The opportunity
2/2 · Clear, recurring pain
Czech hospitals each buy their own software to link their systems and share patient data, one tender at a time.2 sourcesTEDted.europa.euTED — Zlín-region hospitals' eHealth platform, 2022 contracts changed in 2026 (another site)Three Zlín-region hospitals signed contracts in April 2022 for a shared platform to exchange and share information with other providers, and in August and September 2026 changed one of them twice to pay for…TEDted.europa.euTED — Zlín KNTB hospital system (~€2.8M) (another site)Zlín's regional hospital bought a hospital information system with integration scope; FN Olomouc bought eHealth interoperability (~€0.7M) in the same weeks.
- Three Zlín-region hospitals keep paying to extend their 2022 data-sharing platform.TEDted.europa.euTED — Zlín-region hospitals' eHealth platform, 2022 contracts changed in 2026 (another site)Three Zlín-region hospitals signed contracts in April 2022 for a shared platform to exchange and share information with other providers, and in August and September 2026 changed one of them twice to pay for connecting more devices and middleware.
- Plzeň's hospital group tendered about €5.8M for a hospital system with integrations.TEDted.europa.euTED — Plzeň hospital group, NIS with ESB (~€5.8M) (another site)The Plzeň region's hospital group ran an open competition for a hospital information system with an enterprise service bus and integrations.
- Zlín and Olomouc bought systems and interoperability work for about €2.8M and €0.7M.TEDted.europa.euTED — Zlín KNTB hospital system (~€2.8M) (another site)Zlín's regional hospital bought a hospital information system with integration scope; FN Olomouc bought eHealth interoperability (~€0.7M) in the same weeks.
P-0022 · Czech hospitals each pay millions for their own software to share patient data
The opportunity
About this section
- What this shows
- The problem as it is today: what goes wrong, and who it costs.
- Why it matters to a builder
- Documented pain means you will not have to convince buyers the problem exists before you can sell them the fix.
- How to read the score
- 2/2 means clear, recurring pain: documented complaints, a petition or industry pressure. Scattered complaints make it 1/2.
Czech hospitals each buy their own software to link their systems and share patient data, one tender at a time.2 sourcesTEDted.europa.euTED — Zlín-region hospitals' eHealth platform, 2022 contracts changed in 2026 (another site)Three Zlín-region hospitals signed contracts in April 2022 for a shared platform to exchange and share information with other providers, and in August and September 2026 changed one of them twice to pay for…TEDted.europa.euTED — Zlín KNTB hospital system (~€2.8M) (another site)Zlín's regional hospital bought a hospital information system with integration scope; FN Olomouc bought eHealth interoperability (~€0.7M) in the same weeks.
- Three Zlín-region hospitals keep paying to extend their 2022 data-sharing platform.TEDted.europa.euTED — Zlín-region hospitals' eHealth platform, 2022 contracts changed in 2026 (another site)Three Zlín-region hospitals signed contracts in April 2022 for a shared platform to exchange and share information with other providers, and in August and September 2026 changed one of them twice to pay for connecting more devices and middleware.
- Plzeň's hospital group tendered about €5.8M for a hospital system with integrations.TEDted.europa.euTED — Plzeň hospital group, NIS with ESB (~€5.8M) (another site)The Plzeň region's hospital group ran an open competition for a hospital information system with an enterprise service bus and integrations.
- Zlín and Olomouc bought systems and interoperability work for about €2.8M and €0.7M.TEDted.europa.euTED — Zlín KNTB hospital system (~€2.8M) (another site)Zlín's regional hospital bought a hospital information system with integration scope; FN Olomouc bought eHealth interoperability (~€0.7M) in the same weeks.
The layer they buy lets a hospital's own systems talk to each other and to outside providers.2 sourcesTEDted.europa.euTED — Zlín-region hospitals' eHealth platform, 2022 contracts changed in 2026 (another site)Three Zlín-region hospitals signed contracts in April 2022 for a shared platform to exchange and share information with other providers, and in August and September 2026 changed one of them twice to pay for…TEDted.europa.euTED — Plzeň hospital group, NIS with ESB (~€5.8M) (another site)The Plzeň region's hospital group ran an open competition for a hospital information system with an enterprise service bus and integrations. Between June and August 2026, three regional hospital groups went to market for it separately.2 sourcesTEDted.europa.euTED — Plzeň hospital group, NIS with ESB (~€5.8M) (another site)The Plzeň region's hospital group ran an open competition for a hospital information system with an enterprise service bus and integrations.TEDted.europa.euTED — Zlín KNTB hospital system (~€2.8M) (another site)Zlín's regional hospital bought a hospital information system with integration scope; FN Olomouc bought eHealth interoperability (~€0.7M) in the same weeks.
- The Zlín region's platform, run by the Uherské Hradiště, Kroměříž and Vsetín hospitals, is for communication and data sharing between providers.TEDted.europa.euTED — Zlín-region hospitals' eHealth platform, 2022 contracts changed in 2026 (another site)Three Zlín-region hospitals signed contracts in April 2022 for a shared platform to exchange and share information with other providers, and in August and September 2026 changed one of them twice to pay for connecting more devices and middleware. Each hospital signed its own contract in April 2022, and Kroměříž's was changed in August and September 2026 to pay for connecting more devices and middleware.TEDted.europa.euTED — Zlín-region hospitals' eHealth platform, 2022 contracts changed in 2026 (another site)Three Zlín-region hospitals signed contracts in April 2022 for a shared platform to exchange and share information with other providers, and in August and September 2026 changed one of them twice to pay for connecting more devices and middleware.
- Plzeň's tender asks for an enterprise service bus, the switchboard that routes messages between clinical systems, plus the integrations around it.TEDted.europa.euTED — Plzeň hospital group, NIS with ESB (~€5.8M) (another site)The Plzeň region's hospital group ran an open competition for a hospital information system with an enterprise service bus and integrations.
- Zlín's regional hospital bought a hospital information system with integrations included, and Olomouc's university hospital bought eHealth interoperability work in the same weeks.TEDted.europa.euTED — Zlín KNTB hospital system (~€2.8M) (another site)Zlín's regional hospital bought a hospital information system with integration scope; FN Olomouc bought eHealth interoperability (~€0.7M) in the same weeks.
- Published hospital specifications ask for the same thing: a service bus inside the integration layer, exchanging messages in HL7 and DASTA (the two health-data formats Czech hospitals run on).Market checkorcz.czCzech hospital integration supply — coverage recorded (another site)The 2026-08-13 sweep named the Czech integration vendors but never wrote down what was searched. This one does, and it surfaces one more: OR-CZ, which sells IS integration to hospitals alongside Stapro, ICZ, Medicalc, PHYSTER and AutoCont. Zlín's own tender for an eHealth integration platform describes exactly such a one-off build.Market checkorcz.czCzech hospital integration supply — coverage recorded (another site)The 2026-08-13 sweep named the Czech integration vendors but never wrote down what was searched. This one does, and it surfaces one more: OR-CZ, which sells IS integration to hospitals alongside Stapro, ICZ, Medicalc, PHYSTER and AutoCont.
More hospitals followed in August and September 2026:
- Psychiatrická léčebna Petrohrad, a psychiatric hospital, tendered its own eHealth medical information system for about €206K, with no supplier named.TEDted.europa.euTED — Petrohrad psychiatric hospital eHealth system (~€206K) (another site)A psychiatric hospital tendered its own eHealth medical information system — another named buyer procuring bespoke software rather than a shared layer.In the source’s words“Czechia – Medical information systems – eHealth – Psychiatrická léčebna Petrohrad — 5158000 CZK”
- Mladá Boleslav's regional hospital awarded about €2.9M to modernise and develop its hospital information system.TEDted.europa.euTED — Mladá Boleslav hospital NIS modernization, STAPRO (~€2.9M) (another site)The incumbent STAPRO won another hospital's NIS modernization outright — one more named buyer paying for a bespoke build rather than a shared product.In the source’s words“Czechia – Information systems – Modernizace a rozvoj NIS Oblastní nemocnice Mladá Boleslav, a.s.”
- Revmatologický ústav, Prague's rheumatology institute, awarded "eHealth and interoperability" work for about €1.11M, in a repeat award to the vendor it already paid for this work.TEDted.europa.euTED — Revmatologický ústav eHealth and interoperability re-tender, STAPRO (~€1.11M) (another site)A repeat award for 'eHealth and interoperability' work, won again by the incumbent STAPRO — a tender in the very words of this problem.In the source’s words“Czechia – Information systems – eHealth a interoperabilita Revmatologického ústavu v Praze – opakované zadání”
- Náchod's regional hospital awarded about €293K for an imaging system, part of an eHealth platform for exchanging information between providers, patients and information systems.TEDted.europa.euTED — Náchod hospital PACS and eHealth platform, OR-CZ (~€293K) (another site)OR-CZ, the seventh established Czech vendor named here, won a system explicitly built for exchanging data between providers, patients and information systems — a second named public buyer for it beyond Šternberk.In the source’s words“Czechia – Medical software package – Vytvoření eHEALTH platformy pro komunikaci, výměnu a sdílení informací mezi poskytovateli zdravotních služeb, pacienty a informačními systémy pro ONN a.s. a NRK o.z. - Dílčí část 2 – Systém PACS pro…”
- Masarykův onkologický ústav, Brno's cancer institute, tendered an eHealth software package for about €3M, with no supplier named.European Commissionec.europa.euEU Commission — HealthData@EU technical framework (draft) (another site)A more granular EU regulatory step inside the same EHDS obligation already on file, setting the technical rules for cross-border secondary use of health data.In the source’s words“European Health Data Space HealthData@EU requirements — This Implementing Decision sets out the technical and functional framework for the HealthData@EU infrastructure, which will enable secure and interoperable cross-border access to…”
- Olomouc's military hospital re-announced its interoperability tender in September 2026, estimated at about 7.3M CZK, with no supplier named.TEDted.europa.euTED — Olomouc military hospital interoperability, re-announced (~7.3M CZK) (another site)The military hospital in Olomouc re-announced its interoperability tender in September 2026, with no supplier named.In the source’s words“Czechia – Information systems and servers – VN Olomouc - Interoperabilita ve Vojenské nemocnici Olomouc – opakované vyhlášení”
- Semily's hospital signed for interoperability work in April 2026, including links to other providers and to the national health information system.TEDted.europa.euTED — Semily hospital interoperability, deadline extended over the state's e-health centre (another site)MMN, a hospital company based in Jilemnice, extended its Semily hospital's April 2026 interoperability contract because the Health Ministry's national e-health centre had not cooperated on testing the hospital's connection to the national system.In the source’s words“Czechia – Software implementation services – Interoperabilita v Nemocnici Semily”
- Karlovy Vary's regional hospital bought the same kind of work in June 2026, and finished it in August.TEDted.europa.euTED — Karlovy Vary hospital interoperability, waiting on the state's e-health centre (another site)Karlovy Vary's regional hospital finished and took over its interoperability work in August 2026, but the health ministry's e-health centre had still not confirmed the hospital was connected, so the date for that confirmation was moved to the end of 2026.In the source’s words“Czechia – Medical software package – Interoperabilita v nemocnici Karlovy Vary, KKN a.s.”
- Ostrava's university hospital paid in August 2026 to link its lab system to the national eHealth services and registries, and got a single bid.TEDted.europa.euTED — FN Ostrava lab system linked to national eHealth, one bid (~7.9M CZK) (another site)Ostrava's university hospital paid to link its lab system to the central eHealth services and registries, with four years of support, and got a single bid, from the supplier already inside.In the source’s words“Czechia – Medical software package – Podpora a rozvoj laboratorního informačního systému”
- Mělník's hospital company opened a tender in September 2026, estimated at 20M CZK, for a hospital system linked to Czech and EU eHealth systems; bids close on 30 October 2026.TEDted.europa.euTED — Mělník hospital system with EU and Czech eHealth links, open (~20M CZK) (another site)The company running Mělník's hospital opened a tender for a modernised hospital system linked to the national and European eHealth systems, with bids due 30 October 2026.In the source’s words“Czechia – Medical information systems – Modernizace nemocničního informačního systému a integrace služeb eHealth včetně napojení na centrální systémy elektronického zdravotnictví ČR a EU — 20000000 CZK”
- Havlíčkův Brod's psychiatric hospital opened its own interoperability tender in September 2026, to Czech and EU exchange standards; bids close on 30 October 2026.TEDted.europa.euTED — Havlíčkův Brod psychiatric hospital interoperability, open (another site)A psychiatric hospital opened its own tender for software to exchange and share its patients' records under the Czech and EU exchange standards, with bids due 30 October 2026.In the source’s words“Czechia – Medical software package – e-Health – Interoperabilita PNHB”
- Kroměříž's psychiatric hospital awarded about 28.3M CZK in August 2026 for its hospital and lab systems, links to other providers included, after 2 bids.TEDted.europa.euTED — Kroměříž psychiatric hospital systems award, integration subcontracted (~28.3M CZK) (another site)Kroměříž's psychiatric hospital awarded about 28.3M CZK to modernise its hospital and lab systems, including links to the Zlín-region exchange network and the national eHealth gateway, after 2 bids.In the source’s words“Czechia – Medical information systems – Modernizace informačních systémů Psychiatrické nemocnice v Kroměříži”
- Brandýs nad Labem's hospital company opened a tender in October 2026, estimated at about 26.4M CZK, to upgrade its hospital and lab systems, including sharing the priority parts of the electronic health record; bids close on 9 November 2026.TEDted.europa.euTED — Brandýs hospital system and lab system upgrade with eHealth record sharing, open (~26.4M CZK) (another site)The company running the Brandýs nad Labem hospital opened a tender to upgrade its hospital and lab systems, including sharing the priority parts of the electronic health record and the national patient, staff and provider identifiers, with bids due 9 November 2026.In the source’s words“Czechia – Information systems – eHealth — 26397500 CZK”
Four hospitals have filed that the state held up their projects. Semily's owner extended its contract because the health ministry's national e-health centre had not helped test the hospital's connection.TEDted.europa.euTED — Semily hospital interoperability, deadline extended over the state's e-health centre (another site)MMN, a hospital company based in Jilemnice, extended its Semily hospital's April 2026 interoperability contract because the Health Ministry's national e-health centre had not cooperated on testing the hospital's connection to the national system.In the source’s words“Czechia – Software implementation services – Interoperabilita v Nemocnici Semily” Karlovy Vary's hospital had its work finished and handed over on 25 August 2026, but no confirmation from that same centre that it was connected.TEDted.europa.euTED — Karlovy Vary hospital interoperability, waiting on the state's e-health centre (another site)Karlovy Vary's regional hospital finished and took over its interoperability work in August 2026, but the health ministry's e-health centre had still not confirmed the hospital was connected, so the date for that confirmation was moved to the end of 2026.In the source’s words“Czechia – Medical software package – Interoperabilita v nemocnici Karlovy Vary, KKN a.s.”
