Sources Sought Notice – Medical Information Management System COTs Assessment

FedBizOpps

Notice Type: Sources Sought Notice

Posted Date: 08-DEC-15

Office Address: Library of Congress; Contracts Services; Fedlink Section; 101 Independence Ave SELA-318 Washington DC 20540-9414

Subject: Medical Information Management System COTs Assessment

Classification Code: D - Information technology services, including telecommunications services

Solicitation Number: CIO20160000A

Contact: Ann Piper, Contract Specialist, Phone 202-707-4928, Fax 202-707-0485, Email apiper@loc.gov

Setaside: N/AN/A

Place of Performance (address): The Library of Congress101 Independence Avenue SE Washington, DC

Place of Performance (zipcode): 20540

Place of Performance Country: US

Description: Library of Congress

Contracts Services

Fedlink Section

INTRODUCTION Purpose and Scope The Library's Office of Chief Operating Officer (OCOO), Integrated Support Services (ISS) requires software that will assist the Health Services Office (HSO) in day-to-day mission-critical processes and operations. The purpose of this project is to enhance employee health and wellness, and increase the capability for ISS to respond to medical emergencies. This system shall support HSO doctors, nurses, medical technicians, office managers, and other ISS support staff. The Library of Congress (LOC) is conducting MARKET RESEARCH. This Request for Information (RFI) is being used to determine if sufficient interest and capability exists regarding a potential future solicitation. This notice is provided as information to the market place and is an invitation for respondents to express interest and provide information regarding their relevant capabilities, as well as provide feedback on LOC's requirement. Information submitted in response to this RFI may be used as a basis for a future solicitation and/or as a basis for more in-depth research of our organization's capability. The system will manage the overall occupational health and wellness of LOC. The system will benefit LOC by:

* Capturing In-Field Health information more efficiently. * Accessing real time health data anytime, anywhere. * Increasing data collection and tracking capabilities. * Providing better reporting capabilities. * Providing open standards interfaces in order to integrate into the organization's information technology enterprise. * Supporting LOC's security standards for Information Technology Systems. Project Executive Summary

A vendor will provide a commercial, off-the-shelf (COTS) web-based solution that automates the workflow processes of ISS HSO division. HSO manages and maintains an electronic health record for all LOC employees. An employee's health record typically includes demographics, progress notes, problems, medications, vital signs, past medical history, immunizations, laboratory data and other test results. This software will replace the current system in use to maintain employee health records and will be fully integrated with required medical equipment. Additionally, the new software will interface with the Human Resources' (HR) employee databases (NFC/EmPower), which contains employee demographic and personnel data. To protect sensitive employee information the system shall comply with all LOC security directives and recommendations. BACKGROUND OBJECTIVES

In supporting LOC's strategic goal of "Managing proactively for productive results," the Health Services Office (HSO) is charged with promoting and maintaining optimal health, wellness and productivity of all LOC staff. Additionally, HSO has the responsibility of promoting and supporting healthy living, preparing staff to deal with medical emergencies, and enhancing the morale and workplace participation of over 3,000 LOC staff members. As part of the Health Promotion and Wellness Service, LOC provides staff access to a variety of health related services which is HSO's mission critical goal. The Office of the Chief Operations Officer/Integrated Support Services is seeking to enhance its occupational health processes and operations. The following high level product requirements listed below will assist LOC's OCOO/ISS office in selecting the COTS of choice:

General FR-1 The system shall support both a total paperless function and a hybrid function, where the contents of the electronic record can be printed for inclusion in the paper chart. FR-2 The system shall link with a variety of digital and analog systems (Voice, Scan, Tablet PC, etc.). FR-3Tablet PC's shall provide portability access for COOP/Emergency situations and functionality to type/ write and capture signatures. FR-4The system shall link to Tablet PC's and include electronic handwriting or voice recording and wireless functionality. FR-5 The system shall date and time stamps all entries. FR-6The system shall include automatic translation of codes to data. For example: ICD-9-CM, ICD-10, CPT (4 and 5), DSM V, VCODE, APG, NDC, ODG, and McMillian Guidelines. FR-7 The system shall support local, regional, and national vocabularies, updates and enhancements. FR-8 The system shall include an integrated standard nomenclature of clinical terms. FR-9The system shall support the HIPAA Standards for Electronic Transactions as defined by LOC. FR-10 The system shall include the integration of third party coding programs. FR-11 The system shall include extensive error checking of all user input data, including, but not limited to: - Date checking for validity as well as ensuring a valid chronological order of events - ICD-9 procedure checking against gender FR-12The system shall include reporting functionality for CA Federal forms, custom and other adhoc reporting. - CA-1, CA-2, CA-2a, CA-7, CA-7a, CA-7b, CA-16, CA-17, CA-20 - OSHA Form 300 log - DOT Forms (Commercial Driver Fitness Determination) - Library Wide Forms - In-House Forms FR-13 The system shall provide sufficient storage and processing power to efficiently operate on the initial patient load. Demographics FR-14 The system shall provide the capability of importing patient demographic data via interface from an existing Personnel Management System (NFC, Empower, etc.). FR-15 The system shall provide the capability to import/create, review, update, and delete patient demographic information as well as other non-clinical information from the patient record. FR-16 The system shall capture permanent patient address. FR-17 The system shall capture temporary patient address. Medical History FR-18 The system shall support rapid capture of patient history and physical exam data. FR-19For each new patient, the system shall capture and store risk factors. For example: Tobacco use and history including number of years and packs per day (PPD), Alcohol use history, Drug use history, Occupational environment/history, History of chronic illnesses, Treatment of chronic illnesses. FR-20 For each new patient, the system shall capture and store the following history elements (health profile): - Emergency notification - Primary Care Physician (PCP) Health Insurance Information - Translator needed (Y/N) FR-21 The system shall provide the capability to import patient health history data from an existing system. FR-22The system shall document Workmen's Compensation /Disability data including: - Incident/Chief complaint - Claim Number - Date of Injury - Procedures performed (X-rays, MRI's...) - Medical diagnosis / Other diagnoses - Claim Acceptance - Discharge summary - Pay Status (COP...) - Modified duty or Medical Leave - Separation Date - OSHA Injury log - Other Regulatory reporting FR-23 The system shall document all existing allergies and drug therapies such as: - Drug - Food - Drug-drug or Drug-Food - Drug-Medications FR-24 The system shall capture history of received immunizations and preventive health services. (Flu shot recall, Immunization tracking, Lab results, Allergy, Chest X-rays, Hep B, PPDS, Foreign Travel...) Current Health Data, Encounters, Health Risk Appraisal FR-25 The system shall obtain test results from laboratory, radiology / imaging, or other equipment or technology related procedures via standard HL7 interface or Scanning /Faxing. All scanned/faxed documents shall be appropriately marked for the Privacy Act. FR-26The system shall have the capability to import/create, and review information about the patient's condition obtained from laboratory, radiology/imaging, or other equipment or technology-related tests and/or procedures. FR-27The system shall have the capability to capture and monitor patient health risk factors in a standard format. Displays encounter data using a problem-oriented format (LOC Medical Survey Forms). FR-28 The system shall generate electronic notifications and alerts (Allergies, medications...). FR-29The system shall support on-line completion of the LOC Health Profile Form (629) or similar measure for measuring health status and outcomes. FR-30 The system shall provide the capability of reproducing and displaying a variety of end user patient and custom treatment forms. (Medical Survey Form, Health Profile Form ...). FR-31 The system shall provide the capability to update other portions of the record with captured vital signs data. At minimum, the system collects: * Height * Weight * Pulse * Respiratory rate * Blood pressure (including multiples) * Different position blood pressure * Other FR-32 The system shall store/monitor measurements of health status. (Blood pressure, Allergy