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"name": "Procedencia", "id": "1"}, {"name": "Orden", "value": "676", "id": "7"}]}, {"id": "1ef80cd3-51fb-6b06-9b4a-7d130782fad8", "description": "ASPIRACION DE SECRECIONES", "classification": {"scheme": "catalogoNivel5DNCP", "id": "85121609-999", "description": "Servicio de Cirugia Especializada", "uri": "https://www.contrataciones.gov.py/datos/api/v3/doc/itemClassification/n5/85121609-999"}, "additionalClassifications": [{"scheme": "UNSPSC", "id": "85121609", "description": "Servicios quirurgicos", "uri": "https://www.contrataciones.gov.py/datos/api/v3/doc/itemClassification/n4/85121609"}], "quantity": 1, "unit": {"name": "Unidad", "id": "UNI", "value": {"amount": 60000, "currency": "PYG"}}, "relatedLot": "1ef80c56-3543-6572-9963-17f5524e4588", "attributes": [{"value": "NACIONAL", "name": "Procedencia", "id": "1"}, {"name": "Orden", "value": "677", "id": "7"}]}, {"id": "1ef80cd3-51ff-6404-b552-7d130782fad8", "description": "EXTRACCION DE PUNTOS", "classification": {"scheme": "catalogoNivel5DNCP", "id": "85121504-003", "description": "Servicio de curaci\u00f3n ", "uri": "https://www.contrataciones.gov.py/datos/api/v3/doc/itemClassification/n5/85121504-003"}, "additionalClassifications": [{"scheme": "UNSPSC", "id": "85121504", "description": "Servicios medicos varios", "uri": "https://www.contrataciones.gov.py/datos/api/v3/doc/itemClassification/n4/85121504"}], "quantity": 1, "unit": {"name": "Unidad", "id": "UNI", "value": {"amount": 60000, "currency": "PYG"}}, "relatedLot": "1ef80c56-3543-6572-9963-17f5524e4588", "attributes": [{"value": "NACIONAL", "name": "Procedencia", "id": "1"}, {"name": "Orden", "value": "678", "id": "7"}]}]}], "tender": {"id": "1ef747bf-2bba-670a-ae2b-6de006e90521", "title": "LPN N\u00b0 161/24 CONTRATACION DE SERVICIOS MEDICOS TERCERIZADOS PARA EL CHACO CENTRAL", "status": "complete", "awardCriteria": "priceOnly", "awardCriteriaDetails": "Por Lote", "submissionMethod": ["inPerson"], "bidOpening": {"date": "2024-11-20T08:00:00-04:00", "address": {"streetAddress": "CONSTITUCION Y HERRERA 1ER PISO - DOP - DPTO DE LICITACIONES."}}, "submissionMethodDetails": "Lugar entrega ofertas: CONSTITUCION Y HERRERA 1ER PISO - DOP - DPTO DE LICITACIONES.", "statusDetails": "Adjudicada", "enquiriesAddress": {"streetAddress": "A TRAVES DEL SICP"}, "clarificationMeetings": [{"address": {"streetAddress": "-"}, "id": "1"}], "mainProcurementCategoryDetails": "Servicios - Equipos Accesorios y Suministros Medicos", "hasEnquiries": false, "value": {"amount": 84000000000, "currency": "PYG"}, "datePublished": "2024-10-07T12:46:12-04:00", "tenderPeriod": {"startDate": "2024-10-07T12:46:12-04:00", "endDate": "2024-11-20T07:45:00-04:00", "durationInDays": 43}, "awardPeriod": {"startDate": "2024-11-20T08:00:00-04:00"}, "contractPeriod": {"durationInDays": 720}, "enquiryPeriod": {"endDate": "2024-11-13T08:00:00-04:00", "startDate": "2024-10-07T12:46:12-04:00", "durationInDays": 36}, "mainProcurementCategory": "services", "additionalProcurementCategories": ["services"], "procurementMethod": "open", "procurementMethodDetails": "Licitaci\u00f3n P\u00fablica Nacional", "procuringEntity": {"id": "DNCP-SICP-CODE-157", "name": "Instituto de Previsi\u00f3n Social (IPS)"}, "criteria": [{"id": "1", "title": "Garant\u00eda de Mantenimiento de Ofertas", "description": "Los oferentes, proveedores o contratistas deber\u00e1n garantizar la seriedad de sus ofertas, mediante la garant\u00eda de mantenimiento de la oferta", "source": "tenderer", "requirementGroups": [{"id": "1-1", "description": "La garant\u00eda