed of?)

E-31. Are quantities of adequate quality water provided for potable and nonpotable uses?

(Are

adequate supplies of potable water available at convenient locations? Are adequate supplies of

appropriate quality water conveniently available for personal hygiene and laundry? Are the

appropriate sanitary control and surveillance activities conducted on potable and nonpotable supplies?

Are detainee clothes laundered properly at least weekly?)

MEDICAL TREATMENT

E-32. What medical equipment is available within the internment facility?

(What types of

diagnostic and treatment equipment are in the medical treatment area? Is the internment facility

equipped with any major pieces of medical equipment, such as x-ray, ultrasound, medical laboratory

equipment, dental chairs, or hand-held x-ray? Is special medical equipment required for

subpopulations within the detainee population such as pediatric, geriatric, or maternity?)

E-33. What is the extent of medical screening conducted from the point of capture, through

temporary internment sites, to the internment facility?

(Is medical screening and treatment at the

point of capture or in temporary holding areas conducted by a dedicated medical staff or is it provided

by Role 1 and Role 2 MTFs on an area support basis? What do the screening protocols encompass

prior to arrival at the internment facility? If a detainee requires immediate medical care which cannot

be provided at the temporary holding area, how is medical evacuation support coordinated/obtained?

Who provides the personnel required to guard the detainee during evacuation? How is the medical

care provided at temporary holding areas documented and what is the disposition of this

documentation?)

Note. Medical personnel do not guard detainees. Guards must be provided by either the

echelon commander or the supporting MP units.

E-34. What are the medical screening requirements at the internment facility?

(What medical

screening [such as physical examination, height and weight, diagnostic testing, and immunizations]

8 November 2007

FMI 4-02.46

E-7

Appendix E

procedures/protocols are required by international law and what procedures/protocols are required by

command policy? What will the requirements be for a BH assessment? Will this be conducted

routinely on all detainees or on an “as indicated” basis?)

E-35. What tracking mechanisms are in place to monitor detainee patients within the MTF?

(Do security personnel always maintain custody and control of detainees during the provision of health

care? What is the policy for the use of restraints by medical personnel? Are all medical examinations

and health care interactions documented? How are detainees identified (arm band, identification card,

or other)? Do detainees have more than one form of identification on them at all times? Is an

individual medical record created for each detainee? Does the medical record incorporate all medical

documentation initiated in temporary holding areas [normally restricted to a completed DD Form

1380])?

E-36. What sick call services will be provided?

(How will daily sick call be conducted? Will the

detainees be brought to a medical treatment area or will medical personnel conduct sick call within the

detainee compounds or at the wire? What medical services are available at sick call? How are

specialty consultation requirements being met? Will detainees have to be transported to an MTF [not

collocated with the internment facility] for routine or diagnostic care?)

E-37. What are the medical criteria for requesting a compassionate release of a detainee for

medical reasons?

(What are the established criteria for considering a detainee for a compassionate

release based on his medical condition? How is the request initiated? Who must it be staffed with? If

approved, how is the detainee outprocessed and what coordination is accomplished with the

civilian/HN medical infrastructure?)

E-38. What is the capability to provide prosthetic devices as required?

(What is the command

policy concerning prosthetic devices? Are prosthetic devices manufactured in the HN or neighboring

countries? Are amputations resulting from mines and/or explosive devices a significant medical issue

among detainees?)

E-39. How will detainee medications be distributed?

(Is there a policy that medications should be

prescribed for administration one or two times daily, when feasible? Will the medications be

distributed in the detainee compound or in the medical treatment area? Are all medications distributed

by medical personnel? What are the documentation procedures for the distribution of medications?

Must detainees sign that they have received their medication? Have procedures been established

should a detainee refuse to take prescribed medication? Have the personnel distributing the

medication been instructed on how to check to ensure the medication was swallowed/ingested?)

E-40. Is there a mass casualty plan?

(Has a mass casualty plan been developed and rehearsed?

What is the potential for the internment facility to be either bombarded or attacked? Has the plan been

synchronized with the facility commander and staff? Should the facility come under attack, how will

wounded detainees be located, acquired, and treated? Also, include estimate of a triage point and

coordination for the use and augmentation of nonmedical vehicles to assist in transporting casualties.

During the mass casualty, is there a plan to secure/guard detainees [by nonmedical personnel] while

receiving medical care to both ensure their safety and control?)

E-41. Is there a plan for the outbreak of a contagious disease?

(Is there a strategy for medical

disease surveillance to facilitate early detection of an outbreak? Has a plan been developed to manage

an outbreak of contagious disease within the detainee population? Is there the capability to establish a

medical holding area where ill detainees can be isolated from the rest of the population? Will

augmentation of the medical staff be required if such an event occurs? What is the MTF’s infection

control plan to prevent outbreaks?)

E-42. How is EMT provided?

(Does the facility have medical personnel on duty on a 24-hour

basis? Where is EMT provided [in medical treatment area or in the compound]? If the detainee must

be evacuated to a higher role of care, how is medical evacuation arranged? Can the health care

specialist providing emergency care communicate directly with the supporting hospital ER? Can the

health care specialist communicate with the hospital ER while providing en route medical care on the

E-8

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8 November 2007

Planning Checklist for Medical Support to Detainee Operations

evacuation platform? Have guard personnel been trained in enhanced first aid measures [CLS skill

level]? Is there at least one guard on duty for each shift with CLS training? Have medical personnel

received initial and periodic refresher training on the proper techniques for restraining combative

patients? Are there sufficient restraints available to meet the unit’s needs?)

E-43. Will medical photography be used to document traumatic injuries, wounds, or preexisting

conditions?

(Does the unit have the appropriate photography equipment to document detainee

injuries? Is there a command policy on obtaining photographic documentation of injuries? Has

training been conducted on the need to ensure such photographs are correctly filed in the detainee’s

medical record and safeguarded from unauthorized release?)

E-44. What are the requirements for medical screening for detainees being released from

custody? (Are detainees medically outprocessed from the internment facility? What arrangements are

made for detainees taking medication and/or undergoing medical treatment for chronic illnesses? For

traumatic injuries? Is there a CMO liaison that can assist in coordinating continuing medical support

requirements with the civilian/HN medical infrastructure? Has the detainee indicated whether he felt

he had a positive or negative medical experience? If negative, will he reveal why he feels this way?

Has the detainee requested a copy of his medical records?)

HOSPITALIZATION

E-45. What hospitals are established in the AO?

(Are these US facilities? What are the

capabilities of these hospitals? What is the anticipated length of stay of detainee patients? What is the

difference in length of stay for detainee patients versus US or multinational forces? How does the

difference in length of stay affect the professional mix of health care providers?)

E-46. What are the surgical requirements for the detainee population?

(Are detainees requiring

surgical intervention treated at FSTs? What are the follow-on surgical requirements of a detainee

treated at an FST? Does the collocated medical unit at the internment facility have a surgical

capability? If not, how is surgical care coordinated for on a routine basis? On an emergency basis?

Will augmentation of surgical capability be required for a mass casualty situation [such as an attack on

the internment facility]?)

E-47. What ancillary services are available by the hospitals within the AO? (If convalescence for

some injuries/illnesses is anticipated to occur, is ancillary support such as PT or OT available within

the hospital and/or theater? What other rehabilitative services are required for the detainee

population?)

E-48. What is the policy on physical separation of patients? (Are detainee patients separated from

other patients [for example, US Forces, multinational forces, and government employees and civilian

contractors] when health care is administered? Are detainee patients separated by gender? Are

detainee patients kept far enough apart to prevent passing of notes, weapons, and information? Are

detainees afforded personal privacy during physical examinations and medical care?)

E-49. What procedures/notifications are required when a detainee is admitted to a US facility?

(Will a detainee be evacuated from the point of capture or a temporary holding facility directly to a

hospital? Will a detainee be evacuated from the point of capture or a temporary holding facility

directly to a hospital collocated with the internment facility? Will the detainee be evacuated from the

internment facility to a collocated hospital or to another hospital facility within the theater?)

E-50. Has a formulary been established for prescription drugs?

(Does it include medications for

diseases endemic to the local area? Does it include medicine for chronic diseases/conditions? Does it

contain medications for maternal and child health? Are the medications available in the local area, so

that treatment can continue once the detainee is released? Are psychotropic medications included in

the formulary?)

E-51. How will detainees be transferred from one hospital to another within the AO, if required

for specialty care?

(Who will provide the transportation assets? What coordination is required to

affect the transfer? Who will provide security and guard detainees?)

8 November 2007

FMI 4-02.46

E-9

Appendix E

E-52. Is there a CMO liaison to assist in coordinating follow-on medical care in the civilian

community for detainees requiring continued medical care after release?

(Is follow-on medical

care in the civilian community coordinated for detainees being released? Who performs this task?

What are the specific capabilities of the civilian medical infrastructure?)

E-53. How often will security inspections be conducted to identify security risks within the

hospital and/or treatment areas?

(Security risks—A hospital setting can present many items which

can be used as a weapons for a detainee to injure himself or his caretakers [both medical (such as

syringes) and nonmedical (such as pens and pencils)]. All medical supplies should be selected for

functionality and safety. Who will conduct these inspections?)

E-54. What is the policy on body cavity examinations/searches?

(Are body cavity examinations

done by medical personnel for medical reasons only? What is the command policy concerning security

personnel performing body cavity searches? Are hernia examinations forbidden during routine

screening? Are all body cavity examinations/searches and hernia examinations performed by medical

personnel of the same gender as the detainee patient?)

E-55. Are detainee patients’ medical information kept private to the extent possible?

(Is all

detainee medical information restricted from interrogation personnel? Is the internment facility chain

of command entitled to detainee medical information for health and welfare reasons? What procedures

are used to provide necessary information [such as documentation similar to a physical profile]? Do

medical personnel report all medical information gained during a medical interaction that may

seriously jeopardize the health and safety of the detainee, other detainees, and/or facility staff to the

proper authorities?).

E-56. Is a policy established for decedent affairs?

(Are all detainee deaths reported to the CDO,

DOMD, and CID? What is the command policy on the performance of autopsies? How are the

deceased detainee’s next of kin notified and who is responsible for performing this notification? Does

the AFME have primary jurisdiction and authority within DOD to conduct a forensic investigation to

determine the cause and manner of a detainee death? Has the final disposition of the detainee’s

medical record been completed?)

NUTRITION CARE

E-57. Are dietitians available to provide consultation on nutrition care issues?

(Dietitians are

normally assigned to Role 3 hospitals. However, they may be consulted by any medical unit which

requires their expertise. Dietitians should evaluate the nutritional value of the detainees’ diet to ensure

there is a sufficient caloric intake and that the minimum essential daily requirements for vitamins and

minerals are achieved. If detainees are performing work assignments, their nutritional requirements

should be reevaluated to ensure their caloric and macronutrient intake is sufficient/appropriate for the

type of work being performed.)

E-58. Is the data obtained from the monthly required weigh-ins analyzed to determine trends

and to ensure detainees with significant weight changes are identified?

(A monthly weigh-in is

required for all detainees. This may be accomplished in a variety of setting, such as the medical

treatment area, at the dining facility prior to a meal, or at headcounts. The weight must be recorded on

DA Form 2664-R for each detainee. This data must be reviewed to determine trends and identify

detainees with specific weight-related conditions. The organic medical personnel can evaluate the

data, but should consult with a dietitian if any issues are identified.)

E-59. Are there any cultural, religious, and/or social considerations related to diet?

(Does the

detainee’s religion have any restrictions on the type of food which can be consumed? If there are

prohibited items, what precautions are required to ensure that how the food is prepared does not affect

its status

[cross-contamination from prohibited foods to acceptable foods]? Does the detainee’s

religion dictate fasting during certain times or during religious holidays? How can the detainee’s diet

be adjusted to compensate for periods of fasting?)

E-10

FMI 4-02.46

8 November 2007

Planning Checklist for Medical Support to Detainee Operations

E-60. What are the ramifications and procedures to be followed should detainees go on a hunger

strike?

(What are the procedures for managing hunger strikes? What are the medical ramifications

should the hunger strike become prolonged? What is the theater policy on intervention?)

E-61. Are medical supplemental rations available?

