Appendix_B_-_Data_Library_and_Sample_Report_Formats_v2.pdf
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- Medical Kits
- Solicitation number
- 19AQMM18R0176
About this file
This document contains data dictionary templates and reporting formats for medical kits and related logistics. The Directorate of Operational Medicine within the Department of State Office of Acquisition Management seeks to procure assembly, distribution, warehousing, data management, tracking and life cycle sustainment services for standardized emergency response kits and supplies to all Department posts worldwide. The templates and formats provide guidance on the data fields required for kit packing lists, shipment reports, inventory reports, and ordering activity reports. Information includes kit identifiers, part descriptions and replacements, manufacturers, costs, ship dates, and more. Proper documentation of kits and shipments using these templates will help manage the medical logistics program globally.
Appendix B
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Other files
| File | Type | Posted |
|---|---|---|
| Everest_2.0_-_Vendor_Questions_with_response_v09252018.xlsx | XLSX spreadsheet | |
| Everest_2.0_-_Vendor_Questions_with_response_v09182018.xlsx | XLSX spreadsheet | |
| RFP_Cover_Page.docx | DOCX document | |
| 7.19.2018_-_Everest_2.0_IDIQ_RFP_Document.docx | DOCX document | |
| Everest_SF33.pdf | ||
| Attachment_5_-_PRS_Template.docx | DOCX document | |
| Attachment_1_-_Pricing_Tables_1-3.xlsx | XLSX spreadsheet | |
| Attachment_2_-_Relevant_Experience_Questionnaire.docx | DOCX document | |
| Attachment_4_-_Offeror_Questions_and_Clarifications.xlsx | XLSX spreadsheet | |
| Attachment_3_-_Past_Performance_Questionnaire.xlsx | XLSX spreadsheet | |
| Appendix_A_-_Kit_Level_Components_List.pdf |
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KITS REPORTS
DATA DICTIONARY
ID DEFINITION
1, 2, 3, 4, ETC
Unique ID number for every Kit Part ID sent to any post (database-generated auto-number)
KIT DEFINITION
EMUK, MCM-A, ETC IDENTIFIES THE NAME OF THE KIT
KIT SERIAL NUMBER DEFINITION
EMUK-# IDENTIFIES UNIQUE KIT SERIAL NUMBER ASSIGNED TO KIT
KIT PART ID DEFINITION
[KIT NAME]-####
example:
EMUK-0001
IDENTIFIES EACH LINE ITEM IN THE KIT WITH A UNIQUE ID #.
NOTE: Substitution items will share the same KIT PART ID
NOMENCLATURE DEFINITION
NARRATIVE DESCRIPTION OF ITEM
example:
DISPOSABLE SCALPELS, NO. 10
INDUSTRY/MANUFACTURER DESCRIPTION OF ITEM
SUBSTITUTION CODE DEFINITION
A PRIMARY ITEM
B
PRE-APPROVED AS A SUBSTITUTION ITEM AND MAY BE USED TO
SUBSTITUTE PRIMARY ITEM WITHOUT PERMISSION
C
MAY SUBSTITUTE WITH THIS ITEM WITHOUT PERMISSION ONLY IF
PRIMARY ITEM IS UNAVAILABLE, AND IN ORDER OF SUBSTITUTION
PRECEDENCE
D
MAY SUBSTITUTE WITH THIS ITEM ONLY WITH CONTRACTING OFFICER
APPROVAL, AND IN ORDER OF SUBSTITUTION PRECEDENCE
