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"Julkisista hankinnoista ja k\u00e4ytt\u00f6oikeussopimuksista annetun lain (1397\/2016) 25 \u00a7:n mukaan kansallinen kynnysarvo tavara- ja palveluhankinnoissa on kuusikymment\u00e4tuhatta (60 000) euroa.",
"",
"Hankinnan ennakoitu arvo nelj\u00e4lle vuodelle laskettuna on yhdeks\u00e4nkymment\u00e4tuhattanelj\u00e4sataa (90 400) euroa. N\u00e4in ollen kansallinen kynnysarvo ylittyy hankinnassa ja hankintalaki tulee sovellettavaksi hankintaan.",
"",
"Hankintalain 40.2 \u00a7:n 2 kohdan mukaan hankintayksikk\u00f6 voi valita suorahankinnan, jos teknisest\u00e4 tai yksinoikeuden suojaamiseen liittyv\u00e4st\u00e4 syyst\u00e4 vain tietty toimittaja voi toteuttaa hankinnan; lis\u00e4edellytyksen\u00e4 on, ett\u00e4 j\u00e4rkevi\u00e4 vaihtoehtoisia tai korvaavia ratkaisuja ei ole eik\u00e4 kilpailun puuttuminen johdu hankinnan ehtojen keinotekoisesta kaventamisesta.",
"",
"Muutos on toteutettava, koska Sipoon kunnalta Voimaanpanolain (616\/2021) perusteella It\u00e4- Uudenmaan hyvinvointialueelle siirtynyt Mediatri potilastietoj\u00e4rjestelm\u00e4palvelu on k\u00e4yt\u00f6ss\u00e4 aina siihen asti, kunnes It\u00e4-Uudenmaan hyvinvointialue saa yhten\u00e4istetty\u00e4 potilastietoj\u00e4rjestelm\u00e4t. Sipoon olemassa oleva liittym\u00e4 t\u00e4ytyy muuttaa toisaalle ja muutoksessa HUS:in k\u00e4ytt\u00e4m\u00e4 ratkaisu sanelee toteutustavan. It\u00e4-Uudenmaan hyvinvointialue ei ole voinut vaikuttaa Sipoon kunnalta siirtyneen sopimuksen sis\u00e4lt\u00f6\u00f6n.",
"",
"Olemassa olevaan Mediatrin HUS ALLI- liittym\u00e4\u00e4n tulee tehd\u00e4 muutos, koska nykyinen yhteys kulkee viel\u00e4 Sipoon kunnan tietoliikenneverkon kautta, ja Sipoon kunta on tekem\u00e4ss\u00e4 muutoksia tietoliikenneyhteyksiins\u00e4 kes\u00e4n 2023 aikana, jolloin olemassa oleva yhteys lakkaa toimimasta.",
"Toteutuksessa on k\u00e4ytett\u00e4v\u00e4 HUS:in m\u00e4\u00e4rittelem\u00e4\u00e4 ja olemassa olevaa yhteytt\u00e4, koska reitityksen tekninen rajoitus est\u00e4\u00e4 muun, erikseen mahdollisesti kilpailutettavan liittym\u00e4n k\u00e4ytt\u00e4misen t\u00e4m\u00e4n sijaan.",
"",
"N\u00e4in ollen suorahankinnan sallittavuudelle on t\u00e4ss\u00e4 hankinnassa hankintalain 40.2 \u00a7:n 2 kohdan mukainen peruste.",
""
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