(Are special medical diets and/or supplements

available for detainees who are not inpatients? Do certain clinics need to maintain a stock of liquid

nutritional supplements for detainees undergoing treatment [such as the dental treatment area for

patients undergoing oral surgery or for diabetic patients?])

E-62. What is the command policy on providing MREs to feed the detainee population? (What is

the command policy on the use of MREs for detainees? Can MREs be used at the point of capture or

temporary holding areas? What is the maximum length of time MREs can be used? When MREs are

used, how are detainees with religious- or social-based dietary restrictions accommodated?)

DENTAL SERVICES

E-63. What units will provide dental services for the detainee population?

(Will dental resources

be available within the medical treatment area [dental resources are not organic to the internment

facility medical contingent]? If there is a medical unit collocated at the facility, does it have organic

dental resources? If not, how will dental problems be referred for care?)

E-64. What dental services are available in the AO? (What is the theater policy on dental care for

detainees?)

E-65. What dental conditions will necessitate the evacuation of patients from the internment

facility to a dental treatment facility within the AO?

(What oral conditions cannot be treated

satisfactorily in the internment facility? What coordination is required to arrange for the evacuation of

dental patients? What organization provides oral and maxillofacial referral care for detainees?)

BEHAVIORAL HEALTH, NEUROPSYCHIATRIC CARE, AND STRESS

CONTROL

E-66. Who is responsible for the detainee BH programs and treatment?

(Who will provide BH

services to the detainees? What accommodations will differences in language require? What services

will be available within the internment facility? Will BH resources be collocated with the supporting

medical unit? Are there any HN BH providers that may be contracted for the purpose of managing and

treating detainees with mental disorders?)

E-67. How will detainees with BH and NP conditions and/or stress-induced reactions be

evacuated, if required?

(On dedicated medical vehicles? On general transportation assets? Will NP

patients require an escort, sedation, or restraints for evacuation by aircraft? What facility within the

AO will detainees requiring inpatient psychiatric care be regulated to?)

E-68. Who will conduct TEM assessment for staff?

(Who within the facility provides follow-up

care, if required?)

E-69. How are detainees screened for BH disorders/stress during the initial medical screening

conducted when the detainee is inprocessed to the TIF?

(Will a BH professional be part of the

inprocess medical screening team? What procedures are followed if a detainee appears to be suicidal

or expresses suicidal thoughts?)

E-70. What are the procedures if a detainee attempts to commit suicide?

(Have guard personnel

been trained on appropriate procedures and notifications if a detainee attempts to commit suicide?

How are the emergency treatment personnel notified? What are the procedures to be followed

[security, segregation, observation, and treatment] after a suicide attempt? What are the identified

protocols for the use of mechanical and/or chemical restraint? What are the protocols for other

management techniques such as line-of-sight and attendant arms-length behavioral management?)

8 November 2007

FMI 4-02.46

E-11

Appendix E

MEDICAL EVACUATION AND MEDICAL REGULATING

E-71. Do medical evacuation vehicles/aircraft require armed escort while performing their

mission?

(If yes, what units will provide this support? What is the response time? Can ground

evacuation vehicles only move as part of convoys or are they permitted to move independently? Are

ground ambulances used within the compound? If the detainee must be evacuated from the internment

facility and collocated medical unit, will he be moved by ground or air ambulance? What coordination

is required for security and guards?)

Note. Medical personnel do not guard detainees during medical evacuation. Guards and other

required security are provided by the echelon commander and/or supporting MPs.

E-72. How will medical evacuation be requested when a detainee requires evacuation through

medical channels from the point of capture or temporary holding facility directly to a hospital?

(How will medical evacuation be requested from the point of capture or temporary holding facility?

What unit will provide guards/escorts for detainees? Is there more than one facility detainees can be

taken to? Who regulates their flow to hospitals within the AO?)

E-73. Has a policy been established on detainee evacuation?

(Is the priority of casualty care and

evacuation based solely on severity of wounds or illness? Are enemy casualty and detainee evacuation

methods the same as but separate from that provided to other casualties and patients? Are detainees

ever evacuated/transferred out of country?)

MEDICAL LOGISTICS

E-74. What is the Class VIII stockage level? (Has theater policy been established and disseminated

concerning the days of supply required for Class VIII in support of US medical units conducting

detainee health care operations? Have medical supplies/pharmaceuticals normally not carried in

medical equipment sets been identified and available in sufficient quantities to support the detainee

population with chronic health conditions, maternal and child health care, obstetrical/gynecological

care, pediatric care, and geriatric care? Have initial support requirements for Class VIII been

sufficient, if not, have adequate measures been put into play to remedy supply support shortages?)

E-75. What are the requirements and considerations for the use of blood and blood products in

detainee health care? (Are there any cultural, religious, or social prohibitions on the use of blood and

blood products for any of the subpopulations of detainees? What is the source of supply of blood and

blood products? If the source comes from within the local area, how is the blood collected? What tests

are performed on the blood after collection? How is the blood tracked and matched to the detainee

transfused? What procedures are required for emergency use

[transfusion] of blood? What

documentation is required for the informed refusal of the use of donated blood? Does the facility have

a refrigerated storage capability? What is the maximum number of units of blood which can be

stored?)

E-76. How will resupply be affected? (Are units using line item requisitioning or are preconfigured

push packages being used? Will supply point distribution be used? Will medical vehicles/aircraft

provide backhaul for medical supplies, equipment, and blood?)

E-77. What reports are required to be submitted to the supporting MEDLOG facility?

(Are

these reports automated? Are automated systems interoperable? What are the report formats and

suspense times/dates? If automation is not available how are requisitions processed?)

E-78. Have daily logistics requirements been determined?

(Internment facility planners should

identify the type of day-to-day support needed to run and maintain the facility. Those requirements are

subsequently reported to the higher HQ to ensure required assets are available for support.)

E-12

FMI 4-02.46

8 November 2007

Planning Checklist for Medical Support to Detainee Operations

VETERINARY SERVICES

E-79. What type of rations is to be provided to the detainee?

(This is dependent upon the

anticipated availability of food sources within the theater. What is the maximum length in days that

MREs can be used to feed a detainee population? Are food sources and services contracted for the

facility?)

E-80. Will US Forces provide veterinary inspection of subsistence for hygiene

(safety),

wholesomeness, and quality for the internment facility?

(Will veterinarians inspect local food

sources used for subsistence for detainee populations? Are local food sources available? Will food be

purchased outside of the AO and shipped in?)

E-81. What are the animal medicine requirements for MWDs within the facility?

(Where is the

veterinary treatment facility located? Will injured or ill MWDs have to be evacuated for treatment? If

yes, does the handler have to accompany the animal? Will the animal require sedation? What type of

platform will be used for the evacuation?)

E-82. Are there any veterinary PVNTMED aspects of the operation within the facility? (Is there

a zoonotic disease threat within the facility? Are there any food animals maintained in the compound?

Are there any feral or wild animals with access to the facility? Are there any unauthorized pets? If

animals, other than MWDs, are in the compound, have they been immunized [such as for rabies]? Are

diseases such as anthrax endemic to the AO? Will an epidemiological investigation be conducted

should an outbreak occur? Who will conduct the investigation?)

MEDICAL LABORATORY

E-83. What diagnostic/clinical capabilities are available at the internment facility?

(The organic

MP medical personnel at the internment facility do not have a diagnostic/clinical laboratory capability.

If there is not a collocated medical unit, will the medical asset organic to the internment facility be

augmented to provide this capability? Is the capability available a Role 2 [medical company] or Role

3 [hospital] capability? If there is a Role 2 capability, what specific tests can be processed at the

facility? What specimens would have to be forwarded to the supporting Role 3 hospital to be

accomplished? What are the procedures for packaging and forwarding specimens to the next role of

care for evaluation?

Has the stockage level for laboratory supplies and reagents been

assessed/determined?)

E-84. What is the capability and capacity of the medical laboratory resources supporting the

facility to store and process blood?

(What is the storage capacity of the medical unit supporting the

internment facility? Will the medical unit be limited to only O positive and negative red blood cells

[similar to a Role 2 capability] or will other blood types be available [similar to a Role 3 capability]?

What is the capability of the laboratory to type and cross match blood? Is there sufficient storage,

refrigeration, freezer, and room temperature space for all supplies? Are the laboratory/blood bank

environmental conditions proper for laboratory work and proper functioning of equipment?)

E-85. How are specimens/samples collected, packaged, and chain of custody maintained on

suspect biological warfare (BW) and chemical warfare (CW) agent materials? (Should suspect BW

or CW agents be used against the internment facility, what are the procedures for collecting and

packaging specimens/samples? How is support from the technical escort unit [TEU] coordinated?

What if TEU support is not available? How are specimens/samples escorted and chain of custody

maintained? To what facility are these specimens/samples submitted for presumptive and confirmatory

identification? How are routine specimens collected, packaged, and transferred to the next higher level

of laboratory support? How are specimens collected and transported within the facility to ensure

specimen integrity, identification, and security? How are laboratory results reported back to the health

care provider [such as electronic, paper, distribution, or carrier/messenger]?)

8 November 2007

FMI 4-02.46

E-13

Appendix F

Sample Extract Mission Essential Task List

with Collective Tasks

This appendix provides a sample mission essential task list (METL) for a Role 3

hospital unit with task-organized elements providing medical support to DO. This

abbreviated METL and associated collective tasks are illustrative in nature and are

provided to provoke thought regarding DO. This sample METL is not all-inclusive

and should be modified to the specific unit type/task force executing a DO mission.

Some collective tasks pertain to unit-level operations. For example, the collective

task “Perform Mortuary Affairs” does not imply that the supporting medical unit will

perform MA functions for DO; rather, the medical unit must be prepared to perform

unit-level MA procedures should a unit member become a casualty. Once the unit

establishes the collective tasks associated with each mission essential task, the

individual tasks can be delineated to support each of the collective tasks. Table F-1

provides a sample extract METL with collective tasks.

Table F-1. Sample mission essential task list

METL Task

Collective Task

Number

Defend Hospital Area

63-1-1038.08-855A

Supervise OPSEC Program

63-2-1016.08-855A

Employ OPSEC Measures

63-2-1003.08-855A

Conduct Tactical Road March

63-2-1006.08-855A

Defend March Elements

63-2-1011.08-855A

Set Up Hospital Defense

63-2-R306.08-855A

Employ Physical Security Measures

63-2-1024.08-855A

Defend Hospital Area

63-2-1026.08-855A

Reorganize Hospital Defense

63-1-1001.08-855A

Conduct Mission Analysis

Conduct Intelligence Preparation of the

63-1-1002.08-855A

Battlefield

63-1-1003.08-855A

Formulate Feasible Courses of Action

63-1-1004.08-855A

Develop Intelligence Estimate

63-1-1009.08-855A

Prepare OPLAN/OPORDs and Annexes

63-1-1012.08-855A

Plan Hospital Area Tactical Operations

63-1-1017.08-855A

Establish Communications

Operate the Tactical Operations Center

63-1-1022.08-855A

(TOC)

63-1-1045.08-855A

Provide C2

63-1-1052.08-855A

Direct Response to Threat Actions

8 November 2007

FMI 4-02.46

F-1

Appendix F

Table F-1. Sample mission essential task list (continued)

