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Traceability management of systems of systems: A systematic review in the assisted reproduction domain

Morales Trujillo, Leticia; García García, Julián Alberto; Lizcano, David; Mejías Risoto, Manuel

Abstract

Over last decade, Assisted Reproductive Treatment (ART) has become a very used health service by more and more people around the world because of problems such as the delay in the maternity age, singleparent couples, etc. In this context, health agencies have performed innovations to improve healthcare processes of ARTs, to optimize the performance of health professionals who work in fertilization laboratories and to improve Biological Sample Management (BSM) and sample traceability in ART. However, there are important handicaps in ART processes from the point of view of quality, safety and management. On the one hand, these processes are mainly based on manual execution tasks and manual control tasks. This excess of manual tasks could lead to fatal traceability and safety errors during BSM. On the other hand,ART processes require real, interoperable and traceable communications between different software systems that have to collaborate together (health information systems, biological sample management systems, patient management systems, etc.), but, at present, it is possible to identify some limitations in this domain, that is, the domain of systems of systems (SoS). This paper aims to conduct an exhaustive study was carried out both in the research community and in the commercial field to identify and analyze SoS solutions and theoretical proposals forBSM in ART processes. We have applied the Systematic Literature Review (SLR) methodology to carry out our study and we conclude it is a very young research line that shows a growing trend and that in the actuality there are very few technologies that deal with the problem of the BSM in ART.After analyzing the results, this paper presents as future work an initial Model-Driven conceptual solution to improve BSM in ART.

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T aceabili y Managemen o Sys ems o Sys ems: A Sys ema ic Re iew in he Assis ed Rep oduc ion Domain Le icia Mo ales T ujillo1, Julián Albe o Ga cía1, Da id Lizcano2 and Manuel Mejías1 1Uni e si y o Se ille, Escuela T´ecnica Supe io de Ingenie ´ıa In o m´a ica, Web Enginee ing and Ea ly Tes ing (IWT2) g oup A da. Reina Me cedes s/n. 41012 Se illa, Spain 2Uni e sidad a Dis ancia de Mad id (UDIMA), Mad id, Spain E-mail: [email p o ec ed]g; [email p o ec ed]; [email p o ec ed]; [email p o ec ed] Abs ac O e las decade, Assis ed Rep oduc i e T ea men (ART) has become a e y used heal h se ice by mo e and mo e people a ound he wo ld because o p oblems such as he delay in he ma e ni y age, single- pa en couples, e c. In his con ex , heal h agencies ha e pe o med inno a ions o imp o e heal hca e p ocesses o ARTs, o op imize he pe o mance o heal h p o essionals who wo k in e iliza ion labo a o- ies and o imp o e Biological Sample Managemen (BSM) and sample aceabili y in ART. Howe e , he e a e impo an handicaps in ART p ocesses om he poin o iew o quali y, sa e y and managemen . On he one hand, hese p ocesses a e mainly based on manual execu ion asks and manual con ol asks.This excess o manual asks could lead o Jou nal o Web Enginee ing, Vol. 18 4-6, 409–446. doi: 10.13052/jwe1540-9589.18466 c 410 L. M. T ujillo e al. a al aceabili y and sa e y e o s du ing BSM. On he o he hand,ART p ocesses equi e eal, in e ope able and aceable communica ions be ween di e en so wa e sys ems ha ha e o collabo a e oge he (heal h in o ma ion sys ems, biological sample managemen sys ems, pa ien managemen sys ems, e c.), bu , a p esen , i is possible o iden i y some limi a ions in his domain, ha is, he domain o sys ems o sys ems (SoS). This pape aims o conduc an exhaus