St Anne's university hospital in Brno, which signed for the same kind of work in August 2025, is the third.TEDted.europa.euTED — St Anne's Brno eHealth interoperability, held up by the state's gateway and other vendors (another site)St Anne's university hospital in Brno amended its 2025 eHealth interoperability contract twice in 2026: its connection to the national contact point could not be tested, the state's test portal kept failing, and the makers of its other systems had not cooperated.In the source’s words“Czechia – Medical software package – Rozvoj služeb eHealth ve Fakultní nemocnici u sv. Anny v Brně” In September 2026 it amended its contract twice:TEDted.europa.euTED — St Anne's Brno eHealth interoperability, held up by the state's gateway and other vendors (another site)St Anne's university hospital in Brno amended its 2025 eHealth interoperability contract twice in 2026: its connection to the national contact point could not be tested, the state's test portal kept failing, and the makers of its other systems had not cooperated.In the source’s words“Czechia – Medical software package – Rozvoj služeb eHealth ve Fakultní nemocnici u sv. Anny v Brně”
- Testing its link to the national contact point, the state gateway for exchanging patient data with other EU countries, was impossible, and the state's test portal kept failing.TEDted.europa.euTED — St Anne's Brno eHealth interoperability, held up by the state's gateway and other vendors (another site)St Anne's university hospital in Brno amended its 2025 eHealth interoperability contract twice in 2026: its connection to the national contact point could not be tested, the state's test portal kept failing, and the makers of its other systems had not cooperated.In the source’s words“Czechia – Medical software package – Rozvoj služeb eHealth ve Fakultní nemocnici u sv. Anny v Brně”
- Links to its lab, imaging and record-sharing systems waited on the companies that make them.TEDted.europa.euTED — St Anne's Brno eHealth interoperability, held up by the state's gateway and other vendors (another site)St Anne's university hospital in Brno amended its 2025 eHealth interoperability contract twice in 2026: its connection to the national contact point could not be tested, the state's test portal kept failing, and the makers of its other systems had not cooperated.In the source’s words“Czechia – Medical software package – Rozvoj služeb eHealth ve Fakultní nemocnici u sv. Anny v Brně”
- With no positive statement from the contact point, the state health-information institute and the digital agency could not sign that the hospital is connected.TEDted.europa.euTED — St Anne's Brno eHealth interoperability, held up by the state's gateway and other vendors (another site)St Anne's university hospital in Brno amended its 2025 eHealth interoperability contract twice in 2026: its connection to the national contact point could not be tested, the state's test portal kept failing, and the makers of its other systems had not cooperated.In the source’s words“Czechia – Medical software package – Rozvoj služeb eHealth ve Fakultní nemocnici u sv. Anny v Brně”
The fourth is Dvůr Králové nad Labem's city hospital, which signed for eHealth and interoperability work with the oldest vendor in August 2025.TEDted.europa.euTED — Dvůr Králové hospital eHealth and interoperability, held up by the ministry's interfaces (another site)The Dvůr Králové nad Labem city hospital extended its 2025 eHealth and interoperability contract in October 2026, because the interfaces the health ministry was to provide were not available when the work depended on them.In the source’s words“Czechia – Clinical information system – eHealth a interoperabilita Městské nemocnice, a. s.” In October 2026 it moved the finish to three months after the obstacles end, because the interfaces the health ministry was to provide were not available in time.TEDted.europa.euTED — Dvůr Králové hospital eHealth and interoperability, held up by the ministry's interfaces (another site)The Dvůr Králové nad Labem city hospital extended its 2025 eHealth and interoperability contract in October 2026, because the interfaces the health ministry was to provide were not available when the work depended on them.In the source’s words“Czechia – Clinical information system – eHealth a interoperabilita Městské nemocnice, a. s.”
Suggested solution
Build integration software that plugs into a hospital's systems and links them to other providers, as 2 companies already do in 2 other countries.
Why now
1/3 · Soft deadline
Hospitals are paying millions each for data-sharing software now, while the state's shared version runs six years late.3 sourcesZdravotnický deníkzdravotnickydenik.czNKÚ — digitalisation of Czech healthcare (another site)The state audit office finds health-data sharing and eŽádanka six years late and legally required registries still missing — the national layer hospitals are waiting for does not exist.TEDted.europa.euTED — Karlovy Vary hospital interoperability, waiting on the state's e-health centre (another site)Karlovy Vary's regional hospital finished and took over its interoperability work in August 2026, but the health ministry's e-health centre had still not confirmed the hospital was connected, so the date for…In the source’s words“Czechia – Medical software package – Interoperabilita v nemocnici Karlovy Vary, KKN a.s.”TEDted.europa.euTED — St Anne's Brno eHealth interoperability, held up by the state's gateway and other vendors (another site)St Anne's university hospital in Brno amended its 2025 eHealth interoperability contract twice in 2026: its connection to the national contact point could not be tested, the state's test portal kept failing,…In the source’s words“Czechia – Medical software package – Rozvoj služeb eHealth ve Fakultní nemocnici u sv. Anny v Brně”
- Each hospital pays millions for its own links to other providers.3 sourcesTEDted.europa.euTED — Zlín KNTB hospital system (~€2.8M) (another site)Zlín's regional hospital bought a hospital information system with integration scope; FN Olomouc bought eHealth interoperability (~€0.7M) in the same weeks.TEDted.europa.euTED — Karlovy Vary hospital interoperability, waiting on the state's e-health centre (another site)Karlovy Vary's regional hospital finished and took over its interoperability work in August 2026, but the health ministry's e-health centre had still not confirmed the hospital was connected, so the date for…In the source’s words“Czechia – Medical software package – Interoperabilita v nemocnici Karlovy Vary, KKN a.s.”TEDted.europa.euTED — St Anne's Brno eHealth interoperability, held up by the state's gateway and other vendors (another site)St Anne's university hospital in Brno amended its 2025 eHealth interoperability contract twice in 2026: its connection to the national contact point could not be tested, the state's test portal kept failing,…In the source’s words“Czechia – Medical software package – Rozvoj služeb eHealth ve Fakultní nemocnici u sv. Anny v Brně”
- After signing, the oldest vendor has raised prices and extended deadlines by amendment.Registr smluvsmlouvy.gov.czRegistr smluv — STAPRO amendment churn (another site)Price-increase amendments signed the same day, extended works deadlines and an integration platform on its eighth amendment — what buying integration from the incumbent costs after signature.
- National data sharing, planned for 2020, will come in 2026 at the earliest.Zdravotnický deníkzdravotnickydenik.czNKÚ — digitalisation of Czech healthcare (another site)The state audit office finds health-data sharing and eŽádanka six years late and legally required registries still missing — the national layer hospitals are waiting for does not exist.
P-0022 · Czech hospitals each pay millions for their own software to share patient data
Why now
About this section
- What this shows
- The dated rules and events that push buyers to act, soonest first.
- Why it matters to a builder
- A dated rule turns “nice to have” into “must buy by”, and tells you how long the window stays open.
- How to read the score
- 3/3 means an enacted rule binds these buyers within 18 months and names a penalty. Without a named penalty it is 2/3. A draft law, a rule on someone else, or a date further out is 1/3.
Hospitals are paying millions each for data-sharing software now, while the state's shared version runs six years late.3 sourcesZdravotnický deníkzdravotnickydenik.czNKÚ — digitalisation of Czech healthcare (another site)The state audit office finds health-data sharing and eŽádanka six years late and legally required registries still missing — the national layer hospitals are waiting for does not exist.TEDted.europa.euTED — Karlovy Vary hospital interoperability, waiting on the state's e-health centre (another site)Karlovy Vary's regional hospital finished and took over its interoperability work in August 2026, but the health ministry's e-health centre had still not confirmed the hospital was connected, so the date for…In the source’s words“Czechia – Medical software package – Interoperabilita v nemocnici Karlovy Vary, KKN a.s.”TEDted.europa.euTED — St Anne's Brno eHealth interoperability, held up by the state's gateway and other vendors (another site)St Anne's university hospital in Brno amended its 2025 eHealth interoperability contract twice in 2026: its connection to the national contact point could not be tested, the state's test portal kept failing,…In the source’s words“Czechia – Medical software package – Rozvoj služeb eHealth ve Fakultní nemocnici u sv. Anny v Brně”
- Each hospital pays millions for its own links to other providers.3 sourcesTEDted.europa.euTED — Zlín KNTB hospital system (~€2.8M) (another site)Zlín's regional hospital bought a hospital information system with integration scope; FN Olomouc bought eHealth interoperability (~€0.7M) in the same weeks.TEDted.europa.euTED — Karlovy Vary hospital interoperability, waiting on the state's e-health centre (another site)Karlovy Vary's regional hospital finished and took over its interoperability work in August 2026, but the health ministry's e-health centre had still not confirmed the hospital was connected, so the date for…In the source’s words“Czechia – Medical software package – Interoperabilita v nemocnici Karlovy Vary, KKN a.s.”TEDted.europa.euTED — St Anne's Brno eHealth interoperability, held up by the state's gateway and other vendors (another site)St Anne's university hospital in Brno amended its 2025 eHealth interoperability contract twice in 2026: its connection to the national contact point could not be tested, the state's test portal kept failing,…In the source’s words“Czechia – Medical software package – Rozvoj služeb eHealth ve Fakultní nemocnici u sv. Anny v Brně”
- After signing, the oldest vendor has raised prices and extended deadlines by amendment.Registr smluvsmlouvy.gov.czRegistr smluv — STAPRO amendment churn (another site)Price-increase amendments signed the same day, extended works deadlines and an integration platform on its eighth amendment — what buying integration from the incumbent costs after signature.
- National data sharing, planned for 2020, will come in 2026 at the earliest.Zdravotnický deníkzdravotnickydenik.czNKÚ — digitalisation of Czech healthcare (another site)The state audit office finds health-data sharing and eŽádanka six years late and legally required registries still missing — the national layer hospitals are waiting for does not exist.
Behind those three items are a state audit, a grant deadline and the dates of a new EU law:
- In January 2026 the state audit office, which checks how public money is spent, reported that health-data sharing and electronic referrals are six years late.Zdravotnický deníkzdravotnickydenik.czNKÚ — digitalisation of Czech healthcare (another site)The state audit office finds health-data sharing and eŽádanka six years late and legally required registries still missing — the national layer hospitals are waiting for does not exist.
- The same report found registries the law requires still missing in early 2023, and 158M CZK spent on e-health goals in 2020–2024 with the infrastructure still absent.Zdravotnický deníkzdravotnickydenik.czNKÚ — digitalisation of Czech healthcare (another site)The state audit office finds health-data sharing and eŽádanka six years late and legally required registries still missing — the national layer hospitals are waiting for does not exist.
- In September 2026 the Semily hospital's owner extended its interoperability contract, because the health ministry's national e-health centre had not helped test the hospital's connection.TEDted.europa.euTED — Semily hospital interoperability, deadline extended over the state's e-health centre (another site)MMN, a hospital company based in Jilemnice, extended its Semily hospital's April 2026 interoperability contract because the Health Ministry's national e-health centre had not cooperated on testing the hospital's connection to the national system.In the source’s words“Czechia – Software implementation services – Interoperabilita v Nemocnici Semily”
- Also in September 2026 Karlovy Vary's hospital and its vendor moved to 31 December 2026 the date for producing the state's confirmation that the hospital is connected, because it had not been issued.TEDted.europa.euTED — Karlovy Vary hospital interoperability, waiting on the state's e-health centre (another site)Karlovy Vary's regional hospital finished and took over its interoperability work in August 2026, but the health ministry's e-health centre had still not confirmed the hospital was connected, so the date for that confirmation was moved to the end of 2026.In the source’s words“Czechia – Medical software package – Interoperabilita v nemocnici Karlovy Vary, KKN a.s.”