METL Task

Collective Task

Number

63-1-1053.08-855A

Direct Area Damage Control Operations

63-2-1014.08-855A

Plan Area Damage Control Operations

63-1-1040.08-855A

Maintain Communications

Establish Hospital Area of Operations

Supervise Establishment of Subordinate

63-1-1019.08-855A

Elements and Hospital HQ

Establish TOC, Administrative Areas, and

63-1-1020.08-855A

Operational Areas

08-1-0218.08-855A

Establish Hospital HQ Area

63-2-0008.08-855A

Establish Company HQ Area

08-2-0220.08-855A

Establish Hospital Operational Areas

63-1-1011.08-855A

Develop Occupation Plan

63-1-1017.08-855A

Establish Communications

63-1-1045.08-855A

Provide C2

63-1-1040.08-855A

Maintain Communications

Perform Hospitalization Support and Services Operations

Prepare for Hospitalization Support and

08-1-0225.08-855A

Services Operations

Coordinate Hospitalization Support and

08-1-0226.08-855A

Services Operations

63-1-1042.08-855A

Provide Personnel Service Support

63-1-1043.08-855A

Provide Administrative Service Support

10-2-C320.08-855A

Provide Unit Supply Support

08-1-0249.08-855A

Provide Medical Supply Support

43-2-R322.08-855A

Perform Unit-Level Maintenance

Conduct Battlefield Stress Reduction and

08-2-R303.08-855A

Prevention Procedures

19-3-3106.08-855A

Handle EPWs

Process Captured Documents and

19-3-3105.08-855A

Equipment

08-2-0314.08-855A

Treat Hospital Casualties

10-2-C318.08-855A

Perform MA Operations

08-1-0230.08-855A

Perform PAD Services

08-1-0231.08-855A

Provide EMS

08-1-0233.08-855A

Provide Movement of Patients

08-1-0234.08-855A

Perform Staff Administrative Functions

08-1-0235.08-855A

Provide Orthopedic Cast/Traction Services

08-1-0236.08-855A

Provide Central Materiel Services

Provide Medical Consultation and

08-1-0237.08-855A

Treatment Services

08-1-0238.08-855A

Provide Respiratory Therapy Functions

08-2-0700.08.855A

Perform PVNTMED Operations

08-1-0239.08-855A

Provide Nursing Services

F-2

FMI 4-02.46

8 November 2007

Sample Extract Mission Essential Task List with Collective Tasks

Table F-1. Sample mission essential task list (continued)

METL Task

Collective Task

Number

08-1-0240.08-855A

Provide Pharmacy Services

08-1-0241.08-855A

Provide PT Services

08-1-0534.08-855A

Provide OT Services

08-1-0242.08-855A

Perform Surgical Services

08-5-0001.08-855A

Provide Eye Surgery Services

08-2-0317.08-855A

Provide Dental Services

08-1-0244.08-855A

Provide Laboratory Services

08-1-0245.08-855A

Provide Blood Banking Services

08-1-0246.08-855A

Provide Neuropsychiatric Services

08-1-0252.08-855A

Provide Patient Convalescent Care

08-1-0247.08-855A

Provide Radiology Services

08-1-0250.08-855A

Provide Nutrition Care Services

Provide Comprehensive Religious Support

08-1-0248.08-855A

to Patients and Unit Members

63-1-1022.08-855A

Operate the TOC

63-1-1045.08-855A

Provide C2

63-1-1040.08-855A

Maintain Communications

Plan Hospitalization Support and Services Operations

Conduct Battlefield Stress Reduction and

08-2-R303.08-855A

Prevention Procedures

08-2-0314.08-855A

Treat Hospital Casualties

08-1-0241.08-855A

Provide PT Services

08-1-0534.08-855A

Provide OT Services

63-1-1001.08-855A

Conduct Mission Analysis

Conduct Intelligence Preparation of the

63-1-1002.08-855A

Battlefield

63-1-1003.08-855A

Formulate Feasible Courses of Action

63-1-1004.08-855A

Develop Intelligence Estimate

63-1-1005.08-855A

Develop Personnel Estimate

63-1-1006.08-855A

Develop Logistics Estimate

Develop a Hospitalization Support and

63-1-1007.08-855A

Services Estimate

63-1-1009.08-855A

Prepare OPLAN/OPORDs and Annexes

63-1-1011.08-855A

Develop Occupation Plan

63-1-1012.08-855A

Plan Hospital Area Tactical Operations

63-1-1045.08-855A

Provide C2

63-2-1014.08-855A

Plan Area Damage Control Operations

Perform Theater-Level Detainee Health Care Support and Service Operations

Establish Coordination with the Designated

DOMD

Establish and Maintain Split-Based

Operations C2

8 November 2007

FMI 4-02.46

F-3

Appendix F

Table F-1.

Sample mission essential task list (continued)

METL Task

Collective Task

Number

Conduct Health Threat Assessment for

Detainee Population

Perform Medical Inprocessing for Inpatient

Detainees

Establish Identification of Detainee

Patients

Establish Detainee Medical Record

Maintain Detainee Medical Record

Perform Inpatient Hospitalization Support

for Detainees

Evacuate Detainee Patients Within Theater

Move Detainee Patients Within Theater

Perform Initial Medical Screening/Physical

Examination of Detainees

Perform Dispensary/Sick Call Support for

Detainees

Establish Wound Care Clinics

Provide Oversight for Detainee Health

Care at DCPs and DHAs

Perform Dental Services for Detainees

Perform Behavioral Health Services for

Detainees

Coordinate/Plan for Linguist Support

Report Abuse/Suspected Abuse of

Detainees

Coordinate for Security of Detainee

Patients

Perform Credentialing/Privileging of HN

and Multinational Health Care Providers

Perform Mass Casualty Operations

Perform Geneva Conventions/Law of

Armed Conflict Training

Perform Orientation on Separation of

Health Care from Custody and Control

Perform Orientation on Separation of

Health Care from Interrogation Operations

Perform Medical and OEH Surveillance of

Detainee Population

F-4

FMI 4-02.46

8 November 2007

Appendix G

Linguist Support

This appendix expands the discussion of linguist support in Chapter 3.

LINGUIST CATEGORIES

G-1. The commander and staff must identify linguist requirements by category—

Category I—Have native proficiency in the target language (Level 4-5) and an advanced

working proficiency in English. May be locally hired or from a region outside the AO. They do

not require a security clearance. Must be screened by the Army counterintelligence support

team.

Category II—Are US citizens screened by Army counterintelligence personnel and are granted

access to secret clearance by the designated US government personnel security authority. Have

native proficiency in the target language (Level 4-5) and an advanced working proficiency in

English.

Category III—Are US citizens screened by Army counterintelligence personnel and are granted

either top secret (TS)/sensitive compartmentalized information (SCI) clearance or an interim

TS/SCI clearance by the designated US government personnel security authority. Meet a

minimum requirement of Interagency Language Round Table Level

Are capable of

understanding the essentials of all speech in a standard dialect. Must be able to follow

accurately the essentials of conversation, make and answer phone calls, and understand radio

broadcasts and news stories, and medical and oral reports (both of a technical and nontechnical

nature).

SOURCES OF LINGUISTS

G-2. There are various sources that a medical commander can use to obtain the linguists necessary to

support detention health care operations. It is vital to know the advantages and disadvantages of each type

of linguist and to carefully match the available linguists to the various aspects of the operation.

ACTIVE ARMY

G-3. A number of MOSs in the MI field have language-qualified Soldiers. Due to their Soldier skills,

English proficiency, and security clearances they can be very useful as translators/interpreters. However,

these are usually low-density MOSs and these Soldiers cannot normally be spared to be used as translators.

G-4. In addition to MI-related MOSs there are some special operations forces-related MOSs that also have

qualified linguists. Particular attention, however, must be paid to the recorded language proficiency and

test date of these individuals since standards vary by field. Again, these tend to be low-density MOSs and

the Soldiers are normally not available to accomplish translator functions.

G-5. The Army also includes numerous Soldiers of all grades who are proficient in a foreign language and

are receiving foreign language proficiency pay but whose primary duties do not require foreign language

proficiency. They may have attended a civilian school to learn a foreign language or they may have

acquired proficiency through their heritage. They have the advantage of being trained Soldiers and are

therefore readily deployable to all areas of the battlefield. These Soldiers may have the specific vocabulary

and military skill knowledge for certain linguist support missions. For example, a health care specialist

who speaks the local language would be an invaluable asset to the medical unit. There are disadvantages

in that they already have another job and units are reluctant to give up personnel especially if they are in

8 November 2007

FMI 4-02.46

G-1

Appendix G

key positions. Their capabilities are difficult to assess. Since they are not required to take the Defense

Language Proficiency Test if they are not receiving foreign language proficiency pay, it is often difficult

for the S1 to identify them as a linguist or for a nonlinguist to judge the level of their foreign language

capability.

RESERVE COMPONENT

G-6. Reserve Component (RC) language-dependent MOSs include those discussed above in the Active

Army (paragraphs A-3 and A-4). Reserve Component linguists have the same set of advantages and

disadvantages as listed above for Active Army language-dependent MOSs. The RC also includes linguists

in MOS 97L (translator/interpreter). These Soldiers are specifically trained to be a translator and

interpreter. They have the same advantages as the Active Army linguists. An added advantage is that

since their sole job is translation and interpretation, they do not have to be removed from another job in

order to be used as a linguist.

OTHER SERVICE LINGUISTS

G-7. Other Service linguists have the advantage of deployability, loyalty, and clearance, but must often

have to learn the Army system and specific Army vocabulary. They are also difficult to obtain since their

parent Service probably also lacks a sufficient number of trained linguists. Other Service linguists,

however, will be valuable in joint operation centers and joint activities. When serving as the joint task

force HQ, Army commanders and staffs must be aware of the linguists in the other Services in order to

plan for the participation and optimize their employment.

CONTRACT UNITED STATES LINGUISTS

G-8. United States civilians can be contracted to provide linguist support. They have an advantage over

HN hires in that their loyalty to the US is more readily evaluated and it is easier for them to be granted the

necessary security clearance. However, there may be limitations on the deployment and use of civilians. A

careful assessment of their language ability is important because, in many cases, they use “old-fashioned”

terms or interject US idioms.

MULTINATIONAL LINGUISTS

G-9. Multinational linguists have their own set of advantages and disadvantages. These linguists may be

unfamiliar with the US military system unless they have previously participated in a multinational

operation with US Forces. They may have a security clearance, but clearances are not necessarily equal or

reciprocal, automatically guaranteeing access to classified or sensitive information between nations. They

support the command’s interest but may have differing priorities or responsibilities within their assigned

AO. These linguists also are already fulfilling specific duties for their own nation, which may also have a

shortage of linguists. The major disadvantage to acquiring and maintaining multinational linguist support

is that they are outside the C2 (via military authority or military contract) of the US Forces. These linguists

will be valuable in multinational operations centers and activities.

HOST NATION CONTRACT LINGUISTS

G-10. Local national hires will provide the bulk of your linguist support. They are usually less expensive

to hire than US civilians and will know the local dialect, idioms, and culture. The expertise of these

linguists in particular areas or subject matters can be an asset. However, there are several potential

problems with using HN hires, to include limited English skills, loyalty considerations, and security

concerns; therefore, a screening interview or test is necessary to determine their proficiency in English.

These individuals must also be carefully selected and screened by Army counterintelligence personnel

(with US linguist support) initially and periodically throughout their employment.

G-2

FMI 4-02.46

8 November 2007

Appendix H

Immunizations

This appendix stipulates responsibilities for the establishment of detainee

immunization programs and provides general guidance to establish policies for their

implementation. Special considerations for developing a detainee immunization

program are provided as a list of considerations to assess when developing these

programs. Immunizations for detainees serve a dual purpose. While they are

beneficial to the detainee for their personal protection, they also serve as a force

multiplier for our forces. The goal is to keep the detention facility population as

healthy as possible to decrease the strain on the medical assets. Immunizations

provide an effective way of reducing the risk from specific diseases.

MILITARY VACCINE AGENCY

H-1. The Military Vaccine Agency is the central office that provides military leaders, health care

providers, and Soldiers a synchronized access point for information, education, and coordination of the

anthrax, smallpox, influenza, and other vaccination programs. The Agency coordinates the Army’s overall

vaccination program, monitors other Services’ program implementation plans, and executes the Army’s

implementation plans. For additional information on the immunization program refer to AR 40-562, AR

190-8, and DODI 6205.4.

RESPONSIBILITIES

THE SURGEON GENERAL

H-2. The Secretary of the Army, as the DOD Executive Agent for the Immunization Program, has

appointed The Surgeon General to implement this program. The Surgeon General will—

Provide technical assistance to the GCC through the Military Vaccine Agency.

Provide advice to the DOMD and/or task force surgeon on the detainee immunization policy.

Monitor vaccine supplies and distribution for detainee immunization programs.

DETAINEE OPERATIONS MEDICAL DIRECTOR/TASK FORCE SURGEON

H-3. The DOMD and/or task force surgeon (if a DOMD is not designated)—

Develops the theater detainee immunization policy to protect detainees against diseases that may

be a significant cause of death or illness (for example, influenza or tetanus-diphtheria).

