This contract aims to provide an IT solution common to the Community of Madrid that allows networked healthcare professionals to work in the area of medical imaging studies and other types of tests (ECG, spirometries, etc.), both radiological and non-radiological among all actors of Madrid's public health (Hospitals, Health Centers, etc.) in an interoperable way with the EHRs of the various fields and their main actors such as health professionals and citizens / patients; additionally incorporating innovations such as AI in improving the efficiency of processes in this area, in a safe, regulated, collaborative and interoperable way, complying with legal regulations, whose characteristics are specified in the specifications of particular technical prescriptions. For this, the Community of Madrid aims to have a comprehensive system of image management and medical information through VNA technology (Vendor Neutral Archive), both in DICOM and NO DICOM format, including the possibility of associated clinical document management. This system will also incorporate a diagnostic viewer with all the functionalities for reporting, a clinical viewer and a viewer for citizens embedded in the Citizen Folder of the TSV application (Virtual Health Card). It will also have an AI algorithm orchestrator system for medical imaging studies. All these components to be provided and existing have to be integrated through a layer of interoperability services that allows achieving the objectives and scopes defined in the specifications. The VNA solution, viewers and orchestrator, must allow SERMAS professionals who need the information that is accessible at any time and from anywhere, complying with all the security and privacy measures required. This will result in greater satisfaction both for the professionals who can use it and for the patients themselves. For professionals, in addition, it will be a means of obtaining in an agile and comfortable way images that facilitate their work where time is a priority variable. The object of the contract includes the acquisition and provision with transfer of ownership of the infrastructure of the database servers, central and local application servers if necessary, as well as any other that may be necessary due to the specificity of the solution proposed by the successful tenderer, leaving out of the contractual object the storage infrastructure, as well as the archiving and network infrastructure necessary for its correct operation that will be provided by the Digitization Department. It is a mixed contract because it contains own supplies and services, and both services are directly linked to each other maintaining a relationship of complementarity that requires its consideration and treatment as a functional unit, the legal regime and the rules that will govern the award, are the rules of the supply contract, since this is the main provision, and the services, ancillary. All this in accordance with the provisions of Articles 18 and 34(2) of Law 9/2017 of 8 November 2017 on Public Sector Contracts, transposing into Spanish law Directives 2014/23/EU and 2014/24/EU of the European Parliament and of the Council of 26 February 2014.
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