i e s udy was ca ied ou bo h in he esea ch communi y and in he comme cial ield o iden i y and analyze SoS solu ions and heo e ical p oposals o BSM in ART p ocesses. We ha e applied he Sys ema ic Li e a u e Re iew (SLR) me hodology o ca y ou ou s udy and we conclude i is a e y young esea ch line ha shows a g owing end and ha in he ac uali y he e a e e y ew echnologies ha deal wi h he p oblem o he BSM in ART.A e analyzing he esul s, his pape p esen s as u u e wo k an ini ial Model-D i en concep ual solu ion o imp o e BSM in ART. Keywo ds: Sys ema ic Li e a u e Re iew, Sys ems o Sys ems, Bio- logical Sample Managemen , Assis ed Rep oduc i e T ea men . 1 In oduc ion I is a wo ldwide accep ed knowledge ha in he las yea s, p ocess managemen has become a sui able s a egy o inc ease excellence and p oduc i i y in any kind o o ganiza ion and business domain [1]. This s a egy ies o assess p ocesses and imp o e hei e ec i eness and e iciency o educe cos s and imp o e quali y, p oduc i i y, aceabili y o a i ac s wi hin o ganiza ional p ocesses and compe i i eness. In his sense, his pape is con ex ualized wi hin he domain known as SoS whe e mul iple, dispe sed and independen sys ems a e in con ex as pa o a la ge and mo e complex sys em. Mo e speci ically, i is con ex ualized wi h he Assis ed Rep oduc ion T ea men (ART) p ocesses [2] and how so wa e enginee ing p o ides solu ions and echniques o imp o e he managemen o hese p ocesses and he managemen and aceabili y o hei a e ac s (i.e. biological samples). O e las decade, ART has become a e y used heal h se ice by mo e and mo e sen imen al couple a ound he wo ld because o T aceabili y Managemen o Sys ems o Sys ems 411 p oblems such as e ili y limi ing pa hologies, delay in he ma e - ni y age, single-pa en couples, homosexual couples and women who wish o ace ma e ni y indi idually [3], among o he s. In ac , some epidemiological s udies conclude ha In e ili y pa hologies a ec 15% o he popula ion o ep oduc i e age in Wes e n coun ies (i.e., one in six couples) and his pe cen age is g adually inc easing e e y yea [4]. Howe e , hese da a can be ex apola ed o o he coun ies. Fo example, Spain is Eu ope’s leade in ART. In his Eu opean coun y, 127,809 ART p ocesses and 38,903 a i icial insemina ions we e ca ied ou in 2015 acco ding o he la es da a om he Minis y o Heal h, wha implied 36,318 bi hs in Spain using hese echniques ( hese bi hs ep esen 8% o he o al bi hs in Spain ha yea ) [5]. Despi e he upwa d end in he applica ion o ART p ocesses a ound he wo ld, he e a e many aspec s ha should be imp o ed du ing he execu ion o hese p ocesses [6]. One o he mos c i ical aspec s is o es ablish and de ine quali y and con ol mechanisms [7] in Biological Sample Managemen (BSM) and aceabili y o biological samples in ART when hese biological samples (o ules, spe m and emb yos) a e manipula ed by emb yologis s in e iliza ion labo a o- ies. The de ini ion o con ol mechanisms o gua an ee aceabili y and imp o e BSM is a e y impo an and c i ical aspec in his domain because any iden i ica ion e o o biological samples could cause heal h p oblems o he pa ien and, e en, legal p oblems [8–10]. An iden i ica ion e o occu s when a pa ien is mis akenly pai ed wi h a diagnos ic es , biological samples o ART p ocess, and i could be usually caused by en i onmen al and echnical aspec s. Rega ding en i onmen al aspec s, we mainly e e s o sociologi- cal aspec s and en i onmen al s ess o emb yologis and labo a o y p o essionals [11]. The p esence o in ense en i onmen al causes clea physiological eac ions on heal h p o essionals who wo k in e iliza- ion labo a o ies, such as pe cep ion o discom o , wo k o e load, discom o and anxie y symp oms, de ia ion o a en ion and lack o concen a ion, and beha io al de ici s, among o he s. These ac o s and he sys ema iza ion o he wo k ca ied ou by emb yologis s a e he main causes