Implements detainee immunizations in consonance with the Law of Land Warfare, international

conventions, protocols, and law and accepted professional ethical standards with regard to the

proper and ethical health care of detainees.

Ensures immunization policies maintain uniformity of procedures and provides detainees with

standard of health care to approximate that afforded US Armed Forces.

Ensures immunizations provided to detainees are voluntary and free of charge and known risks

associated with the vaccine are clearly provided to the detainee (in his own language) before

beginning with the immunization.

Ensures all detainee immunizations are annotated in the detainee’s medical record.

8 November 2007

FMI 4-02.46

H-1

Appendix H

INTERNMENT FACILITY SURGEON

H-4. The TIF surgeon will—

Implement the DOMD/task force surgeon’s detainee immunization program.

Inform the DOMD/task force surgeon of any specific infectious diseases or medical conditions

that may require modification to the detainee immunization program.

Ensure health care personnel do not conduct any form of medical research that involves

detainees (DODD 3216.2), even if the detainee grants permission. Maintenance of standard

immunization statistics

(such as adverse effect rates) absent of any detainee personal

identification data is acceptable for the management of this program.

SPECIAL DETAINEE IMMUNIZATION POLICY CONSIDERATIONS

H-5. Without special permission from the Army Surgeon General’s Human Subjects Research Review

Board, detainees will not be immunized with any vaccines under investigational new drug or emergency

use authorization status. For additional information refer to OTSG Regulation 15-2.

H-6. When there is a threat or use of BW agents, it is DOD policy that the GCC will determine

requirements for immunizing non-US military personnel. Specific details of this policy are contained in

DODI 6205.4.

H-7. Factors to consider in deciding which vaccinations to offer include—

Physicians should consider the likelihood of a detainee’s preexisting immunity to preclude

individual detainees from receiving irrelevant vaccinations.

Seasonal threats (such as influenza) may affect the timing of certain vaccination programs.

Religious beliefs and practices will be considered, but should not provide justification for not

offering immunizations to detainees.

The anticipated length of detention, endemic population risk factors, and living conditions will

be considered.

Because detainees will be informed in their own language about the relative benefits and risks of

the specific immunizations offered, interpreters must be available to medical personnel

administering immunizations.

Detainee medical inprocessing provides an opportunity to accomplish screening and

immunizations. As a staff safety and security issue, it is essential to maintain needles and other

sharp items accountability. Sharp items should never be out of sight of the health care provider

and should be maintained well outside of the reach of the detainees at all times.

DETAINEE IMMUNIZATION RECORDS

H-8. Detainee immunizations will be annotated in the detainee’s medical record as they would for any

other patient. When possible, the entry should also include the name of the vaccine in the detainee’s native

language.

H-2

FMI 4-02.46

8 November 2007

Glossary

administered

AFJI

Air Force joint instruction

AFME

Armed Forces Medical Examiner

AFPMB

Armed Forces Pest Management Board

AHLTA

Armed Forces Health Longitudinal Technology Application

AHS

Army Health System

ALD

assistive listening device

AMEDD

Army Medical Department

area of operations

AOC

area of concentration

AOR

area of responsibility

APD

Army Publishing Directorate

APO

Army post office

Apr

April

APRN

advanced practice registered nurse

Army regulation

ASCC

Army service component commander

ASD(HA)

Assistant Secretary of Defense (Health Affairs)

attn

attention

thiamin

riboflavin

niacin

BAS

battalion aid station

bde

brigade

behavioral health

b.i.d.

twice a day

BMI

body mass index

blood pressure

BSC

behavioral science consultation

BSCT

behavioral science consultation team

BUMEDINST

Bureau of Medicine and Surgery instruction (US Navy)

biological warfare

Celsius

command and control

C&E

collection and exploitation

CBC

complete blood count

CBRN

chemical, biological, radiological, and nuclear

CDC

Centers for Disease Control and Prevention

8 November 2007

FMI 4-02.46

Glossary-1

Glossary

CDO

commander, detainee operations

cfm

cubic feet per minute

CG COMDTINST

Coast Guard commandant instruction

chem

chemical

civilian internee

CID

Criminal Investigation Division

circ

circumference

CLS

combat lifesaver

CMO

civil-military operations

CSOP

clinical standing operating procedure

computed tomography

chemical warfare

combat zone

Department of the Army

DA Pam

Department of the Army pamphlet

DCP

detainee collection point

Department of Defense

DEA

Drug Enforcement Agency

DEPMEDS

Deployable Medical Systems

DHA

detainee holding area

DMSB

Defense Medical Standardization Board

DNBI

disease and nonbattle injury

detainee operations

DOB

date of birth

DOD

Department of Defense

DODD

Department of Defense directive

DODI

Department of Defense instruction

DOEHRS-HC

Defense Occupational Environmental Health Readiness System—Hearing

Conservation

DOMD

detainee operations medical director

DRI

Dietary Reference Intake

DRS

Detainee Reporting System

diphtheria-tetanus

EMB

ethambutol

EMS

emergency medical services

EMT

emergency medical treatment

EPW

enemy prisoner of war

emergency room

ETOH

alcohol

Fahrenheit

FAC

free available chlorine

Glossary-2

FMI 4-02.46

8 November 2007

Glossary

FDA

Food and Drug Administration

field manual

FMC

United States Field Medical Card

FMI

field manual interim

FST

forward surgical team

feet

FUO

fever of unknown origin

family visit

gram(s)

Assistant Chief of Staff (Intelligence)

G2X

Assistant Chief of Staff, Intelligence (Human Intelligence and

Counterintelligence)

Geneva Convention Relative to the Protection of Civilian Persons in Time of

War, 12 August 1949

GCC

geographic combatant command

general purpose

GPW

Geneva Convention Relative to the Treatment of Prisoners of War, 12 August

1949

GWS

Geneva Convention for the Amelioration of the Condition of the Wounded and

Sick in Armed Forces in the Field, 12 August 1949

HCT

human intelligence collection team

HEENT

head, eyes, ears, nose, and throat

HEP

hepatitis

HgbA1c

glycosylated hemoglobin

HIV

human immunodeficiency virus

host nation

headquarters

I/R

internment/resettlement

ICRC

International Committee of the Red Cross

ICU

intensive care unit

Inspector General

INH

isoniazid

international organization

IOM

Institute of Medicine

ISN

internment serial number

intravenous

JCAHO

Joint Commission on Accreditation of Healthcare Organizations

JOA

joint operational area

Jul

July

kilogram

LAB

laboratory

8 November 2007

FMI 4-02.46

Glossary-3

Glossary

mortuary affairs

Medical Corps

mcg

microgram

MCO

Marine Corps order

MCRP

Marine Corps reference publication

med/meds

medical; medicine; medication(s)

MEDCOM

medical command

MEDLOG

medical logistics

METL

mission essential task list

METT-TC

mission, enemy, terrain and weather, troops and support available, time

available, and civil considerations

milligrams

MHS

Military Health System

military intelligence; middle initial

min

minute

MMR

mumps, measles, rubella

Mon

Monday

MOS

military occupational specialty

military police

MRE

meal, ready-to-eat

MRI

magnetic resonance imaging

MTF

medical treatment facility

MWD

military working dog

NATO

North Atlantic Treaty Organization

NCOIC

noncommissioned officer in charge

NDRC

National Detainee Reporting Center

NGO

nongovernmental organization

neuropsychiatric

no-show

other detainee

OEH

occupational and environmental health

OIC

officer in charge

OMR

outpatient medical record

OMT

operational management team

OPCON

operational control

OPNAVINST

Office of the Chief of Naval Operations instruction

OPORD

operations order

OPSEC

operations security

OSD

Office of the Secretary of Defense

occupational therapy

OTC

over-the-counter

Glossary-4

FMI 4-02.46

8 November 2007

Glossary

OTSG

Office of The Surgeon General

physician assistant

PAD

patient administration division/patient administrator

PAO

public affairs office(r)

hydrogen ion concentration

pm/PM

post meridiem; provost marshal

PMG

Provost Marshal General

PMM

preventive medicine measures

POW

prisoner(s) of war

PPD

purified protein derivative

ppm

parts per million

physical therapy

PVNTMED

preventive medicine

PZA

pyrazinamide

q.d.

every day

refused

RBC

red blood cells

Reserve Component

RIF

rifampin

retained person/personnel

RTC

return to compound

Personnel Staff Officer, United States Army

Operations Staff Officer, United States Army

Logistics Staff Officer, United States Army

supply bulletin

SCI

sensitive compartmentalized information

SECDEF

Secretary of Defense

standard form

SGT

sergeant

SIPRNET

secret internet protocol router network

SIR

serious incident report

SJA

staff judge advocate

streptomycin

SOP

standing operating procedure

square

STD

sexually transmitted disease

temperature

tab

tablet

tuberculosis

TB MED

technical bulletin, medical

8 November 2007

FMI 4-02.46

Glossary-5

References

SOURCES USED

These are the sources quoted or paraphrased in this publication.

UNITED NATIONS RESOLUTION

This document is available online at: http://www.un.org

UN Security Council Resolution 1546, The Situation Between Iraq and Kuwait, 8 June 2004.

INTERNATIONAL PUBLICATIONS

These documents are available online at: http://www.icrc.org/ihl.nsf

Geneva Convention for the Amelioration of the Condition of the Wounded and Sick in Armed Forces in the

Field, 12 August 1949.

Geneva Convention for the Amelioration of the Condition of Wounded, Sick, and Shipwrecked Members of

Armed Forces at Sea, 12 August 1949.

Geneva Convention Relative to the Treatment of Prisoners of War, 12 August 1949.

Geneva Convention Relative to the Protection of Civilian Persons in Time of War, 12 August 1949.

EXECUTIVE ORDERS

This document is available online at: http://www.state.gov

Executive Order 13224, Blocking Property and Prohibiting Transactions With Persons Who Commit,

Threaten To Commit, or Support Terrorism, 23 September 2001.

UNITED STATES CODE

This document is available online at: http://www.access.gpo.gov/nara/cfr/waisidx_07/28cfr549_07.html

Title 28, Code of Federal Regulations, Part 549, Subpart E, Hunger Strikes, Inmate, 1 July 2007.

DEPARTMENT OF DEFENSE

These documents are available online at: http://www.dtic.mil/whs/directives/index.html

DODD 2310.01E, The Department of Defense Detainee Program, 5 September 2006.

DODD 2311.01E, DOD Law of War Program, 9 May 2006.

DODD 3216.02, Protection of Human Subjects and Adherence to Ethical Standards in DOD-Supported

Research, 25 March 2002 (Certified current as of 24 April 2007).

DODD 5154.24, Armed Forces Institute of Pathology (AFIP), 3 October 2001 (Certified current as of

23 April 2007).

DODI 5154.30, Armed Forces Institute of Pathology Operations, 18 March 2003.

DODI 6205.4, Immunization of Other Than US Forces

(OTUSF) for Biological Warfare Defense,

14 April 2000.

DD Form 1289, Prescription Form.

DD Form 1380, US Field Medical Card.

DD Form 2745, Enemy Prisoner of War (EPW) Capture Tag.

DD Form 2766, Adult Preventive and Chronic Care Flowsheet.

DD Form 2766C, Adult Preventive and Chronic Care Flowsheet (Continuation Sheet).

DD Form 2882, Pediatric and Adolescent Preventive and Chronic Care Flowsheet.

8 November 2007

FMI 4-02.46

References-1

References

MULTISERVICE PUBLICATIONS

These documents are available online at: http://www.usapa.army.mil/

AR 40-562/BUMEDINST 6230.15A/AFJI 48-110/CG COMDTINST M6230.4F, Immunizations and

Chemoprophylaxis, 29 September 2006.

AR 190-8/OPNAVINST 3461.6/AFJI 31-304/MCO 3461.1, Enemy Prisoners of War, Retained Personnel,

Civilian Internees and Other Detainees, 1 October 1997.

FM 21-10/MCRP 4-11.1D, Field Hygiene and Sanitation, 21 June 2000.