debe ser de un cierto porcentaje, periodo y tipo", "requirements": [{"id": "1-1-1", "title": "Porcentaje de la garantia", "expectedValue": "5"}, {"id": "1-1-2", "title": "Validez de la garantia en d\u00edas", "expectedValue": "180"}]}]}], "enquiries": [{"id": "d2917f03bb6332f51b59534807c6b91f-1", "date": "2024-10-30T09:06:02-04:00", "title": "endoscop\u00eda digestiva programada", "description": "EL acceso a este tipo de estudios diagn\u00f3sticos posibilita la detecci\u00f3n de enfermedades como el c\u00e1ncer, adem\u00e1s de otras de origen infeccioso/inflamatorio.\nS\u00ed los pacientes tienen que viajar hasta Asunci\u00f3n (500 Km) y han tenido la suerte de que los endoscopistas no pidieron reposo o el anestesi\u00f3logo se enferm\u00f3 o por un error del sistema los pacientes no figuran en la lista con lo cual deben volver al Chaco y hacer todo de nuevo), representa un enorme gasto de bolsillo para el usuario este sistema.\nCu\u00e1l es la propuesta de soluci\u00f3n? Los hospitales p\u00fablicos de la zona no tienen este tipo de estudios.", "answer": "El oferente deber\u00e1 ajustarse al Pliego de Bases y Condiciones.", "dateAnswered": "2024-11-11T14:17:44-04:00"}, {"id": "4eb84f9180dfb404ffd3b18ead8c3f3e-1", "date": "2024-10-30T09:06:07-04:00", "title": "ecograf\u00eda de la ves\u00edcula y v\u00edas biliares", "description": "La litiasis vesicular y sus complicaciones son enfermedades prevalentes de la zona, sobre todo de la poblaci\u00f3n ind\u00edgena (la m\u00e1s pobre y por tanto vulnerable) de la zona. Retirar de la lista este estudio diagn\u00f3stico es ir en contra de esa poblaci\u00f3n.", "answer": "Se aclara que el estudio mencionado no fue excluido. Por lo tanto el  oferente deber\u00e1 ajustarse al Pliego de Bases y Condiciones.", "dateAnswered": "2024-11-11T14:17:52-04:00"}, {"id": "4209b90dad2b4b0df83d00d59fe52cae-1", "date": "2024-11-06T14:51:13-04:00", "title": "Garant\u00eda bancaria", "description": "Nos dirigimos a usted, y por su digno intermedio a donde corresponda referente al email recibido en fecha 05 de noviembre de 2024, con el Asunto \u201cSe han modificado datos de la convocatoria con ID: 454809\u201d. En donde se indican los siguientes cambios:\nSe cambio la fecha de consulta a: 2024-11-08 08:00:00\n\nSe ha cambiado la fecha entrega de oferta a: 2024-11-15 09:45:00\n\nSe ha cambiado la fecha de apertura a: 2024-11-15 10:00:00\nDado que la fecha de apertura de sobre estaba prevista para la fecha 06 de noviembre de 2024, hemos gestionado la emisi\u00f3n de una garant\u00eda bancaria que cubra el plazo establecido en el pliego de bases y condiciones de 180 d\u00edas. Previendo un posible cambio de fecha de apertura, hemos solicitado la cobertura por m\u00e1s d\u00edas del requerido. Sin embargo, con esta nueva fecha propuesta, considerando la garant\u00eda ya emitida nos queda nuevamente un d\u00eda sin cobertura, ser\u00eda entonces 179 d\u00edas. Solicitamos puedan considerar igualmente esta garant\u00eda (Adjunta), teniendo en cuenta que la misma corresponde a la garant\u00eda de mantenimiento de oferta, y luego se estar\u00eda presentando una garant\u00eda de cumplimiento de contrato. \nEn espera de su respuesta favorable, le saluda atentamente,", "answer": "Se aclara que el  Periodo de Validez de la Garant\u00eda de Mantenimiento de Oferta es 180 (ciento ochenta) en d\u00edas calendario, por lo que el oferente deber\u00e1 ajustarse a lo indicado en el Pliego de Bases y Condiciones. \n\n", "dateAnswered": "2024-11-11T14:22:08-04:00"}, {"id": "cb195f5b061e6586b34432271487e665-1", "date": "2024-10-29T16:36:22-04:00", "title": "ITEM  