- In the same month St Anne's in Brno moved its deadline to the end of its extended grant, because the state gateway could not be tested.TEDted.europa.euTED — St Anne's Brno eHealth interoperability, held up by the state's gateway and other vendors (another site)St Anne's university hospital in Brno amended its 2025 eHealth interoperability contract twice in 2026: its connection to the national contact point could not be tested, the state's test portal kept failing, and the makers of its other systems had not cooperated.In the source’s words“Czechia – Medical software package – Rozvoj služeb eHealth ve Fakultní nemocnici u sv. Anny v Brně”
- In October 2026 Dvůr Králové's city hospital extended its contract, because the health ministry's interfaces were not available in time.TEDted.europa.euTED — Dvůr Králové hospital eHealth and interoperability, held up by the ministry's interfaces (another site)The Dvůr Králové nad Labem city hospital extended its 2025 eHealth and interoperability contract in October 2026, because the interfaces the health ministry was to provide were not available when the work depended on them.In the source’s words“Czechia – Clinical information system – eHealth a interoperabilita Městské nemocnice, a. s.”
- The ministry was still ordering further development of its national exchange networks in August 2026.TEDted.europa.euTED — Health ministry call-off for the national exchange networks, Asseco (~5.3M CZK) (another site)In August 2026 the health ministry ordered further development of the national e-health exchange-network services from Asseco Central Europe, as call-off No. 19 under its 2024 e-health services framework.In the source’s words“Czechia – IT services: consulting, software development, Internet and support – Služby EZ – Služby elektronického zdravotnictví”
- From 26 March 2027 a hospital that asks for a patient's records from another EU country through the EU exchange must first identify the patient, with a secure electronic identity for online requests.EUR-Lexeur-lex.europa.euEHDS patient identification for MyHealth@EU — Implementing Regulation (EU) 2026/2099 (another site)From 26 March 2027 a hospital that asks for a patient's records from another EU country through MyHealth@EU, the EU exchange, must first identify the patient, with a secure electronic identity for online requests.In the source’s words“following a natural person’s request submitted online, that health professional or healthcare provider shall identify and authenticate that natural person using electronic identification means issued in accordance with Regulation (EU) No…” It applies only to hospitals that make such requests.EUR-Lexeur-lex.europa.euEHDS patient identification for MyHealth@EU — Implementing Regulation (EU) 2026/2099 (another site)From 26 March 2027 a hospital that asks for a patient's records from another EU country through MyHealth@EU, the EU exchange, must first identify the patient, with a secure electronic identity for online requests.In the source’s words“following a natural person’s request submitted online, that health professional or healthcare provider shall identify and authenticate that natural person using electronic identification means issued in accordance with Regulation (EU) No…”
- The European Health Data Space, the EU regulation on sharing health records, has been in force since March 2025.European Commissionhealth.ec.europa.euEuropean Health Data Space — Regulation (EU) 2025/327 (another site)Sets the legal end state: cross-border patient summaries and ePrescription from 2029, imaging and discharge data from 2031, with conformity duties landing on the Czech hospital-system vendors.
- Its implementing acts, the detailed technical rules, are due in March 2027, and its rules for hospital record systems fall on the Czech vendors that sell them.European Commissionhealth.ec.europa.euEuropean Health Data Space — Regulation (EU) 2025/327 (another site)Sets the legal end state: cross-border patient summaries and ePrescription from 2029, imaging and discharge data from 2031, with conformity duties landing on the Czech hospital-system vendors.
- From 26 March 2029 patient summaries and electronic prescriptions must be exchangeable across borders, and most rules on re-using health data apply.European Commissionhealth.ec.europa.euEuropean Health Data Space — Regulation (EU) 2025/327 (another site)Sets the legal end state: cross-border patient summaries and ePrescription from 2029, imaging and discharge data from 2031, with conformity duties landing on the Czech hospital-system vendors.
- From 2031 imaging, laboratory results and discharge reports follow.European Commissionhealth.ec.europa.euEuropean Health Data Space — Regulation (EU) 2025/327 (another site)Sets the legal end state: cross-border patient summaries and ePrescription from 2029, imaging and discharge data from 2031, with conformity duties landing on the Czech hospital-system vendors.
- From 26 March 2029 hospitals must also describe the data they hold in one machine-readable European format, set by the European Commission in September 2026.EUR-Lexeur-lex.europa.euEHDS dataset descriptions — Implementing Regulation (EU) 2026/2098 (another site)From 26 March 2029 every holder of health data, hospitals included, must describe the data it holds in one machine-readable European format.In the source’s words“The list of the minimum metadata elements that health data holders shall provide for dataset descriptions, and the characteristics of those elements, is set out in Part B of the Annex.”
- On 3 July 2026 the health ministry filed a draft amendment of Act No. 325/2021, the Czech e-health law.VeKLEPodok.czVeKLEP — e-health act amendment in draft (another site)The Health Ministry is amending Act 325/2021 Coll., the national e-health law — the legal frame behind the missing national layer is itself in motion.In the source’s words“Návrh zákona, kterým se mění zákon č. 325/2021 Sb., o elektronizaci zdravotnictví, ve znění pozdějších předpisů, a některé další zákony — Plán legislativních prací vlády pro rok 2026”
- The draft would make electronic referrals compulsory from 1 July 2027, for laboratories from 1 January 2028, and electronic health records from 1 January 2029.VeKLEPodok.czE-health act bill — compulsory electronic referrals from 2027, electronic records from 2029 (another site)The health ministry's bill would make electronic referrals compulsory for every provider from 1 July 2027 and electronic health records from 1 January 2029; it went to the government on 30 September 2026 and is not law.In the source’s words“Odstupňovaná účinnost zavedení povinného vedení zdravotnické dokumentace v elektronické podobě od 1. ledna 2029 je stanovena s ohledem na nutnost zajistit dostatečný časový prostor pro technickou, organizační a procesní připravenost všech…”
- It went to the government on 30 September 2026 with three disputes with the data-protection office still open, so none of these dates is law yet.VeKLEPodok.czE-health act bill — compulsory electronic referrals from 2027, electronic records from 2029 (another site)The health ministry's bill would make electronic referrals compulsory for every provider from 1 July 2027 and electronic health records from 1 January 2029; it went to the government on 30 September 2026 and is not law.In the source’s words“Odstupňovaná účinnost zavedení povinného vedení zdravotnické dokumentace v elektronické podobě od 1. ledna 2029 je stanovena s ohledem na nutnost zajistit dostatečný časový prostor pro technickou, organizační a procesní připravenost všech…”
- On 1 September 2026 the European Commission put out for comment a draft of the technical rules for HealthData@EU, the EU network for re-using health data across borders; it sets no new deadline.TEDted.europa.euTED — Masaryk Memorial Cancer Institute eHealth package (~€3M) (another site)A major Czech cancer hospital tendered its own eHealth software package — another named buyer solving this alone, at meaningful scale.In the source’s words“Czechia – Medical software package – eHealth pro Masarykův onkologický ústav — 75000000 CZK”
- On 2 December 2026 at 14:00 the state's two eHealth grant calls close, after being open since November 2023.IROPirop.gov.czIROP calls 78 and 79 — eHealth, about 2.1bn CZK, open to 2 December 2026 (another site)Two open state eHealth grant calls pay a named list of Czech hospitals, psychiatric hospitals and regional ambulance services for electronic health services, alongside the recovery plan's interoperability programme. Up to 28M CZK per provider; applications close on 2 December 2026.In the source’s words“Evropský fond pro regionální rozvoj – 1 144 629 052 Kč Alokace výzvy Státní rozpočet – 490 555 308 Kč”
- Hospitals are not waiting for any of this: they buy their own systems and integration now, one at a time.Registr smluvsmlouvy.gov.czRegistr smluv — Karlovy Vary hospital (~70.9M CZK) (another site)The regional hospital signed for hospital-system delivery and support, alongside a wave of psychiatric-hospital system contracts in the same weeks.
Willing to pay
2/2 · Clear signs
Yes: hospitals, and the regions that own many of them, pay for integration now through public tenders.3 sourcesTEDted.europa.euTED — Semily hospital interoperability, deadline extended over the state's e-health centre (another site)MMN, a hospital company based in Jilemnice, extended its Semily hospital's April 2026 interoperability contract because the Health Ministry's national e-health centre had not cooperated on testing the…In the source’s words“Czechia – Software implementation services – Interoperabilita v Nemocnici Semily”TEDted.europa.euTED — Karlovy Vary hospital interoperability, waiting on the state's e-health centre (another site)Karlovy Vary's regional hospital finished and took over its interoperability work in August 2026, but the health ministry's e-health centre had still not confirmed the hospital was connected, so the date for…In the source’s words“Czechia – Medical software package – Interoperabilita v nemocnici Karlovy Vary, KKN a.s.”TEDted.europa.euTED — St Anne's Brno eHealth interoperability, held up by the state's gateway and other vendors (another site)St Anne's university hospital in Brno amended its 2025 eHealth interoperability contract twice in 2026: its connection to the national contact point could not be tested, the state's test portal kept failing,…In the source’s words“Czechia – Medical software package – Rozvoj služeb eHealth ve Fakultní nemocnici u sv. Anny v Brně”
- Five hospitals signed for exactly this work in 2025 and 2026.5 sourcesTEDted.europa.euTED — Revmatologický ústav eHealth and interoperability re-tender, STAPRO (~€1.11M) (another site)A repeat award for 'eHealth and interoperability' work, won again by the incumbent STAPRO — a tender in the very words of this problem.In the source’s words“Czechia – Information systems – eHealth a interoperabilita Revmatologického ústavu v Praze – opakované zadání”TEDted.europa.euTED — Semily hospital interoperability, deadline extended over the state's e-health centre (another site)MMN, a hospital company based in Jilemnice, extended its Semily hospital's April 2026 interoperability contract because the Health Ministry's national e-health centre had not cooperated on testing the…In the source’s words“Czechia – Software implementation services – Interoperabilita v Nemocnici Semily”TEDted.europa.euTED — Karlovy Vary hospital interoperability, waiting on the state's e-health centre (another site)Karlovy Vary's regional hospital finished and took over its interoperability work in August 2026, but the health ministry's e-health centre had still not confirmed the hospital was connected, so the date for…In the source’s words“Czechia – Medical software package – Interoperabilita v nemocnici Karlovy Vary, KKN a.s.”TEDted.europa.euTED — St Anne's Brno eHealth interoperability, held up by the state's gateway and other vendors (another site)St Anne's university hospital in Brno amended its 2025 eHealth interoperability contract twice in 2026: its connection to the national contact point could not be tested, the state's test portal kept failing,…In the source’s words“Czechia – Medical software package – Rozvoj služeb eHealth ve Fakultní nemocnici u sv. Anny v Brně”TEDted.europa.euTED — Dvůr Králové hospital eHealth and interoperability, held up by the ministry's interfaces (another site)The Dvůr Králové nad Labem city hospital extended its 2025 eHealth and interoperability contract in October 2026, because the interfaces the health ministry was to provide were not available when the work…In the source’s words“Czechia – Clinical information system – eHealth a interoperabilita Městské nemocnice, a. s.”
- Three hospital tenders and awards came to about €9.3M in summer 2026.2 sourcesTEDted.europa.euTED — Plzeň hospital group, NIS with ESB (~€5.8M) (another site)The Plzeň region's hospital group ran an open competition for a hospital information system with an enterprise service bus and integrations.TEDted.europa.euTED — Zlín KNTB hospital system (~€2.8M) (another site)Zlín's regional hospital bought a hospital information system with integration scope; FN Olomouc bought eHealth interoperability (~€0.7M) in the same weeks.
- Motol and Homolka signed €11.7M of health-IT licences and support on one day.Registr smluvsmlouvy.gov.czRegistr smluv — Motol/Homolka health-IT licences and support (~€11.7M) (another site)Prague's merged mega-buyer signed a health-IT licence expansion and a support services deal on the same day — €11.7M of incumbent-stack spend from a single buyer in one August week.In the source’s words“Rámcová smlouva o rozšíření licencí - Výzva č. 109 – Rozšíření licencí InterSystems IRIS for Health – Dynamický nákupní systém na dodávky ICT a AVT — 144249430.8”
Per project
One purchase
P-0022 · Czech hospitals each pay millions for their own software to share patient data
Willing to pay
About this section
- What this shows
- Who already spends money on this problem, how much, and how they buy.
- Why it matters to a builder
- If people already pay for this, even by hand or through a consultant, you are replacing a spend, not creating a budget.
- How to read the score
- 2/2 means a Czech buyer has paid for this, or a priced job also gets public money that pays part of it. A price on file makes it 1/2. Public money alone earns nothing. Only public buyers publish what they pay, so problems sold to private firms often score lower.