DEPARTMENT OF THE ARMY

This document is available online at: https://www.us.army.mil. After login, select: Files; U.S. Army

Organizations; MEDCOM; AMEDD Pub, Policies & FMs; OTSG Pubs and Policies; Regulations;

Boards, Commiss. & Committ.

OTSG Regulation 15-2, Human Subjects Research Review Board, 11 January 1989.

These documents are available online at: http://www.usapa.army.mil/

AR 25-400-2, The Army Records Information Management System (ARIMS), 2 October 2007.

AR 40-3, Medical, Dental, and Veterinary Care, 18 October 2007.

AR 40-5, Preventive Medicine, 25 May 2007.

AR 40-66, Medical Record Administration and Health Care Documentation, 21 June 2006.

AR 40-68, Clinical Quality Management, 26 February 2004.

AR 40-400, Patient Administration, 13 October 2006.

DA Pam 27-1, Treaties Governing Land Warfare, 7 December 1956.

DA Pam 40-501, Hearing Conservation Program, 10 December 1998.

DA Pam 638-2, Procedures for the Care and Disposition of Remains and Disposition of Personal Effects,

22 December 2000.

FM 3-19.40, Internment/Resettlement Operations, 4 September 2007.

FM 4-02.56, Army Medical Field Feeding Operations, 29 April 2003.

FM 4-20.64, Mortuary Affairs Operations, 9 January 2007.

FM 4-25.12, Unit Field Sanitation Team, 25 January 2002.

FM 8-55, Planning For Health Service Support, 9 September 1994.

FM 27-10, The Law of Land Warfare, 18 July 1956.

SB 8-75 Series, Army Medical Department Supply Information, 20 January 2007.

TB MED 530, Occupational and Environmental Health Food Sanitation, 30 October 2002.

TB MED 561, Occupational and Environmental Health Pest Surveillance, 1 June 1992.

TB MED 577, Sanitary Control and Surveillance of Field Water Supplies, 15 December 2005.

This document is available online at: http://www.afpmb.org/pubs/tims/tims.htm

AFPMB TG 30, Filth Flies, Significance, Surveillance and Control in Contingency Operations, Reviewed

and validated, March 2006.

This document is available online at: http://chppm-www.apgea.army.mil/tg.htm

USACHPPM TG 307, Sanitation and Hygiene Standards for Establishing, Operating, and Inspecting Army

Field Detention Facilities, April 2006.

These documents are available online at: http://www.usapa.army.mil/

DA Form 1829, Hospital Food Service—Ward Diet Roster.

DA Form 2664-R, Weight Register.

DA Form 2669-R, Certificate of Death.

DA Form 3444-Series, Inpatient Treatment Records and Dental Records.

DA Form 3862, Controlled Substances Stock Record.

DA Form 3875, Bulk Drug Order.

DA Form 4137, Evidence/Property Custody Document.

DA Form 4256, Clinical Record—Doctor’s Orders.

DA Form 5162-R, Routine Food Establishment Inspection Report.

DA Form 5456, Water Point Inspection.

DA Form 5457, Potable Water Container Inspection.

DA Form 8005-Series, Outpatient Medical Record (OMR).

References-2

FMI 4-02.46

8 November 2007

References

STANDARD FORMS

These documents are available online at: http://www.usapa.army.mil/

SF 509, Medical Record—Progress Notes.

SF 511, Medical Record—Vital Signs Record.

SF 513, Medical Record—Consultation Sheet.

SF 558, Medical Record—Emergency Care and Treatment (Patient).

SF 600, Medical Record—Chronological Record of Medical Care.

SF 603, Health Record—Dental.

SF 603A, Medical Record—Dental-Continuation.

WEB SITES

Agricultural Research Service, National Nutrient Database for Standard Reference, Release 20, Nutrient

Data Laboratory Web site: http://www.ars.usda.gov/ba/bhnrc/ndl

Dietary Reference Intakes, Food and Nutrition Board, Institute of Medicine of the National Academies Web

site: http://www.iom.edu/cms/3788/4574.aspx

Defense Medical Standardization Board (DMSB) Web site: http://www.jrcab.army.mil

Quick Reference Guide to Documenting Operations for Deployed Units of the Army, available at Web site:

https://www.rmda.belvoir.army.mil/rmdaxml/rmda/QuickReferenceGuide_0805.pdf

Reports on Defensive Operations, http://www.defenselink.mil

E-MAIL ADDRESS

Office of the Surgeon General Clinical Consultant for Teleconsultants e-mail address:

derm.consult@us.army.mil

OTHER REFERENCES

This document is available online at: http://www.bordeninstitute.army.mil

Textbook of Military Medicine: Military Medical Ethics, Volumes I and II, 2003.

This document is not available online.

Joint Commission on the Accreditation of Healthcare Organizations (JCAHO) Guidelines, 2005.

This document is available online at: http://www.hipaadvisory.com/REGS/law/index.htm

Health Insurance Portability and Accountability Act of 1996, Public Law 104-191.

READINGS RECOMMENDED

UNITED STATES CODE

This document is available online at: http://www.access.gpo.gov/uscode/uscmain.html

10 United States Code (USC) 1471, Forensic Pathology Investigations, 18 March 2004.

DEPARTMENT OF DEFENSE

This document is available online at: http://www.dtic.mil/whs/directives/index.html

DODI 2310.08E, Medical Program Support for Detainee Operations, 6 June 2006.

This document is available online at: http://www.ha.osd.mil/policies/

ASD(HA) Policy Memorandum 05-006, Medical Program Principles and Procedures for the Protection

and Treatment of Detainees in the Custody of the Armed Forces of the United States, 3 June 2005.

ARMY PUBLICATIONS

These documents are available online at: http://www.usapa.army.mil/

AR 190-45, Law Enforcement Reporting, 30 March 2007.

AR 195-2, Criminal Investigation Activities, 30 October 1985.

FM 4-02, Force Health Protection in a Global Environment, 13 February 2003.

8 November 2007

FMI 4-02.46

References-3

TC 2-91.8

Training Circular

Headquarters

Department of the Army

No. 2-91.8

Washington, DC, 08 June 2010

Document and Media Exploitation

Contents

Page

PREFACE

INTRODUCTION

Chapter 1

DOCUMENT AND MEDIA EXPLOITATION OVERVIEW

1-1

Document and Media Exploitation Defined

1-1

What Is a Document?

1-1

Captured Materials

1-2

The Document and Media Exploitation Process

1-4

Chapter 2

INITIAL COLLECTION PHASE

2-1

Section I - Collector’s Responsibilities

2-1

Handling Procedures

2-1

Hazardous Materials

2-2

Section II - Collection of Captured Materials

2-2

Collect

2-2

Screen

2-5

Extract and Report Time-Sensitive Information

2-5

Tag

2-5

Inventory and Group

2-8

Evacuate

2-8

Return/Release of Captured Materials to a Detainee

2-10

Section III - Battalion Intelligence Staff

2-12

Collect

2-12

Screen, Categorize, and Extract and Report Time-Sensitive Information

2-13

Inventory and Group

2-13

DISTRIBUTION RESTRICTION: Distribution authorized to U.S. Government agencies only because it requires

protection in accordance with AR 380-5 or as specified by DCS G-3 Message DTG 091913Z MAR04. This

determination was made on 13 August 2007. Contractor and other requests must be referred to ATTN: ATZS

CDI-D, U.S. Army Intelligence Center of Excellence, Fort Huachuca, AZ 85613-7017, or via e-mail at ATZS-FDC-

D@conus.army.mil.

DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of contents or reconstruction of the

document in accordance with AR 380-5.

FOR OFFICIAL USE ONLY

Contents

Tag

2-13

Evacuate

2-13

Chapter 3

PROCESSING PHASE

3-1

Section I - Brigade and Above DOMEX Processing Site

3-1

Inventory and Log Procedures

3-2

Screening Captured Materials

3-4

Categorizing Captured Materials

3-5

Recover

3-6

Digitize

3-7

Transcribe

3-7

Translate

3-7

Review

3-10

Section II - Process Captured Enemy Documents for Upload into the

National Harmony Database

3-11

Harmony Numbers

3-11

Batch Name

3-12

Batch Identification Number

3-12

Batch Report

3-12

Workflow Batch Information Sheet

3-13

Media Exploitation Reports

3-13

Chapter 4

ANALYSIS AND PRODUCTION PHASE

4-1

Producing Intelligence

4-1

Identify and Extract Reportable Information

4-1

Evaluate Source Reliability

4-2

Evaluate Information Accuracy

4-3

Analyze Information

4-4

Use Analytical Tools

4-4

Assess Reporting

4-5

Update Databases

4-5

Chapter 5

REPORTING AND DISSEMINATION PHASE

5-1

Collected Information

5-1

Report Information

5-1

Assess Reporting

5-3

Disseminate Reporting

5-3

Upload Reports to the National Harmony Database

5-4

Evacuate for Further Processing, Exploitation, or Disposition

5-4

Chapter 6

TACTICAL, OPERATIONAL, AND STRATEGIC EXPLOITATION

STRUCTURE

6-1

DOMEX Requirements

6-1

Task-Organizing DOMEX Teams

6-2

DOMEX Elements in Recent Military Operations

6-2

Army Organizations Supporting DOMEX

6-5

DOMEX Presence at Joint Facilities and Organizations

6-8

Department of Defense Organizations

6-10

National-Level Organizations with DOMEX Capabilities

6-11

TC 2-91.8

08 June 2010

FOR OFFICIAL USE ONLY

Contents

Chapter 7

SUPPORT TO DOMEX OPERATIONS

7-1

DOMEX Team Coordination with the Supported Unit

7-1

Coordination in a Multinational Environment

7-3

Linguist Support

7-3

Coordination with Military Police

7-4

Site Exploitation Coordination

7-5

National-Level Support Agencies

7-6

Technical Intelligence Organizations

7-7

Appendix A THE ROLE OF INTELLIGENCE IN DOMEX OPERATIONS

A-1

GLOSSARY

Glossary-1

REFERENCES

References-1

INDEX

Index-1

Figures

Figure 1-1. DOMEX process

1-4

Figure 1-2. Evacuation destinations

1-6

Figure 2-1. Initial collection phase

2-2

Figure 2-2. Example spot report

2-4

Figure 2-3. DD Form 2745 (Enemy Prisoner of War Capture Tag)

2-6

Figure 2-4. Example of DA Form 2823 (Sworn Statement)

2-9

Figure 2-5. Example of DA Form 4137 (Evidence/Property Custody Document)

2-11

Figure 3-1. Processing phase

3-1

Figure 3-2. Harmony number format

3-11

Figure 4-1. Analysis and production phase

4-1

Figure 5-1. Reporting and dissemination phase

5-1

Tables

Table 1-1. Examples of captured enemy documents

1-2

Table 1-2. Examples of captured enemy materiel

1-3

Table 2-1. Categories of captured materials

2-15

Table 3-1. Deployable Harmony DOMEX tools

3-10

Table 4-1. Source reliability ratings

4-2

Table 4-2. Information accuracy ratings

4-3

08 June 2010

TC 2-91.8

iii

FOR OFFICIAL USE ONLY

Preface

TC 2-91.8 provides doctrinal guidance to Army professionals in a tactical, operational, or strategic environment

who conduct and support document and media exploitation (DOMEX). TC 2-91.8—

• Can be used by leaders; planners; doctrine writers; trainers; and training, materiel, and combat

developers for addressing DOMEX-related issues.

• Informs commanders and their staffs about the mission, requirements, and capabilities of

DOMEX assets.

• Is an integral component in supporting the overseas contingency operations.

• Supports the development of training support packages; doctrine, tactics, and techniques

packages; and mobile training teams.

For purposes of this manual, captured materials include captured enemy documents and captured enemy

materiel.

This training circular uses joint and Army terms. These terms are italicized and the number of each proponent

publication follows the definition.

This training circular is the proponent publication for the Army definition of document and media exploitation.

The definition is bolded in text.

All intelligence operations must be accomplished within applicable laws and policies, which include U.S. law,

the law of war, relevant international law, relevant Department of Defense (DOD) directives, DOD instructions,

and military executive orders, including fragmentary orders.

