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| Statement | of | Work | |
| MedlinePlus | Medical | Dictionary | |
| National | Library | of | Medicine |
| 1. Background | Information | | | | | | | | | | | | | | |
| To | assist | consumers | in | obtaining | the | information | they | need | to | make | informed | decisions | about | | |
| health | care, | the | National | Library | of | Medicine | (NLM) | has | developed | MedlinePlus | (medlineplus.gov), | | | | |
| an | easily | understandable | Web | resource | for | the | public. | MedlinePlus | contains | and | links | to | | | |
| information | from | authoritative | health | Web | sites | and | content | providers, | especially | those | from | the | | | |
| National | Institutes | of | Health. | | NLM | makes | MedlinePlus | available | to | the | public | through | a | variety | of |
| MedlinePlus‐branded | Web | sites, | Web | services, | Web | applications, | APIs, | email | and | social | media | | | | |
| communications, | XML | files | and | search | results. | | | | | | | | | | |
This Statement of Work (SOW) addresses NLM’s need to license a medical dictionary source for MedlinePlus.
2. Objective
| The | National | Library | of | Medicine | (NLM) | intends | to | license | a | web‐based | English | language | medical | | |
| dictionary | to | assist | the | public | in | locating | the | definitions | of | medical | terms | via | MedlinePlus, | to | be |
| included | in | MedlinePlus. | | NLM | makes | MedlinePlus | available | to | the | public | through | a | variety | of | |
| MedlinePlus‐branded | Web | sites, | Web | services, | Web | applications, | APIs, | email | and | social | media | | | | |
| communications, | XML | files | and | search | results. | | The | dictionary | must | be | available | as | an | API | |
| (application | programming | interface). | | The | API | allows | the | dictionary | to | be | hosted | on | a | remote | site |
| but | co‐branded | by | MedlinePlus. | | | | | | | | | | | | |
3. Content Requirements:
| a. The | dictionary | must | contain | at | least | 50,000 | terms, | to | include | diseases, | diagnostic | tests, |
| medical | abbreviations | and | acronyms, | and | major | drug | names | and | classes. | | In | response |
| please | indicate | the | current | number | of | terms. | Please | provide | sample | definition | responses | |
| for | the | following | terms: | | | | | | | | | |
i. Coccyx
ii. Diabetes
iii. Metoprolol
iv. Zika
| b. Hosting | and | display | of | dictionary | content: | | | | | | |
| i. NLM | prefers | to | control | the | display | of | dictionary | content | and | integrate | the |
| display | into | MedlinePlus | web | pages | and | search | result | pages, | which | can | include |
| the | online | NIH | MedlinePlus | magazine | and | MedlinePlus | Connect | response | pages. | | |
| NLM | prefers | that | vendor | allow | individual | elements | of | the | definition | response | |
| (such | as | a | pronunciation | aid, | pronunciation | audio | file, | definition | text | or | |
| synonym | list) | to | be | integrated | into | MedlinePlus | web | pages | and | site | search |
results.
| ii. Alternatively, | if | the | vendor | will | host | the | display | of | dictionary | responses | or | other |
| related | content | for | NLM, | the | vendor | must | allow | for | MedlinePlus | co‐branding. | | |
| Co‐branded | pages | and | content | must | be | free | of | commercial | endorsements | or | | |
advertisements.