424", "description": "Por favor aclaren el ITEM \nNo. 424\t\nC\u00f3digo de Cat\u00e1logo 85121801-001\nNombre\t\u5433\nEn cat\u00e1logo: Analisis de sangre \nUnidad de Medida: Unidad\n\u20b2 110.200", "answer": "El oferente deber\u00e1 remitirse a los Datos Cargados en el SICP.", "dateAnswered": "2024-11-11T14:16:48-04:00"}, {"id": "b146dfc4864012ffabf84c77f1a9729f-1", "date": "2024-10-18T08:16:08-04:00", "title": "Atenci\u00f3n a parto y accidente laboral.", "description": "Mencionar en los incisos de derecho a internaci\u00f3n las excepciones de parto y accidente la boral ya que no requiere 6 meses de aporte continuo.", "answer": "Se aclara que la cobertura de embarazadas /partos se realiza desde el primer mes  aporte al seguro, los accidentes laborales cuentan con coberturas seg\u00fan  procesos que se realizan a trav\u00e9s de Admisi\u00f3n Hospitalaria y Comprobaci\u00f3n de Derechos del Asegurado. Por lo Tanto el oferente deber\u00e1 ajustarse a lo establecido en el Pliego de Bases y Condiciones.", "dateAnswered": "2024-11-07T14:17:04-04:00"}, {"id": "3d492efd636a146655a73f7575b58c76-1", "date": "2024-10-18T08:20:55-04:00", "title": "1-\tReferente de cirug\u00edas mayores programadas no menciona en este registro.", "description": "a)\tEl Hospital de la Contratista podr\u00e1 atender consultas e internaciones por casos cl\u00ednicos, cirug\u00edas menores y mayores, de urgencias y partos mediante la presentaci\u00f3n de la c\u00e9dula de identidad del asegurado del IPS.\nSolicitamos, que se incluya cirug\u00edas programadas.", "answer": "Se aclara que las cirug\u00edas programadas podr\u00e1n realizarse \u00fanicamente con autorizaci\u00f3n previa de los Fiscalizadores M\u00e9dicos designados por el IPS, DGM/DPE, en un plazo no mayor de 15 d\u00edas h\u00e1biles y, una vez comprobado por los mismos que las cirug\u00edas no pueden realizarse en otros hospitales del IPS o en centros u hospitales con los que \u00e9ste cuente con convenios de cooperaci\u00f3n activos '/ vigentes. Las cirug\u00edas de urgencias deber\u00e1n ser comunicadas dentro de las 24 horas de haberse realizado la intervenci\u00f3n, a los Fiscalizadores M\u00e9dicos y al Departamento de Prestaciones Externas. Por lo tanto, el oferente deber\u00e1 ajustarse a lo establecido en el Pliego de Bases y Condiciones.", "dateAnswered": "2024-11-07T14:18:30-04:00"}, {"id": "525fbe2f6bae228014c9fddd2c25b45d-1", "date": "2024-10-18T08:20:25-04:00", "title": "plazo para realizar cirug\u00edas programadas", "description": "el contrato menciona un plazo de 15 d\u00edas para realizar las cirug\u00edas aprobadas, solicitamos aumentar el plazo a 90 d\u00edas.", "answer": "El oferente deber\u00e1 ajustarse a lo establecido en el Pliego de Bases y Condiciones.", "dateAnswered": "2024-11-07T14:17:37-04:00"}, {"id": "6a81fb670fbcc3b9b9fd735d432ef874-1", "date": "2024-10-30T09:05:35-04:00", "title": "Toillette pleural", "description": "Cu\u00e1l es la alternativa a este procedimiento? remitirlo al HC IPS para su tratamiento con lo cual se gasta dinero en el traslado en ambulancia generando no s\u00f3lo gasto extraordinario a la instituci\u00f3n si no adem\u00e1s al paciente (cada viaje a Asunci\u00f3n para los pacientes representa un enorme gasto de bolsillo).", "answer": "El oferente deber\u00e1 ajustarse al Pliego de Bases y Condiciones.", "dateAnswered": "2024-11-11T14:17:19-04:00"}, {"id": "fbd9ad493d1b4ba1881dea41baf49c8e-1", "date": "2024-10-30T09:06:12-04:00", "title": "drenaje de abscesos", "description": "Si no podemos practicar estos procedimientos, la alternativa es que se drenen en otro servicio? los hospitales p\u00fablicos de la zona (al d\u00eda de hoy 30/10/2024) no cuentan con jeringas, cintas adhesivas, analg\u00e9sicos ni antibi\u00f3ticos.