36C79121R0008 0001.docx

5. PROJECT NUMBER (if applicable)

CODE

7.

ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER

3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE OF

PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO.

1. CONTRACT ID CODE

FACILITY CODE

CODE

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

E. IMPORTANT:

is extended,

(a) By completing Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE

OF YOUR

ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY is not extended.

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

is required to sign this document and return ___________ copies to the issuing office.

is not, A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.

15C. DATE SIGNED

B. THE ABOVE NUMBERE

D CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES

SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

RESULT IN REJECTION OF YOUR

OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendmen t, and is received prior to the opening hour and date specified.

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER

Contractor

16C. DATE SIGNED

14. DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED

STATES OF AMERICA

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER

16A. NAME AND TITLE OF

CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30

PREVIOUS EDITION NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.243 (Type or print) (Type or print) (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

(Number, street, county, State and ZIP Code) (If other than Item 6) (Specify type of modification and authority) (such as changes in paying office, appropriation date, etc.)

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF

SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign) (Signature of Contracting Officer) N/A Department of Veterans Affairs Commodities & Services Acquisition Svc (003B6E) 555 Corporate Circle Golden CO 80401-5621 Department of Veterans Affairs Commodities & Services Acquisition Svc (003B6E) 555 Corporate Circle Golden CO 80401-5621 To all Offerors/Bidders

36C79121R0008 09-09-2021

X x x

X This Amendment to Solicitation 36C79121R0008 changes language found in the PWS Section 3.2 (C.3) (p.63).

See Attachment Below for Full Change Description.

Please acknowledge receipt of this amendment by completing option (a) in box 11 above.

All other solicitation language, terms, conditions, and provisions remain th e same.

Star M. Yeo Contracting Officer

CONTINUATION PAGE

Amendment to 36C79121R0008 | PWS Section 3.2 (C.3) (p.63) Changes From: (old)

3. API Fast Healthcare Interoperability Resources (FHIR) As an additional exchange, the Contractor shall securely exchange all required clinical data between Contractor’s systems and the VA Patient Generated Data (PGD) Fast Healthcare Interoperability Resources (FHIR) Server (based on HAPI FHIR). Mapping and transmission of data will adhere to the FHIR DSTU2 specification (http://hl7.org/fhir/DSTU2/overview.html) including identification of suspect records. Transmission of data will occur at the same frequency as the established primary transmission for all identified vital signs. The Contractor(s) shall present data element mapping and clinical terminology context mapping to VA for validation prior to any work commencing on establishing the secondary transmission. Should standardized FHIR extensions be required, the VA will relay appropriate method for mapping any extensions necessary. Likewise, should clinical terminology context mapping require extension, the VA will relay appropriate extended clinical terminology codes to be utilized. As part of continuous improvement, additional features and improvements to the FHIR specification are to be expected. Once the VA has determined the VA PGD FHIR Server will be modified to implement these changes, the Contractor(s) will be notified of the effort. The Contractor(s) shall develop a plan for change implementation and implement these changes within 180 days of any signed contract modification. Additional changes/improvements will be made as determined/approved by the VA HT Contracting Officer’s Representative.

Changes To: (new)

3. API Fast Healthcare Interoperability Resources (FHIR) As an additional exchange, the Contractor shall securely exchange all required clinical data between Contractor’s systems and the VA Patient Generated Data (PGD) Fast Healthcare Interoperability Resources (FHIR) API. Mapping and transmission of data shall adhere to the FHIR Release 4 specification (http://hl7.org/fhir/) via FHIR R4 API and shall include identification of suspect records. Transmission of data will occur at the same frequency as the established primary transmission for all identified vital signs. The Contractor(s) shall present data element mapping and clinical terminology context mapping to VA for validation prior to any work commencing on establishing the secondary transmission. Should standardized FHIR extensions be required, the VA will relay appropriate method for mapping any extensions necessary. Likewise, should clinical terminology context mapping require extension, the VA will relay appropriate extended clinical terminology codes to be utilized. As part of continuous improvement, additional features and improvements to the FHIR specification are to be expected. Once the VA has determined the VA PGD FHIR Server will be modified to implement these changes, the Contractor(s) will be notified of the effort. The Contractor(s) shall develop a plan for change implementation and implement these changes within 90 days of any signed contract modification. Additional changes/improvements will be made as determined/approved by the VA HT Contracting Officer’s Representative.