| c. Definitions | must | be | written | in | consumer‐friendly | language. | In | response | please | indicate | | | |
| the | intended | audience | for | the | online | dictionary | and | the | reading | level | or | grade | (including |
| the | measurement | scale | used | to | determine | level | or | grade). | | | | | |
| d. Definitions | must | include | consumer‐friendly | pronunciation | guides | that | minimize | the | use |
| of | obscure | phonetic | conventions | and | symbols. | | | | |
| i. Examples | for | ureter: | | |
| 1. Acceptable: | \ˈyo͝orədər, | yo͝oˈrētər\ | \ˈyu̇r‐ət‐ər, | yu̇‐ˈrēt‐ər\ |
| 2. Not | acceptable: | \jʊəˈriːtəɹ\ | | |
| ii. Examples | for | syncope: | |
| 1. Acceptable: | SING‐kah‐pe | | sin'kŏ‐pē |
| 2. Not | acceptable: | sɪŋkəpi | |
| e. Definitions | should | include | pronunciation | audio | files. | In | response | please | indicate | what |
| percent | of | terms | have | this | feature. | | | | | |
| f. Definitions | must | include | alternative | definitions | and | synonyms | as | appropriate. | | | |
| g. The | dictionary | must | include | a | spellchecker | or | other | mechanism | to | return | recommended |
| terms | when | no | exact | match | is | found. | | | | | | | | |
| h. For | any | web | pages | hosted | by | the | vendor, | the | vendor | must | provide | the | MedlinePlus | staff |
| with | monthly | statistics | on | use | of | the | hosted | pages | by | MedlinePlus | visitors, | or | allow |
| MedlinePlus | staff | access | to | a | system | to | obtain | the | statistics | directly. | | Required | metrics |
| are | page | views, | visits | and | visitors | separately | reported | for | each | MedlinePlus | branded | site. | |
| i. NLM | will | forward | to | the | vendor | any | feedback | received | from | users | regarding | content. |
| Vendor | should | describe | procedure | for | handling | and | responding | to | user | feedback. | | |
| j. Vendor | must | have | policies | in | place | regarding | quality | control | and | updating | of | the |
| dictionary. | | Please | provide | these | policies. | Dictionary | should | be | updated | at | least | annually, |
| for | editorial | corrections | and | addition | of | new | terms | as | terminology | changes. | | |
| 4. Preferred | (in | addition | to | the | mandatory | requirements): | | | | | |
| a. Synonyms | included | within | the | definitions | are | linked | to | definitions | for | those | synonyms. |
| b. Illustrations | with | alt | attribute | text | are | included | as | appropriate | (indicate | what | percentage |
| of | terms | have | illustrations | or | how | many | illustrations). | | | | | | |
| c. Vendor | specifies | the | conditions | necessary | to | allow | definition | content | to | be | used | for | the |
| creation | of | “glossary | pages” | on | MedlinePlus, | with | lists | of | defined | terms | that | are | related |
| to | a | specific | health | concern, | such | as | diabetes | or | heart | disease. | | | |
| d. Vendor | specifies | the | conditions | necessary | to | allow | definition | content | to | be | used | in | |
| definition | “pop‐ups” | that | appear | when | a | user | hovers | over | specific | medical | terms | on | a |
| MedlinePlus | web | page. | | | | | | | | | | | |
| e. Vendor | specifies | the | conditions | necessary | to | allow | auto‐complete | suggestions | to | display | | |
| when | searching | the | dictionary | via | a | search | box | on | a | MedlinePlus | web | page. |
| f. A | comparable | medical | dictionary | is | available | in | Spanish. |
| g. Indicate | other | special | features | available. | | | |
5. Technical Requirements:
| a. An | API | must | allow | searching | of | the | dictionary | and | must | return | definitions | and | other | | |
| content | in | XML. | An | NLM‐controlled | search | box | or | link | will | access | the | API | from | | |
| MedlinePlus | web | pages. | Please | supply | the | technical | specifications | for | the | API, | a | code | | | |
| sample, | and | the | schema | for | the | XML | response. | A | DTD | is | also | acceptable | but | schema | is |
| preferred | for | the | XML | response. | | | | | | | | | | | |
| b. Vendor | must | maintain | the | API | and | any | vendor‐hosted | content | or | features | so | that | they | | | |
| are | available | to | the | public | 24/7, | and | the | vendor | must | notify | NLM | in | advance | if | there | will |
| be | any | planned | system | outages. | | | | | | | | | | | | |
| c. The | API | must | allow | for | expansion | of | the | search | term | if | the | user | types | in | just | the |
| beginning | or | root | of | a | term, | and | returns | a | linked | list | of | possible | terms. | | | |
| d. Vendor | should | describe | other | available | technical | features. | | | | | | |
| e. Use | of | dictionary | content | features | will | not | require | authentication | or | account | creation | by |
| MedlinePlus | end | users. | | | | | | | | | |
| f. Accessibility | of | content: | Any | vendor‐hosted | content | or | features | must | meet | Section | 508 |
| Guidelines | and | other | accessibility | requirements | as | specified | in | the | Accessibility | | |
| Compliance | section. | | If | illustrations | are | provided | with | definition | content, | the | illustrations |
| must | have | Section | 508‐compliant | meaningful | alt | attribute | text. | Vendor | must | submit | a |
| completed | GPAT. | See | the | more | specific | requirements | regarding | Accessibility | Compliance | | |
below.
