In the orthopedic department of the University Hospital Homburg/Saar, we us
e since 1993 a computer-based system for clinics organisation and documenta
tion of operations. Hardware consists of DOS/Windows PC's in a Novell-netwo
rk. Our software is a combination of datbase-system for managing patient-da
ta and a special coding program for ICD and IKPM-digits. Our experience sho
ws that computer assisted clinic-management is an effective tool to help th
e surgeon in planning and documentation. Until now, we used the system for
31 500 patients and 8500 operations. A flexible software can meet the requi
rements both of the surgeons and administration. Moreover, in the Universit
y hospital Homburg/Saar, the different departments are linked by an Intrane
t with connection to other scientific networks and the Internet.