Systematic’s clinical information system now covers all of Central Denmark Region

Central Denmark Region’s 20,000 healthcare professionals now use a single joint clinical information system – improving both patient safety and efficiency

11 June 2013

Systematic’s clinical information system Columna, also known as MidtEPJ, has now been fully deployed in Central Denmark Region. The solution has just been successfully deployed in the regional hospitals in Viborg and Skive, meaning Central Denmark Region has completed its ambitious implementation plan.

In the middle of 2010, following the recent deployment of Columna in the regional hospitals in Randers and Grenaa, the Regional Council of Central Denmark Region decided that Columna should be the joint clinical information system for all of the region's hospitals within a few short years. Since then, Columna has been intensively deployed in the region's other 16 hospitals in close collaboration with Systematic. Doctors, nurses and secretaries in all of the somatic and psychiatric hospitals in Central Denmark Region can now manage the vast majority of their clinical, planning and patient administrative registration tasks in a single IT solution – Columna.

"The deployment of Columna across the entire region means that Central Denmark Region and Systematic have reached a milestone and it demonstrates that we've fulfilled our ambitions," states Systematic Development Director, Anders Goul Nielsen.

Columna as a regional patient record

The deployment of Columna, including an interdisciplinary patient record module, means that Central Denmark Region now uses a single regional patient record.

"The regional patient record means among other things, that it's now easier for the Region's 20,000 healthcare professionals to share patient information and create more effective courses of treatment, thus improving patient safety and efficiency," says Anders Goul Nielsen. He continues: "Columna gathers all of the information about the patient's course of treatment in a single IT solution, which among other things provides greater advantages because when patients are moved from one hospital to another, the information about their conditions and courses of treatment moves with them."

In addition to handling healthcare personnel's many record notes about patients, Columna Clinical Information System also deals with blood tests, discharge letters, information about medication, and the booking of operations via the Capgemini booking module.


A patient is undergoing an ambulatory care examination at the hospital.
The doctor decides that the patient should be admitted.
When the patient arrives at the department, the nurse admits the patient using the Columna Patient Administration.
A standard plan is laid out in the electronic patient record, which ensures the standard procedures and guidelines are followed. Records, blood tests, x-ray and assessment of medicine are now ready.
On the basis of tests and own examination, the doctor makes a journal note in his tablet.
The subsequent treatment is assessed and evaluated.
The Columna Clinical Information System overview function provides a total overview of all of the results for the patient.
The doctor decides to adjust the patient’s medicine via the medicine module.
The medicine module helps the doctor to make a selection from a range of standard drugs.
When the nurse shall give the prescribed drugs, she can see in the administration overview when she is to give them to the patient. The coloured marking indicates as to whether the medicine is poured or given.
The nurse documents that the drug has been given in the medicine module.
At the same time the hospital’s medicine robot prepares the patient’s medicine for the coming days.
After his ward rounds, the doctor decides that laboratory tests should be carried out. The doctor personally requisitions the tests via the requisition and response overview in Columna.
The doctor automatically receives a message on the mobile phone when the test results are available.
The doctor can see the test results in the electronic patient journal and see the development and compare previous results.
The patient’s journal is reviewed at the conference to determine any further course of treatment.
The patient’s plan is updated, a sputum test, x-ray of lungs and physiotherapy are prescribed.
When supervision is ordered, it appears on a task list which can be accessed by the physiotherapy department.
In this way, Columna Clinical Information System is a completely integrated IT workplace that provides access to all of the relevant patient information.
It results in more streamlined work processes at the hospitals, increased efficiency and patient safety.
- Simplifies healthcare delivery
- Simplifies patient centric care
- Simplifies critical decision making

Systematic Columna Clinical Information System is a completely integrated IT workplace that provides access to all of the relevant patient information. The overview function provides a total overview of all of the results for the patient. The system consists of five modules that handles Booking, Medication, Order and Results, Patient Administration and Patient Record. Columna contributes to simplifying work processes at hospitals. The platform provides strong support to the work of health professionals leading to higher efficiency and patient safety



Fully integrated with the Danish IT healthcare system

Columna is modular and of course it has been designed so that it integrates into other systems. The Central Denmark Region clinical information system is fully integrated into the Danish healthcare IT system, e.g. MEDCOM-support and reporting to the Danish National Patient Register (LPR) and Health Data Bank (SDB) and clinical databases such as the Danish Anaesthesia Database (DAD). Columna also holds complete accounts of all types of patient – also across regional boundaries.

Single login saves time in a busy working environment

The National Shared Medication Card (FMK) is closely integrated into the clinical information system. In addition, the ordering and displaying of x-rays and the ordering and displaying of results of biochemical and microbiological tests are also integrated into the solution. This ensures simple and streamlined procedures and healthcare personnel save time during their busy working day by not having to log into several systems.

Extreme flexibility and scalability

Systematic's clinical information system consists of several modules, so the solution can be constantly adjusted according to needs and procedures.

"Central Denmark Region can configure Columna so that each department and each speciality and hospital can adjust the structure of the patient record to precisely match their needs and define the health-related content (SFI) and standard results and plans," explains Anders Goul Nielsen. He also adds that every day more than 10,000 users enter up to 500,000 registrations in Columna, which contains the data of 1.3 million patients.

Despite this important milestone having been achieved, Central Denmark Region and Systematic's ambitions and plans for the further development of the patient record continue apace and many plans are already moving beyond the drawing board into reality.

Read the press release from Central Denmark Region


Systematics Clinical Information System Now Covers All Of Central Denmark Region 736