What it is
STANAG 2087 is a NATO Standardization Agreement, currently Edition 7, dated 23 April 2018. It is not a technical specification. It is the agreement by which NATO nations commit to implement AAMedP-1.5, Edition A, the Allied Publication covering forward aeromedical evacuation. The document's own aim is to respond to an interoperability requirement: "to standardize the general principles governing the evacuation by air of patients from the forward area of the theatre of operations in order to facilitate the exchange of comparable information between nations and increase interoperability." Read on its own, STANAG 2087 requires nothing of a supplier or contractor. Its obligations run to nations and to NATO's own bodies, and the substantive evacuation principles sit in AAMedP-1.5, not in this cover.
Who it binds, and how
STANAG 2087 is explicit that it binds nations rather than organisations. Its letter of promulgation describes the enclosed agreement as one "which has been ratified by member nations, as reflected in the NATO Standardization Document Database (NSDD), is promulgated herewith." Under "Agreement," participating nations agree to implement AAMedP-1.5, Edition A - a national commitment, made by ratification, not a duty a supplier signs up to by reading this document. Ratification and implementation are kept separate: nations that have not yet reported their position are invited to "advise the NSO of their intention regarding its implementation." So "is STANAG 2087 mandatory" has no single answer: it depends on whether a given nation has ratified and implemented it, and this cover names no supplier, manufacturer or contractor at all.
What the agreement commits nations to
The interoperability requirement STANAG 2087 responds to is standardizing "the general principles governing the evacuation by air of patients from the forward area of the theatre of operations in order to facilitate the exchange of comparable information between nations and increase interoperability." The STANAG states it "is effective upon receipt and ready to be used by the implementing nations and NATO bodies," and it "is considered implemented when a nation has issued the necessary orders/instructions putting the details of the agreement into effect." That is national and operational machinery: a nation's medical and air-transport services put AAMedP-1.5 into effect once the relevant orders are issued, not a design or delivery obligation on a contractor. Partner nations are separately invited to adopt the STANAG and to report their own adoption.
A cover agreement, not the evacuation principles themselves
A reader who only has STANAG 2087 in hand does not yet have the substance it points to. That sits in AAMedP-1.5, Edition A. STANAG 2087 also names eight other related documents, each a STANAG alongside the Allied Publication it covers: STANAG 2228, covering AJP-4.10, Allied Joint Doctrine for Medical Support; STANAG 2546, covering AJMedP-2, Allied Joint Doctrine for Medical Evacuation; STANAG 2627, covering ATP-97, the Land Urgent Voice Messages pocket book; STANAG 7149, covering APP-11, the NATO Message Catalogue; STANAG 7112, covering AAMedP-1.20, Recommended Medical Equipment for Aeromedical Evacuations; STANAG 3204, covering AAMedP-1.1, Aeromedical Evacuation; STANAG 2132, covering AMedP-8.1, Documentation Relative to Initial Medical Treatment and Evacuation; and STANAG 2999, covering ATP-49, Use of Helicopters in Land Operations Doctrine. Edition 7, dated 23 April 2018, supersedes STANAG 2087, Edition 6.
Reporting and review
National decisions on ratification and implementation are provided to the NSO, and the responses are recorded in the NATO Standardization Document Database. Nations are invited to report their effective implementation using the form in Annex H to AAP-03(J); partner nations are separately invited to report their adoption using the form in Annex G to AAP-03(J). The STANAG itself is reviewed at least once every three years, with the outcome recorded in the NSDD, and nations and NATO bodies may propose changes at any time for the tasking authority to process during that review. The agreement is supervised under the authority of NATO's Military Committee Air Standardization Board, through the Aeromedical Working Group. The custodian of the STANAG is France.
What it does not cover
STANAG 2087 names no clinical, triage or patient-handling detail of its own - that content sits entirely in AAMedP-1.5. It also names no assessment or certification scheme: the only stated check is that the STANAG itself is reviewed periodically, not that a nation, an organisation or an individual is certified.