o e o s in BSM and aceabili y o biological samples in ART. In his con ex , double-manual checking p o ocol [12] 412 L. M. T ujillo e al. was p oposed as mechanism o minimize hese e o s. Howe e , his p o ocol does no sol e he p oblem because i duplica es he numbe o manual asks pe o med, as well as he ex a documen a ion o documen esul s o con ol asks. Rega ding echnical aspec s, we e e o how he in o ma ion gen- e a ed du ing he li ecycle o he biological sample is managed om he ime he sample is ob ained un il i eaches i s des ina ion (i.e., eezing, insemina ion, e c., in he case o ART p ocesses). The managemen o his in o ma ion has been his o ically pe o med by emb yologis s on pape , sp eadshee s o small da abases [13]. Howe e , hese da a o ma s di icul da a managemen and aceabili y o in o ma ion. These si ua ions also p one o gene a e duplica e in o ma ion which o ces emb yologis s o pe o m con iguous checks o co obo a e he co ec use o samples in each execu ion o ART p ocesses. A p esen , hese si ua ions and aspec s a e especially c i ical oday because i is usually o use di e en so wa e sys ems du ing clini- cal p ac ice in ART. These p ocesses equi e eal, in e ope able and aceable communica ions be ween di e en so wa e sys ems (domain o sys ems o sys ems, SoS) ha ha e o collabo a e oge he (heal h in o ma ion sys ems, biological sample managemen sys ems, pa ien managemen sys ems, con ol sys ems o physical labo a o y de ices such as biological sample eeze s, e c.), bu , a p esen , i is possible o iden i y some limi a ions. In his con ex , his pape p esen s an exhaus i e s udy o iden i y and analyze SoS solu ions and heo e ical p oposals o BSM in ART p ocesses. Howe e , i is impo an o men ion ha his s udy is jus one piece o a mo e ambi ious esea ch s a egy. Once he s a e-o - he-a o his subjec is known, ou objec i e is o p opose a Model-D i en amewo k o acili a e he design and de elopmen o in o ma ion sys ems o ien ed o he managemen o biological samples and he aceabili y o hese samples h oughou hei li ecycle. Fi s ly, ou in en ion is o guide his u u e amewo k owa ds ART p ocesses in a non-in asi e way. Howe e , we plan also o de ine his amewo k in a gene ic way o p o ide suppo o any ype o biological sample om di e en a eas (ag icul u e, ood, heal h, e c.). Finally, we wan o men ion ha we ha e ca ied ou an ini ial sea ch o ound ela ed wo ks T aceabili y Managemen o Sys ems o Sys ems 413 in o de o know o he sys ema ic e iew on his opic (i.e., BSM in ART p ocess). Howe e , we ha e no ob ain any esul s wha highligh he impo ance o ou s udy. This pape is s uc u ed as ollows. Func ional con ex o ou esea ch a e b ie ly desc ibed in Sec ion 2. La e , he me hod used o he s udy and i s planning a e p esen ed in Sec ions 3 and 4, espec i ely. Once decided how he s udy is going o be pe o med, he e iew p o ocol whose esul s a e p esen ed in Sec ion 5 was conduc ed. La e , Sec ion 6 o e discussions on hese esul s. A e analyzing he scien i ic and echnical li e a u e ela ed o he domain unde s udy, Sec ion 7 desc ibes ou u u e wo k and p esen s an ini ial concep ual scheme o ou p oposal di ec ed by models o imp o e BSM and aceabili y o samples in ART p ocesses. Finally, Sec ion 8 s a es a se o conclusions. 2 Backg ound This sec ion desc ibes b ie ly he backg ound and unc ional con ex o ou esea ch. These aspec s a e ocused in he con ex o ART p ocesses which a e amed wi hin he SoS domain.In his con ex , as men ioned abo e, one o he mos commonly used mechanism o a oid possible e o s in BSM and aceabili y o biological samples in ART is double- manual checking (DMC) p o ocol [12]. This p o ocol is based on he con ol o manual asks pe o med by main emb yologis s (known as «ope a o ») h ough ano he emb yol- ogis (known as «wi ness») who jus e i ies asks o he o me . The main objec i e o his p o ocol is o de ec any e o commi ed by he ope