DOMEX operations require intelligence components to perform authorized functions in a manner that protects

the constitutional rights and privacy of U.S. persons. There is no absolute ban regarding properly authorized

intelligence collections on U.S. persons. Intelligence components may collect information on U.S. persons when

it falls within one of the procedures listed in DOD 5240.1-R and AR 381-10.

TC 2-91.8 applies to the Active Army, the Army National Guard (ARNG)/Army National Guard of the United

States (ARNGUS), and the United States Army Reserve (USAR), unless otherwise stated.

United States Army Training and Doctrine Command (TRADOC) is the proponent for this publication. The

preparing agency is the U.S. Army Intelligence Center of Excellence (USAICoE), Fort Huachuca, AZ. Send

written comments and recommendations on DA Form 2028 (Recommended Changes to Publications and Blank

Forms) directly to Commander, USAICoE, ATTN: ATZS-CDI-D (TC 2-91.8), 550 Cibeque Street, Fort

Huachuca, AZ

85613-7017. Send comments and recommendations by e-mail to ATZS-FDC-

D@conus.army.mil or submit an electronic DA Form 2028.

TC 2-91.8

08 June 2010

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Introduction

DOMEX IN MODERN MILITARY OPERATIONS

Modern military operations are conducted in complex and ever-changing operational environments.

Tactical military leaders must have access to accurate and timely information when conducting operations.

Tactical, operational, and strategic leaders are enabled by accurate information about enemy forces through

rapid and accurate extraction, exploitation, and analysis of captured materials.

Document and media exploitation (DOMEX) is an increasingly specialized, full-time mission that requires

advanced automation, communications, and analytical support, as well as expert linguists. DOMEX and

translation operations were once considered human intelligence (HUMINT) processing activities, directly

associated with language capabilities and extensive backg2round knowledge in area studies. Currently,

HUMINT is not the sole asset capable of conducting DOMEX operations. Personnel involved in DOMEX

do not require HUMINT training to screen or translate documents. DOMEX is an Army-wide responsibility

used by all military specialties.

To use DOMEX products as force multipliers, rapid exploitation of captured materials must occur at the

lowest echelon. At the tactical level, DOMEX assets provide timely and accurate intelligence support to the

warfighter besides the collection, analyses, rapid exploitation, and evacuation of captured materials.

DOMEX assets also provide commanders with discussion ideas and feedback from higher echelon analysis

operations.

The intelligence staff uses any form of communication to disseminate vital information, including

DOMEX-derived information. Depending on the tactical situation, available resources, commanders’

critical information requirements, and specific information requirements, the staff disseminates critical

information quickly and accurately from the lowest to the highest echelon—specifically to tactical

commanders.

Commanders and staffs determine how to task-organize their intelligence, surveillance, and reconnaissance

assets to accomplish the mission. For commanders’ or task requirements that cannot be fulfilled by

assigned assets, units consider requesting specialized or uniquely trained units. Assigning these specialized

units to the requesting organization may be the best solution, but often they are assigned to higher

headquarters and attached to requesting organizations based on availability and priority.

Efficient DOMEX operations require a synchronized concept of operations. Other than in intelligence units,

representation from assigned intelligence personnel generally ends at the battalion level with the battalion

intelligence staff. Battalion staffs plan for the DOMEX operations of their subordinate units. They provide

intelligence below the battalion level by task-organizing intelligence personnel as company intelligence

support teams, or they train company or platoon personnel in specific handling, screening, and inventorying

techniques.

When tactical assets are insufficient, operational and strategic assets can be used to support a unit’s organic

assets through personnel augmentation or through virtual or long-distance support to tactical operations—

from the continental or outside the continental U.S. DOMEX support elements.

The skills, knowledge, and equipment for specialized processing are available at intelligence community

organizations through the communications intelligence architecture. Units can request assistance from

the—

• National Security Agency.

• Defense Intelligence Agency.

• National Geospatial-Intelligence Agency.

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• National Media Exploitation Center.

• National Ground Intelligence Center (NGIC).

• Joint document exploitation centers.

Other U.S. or multinational intelligence community organizations use specialized techniques and

procedures to extract additional information from captured audio and video materials. Application of

specialized processing techniques and procedures may require the classification of the processed

information and restrict its dissemination.

SITE EXPLOITATION OPERATIONS

DOMEX can occur during site exploitation operations. Captured materials may be acquired—

• From detainees or from an immediate association with detainees.

• From refugees or local civilians.

• In abandoned enemy positions in the operational environment.

• By the capturing unit or by various specialized exploitation personnel, such as multifunctional

teams, raid support teams, and exploitation teams.

THE ARMY DOMEX PROGRAM

The Department of the Army (DA) G-2 has designated NGIC as the program manager for the Army

DOMEX program. NGIC is responsible for creating, developing, and training DOMEX teams. The Army

DOMEX program has established tactics, techniques, and procedures that support standing operating

procedures development in coordination with DOMEX standards developed by—

• Defense Intelligence Agency.

• DA G-2.

• U.S. Army Training and Doctrine Command.

• U.S. Army Intelligence and Security Command.

• U.S. Army Intelligence Center of Excellence.

The Army DOMEX program provides—

• Direct support to combatant commanders.

• Training to Soldiers and joint Service personnel preparing to deploy.

• Translation support through the Reserve Language Support Program.

• Tactical operations support to the National Harmony Database.

• Deployable systems enhancement.

• Tools integration.

NGIC’s Foreign Materiel Program uses data derived from captured materials to save lives by preventing

technological surprise on the battlefield. Captured materials can provide detailed reporting on foreign

weapon capabilities and vulnerabilities.

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Document and Media Exploitation Overview

The demand for accurate and timely document and media exploitation (DOMEX)

information has grown tremendously in recent years. Commanders now recognize

that DOMEX is a force multiplier at all echelons. Threat capabilities and limitations

along with the identification of support elements, operational structures, and

intentions of future threat operations may be derived through the exploitation of

captured materials; such information has proven invaluable in both conventional

warfare and irregular warfare.

DOCUMENT AND MEDIA EXPLOITATION DEFINED

1-1. Document and media exploitation is the processing, translation, analysis, and dissemination of

collected hardcopy documents and electronic media that are under the U.S. Government’s physical

control and are not publicly available.

1-2. DOMEX includes the systematic extraction of information from all media in response to

commanders’ collection requirements. DOMEX operations—

Maximize the value of intelligence gained from captured documents.

Provide commanders with timely and relevant intelligence to effectively enhance awareness of

enemy capabilities, operational structures, and intents.

Provide timely and accurate intelligence support to the warfighter throughout the spectrum of

conflict.

Assist in criminal prosecution and legal processes by maintaining chain of custody procedures

and preserving the evidentiary value of captured materials.

WHAT IS A DOCUMENT?

1-3. A document is any piece of recorded information regardless of its physical form or characteristics.

Documents may include—

Printed materials—books, newspapers, pamphlets, operation orders (OPORDs), and identity

cards.

Handwritten materials—letters, diaries, and notes.

Electronically recorded media—computer files, tape recordings, video, sound or voice

recordings, and digital media.

Storage devices on communications equipment—cell phones, answering machines, and radios.

Information engraved or stamped on a weapon or weapon system (qualifies as a document since

that information can be exploited).

Note. Digital media usually refers to electronic media that works on digital codes. For purposes

of this manual, digital media comprises information contained on both digital and analog

devices.

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CAPTURED MATERIALS

1-4. To assist in their exploitation and evacuation, captured materials are divided into—

Captured enemy documents (CEDs).

Captured enemy materiel (CEM).

1-5. Captured materials are documents, items of equipment, or materiel in the possession of enemy forces

that subsequently end up in the hands of friendly forces, regardless of origin, including U.S. or

multinational documents or materiel once in enemy hands. During military operations, understanding the

DOMEX process requires understanding collected, exploited, and processed items.

CAPTURED ENEMY DOCUMENTS

1-6. A CED is any piece of recorded information—written, printed, engraved, and photographic matter—

that pertains to the enemy and weather and terrain data. CEDs include video, sound, or voice recordings;

imagery; and electronic files contained in computers. CEDs also include associated materials such as

punched cards, punched paper tape, and printed output, as well as reproductions of the original material by

whatever process.

1-7. There are three types of CEDs—identity, personal, and official, which includes documents of

organizational value and confiscated items of governmental or military origin. Table 1-1 lists examples of

each type of CED. Knowledge of these CED types assists collectors in determining the handling and

disposition of the CEDs.

1-8. Storage devices on communications equipment, such as cell phones, answering machines, radios,

digital video and voice recorders, and closed circuit televisions, may contain CED data. Table 1-1 lists

additional examples of storage devices that may contain CED data.

Table 1-1. Examples of captured enemy documents

Identity documents

• Passports.

• Military, police, or civil ID

• Coalition issued ID cards.

• Driver’s licenses.

cards.

• Voter registration cards.

• Identification (ID) cards.

• Residence cards.

• Food ration cards.

• Nationality or citizenship

• Employee ID cards.

cards.

• Union affiliation cards.

Personal documents

• Letters and notes.

• Diaries.

• Photographs.

Official documents

• Overlays.

• Codes.

• Informal documents such as

• Field orders.

• Field manuals.

hand-drawn sketches,

diagrams, and drawings.

• Maps.

• Reports.

Data on memory devices

• Zip and Jaz disks.

• Compact flash cards.

• Multimedia cards.

• Memory sticks.

• Extreme digital picture cards.

• Smart media cards.

• Digital camera memory

• Secure digital memory cards.

• Readers and adaptors.

devices.

• Personal computer memory

• Video game consoles and

• Wristwatches that store data.

cards.

cartridges.

Data on magnetic or digital storage devices

• Compact disks.

• Digital cameras.

•

8-track tapes.

• Digital video (DV) disks.

• Audio tapes.

•

8-mm tapes.

• Floppy disks (3.5″ and 5.25″).

• Video home systems.

•

Hi-8 tapes.

• Magnetic tapes.

• Beta video tapes.

• Mini-DV tapes.

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Document and Media Exploitation Overview

Note. Some documents may seem of little importance to operations, but they are in fact

important. Therefore, it may be necessary to collect some CEDs that, at face value, might appear

of little significance to the collector. Proper precollection training assists collectors in choosing

the documents that should be collected.

CAPTURED ENEMY MATERIEL

1-9. CEM includes foreign warfighting equipment and associated equipment—for example, weapons,

weapons systems, and weapon components such as improvised explosive devices. (See FM 2-22.401.)

CEM also includes all types of foreign and nonforeign equipment—

Found on a detainee or on the battlefield that may have a military application.

Identified on the collection requirements list within annex B (Intelligence) of the OPORD.

That is unidentified, appears modified, or is otherwise out of the ordinary or unexpected.

1-10. There are a multitude of items that may be considered CEM; however, CEM containing

electronically recorded media is the most relevant to DOMEX. Table 1-2 provides examples of CEM.

Table 1-2. Examples of captured enemy materiel

Unidentified and modified warfighting equipment and associated materiel

• Vehicles.

• Self-propelled weapons.

• Components of equipment,

• Weapons.

• Radios.

explosive materiel, and

technology applications

• Aircraft.

• Unidentified and modified

associated with improvised

• Artillery.

military or personal property

explosive devices.

or gear.

Note. This includes any related spares, repair parts, and support equipment.

Computer hardware equipment

• Central processing units.

• Mainframe computers.

• Printers.

• Desktop computers.

• Servers.

• Scanners (sheet-fed, flatbed,

• Laptop computers.

• Personal digital assistants.

film).

Computer drives (external and internal)

• External magnetic hard

• Zip drives.

• Magnetic tape drives.

drives.

• Micro drives.

• Floppy drives.

• External digital hard drives.

• Tape drives.

• Flash drives.

• Jaz drives.

• Key drives.

Peripherals and network devices

• Data cables and wires.

• Hubs.

• Routers.

• Docking stations.

• Power cradles and chargers.

• Spare batteries.

Communications materiel

• Radios.

• High-power cordless phones.

• Pagers.

• Antennae systems.

• Satellite phones.

• Standard cordless phones.

• Cellular phones.

• Fax machines.

• Digital answering machines.

• Subscriber identity module

• Global Positioning System

• Caller identification boxes.

cards.

receivers.

• Video cassette recorders.

