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"Kyseess\u00e4 on lis\u00e4toiminnot jo k\u00e4yt\u00f6ss\u00e4 olevaan asiakastietoj\u00e4rjestelm\u00e4\u00e4n. K\u00e4yt\u00e4nn\u00f6ss\u00e4 ainoa vaihtoehto tietoj\u00e4rjestelm\u00e4ratkaisuksi on, ett\u00e4 ik\u00e4ihmisten palveluissa ja terveydenhuollon palveluissa on k\u00e4yt\u00f6ss\u00e4 sama j\u00e4rjestelm\u00e4, mink\u00e4 vuoksi useamman j\u00e4rjestelm\u00e4n malli ei ole k\u00e4yt\u00e4nn\u00f6ss\u00e4 mitenk\u00e4\u00e4n taloudellisista tai tarkoituksenmukaisuussyist\u00e4 perusteltavissa. Pidemm\u00e4ll\u00e4 aikav\u00e4lill\u00e4 sosiaali- ja terveydenhuollon tietoj\u00e4rjestelmien uudistaminen tehd\u00e4\u00e4n alueellisesti. Nyt teht\u00e4v\u00e4 hankinta on siirtym\u00e4kauden j\u00e4rjestely. Samalta palveluntuottajalta m\u00e4\u00e4r\u00e4ajaksi hankittava lis\u00e4palvelu merkitsee pienempi\u00e4 riskej\u00e4 k\u00e4yt\u00e4nn\u00f6n toiminnassa. Tietoj\u00e4rjestelmien k\u00e4ytt\u00f6\u00f6nottoprojekteihin liittyy aina ulkoisia riskej\u00e4, kustannusriskej\u00e4, aikatauluriskej\u00e4, teknisi\u00e4 riskej\u00e4 ja toiminallisia riskej\u00e4. Kyse on hankintalain 136 \u00a7:n kaltaisesta lis\u00e4hankinnasta: Muonio k\u00e4ytt\u00e4\u00e4 jo nyt Mediconsult Oy:n Mediatri-tietoj\u00e4rjestelm\u00e4\u00e4 terveydenhuollossa perustuen Muonion-Enonteki\u00f6n perusterveydenhuollon kuntayhtym\u00e4n aikaiseen hankintaan ja edelleen voimassa olevaan sopimukseen (nykyisin LSHP:n vastuulla). Sopimuksen tosiasialliset k\u00e4ytt\u00e4j\u00e4t ovat Muonion ja Enonteki\u00f6n kunnat. T\u00e4h\u00e4n toimintaan my\u00f6s nyt hankittavat lis\u00e4ominaisuudet tulevat. Lis\u00e4hankinnalle hyv\u00e4ksytt\u00e4v\u00e4t perustelut ovat hankintalain mukaan: ",
"-\talkuper\u00e4isen sopimuskumppanin on tarpeen suorittaa lis\u00e4t\u00f6it\u00e4 tai -palveluja, jotka eiv\u00e4t sis\u00e4ltyneet alkuper\u00e4iseen sopimukseen, ",
"-\tsopimuskumppanin vaihtaminen ei ole mahdollista taloudellisista tai teknisist\u00e4 syist\u00e4 ja aiheuttaisi merkitt\u00e4v\u00e4\u00e4 haittaa tai kustannusten merkitt\u00e4v\u00e4\u00e4 p\u00e4\u00e4llekk\u00e4isyytt\u00e4 hankintayksik\u00f6lle;",
"-\tmuutoksen tarve johtuu olosuhteista, joita huolellinen hankintayksikk\u00f6 ei ole voinut ennakoida eik\u00e4 ",
"-\tmuutos vaikuta hankintasopimuksen yleiseen luonteeseen. ",
"",
"Lis\u00e4hankinnan arvo ei ylit\u00e4 50 prosenttia alkuper\u00e4isen sopimuksen arvosta. ",
""
]
}
},
"isPrivateSmallValueProcurement": false,
"tenderRequirementsFormat": 0,
"tenderDocumentSections": {
"documentSections": [],
"validationState": 0
},
"structuredRequirements": {
"validationState": 0
},
"espdRequestReferences": [],
"hilmaSubmissionDate": "2021-10-15T06:35:36.1859408",
"dateCreated": "2021-10-14T07:33:07.9953652",
"dateModified": "2021-10-15T06:35:36.2144131"
}