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"Keravan kaupungin sosiaali- ja terveyspalveluissa otettiin Apotti tieto- ja toiminnanohjausj\u00e4rjestelm\u00e4 k\u00e4ytt\u00f6\u00f6n vuonna 2021. J\u00e4rjestelm\u00e4vaihdon",
"yhteydess\u00e4 osa vanhoista asiakas- ja potilastiedoista j\u00e4tettiin aiemmin k\u00e4yt\u00f6ss\u00e4 olleeseen Graafinen Finstar (GFS) potilastietoj\u00e4rjestelm\u00e4\u00e4n. Lis\u00e4ksi j\u00e4rjestelm\u00e4ss\u00e4 on j\u00e4rjestelm\u00e4\u00e4n ennen Kanta-liittymist\u00e4 tallennettua asiakas- ja potilastietoa. GFS:n toimittaja CGI Oy on ilmoittanut, ett\u00e4 GFS:n lukuk\u00e4ytt\u00f6 loppuu 31.12.2022. Sosiaali- ja terveyspalveluiden j\u00e4rjest\u00e4j\u00e4ll\u00e4 on lakis\u00e4\u00e4teinen velvollisuus arkistoida asiakas- ja potilastiedot sek\u00e4 varmistaa s\u00e4hk\u00f6isesti arkistoidun tiedon eheys ja muuttumattomuus. Sosiaali- ja terveyspalveluiden j\u00e4rjest\u00e4j\u00e4n on my\u00f6s kyett\u00e4v\u00e4",
"luovuttamaan mahdollisten tietopyynt\u00f6jen kautta tulevia tietoja.",
"",
"Sosiaali- terveyspalveluiden toimiala on saanut CGI:lt\u00e4 tarjoukset GFS-potilastietoj\u00e4rjestelm\u00e4ss\u00e4 olevien vanhojen potilastietojen poiminnasta, tietojen muokkaamisesta arkistoitavaan muotoon sek\u00e4 s\u00e4hk\u00f6isen arkistoratkaisun kehitt\u00e4misest\u00e4.",
"",
"Hankinnan ennakoitu arvo on 300 000 \u20ac. Kyseess\u00e4 on julkisista hankinnoista ja k\u00e4ytt\u00f6oikeussopimuksista annetun lain 25 \u00a7:n mukaisen kynnysarvon ylitt\u00e4v\u00e4 hankinta. Edell\u00e4 mainitun lain 40 \u00a7:n mukaan suorahankintaa voidaan k\u00e4ytt\u00e4\u00e4, 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.",
"",
"CGI Oy on GFS-potilastietoj\u00e4rjestelm\u00e4n tuottaja, ja omaa siten nyt hankinnan kohteena olevan palvelun tuottamiseen tarvittavan tietotaidon. GFS-potilastietoj\u00e4rjestelm\u00e4 on yksi ensimm\u00e4isi\u00e4 k\u00e4ytt\u00f6\u00f6n otettuja potilastietoj\u00e4rjestelmi\u00e4, ja se on ollut k\u00e4yt\u00f6ss\u00e4 ainoastaan Keravalla, Tuusulassa sek\u00e4 Vantaalla. J\u00e4rjestelm\u00e4n kehitt\u00e4mistavasta johtuen GFSpotilastietoj\u00e4rjestelm\u00e4st\u00e4 on muodostunut hyvin pirstaleinen. J\u00e4rjestelm\u00e4n pirstaleisuus puolestaan aiheuttaa sen, ett\u00e4 j\u00e4rjestelm\u00e4ss\u00e4 olevien tietojen k\u00e4sitteleminen sek\u00e4 ty\u00f6st\u00e4minen arkistoitavaan muotoon edellytt\u00e4\u00e4 erityisosaamista sek\u00e4 erityisesti kokemusta aiemmasta vastaavasta GFS-aineiston ty\u00f6st\u00e4misest\u00e4. Edell\u00e4 kuvattua osaamista on mahdollista saada ainoastaan CGI Oy:n kautta. CGI on ilmoittanut, ett\u00e4 pystyv\u00e4t tarjoamaan edell\u00e4 kuvattuun ty\u00f6h\u00f6n tarvittavaa osaamista vain vuoden 2022 ajan.",
"",
"Edell\u00e4 kuvatun perusteella voidaan todeta, ettei j\u00e4rkevi\u00e4 vaihtoehtoisia tai korvaavia ratkaisuja ei ole tarjolla. Keravan kaupungilla on lakis\u00e4\u00e4teinen velvollisuus huolehtia, ett\u00e4 edell\u00e4 kuvattu arkistointi sek\u00e4 siihen v\u00e4litt\u00f6m\u00e4sti liittyv\u00e4t ty\u00f6t toteutetaan. N\u00e4in ollen kilpailun puuttuminen ei johdu hankinnan ehtojen keinotekoisesta kaventamisesta.",
""
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