Yes: hospitals, and the regions that own many of them, pay for integration now through public tenders.3 sourcesTEDted.europa.euTED — Semily hospital interoperability, deadline extended over the state's e-health centre (another site)MMN, a hospital company based in Jilemnice, extended its Semily hospital's April 2026 interoperability contract because the Health Ministry's national e-health centre had not cooperated on testing the…In the source’s words“Czechia – Software implementation services – Interoperabilita v Nemocnici Semily”TEDted.europa.euTED — Karlovy Vary hospital interoperability, waiting on the state's e-health centre (another site)Karlovy Vary's regional hospital finished and took over its interoperability work in August 2026, but the health ministry's e-health centre had still not confirmed the hospital was connected, so the date for…In the source’s words“Czechia – Medical software package – Interoperabilita v nemocnici Karlovy Vary, KKN a.s.”TEDted.europa.euTED — St Anne's Brno eHealth interoperability, held up by the state's gateway and other vendors (another site)St Anne's university hospital in Brno amended its 2025 eHealth interoperability contract twice in 2026: its connection to the national contact point could not be tested, the state's test portal kept failing,…In the source’s words“Czechia – Medical software package – Rozvoj služeb eHealth ve Fakultní nemocnici u sv. Anny v Brně”
- Five hospitals signed for exactly this work in 2025 and 2026.5 sourcesTEDted.europa.euTED — Revmatologický ústav eHealth and interoperability re-tender, STAPRO (~€1.11M) (another site)A repeat award for 'eHealth and interoperability' work, won again by the incumbent STAPRO — a tender in the very words of this problem.In the source’s words“Czechia – Information systems – eHealth a interoperabilita Revmatologického ústavu v Praze – opakované zadání”TEDted.europa.euTED — Semily hospital interoperability, deadline extended over the state's e-health centre (another site)MMN, a hospital company based in Jilemnice, extended its Semily hospital's April 2026 interoperability contract because the Health Ministry's national e-health centre had not cooperated on testing the…In the source’s words“Czechia – Software implementation services – Interoperabilita v Nemocnici Semily”TEDted.europa.euTED — Karlovy Vary hospital interoperability, waiting on the state's e-health centre (another site)Karlovy Vary's regional hospital finished and took over its interoperability work in August 2026, but the health ministry's e-health centre had still not confirmed the hospital was connected, so the date for…In the source’s words“Czechia – Medical software package – Interoperabilita v nemocnici Karlovy Vary, KKN a.s.”TEDted.europa.euTED — St Anne's Brno eHealth interoperability, held up by the state's gateway and other vendors (another site)St Anne's university hospital in Brno amended its 2025 eHealth interoperability contract twice in 2026: its connection to the national contact point could not be tested, the state's test portal kept failing,…In the source’s words“Czechia – Medical software package – Rozvoj služeb eHealth ve Fakultní nemocnici u sv. Anny v Brně”TEDted.europa.euTED — Dvůr Králové hospital eHealth and interoperability, held up by the ministry's interfaces (another site)The Dvůr Králové nad Labem city hospital extended its 2025 eHealth and interoperability contract in October 2026, because the interfaces the health ministry was to provide were not available when the work…In the source’s words“Czechia – Clinical information system – eHealth a interoperabilita Městské nemocnice, a. s.”
- Three hospital tenders and awards came to about €9.3M in summer 2026.2 sourcesTEDted.europa.euTED — Plzeň hospital group, NIS with ESB (~€5.8M) (another site)The Plzeň region's hospital group ran an open competition for a hospital information system with an enterprise service bus and integrations.TEDted.europa.euTED — Zlín KNTB hospital system (~€2.8M) (another site)Zlín's regional hospital bought a hospital information system with integration scope; FN Olomouc bought eHealth interoperability (~€0.7M) in the same weeks.
- Motol and Homolka signed €11.7M of health-IT licences and support on one day.Registr smluvsmlouvy.gov.czRegistr smluv — Motol/Homolka health-IT licences and support (~€11.7M) (another site)Prague's merged mega-buyer signed a health-IT licence expansion and a support services deal on the same day — €11.7M of incumbent-stack spend from a single buyer in one August week.In the source’s words“Rámcová smlouva o rozšíření licencí - Výzva č. 109 – Rozšíření licencí InterSystems IRIS for Health – Dynamický nákupní systém na dodávky ICT a AVT — 144249430.8”
- Karlovy Vary's hospital signed 70.9M CZK for its hospital system and support.Registr smluvsmlouvy.gov.czRegistr smluv — Karlovy Vary hospital (~70.9M CZK) (another site)The regional hospital signed for hospital-system delivery and support, alongside a wave of psychiatric-hospital system contracts in the same weeks.
Those three ran from about €0.7M to €5.8M.2 sourcesTEDted.europa.euTED — Plzeň hospital group, NIS with ESB (~€5.8M) (another site)The Plzeň region's hospital group ran an open competition for a hospital information system with an enterprise service bus and integrations.TEDted.europa.euTED — Zlín KNTB hospital system (~€2.8M) (another site)Zlín's regional hospital bought a hospital information system with integration scope; FN Olomouc bought eHealth interoperability (~€0.7M) in the same weeks. Two were awards; Plzeň's was an open competition in July and August 2026.TEDted.europa.euTED — Plzeň hospital group, NIS with ESB (~€5.8M) (another site)The Plzeň region's hospital group ran an open competition for a hospital information system with an enterprise service bus and integrations.
- Three Zlín-region hospitals signed their own contracts for one shared platform in April 2022, and are still paying to extend it.TEDted.europa.euTED — Zlín-region hospitals' eHealth platform, 2022 contracts changed in 2026 (another site)Three Zlín-region hospitals signed contracts in April 2022 for a shared platform to exchange and share information with other providers, and in August and September 2026 changed one of them twice to pay for connecting more devices and middleware.
- Ostrava's university hospital paid about 7.9M CZK to link its lab system to national eHealth services, with four years of support.TEDted.europa.euTED — FN Ostrava lab system linked to national eHealth, one bid (~7.9M CZK) (another site)Ostrava's university hospital paid to link its lab system to the central eHealth services and registries, with four years of support, and got a single bid, from the supplier already inside.In the source’s words“Czechia – Medical software package – Podpora a rozvoj laboratorního informačního systému”
- Motol and Homolka, two merged Prague hospitals that buy as one, signed a health-IT licence expansion of about €5.77M and a support contract of about €5.93M on 4 August 2026.Registr smluvsmlouvy.gov.czRegistr smluv — Motol/Homolka health-IT licences and support (~€11.7M) (another site)Prague's merged mega-buyer signed a health-IT licence expansion and a support services deal on the same day — €11.7M of incumbent-stack spend from a single buyer in one August week.In the source’s words“Rámcová smlouva o rozšíření licencí - Výzva č. 109 – Rozšíření licencí InterSystems IRIS for Health – Dynamický nákupní systém na dodávky ICT a AVT — 144249430.8”
- Karlovy Vary's regional hospital signed its 70.9M CZK contract for hospital-system delivery and service support on 27 June 2026.Registr smluvsmlouvy.gov.czRegistr smluv — Karlovy Vary hospital (~70.9M CZK) (another site)The regional hospital signed for hospital-system delivery and support, alongside a wave of psychiatric-hospital system contracts in the same weeks. The European notice for that same contract names it interoperability work, and its value without VAT is in the table of what one buyer pays.TEDted.europa.euTED — Karlovy Vary hospital interoperability, waiting on the state's e-health centre (another site)Karlovy Vary's regional hospital finished and took over its interoperability work in August 2026, but the health ministry's e-health centre had still not confirmed the hospital was connected, so the date for that confirmation was moved to the end of 2026.In the source’s words“Czechia – Medical software package – Interoperabilita v nemocnici Karlovy Vary, KKN a.s.”
- Psychiatric hospitals signed hospital-system contracts in the same weeks: Horní Beřkovice about 9.7M CZK plus 8.1M CZK of support, Opařany about 9.3M CZK, and Marianny Oranžské about 6.0M CZK.Registr smluvsmlouvy.gov.czRegistr smluv — Karlovy Vary hospital (~70.9M CZK) (another site)The regional hospital signed for hospital-system delivery and support, alongside a wave of psychiatric-hospital system contracts in the same weeks.
- Together with the tenders above, at least 8 public buyers bought or tendered hospital systems or integration in one summer.Registr smluvsmlouvy.gov.czRegistr smluv — Karlovy Vary hospital (~70.9M CZK) (another site)The regional hospital signed for hospital-system delivery and support, alongside a wave of psychiatric-hospital system contracts in the same weeks.
- One hospital's same-day price rises on its system contract are in the table of what one buyer pays.
Public money can pay part of it. Two state eHealth grant calls hold about 2.1bn CZK for a named list of hospitals, psychiatric hospitals and regional ambulance services, up to 28M CZK per provider.IROPirop.gov.czIROP calls 78 and 79 — eHealth, about 2.1bn CZK, open to 2 December 2026 (another site)Two open state eHealth grant calls pay a named list of Czech hospitals, psychiatric hospitals and regional ambulance services for electronic health services, alongside the recovery plan's interoperability programme. Up to 28M CZK per provider; applications close on 2 December 2026.In the source’s words“Evropský fond pro regionální rozvoj – 1 144 629 052 Kč Alokace výzvy Státní rozpočet – 490 555 308 Kč” They pay the hospital, not a vendor, and their closing date is under Why now.IROPirop.gov.czIROP calls 78 and 79 — eHealth, about 2.1bn CZK, open to 2 December 2026 (another site)Two open state eHealth grant calls pay a named list of Czech hospitals, psychiatric hospitals and regional ambulance services for electronic health services, alongside the recovery plan's interoperability programme. Up to 28M CZK per provider; applications close on 2 December 2026.In the source’s words“Evropský fond pro regionální rozvoj – 1 144 629 052 Kč Alokace výzvy Státní rozpočet – 490 555 308 Kč”
A rough estimate, not a finding: if a third of the €9.3M were sold as licences instead, that would be about €3.1M, and these buyers keep paying for more work rather than finishing.2 sourcesRegistr smluvsmlouvy.gov.czRegistr smluv — STAPRO amendment churn (another site)Price-increase amendments signed the same day, extended works deadlines and an integration platform on its eighth amendment — what buying integration from the incumbent costs after signature.TEDted.europa.euTED — Revmatologický ústav eHealth and interoperability re-tender, STAPRO (~€1.11M) (another site)A repeat award for 'eHealth and interoperability' work, won again by the incumbent STAPRO — a tender in the very words of this problem.In the source’s words“Czechia – Information systems – eHealth a interoperabilita Revmatologického ústavu v Praze – opakované zadání”
Per project
One purchase
What one buyer pays
- 2 800 000 CZK once
- Krajská nemocnice T. Bati, Zlín Registr smluvsmlouvy.gov.czKNTB Zlín — two price rises in one day (another site)A regional hospital signed two same-day price increases worth about 2.8M CZK on its hospital-system service contract, which is what buying integration from the vendor already inside costs.
- 9 471 645 CZK per project
- Městská nemocnice, a.s., the Dvůr Králové nad Labem city hospital TEDted.europa.euDvůr Králové — the eHealth and interoperability contract (another site)The Dvůr Králové nad Labem city hospital signed about 9.5M CZK in August 2025 for eHealth and interoperability work on its hospital and lab systems, with five years of service support.
- 10 877 401 CZK per project
- MMN, a.s., for Nemocnice Semily TEDted.europa.euMMN Semily — the interoperability award (another site)The company running the Semily hospital awarded about 10.9M CZK in April 2026 for interoperability work, including links to other providers and the national health information system.
- 27 756 514 CZK once
- Revmatologický ústav, Prague's rheumatology institute TEDted.europa.euRevmatologický ústav — eHealth and interoperability, awarded again (another site)Prague's rheumatology institute awarded about 27.8M CZK in August 2026 for eHealth and interoperability work, in a repeat award to the vendor it already paid.
- 44 905 040 CZK per project
- Fakultní nemocnice u sv. Anny v Brně, a university hospital Registr smluvsmlouvy.gov.czSt Anne's Brno — the eHealth interoperability contract (another site)St Anne's university hospital in Brno signed about 44.9M CZK in August 2025 for interoperability work that lets its records be exchanged with other providers, plus operational support.
- 58 559 999 CZK per project
- Karlovarská krajská nemocnice a.s., the Karlovy Vary regional hospital TEDted.europa.euKarlovy Vary — the interoperability contract (another site)The Karlovy Vary regional hospital signed about 58.6M CZK in June 2026 for work that lets its medical records be exchanged and shared with other providers.
- 84 455 540 CZK per project
- Uherskohradišťská nemocnice a.s., one of three Zlín-region hospitals on the platform TEDted.europa.euUherské Hradiště — its share of the Zlín-region platform, 2022 (another site)Uherské Hradiště's hospital signed about 84.5M CZK in April 2022 for its part of a platform, shared by three Zlín-region hospitals, to exchange and share patient information with other providers.
10 public contracts and tenders, plus 1 grant call
Q22022
Q3
Q4
Q12023
Q2
Q3
Q4
Q12024
Q2
Q3
Q4
Q12025
Q2
Q3
Q4
Q12026
Q2
Q3
Q4
Grants open
Hospitals, towns and other public bodies that signed or tendered between Jun and Sep 2026. The grant call can pay for this work.
- €7.7M
- Three Zlín-region hospitals signed contracts in April 2022 for a shared platform to exchange and share information with other providers, and in August and September 2026 changed one of them twice to pay for connecting more devices and middleware. TEDted.europa.euTED — Zlín-region hospitals' eHealth platform, 2022 contracts changed in 2026 (another site)Three Zlín-region hospitals signed contracts in April 2022 for a shared platform to exchange and share information with other providers, and in August and September 2026 changed one of them twice to pay for connecting more devices and middleware.
