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R -- EXPANDED DEPLOYMENT, ENHANCEMENT, AND EVALUATION OF IMAGE ENGINE MULTIMEDIA PATIENT RECORD SYSTEM POC Liem T. Nguyen, Contract Specialist, 301-496-6546 It is the intent of the National Library of Medicine (NLM) to negotiate on a sole source basis with the University of Pittsburgh, Pittsburgh, PA under the authority of FAR 6.302-1(a) for expanded deployment, enhancement, and evaluation of the Image Engine Multimedia Patient Record System (Image Engine) at the University of Pittsburgh Cancer Institute. Image Engine, a unique and technically innovative system which integrates clinical images and text-based patient date, was developed by the University of Pittsburgh and is currently in routine use by some oncologists and for some patients at the University of Pittsburgh Cancer Institute (UPCI). The purpose of this contract is to: 1) scale up the deployment of the Image Engine system to virtually all UPCI oncologists and patients and to another hospital facility; 2) incorporate oncology protocol data into the Image Engine multimedia patient records and test use of emerging National Cancer Institute data standards and tools for clinical trials; 3) investigate increased use of controlled vocabulary and Unified Medical Language System (UMLS) technology in data creation; and 4) evaluate the impact of the system on UPCI operations and patient care objectives. As the developer of the Image Engine system, University of Pittsburgh is uniquely qualified to rapidly expand its deployment throughout the UPCI, to modify the system efficiently, and to evaluate its impact on UPCI operations and patient care. Because the evaluation necessarily involves access to confidential patient information, it is most efficiently and safely done by the institution responsible for care of the patients involved. NLM has determined that the University of Pittsburgh is the only source capable of providing the necessary services without substantial duplication of costs and unacceptable delays. This notice of intent is not a request for competitive proposals, nor is a Request for Proposals available. However, all proposals received within forty-five days after the date of publication of this synopsis will be considered by the National Library of Medicine. See Numbered Note 22.**** Posted 05/12/99 (W-SN330487). (0132)

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