shots, etc.). FR-33The system shall provide the capability to import/create, review, update, and amend health data (objective and subjective) regarding the patient's current health status, including (as applicable): * Chief complaint * Onset of symptoms * Injury mechanism * Physical examination findings * Psychological and social assessment findings FR-34 A. The system shall provide a flexible mechanism for retrieval of encounter information that can be organized in variety of 'views'. For example: * By name (last, first; first, last; etc.) * By SSN * Chronological by encounter date * By diagnosis, problem, problem type * By Organization (Service Unit) FR-35 The system shall provide a flexible, user modifiable, search mechanism for retrieval of information captured during encounter documentation. FR-36 The system shall provide a mechanism to capture, review, or amend history of current illness. FR-37 The system shall ensure dynamic documentation during the encounter complying with all standard coding rules. FR-38 The system shall capture the following referral information: * Type of referral * Date * Reason * Provider FR-39 The system shall track consultations and referrals. FR-40 The system shall provide the capability of printing consultations / referrals forms. Encounter - Progress Notes FR-41 The system records progress notes utilizing a combination of system default, provider customizable, and provider-defined templates. Adequate space for detailed notes. FR-42 The system shall provide the capability to automatically update other sections of the record with data entered in the progress note. FR-43 The system shall include the encounter - progress note template includes space for entering performed and planned procedures. It also includes: * Performed/planned Laboratory procedures * Diagnosis * Goals (provider's and patient's) and follow-up plans * Medications prescribed * Patient education materials * Consultation/referrals * Patient condition or status FR-44 The system shall include a progress note template that is problem oriented and can, at the user's option be linked to either a diagnosis or problem number. FR-45 The system shall enable standard phrases to be defined/contained in tables and used as pull down menus to reduce the key entry effort. FR-46 The system shall automatically capture the electronic verification and title of the person entering data and date/time stamps each transaction. FR-47 The system shall enable progress notes to be sorted for viewing in chronological or reverse chronological order by encounter date in relation to the active care plan. FR-48 The system shall apply security controls to progress notes to ensure that data cannot be deleted or altered except within the current session and by an authorized user. FR-49 The system shall include a medical terminology dictionary and a spell checker within the progress notes data entry module. FR-50 The system shall support the capability to automatically collect the data elements defined by the associated clinical practice guideline or order. Problem Lists FR-51 The system shall provide a problem status for each shown problem. FR-52 The system shall organize applicable patient data into comprehensive problem summary lists. FR-53 The system provides problem descriptions based on the following standard controlled vocabularies: * SNOMED CT * ICD-9-CM, ICD-10-CM/PCS * Code sets by RxNorm data source providers * CPT-4 * LOINC * Vaccines administered (CVX) * OMB standards for race/ethnicity * 3M HDD FR-54 The system shall separate active from inactive problems. FR-55 The system shall allow clinicians to identify and record new patient problems as well as the current status of existing problems. FR-56 The system shall expand the problem summary list on demand. FR-57 The system shall enable the monitoring of health risk factors. FR-58 The system shall update the active problem list from relevant data in the progress note. FR-59The system shall record the patient's current health status collected in a standard format. FR-60 When capturing problem/symptom information, the system shall capture: * Diagnosis / problem date(s) * Severity of illness FR-61 For each problem, the system shall provide the capability to create, review, or amend information regarding a change on the status of a problem to include, but not be limited to, the date the change was first noticed or diagnosed. FR-62 The system shall archive problems complete with status history. FR-63 The system shall continually update the diagnosis/problem lists with the capture of each new piece of patient data in any module. FR-64The system shall automatically link problems with order and results (from PCP's). FR-65 The system shall automatically update the problem summary lists using approved rules-based guidelines. FR-66 The system shall provide the capability of allowing the display of past interventions, hospitalizations, diagnostic procedures, and therapies for review at the option of the provider. FR-67The system shall meet resource-based relative value system (RBRVS) / evaluation and management (E&M) documentation and coding guidelines. FR-68The system shall automatically update the problem summary lists upon detecting changes