- €5.8M
- The Plzeň region's hospital group ran an open competition for a hospital information system with an enterprise service bus and integrations. TEDted.europa.euTED — Plzeň hospital group, NIS with ESB (~€5.8M) (another site)The Plzeň region's hospital group ran an open competition for a hospital information system with an enterprise service bus and integrations.
- €3M
- A major Czech cancer hospital tendered its own eHealth software package. TEDted.europa.euTED — Masaryk Memorial Cancer Institute eHealth package (~€3M) (another site)A major Czech cancer hospital tendered its own eHealth software package — another named buyer solving this alone, at meaningful scale.In the source’s words“Czechia – Medical software package – eHealth pro Masarykův onkologický ústav — 75000000 CZK”
- €2.9M
- The incumbent STAPRO won another hospital's NIS modernization outright. TEDted.europa.euTED — Mladá Boleslav hospital NIS modernization, STAPRO (~€2.9M) (another site)The incumbent STAPRO won another hospital's NIS modernization outright — one more named buyer paying for a bespoke build rather than a shared product.In the source’s words“Czechia – Information systems – Modernizace a rozvoj NIS Oblastní nemocnice Mladá Boleslav, a.s.”
- €2.9M
- The regional hospital signed for hospital-system delivery and support, alongside a wave of psychiatric-hospital system contracts in the same weeks. Registr smluvsmlouvy.gov.czRegistr smluv — Karlovy Vary hospital (~70.9M CZK) (another site)The regional hospital signed for hospital-system delivery and support, alongside a wave of psychiatric-hospital system contracts in the same weeks.
- €2.8M
- Zlín's regional hospital bought a hospital information system with integration scope; FN Olomouc bought eHealth interoperability (about €0.7M) in the same weeks. TEDted.europa.euTED — Zlín KNTB hospital system (~€2.8M) (another site)Zlín's regional hospital bought a hospital information system with integration scope; FN Olomouc bought eHealth interoperability (~€0.7M) in the same weeks.
- €1.1M
- A repeat award for 'eHealth and interoperability' work, won again by the incumbent STAPRO. TEDted.europa.euTED — Revmatologický ústav eHealth and interoperability re-tender, STAPRO (~€1.11M) (another site)A repeat award for 'eHealth and interoperability' work, won again by the incumbent STAPRO — a tender in the very words of this problem.In the source’s words“Czechia – Information systems – eHealth a interoperabilita Revmatologického ústavu v Praze – opakované zadání”
- €293k
- The military hospital in Olomouc re-announced its interoperability tender in September 2026, with no supplier named. TEDted.europa.euTED — Olomouc military hospital interoperability, re-announced (~7.3M CZK) (another site)The military hospital in Olomouc re-announced its interoperability tender in September 2026, with no supplier named.In the source’s words“Czechia – Information systems and servers – VN Olomouc - Interoperabilita ve Vojenské nemocnici Olomouc – opakované vyhlášení”
- €293k
- OR-CZ, the seventh established Czech vendor named here, won a system explicitly built for exchanging data between providers, patients and information systems. TEDted.europa.euTED — Náchod hospital PACS and eHealth platform, OR-CZ (~€293K) (another site)OR-CZ, the seventh established Czech vendor named here, won a system explicitly built for exchanging data between providers, patients and information systems — a second named public buyer for it beyond Šternberk.In the source’s words“Czechia – Medical software package – Vytvoření eHEALTH platformy pro komunikaci, výměnu a sdílení informací mezi poskytovateli zdravotních služeb, pacienty a informačními systémy pro ONN a.s. a NRK o.z. - Dílčí část 2 – Systém PACS pro…”
- €206k
- A psychiatric hospital tendered its own eHealth medical information system. TEDted.europa.euTED — Petrohrad psychiatric hospital eHealth system (~€206K) (another site)A psychiatric hospital tendered its own eHealth medical information system — another named buyer procuring bespoke software rather than a shared layer.In the source’s words“Czechia – Medical information systems – eHealth – Psychiatrická léčebna Petrohrad — 5158000 CZK”
- €87M
- Two open state eHealth grant calls pay a named list of Czech hospitals, psychiatric hospitals and regional ambulance services for electronic health services, alongside the recovery plan's interoperability programme. IROPirop.gov.czIROP calls 78 and 79 — eHealth, about 2.1bn CZK, open to 2 December 2026 (another site)Two open state eHealth grant calls pay a named list of Czech hospitals, psychiatric hospitals and regional ambulance services for electronic health services, alongside the recovery plan's interoperability programme. Up to 28M CZK per provider; applications close on 2 December 2026.In the source’s words“Evropský fond pro regionální rozvoj – 1 144 629 052 Kč Alokace výzvy Státní rozpočet – 490 555 308 Kč”
Validated abroad
3/3 · Proven in 2+ markets
Two established foreign companies sell the shared layer as one product, built once and sold to many hospitals.
- Redox (another site)Based in United States
- Better (another site)Based in SloveniaAlso sells in United Kingdom, Sweden, Switzerland
P-0022 · Czech hospitals each pay millions for their own software to share patient data
Validated abroad
About this section
- What this shows
- Companies abroad that already sell a solution, and how far along they are.
- Why it matters to a builder
- Established companies selling it in other markets show that buyers will pay, so you are not betting on an untested idea.
- How to read the score
- 3/3 means established in two or more markets, one of them near Czechia. 2/3 is one established company, 1/3 only early players.
Two established foreign companies sell the shared layer as one product, built once and sold to many hospitals.
- No source on file
$95M raised (Tracxn); 450+ provider organizations plus hundreds of apps exchange data via its API platform (PRNewswire, 2022)
- No source on file
30M+ patients, 500+ hospitals in 15 countries on its openEHR platform (openEHR.org); NHS trusts, Karolinska, Basel
A US company trading since 2014 moves data between hundreds of provider organisations and hundreds of apps through one API, an interface other software plugs into.
A company in Ljubljana, Slovenia, selling since 1989, runs its openEHR platform, built on an open standard for health records, in hundreds of hospitals. Trusts in Britain's National Health Service, Karolinska in Sweden and Basel in Switzerland are among them.
The Slovenian company is the closer template: a Central European firm long in hospital software, as the Czech vendors are.Market checkzdravotnickydenik.czCzech hospital integration products (another site)A sweep of the Czech field naming what already exists — Medicalc mEx, PHYSTER, Stapro FONS/TransMISE, ICZ eMEDOCS, AutoCont's ESB ACIB and M.I.T. Consulting's hospital bus. Neither was cheap to build.
Market gap
0/2 · Crowded
Seven established Czech vendors already sell hospital integration, and the oldest keeps amending its hospital contracts after signing.2 sourcesRegistr smluvsmlouvy.gov.czRegistr smluv — STAPRO amendment churn (another site)Price-increase amendments signed the same day, extended works deadlines and an integration platform on its eighth amendment — what buying integration from the incumbent costs after signature.Market checkzdravotnickydenik.czCzech hospital integration products (another site)A sweep of the Czech field naming what already exists — Medicalc mEx, PHYSTER, Stapro FONS/TransMISE, ICZ eMEDOCS, AutoCont's ESB ACIB and M.I.T. Consulting's hospital bus.
New, selling this: C SOLUTION (since 2021), CleverTech (since 2025). Established, selling this: STAPRO (since 1990), AutoCont (AC Pramen, ESB ACIB) (since 1991), OR-CZ (since 1993), ICZ (eMEDOCS) (since 1997), M.I.T. Consulting (since 1998), Medicalc (mEx) (since 2002), PHYSTER TECHNOLOGY (since 2003). New, selling something nearby: nobody on file. Established, selling something nearby: HIPPO (since 1991), CompuGroup Medical Česká republika (since 1992), TatraMed Software (since 2000), DS Soft Olomouc (since 2006), Seyfor (since 2013).
- EarlySells this · since 2021C SOLUTION (another site)It sells hospital integration platforms built on InterSystems technology, alongside its own hospital information system qMS, eHealth services, a patient portal and identity management (csolution.cz, read 2026-09-28), so it sells this job to this buyer.Sources and the full note are in Read more.
- EarlySells this · since 2025CleverTech (another site)It won St Anne's university hospital's eHealth interoperability project in Brno, signed on 11 August 2025, as lead contractor with two subcontractors.Sources and the full note are in Read more.
- EstablishedSells this · since 1990STAPRO (another site)It sells FONS and TransMISE — hospital information systems plus an integration layer wired into the national eHealth contact point (NCPeH).Sources and the full note are in Read more.
- EstablishedSells this · since 1991AutoCont (AC Pramen, ESB ACIB) (another site)It sells AC Pramen and the ESB ACIB service bus, both on the state framework listing of systems connected to the national eHealth contact point (NCPeH).Sources and the full note are in Read more.
- EstablishedSells this · since 1993OR-CZ (another site)It sells hospital information-system integration, with customers including Psychiatrická léčebna Šternberk on the state contracts register.Sources and the full note are in Read more.
- EstablishedSells this · since 1997ICZ (eMEDOCS) (another site)It sells eMEDOCS, a hospital data-exchange platform connected to the national eHealth contact point (NCPeH).Sources and the full note are in Read more.
- EstablishedSells this · since 1998M.I.T. Consulting (another site)It sells a hospital enterprise service bus, and holds the Czech records-management attest 4/2026 for MIT ERMS from the Czech Agency for Standardization.Sources and the full note are in Read more.
- EstablishedSells this · since 2002Medicalc (mEx) (another site)It sells mEx, a hospital integration product carried on the state framework listing of systems connected to the national eHealth contact point (NCPeH).Sources and the full note are in Read more.
- EstablishedSells this · since 2003PHYSTER TECHNOLOGY (another site)It sells hospital integration on the same state framework listing of systems connected to the national eHealth contact point (NCPeH).Sources and the full note are in Read more.
- EstablishedSells something nearby · since 1991HIPPO (another site)It sells IS HIPPO, a records system built for psychiatric hospitals, and PINEL plus for outpatient and social-care services (hipposoftware.cz, read 2026-10-05), not a layer for sharing records between providers.Sources and the full note are in Read more.
- EstablishedSells something nearby · since 1992CompuGroup Medical Česká republika (another site)It sells MEDICUS, an outpatient information system for records and insurer billing, used by surgeries, polyclinics and small hospitals (cgm.com, read 2026-09-28), not a layer for sharing records between providers.Sources and the full note are in Read more.
- EstablishedSells something nearby · since 2000TatraMed Software (another site)A Bratislava firm selling TomoCon PACS, the archive and viewer for X-ray, CT and MR images, and T3C teleradiology, which sends images to remote radiologists (tatramed.sk, read 2026-09-28).Sources and the full note are in Read more.
- EstablishedSells something nearby · since 2006DS Soft Olomouc (another site)It sells Envis LIMS, a laboratory information system, its main product since 2006 (its own site, read 2026-09-28.Sources and the full note are in Read more.
- EstablishedSells something nearby · since 2013Seyfor (another site)It sells business software, 34 programs from accounting and ERP to HR, CRM and cybersecurity, and builds custom platforms for insurers, state bodies and health care (seyfor.com, read 2026-09-28), not hospital data sharing.Sources and the full note are in Read more.
P-0022 · Czech hospitals each pay millions for their own software to share patient data
Market gap
About this section
- What this shows
- Czech companies that already sell this, and firms nearby that sell something else.
- Why it matters to a builder
- A mature Czech seller means taking customers from an incumbent. Firms nearby still matter: the buyer may already pay them.
- How to read the score
- More points mean a more open field. 2/2 means no Czech company sells this, 1/2 only early ones do, 0/2 a mature one does.
Seven established Czech vendors already sell hospital integration, and the oldest keeps amending its hospital contracts after signing.2 sourcesRegistr smluvsmlouvy.gov.czRegistr smluv — STAPRO amendment churn (another site)Price-increase amendments signed the same day, extended works deadlines and an integration platform on its eighth amendment — what buying integration from the incumbent costs after signature.Market checkzdravotnickydenik.czCzech hospital integration products (another site)A sweep of the Czech field naming what already exists — Medicalc mEx, PHYSTER, Stapro FONS/TransMISE, ICZ eMEDOCS, AutoCont's ESB ACIB and M.I.T. Consulting's hospital bus.
New, selling this: C SOLUTION (since 2021), CleverTech (since 2025). Established, selling this: STAPRO (since 1990), AutoCont (AC Pramen, ESB ACIB) (since 1991), OR-CZ (since 1993), ICZ (eMEDOCS) (since 1997), M.I.T. Consulting (since 1998), Medicalc (mEx) (since 2002), PHYSTER TECHNOLOGY (since 2003). New, selling something nearby: nobody on file. Established, selling something nearby: HIPPO (since 1991), CompuGroup Medical Česká republika (since 1992), TatraMed Software (since 2000), DS Soft Olomouc (since 2006), Seyfor (since 2013).
- EarlySells this · since 2021C SOLUTION (another site)It sells hospital integration platforms built on InterSystems technology, alongside its own hospital information system qMS, eHealth services, a patient portal and identity management (csolution.cz, read 2026-09-28), so it sells this job to this buyer.Sources and the full note are in Read more.
