Original Paper

Health and Technology

, Volume 3, Issue 1, pp 11-28

First online:

Tailoring software process capability/maturity models for the health domain

  • Christiane Gresse von WangenheimAffiliated withDepartment of Informatics and Statistics—INE, Federal University of Santa Catarina—UFSC Email author 
  • , Aldo von WangenheimAffiliated withBrazilian Institute for Digital Convergence—INCoD, Federal University of Santa Catarina—UFSC
  • , Fergal McCafferyAffiliated withDundalk Institute of Technology, Regulated Software Research Group, Dundalk Institute of Technology
  • , Jean Carlo R. HauckAffiliated withBrazilian Institute for Digital Convergence—INCoD, Federal University of Santa Catarina—UFSC
  • , Luigi BuglioneAffiliated withEngineering.IT SpA

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Web-based asynchronous store-and-forward telemedicine systems for diagnostic purposes, which enable the consultation of (one or more) distant health care professional(s) by a locally present health care professional concerning a patient’s diagnosis and treatment can significantly improve healthcare services. Yet, developing high-quality asynchronous store-and-forward telemedicine systems (ASFTSs) remains a challenge. However, there is no globally accepted standard definition that determines what the important quality characteristics for this type of software system are and/or what defines a mature software process for producing high-quality ASTFSs. Through adopting a multi-step research methodology, we define a quality model for ASFTSs, indicating relevant quality characteristics and their priority for this specific type of software system, based upon ISO/IEC 25010. We, then, propose an extended software process capability/maturity model based on ISO/IEC 15504 and ISO/IEC 12207 to meet these particular quality requirements. The resulting model can be used to both guide the development and the evaluation of such systems. We expect that the availability of such a customized model will facilitate the development of high-quality ASFTSs, reducing related risks and improving the quality of telemedicine services.


Software process capability/maturity models Asynchronous store-and-forward telemedicine systems ISO/IEC 15504 Software quality CMMI