From planning to realisation of an electronic patient record

The high complex requirements on information and information flow in todays hospitals can only be accomplished by the use of modern Information System s (IS). In order to achieve this, the Stiftung Orthopadische Universitatskl inik has carried out first the Project "Strategic Informations System Plann ing" in 1993. Then realizing the neccessary infrastructure (network; client -server) from 1993 to 1997, and finally started the introduction of modern IS (SAP R/3 and IXOS-Archive) in the clinical area. One of the approved goa l was the replacement of the paper medical record by an up-to-date electron ical medical record. In this article the following three topics will be dis cussed: the difference between the up-to-date electronical medical record a nd the electronically archived finished cases, steps performed by our clini c to realize the up-to-date electronical medical record and the problems oc cured during this process.