Karolinska/Stockholm procurement of Digital health platform (CDR, tools, services, consultants)

The first call-off in Tender Area 1 Open EHR- based Software was sent to the framework partners in Tender Area 1 ( Better d.o.o., Medblocks and Tietoevry AB) this past monday (with some parts added today). The response was required to be submitted within three weeks. The call-off documents (including requirements) will be publicly published some weeks after a contract has been signed, so maybe later in the summer.

However, we are now allowed to publish the documents from the framework-agreement, regarding all three tender areas. All eleven (11) documents have been uploaded to the wikipage https://openehr.atlassian.net/wiki/spaces/resources/pages/416514052/Procurement+of+openEHR-related+systems+and+services as attachments with the prefix “Karolinska-2024FA-”.

For Platform/CDR-interested people, perhaps the following from Tender area 1 are the most useful

Tender Area 2 was very open ended and mainly expressed as requirements in a part of the Main procurement document

Tender Area 3 had requirements in parts of the Main procurement document but also had e.g.

The framework agreements awarded based on the above were described in post #15.

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The first call-off from Tender Area 1 the framework agreement in this forum thread has now been signed. The winners, Tietoevry have made a press release: Tietoevry Care wins a procurement for a Swedish hospital

As you may know Tietoevry and Better are business partners so the contract includes a combination of CDR, tools etc. from Better and Tietoevry’s Care Desktop and other framework parts (that are used e.g. in Finland).

If all extension possibilities etc. over the years would be used in this contract, then it is likely the largest call-off that fits under the 4-year framework agreement.

As mentioned previously in this forum thread…

…we will now focus on other call-offs, they will be published in normal official procurement portals when ready and likely also mentioned in this forum thread.

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The procurement documents used in the first call-off from Tender Area 1 in the framework agreement have now been uploaded with the prefix Karolinska-2024-A1C1 to the openEHR wiki page https://openehr.atlassian.net/wiki/spaces/resources/pages/416514052/Procurement+of+openEHR-related+systems+and+services and may be of interest to others making (or responding to) openEHR procurements.

Of special interest are likely:

I have not (yet) been able to access and share the content of the procurement portal forms, but hope that the files uploaded to the wiki page will cover most of the interesting things.

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I have now gotten permission to tell you about a second call-off that the framework agreement partners in tender area 3 were asked to respond to.

It was split in a part A and B and is described in
Appendix 2, Project description.pdf (1012.4 KB)

Winners were:

  • Part A: freshEHR (informatics)
  • Part B: Tietoevry (integration and visualization)
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An update regarding the call-off for informatics expert consultancy within Tender Area 3 regarding integration (openEHR modeling and mapping) from our legacy EHR (TakeCare) to openEHR: The project was a success and a final report is now being finalized. This will be brieflly described (in English) during Karolinska’s presentation at Highmed openEHR symposium 31.1.25

A slide (in Swedish) from one of the project’s demo sessions [se English in update below]:

Update 23 January 2025: Now there is an english version available (made for The HiGHmed coference 31 January.

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Hello Erik,

Interesting Slide - looks a bit complicated, but it is how it is. My question to you is that how soon you will get rid of all this and will have one openEHR based EHR?

Best regards and a successful year 2025,
Juha

That last post with the “complicated” graph is about how to ultimately take care of decades of important EHR data from millions of patients in our current EHR, so we do NOT want to get rid of that data, just get rid of the old system before it stops being supported. @JuhaMuinonen, I am not the one deciding to buy old-fashioned monolith EHR systems, so I can not answer your question.

But I do know it takes more time than technically necessary even in companies that have a decent vision: In 2009 (!) I was involved a bit in the very clever approach that @rong.chen spearheaded to show how the proprietary Cambio COSMIC system could start using openEHR more in the care documentation module, see Archetype-based conversion of EHR content models: pilot experience with a regional EHR system | BMC Medical Informatics and Decision Making. But the customer group (healthcare region representatives) and the company did not prioritize this then so the features were never introduced in the main system then. Now, more than 15 years later most Swedish regions (including recent additions) are still entering new information into COSMIC’s care documentation module, using mostly proprietary models and non-standardised forms. For some vital parameters etc. hardcoded openEHR-archetype-inspired structures are used in COSMIC though, so at least those will be easier to reuse in a fully openEHR-based system.

The approach with integration-archetypes etc. described above for TakeCare should be applicable to converting data from other proproetary EHR systems too, including COSMIC, Melior and other systems used in Sweden (see e.g. IOS Press Ebooks - Configuration of Input Forms in EHR Systems Using Spreadsheets, openEHR Archetypes and Templates) - if there is an understanding for the value of it… Educating decision makers is a challenge.

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If Pandora’s box was a sentence in English, this would be it.

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