ESBD_534304_1783519871123_Exhibit_F_Sample Product Specifications.pdf

PDF 3 MB Posted

Attached to
Printing of Newborn Screening (NBS) blood specimen collection devices for DSHS
Solicitation number
HHS0017275
Issued by
Travis County, Austin City, Texas

About this file

Written by GovTribe AI ·

This file is a product specifications exhibit for the Texas Department of State Health Services (DSHS) Newborn Screening (NBS) blood specimen collection device printing contract. The document outlines detailed specifications for two primary form packages: the Medicaid Form (NBS 3) and the PAID Form (NBS 4). Each package comprises seven distinct parts, including parent information sheets in English and Spanish, parental decision forms for storage and use, patient demographic information sheets in multiple colors (white and canary), filter paper components, and instructional wrap-around covers. The specifications require form numbering from 27-0000001 through 27-0422400 with guaranteed sequential accuracy and no missing numbers. Vendors must implement standard updates across all forms including device serial numbers, barcodes, expiration dates, NBS QR codes, lot numbers, and revision dates, with final text and screen color determinations to be established collaboratively with the selected vendor.

The document specifies multiple technical requirements and customization elements that vendors must execute, including updates to check digit background colors, filter paper lot numbers, and kit type designations. Additional potential changes to components such as social security numbers and transfused dates are noted as pending determination (TBD). The specifications indicate that vendors will work with DSHS to finalize design elements including screen colors, QR code placement locations, and other text-related modifications to ensure compliance with official DSHS forms and standards. The comprehensive nature of these specifications suggests a significant printing volume and ongoing production requirement to maintain current inventory of NBS collection devices for Texas healthcare facilities.

View the file

Other files

File Type Posted
ESBD_534304_1783519807293_Exhibit_A_HHS_Solicitation_Affirmations.pdf PDF
ESBD_534304_1783519794697_IFB_HHS0017275.pdf PDF
ESBD_534304_1783519829899_Exhibit_C_Pricing Sheet.xls XLS spreadsheet
ESBD_534304_1783519818901_Exhibit_B_PCS_111_HHS_UTCs_and_HHS_Affirmations.pdf PDF
ESBD_534304_1783519860066_Exhibit_E-1_PCS_Map_Directions.pdf PDF
ESBD_534304_1783519840165_Exhibit_D_Bidder_Reference_Qualifications_Form.docx DOCX document
ESBD_534304_1783519849882_Exhibit_E_Online_Bid_Room_Information.docx DOCX document

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file
Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

HHS0012134A

Exhibit F Sample Product Specifications

Part 1 - Texas Newborn Screening Parent Information (Parent Copy) – FRONT - English

Medicaid Form – NBS 3

Form # to be 27- 0000001 and run consecutively through 27 0422400 with guaranteed no missing numbers

Update device serial numbers and barcode

Insert NBS QR code (location TBD)

Update expiration date Final text and screen color will be determined with Vendor

BACK - Spanish

Final text and screen color will be determined with

Vendor

Part 2 – Parent Decision Form for Storage and Use - FRONT - English

Update device serial numbers

Update form revision date to match DSHS official form

Insert NBS QR code (location TBD)

Part 2 – Parental Decision for Storage and Use – BACK - Spanish

Update form revision date to match DSHS official form

Part 3 - White patient demographic information sheet

Potential additional changes (TBD):

Social Security # Transfused date

Standard updates:

Device serial number Expiration date Text and screen color update

Part 4 - Canary patient demographic information sheet

Part 5 and 6 - Manila sheet and 903 filter paper - FRONT

Part 5 and 6 - Manila sheet and 903 filter paper - BACK

1. Update device serial numbers

2. Update expiration date

3. Update check digit background color (TDB)

Update Lot # of filter paper

Part 7 - Instructions and Wrap- Around Cover

Update Lot #

Update Revision #

Update the expiration date per specifications

FRONT - English

PAID Form – NBS 4

Update expiration date

Update device serial numbers and barcode

Insert NBS QR code (location TBD)

Update Final text and screen color will be determined with Vendor Update NBS Kit type

Form # to be 27- 0000001 and run consecutively through 27 0422400 with guaranteed no missing numbers

BACK - Spanish

Part 2 – Parental Decision for Storage and Use - FRONT - English

Update device serial numbers Update form revision date

Insert NBS QR code (location TBD)

Part 2 – Parental Decision for Storage and Use – BACK - Spanish

Update form revision date

Part 3 - White patient demographic information sheet

Standard updates:

• Device serial number

• Expiration date

• Text and screen color update

Part 4 - Canary patient demographic information sheet Update NBS Kit type

Part 5 and 6 - Manila sheet and 903 filter paper - FRONT

Part 5 and 6 - Manila sheet and 903 filter paper - BACK

Update Lot # of filter paper

1. Update device serial numbers

2. Update expiration date

3. Update check digit background color

Part 7 - Instructions and Wrap-Around Cover

Update the expiration date per specifications

Update Lot #

Update Revision #

File details come from the government source that posted it. Updated .