\nQue se remitan al HC del IPS para su drenaje? viaje de 50 Km para eso? encima que le hagan sacar turno y le dejen en el pasillo esperando d\u00edas para el procedimiento? o que se vayan em ambulancia con lo cual aumenta el gasto (de bolsillo o del IPS) 20 veces el costo hospitalario que figura en la lista...", "answer": "Se aclara que el estudio mencionado no fue excluido. Por lo tanto el  oferente deber\u00e1 ajustarse al Pliego de Bases y Condiciones.", "dateAnswered": "2024-11-11T14:18:05-04:00"}, {"id": "857f5a7288336595ca9c51849f86a272-1", "date": "2024-10-18T08:18:03-04:00", "title": "uso de ambulancias locales", "description": "Limitar el traslado de los pacientes hasta los Hospitales del IPS en los Departamentos, Villa Hayes, central y concepci\u00f3n o limitar hasta 500 km.", "answer": "El oferente deber\u00e1 ajustarse a lo establecido en el Pliego de Bases y Condiciones.", "dateAnswered": "2024-11-07T14:17:16-04:00"}, {"id": "874f777be548662f00f1c08100a27939-1", "date": "2024-10-18T08:20:35-04:00", "title": "Registros profesionales", "description": "actualmente el MSPyBS emite registros digitales con c\u00f3digo de verificaci\u00f3n QR podr\u00edan presentarse sin necesidad de fotocopia autenticada ya que la veracidad puede comprobarse con el c\u00f3digo digital.", "answer": "El oferente deber\u00e1 remitirse al Pliego de Bases y Condiciones Ultima Versi\u00f3n.", "dateAnswered": "2024-11-07T14:18:03-04:00"}, {"id": "1be883eb678f391cb230938f86a6fd4c-1", "date": "2024-10-29T17:42:16-04:00", "title": "laparotom\u00eda exploradora", "description": "Las cirug\u00edas de urgencias abdominales, muchas veces representan un desaf\u00eda diagn\u00f3stico y terap\u00e9utico, una de las herramientas fundamentales para enfrentar estas afecciones es la Laparotom\u00eda exploradora. Retirar este \u00edtem limita la posibilidad terap\u00e9utica a pacientes con diagn\u00f3sticos como Estallido hep\u00e1tico, estallido renal, estallido espl\u00e9nico, afecciones propias de hombres de campo, el Hospital Filadelfia se encuentra en una zona agro ganadera por excelencia, en la cual hay ca\u00edda de caballo y accidentes de moto propias de esas labores de campo.\nResulta absurdo proponer que un paciente con una hemorragia masiva tenga que ser derivado 500 Km de distancia (siete horas de viaje) hasta un Centro del IPS para recibir tratamiento (el paciente se muere en el camino).", "answer": "Se aclara que la situaci\u00f3n planteada se ajusta a las cirug\u00edas de urgencias y/o por accidentes laborales. Por lo tanto el oferente deber\u00e1 ajustarse al Pliego de Bases y Condiciones.", "dateAnswered": "2024-11-11T14:17:09-04:00"}, {"id": "58dee48c04e55f117b4843a9d1cd7531-1", "date": "2024-10-30T09:05:39-04:00", "title": "Punci\u00f3n drenaje pleural", "description": "Cu\u00e1l es la alternativa a este procedimiento que puede ser diagn\u00f3stico y terap\u00e9utico?", "answer": "Se aclara que el estudio mencionado no fue excluido. Por lo tanto el  oferente deber\u00e1 ajustarse al Pliego de Bases y Condiciones.", "dateAnswered": "2024-11-11T14:17:27-04:00"}, {"id": "ff76071e211ff2ad69f2f12972a07773-1", "date": "2024-10-18T08:20:45-04:00", "title": "Identificaci\u00f3n del Paciente", "description": "Se puede incluir en el contrato pacientes que portan su identidad digital, cedula vencida no mas de un a\u00f1o, contrase\u00f1a original de tramite de