REPLACEMENT PRECEDENT DEFINITION
1, 2, 3, 4, ETC NUMBER DESCRIBING ORDER OF PRECEDENCE FOR SUBSTITUTION
SUBSYSTEM DEFINITION
[KIT NAME]-[SUBSYSTEM]
example:
EMUK-MEDICAL RUCK
AS APPLICABLE, PRESCRIBES A SPECIFIC SUB-COMPONENT WITHIN THE
KIT WHERE MULTIPLE KIT PART IDS MIGHT BE LOCATED
LOCATION DEFINITION
[KIT NAME]-[SUBSYSTEM]-[LOCATION]
example:
EMUK-MEDICAL RUCK-POCKET A
AS APPLICABLE, SUBSYSTEMS WITH MULTIPLE POCKETS,
COMPARTMENTS, ETC, SHOULD BE LABELED AND IDENTIFIED
MANUFACTURER DEFINITION
NAME OF MANUFACTURER OF PART
example:
NORTH AMERICAN RESCUE
NAME OF MANUFACTURER OF PART
MANUFACTURER ID # DEFINITION
MFG ID #
example
Pelican 0450 Mobile Tool Chest with Drawers
THE MFG-ASSIGNED IDENTIFICATION NUMBER OR CODE FOR THE PART
MANUFACTURER ID # DEFINITION
NSN #
example:
5140-01-584-4327
NATO STOCK # (IF AVAILABLE)
APPENDIX B: REPORTING FORMAT/GUIDELINES
NDC DEFINITION
NDC #
example
Transderm Scop
AS APPLICABLE, FDA NATIONAL DRUG CODE
LOT NUMBER DEFINITION
Medication Lot # example
Meridian Medical Antidote Treatment Nerve Agent Auto-Injector
MANUFACTURER ASSIGNED LOT NUMBER FOR MEDICATION
EXPIRATION DEFINITION
MM/DD/YYYY AS APPLICABLE, THE EXPIRATION DATE FOR MEDICATION
MANUFACTURER UNIT OF ISSUE DEFINITION
EA/BX/BT
GSA-DEFINED OR INDUSTRY STANDARD UNIT OF ISSUE CODE (EACH,
PACKAGE, BOX, BOTTLE, CARTON, ETC)
UNIT OF ISSUE QUANTITY, EACH DEFINITION
1,2,3,4,5, ETC
NUMBER OF INDIVIDUAL KIT PART END ITEMS ARE IN THE
MANUFACTURER-ISSUED UNIT OF ISSUE
KIT PART QUANTITY DEFINITION
1,2,3,4,5, ETC NUMBER OF KIT PART END ITEMS ARE IN THE PART ID
TOTAL COST DEFINITION
IDENTIFIES THE TOTAL COST OF THE INDIVIDUAL KIT PART ID AT THE
TIME IT WAS PURCHASED, TO INCLUDE COSTS ASSOCIATED WITH
ASSEMBLING
SHIPMENT ID NUMBER DEFINITION
# UNIQUE NUMERICAL ID NUMBER ASSIGNED TO EACH SHIPMENT
PART ID STATUS DEFINITION
ACTIVE
THE ITEM IS CURRENTLY PART OF THE KIT AND HAS NOT BEEN
REPLENISHED
HISTORICAL
THE ITEM HAS BEEN REPLENISHED AND/OR REPLACED SINCE INITIAL
FIELDING
4-FAH-1 ACTIVITY CODE DEFINITION
POST ACTIVITY CODE AS DESCRIBED IN 4-FAH-1 H-430
ONWARD SHIPMENT ADDRESS DEFINITION
SELF-EXPLANATORY
AN ADDRESS AFFIXED TO THE EXTERIOR OF THE BOX OR CRATE
CONTAINING KITS THAT IDENTIFIES THE ONWARD SHIPMENT
DESTINATION FOR THE DELIVERY ORDER
SHIPPING METHOD DEFINITION
FEDEX, USPS, FREIGHT IDENTIFIES THE METHOD USED TO SHIP THE REFERENCED SHIPMENT
SHIPPING METHOD TRACKING # DEFINITION
ASSIGNED BY CARRIER CARRIER-ASSIGNED TRACKING NUMBER FOR REFERENCED SHIPMENT
SHIPPING COST OF SHIPMENT ID DEFINITION
IDENTIFIES THE SHIPPING COSTS ASSOCIATED WITH THE REFERENCED
SHIPMENT ID #
DATE SHIPPED DEFINITION
MM/DD/YYYY DATE OF INITIAL SHIPMENT
DATE ARRIVED DEFINITION
MM/DD/YYYY DATE REFERENCED SHIPMENT ARRIVED AT DESTINATION
TASK/DELIVERY ORDER NUMBER DEFINITION
SELF EXPLANATORY IDENTIFIES THE TASK/DELIVERY ORDER NUMBER - MUST BE UNIQUE
