JAFOFOC_Redacted.pdf

This document is a Justification and Approval (J&A) for Other Than Full and Open Competition for the Department of Veterans Affairs (VA), specifically for the Strategic Acquisition Center (SAC). The document proposes a non-competitive, sole-source Firm Fixed Price award to Clinical Architecture, LLC for Symedical Core User Subscription Services to support the Knowledge Based Systems Terminology (KBST) Team's medical terminology management needs.

The procurement is critical for VA's Electronic Health Record Modernization (EHRM) efforts, enabling data mapping and migration between Veterans Health Information Systems and Technology Architecture (VistA) and Oracle Health platforms. The Symedical application is the only identified solution that can meet VA's requirements for managing proprietary terminology data sets like SNOMED, LOINC, and other healthcare coding standards. The contract will have a 60-month performance period, consisting of one 12-month base year and four 12-month option periods, with potential for additional professional services. Market research conducted by VA confirmed no alternative vendors can provide the required functionality, making Clinical Architecture the sole capable source for this specialized terminology management service.