The MEDAKIS project

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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 not were suitable for this purpose.

Funding

Mainly funded by the Norwegian government and the participating hospitals.

Duration

1997-2001

Vendor of system

Participating hospital(s)

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 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 resources available. 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, and the resulting system had a poorer functionality compared with the two other EHR systems at the Norwegian hospital market.

Tough in recent version DocuLive has now at least the same amount of functionality as DIPS, and more than Tieto's. DocuLive is also the only one that has successfully migrated to a new and modern technology platform, since late 2004 DocuLive was running as a pure ".NET" application, and has an extensive library of WebServices.

Outcome

Doculive EPR system implemented at participating hospitals. In 2005 University hospital of Northern Norway changed from Doculive EPR system to DIPS EHR system. As of 2006, Haukeland University hospital has decided to switch to another system as well but the implementation of Tieto's (IMX) system has not started and the functionality in Tieto's system does not match the new and extending functionality that Haukland has through DocuLive.

DocuLive has recently been rolled out at Norway's specialist hospital for Cancer, Radiumhospitalet. Health Mid Norway (HMN), Rikshospitalet og UUS are still using DocuLive as their main EPR system, and they are still investing in DocuLive as their main EPR system. All of them are also running the new .NET version of DocuLive.

Evaluations

The MEDAKIS project has been thoroughly evaluated. See references.

There has not been any complete evaluation after the end of the Medakis Project.

References

  1. 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)
  2. 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)
  3. 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)
  4. Eric Monteiro. Integrating health information systems, Methods of Information in Medicine: a critical perspective, 42/4:428 - 432, 2003 (PDF)