Upgrade of the e-health system

The European Commission is inviting tenders for upgrading North Macedonia's e-health system under the Instrument for Pre-accession Assistance (IPARD) program. The project, identified as EC-NEAR/SKP/2024/EA-RP/0205, aims to enhance the e-health infrastructure through the functional integration of existing systems and the establishment of ERP standards for public health facilities. The total estimated value of the contract is €1,500,000, and the maximum duration of the contract is 18 months.

Eligible applicants include companies and organizations capable of providing complex e-health solutions, although there is no explicit focus on small and medium enterprises. The tender is structured as a restricted procedure, necessitating an electronic submission by June 16, 2025, at 16:00 Europe/Skopje.

Specific objectives of the project involve developing a solution for the integration of the Moj Termin and Health Insurance Fund e-systems, setting ERP standards, and defining a project plan for implementing the LOINC standard, including cost estimation, monitoring, and maintenance post-implementation. The selection process will evaluate applicants based on suitability for professional activities, economic and financial standing, and technical expertise, as detailed in the procurement documents.

The evaluation will prioritize technical quality and cost, with the award method based on the best price-quality ratio. No mandatory co-funding is required. Interested parties must refer to the procurement documents for detailed requirements, including clarification documents that address technical specifications and consortium requirements.

The European Commission, on behalf of and for the account of North Macedonia, has announced a call for tenders, EC-NEAR/SKP/2024/EA-RP/0205, for the upgrade of the e-health system. The TED reference for this call is 92/2025 308744-2025. This is a restricted procedure, and submissions must be sent electronically via the address for submission provided. The deadline for receipt of requests to participate is 16/06/2025 at 16:00 Europe/Skopje.

The overall objective of this call for tenders is to upgrade the e-health system. This includes the following specific objectives:

1.  To develop and implement a solution for functional integration of the two E-Systems, Moj Termin and Health Insurance Fund.
2.  To set standards for ERP (enterprise resource planning) and to propose a software solution that should be developed and implemented by public health facilities.
3.  To define the project plan for implementation of the LOINC (Logical Observation Identifiers Names and Codes) standard with cost estimation for implementation and post-implementation standard monitoring and maintenance of standard activities.

The estimated total value of this contract is 1,500,000 EUR. The nature of the contract is for services, and the maximum contract duration is 18 months. The award method will be based on the best price-quality ratio. There is no framework agreement associated with this call.

The place of delivery or performance is North Macedonia, specifically identified by the code 20000952. The program associated with this call is the Instrument for Pre-accession Assistance, identified by the code 42921320.

Selection criteria will be based on the following:

1.  Suitability to pursue the professional activity (refer to the procurement documents for details).
2.  Economic and financial standing (refer to the procurement documents for details).
3.  Technical and professional ability (refer to the procurement documents for details).

Two documents are available for download:

1.  "ENa5f additional information contract notice enInvitation to submit a request to participate," published on 14/05/2025, Version 1. No translations are available.
2.  "ENClarifications No 1Invitation to submit a request to participate," published on 28/05/2025, Version 1. No translations are available.

Several questions and answers (Q&A) have been published:

1.  Question: Where is the TOR technical specification for this tender? Answer: Please refer to the document titled 'Clarifications No. 1'. Published on 28/05/2025 16:58.
2.  Question: In the Request to participate, we are required to provide the ECONOMIC AND FINANCIAL CAPACITY of the overall consortium summed u...? Answer: Please refer to the document titled 'Clarifications No. 1'. Published on 28/05/2025 16:56.
3.  Question: Dear Sir/Madam, With reference to the project in subject and in accordance with Article 21 of Additional information about the ...? Answer: Please refer to the document titled 'Clarifications No. 1'. Published on 28/05/2025 16:55.

In summary, this call for tenders focuses on upgrading North Macedonia's e-health system through the integration of existing systems, standardization of ERP solutions for public health facilities, and implementation of the LOINC standard. The European Commission is seeking qualified organizations or consortia to provide the necessary services within an 18-month timeframe, with a total budget of 1.5 million EUR. Interested parties must submit their requests to participate electronically by June 16, 2025, and should carefully review the provided documents, including "Clarifications No. 1," for detailed technical specifications and requirements. The selection process will consider the suitability, economic standing, and technical capabilities of the applicants.

Eligible Applicant Types: The procurement documents should be consulted to determine the specific eligible applicant types. However, based on the nature of the tender, it is likely that eligible applicants include companies, organizations, or consortia with the necessary expertise in IT software development services and e-health systems.

Funding Type: Procurement. This is a call for tenders, indicating a procurement process where the contracting authority (European Commission) is seeking services from external providers.

Consortium Requirement: The Q&A section mentions "ECONOMIC AND FINANCIAL CAPACITY of the overall consortium," suggesting that consortia are eligible to apply. However, it is not explicitly stated whether a single applicant is also permitted. The procurement documents should be consulted for definitive information.

Beneficiary Scope (Geographic Eligibility): The place of delivery or performance is North Macedonia. The program is the Instrument for Pre-accession Assistance, which suggests eligibility is focused on countries benefiting from this instrument, likely including North Macedonia and potentially other pre-accession countries.

Target Sector: The target sector is primarily ICT (IT software development services) and health (e-health system). It also touches upon enterprise resource planning (ERP).

Mentioned Countries: North Macedonia.

Project Stage: The project stage is upgrade and implementation, suggesting development and implementation phases. It involves functional integration, setting standards, and defining project plans, indicating a move from planning and standardization to active development and deployment.

Funding Amount: The estimated total value is 1,500,000 EUR.

Application Type: Open call. The submission method is electronic. The procedure type is Restricted procedure.

Nature of Support: Money. The selected contractor will receive payment for the services rendered.

Application Stages: The procedure type is "Restricted procedure," which typically involves at least two stages: a request to participate (assessing suitability) and a full proposal submission for those shortlisted. Therefore, there are at least 2 stages.

Success Rates: This information is not provided in the given text.

Co-funding Requirement: This information is not provided in the given text.

Summary:

This is a call for tenders (procurement opportunity) issued by the European Union, represented by the European Commission, for the upgrade of the e-health system in North Macedonia. The project, identified by procedure identifier EC-NEAR/SKP/2024/EA-RP/0205, aims to enhance the country's e-health infrastructure through functional integration of existing systems, setting ERP standards for public health facilities, and defining a project plan for the implementation of the LOINC standard. The estimated total value of the contract is 1,500,000 EUR, and the maximum contract duration is 18 months. The deadline for receipt of requests to participate is June 16, 2025.

The call is a restricted procedure, meaning it likely involves a pre-selection phase based on suitability to pursue the professional activity, economic and financial standing, and technical and professional ability, as detailed in the procurement documents. The award method is based on the best price-quality ratio. The project falls under the Instrument for Pre-accession Assistance program, indicating that the primary beneficiary is North Macedonia.

The specific tasks include: developing and implementing a solution for functional integration of the Moj Termin and Health Insurance Fund E-Systems; setting standards for ERP and proposing a software solution for public health facilities; and defining a project plan for LOINC standard implementation, including cost estimation, post-implementation monitoring, and maintenance.

Interested parties must submit their requests to participate electronically. Additional information and clarifications can be found in the documents published on the tender page, particularly in "Clarifications No. 1." The Q&A section addresses questions regarding the technical specifications (TOR) and the economic and financial capacity requirements for consortia.