made to multi-disciplinary guidelines. Clinical Practice Guidelines (CPG) FR-69The system shall include standard Clinical Practice Guidelines (CPG) from the National Guideline Clearinghouse, a public resource for evidence-based clinical practice guidelines. NGC is sponsored by the Agency for Healthcare Research and Quality (formerly the Agency for Health Care Policy and Research). FR-70The system shall provide the capability of allowing initial authoring and revising of clinical practice guidelines, SOP's (Standard Operating Procedures), Disability Guidelines. FR-71The system shall allow linkages from the CPG to other system modules. FR-72The CPG module imports/creates the facility for rapid documentation of the patient's progress along the CPG's phases. FR-73 The format utilized by the guideline for documenting is intuitive, easy to use, and user customizable. FR-74The CPG module utilizes pull down menus and check boxes to speed up data entry. FR-75Optionally, the CPG module can be populated by data entered elsewhere in the system. FR-76The system shall allow reporting and analysis of any / all components included in the CPG. FR-80 The system shall allow reporting for trends noted in services and programs offered. FR-81 The system shall allow reporting to benchmark internally as well as against national averages and other agencies. FR-82 The system shall monitor cost avoidance and savings produced by services offered internally versus outside. FR-83 The system shall track provider productivity and compliance with set standards or targets. FR-84 The system shall access employer protocols from the calendar itself to enable fast look-up. FR-85 The system shall block out provider time by appointment type but enables change when scheduling, if needed. FR-86 The system shall generate appointment reminders. FR-87 The system shall track and report cancellations and no-shows. FR-88The system shall be CCHIT certified and meets most up to date standards for an EHR. FR-89The system shall meet (where possible) IOP standards. FR-90 The system shall produce the Continuity of Care Document (electronic file). FR-91 The system shall interface real-time using standard HL7 transactions. FR-92The system shall fully comply with HIPAA privacy requirements and provides a complete audit trail. FR-93The system shall include HIPAA-compliant security * Web-based software that is 508 compliant * Offers self or external hosting options consistent with NIST or equivalent standards acceptable to the Federal Government. Practice Management FR-94 The system shall track surveillance requirements by individual, job class or department. FR-95 The systems flow sheet shall include all information needed to treat each specific patient: no more, no less. FR-96The system shall manage all forms on-line, to be pre-filled and printed/ scanned or completed on screen. FR-97 The system shall produce mandated forms, such as DOT physical & OSHA Respirator Questionnaire. FR-98 The system shall provide detailed work status summaries to the employer. FR-99 The system shall track outcomes: lost time, case costs, patient satisfaction, etc.... FR-100 The system shall submit or populate for submission Federal government mandated reports without complex workarounds. FR-101 The system shall identify injury trends, to enable workplace interventions to reduce risk. FR-102 The system shall include ticklers to quickly access cases that require attention. FR-103 The system shall display up-to-the-minute case charges, individual and cumulative. FR-104 The system shall document all Care Manager calls, notes and actions. FR-105 The system shall report potential problem cases to help ensure early intervention. FR-106The system shall track audiometric test results, calculate threshold shifts, and include age corrections. FR-107 The system shall assure regulatory compliance. Wellness and Prevention FR-108 The system shall provide the capability to display prevention prompts on the summary display. (Immunizations, Screenings, Shots, Hepatitis...) FR-109 The system shall allow interactive prevention status documentation. At minimum: Date addressed, Result, Reasons for not performed and Where performed. FR-110 The system shall include user-modifiable health maintenance templates. FR-111 The system shall include a patient tracking and reminder capability (patient follow-up). FR-112 The system shall allow the graphing of pertinent data into flow sheets for presentation/display. FR-113 The system shall enable preventive and wellness guidelines with automatic alerts for due or overdue items. FR-114 The system shall track biometric values overtime. FR-115 The system shall graph lab values. FR-116 The system shall report success rates for workplace wellness services, such as weight loss or fitness programs. FR-117 The system shall include the incorporation of immunization protocols and other screenings: Specific foreign travel, etc., Patient Education FR-118The system shall incorporate a Patient Portal to provide the ability to view on-line, download and transmit (VDT) health information. FR-119 The system shall provide the capability to create, print, review, update or delete patient education materials and provides materials in culturally