Electronic Health Record (EHR) is a distributed system that results from the cooperation of several heterogeneous and autonomous subsystems. It improves health care by enabling access to prior diagnostic information to assist in health decisions. We focus on the image and imaging report visualization component that needs to interoperate with several other systems to enable healthcare professionals visualize a patient's imaging record. We propose and describe an environment that has been built and used to facilitate the development of the viewer component. This environment has also been used to test and verify the interoperability of the viewer component with other EHR components in accordance with the Integrating the Healthcare Enterprise (IHE) technical framework. It has also been used to demonstrate functionalities, to educate end users, and to train maintenance and test engineers. Moreover, it has been used for acceptance testing as part of an EHR deployment project. We also discuss the challenges we faced in constructing the testing data and describe the software developed to automatically populate the test environment with valid data.

To improve patient's care, relevant patient's health information needs to be accessed at the decision point. When dispensing medications to patients, information about their allergies, current illnesses and other current medications constitute important information. In order to enable effective and efficient workflows and to optimally eliminate medical errors, Pharmacy Information Systems need to be reengineered to integrate with Electronic Health Records. To describe the dispensing process of community pharmacies, we have observed the work inside the pharmacy; we have also analyzed healthcare information standards and healthcare regulations. In this paper, we describe and discuss common dispensing workflows by depicting actors, tasks, routes and data model.

Despite its importance, Software Quality Engineering is longing to make its way into software lifecycle standards. This article analyses the recently published ISO/IEC 24748 systems and software lifecycle management guide against other standards and academic material, and proposes additions to make to the standard for it to properly promote and support software quality engineering.