- EarlySells this · since 2025CleverTech (another site)It won St Anne's university hospital's eHealth interoperability project in Brno, signed on 11 August 2025, as lead contractor with two subcontractors.Sources and the full note are in Read more.
- EstablishedSells this · since 1990STAPRO (another site)It sells FONS and TransMISE — hospital information systems plus an integration layer wired into the national eHealth contact point (NCPeH).Sources and the full note are in Read more.
- EstablishedSells this · since 1991AutoCont (AC Pramen, ESB ACIB) (another site)It sells AC Pramen and the ESB ACIB service bus, both on the state framework listing of systems connected to the national eHealth contact point (NCPeH).Sources and the full note are in Read more.
- EstablishedSells this · since 1993OR-CZ (another site)It sells hospital information-system integration, with customers including Psychiatrická léčebna Šternberk on the state contracts register.Sources and the full note are in Read more.
- EstablishedSells this · since 1997ICZ (eMEDOCS) (another site)It sells eMEDOCS, a hospital data-exchange platform connected to the national eHealth contact point (NCPeH).Sources and the full note are in Read more.
- EstablishedSells this · since 1998M.I.T. Consulting (another site)It sells a hospital enterprise service bus, and holds the Czech records-management attest 4/2026 for MIT ERMS from the Czech Agency for Standardization.Sources and the full note are in Read more.
- EstablishedSells this · since 2002Medicalc (mEx) (another site)It sells mEx, a hospital integration product carried on the state framework listing of systems connected to the national eHealth contact point (NCPeH).Sources and the full note are in Read more.
- EstablishedSells this · since 2003PHYSTER TECHNOLOGY (another site)It sells hospital integration on the same state framework listing of systems connected to the national eHealth contact point (NCPeH).Sources and the full note are in Read more.
- EstablishedSells something nearby · since 1991HIPPO (another site)It sells IS HIPPO, a records system built for psychiatric hospitals, and PINEL plus for outpatient and social-care services (hipposoftware.cz, read 2026-10-05), not a layer for sharing records between providers.Sources and the full note are in Read more.
- EstablishedSells something nearby · since 1992CompuGroup Medical Česká republika (another site)It sells MEDICUS, an outpatient information system for records and insurer billing, used by surgeries, polyclinics and small hospitals (cgm.com, read 2026-09-28), not a layer for sharing records between providers.Sources and the full note are in Read more.
- EstablishedSells something nearby · since 2000TatraMed Software (another site)A Bratislava firm selling TomoCon PACS, the archive and viewer for X-ray, CT and MR images, and T3C teleradiology, which sends images to remote radiologists (tatramed.sk, read 2026-09-28).Sources and the full note are in Read more.
- EstablishedSells something nearby · since 2006DS Soft Olomouc (another site)It sells Envis LIMS, a laboratory information system, its main product since 2006 (its own site, read 2026-09-28.Sources and the full note are in Read more.
- EstablishedSells something nearby · since 2013Seyfor (another site)It sells business software, 34 programs from accounting and ERP to HR, CRM and cybersecurity, and builds custom platforms for insurers, state bodies and health care (seyfor.com, read 2026-09-28), not hospital data sharing.Sources and the full note are in Read more.
Sells this 9
- Established: STAPRO (another site)9 sourcesTEDted.europa.euTED — Zlín-region hospitals' eHealth platform, 2022 contracts changed in 2026 (another site)Three Zlín-region hospitals signed contracts in April 2022 for a shared platform to exchange and share information with other providers, and in August and September 2026 changed one of them twice to pay for…Registr smluvsmlouvy.gov.czRegistr smluv — STAPRO amendment churn (another site)Price-increase amendments signed the same day, extended works deadlines and an integration platform on its eighth amendment — what buying integration from the incumbent costs after signature.Market checkzdravotnickydenik.czCzech hospital integration products (another site)A sweep of the Czech field naming what already exists — Medicalc mEx, PHYSTER, Stapro FONS/TransMISE, ICZ eMEDOCS, AutoCont's ESB ACIB and M.I.T. Consulting's hospital bus.TEDted.europa.euTED — Mladá Boleslav hospital NIS modernization, STAPRO (~€2.9M) (another site)The incumbent STAPRO won another hospital's NIS modernization outright — one more named buyer paying for a bespoke build rather than a shared product.In the source’s words“Czechia – Information systems – Modernizace a rozvoj NIS Oblastní nemocnice Mladá Boleslav, a.s.”TEDted.europa.euTED — Revmatologický ústav eHealth and interoperability re-tender, STAPRO (~€1.11M) (another site)A repeat award for 'eHealth and interoperability' work, won again by the incumbent STAPRO — a tender in the very words of this problem.In the source’s words“Czechia – Information systems – eHealth a interoperabilita Revmatologického ústavu v Praze – opakované zadání”TEDted.europa.euTED — Semily hospital interoperability, deadline extended over the state's e-health centre (another site)MMN, a hospital company based in Jilemnice, extended its Semily hospital's April 2026 interoperability contract because the Health Ministry's national e-health centre had not cooperated on testing the…In the source’s words“Czechia – Software implementation services – Interoperabilita v Nemocnici Semily”TEDted.europa.euTED — Karlovy Vary hospital interoperability, waiting on the state's e-health centre (another site)Karlovy Vary's regional hospital finished and took over its interoperability work in August 2026, but the health ministry's e-health centre had still not confirmed the hospital was connected, so the date for…In the source’s words“Czechia – Medical software package – Interoperabilita v nemocnici Karlovy Vary, KKN a.s.”TEDted.europa.euTED — FN Ostrava lab system linked to national eHealth, one bid (~7.9M CZK) (another site)Ostrava's university hospital paid to link its lab system to the central eHealth services and registries, with four years of support, and got a single bid, from the supplier already inside.In the source’s words“Czechia – Medical software package – Podpora a rozvoj laboratorního informačního systému”TEDted.europa.euTED — Dvůr Králové hospital eHealth and interoperability, held up by the ministry's interfaces (another site)The Dvůr Králové nad Labem city hospital extended its 2025 eHealth and interoperability contract in October 2026, because the interfaces the health ministry was to provide were not available when the work…In the source’s words“Czechia – Clinical information system – eHealth a interoperabilita Městské nemocnice, a. s.”
It sells FONS and TransMISE — hospital information systems plus an integration layer wired into the national eHealth contact point (NCPeH).Market checkzdravotnickydenik.czCzech hospital integration products (another site)A sweep of the Czech field naming what already exists — Medicalc mEx, PHYSTER, Stapro FONS/TransMISE, ICZ eMEDOCS, AutoCont's ESB ACIB and M.I.T. Consulting's hospital bus. Trading since 1990, and KNTB Zlín, FN u sv. Anny, FN Olomouc and Kroměříž hospital all sign STAPRO amendments on the state contracts register.Registr smluvsmlouvy.gov.czRegistr smluv — STAPRO amendment churn (another site)Price-increase amendments signed the same day, extended works deadlines and an integration platform on its eighth amendment — what buying integration from the incumbent costs after signature. MMN, which runs the Semily hospital, signed its interoperability contract with STAPRO in April 2026,TEDted.europa.euTED — Semily hospital interoperability, deadline extended over the state's e-health centre (another site)MMN, a hospital company based in Jilemnice, extended its Semily hospital's April 2026 interoperability contract because the Health Ministry's national e-health centre had not cooperated on testing the hospital's connection to the national system.In the source’s words“Czechia – Software implementation services – Interoperabilita v Nemocnici Semily” and Karlovarská krajská nemocnice signed its Karlovy Vary interoperability contract with STAPRO on 27 June 2026.TEDted.europa.euTED — Karlovy Vary hospital interoperability, waiting on the state's e-health centre (another site)Karlovy Vary's regional hospital finished and took over its interoperability work in August 2026, but the health ministry's e-health centre had still not confirmed the hospital was connected, so the date for that confirmation was moved to the end of 2026.In the source’s words“Czechia – Medical software package – Interoperabilita v nemocnici Karlovy Vary, KKN a.s.” Three Zlín-region hospitals have run their shared data-sharing platform on STAPRO contracts since April 2022,TEDted.europa.euTED — Zlín-region hospitals' eHealth platform, 2022 contracts changed in 2026 (another site)Three Zlín-region hospitals signed contracts in April 2022 for a shared platform to exchange and share information with other providers, and in August and September 2026 changed one of them twice to pay for connecting more devices and middleware. and FN Ostrava awarded it the link from its lab system to national eHealth services in August 2026, with no competing bid.TEDted.europa.euTED — FN Ostrava lab system linked to national eHealth, one bid (~7.9M CZK) (another site)Ostrava's university hospital paid to link its lab system to the central eHealth services and registries, with four years of support, and got a single bid, from the supplier already inside.In the source’s words“Czechia – Medical software package – Podpora a rozvoj laboratorního informačního systému” Dvůr Králové nad Labem's city hospital signed its eHealth and interoperability contract with it in August 2025.TEDted.europa.euTED — Dvůr Králové hospital eHealth and interoperability, held up by the ministry's interfaces (another site)The Dvůr Králové nad Labem city hospital extended its 2025 eHealth and interoperability contract in October 2026, because the interfaces the health ministry was to provide were not available when the work depended on them.In the source’s words“Czechia – Clinical information system – eHealth a interoperabilita Městské nemocnice, a. s.”
- Established: ICZ (eMEDOCS) (another site)3 sourcesRegistr smluvsmlouvy.gov.czRegistr smluv — STAPRO amendment churn (another site)Price-increase amendments signed the same day, extended works deadlines and an integration platform on its eighth amendment — what buying integration from the incumbent costs after signature.Market checkzdravotnickydenik.czCzech hospital integration products (another site)A sweep of the Czech field naming what already exists — Medicalc mEx, PHYSTER, Stapro FONS/TransMISE, ICZ eMEDOCS, AutoCont's ESB ACIB and M.I.T. Consulting's hospital bus.TEDted.europa.euTED — Kroměříž psychiatric hospital systems award, integration subcontracted (~28.3M CZK) (another site)Kroměříž's psychiatric hospital awarded about 28.3M CZK to modernise its hospital and lab systems, including links to the Zlín-region exchange network and the national eHealth gateway, after 2 bids.In the source’s words“Czechia – Medical information systems – Modernizace informačních systémů Psychiatrické nemocnice v Kroměříži”
It sells eMEDOCS, a hospital data-exchange platform connected to the national eHealth contact point (NCPeH).Market checkzdravotnickydenik.czCzech hospital integration products (another site)A sweep of the Czech field naming what already exists — Medicalc mEx, PHYSTER, Stapro FONS/TransMISE, ICZ eMEDOCS, AutoCont's ESB ACIB and M.I.T. Consulting's hospital bus. Trading since 1997, with customers including Český statistický úřad for ICZ a.s. and Nemocnice Břeclav for ICZ.HEA a.s. (IČO 07240091) on the state contracts register.Registr smluvsmlouvy.gov.czRegistr smluv — STAPRO amendment churn (another site)Price-increase amendments signed the same day, extended works deadlines and an integration platform on its eighth amendment — what buying integration from the incumbent costs after signature. ICZ.HEA supplies the integration platform in the Kroměříž psychiatric hospital's 2026 systems award, as a subcontractor.TEDted.europa.euTED — Kroměříž psychiatric hospital systems award, integration subcontracted (~28.3M CZK) (another site)Kroměříž's psychiatric hospital awarded about 28.3M CZK to modernise its hospital and lab systems, including links to the Zlín-region exchange network and the national eHealth gateway, after 2 bids.In the source’s words“Czechia – Medical information systems – Modernizace informačních systémů Psychiatrické nemocnice v Kroměříži”
- Established: Medicalc (mEx) (another site)2 sourcesMarket checkzdravotnickydenik.czCzech hospital integration products (another site)A sweep of the Czech field naming what already exists — Medicalc mEx, PHYSTER, Stapro FONS/TransMISE, ICZ eMEDOCS, AutoCont's ESB ACIB and M.I.T. Consulting's hospital bus.TEDted.europa.euTED — Sokolov hospital eHealth II modernisation, Medicalc (~12.9M CZK) (another site)Sokolov's hospital awarded an eHealth-programme modernisation of its internal IT to an established Czech hospital-software vendor in August 2026.In the source’s words“Czechia – Medical information systems – Nemocnice Sokolov s.r.o. - Modernizace vnitřního IT prostředí - eHealth II.”
It sells mEx, a hospital integration product carried on the state framework listing of systems connected to the national eHealth contact point (NCPeH).Market checkzdravotnickydenik.czCzech hospital integration products (another site)A sweep of the Czech field naming what already exists — Medicalc mEx, PHYSTER, Stapro FONS/TransMISE, ICZ eMEDOCS, AutoCont's ESB ACIB and M.I.T. Consulting's hospital bus. Trading since 2002. Nemocnice Sokolov signed implementation, licence and service contracts with it on 31 August 2026 for its eHealth-programme IT modernisation.TEDted.europa.euTED — Sokolov hospital eHealth II modernisation, Medicalc (~12.9M CZK) (another site)Sokolov's hospital awarded an eHealth-programme modernisation of its internal IT to an established Czech hospital-software vendor in August 2026.In the source’s words“Czechia – Medical information systems – Nemocnice Sokolov s.r.o. - Modernizace vnitřního IT prostředí - eHealth II.”