| g. The | awardee | will | be | required | to | provide | NLM | with | technical | support | and | advance | access | |
| to | any | vendor‐hosted | content | or | features | in | order | to | test | the | API | and | develop | co‐ |
branding.
| h. When | NLM | staff | identify | major | issues, | related | to | content | or | technical | issues, | they | will |
| communicate | the | issue | with | the | vendor. | | The | vendor | must | describe | their | procedure | and |
| turn‐around | time | for | updates, | including | procedures | and | timeline | for | emergency | updates. | | | |
5.1 Accessibility Requirements
| Section | 508 | of | the | Rehabilitation | Act | requires | that | Federal | agencies' | electronic | and | information | | | |
| technology | is | accessible | to | people | with | disabilities. | | The | dictionary | Web | site | must | be | Section | 508 |
| compliant. | Specifically, | the | end | product | must | be | conformant | with | all | applicable | provisions, | | | | |
including:
| 1194.22 | Web‐based | intranet | and | internet | information | and | applications | | | |
| 1194.24 | Video | and | multimedia | products | (if | applicable | to | the | product | offering) |
| 1194.31 | Functional | performance | criteria. | | | | | | | |
| 1194.41 | Information, | documentation, | and | support. | | | | | | |
Applicable clauses depend on the nature of the content. These provisions can be found at http://www.access‐board.gov/sec508/standards.htm
| Updates | to | Section | 508 | guidelines | are | currently | under | revision. | The | Offeror | will | be | expected | to |
| comply | with | revised | section | 508 | standards | within | a | reasonable | timeframe | once | these | new | | |
| accessibility | guidelines | are | issued. | | | | | | | | | | | |
| In | addition, | the | Offeror | should | provide | Level | AA | conformance | to | the | World | Wide | Web | Consortium’s | | | |
| Web | Accessibility | Initiative | (W3C‐WAI) | WCAG | 2.0 | standards | when | possible | since | they | will | likely | | | | | |
| soon | be | required | by | law | under | the | update. | Conformance | includes | ensuring | that | all | content, | | | | |
| including | text, | all | non‐text | content | such | as | multimedia | and | images, | and | any | associated | players | or | | | |
| viewers, | are | fully | accessible | per | Section | 508 | and | WCAG | 2.0 | Level | AA | standards. | | This | includes | but | is |
| not | limited | to | ensuring | that | all | text | elements | are | captioned | and | synchronized | with | the | content | and | | |
| that | all | non‐text | elements | are | fully | described, | including | any | images, | still | or | moving, | that | provide | | | |
| context | as | to | the | meaning | of | the | content. | | | | | | | | | | |
| 5.2 | Accessibility | Program | Need | | | | | | | | | | | |
| Requirements | for | accessibility | based | on | Section | 508 | of | the | Rehabilitation | Act | of | 1973 | (29 | U.S.C. |
| 794d) | are | determined | to | be | relevant | for | the | following | program | need: | "Medical | Dictionary | Source | |
| for | MedlinePlus." | | | | | | | | | | | | | |
| 5.3 | Accessibility | Product | Requirements | | | | | | | | | | | | |
| 1194.22, | 1194.24, | 1194.31 | and | 1194.41 | from | 36 | CFR | part | 1194 | Subpart | D | have | been | determined | to |
| apply | to | this | acquisition. | Solicitation | respondents | must | describe | how | Information | and | | | | | |
| Communication | Technology | deliverables | meet | at | least | these | requirements | identified | as | applicable | | | | | |
| in | the | attached | Government | Product/Service | Accessibility | Template | (GPAT). | | | | | | | | |
| 5.4 | Accessibility | Evaluation | Factors | | | | | | | | | | | | |
| Responses | to | this | solicitation | will | only | be | considered | for | award | after | it | has | been | determined | that |
| the | proposal | adequately | addresses | the | requirements | for | Section | 508. | | Only | proposals | which | contain | | |
| adequate | information | to | document | their | responsiveness | to | the | Section | 508 | requirements | (e.g. | a | | | |
| completed | GPAT) | will | be | eligible | for | any | additional | merit | consideration. | | | | | | |
| 5.5 | Accessibility | Acceptance | Criteria | | | | | | | | | | | | | | | |