appropriate languages on demand. FR-120 The system shall include the capability to develop patient instructions for a broad range of treatments and services delivered by providers. Examples: * Care of wound * Exercise regimen * Diet guidelines * Administration and care of medications FR-121 The system shall allow patient instructions to be selected from a pull down list. FR-122 The system shall allow user modifications to instructions to suit individual patient needs without altering the original content. FR-123 The system shall allow patient instructions to be printed on demand. FR-124 The system shall include the facility to create a directory of information for patient support groups and to include any applicable support group information in the instructions. Alerts/Notifications FR-125 The system shall include user customizable alert and notification screens / messages, enabling capture of details, including, but not being limited to: * Text describing the alert/notification * Date and time of the alert/notification FR-126 The system shall print an alert on demand. FR-127 The system shall provide the capability of forwarding the alert to a specific provider(s) or other authorized users via Outlook electronic mail or by other means of secure electronic communications. Orders FR-128 The system include an electronic Order Entry module that has the capability to be interfaced with a number of key systems depending on the health center's existing and future systems as well as external linkages, through a standard, real time, two-way interface. FR-129 The system shall provide the capability to print orders for manual transmission. FR-130 The system shall provide the capability to fax orders. All faxed documents shall be appropriately marked for the Privacy Act. FR-131 The system provides the capability to require that all orders be digitally authorized at the completion of each order. FR-132 The system shall provide the capability to assign and display an order number for active, hold, and pending orders. FR-133 During the order entry process, the system shall provide the capability to require the user to acknowledge an error message prior to being allowed to continue with the data entry function. FR-134 The system shall allow the user to accept, override, or cancel an order. FR-135 The system shall require the user to enter a justification for overriding, changing, or canceling an order prior to be allowed to continue. FR-136 The system shall include the visual indication of orders in need of review. FR-137 The system shall detect and display duplicate orders issuing visual and auditory warnings, and allow the user to override the warning after entering a justification for the override. FR-138 The system shall include the capability to: * Define order sets for each provider or service department. * Contain all information specific to one order in one display screen. * Include a pull-down list of all order departments to enable multiple orders * Include a user-configurable / customizable pull-down list of tests and services from which to place one or more orders. FR-139 The system shall provide the capability of displaying the most commonly used orders to assist in order placement. FR-140 The system shall display all order sets including components, by any of the following: * By procedure * By provider * By diagnosis * By date FR-141 The system shall provide the capability to specify/display exploding order sets. FR-142 The system shall provide the capability to enable selected orders to be recurring orders. FR-143 The system shall include an order inquiry mechanism to allow providers to inquire on the details of an order. FR-144 The order inquiry function is accessible within the order entry flow before the session is terminated. FR-145 An order, at the user's option, displays all the detail data associated with the order, including demographics, order parameters, electronic signatures, and order status. FR-146 The system shall display order summaries on demand to allow the clinician to review/correct all orders prior to transmitting/printing the orders for processing by the receiving entity. Results FR-147 The system shall accept results via two way standard interface from all HL7 compliant / capable entities or through direct data entry. Specifically - Laboratory, Radiology, and Pharmacy information systems. FR-148 The system shall include an intuitive, user customizable results entry screen linked to orders. FR-149 The system shall display results in a customizable, intuitive, and flexible format. FR-150 The system shall allow authorized users to copy selected results into a note. FR-151 When displaying results, the system, at a minimum, shall display the patient name, date and time of order, date and time results were last updated, as well as any alerts identifying changes/amendments to the test or procedure, and test name. FR-152 The system shall use visual cues to highlight abnormal results. Medications FR-153The medication module shall include access to the National Drug Classification (NDC) database. FR-154 The system shall store common prescriptions for quick entry. (Foreign Travel). FR-155The systems shall support multiple drug formularies and