This timeline is a chronicle progression of medical technologies within the military, from early field surgery kits to modern telemedicine and robotic-assisted surgeries. It highlights innovations such as the development of the Composite Health Care System, the Armed Forces Health Longitudinal Technology Application, and the implementation of MHS GENESIS, the Department of Defense's electronic health record system.
This timeline is a chronicle progression of medical technologies within the military, from early field surgery kits to modern telemedicine and robotic-assisted surgeries. It highlights innovations such as the development of the Composite Health Care System, the Armed Forces Health Longitudinal Technology Application, and the implementation of MHS GENESIS, the Department of Defense's new electronic health record system.
1939-1945 World War II — Penicillin and Blood Transfusion Advances
Mass production of penicillin and advancements in blood storage and transfusion techniques significantly reduced infections and increased survival rates among wounded service members.
1950 Dr. Robert Ledley
Dr. Robert S. Ledley, an Army Dental Corps officer during the Korean War, became a pioneer in biomedical computing, developing early computer-assisted diagnostic tools and data systems for medical research. His work, supported by the Department of Defense, helped establish medical informatics. In 1973, Ledley invented the first whole-body CT scanner, transforming diagnostic radiology and battlefield imaging.
1950 Helicopter Evacuation MEDEVAC in Korean War
The introduction of helicopter medical evacuation during the Korean War significantly reduced transport times for wounded service members, improving survival rates and revolutionizing battlefield medicine.
1950 The Korean War
The Korean War saw widespread use of Mobile Army Surgical Hospitals and advancements in treating acute renal failure in military casualties using artificial kidney technology.
1956 Dr. Frank Bradway Rogers
Dr. Frank Bradway Rogers became director of the Army Medical Library in 1956, overseeing its renaming as the National Library of Medicine and relocation to the NIH campus. He launched the Medical Literature Analysis and Retrieval System in 1964, the first computerized biomedical indexing system, paving the way for platforms like PubMed. Rogers is remembered as a visionary in medical information science.
1958 The Defense Advanced Research Projects Agency
The Defense Advanced Research Projects Agency was established to develop and deploy advanced technologies, including medical research innovations for military use.
1966–1991 Capt. Brian Cody Markle
Capt. Brian Cody Markle played a key role in improving medical logistics during the Vietnam War and Persian Gulf War. He introduced early computer systems to streamline supply delivery and helped optimize medical support for combat operations, ensuring critical care reached wounded service members efficiently.
1970 Development of Trauma Systems and Advanced Surgical Techniques
The 1970s saw the evolution of organized trauma care systems and the emergence of advanced surgical innovations, including early laparoscopic techniques, improving outcomes for injured patients.
1989–2020 Rear Adm. Gayle D. Shaffer
Rear Adm. Gayle D. Shaffer, born in 1959, served over 30 years in the U.S. Navy, including as commanding officer of the expeditionary dental unit in Kandahar, Afghanistan. She pioneered forward-deployed dental care critical to combat readiness. As the 38th chief of the Navy Dental Corps and deputy surgeon general, Shaffer led advancements in dental technology, digital imaging, and tele-dentistry, enhancing Navy Medicine’s operational and technological capabilities worldwide.
1990 Emergence of Telemedicine and Robotic Surgery
During the 1990s, the Gulf War prompted early adoption of telemedicine for remote medical consultations, while robotic surgical systems began emerging, laying the foundation for future advancements in military medical technology.
1990 Telehealth
Early work in telehealth and telemedicine began, with the Army using video-enabled care in Somalia in 1993. The capability expanded during the Balkan conflicts, and U.S.-based military telehealth programs were also launched.
1991 Lt. Col. Fred Goeringer
Lt. Col. Fred Goeringer pioneered the Army’s move to filmless radiology, integrating advanced imaging and teleradiology systems that improved medical diagnostics during the Gulf War and beyond.
1992–2000 Col. Richard M. Satava
Col. Richard M. Satava led key advances in robotic surgery and battlefield telesurgery during the 1990s, including the first remote surgery on the battlefield and development of the da Vinci Surgical Robot.
2000 Expansion of Minimally Invasive and Robotic-Assisted Surgery
Robotic platforms such as the da Vinci surgical system were integrated into military hospitals during the 2000s, enabling more complex procedures to be performed with minimally invasive techniques and improving patient outcomes.
2010 Advancements in Remote Surgical Tele-Mentoring and Simulation
The 2010s saw expanded use of tele-mentoring and simulation-based training to better prepare military surgeons for battlefield conditions and enhance surgical readiness.
2020s Integration of Artificial Intelligence and Wearable Health Monitors
Artificial intelligence and wearable health technologies have been integrated into military medicine, providing real-time monitoring and predictive diagnostics to enhance care for deployed forces.
2025 APPRAISE - Hemorrhage Risk Index
The Automated Processing of the Physiological Registry for Assessment of Injury Severity - Hemorrhage Risk Index is a decision support tool helping combat medics assess hemorrhage risk near the point of injury. The AI-enabled tool is the first and only Department of Defense software as a medical device to receive FDA approval. A team led by Jaques Reifman, Ph.D., of the U.S. Army Medical Research and Development Command, and Dr. Francisco Vital-Lopez of the Henry M. Jackson Foundation developed the app. The team received awards at the 2025 Military Health System Research Symposium for their work in big data, artificial intelligence, and machine learning.
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Last Updated: November 28, 2025