| The | medical | dictionary | licensed | as | a | result | of | this | solicitation | will | be | accepted | based | in | part | on | | |
| satisfaction | of | identified | Section | 508 | requirements | for | accessibility. | | The | dictionary | vendor | must | | | | | | |
| include | a | completed | GPAT, | a | sample | of | which | is | included | as | a | part | of | this | solicitation. | | The | Offeror |
| should | complete | the | two | right‐hand | columns, | including | an | explanation | of | how | the | product | complies | | | | | |
| with | the | clause. | | | | | | | | | | | | | | | | |
| If | the | deliverable | includes | features | and | functions | in | addition | to | those | identified | as | requirements, |
| these | features | and | functions | also | need | to | conform | to | relevant | accessibility | technical | provisions, | |
| functional | performance | criteria, | and | information, | documentation | and | support. | | | | | | |
6. Other Required Information
| a. The | response | to | this | solicitation | must | include | the | cost | for | licensing | this | product. | The | cost |
| should | be | an | annual | flat | fee | for | providing | the | content | to | users | of | any | MedlinePlus |
| branded | sites | or | services. | | | | | | | | | | | |
| b. Respondents | should | provide | a | representative | list | of | other | organizations | that | license | the | | | | |
| content, | along | with | accompanying | Web | site | URLs, | for | NLM | to | review. | | Provide | at | least | |
| three | references | that | we | may | contact. | Also | requested | is | a | copy | of | your | policy | (or | other |
| evidence | of | commitment) | of | your | customer | service | policy. | | | | | | | | |
| c. License | agreement | governing | use | of | content | on | Web | sites, | email, | RSS | and | other |
| electronic | distribution/media | must | be | included | in | response | to | this | solicitation. | | | |
7. Place of Performance
Files will be delivered or retrieved electronically.
8. Deliverables/Delivery Schedule
| SOW | TASK | # | Deliverable | Title | #Calendar | Days | After | Award |
| 15 | Initial | content | file | delivery 14 | days | after | award | |
| | 3 | Content | update | At | a | mutually | agreeable |
schedule 5 Response to requests for emergency updating
| of | content | | |
| Within | a | mutually | agreeable |
| turn‐around | time | | |
| 9. Inspection | and | Acceptance | Criteria | | | | | | | | | | | | | | |
| NLM | will | inspect | and | do | a | quality | review | of | the | delivered | content | as | part | of | the | regular | update |
process.
| 10. Other | Pertinent | Information | or | Special | Considerations | | | | | | | | | | |
| Features | and | product | offerings | will | be | evaluated | as | they | exist | at | the | time | of | proposal | submission. |
| Beta | releases | and | planned | updates | will | not | be | considered. | | | | | | | |
| 11. Post‐Award | Administration | | | | | | | | | | | | | |
| The | process | for | the | routine | delivery | and | updating | of | content | will | be | followed. | Past | Performance |
| Evaluations | will | be | completed | annually | and | at | the | end | of | the | task. | | | |
| 12. Transition | Plan | | | | | | | | | | | | | | | | |
| The | awardee | will | be | required | to | provide | NLM | with | technical | support | and | advanced | delivery | of | the | | |
| content | files | within | 14 | days | of | being | selected | by | NLM | so | that | NLM | can | plan | for | the | implementation |
| of | the | content | pages | and | links | to | these | pages | on | MedlinePlus‐branded | sites, | services | and | files. | | | |
| In | the | event | that | NLM | ceases | licensing | this | product, | the | Offeror | will | be | notified | within | 30 | calendar |
| days | of | the | change, | but | will | help | assist | with | the | transition | by | providing | technical | support | and | |
| addressing | questions | that | facilitate | transitioning | to | a | new | provider | of | content. | The | contractor | shall | | | |
| create | any | requested | non‐proprietary | documentation | that | NLM | requests | to | aid | with | the | transition. | | | | |
| Any | documentation | developed | for | this | purpose | shall | be | the | property | of | the | government. | | | | |