The MEDAKIS project
Background and aim
Need for EHR system at the largest (University) hospitals in Norway. Assumption that EHR systems developed for smaller (non-university, local) hospitals were not suitable for this purpose.
Mainly funded by the Norwegian government and the participating hospitals.
Vendor of system
The 5 largest hospitals in Norway (4 of which are university / teaching hospitals)
- St.Olavs hospital, Trondheim, Norway (home page)
- Haukeland University Hospital, Bergen, Norway (home page)
- Ullevaal University Hospital, Oslo, Norway
- Rikshospitalet, Oslo, Norway.
- University hospital of Northern Norway. (home page (Norwegian))
Course of the project
The project quickly ran into trouble because of discrepancy between its ambitions and the willingness to fund theese ambitions. Read this (PDF) for more info. All hospitals had (legacy) Patient-administrative systems which the new system had to be integrated against. As a consequence of the complexity, deliverances and other important milestones became delayed. In an evaluation in 2001, the resulting system had a poorer functionality compared with the two other EHR systems at the Norwegian hospital market.
Doculive EPR system implemented at participating hospitals. The project ended in 2003. In 2005 University hospital of Northern Norway changed from Doculive EPR system to DIPS. As of 2007, Haukeland University hospital also has decided to switch to DIPS. Central Norway Regional Health Authority (8 hospitals) signed an add-on contract to the Medakis for the region (St.Olavs hospital was the only participant in the Medakis project). Rikshospitalet and Ullevaal University hospital are still using DocuLive as their main EPR system. Rikshospitalet has buildt a portal (CSAM) on top of DocuLive.
The MEDAKIS project went through a thorough evaluation between 2001 and 2003. See references.
- Ellingsen G, Monteiro E. Big is beautiful: electronic patient records in large Norwegian hospitals 1980s-2001 Methods Inf Med. 2003;42(4):366-70 (PDF)
- Laerum H, Ellingsen G, Faxvaag A. Doctors' use of electronic medical records systems in hospitals: cross sectional survey. BMJ. 2001 Dec 8;323(7325):1344-8 (Full text in BMJ)
- Gunnar Ellingsen and Eric Monteiro. A patchwork planet. Integration and cooperation in hospitals, Computer supported coopertive work: the journal, 12(1): 71 – 95, 2003 (PDF)
- Eric Monteiro. Integrating health information systems, Methods of Information in Medicine: a critical perspective, 42/4:428 - 432, 2003 (PDF)