prescribing guidelines. FR-156 The system shall provide the ability to update the progress note with prescription information. FR-157 The system shall allow the provider the ability to document the effectiveness or ineffectiveness of a medication. FR-158 The system shall allow storage of prescription data for retrieval by any or the following: * Drug name * Schedule (daily...) FR-159 The system shall provide the following drug/prescription order information: * Drug contraindication * Active problem interactions FR-160 The system shall provide extensive drug interaction information: * Drug-drug * Drug-allergy * Drug-symptom FR-161 The system shall provide E-Prescribing ability with connection to drug databases and various interactions-drug-drug; drug-food; vaccine-drug interaction, drug-allergy and drug-disease. * Drug-Drug, drug-allergy and drug-disease interaction verification * Automatically verifies drug formulary information in real- time - Integrates with dispensing software so user doesn't re-enter patient data into separate system - Provides certified electronic prescribing through reputable network FR-162 The system shall allow the provider the ability to prioritize / rank the importance of the interactions and/or warnings. Confidentiality and Security FR-163The system shall support authentication technology for log-on. FR-164 The system shall support industry standard electronic authorizations. FR-165 The system shall control access to and within the system at multiple levels (e.g. per user, per user role, per area, per section of the chart) through a consistent mechanism of identification and authentication of all users. FR-166 The system shall establish patient/physician data element confidentiality. FR-167 The system shall allow access to its modules regardless of location based on confidentiality and security procedures. FR-168 The system shall incorporate audit trails of each access to specific data. FR-169 The system shall incorporate an audit trail for all system transactions including look-ups of patient data. FR-170 The system shall provide automatic analysis of audit trails and unauthorized access attempts. FR-171 The system will adhere to all Library of Congress security policies and directives. * All PII/Patient data shall be encrypted at all times, both at rest and in transit. * All encrypted data shall meet current LC security standards. FR-172The system shall have a System Security Plan (SSP). Clinical Decision Making Support Documentation FR-173The system shall include access to medical research and literature databases such as MEDLINE, JAMA, GRATEFUL MED, and others. FR-174 The system shall utilize health data from all sections of the chart to provide decision support to providers. FR-175 The system shall trigger alerts to providers when individual documented data indicates that critical interventions may be required. FR-176 The system shall automatically trigger an alert upon documentation of a diagnoses or event required to be reportable to outside agencies including the Centers for Disease Control and Prevention (CDC) and State health and mental hygiene departments. FR-177The system's alert/reminder functions are driven by appropriate multi-disciplinary clinical guidelines. FR-178 The system shall allow customized reports to be performed utilizing individual and group health data from the electronic record. FR-179 The system shall incorporate preventive medicine questionnaires to be completed by clinicians and if applicable, patients, during the encounter. FR-180The system shall access treatment and disability duration guidelines (e.g., ODG, ACOEM). FR-181 The system shall enable disease management guidelines. FR-182The system shall optionally include ability to do quick diagnostic consults such as Elsevier First Consult & MD Consult. Fast Charting with Note templates and auto-populated areas FR-183 The system doesn't force providers through a particular allowing charting faster than dictation or handwriting. FR-184 The system shall provide secure electronic signature. FR-185 The system shall auto populate problems list, work status summary and federal work comp forms from provider charting. FR-186 The system shall include coded data in the patient chart, enabling database can be reached and reported in text or graphics. Cost Measuring / Quality Assurance FR-187The system shall provide a built-in mechanism to capture cost information (LOC Service Level Agreement). FR-188 The system shall support real-time or retrospective trending, analysis, and reporting of clinical, operational, demographic, or other user-specified data. FR-189 The system shall produce workload measures. FR-190 The system shall produce reports of usage patterns. FR-191 The system shall provide the capabilities for users to develop utilization statistical and productivity reports on user-determined data fields. FR-192 The system shall provide the capability for authorized users to develop volume statistics reports on user determined data fields (Service Unit). FR-193 The system shall provide the capability to produce population-based studies based on flexible, end user modifiable criteria. FR-194 The system shall include sophisticated report writer with the capability