renovaci\u00f3n de cedula de identidad u otra identificaci\u00f3n oficial nacional para acceder a los servicios m\u00e9dicos", "answer": "El oferente deber\u00e1 remitirse al Pliego de Bases y Condiciones Ultima Versi\u00f3n.", "dateAnswered": "2024-11-07T14:18:12-04:00"}, {"id": "6fb38a11b85039a46a7f6dbbb1dffdc3-1", "date": "2024-10-18T08:15:03-04:00", "title": "medicamentos e insumos m\u00e9dicos para stock de internados y urgencias", "description": "solicitamos se incluya un inciso que permita que el \u00e1rea de urgencias e internados cuenten con un stock de medicamentos y materiales de uso esenciales para procederes m\u00e9dicos y enfermer\u00edas necesarios fuera de los horarios laborales de la farmacia.", "answer": "Se aclara que funcionarios del IPS de cada  farmacia habilita de forma habitual un Stock de medicamentos e insumos suficientes para brindar la cobertura necesaria para  los  servicios de urgencia, ambulatorios y de internaci\u00f3n. Por lo Tanto el oferente deber\u00e1 ajustarse a lo establecido en el Pliego de Bases y Condiciones.", "dateAnswered": "2024-11-07T14:16:54-04:00"}, {"id": "d42949adcb572d28036563e374e476a0-1", "date": "2024-10-30T09:05:42-04:00", "title": "peritonitis por perforaci\u00f3n intestinal", "description": "Si retiran esta opci\u00f3n de la lista... cu\u00e1l es la alternativa terap\u00e9utica? ostomizar a todos los pacientes? con lo cual se incermentan los costos porque luego hay que restiruir el tr\u00e1nsito intestinal.", "answer": "El oferente deber\u00e1 ajustarse al Pliego de Bases y Condiciones.", "dateAnswered": "2024-11-11T14:17:36-04:00"}, {"id": "6510578f1158e0ddc952bb2d66d8e0de-1", "date": "2024-11-07T08:20:18-04:00", "title": "Administraci\u00f3n de la farmacia", "description": "Para la prescripci\u00f3n, provisi\u00f3n y control de materiales m\u00e9dicos el IPS designar\u00e1 a un funcionario encargado o regente de Farmacia, responsable de la solicitud, recepci\u00f3n, distribuci\u00f3n y control de los materiales m\u00e9dicos; as\u00ed mismo contar\u00e1 con profesionales t\u00e9cnicos en farmacia seg\u00fan disponibilidad de recursos humanos a fin dar cobertura en horarios diurnos, nocturnos y franqueros.\n\n\nLa contratista podr\u00e1 asignar personal para la provisi\u00f3n y control de material m\u00e9dico de IPS para cubrir los horarios en los que no se cuenten con funcionario o regente encargado de farmacia en caso de vacacione, reposo m\u00e9dico o falta de recursos humanos de la contratante.", "answer": "Se aclara que el IPS dispondr\u00e1 de funcionarios para las farmacias seg\u00fan su disponibilidad de recursos humanos, aclarando que se iniciaron nuevas contrataciones. Por lo tanto el oferente deber\u00e1 ajustarse a lo establecido en el Pliego de Bases y Condiciones.", "dateAnswered": "2024-11-15T13:15:53-04:00"}, {"id": "93a2b147c19ff7e712f8de43530664b6-1", "date": "2024-10-30T09:06:15-04:00", "title": "colecistectom\u00eda con colangiograf\u00eda", "description": "la colangiograf\u00eda intraoperatoria es un procedimiento diagn\u00f3stico que puede indicar una conducta terap\u00e9utica en el tratamiento de una patolog\u00eda prevalente del Chaco paraguayo.\nLa indicaci\u00f3n de este procedimiento no es de rutina en nuestro servicio, se practica si el paciente tiene altos \u00edndices de sospecha de litiasis de la v\u00eda biliar principal, pero adem\u00e1s, se practica cuando se sospecha de una lesi\u00f3n quir\u00fargica de la v\u00eda biliar princial.