Development of a Web-Based Medical Record Management Software for Digital Immigrant Users

The lack of usability of automated medical record management systems holds back the quality of health care services in health institutions. This situation is especially critical with the increase of the number of patients because of the pandemic of COVID-19. In the present work, a web-based medical records management system was developed with an easy-to-use interface for digital immigrant users. For the management and development of the project, the XP (eXtreme Programming) methodology of the software life cycle was successfully applied. The system was developed using open source technologies: PHP as programming language and the Bootstrap framework for the design of user interfaces. The result was an elegant and modern user interface that provides ease of use to digital immigrant users. The system was validated through an experimental evaluation carried out at the medical center of “La Concordia”, in Ecuador. This evaluation was based on Jakob Nielsen usability principles and the software product quality norms of the ISO/IEC 25010 standard. The heuristic validation of the proposal resulted in a 93% of acceptance whilst function tests where successful in 96% of times. Besides, the result of a SUS test with the participation of five digital immigrants turn out in a 91.5% of system usability. Finally, it is worth mentioning that this software is now in exploitation in a local medical center with successful results.