Health and Technology

, Volume 3, Issue 1, pp 11–28 | Cite as

Tailoring software process capability/maturity models for the health domain

  • Christiane Gresse von Wangenheim
  • Aldo von Wangenheim
  • Fergal McCaffery
  • Jean Carlo R. Hauck
  • Luigi Buglione
Original Paper


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 



We would like to thank all experts who participated in the interviews and/or survey for their valuable input to our research. We would also like to thank Adriano Borgatto for his support during data analysis.

This work has been supported by the CNPq (Conselho Nacional de Desenvolvimento Científico e Tecnológico—, an entity of the Brazilian government focused on scientific and technological development, the MCT (Ministério da Ciência e Tecnologia)/FINEP (Financiadora de Estudos e Projetos) and FAPESC (Fundação de Amparo à Pesquisa e Inovação do Estado de Santa Catarina). This research is also supported in part by the Science Foundation Ireland (SFI) Stokes Lectureship Programme, grant number 07/SK/I1299, the SFI Principal Investigator Programme, grant number 08/IN.1/I2030 (the funding of this project was awarded by Science Foundation Ireland under a co-funding initiative by the Irish Government and European Regional Development Fund), and supported in part by Lero ( grant 03/CE2/I303_1.

Conflict of interest

The authors declare that they have no conflict of interest.


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Copyright information

© IUPESM and Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Christiane Gresse von Wangenheim
    • 1
  • Aldo von Wangenheim
    • 2
  • Fergal McCaffery
    • 3
  • Jean Carlo R. Hauck
    • 4
  • Luigi Buglione
    • 5
  1. 1.Department of Informatics and Statistics—INEFederal University of Santa Catarina—UFSCFlorianópolisBrazil
  2. 2.Brazilian Institute for Digital Convergence—INCoDFederal University of Santa Catarina—UFSCFlorianópolisBrazil
  3. 3.Dundalk Institute of Technology, Regulated Software Research GroupDundalk Institute of TechnologyDundalkIreland
  4. 4.Brazilian Institute for Digital Convergence—INCoDFederal University of Santa Catarina—UFSCFlorianópolisBrazil
  5. 5.Engineering.IT SpARomeItaly

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