\nRetirar este estudio de la lista de procedimientos es privar a los cirujanos de nuestro servicio de la posibilidad diagn\u00f3stica de una complicaci\u00f3n quir\u00fargica con lo que se puede mejorar el tratamiento posterior de los pacientes.\nLas complicaciones quir\u00fargicas de una simple colecistectom\u00eda que se complica pueden derivar en una necesidad de trasplante hep\u00e1tico, con lo cual se incrementan de manera astron\u00f3mica los costos hospitalarios que en principio pudieran prevenirse con este simple procedimiento.", "answer": "El  oferente deber\u00e1 ajustarse al Pliego de Bases y Condiciones.", "dateAnswered": "2024-11-11T14:21:47-04:00"}, {"id": "9d25e8d4dd3f619b9eb1b30f4c24c650-1", "date": "2024-10-29T16:36:42-04:00", "title": "ITEM  425", "description": "Por favor aclaren el ITEM No. 425\nC\u00f3digo de Cat\u00e1logo 85121801-001\nNombre\t\u5434\nEn cat\u00e1logo: Analisis de sangre \nUnidad de Medida: Unidad\n\u20b2 110.200", "answer": "El oferente deber\u00e1 remitirse a los Datos Cargados en el SICP.", "dateAnswered": "2024-11-11T14:17:01-04:00"}, {"id": "f399bf6e47f011011c92021d5b4d78e4-1", "date": "2024-10-29T16:32:22-04:00", "title": "Asunto: Procedimientos Quir\u00fargicos y Cirug\u00eda", "description": "En el LPN N\u00b0161.2024 con ID 454809, en su parte correspondiente \u201cDE PROCEDIMIENTOS QUIR\u00daRGICOS. DE LA CIRUG\u00cdA\u201d, del PBC Versi\u00f3n 3, cita la siguiente frase:\n\u00cdtems con procedimientos quir\u00fargicos, las cotizaciones se incluir\u00e1n sin ser limitativos, los siguientes conceptos, los que deber\u00e1n ser prove\u00eddos por el prestador e incluidos dentro del precio ofertado\n\n\u00bfDado el caso de intervenciones en donde se realicen m\u00e1s de un procedimiento en el mismo acto, las consideraciones para la cobertura por parte de IPS, cu\u00e1l ser\u00eda?", "answer": "El oferente deber\u00e1 remitirse al Pliego de Bases y Condiciones Ultima Versi\u00f3n.", "dateAnswered": "2024-11-11T14:15:41-04:00"}, {"id": "b0a375ce6abb9512c0d01226395a6f81-1", "date": "2024-10-18T08:19:58-04:00", "title": "referencia de pacientes a otros centros", "description": "Habitualmente el fiscalizador del IPS coordina los traslados. En el contrato no se menciona,\nsolicitamos se cambie el inciso que menciona el procedimiento de traslado de pacientes dando la responsabilidad de la gesti\u00f3n al fiscalizador.", "answer": "El oferente deber\u00e1 remitirse al Pliego de Bases y Condiciones Ultima Versi\u00f3n.", "dateAnswered": "2024-11-07T14:17:27-04:00"}], "lots": [{"id": "1ef76ffc-4853-6a32-acd2-5b07bcd5035b", "title": "1 - 1 - LOTE 1", "status": "active", "statusDetails": "activo", "value": {"amount": 42000000000, "currency": "PYG"}, "openContractType": "monto", "minValue": {"amount": 21000000000, "currency": "PYG"}, "simultaneousSupply": false, "attributes": [{"name": "Orden", "value": "1", "id": "1"}]}, {"id": "1ef80c5a-00fd-60e8-bfd6-f18daa7ff0c2", "title": "3 - 1 - LOTE 3", "status": "active", "statusDetails": "activo", "value": {"amount": 16800000000, "currency": "PYG"}, "openContractType": "monto", "minValue": {"amount": 8400000000, "currency": "PYG"}, "simultaneousSupply": false, "attributes": [{"name": "Orden", "value": "1", "id": "3"}]}, {"id": "1ef80c56-3543-6572-9963-17f5524e4588", "title": "2 - 1 - LOTE 2", "status": "active", "statusDetails": "activo", "value": {"amount": 25200000000, "currency": "PYG"}, "openContractType": "monto", "minValue": {"amount": 12600000000, "currency": "PYG"}, "simultaneousSupply": false, "attributes": [{"name": "Orden", "value": "1", "id": "2"}]}], "items": [{"id": "1ef80cd5-36a2-63d0-8403-69ab27e62c01", "description": "ANASTOMOSIS DE ARTERIA