Note. Equipment containing digital media is sometimes designed to disguise or conceal its true

purpose. This equipment is cleverly hidden or transported on an individual as wristbands, pens,

watches, earrings, pocketknives, credit cards, toys, and other everyday objects. Thorough and

proper search techniques ensure collection and exploitation of such digital media, regardless of

its form.

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THE DOCUMENT AND MEDIA EXPLOITATION PROCESS

1-11. The DOMEX process, as depicted in figure 1-1, comprises four phases.

Figure 1-1. DOMEX process

1-12. The capabilities and responsibilities of each DOMEX operation vary with the echelon—from hasty

exploitation by the capturing unit at the tactical site, to advanced processing at a joint DOMEX processing

site. Many of the procedures within each phase may occur across the echelons, depending on the

requirements of that echelon, including the inventory, screening, accountability, translation, analysis,

reporting, and evacuation of captured materials.

ACCOUNTABILITY THROUGHOUT THE DOMEX PROCESS

1-13. Accountability procedures are exercised throughout the four phases of the DOMEX process.

Accountability includes—

Inventorying captured materials as they arrive.

Initiating necessary trace actions based on the transmittal sheet.

Maintaining a log of captured materials or evidence/property custody documents.

1-14. Strict accountability of captured materials is vital to maintaining the integrity of timely and relevant

intelligence and the chain of custody for prosecutorial purposes. Accountability begins when the collector

takes possession of captured materials. Maintaining accountability occurs even after the evacuation

process; each element or activity takes possession of the original captured materials and maintains

complete and accurate records of the location and status of these captured materials. This ensures total

control of the captured materials.

1-15. Accountability procedures include—

Logging captured materials in and out.

Copying captured materials as required.

Procedures for the proper storage of captured materials.

Receiving and transmitting captured materials.

Maintaining files.

Other routine activities.

1-16. Depending on the quantity of captured materials, accountability procedures can be performed by one

individual at a lower echelon, or by several individuals in warehouse-sized operations with large volumes

of documents at a theater document repository.

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EVACUATION THROUGHOUT THE DOMEX PROCESS

1-17. Proper evacuation procedures are necessary to preserve the integrity of potential intelligence and the

evidentiary value of the captured materials. Strict accountability during evacuation procedures ensures

information derived from captured materials is useable in all areas—during in-depth analysis, as evidence

in judiciary proceedings, and for other such functions as deemed appropriate. Evacuation may occur several

times throughout the processing of the captured materials in question, the destinations of which depend on

the phase of exploitation, the resources available, document types, and the intelligence or evidentiary

potential of the captured materials involved.

1-18. Maintaining segregation of the captured materials throughout the entire chain of custody is essential

to preserve the intelligence and evidentiary value of the captured materials. Segregation involves keeping

captured materials separate according to their types, categories, or sources; their acquisition date; and other

factors determined by individual circumstances. Handlers of captured materials maintain segregation

during evacuation and transfer of the materials in accordance with applicable policy and procedures.

Evacuation of Classified Captured Enemy Documents

1-19. Classified CEDs are handled in accordance with AR 380-5 and the appropriate level of classification.

Personnel accompanying the transfer of the CEDs must have the appropriate security clearance and courier

orders and must ensure appropriate security containers or safes are used to secure the contents.

Evacuation Destinations

1-20. The capturing unit sends captured materials through intelligence channels (the battalion intelligence

staff processing site is the first element to receive the captured materials) to a supporting brigade-level

captured materials processing site. Information gained from captured materials is often time-sensitive;

therefore, it is vital that coordination (established by unit standing operating procedures before conducting

operations to ensure the smooth transfer of priority captured materials) occurs among the capturing unit,

intelligence staff, and subsequent processing site.

Note. If the captured materials are associated with a detainee, they are evacuated with the

detainee.

1-21. Capturing units are capable of exploiting some captured materials to avoid losing valuable time. Any

time lost in processing and analyzing captured materials may reduce or even negate the value of the

information. Procedures used by any element must ensure the captured materials reach their proper

destinations in a timely manner. Communication and digital devices are frequently the most valuable and

time-sensitive of captured materials; therefore, they are delivered immediately to technicians with the

capability to exploit them. To expedite this process, the intelligence staff should have an established liaison

with the appropriate technical specialists and facilities.

1-22. Once the captured materials are inventoried and initially exploited, the capturing unit attaches a

captured materials transmittal sheet and evacuates the materials.

1-23. Captured materials are evacuated based on their primary evacuation destinations (see figure 1-2,

page 1-6):

Criminal evidence.

Specific limiting criteria (SLC).

Technical intelligence (TECHINT).

CED processing.

Maps and charts.

Air Force documents.

Navy documents.

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Signals intelligence (SIGINT).

Human intelligence (HUMINT).

Figure 1-2. Evacuation destinations

Criminal Evidence

1-24. The battalion intelligence staff separates, secures, and sends all documents constituted as criminal

evidence (used in legal proceedings against persons suspected of significant crimes) to the appropriate

authority. The staff separates these documents from other documents, marks them accordingly as

“CRIMINAL EVIDENCE,” and stores them under guard or in a secured area until presented to the nearest

staff judge advocate, criminal intelligence asset, or war crimes investigative unit. The collecting unit should

contact the criminal investigation division liaison first and seek assistance from the staff judge advocate for

additional guidance on chain of custody requirements.

Specific Limiting Criteria

1-25. SLC captured materials are of a counterterrorist or counterintelligence nature and require special

handling because, if compromised, they could endanger ongoing operations, sensitive sources, or methods.

Items containing SLC information are classified Secret and immediately evacuated to the nearest

counterintelligence activity.

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Technical Intelligence

1-26. Captured materials of TECHINT interest include equipment identified on the collection requirements

list, new weapons, tracked vehicles, and equipment manuals. Unidentified, modified, or unexpected

equipment should elicit a spot report. Once generated, the spot report is sent through reporting channels for

disposition and instructions. TECHINT equipment of interest is then transported to the nearest captured

materiel exploitation center for processing and exploitation. Captured or recovered technical documents

consist of firing tables, logbooks, packing slips, and other documentation. If the tactical situation does not

allow for equipment evacuation, the associated documents or a photograph of the equipment is forwarded

to the captured materiel exploitation center along with a description of the equipment. (See TC 2-22.4.)

Captured Enemy Document Processing

1-27. If further CED processing or exploitation is required, CEDs are evacuated to the next higher echelon

CED processing site for subsequent screening, processing, and dissemination:

Maps and charts containing any operational graphics are sent to the battalion intelligence staff,

who forwards them to the brigade or division analysis and control element or all-source analysis

center for analysis and exploitation by imagery intelligence personnel.

Air Force documents are evacuated through the battalion intelligence staff and brigade

DOMEX processing site to the nearest Air Force headquarters or Air Force Office of Special

Investigations element.

Navy documents are evacuated through the battalion intelligence staff and brigade DOMEX

processing site to the nearest Naval Criminal Investigative Service at Navy headquarters.

Signals Intelligence

1-28. Captured materials with cryptographic or communications systems information are evacuated to a

unit’s supported SIGINT unit or to other SIGINT units specified in annex B (Intelligence) of the OPORD.

Communications-electronics equipment, not immediately exploitable for HUMINT value, is evacuated

immediately with dial settings and frequencies recorded to the supporting SIGINT unit by the quickest and

most secure means possible. Captured materials containing cryptographic or communications systems

information are handled as Secret. (See table 2-1, page 2-15, for document categories.) Category A

captured materials may contain time-sensitive operational and technical information requiring immediate

processing and analysis by SIGINT personnel. The staff limits the number of personnel having knowledge

of the materials’ capture or contents.

Note. In order to facilitate follow-on operations, specially trained media exploitation personnel

at the brigade level are capable of digitizing, exploiting, and reporting captured materials. In

such cases, communications-electronics equipment with a memory card, including computers,

telephones, personal digital assistants, and Global Positioning System terminals, may be

exploitable by DOMEX teams or other specially trained media exploitation personnel before

evacuation to the supporting SIGINT unit or the National Media Exploitation Center for more

in-depth exploitation.

Human Intelligence

1-29. Captured materials removed from detainees accompany them to the detainee holding or detention

facility. This is an essential task since the captured materials are necessary for effective HUMINT

collection operations. The unit transporting the detainees and the captured materials keep them separate to

ensure detainees do not alter or destroy the materials. Captured materials need to be bagged and tagged

with their detainees’ information to maintain the association of each document or materiel with its detainee.

Note. All other documents, unless specifically outlined above, are evacuated to the next higher

echelon.

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FINAL DISPOSITION—DOMEX REPOSITORIES

1-30. DOMEX repositories are established warehouses that—

Receive captured materials for centralized archival accountability.

Establish a centralized point for permanent storage.

Provide transportation to other repositories in theater of operations or at higher echelons for final

disposition of captured materials, as applicable.

1-31. While warehousing procedures for captured materials differ according to command, unit standing

operating procedures, and other guidelines, warehousing procedures may include the reception, screening,

category evaluation (as applicable), tagging, inventorying, digitization, and uploading of captured materials

to the Harmony database suite and final storage. The Harmony database suite forwards electronic captured

materials to the translation teams for data entry, gist translations (rough outline of a text’s meaning), and

quality control in the Harmony database suite, as needed, before final upload to the National Harmony

Database.

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Chapter 2

Initial Collection Phase

The rapid and accurate extraction of information from captured materials contributes

significantly to commanders’ situational understanding. The collection of captured

materials functions as the U.S. and multinational forces’ initial acquisition of threat

documents and materiel. Proper collection and handling procedures are vital to the

document and media exploitation (DOMEX) process.

SECTION I - COLLECTOR’S RESPONSIBILITIES

2-1. Tactical operations, such as raids and cordon and search operations, where site exploitation is

conducted result in substantial yields of captured materials. Soldiers and leaders must understand the

importance of the collecting team’s handling and exploitation of captured materials and their relationship to

DOMEX. Proper team handling and exploitation—

Feed the intelligence and operations processes.

May quickly answer commander’s critical information requirements (CCIRs).

Lead to follow-on tactical operations.

Assist in the prosecution of criminals.

2-2.

“Collectors” refer to personnel or elements involved in the initial collection phase. They may include

the capturing unit, exploitation team, DOMEX team, human intelligence collection team, raid support team

(RST), weapons intelligence team, or battalion intelligence staff. Regardless of how U.S. and multinational

forces initially obtain captured materials, the collector is responsible for—

Removing captured materials from a person, vehicle, or facility—safety permitting.

Not marking, altering, or defacing captured materials.

Performing hasty screenings of captured materials to identify time-sensitive information of

immediate tactical value.

Reporting time-sensitive information.

Properly handling, tagging, and packaging captured materials.

Placing dry documents in waterproof containers (boxes or plastic bags).

Completing two copies of DD Form 2745 (Enemy Prisoner of War Capture Tag), part C,

DA Form 7671-R (Captured Enemy Materiel), or a field expedient tag. (See TC 2-22.4.)

Placing one copy of the completed DD Form 2745, part C inside the document container.

Attaching one copy of the completed DD Form 2745, part C to the outside of the container or to

the captured enemy materiel (CEM).

Evacuating captured materials to battalion or higher intelligence staff or other dedicated

DOMEX processing site.

HANDLING PROCEDURES

2-3. The proper collection and handling of captured materials are vital because they allow captured

materials to move forward through the DOMEX process. Proper handling of captured materials has become

a critical function in recent military operations particularly when information or evidence must be used by

U.S. forces for exploitation purposes and by host-nation authorities for prosecutorial actions. The

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mishandling of captured materials could result in the loss of valuable information, a lost opportunity to

exploit enemy vulnerabilities, or the loss of friendly forces.

2-4. Captured materials should not be handled before their actual collection. Trained collectors use

extreme caution when collecting, handling, and protecting forensic evidence. However, collections

occurring in high-threat environments may require the fast pick up and bagging of evidence by untrained

personnel, consequently, without the prerequisite protection of forensic evidence. Because the actual

collection of captured materials is key to the DOMEX process, when trained collectors are not present,

untrained personnel must exercise the utmost care in their collection of evidence, thus not destroying

forensic materials. The safety of U.S. and multinational forces is of primary importance under any

condition or circumstance.

