The contractor shall provide medical support services via telephone and secure electronic data transmission capability (to include images) including medical treatment advisement and programmatic support recommendations to the Government’s United States Public Health Service (USPHS) medical officers—Physicians Assistants (PAs), Nurse Practitioners (NPs), and Registered Nurses (RNs)—working aboard National Oceanic and Atmospheric Administration (NOAA) ships while underway or in foreign ports. When in U.S. ports, patients are referred to military facilities or public hospitals: medical support services performed for NOAA ships in US ports are NOT included within the scope of this contract.