E-health internationalization requirements for audit purposes

Sofia Ouhbi, José Luis Fernández-Alemán, Juan Manuel Carrillo-de-Gea, Ambrosio Toval, Ali Idri

Research output: Contribution to journalArticlepeer-review

26 Citations (Scopus)


Background and objective: In the 21st century, e-health is proving to be one of the strongest drivers for the global transformation of the health care industry. Health information is currently truly ubiquitous and widespread, but in order to guarantee that everyone can appropriately access and understand this information, regardless of their origin, it is essential to bridge the international gap. The diversity of health information seekers languages and cultures signifies that e-health applications must be adapted to satisfy their needs. Methods: In order to achieve this objective, current and future e-health programs should take into account the internationalization aspects. This paper presents an internationalization requirements specification in the form of a reusable requirements catalog, obtained from the principal related standards, and describes the key methodological elements needed to perform an e-health software audit by using the internationalization knowledge previously gathered. Results: S Health, a relevant, well-known Android application that has more than 150 million users in over 130 countries, was selected as a target for the e-health internationalization audit method and requirements specification presented above. This application example helped us to put into practice the proposal and show that the procedure is realistic and effective. Conclusions: The approach presented in this study is subject to continuous improvement through the incorporation of new knowledge originating from additional information sources, such as other standards or stakeholders. The application example is useful for early evaluation and serves to assess the applicability of the internationalization catalog and audit methodology, and to improve them. It would be advisable to develop of an automated tool with which to carry out the audit method.

Original languageEnglish
Pages (from-to)49-60
Number of pages12
JournalComputer Methods and Programs in Biomedicine
Publication statusPublished - Jun 1 2017
Externally publishedYes


  • Audit
  • E-Health
  • Global development
  • Internationalization
  • Requirements engineering
  • Standardization

ASJC Scopus subject areas

  • Software
  • Computer Science Applications
  • Health Informatics


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