TASK/DELIVERY ORDER DATE DEFINITION
MM/DD/YYYY DATE ORDER PLACED
CONTRACTING OFFICER DEFINITION
LAST NAME, FIRST NAME
NAME OF CONTRACTING OFFICER WHO PLACED THE TASK/DELIVERY
ORDER
FUND CITE DEFINITION
STANDARD DOS FUND CITE FUND CITE ASSOCIATED WITH TASK/DELIVERY ORDER
DELIVERY TERMS DEFINITION
TEXT NARRATIVE TEXT DESCRIBING ANY DELIVERY TERMS
MATERIALS COST DEFINITION
$ COST OF MATERIALS DELIVERED UNDER THE TASK/DELIVERY ORDER
SHIPPING COST DEFINITION
COST OF ALL SHIPPING COSTS ASSOCIATED WITH A SPECIFIC
TASK/DELIVERY ORDER
TOTAL COST DEFINITION
COMBINED MATERIALS AND SHIPPING COSTS ASSOCIATED WITH A
SPECIFIC TASK/DELIVERY ORDER
STANDARD KIT PACKING LIST
see data dictionary for definitions of fields
ID KIT
KIT SERIAL
NUMBER
KIT PART ID
NUMBER
NOMENCLAT
URE
REPLACEMEN
T CODE
REPLACEMEN
T PRECEDENT
SUBSYSTEM LOCATION
MANUFACTU
RER
MANUFACTU
RER ID #
NSN NDC LOT NUMBER EXPIRATION
MANUFACTU
RER UNIT OF
ISSUE
UNIT OF
ISSUE
QUANTITY,
PART
INDIVIDUAL
QUANTITY
TOTAL COST
SHIPMENT ID
4-FAH-1
ACTIVITY
CODE
PART ID
STATUS
1 EMUK BAGS EMUK-1
EMUK BAGS -
MEDIC /
TRAUMA
SHEET BAG
(CCRK) –
COYOTE
A 1
EMUK BAG -
HANGING
BAG
N/A
NORTH
AMERICAN
RESCUE
ITEM # 80-0069
6515-01-540-
N/A N/A N/A EA 1 1 $
EMBASSY DR,
CITY,
COUNTRY,
CODE
###### ACTIVE
STANDARD SHIPMENT REPORT
SHIPMENT
ID #
4-FAH-1
ACTIVITY
CODE
ONWARD
SHIPPING
ADDRESS
SHIPPING
METHOD
SHIPPING
METHOD
TRACKING
SHIPPING
COST OF
SHIPMENT
ID
DATE
SHIPPED
DATE
ARRIVED
KIT
KIT SERIAL
NUMBER
KIT PART
ID NUMBER
NOMENCL
ATURE
REPLACEM
ENT CODE
REPLACEM
ENT
PRECEDEN
T
SUBSYSTE
M
LOCATION
MANUFACT
URER
MANUFACT
URER ID #
NSN NDC
LOT
NUMBER
EXPIRATIO
N
MANUFACT
URER UNIT
OF ISSUE
UNIT OF
ISSUE
QUANTITY,
EACH
PART
INDIVIDUA
L
QUANTITY
TOTAL
COST OF
PART ID
EMBASSY
DR, CITY,
COUNTRY,
CODE
ABC
FREIGHT
MM/DD/YY
YY
MM/DD/YY
YY
EMUK
BAGS
EMUK-1
EMUK
BAGS - 0001
MEDIC /
TRAUMA
SHEET BAG
(CCRK) –
COYOTE
A 1
EMUK BAG -
HANGING
BAG
N/A
NORTH
AMERICAN
RESCUE
ITEM # 80-
6515-01-540-
N/A N/A N/A EA 1 1 $
MONTHLY INVENTORY REPORT
KIT
KIT SERIAL
NUMBER
KIT PART ID
NUMBER
NOMENCLATU
RE
REPLACEMEN
T CODE
REPLACEMENT
PRECEDENT
SUBSYSTEM LOCATION
MANUFACTUR
ER
MANUFACTUR
ER ID #
NSN NDC LOT NUMBER EXPIRATION
MANUFACTUR
ER UNIT OF
ISSUE
UNIT OF ISSUE
QUANTITY,
EACH
PART
INDIVIDUAL
QUANTITY
TOTAL COST SHIPMENT ID #
4-FAH-1
ACTIVITY
CODE
PART ID
STATUS
EMUK BAGS EMUK-1
EMUK BAGS -
MEDIC /
TRAUMA
SHEET BAG
(CCRK) –
COYOTE
A 1
EMUK BAG -
HANGING BAG
N/A
NORTH
AMERICAN
RESCUE
ITEM # 80-0069
6515-01-540-
N/A N/A N/A EA 1 1 $ ###### ######
* ACTIVE
ITEMS ONLY
ORDERING ACTIVITY REPORT
TASK/DELIVERY ORDER NUMBER TASK/DELIVERY ORDER DATE SHIPMENT ID # CONTRACTING OFFICER FUND CITE DELIVERY TERMS MATERIALS COST SHIPPING COST TOTAL COST
###### MM/YY/DDDD ###### LAST NAME, FIRST NAME 1900/2015/19___X0113000H/MED/6025/NA/5624/2122/NA/NA/016520/NA/NA NARRATIVE TEXT $ $ $
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