of producing scheduled and on demand case mix reports. Disease Management / Clinical Registries FR-195 The system shall support disease management registries by: * Allowing patient tracking and follow-up based on user defined diagnoses (Cases of Flu...) * Integrating all patient information within the system * Providing a longitudinal view of the patient medical history * Providing intuitive access to patient treatments and outcomes FR-196 The system shall automatically identify all high-risk patients and notify clinical staff for preventive care. FR-197 The system shall utilize user authored and/or third party developed clinical guidelines for disease and registry management (CDC...). FR-198 The system shall track / provide reminders and validates care process. FR-199The system shall generate follow-up letters to physicians, consultants, external sources, and patients based on a variety of parameters such as date, time since last event, etc. for the purpose of collecting health data and functional status for the purpose of updating the patient's record. FR-200The system shall link Disease Management functions to all other sections of the EMR. Technical FR-201 The system shall auto-populate user defined data fields with patient demographics at the time of order or request. FR-202 The system shall be Section 508 compliant. FR-203 The system shall incorporate a consistent user interface for data entry independent of the platform. FR-204The system shall support a variety of input modalities such as voice recognition, touch screen, light pen, mouse, keyboard, PDA, etc. FR-205 The system will be accessible and available to all authorized users 99.5% of the time. FR-206The system will be implemented based on LOC security guidelines and requirements. FR-207The system will adhere to DoD privacy standards as defined by the agency and adheres to LOC security standards (Passwords, SSL- secure sever). FR-208 The system shall incorporate secure remote access that link staff and clinicians from remote locations. FR-209The system shall provide the capability to interface with LOC's major business systems such as: NFC, EmPower, WebTa, to include Diagnostics labs and scanned Image files (paper medical records). FR-210The system shall interface with such Medical equipment as Audiometers, Spirometers and Vision Screeners. FR-211 The system shall support an industry standard locking mechanism to prevent unauthorized updates. FR-212 The system shall log all transactions processing and archiving. FR-213The system shall comply with requirements of the records retention schedule for NARA and LOC. Clinical IT Data Dictionary FR-214 The system shall provide attributes for each data element; supports all data types. FR-215 The system shall support static/dynamic data element relationship. Input Mechanisms FR-216 The system shall support a full range of input technologies. FR-217 The system shall have input protocols that are easy/fast; intuitive input interface. FR-218 The system shall capitalize on the "repetitive nature of medicine". FR-219 The system shall provide the ability to allow inclusion of free text as well as the capture of discrete data. Ergonomic Presentation FR-220 The system shall place emphasis on user friendliness. FR-221 The system shall incorporate a consistent presentation of information across the entire system. FR-222 The system shall incorporate visual cues. FR-223 The system shall provide consistent formatting to aid users in finding information. QUESTIONS: Questions must be submitted no later than 12 noon EST, Tuesday, December 15, 2015 in writing to mailto:apiper@loc.gov. Answersto questions will post on FBO no later than Wednesday, December 23, 2015. SUBMISSION OF RESPONSES: Responses to this RFI should be submitted using MS Word no later than 5:00 PM EST, Tuesday, January 5, 2016 to: mailto:apiper@loc.gov. Responses to all or part of the RFI will be accepted. Proprietary information shall be clearly marked. The Government will NOT be responsible for any proprietary information not clearly marked. Responses to this RFI MUST include the following: 1. A brief statement of the vendor's capabilities. 2. The vendor's demonstrated experience and past performance of a similar effort. 3. Rough Order of Magnitude (ROM) of implementation effort and cost. Vendors may provide examples of similar implementation, preferable within the federal arena. 4.Recommend a COTS solution to achieve the objectives of the requirements stated in the RFI. Also include a drawing of the proposed system architecture. 5. Provide a cost estimate for the recommended solution(s) including the following elements: a. Product implementation costs. b. Required hardware and software and associated costs. c. Product cost structure: include licensing costs, maintenance/upgrade costs, and any other applicable costs. d. Administrator and user training costs. 6. Submitter's Name Street Address, City, State, nine-Digit Zip Code Point of contact (POC) POC telephone and fascimile numbers, and email address. Responses received after Tuesday, January 5, 2016 may not be considered in the government's analysis. The Government may elect to contact RFI respondents to get clarification on the information submitted.