Adaptation of a Web-Based, Open Source Electronic Medical Record System Platform to Support a Large Study of Tuberculosis Epidemiology

Background: In 2006, we were funded by the US National Institutes of Health to implement a study of tuberculosis epidemiology in Peru. The study required a secure information system to manage data from a target goal of 16,000 subjects who needed to be followed for at least one year. With previous experience in the development and deployment of web-based medical record systems for TB treatment in Peru, we chose to use the OpenMRS open source electronic medical record system platform to develop the study information system. Supported by a core technical and management team and a large and growing worldwide community, OpenMRS is now being used in more than 40 developing countries. We adapted the OpenMRS platform to better support foreign languages. We added a new module to support double data entry, linkage to an existing laboratory information system, automatic upload of GPS data from handheld devices, and better security and auditing of data changes. We added new reports for study managers, and developed data extraction tools for research staff and statisticians. Further adaptation to handle direct entry of laboratory data occurred after the study was launched. Results: Data collection in the OpenMRS system began in September 2009. By August 2011 a total of 9,256 participants had been enrolled, 102,274 forms and 13,829 laboratory results had been entered, and there were 208 users. The system is now entirely supported by the Peruvian study staff and programmers. Conclusions: The information system served the study objectives well despite requiring some significant adaptations mid-stream. OpenMRS has more tools and capabilities than it did in 2008, and requires less adaptations for future projects. OpenMRS can be an effective research data system in resource poor environments, especially for organizations using or considering it for clinical care as well as research

Propuesta de implementación del estándar ISO/IEC 29110 parte 5 – 2011(perfil básico) para la mejora de los procesos de gestión de proyectos e implementación de software de una empresa peruana de desarrollo de software

Este trabajo de investigación desarrolla una propuesta de mejora de los procesos de Gestión de Procesos y Desarrollo de Software de una pequeña empresa (PYME) dedicada a la consultoría y proyectos de desarrollo en el sector de la industria del software para las empresas del mercado peruano. Strategic Decision Consulting SAC ha realizado proyectos de inteligencia de negocios en los rubros de outsourcing y desarrollo de software de acuerdo con los requerimientos del cliente que le han ayudado rápidamente a tener una cartera de clientes y posicionamiento en el mercado durante el periodo 2016-2017. Después de este periodo de auge y ante la ausencia de formalización de sus procesos de gestión y de desarrollo la empresa Strategic ha ido perdiendo clientes y contratos por diversos problemas como una gestión ineficiente en el ciclo de desarrollo de software, sobrecostos en los proyectos, insatisfacción de los clientes, incidencias en la calidad del software, retrasos en los entregables entre otros problemas. Todo ello ha llevado a una fuerte caída en la facturación en el periodo 2018-2019. Ante este panorama y en medio de una coyuntura terrible por la pandemia debida al Covid-19 se propone el desarrollo de una propuesta de mejora de acuerdo con el perfil básico de la norma ISO 29110 que propone buenas prácticas para el diseño de los procesos de gestión de proyectos y de desarrollo de software. En el presente trabajo de investigación se realiza una revisión de la industria del software, del tipo de empresa, de la situación actual y marco regulatorio de la industria del software en el Perú. Se revisan los modelos de procesos de software presentes en el mercado como Moprosoft, CMMI, ISO 12207, Prince2 entre otros justificando la elección de la norma ISO 29110 para la empresa. Finalmente se define el alcance y marco de evaluación de la norma ISO29110 sustentando el uso del perfil básico. Se realiza un análisis de brechas de los resultados de evaluación de los procesos y una evaluación económica de implementación de la norma ISO29110 cuya relación costo-beneficio es adecuada a las posibilidades de la empresa.This research work develops a proposal to improve the Software Development and Process Management processes of a small company dedicated to consulting and development projects in the software industry sector for companies in the Peruvian market. Strategic Decision Consulting SAC has carried out business intelligence projects in the areas of outsourcing and software development in accordance with the client's requirements that have quickly helped it to have a portfolio of clients and market positioning during the period 2016-2017. After this boom period and in the absence of formalization of its management and development processes, Strategic company has been losing clients and contracts due to various problems such as inefficient management in the software development cycle, cost overruns in projects, dissatisfaction from customers, incidents in the quality of the software, delays in deliverables among other problems. All this has led to a sharp drop in billing in the 2018-2019 period. Given this scenario and during a terrible situation due to the pandemic due to Covid-19, it is proposed to develop an improvement proposal in accordance with the basic profile of ISO 29110 that proposes good practices for the design of project management and software development processes. In this research work, a review of the software industry, the type of company, the current situation, and the regulatory framework of the software development sector in Peru is carried out. The software process models present in the market such as Moprosoft, CMMI, ISO 12207, Prince2 among others are reviewed, justifying the choice of the ISO 29110 standard for the company. Finally, the scope and evaluation framework of the ISO29110 standard is defined, supporting the use of the basic profile. A gap analysis of the evaluation results of the processes and an economic evaluation of the implementation of the ISO29110 standard are carried out, the cost-benefit ratio of which is appropriate to the possibilities of the company.Trabajo de investigació

Adaptation of a web-based, open source electronic medical record system platform to support a large study of tuberculosis epidemiology

Abstract Background In 2006, we were funded by the US National Institutes of Health to implement a study of tuberculosis epidemiology in Peru. The study required a secure information system to manage data from a target goal of 16,000 subjects who needed to be followed for at least one year. With previous experience in the development and deployment of web-based medical record systems for TB treatment in Peru, we chose to use the OpenMRS open source electronic medical record system platform to develop the study information system. Supported by a core technical and management team and a large and growing worldwide community, OpenMRS is now being used in more than 40 developing countries. We adapted the OpenMRS platform to better support foreign languages. We added a new module to support double data entry, linkage to an existing laboratory information system, automatic upload of GPS data from handheld devices, and better security and auditing of data changes. We added new reports for study managers, and developed data extraction tools for research staff and statisticians. Further adaptation to handle direct entry of laboratory data occurred after the study was launched. Results Data collection in the OpenMRS system began in September 2009. By August 2011 a total of 9,256 participants had been enrolled, 102,274 forms and 13,829 laboratory results had been entered, and there were 208 users. The system is now entirely supported by the Peruvian study staff and programmers. Conclusions The information system served the study objectives well despite requiring some significant adaptations mid-stream. OpenMRS has more tools and capabilities than it did in 2008, and requires less adaptations for future projects. OpenMRS can be an effective research data system in resource poor environments, especially for organizations using or considering it for clinical care as well as research.</p