On October 1, 1994, the United States and Japan reached agreement on Japanese government procurement of medical technology products and services. This agreement consists of: (1) an exchange of letters between the Governments of Japan and the United States, which include goals, quantitative and qualitative criteria by which to evaluate progress toward the goals and consultation provisions; (2) Measures Related to Japanese Public Sector Procurement of Medical Technology Products and Services, adopted by the Government of Japan on March 29, 1994; (3) Operational Guidelines, which supplement and clarify the Measures; and (4) detailed data collection requirements.