- Established: PHYSTER TECHNOLOGY (another site)Market checkzdravotnickydenik.czCzech hospital integration products (another site)A sweep of the Czech field naming what already exists — Medicalc mEx, PHYSTER, Stapro FONS/TransMISE, ICZ eMEDOCS, AutoCont's ESB ACIB and M.I.T. Consulting's hospital bus.
It sells hospital integration on the same state framework listing of systems connected to the national eHealth contact point (NCPeH).Market checkzdravotnickydenik.czCzech hospital integration products (another site)A sweep of the Czech field naming what already exists — Medicalc mEx, PHYSTER, Stapro FONS/TransMISE, ICZ eMEDOCS, AutoCont's ESB ACIB and M.I.T. Consulting's hospital bus. Trading since 2003.
- Established: AutoCont (AC Pramen, ESB ACIB) (another site)Market checkzdravotnickydenik.czCzech hospital integration products (another site)A sweep of the Czech field naming what already exists — Medicalc mEx, PHYSTER, Stapro FONS/TransMISE, ICZ eMEDOCS, AutoCont's ESB ACIB and M.I.T. Consulting's hospital bus.
It sells AC Pramen and the ESB ACIB service bus, both on the state framework listing of systems connected to the national eHealth contact point (NCPeH).Market checkzdravotnickydenik.czCzech hospital integration products (another site)A sweep of the Czech field naming what already exists — Medicalc mEx, PHYSTER, Stapro FONS/TransMISE, ICZ eMEDOCS, AutoCont's ESB ACIB and M.I.T. Consulting's hospital bus. Trading since 1991.
- Established: M.I.T. Consulting (another site)Market checkzdravotnickydenik.czCzech hospital integration products (another site)A sweep of the Czech field naming what already exists — Medicalc mEx, PHYSTER, Stapro FONS/TransMISE, ICZ eMEDOCS, AutoCont's ESB ACIB and M.I.T. Consulting's hospital bus.
It sells a hospital enterprise service bus, and holds the Czech records-management attest 4/2026 for MIT ERMS from the Czech Agency for Standardization.Market checkzdravotnickydenik.czCzech hospital integration products (another site)A sweep of the Czech field naming what already exists — Medicalc mEx, PHYSTER, Stapro FONS/TransMISE, ICZ eMEDOCS, AutoCont's ESB ACIB and M.I.T. Consulting's hospital bus. Trading since 1998.
- Established: OR-CZ (another site)2 sourcesMarket checkorcz.czCzech hospital integration supply — coverage recorded (another site)The 2026-08-13 sweep named the Czech integration vendors but never wrote down what was searched. This one does, and it surfaces one more: OR-CZ, which sells IS integration to hospitals alongside Stapro, ICZ,…TEDted.europa.euTED — Náchod hospital PACS and eHealth platform, OR-CZ (~€293K) (another site)OR-CZ, the seventh established Czech vendor named here, won a system explicitly built for exchanging data between providers, patients and information systems — a second named public buyer for it beyond…In the source’s words“Czechia – Medical software package – Vytvoření eHEALTH platformy pro komunikaci, výměnu a sdílení informací mezi poskytovateli zdravotních služeb,…”
It sells hospital information-system integration, with customers including Psychiatrická léčebna Šternberk on the state contracts register.Market checkorcz.czCzech hospital integration supply — coverage recorded (another site)The 2026-08-13 sweep named the Czech integration vendors but never wrote down what was searched. This one does, and it surfaces one more: OR-CZ, which sells IS integration to hospitals alongside Stapro, ICZ, Medicalc, PHYSTER and AutoCont. OR-CZ spol. s r.o. has traded since 17 March 1993.
- Early: CleverTech (another site)TEDted.europa.euTED — St Anne's Brno eHealth interoperability, held up by the state's gateway and other vendors (another site)St Anne's university hospital in Brno amended its 2025 eHealth interoperability contract twice in 2026: its connection to the national contact point could not be tested, the state's test portal kept failing, and the makers of its other systems had not cooperated.In the source’s words“Czechia – Medical software package – Rozvoj služeb eHealth ve Fakultní nemocnici u sv. Anny v Brně”
It won St Anne's university hospital's eHealth interoperability project in Brno, signed on 11 August 2025, as lead contractor with two subcontractors.TEDted.europa.euTED — St Anne's Brno eHealth interoperability, held up by the state's gateway and other vendors (another site)St Anne's university hospital in Brno amended its 2025 eHealth interoperability contract twice in 2026: its connection to the national contact point could not be tested, the state's test portal kept failing, and the makers of its other systems had not cooperated.In the source’s words“Czechia – Medical software package – Rozvoj služeb eHealth ve Fakultní nemocnici u sv. Anny v Brně” The company was registered in 2005, but its own website lists telemedicine devices and software; this is the only hospital data-sharing sale on file, so how much of this it sells is unknown.
- Early: C SOLUTION (another site)TEDted.europa.euTED — St Anne's Brno eHealth interoperability, held up by the state's gateway and other vendors (another site)St Anne's university hospital in Brno amended its 2025 eHealth interoperability contract twice in 2026: its connection to the national contact point could not be tested, the state's test portal kept failing, and the makers of its other systems had not cooperated.In the source’s words“Czechia – Medical software package – Rozvoj služeb eHealth ve Fakultní nemocnici u sv. Anny v Brně”
It sells hospital integration platforms built on InterSystems technology, alongside its own hospital information system qMS, eHealth services, a patient portal and identity management (csolution.cz, read 2026-09-28), so it sells this job to this buyer. It is one of CleverTech's two subcontractors on St Anne's interoperability project in Brno.TEDted.europa.euTED — St Anne's Brno eHealth interoperability, held up by the state's gateway and other vendors (another site)St Anne's university hospital in Brno amended its 2025 eHealth interoperability contract twice in 2026: its connection to the national contact point could not be tested, the state's test portal kept failing, and the makers of its other systems had not cooperated.In the source’s words“Czechia – Medical software package – Rozvoj služeb eHealth ve Fakultní nemocnici u sv. Anny v Brně” Its own site says it took over C SYSTEM CZ's health business in 2021; the company itself was registered in 2008. That subcontract is the only hospital sale on file and its site names no hospital, so how much of this it sells is unknown.
Sells something nearby 5
- Established: DS Soft Olomouc (another site)TEDted.europa.euTED — St Anne's Brno eHealth interoperability, held up by the state's gateway and other vendors (another site)St Anne's university hospital in Brno amended its 2025 eHealth interoperability contract twice in 2026: its connection to the national contact point could not be tested, the state's test portal kept failing, and the makers of its other systems had not cooperated.In the source’s words“Czechia – Medical software package – Rozvoj služeb eHealth ve Fakultní nemocnici u sv. Anny v Brně”
It sells Envis LIMS, a laboratory information system, its main product since 2006 (its own site, read 2026-09-28; company founded 1994). That is one of the hospital systems a data-sharing layer has to connect, not the layer itself. Hospital customers including St Anne's in Brno, whose integration of the lab system waited on DS Soft,TEDted.europa.euTED — St Anne's Brno eHealth interoperability, held up by the state's gateway and other vendors (another site)St Anne's university hospital in Brno amended its 2025 eHealth interoperability contract twice in 2026: its connection to the national contact point could not be tested, the state's test portal kept failing, and the makers of its other systems had not cooperated.In the source’s words“Czechia – Medical software package – Rozvoj služeb eHealth ve Fakultní nemocnici u sv. Anny v Brně” Ústřední vojenská nemocnice in Prague (uvn.cz, 2019) and the Opava hospital centre (pnopava.cz).
- Established: TatraMed Software (another site)TEDted.europa.euTED — St Anne's Brno eHealth interoperability, held up by the state's gateway and other vendors (another site)St Anne's university hospital in Brno amended its 2025 eHealth interoperability contract twice in 2026: its connection to the national contact point could not be tested, the state's test portal kept failing, and the makers of its other systems had not cooperated.In the source’s words“Czechia – Medical software package – Rozvoj služeb eHealth ve Fakultní nemocnici u sv. Anny v Brně”
A Bratislava firm selling TomoCon PACS, the archive and viewer for X-ray, CT and MR images, and T3C teleradiology, which sends images to remote radiologists (tatramed.sk, read 2026-09-28). It moves images, one kind of record, not the whole patient record between providers. More than 190 PACS installations since the first in 2000, the second at St Anne's in Brno, whose PACS integration waited on TatraMed.TEDted.europa.euTED — St Anne's Brno eHealth interoperability, held up by the state's gateway and other vendors (another site)St Anne's university hospital in Brno amended its 2025 eHealth interoperability contract twice in 2026: its connection to the national contact point could not be tested, the state's test portal kept failing, and the makers of its other systems had not cooperated.In the source’s words“Czechia – Medical software package – Rozvoj služeb eHealth ve Fakultní nemocnici u sv. Anny v Brně” Customers including St Anne's and, by its own site, 200 Czech healthcare facilities on T3C. It is Slovak, so it has no Czech company number on file.
- Established: CompuGroup Medical Česká republika (another site)TEDted.europa.euTED — St Anne's Brno eHealth interoperability, held up by the state's gateway and other vendors (another site)St Anne's university hospital in Brno amended its 2025 eHealth interoperability contract twice in 2026: its connection to the national contact point could not be tested, the state's test portal kept failing, and the makers of its other systems had not cooperated.In the source’s words“Czechia – Medical software package – Rozvoj služeb eHealth ve Fakultní nemocnici u sv. Anny v Brně”
It sells MEDICUS, an outpatient information system for records and insurer billing, used by surgeries, polyclinics and small hospitals (cgm.com, read 2026-09-28), not a layer for sharing records between providers. Customers including St Anne's in Brno, where CleverTech's MEDICUS integration was dropped because CGM could not cooperate,TEDted.europa.euTED — St Anne's Brno eHealth interoperability, held up by the state's gateway and other vendors (another site)St Anne's university hospital in Brno amended its 2025 eHealth interoperability contract twice in 2026: its connection to the national contact point could not be tested, the state's test portal kept failing, and the makers of its other systems had not cooperated.In the source’s words“Czechia – Medical software package – Rozvoj služeb eHealth ve Fakultní nemocnici u sv. Anny v Brně” and a named general practice in Lanškroun on its own site. Registered in 1992.
- Established: Seyfor (another site)2 sourcesTEDted.europa.euTED — St Anne's Brno eHealth interoperability, held up by the state's gateway and other vendors (another site)St Anne's university hospital in Brno amended its 2025 eHealth interoperability contract twice in 2026: its connection to the national contact point could not be tested, the state's test portal kept failing,…In the source’s words“Czechia – Medical software package – Rozvoj služeb eHealth ve Fakultní nemocnici u sv. Anny v Brně”TEDted.europa.euTED — Kroměříž psychiatric hospital systems award, integration subcontracted (~28.3M CZK) (another site)Kroměříž's psychiatric hospital awarded about 28.3M CZK to modernise its hospital and lab systems, including links to the Zlín-region exchange network and the national eHealth gateway, after 2 bids.In the source’s words“Czechia – Medical information systems – Modernizace informačních systémů Psychiatrické nemocnice v Kroměříži”
It sells business software, 34 programs from accounting and ERP to HR, CRM and cybersecurity, and builds custom platforms for insurers, state bodies and health care (seyfor.com, read 2026-09-28), not hospital data sharing. It is one of CleverTech's two subcontractors at St Anne's in Brno;TEDted.europa.euTED — St Anne's Brno eHealth interoperability, held up by the state's gateway and other vendors (another site)St Anne's university hospital in Brno amended its 2025 eHealth interoperability contract twice in 2026: its connection to the national contact point could not be tested, the state's test portal kept failing, and the makers of its other systems had not cooperated.In the source’s words“Czechia – Medical software package – Rozvoj služeb eHealth ve Fakultní nemocnici u sv. Anny v Brně” the notices do not say for what. Registered in 2013, with 2 distinct public buyers in the contracts register, the town of Krnov and the Kroměříž psychiatric hospital. In Kroměříž's 2026 systems award it is a subcontractor for the electronic records archive and the patient portal.TEDted.europa.euTED — Kroměříž psychiatric hospital systems award, integration subcontracted (~28.3M CZK) (another site)Kroměříž's psychiatric hospital awarded about 28.3M CZK to modernise its hospital and lab systems, including links to the Zlín-region exchange network and the national eHealth gateway, after 2 bids.In the source’s words“Czechia – Medical information systems – Modernizace informačních systémů Psychiatrické nemocnice v Kroměříži”
- Established: HIPPO (another site)TEDted.europa.euTED — Kroměříž psychiatric hospital systems award, integration subcontracted (~28.3M CZK) (another site)Kroměříž's psychiatric hospital awarded about 28.3M CZK to modernise its hospital and lab systems, including links to the Zlín-region exchange network and the national eHealth gateway, after 2 bids.In the source’s words“Czechia – Medical information systems – Modernizace informačních systémů Psychiatrické nemocnice v Kroměříži”
It sells IS HIPPO, a records system built for psychiatric hospitals, and PINEL plus for outpatient and social-care services (hipposoftware.cz, read 2026-10-05), not a layer for sharing records between providers. Named customers include the Kroměříž psychiatric hospital, which awarded it its 2026 systems modernisation with the integration platform subcontracted to another vendor,TEDted.europa.euTED — Kroměříž psychiatric hospital systems award, integration subcontracted (~28.3M CZK) (another site)Kroměříž's psychiatric hospital awarded about 28.3M CZK to modernise its hospital and lab systems, including links to the Zlín-region exchange network and the national eHealth gateway, after 2 bids.In the source’s words“Czechia – Medical information systems – Modernizace informačních systémů Psychiatrické nemocnice v Kroměříži” and the Horní Beřkovice, Opařany and Marianny Oranžské psychiatric hospitals, which signed hospital-system contracts with it in June 2026 on the state contracts register. Registered on 12 February 1991.
