An Integrated Medical Information System (IMIS) requires continuous customization to cope with periodic government notifications, changes in customer needs, and changing customer preferences. These systems are also modified as part of internationalization efforts. An IMIS should adhere to these situations while retaining its ability to charge medical expenses to patients and to the National Health Insurance Corporation. It should also deal with medical information such as prescriptions, medical images or videos in a manner that avoids minor defects which can lead to legal battles. Thorough testing is therefore very important. However, it is not easy to standardize medical processes, and much tailoring of IMISs has been done as a result. Moreover, new notifications should be reflected in customized IMISs operating in the hospitals within one week. It is known that sufficient testing of these systems has not been carried out. Therefore, this paper describes observations and an examination of the improvements of the test capability of such a system at a SME-level company. The assessments use a lightweight test process based on the test capability level of the company.
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