CORTADA", "classification": {"scheme": "catalogoNivel5DNCP", "id": "85121609-007", "description": "Servicio de Cirugia General", "uri": "https://www.contrataciones.gov.py/datos/api/v3/doc/itemClassification/n5/85121609-007"}, "additionalClassifications": [{"scheme": "UNSPSC", "id": "85121609", "description": "Servicios quirurgicos", "uri": "https://www.contrataciones.gov.py/datos/api/v3/doc/itemClassification/n4/85121609"}], "unit": {"name": "Unidad", "id": "UNI", "value": {"amount": 5635600, "currency": 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"description": "OSTEOSINTESIS DE RADIO", "classification": {"scheme": "catalogoNivel5DNCP", "id": "85121612-001", "description": "Servicio ortopedico y de traumatologia", "uri": "https://www.contrataciones.gov.py/datos/api/v3/doc/itemClassification/n5/85121612-001"}, "additionalClassifications": [{"scheme": "UNSPSC", "id": "85121612", "description": "Servicios ortopedicos y de traumatologia", "uri": "https://www.contrataciones.gov.py/datos/api/v3/doc/itemClassification/n4/85121612"}], "unit": {"name": "Unidad", "id": "UNI", "value": {"amount": 5970000, "currency": "PYG"}}, "relatedLot": "1ef80c5a-00fd-60e8-bfd6-f18daa7ff0c2", "attributes": [{"name": "Presentacion", "value": "EVENTO", "id": "1"}, {"name": "Orden", "value": "278", "id": "2"}]}, {"id": "1ef80cd3-5017-6312-b0e5-7d130782fad8", "description": "IGE ESPECIFICO SESAMO", "classification": {"scheme": "catalogoNivel5DNCP", "id": "85121801-001", "description": "Servicio de Analisis de sangre", "uri": 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"1ef80c5a-00fd-60e8-bfd6-f18daa7ff0c2", "attributes": [{"name": "Presentacion", "value": "EVENTO", "id": "1"}, {"name": "Orden", "value": "587", "id": "2"}]}, {"id": "1ef80cd4-4265-697a-b08a-17a66030e4e8", "description": "RUBEOLA IGM", "classification": {"scheme": "catalogoNivel5DNCP", "id": "85121801-001", "description": "Servicio de Analisis de sangre", "uri": "https://www.contrataciones.gov.py/datos/api/v3/doc/itemClassification/n5/85121801-001"}, "additionalClassifications": [{"scheme": "UNSPSC", "id": "85121801", "description": "Servicios de laboratorios de analisis sanguineos", "uri": "https://www.contrataciones.gov.py/datos/api/v3/doc/itemClassification/n4/85121801"}], "unit": {"name": "Unidad", "id": "UNI", "value": {"amount": 122200, "currency": "PYG"}}, "relatedLot": "1ef76ffc-4853-6a32-acd2-5b07bcd5035b", "attributes": [{"name": "Presentacion", "value": "EVENTO", "id": "1"}, {"name": "Orden", "value": "419", "id": "2"}]}, {"id": "1ef80cd4-3afc-6fbc-99e4-17a66030e4e8", "description": "CADERAS A/P ", "classification": {"scheme": "catalogoNivel5DNCP", "id": "85121808-003", "description": "Radiografia", "uri": "https://www.contrataciones.gov.py/datos/api/v3/doc/itemClassification/n5/85121808-003"}, "additionalClassifications": [{"scheme": "UNSPSC", "id": "85121808", "description": "Servicios de diagnostico", "uri": "https://www.contrataciones.gov.py/datos/api/v3/doc/itemClassification/n4/85121808"}], "unit": {"name": "Unidad", "id": "UNI", "value": {"amount": 161800, "currency": "PYG"}}, "relatedLot": "1ef76ffc-4853-6a32-acd2-5b07bcd5035b", "attributes": [{"name": "Presentacion", "value": "EVENTO", "id": "1"}, {"name": "Orden", "value": "83", "id": "2"}]}, {"id": "1ef80cd5-371b-6a0a-96d2-69ab27e62c01", "description": "COLESTEROL LDL", "classification": {"scheme": "catalogoNivel5DNCP", "id": "85121801-001", "description": "Servicio de Analisis de sangre", "uri": "https://www.contrataciones.gov.py/datos/api/v3/doc/itemClassification/n5/85121801-001"}, 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