2-5. In handling captured materials, personnel involved in all phases of the DOMEX process must take

every precaution to preserve the evidentiary value of the original captured materials. The captured materials

may carry the fingerprints of those individuals being charged in criminal proceedings. When possible,

handlers at each echelon should wear the appropriate gloves to preserve evidence that can be extracted

through fingerprint analysis.

HAZARDOUS MATERIALS

2-6. Before inventorying captured materials, personnel involved in their handling must ascertain whether

hazardous materials are rendered safe; personnel safety is the first priority. In the event that munitions or

other hazardous materials, such as chemical, biological, radiological, nuclear, and high-yield explosives

(CBRNE), are discovered during the inventory of captured materials, evacuate the area immediately and

summon the appropriate authorities.

Note. The explosive ordnance disposal (EOD) unit is the only asset authorized to perform

render-safe procedures.

2-7. The EOD unit can initially assess and neutralize found munitions. These munitions may include

single munitions, captured enemy ammunition sites, and items recovered during military operations

(patrols, raids, maneuvers). Weapons intelligence teams may contribute valuable information regarding

locally encountered devices and munitions, as well as collect technical intelligence. For safe handling

procedures, consult trained professionals such as the EOD unit, support battalion ammunition specialists, a

CBRNE representative, or another appropriate activity in accordance with unit standing operating

procedures (SOPs).

SECTION II - COLLECTION OF CAPTURED MATERIALS

2-8. The initial collection phase of the DOMEX process comprises the tasks as listed in figure 2-1.

Figure 2-1. Initial collection phase

COLLECT

2-9. The manner in which a capturing unit executes the initial collection phase of the DOMEX process

depends on whether the captured materials are associated with a detainee or a site.

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COLLECTING CAPTURED MATERIALS ASSOCIATED WITH A DETAINEE

2-10. When collecting captured materials associated with a detainee, capturing units secure and search the

detainees by employing the search, silence, segregate, speed, safeguard, and tag (5Ss + T) method and by

securing all captured materials in the area of capture. The capturing unit allows detainees to retain

protective military equipment—such as helmets; protective masks; body armor; identification cards and

tags; and insignias of grade, service, and nationality—only after the items have been searched for any

hidden documents or materiel.

2-11. Capturing units remove all documents or materiel, except for one official primary identification

document, from detainees to safeguard them from alteration or destruction. The capturing unit evacuates

these captured materials with, but not on the detainees. Following interrogation, the HUMINT collector or

DOMEX team, as per unit SOPs in accordance with applicable rules and regulations, decides which

personal documents or materiel to return to the detainees. (For further information, see Article 17, Part III,

Section I, Geneva Conventions.)

COLLECTING CAPTURED MATERIALS ASSOCIATED WITH A SITE

2-12. Before capturing materials associated with a site, the capturing unit clears the site to ensure safe

entry. The unit then processes individuals not to be detained and the captured materials in accordance with

unit SOPs. Items captured at a site are identified with that site upon collection.

2-13. If resources and time are available, the capturing unit should photograph the site, the documents

(such as graffiti on wall), and any materiel too large or dangerous to remove from the site (such as large

equipment, ordnance, and hazardous materials). A digital photograph provides a graphic record of possible

relationships of the captured materials, as found at the site, that support the DOMEX process and tactical

operations. The unit must annotate or otherwise include the captured materials tag with a digital photograph

or sketch to ensure their accountability and traceability.

COLLECTING LARGE QUANTITIES OF CAPTURED MATERIALS

2-14. If a capturing unit has neither the resources nor the expertise to collect large quantities of captured

materials, the unit should request collection and exploitation support from—

Task-organized site exploitation elements.

RSTs.

DOMEX or other specialized exploitation teams.

Supporting military intelligence units.

Corps DOMEX support elements.

Nearest joint document exploitation center.

Note. The RST consists of a task-organized detachment from the corps DOMEX support

element assembled to augment existing unit resources for a limited duration, surge, or suspected

high-yield or high-value operations.

2-15. Requesting collection and exploitation support reduces the burden on the requesting unit, facilitates

the rapid extraction of information, and enables the priority evacuation of important documents to higher

echelons. The requesting unit must safeguard and protect the captured materials until the exploitation team

arrives. The capturing unit submits a spot report in the size, activity, location, unit, time, and equipment

(SALUTE) format or a similar report and includes a request for collection and exploitation support in the

remarks line. (See figure 2-2, page 2-4.) The report should include—

Location of captured materials, including eight-digit map coordinates.

Enemy situation in the vicinity of the captured materials site.

Description of the captured materials site (such as city hall, munitions storage facility, or

terrorist training camp).

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Estimate of the number and type of captured materials.

Presence of computers, file servers, copying machines, or similar communications and

processing equipment.

TITLE: Spot Report

TO: Usually, address of the supported S-2/G-2 (in accordance with [IAW] unit standing operating

procedures [SOPs]).

FROM: Unit or team designation or duty position, as appropriate.

DTG: When report is being submitted (in date-time group format).

Report Number: IAW unit SOPs.

1. (S)ize/Who: Expressed as a quantity and echelon or size (for example, 1X brigade). If multiple

echelons are involved in the activity being reported, there can be multiple entries (for example, 1X

brigade; 2X battalion). Nonstandard units are reported as such (for example, bomb-making class; support

staff).

2. (A)ctivity/What: Focal point of the report that relates to the priority intelligence requirement (PIR) or

important non-PIR information being reported. It should be a concise bullet statement.

3. (L)ocation/Where: Generally a grid coordinate that includes the 100,000-meter grid zone designator.

The entry can also be an address, if appropriate, but still should include an eight-digit grid coordinate. City

names are followed by the two-character country code. (See FM 1-02.) If the activity being reported

involves movement (for example, advance, withdrawal), the location entry includes “From” and “To.” The

route used will be reported under “Equipment/How.”

4. (U)nit/Who: This entry identifies who is performing the activity described in the “Activity/What” entry.

Include the complete designation of the military unit, identification of a civilian or insurgent group, or the

full name of an individual, as appropriate.

5. (T)ime/When: For a future event, this is when the activity will initiate. Past events are usually not the

subject of SALUTE reports, but if a past event is to be reported, the “Time/When” entry will generally

reflect when the event ended. Ongoing events are reported as such. Reports of composition of forces,

morale, and electronic technical data and other nonevent topics are reported as ongoing. When reporting

on the disposition, the “Time/When” entry is generally the last time the source was at the disposition.

6. (E)quipment/How: The information reported clarifies, completes, or expands on information reported in

any of the previous sources. It includes information concerning equipment involved, tactics used, and any

follow-up information not reported in the previous paragraphs.

7. Remarks: Use this entry to report the source of the information, whether a person, a captured enemy

document, open-source media, or other source. Include the date of information and the PIR that the

reported information addresses. Include map data for coordinates given in the “Location/Where” entry,

stating map series name, sheet number, scale, and edition. If there are enclosures to the spot report,

such as sketches, annotate them here.

Note. The above examples are for guidance and not to be construed as strict requirements.

Figure 2-2. Example spot report

2-16. The capturing unit makes every effort to ensure that computers, magnetic media, telephones,

recording devices, and communications equipment remain in captured configuration (powered up or

powered down) until relieved by specially trained exploitation personnel. Capturing-unit personnel remain

in place to provide security while the exploitation team processes the site.

2-17. The exploitation team notifies the requesting unit of their estimated arrival time and route as well as

any other relevant force protection information. The exploitation team collects, tags, inventories, and

evacuates the captured materials in accordance with unit SOPs and instructions in the operation order

(OPORD). Depending on the enemy situation and time available, the exploitation team performs a hasty

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screening of the captured materials before evacuation to ensure the identification and reporting of time-

sensitive information.

SCREEN

2-18. The capturing unit performs a hasty screening of all captured materials to determine—

Their type.

Whether the captured materials are exploitable at the field location.

If relevant, the detainees to which they are associated.

2-19. The initial screening aids in expediting the evacuation process and can assist in the site tactical

questioning of detainees regarding the captured materials. During screening, time-sensitive information or

information of immediate tactical value is identified and reported.

Note. The battalion intelligence staff repeats the screening of captured materials to identify time-

sensitive information or information of immediate tactical value and categorizes the captured

materials. Therefore, during the screening of captured materials, the capturing unit should not

decide what is important and unimportant because the information may be of intelligence value

to higher echelons.

EXTRACT AND REPORT TIME-SENSITIVE INFORMATION

2-20. Once identified, pertinent information is reported using the spot report in SALUTE format for

immediate dissemination. A copy of all reports is evacuated with the detainee and captured materials. If

linguists are unavailable to translate written items and translation equipment is unavailable for key word

identification, swift evacuation is critical for translation support.

Note. Under no circumstances is magnetic media to be reviewed or exploited at the field site.

Safeguard magnetic media against damage until it can be evacuated to the appropriate technical

experts, such as media exploitation personnel. At the brigade and corps levels, media

exploitation personnel may be task-organized as part of a DOMEX team. Media exploitation

personnel may also be at facilities such as joint document exploitation centers and combined

media processing centers.

TAG

2-21. Collectors are responsible for properly tagging captured materials using DD Form 2745.

(See

figure 2-3, page 2-6.) Tagging responsibilities and procedures must be clearly established by unit SOPs; the

document tag is an essential task that establishes accountability and traceability of all captured documents.

As part of core warrior tasks, all personnel must be instructed on proper tagging procedures, with emphasis

on protecting and preserving the original condition and markings of the captured materials. The capturing

unit should not make any marks on or otherwise deface original captured materials.

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TAGGING PROCEDURES

2-22. A unit-specific administrative number is required to account for each detainee or captured enemy

document (CED) or CEM. Unit SOPs have a unit-specific format for creating unit-specific administrative

numbers. The following convention may be used:

Platoon designation.

Company designation.

Battalion designation.

Date-time group (DTG) of capture.

Unique sequential number.

2-23. For example, the third detainee captured by the 2d Platoon of B Company, 2d Battalion, 125th

Infantry, at 0845 hours on 24 February 2009 would be recorded as—2/B/2/125/240845FEB09/0003.

Tagging Captured Materials Not Associated with a Detainee

2-24. Assign administrative numbers to each package and annotate the number on the captured materials

tag. Since captured materials not associated with a detainee do not have a person or a person’s name

associated with them, the location, location description, and DTG of capture are critical for exploitation

purposes. This information helps a unit differentiate materials collected during multiple rotations to a war

zone. A unit is likely to use the same numbering system to avoid confusion from rotation to rotation

regarding a location and DTG of capture.

2-25. CEDs not associated with a detainee may be bundled, bagged, or packaged and given a separate

administrative number for each package followed by the letter “D” as the identification for document. For

example, the administrative number for the fourth package of documents captured at a certain site or during

a particular incident by the 2d Platoon, B Company, 2d Battalion, 125th Infantry, at 0845 hours on 24

February 2008 would be 2/B/2/125/240845FEB08/0004D. In the event of a large volume of CEDs,

additional numbers may be used.

Note. Although there is no specific form or format for the captured materials tag, it can be

produced or reproduced locally or DD Form 2745, part C may be used.

Tagging Captured Materials Associated with a Detainee

2-26. When captured materials are associated with a detainee, the capturing unit completes DD Form 2745,

part C:

Record the administrative number in block 2 (Serial No.).

Record the captured materials and any personal effects (money and items of personal or

sentimental value, such as letters, pictures, jewelry) associated with a detainee in block 10

(Description of Weapons, Special Equipment, Documents).

2-27. At a minimum, the capturing unit provides the following information:

Capturing unit identification.

Date and time of capture in DTG format.

Location of capture, including eight-digit map coordinates and a detailed physical description of

the location.

Identity of the detainee or other source that possessed the document, if applicable.

Summary of circumstances for capture.

2-28. Bag and tag the captured materials and personal effects. Individually receipt and transfer high-value

items (such as money and jewelry) that have a perceived or actual value, regardless of that actual value.

This ensures accountability. Attach DD Form 2745, part C to all captured materials and personal effects

associated and evacuated with the detainee; use multiple forms, if necessary. Keep all captured materials

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Military reference books and manuals (2009-2023, Volume 6) - page 45