The aim of this master thesis is to explore the organization of a program within Digital Fornying, namely Labdata. The goal of Labdata is to introduce a common, standard, laboratory system for the South-Eastern Norway Regional Health Authority. We compare the organization of Labdata with theoretical concepts from adaptive co-management, Weill & Ross, project and program management. In order to manage this, we have developed the following research question: What are the challenges involved in the management of large scale & complex ICT systems and how can existing theories help us cope with the challenges? Our findings reveal communication problems in the initial phase of the project, and problems with parallel execution of deliverances. However, Labdata have been reorganized. We compare this new organization with the old in order to discuss how they position themselves according to the theory mentioned above. As our discussion indicate, the new organization of Labdata can be argued to accommodate the theory of Weill & Ross, adaptive co-management and program management. We have found that the establishment of the new organization in Labdata was crucial in order to improve collaboration, trust and learning, which is consistent with the theory of adaptive co-management.