Attachment 13 - TE 13 - Data Transfer File Format_All Tests.docx

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Navy Bloodborne Infection Management Center Infectious Disease Testing
Solicitation number
N6264521R0057
Issued by

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This document contains a combined synopsis and solicitation for infectious disease testing services. The Navy Bloodborne Infection Management Center is seeking proposals for a single-award indefinite delivery, indefinite quantity task order contract to provide combined HIV, hepatitis B, hepatitis C, and parvovirus B19 antibody and antigen testing services over a five-year ordering period. Proposals are due by November 17, 2021 and the contract will be awarded under full and open competition with a NAICS code of 621511 and size standard of $35 million. Offerors should submit proposals to the email address provided following the instructions in the solicitation addendum. The testing services required include analyzing blood samples and returning infectious disease test results to the Navy center using the specified file format and data fields provided in the technical exhibit.

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N6264521R0057 0002.docx DOCX document
N6264521R0057 0001.docx DOCX document
Attachment 15 - TE 15 - Blank DD250.pdf PDF
Attachment 11 - TE 11 - Military Duty Codes.docx DOCX document
Attachment 6 - TE 6 - Gen Mgt Stat Format.doc DOC document
Attachment 22 - Offeror Information Form.pdf PDF
Attachment 18 - Pricing Table.docx DOCX document
Attachment 1 - TE 1 - Locations.xlsx XLSX spreadsheet
Attachment 17 - TE 17 - Documentation Web Sites.docx DOCX document
N6264521R0057.docx DOCX document
Attachment 21 - Pricing Workbook for N6264521R0057.xlsx XLSX spreadsheet
Attachment 14 - TE 14 - Roster for HIV Ab Testing.pdf PDF
Attachment 8 - TE 8 - Deficiency Codes.doc DOC document
Attachment 19 - Awardee Technical Proposal.docx DOCX document
Attachment 12 - TE 12 - Transfer File Format.docx DOCX document
Attachment 7 - TE 7 - Barcode Label Specifications.docx DOCX document
Attachment 20 - Past Performance Information Sheet.docx DOCX document
Attachment 5 - TE 5 - DoDSR Req.doc DOC document
Attachment 9 - TE 9 - Source of Test Codes.doc DOC document
Attachment 3 - TE 3 - Deliverables.docx DOCX document
Attachment 23 - B2B Gateway Form.pdf PDF
Attachment 2 - TE 2 - Quality Assurance Surveillance Plan.docx DOCX document
Attachment 10 - TE 10 - Algorithm.docx DOCX document
Attachment 16 - TE 16 - Applicable Regulations and Manuals.docx DOCX document
Attachment 24 - Contract Administration Plan.docx DOCX document
Attachment 4 - TE 4 - CAC Requirements.docx DOCX document
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Text version

TECHNICAL EXHIBIT 13

MHS Genesis (Results for HIV, HbsAg, HCV AB, HBS AB, PDHA) Data sent to HMS from Testing Contractor

Field Name
Length
Data Type
Description
EDPI (DOD ID #)
10
N
Social Security # (SSN)
9
N
Last Name
30
A
First Name
20
A
Middle Name
20
A
DUC (Duty Code / Secondary Duty Code)
3
A/N
Example = C11; N11; M11
Serum Number (Barcode)
15
A/N
May include blank spaces
Draw Date
8
N
YYYYMMDD
Date of Test
8
N
YYYYMMDD
Source of Test (SOT Code)
1
A
Default Value: X
Date of Birth
8
N
YYYYMMDD

Test Ordered Code:

105- HIV-1/2 Ag/Ab Screen 140-Hepatitis B Surface Antigen (HBsAg) 143-Hepatitis C Antibody 147-Hepatitis B Surface AB

329-PDHA

3
N
The initial test ordered even on the confirmations.

Result/Comments

255
A/N
Results/comments applicable to each Test Code including Rejections
Testing Value1
5
A/N
Blanks are valid
Testing Value2
5
A/N
Blanks are valid
Testing Value3
5
A/N
Blanks are valid
Testing Value4
5
A/N
Blanks are valid
Testing Value5
5
A/N
Blanks are valid
Result Flag
1
A
I = Intermediate F = Final

A = Amended R = Reject

Final Result Code
3
A/N
Final Result code from HL7. For Intermediate results (Result Flag = I), this field will be blank.

Test Code 105- HIV-1/2 Ag/Ab Screen 332-Duplicate HIV-1/2 Ag/Ab Screen 331-HIV-1/2 Ab Diff Immunoassay 116-Nucleic Acid Testing 140-Hepatitis B Surface Antigen (HBsAg) 312-Duplicate HBsAG 315-HBV AG Neutralization 143-Hepatitis C Antibody 317-Duplicate Hep C 144-Hepatitis C Virus RNA PCR 147-Hepatitis B Surface AB 320-Duplicate HBV S AB

329-PDHA

3
N
Actual test performed.
Result/Interpretation Code
3
N
The coded results for the test actually performed as indicated by the Test Code

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