NoteCetera and IDCx license renewal, maintenance, and consulting (Notice of Intent to sole source)

Closed Pre-Solicitation Posted

Solicitation number
NOI-26-001724
Agency
Responses due
Set-aside
No set-aside

Opportunity facts

NAICS code
513210 Software Publishers
Place of performance
Maryland 20814, United States
Points of contact

Notice details come from SAM.gov. Updated .

About this opportunity

The National Institutes of Health Clinical Center is seeking to procure annual maintenance, licensing, upgrades, technical support, and consulting services for two proprietary software applications: ICDx and NoteCetera. These custom-engineered applications are deeply integrated into the NIH's CRIS electronic health record system, with ICDx supporting structured problem list maintenance and NoteCetera enabling efficient clinical note generation. The procurement requires 100 hours of consulting services annually with an additional 300 optional consulting hours available as part of Option A. The NIH intends to sole-source this requirement to Working Diagnosis LLC based on 41 U.S.C. 1901(a)(1), citing that no other vendor possesses the proprietary code, technical expertise, or integration knowledge necessary to maintain or enhance these tools. This is a Notice of Intent to sole source, not a formal request for proposal, with a submission deadline of March 5, 2026, and responsible sources may submit capability statements demonstrating their qualifications to provide the required services.

This procurement includes no set-aside designations and identifies Working Diagnosis LLC as the intended sole-source contractor. The contract will be performed at the NIH Clinical Center in Bethesda, Maryland, with performance periods spanning February 25, 2026 through February 24, 2027 as the base year and February 25, 2027 through February 24, 2028 as the option year. The specific award value or budget range is not disclosed in the Notice of Intent. The services include annual maintenance licensing, software updates and bug fixes, Tier 2 technical support for issue resolution, and the provision of a maintenance report and consulting hours usage report as deliverables. The NIH emphasizes that competing this requirement would risk system instability, loss of functionality, and disruption to critical clinical documentation processes within the Clinical Center, underscoring the necessity of sole-source acquisition with the incumbent vendor.

Notice text

Acquisition Description:

This is a Notice of Intent, not a request for proposal.  The National Institute of Health, Clinical Center (NIH-CC) intends to negotiate on an other than full and open competition basis with Working Diagnosis LLC.

Working Diagnosis LLC creates the licenses/applications ICDx and NoteCetera. These applications are deeply integrated into the NIH CRIS electronic health record and are essential for clinical documentation workflows, as stated in the Working Diagnosis quote. ICDx improves structured problem list maintenance, and NoteCetera supports efficient clinical note generation.

The NIH requires the following:

- ICDx / NoteCetera Annual Maintenance (licensing, upgrades, technical support)
- 100 hours of consulting
- 300 hours of optional consulting (included as part of Option A)

Justification:

Working Diagnosis LLC is the sole vendor capable of providing these licenses. The licenses are proprietary, and they are only vendor. Both NoteCetera and IDCx applications were custom‑engineered for NIH and are deeply integrated into CRIS so there is no substitute. No other vendor possesses the proprietary code, technical expertise, or integration knowledge required to maintain or enhance these tools. Thus, Working Diagnosis is the only qualified vendor with rights to the ICDx and NoteCetera applications. Competing the requirement would risk system instability, loss of functionality, and disruption to clinical documentation processes within the NIH Clinical Center.

Place of Performance or Delivery:

The Period of Performance is:

02/25/2026 – 02/24/2027

02/25/2027 – 02/24/2028

Place of Performance: NIH Clinical Center in Bethesda, MD

The statutory authority for this sole source requirement is 41 U.S.C. 1901 (a) (1) as implemented by FAR 13.106-1 only one responsible source and no other supply of service will satisfy agency requirements. THIS IS NOT A REQUEST FOR PROPOSAL.  All responsible sources that could provide the required may submit a capability statement that will be considered by email (subject line to reference NOI-CC-26-001724) by 04:00 PM eastern standard time on 03/05/2026 to: lu-chang.lu@nih.gov

All responses received by the closing date of this synopsis will be considered by the Government.  A determination not to compete this requirement, based upon responses to this notice, is solely within the discretion of the Government.

Files

File Type Posted
NoteCetera SOW 12-13-2025.docx DOCX document

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