Each one's name, products and customers are in its row. What they sell:
- Five sell integration connected to the national eHealth contact point, the state gateway for exchanging patient data between providers.Market checkzdravotnickydenik.czCzech hospital integration products (another site)A sweep of the Czech field naming what already exists — Medicalc mEx, PHYSTER, Stapro FONS/TransMISE, ICZ eMEDOCS, AutoCont's ESB ACIB and M.I.T. Consulting's hospital bus. One of them won Sokolov hospital's eHealth modernisation in August 2026.TEDted.europa.euTED — Sokolov hospital eHealth II modernisation, Medicalc (~12.9M CZK) (another site)Sokolov's hospital awarded an eHealth-programme modernisation of its internal IT to an established Czech hospital-software vendor in August 2026.In the source’s words“Czechia – Medical information systems – Nemocnice Sokolov s.r.o. - Modernizace vnitřního IT prostředí - eHealth II.”
- A sixth sells a hospital enterprise service bus.Market checkzdravotnickydenik.czCzech hospital integration products (another site)A sweep of the Czech field naming what already exists — Medicalc mEx, PHYSTER, Stapro FONS/TransMISE, ICZ eMEDOCS, AutoCont's ESB ACIB and M.I.T. Consulting's hospital bus.
- A seventh sells information-system integration to hospitals.Market checkorcz.czCzech hospital integration supply — coverage recorded (another site)The 2026-08-13 sweep named the Czech integration vendors but never wrote down what was searched. This one does, and it surfaces one more: OR-CZ, which sells IS integration to hospitals alongside Stapro, ICZ, Medicalc, PHYSTER and AutoCont. It won Náchod's data-sharing platform in September 2026.TEDted.europa.euTED — Náchod hospital PACS and eHealth platform, OR-CZ (~€293K) (another site)OR-CZ, the seventh established Czech vendor named here, won a system explicitly built for exchanging data between providers, patients and information systems — a second named public buyer for it beyond Šternberk.In the source’s words“Czechia – Medical software package – Vytvoření eHEALTH platformy pro komunikaci, výměnu a sdílení informací mezi poskytovateli zdravotních služeb, pacienty a informačními systémy pro ONN a.s. a NRK o.z. - Dílčí část 2 – Systém PACS pro…”
- The oldest has sold hospital systems in Czechia since 1990, and its contracts with four named hospitals are public.Registr smluvsmlouvy.gov.czRegistr smluv — STAPRO amendment churn (another site)Price-increase amendments signed the same day, extended works deadlines and an integration platform on its eighth amendment — what buying integration from the incumbent costs after signature.
Those public contracts show what buying from the vendor already inside looks like after signing:Registr smluvsmlouvy.gov.czRegistr smluv — STAPRO amendment churn (another site)Price-increase amendments signed the same day, extended works deadlines and an integration platform on its eighth amendment — what buying integration from the incumbent costs after signature.
- Zlín's regional hospital signed two amendments to its hospital-system service contract on the same day, and both raised the price.Registr smluvsmlouvy.gov.czRegistr smluv — STAPRO amendment churn (another site)Price-increase amendments signed the same day, extended works deadlines and an integration platform on its eighth amendment — what buying integration from the incumbent costs after signature. What they came to is in the table of what one buyer pays, under Willing to pay.
- St Anne's university hospital in Brno extended a works deadline with the same vendor in the same weeks.Registr smluvsmlouvy.gov.czRegistr smluv — STAPRO amendment churn (another site)Price-increase amendments signed the same day, extended works deadlines and an integration platform on its eighth amendment — what buying integration from the incumbent costs after signature.
- Olomouc's university hospital signed a third amendment on its hospital-system works.Registr smluvsmlouvy.gov.czRegistr smluv — STAPRO amendment churn (another site)Price-increase amendments signed the same day, extended works deadlines and an integration platform on its eighth amendment — what buying integration from the incumbent costs after signature.
- Kroměříž hospital signed the seventh and eighth amendments to its integration platform within a month.Registr smluvsmlouvy.gov.czRegistr smluv — STAPRO amendment churn (another site)Price-increase amendments signed the same day, extended works deadlines and an integration platform on its eighth amendment — what buying integration from the incumbent costs after signature.
- The same vendor won the repeat interoperability award in Prague and the Mladá Boleslav modernisation in August 2026.2 sourcesTEDted.europa.euTED — Mladá Boleslav hospital NIS modernization, STAPRO (~€2.9M) (another site)The incumbent STAPRO won another hospital's NIS modernization outright — one more named buyer paying for a bespoke build rather than a shared product.In the source’s words“Czechia – Information systems – Modernizace a rozvoj NIS Oblastní nemocnice Mladá Boleslav, a.s.”TEDted.europa.euTED — Revmatologický ústav eHealth and interoperability re-tender, STAPRO (~€1.11M) (another site)A repeat award for 'eHealth and interoperability' work, won again by the incumbent STAPRO — a tender in the very words of this problem.In the source’s words“Czechia – Information systems – eHealth a interoperabilita Revmatologického ústavu v Praze – opakované zadání” It also holds Semily's interoperability contract, signed in April 2026, and Karlovy Vary's, signed in June 2026.2 sourcesTEDted.europa.euTED — Semily hospital interoperability, deadline extended over the state's e-health centre (another site)MMN, a hospital company based in Jilemnice, extended its Semily hospital's April 2026 interoperability contract because the Health Ministry's national e-health centre had not cooperated on testing the…In the source’s words“Czechia – Software implementation services – Interoperabilita v Nemocnici Semily”TEDted.europa.euTED — Karlovy Vary hospital interoperability, waiting on the state's e-health centre (another site)Karlovy Vary's regional hospital finished and took over its interoperability work in August 2026, but the health ministry's e-health centre had still not confirmed the hospital was connected, so the date for…In the source’s words“Czechia – Medical software package – Interoperabilita v nemocnici Karlovy Vary, KKN a.s.” It has run the Zlín region's shared platform since 2022, and won Ostrava's lab-system link in August 2026 with no competing bid.2 sourcesTEDted.europa.euTED — Zlín-region hospitals' eHealth platform, 2022 contracts changed in 2026 (another site)Three Zlín-region hospitals signed contracts in April 2022 for a shared platform to exchange and share information with other providers, and in August and September 2026 changed one of them twice to pay for…TEDted.europa.euTED — FN Ostrava lab system linked to national eHealth, one bid (~7.9M CZK) (another site)Ostrava's university hospital paid to link its lab system to the central eHealth services and registries, with four years of support, and got a single bid, from the supplier already inside.In the source’s words“Czechia – Medical software package – Podpora a rozvoj laboratorního informačního systému”
- A company new to this work won St Anne's interoperability project in Brno in 2025, with two subcontractors.TEDted.europa.euTED — St Anne's Brno eHealth interoperability, held up by the state's gateway and other vendors (another site)St Anne's university hospital in Brno amended its 2025 eHealth interoperability contract twice in 2026: its connection to the national contact point could not be tested, the state's test portal kept failing, and the makers of its other systems had not cooperated.In the source’s words“Czechia – Medical software package – Rozvoj služeb eHealth ve Fakultní nemocnici u sv. Anny v Brně” One of those subcontractors also sells hospital integration, and the two are the only newer sellers on file.TEDted.europa.euTED — St Anne's Brno eHealth interoperability, held up by the state's gateway and other vendors (another site)St Anne's university hospital in Brno amended its 2025 eHealth interoperability contract twice in 2026: its connection to the national contact point could not be tested, the state's test portal kept failing, and the makers of its other systems had not cooperated.In the source’s words“Czechia – Medical software package – Rozvoj služeb eHealth ve Fakultní nemocnici u sv. Anny v Brně”
The state audit office found one hospital buying its software the same way, from suppliers already inside and without competition.nku.czNKÚ audit 25/14 — IKEM bought IT through 345 small orders (another site)The state audit office found that IKEM — Prague's institute of clinical and experimental medicine — paid three IT suppliers 59.5M CZK through at least 345 orders without a tender, and broke procurement law in half of the 30 contracts it checked.In the source’s words“Kontrola prověřila 30 veřejných zakázek v celkové hodnotě 578,7 mil. Kč. U poloviny z nich, v celkové hodnotě 380,1 mil. Kč, IKEM porušil právní předpisy.” IKEM — Prague's institute of clinical and experimental medicine — paid three IT suppliers 59.5M CZK through at least 345 orders without a tender.nku.czNKÚ audit 25/14 — IKEM bought IT through 345 small orders (another site)The state audit office found that IKEM — Prague's institute of clinical and experimental medicine — paid three IT suppliers 59.5M CZK through at least 345 orders without a tender, and broke procurement law in half of the 30 contracts it checked.In the source’s words“Kontrola prověřila 30 veřejných zakázek v celkové hodnotě 578,7 mil. Kč. U poloviny z nich, v celkové hodnotě 380,1 mil. Kč, IKEM porušil právní předpisy.” One supplier alone got more than 31M CZK in 2022–2024 for building and maintaining 13 of its applications, in orders each under 150,000 CZK.nku.czNKÚ audit 25/14 — IKEM bought IT through 345 small orders (another site)The state audit office found that IKEM — Prague's institute of clinical and experimental medicine — paid three IT suppliers 59.5M CZK through at least 345 orders without a tender, and broke procurement law in half of the 30 contracts it checked.In the source’s words“Kontrola prověřila 30 veřejných zakázek v celkové hodnotě 578,7 mil. Kč. U poloviny z nich, v celkové hodnotě 380,1 mil. Kč, IKEM porušil právní předpisy.”
Execution difficulty
0/3 · Very hard
Makes it easier
- Hospitals already buy integration in open tenders.
- They publish the message formats they want.
- EU law requires exchangeable patient summaries from 2029.
Makes it harder
- Every sale is a public tender of €0.2M to €3.4M.
- Seven established Czech vendors already sell it.
- Bidding costs money before any payment.
P-0022 · Czech hospitals each pay millions for their own software to share patient data
Execution difficulty
About this section
- What this shows
- What stands between you and the first sale: who buys, what permission selling needs, what it must plug into, and whether it needs outside money.
- Why it matters to a builder
- It tells you whether a small team can start selling soon, or needs a licence, a certification or funding first.
- How to read the score
- More points mean easier to enter: 3/3 is easy, 0/3 very hard. It is not added to the Opportunity total, and local competition does not count here: that is Market gap.
Very hard
Makes it easier
- Hospitals already buy integration in open tenders.
- They publish the message formats they want.
- EU law requires exchangeable patient summaries from 2029.
Makes it harder
- Every sale is a public tender of €0.2M to €3.4M.
- Seven established Czech vendors already sell it.
- Bidding costs money before any payment.
Local competition does not change this level. It is covered under Market gap.
Suggested first moves
- Build a connector that links a hospital's existing systems to other providers, in the message formats Czech hospital tenders already ask for.
- Call the IT heads of the Zlín, Kroměříž and Olomouc hospitals, which keep signing amendments with their system vendor, and ask what integration costs them.
- Bid for the open hospital tenders, the only purchases here an outsider can enter without displacing a signed contract.
P-0022 · Czech hospitals each pay millions for their own software to share patient data
Suggested first moves
About this section
- What this shows
- A few concrete steps to start with.
- Why it matters to a builder
- They are cheap ways to learn whether buyers will pay, before you build much.
- Build a connector that links a hospital's existing systems to other providers, in the message formats Czech hospital tenders already ask for. The specifications hospitals publish ask for a service bus inside the integration layer that exchanges the two health-data formats Czech hospitals run on; see The opportunity. Build that as one product that sits beside whatever hospital system is already installed, not as another hospital system. Established vendors already sell connections to the state's eHealth gateway, so yours has to work beside theirs; see Market gap.
- Call the IT heads of the Zlín, Kroměříž and Olomouc hospitals, which keep signing amendments with their system vendor, and ask what integration costs them. Their contracts are public, and the amendments are listed under Market gap, with what one of them cost under Willing to pay. Ask which connections they pay for again and again, and which they would rather buy once as a product. Then show them the date from which the EU makes exchangeable records compulsory, under Why now.
- Bid for the open hospital tenders, the only purchases here an outsider can enter without displacing a signed contract. The Plzeň hospital group's system with integrations, a psychiatric hospital's eHealth system, Brno's cancer institute's eHealth package and Mělník's hospital system went out without a supplier named; see The opportunity. Their results are not on file, so find out who won each. Where an established vendor won, the next open tender is the door.
- Plan for a long fight against seven established Czech vendors, and watch for the two events that could open the field. Each already sells hospital integration, and the oldest has sold hospital systems for decades; see Market gap. The first event is who wins open tenders like Plzeň's. The second is the EU's detailed rules for hospital record systems, which fall on every one of those vendors; their date is under Why now. Bidding costs money long before a first payment, as Execution difficulty explains.