Attachment 5_proposal Summary and Data Record NIH2043.pdf
PDF 72 KB Posted
- Attached to
- SNOMED CT AND RELATED SERVICES
- Solicitation number
- 75N97022R00010KB
About this file
This proposal summary and data record template outlines requirements for a sole source contract renewal with the International Health Terminology Standards Development Organisation to maintain United States membership and distribution rights for SNOMED CT, the comprehensive clinical terminology. Key details include:
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The National Library of Medicine seeks to renew its agreement with IHTSDO to continue using and distributing the international release of SNOMED CT through June 2023. As the proprietary owner, IHTSDO is the only responsible source able to provide rights to the clinical terminology.
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SNOMED CT is a comprehensive clinical terminology developed over 35 years and maintained as the international standard. It is included in the National Library of Medicine's Unified Medical Language System and used in various health data applications and research. Maintaining access is critical for clinical care, public health, and research in the United States.
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The National Institutes of Health and National Library of Medicine will manage contract renewal negotiations and membership distribution rights with IHTSDO, the sole source proprietor of SNOMED CT intellectual property.
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Text version
DEPARTMENT OF HEALTH AND HUMAN SERVICES
PUBLIC HEALTH SERVICE
NATIONAL INSTITUTES OF HEALTH
PROPOSAL SUMMARY AND DATA RECORD
PROJECT TITLE (Title or RFP or Contract Proposal)
RFP/CONTRACT NUMBER
LEGAL NAME AND ADDRESS OF OFFEROR PLACE OF PERFORMANCE (Full address including ZIP)
TYPE OF CONTRACT PROPOSED
� COST-REIMBURSEMENT � FIXED PRICE
ESTIMATED TIME REQUIRED TO COMPLETE PROJECT
ESTIMATED DIRECT COSTS IN PROPOSED YEAR (From Budget
� COST-PLUS-FIXED-FEE
PROPOSED STARTING DATE
� OTHER
DOES THIS PROPOSAL INCLUDE A SUBCONTRACT � YES � NO (If yes, please furnish name and location of organization, description of services, basis for selection, responsible person employed by subcontractor and cost information.)
NAME AND TITLE OF PRINCIPAL INVESTIGATOR SOCIAL SECURITY
NO.
EST. HOURS
WEEKLY
AREA
CODE/TEL.NO.
NAME AND TITLE OF CO-INVESTIGATOR (Use attachment if necessary.)
NAME AND TITLE OF INDIVIDUAL(S) AUTHORIZED TO
NEGOTIATE CONTRACTS
AREA CODE/TELEPHONE NUMBER
NAME AND TITLE OF INDIVIDUAL(S) AUTHORIZED TO
EXECUTE CONTRACTS
AREA CODE/TELEPHONE NUMBER
DOES THIS PROPOSAL INVOLVE EXPERIMENTS WITH HUMAN SUBJECTS � YES � NO
Institution’s General Assurance re: Human Subjects DATE APPROVED � PENDING Institution’s Review Board’s Approval of this Proposal DATE APPROVED � PENDING An example of the informed consent for this study is enclosed � YES � NO A Clinical Protocol is enclosed � YES � NO
OFFEROR’S ACKNOWLEDGMENT OF AMENDMENTS TO THE RFP (Use attachment if necessary)
ERRATA NUMBER DATE ERRATA NUMBER DATE
NAME, ADDRESS, AND PHONE NUMBER OF
COGNIZANT GOVERNMENT AUDIT AGENCY
NUMBER OF EMPLOYEES CURRENTLY EMPLOYED
DOLLAR VOLUME OF BUSINESS PER ANNUM
THIS OFFER EXPIRES DAYS FROM THE
DATE OF THIS OFFER (120 days if not specified)
FOR THE INSTITUTION
SIGNATURE OF PRINCIPAL INVESTIGATOR SIGNATURE OF BUSINESS REPRESENTATIVE
TYPED NAME AND TITLE TYPED NAME AND TITLE
EMPLOYER IDENTIFICATION NUMBER DATE OF OFFER
NIH-2043
June 1982
Provision of the Social Security Number is voluntary. Social Security
Numbers are requested for the purpose of accurate and efficient identification, review, and management of NIH Extramural Programs.
Authority for requesting this information is provided by Title III, Section
301, and Title IV of the Public Health Service Act, as amended.
NIH-2043
June 1982
| RFPCONTRACT NUMBER: |
| LEGAL NAME AND ADDRESS OF OFFEROR: |
| PLACE OF PERFORMANCE Full address including ZIP: |
| ESTIMATED DIRECT COSTS IN PROPOSED YEAR From Budget: |
| PROPOSED STARTING DATE: |
| NAME AND TITLE OF PRINCIPAL INVESTIGATOR: |
| SOCIAL SECURITY NONAME AND TITLE OF COINVESTIGATOR Use attachment if necessary: |
| EST HOURS WEEKLYNAME AND TITLE OF COINVESTIGATOR Use attachment if necessary: |
| AREA CODETELNONAME AND TITLE OF COINVESTIGATOR Use attachment if necessary: |
| NAME AND TITLE OF INDIVIDUALS AUTHORIZED TO NEGOTIATE CONTRACTS: |
| AREA CODETELEPHONE NUMBER: |
| NAME AND TITLE OF INDIVIDUALS AUTHORIZED TO EXECUTE CONTRACTS: |
| AREA CODETELEPHONE NUMBER_2: |
| DATE APPROVED: |
| DATE APPROVED_2: |
| ERRATA NUMBER: |
| DATE: |
| ERRATA NUMBER_2: |
| DATE_2: |
| NAME ADDRESS AND PHONE NUMBER OF COGNIZANT GOVERNMENT AUDIT AGENCY: |
| NUMBER OF EMPLOYEES CURRENTLY EMPLOYED: |
| DOLLAR VOLUME OF BUSINESS PER ANNUM: |
| THIS OFFER EXPIRES: |
| SIGNATURE OF PRINCIPAL INVESTIGATOR: |
| SIGNATURE OF BUSINESS REPRESENTATIVE: |
| TYPED NAME AND TITLE: |
| TYPED NAME AND TITLE_2: |
| EMPLOYER IDENTIFICATION NUMBER: |
| DATE OF OFFER: |
| Project Title (Title or RFP or Contract Proposal: |
| Type of Contract-CR: Off |
| Type of Contract-FP: Off |
| Type of Contract-CPFF: Off |
| Type of Contract-Other: Off |
| Estimated Time to Complete Project: |
| Subcontract?02: NO |
| Subcontract Name, address & Contact Information: |
| Social Security Number: |
| Estimated Hours for the PI: |
| Telephone Number - PI: |
| Name & Title of Co-Investigator: |
| Human Subjects? 02: Off |
| Pending-Assurance: Off |
| Pending-IRB: Off |
| Clinical Protocol Enclosed? 02: Off |
| Informed consent Enclosed? 02: Off |
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