a o as soon as possible so ha i can be sol ed in ime. The wi ness aims o iden i y hese e o s. Howe e , some s udies sugges ha DMC p o ocol is no as sa e and e ec i e as i seems o be [14]. The main eason is in he pe o mance o epe i i e asks by bo h p o essionals («ope a o » and «wi ness»). These epe i i e and manual asks could ge o educe he e ec i eness o his p o ocol because he a en ion le els o bo h p o essionals dec ease when he same ac ion is epea ed by he same pe son. The e o e, his p o ocol does no sol e he p oblem in BSM and aceabili y o biological samples because i duplica es he 414 L. M. T ujillo e al. numbe o manual asks pe o med, as well as he ex a documen a ion o documen esul s o con ol asks. Howe e , he e a e some al e na i es o DMC p o ocol ha a e based on physical de ices and so wa e con ol sys ems. On he one hand, he e a e sys ems based on ba codes ha a e used in conjunc ion wi h DMC p o ocol. These sys ems iden i y each c yop ese a ion de ices (pipe e, Pe i dish, i i ica ion de ices, e c.) wi h a ba code and he «ope a o » has o use a ba code eade when s/he is handling a c yop ese a ion de ices. This me hodology allows egis e ing in a so wa e sys em whe e each biological sample is and when i is manipula ed. In his con ex , his kind o sys ems i sel could ea ly ale when a biological sample is going o be inco ec ly used in a di e en ins ance o he ART p ocess. Howe e , some handicap can be iden i ied. Fi s ly, his me hod is a eac i e me hod since i wo ks i he ba code eade is used. Secondly, ega ding ba codes, he Eu opean Commission has s anda dized his iden i ie o inc ease he con idence o his con ol echnique [15]. This Eu opean di ec i e es ablishes echnical equi emen s o he coding o human cells and issues. Howe e , he e is ano he ac o ha hinde s he implemen a ion in eal en i onmen s in ART domain. This code is based on s ings o 40 cha ac e s. This ex is oo la ge o be p in ed on c yop ese a ion de ices. On he o he hand, he e a e also sys ems based on adio- equency iden i ica ion (RFID) echnology. In his case, i is necessa y o place an RFID adhesi e ag on each c yop ese a ion de ice. Each label encodes a unique and unambiguous pa ien e e ence. This ype o iden i ica ion and aceabili y sys em allows egis e ing he loca ion o each label h oughou he execu ion o an ART p ocess as well as who is manipula ing he de ice ha con e s his RFID ag. The ad an age o his sys em o e ba code sys ems is he p o-ac i i y o RFID sys ems. The «ope a o » does no need o use any ag eade since hese ags a e au oma ically ead by senso s placed in di e en loca ions in he labo a o y. Al hough some companies ha e p oposed echnical solu ions based on RFID echnology [16], hese solu ions a e expensi e, no e y lexible and a e aimed a labo a o ies wi h speci ic a chi ec u e and spa ial dis ibu ion. In addi ion, i is T aceabili y Managemen o Sys ems o Sys ems 415 necessa y o use all he c yop ese a ion de ices p o ided by hese companies. Once backg ound is p esen ed, i is also in e es ing o know how ART clinics and ART uni s usually wo k. This unc ional in o ma ion is impo an o adequa ely ocus on he sys ema ic e iew desc ibed in ollowing sec ions o his pape . In his sense, we ha e used he p ocedu e implan ed in Inebi [17] as unc ional case which desc ibes he ac ions ca ied ou wi hin he ART p ocesses. We ha e used ac i i y diag ams o UML (Uni ied Modeling Language) o ep esen hese p ocesses. Thanks o hese ac i i y diag ams, i was possible o know he ac o s and he a i ac s, de ices o in o ma ion suppo s in ol ed a each momen , as well as he place whe e each ac ion is ca ied ou . The ollowing is an example o he ac i i y diag am (Figu e 1) co esponding o he p ocess o ex ac ion o oocy es culmina ing in he conse a ion o he oocy es ob ained. As can be seen in he illus a ion abo e, he ac o s in ol ed in his p ocess a e, on he one hand, gynecologis s, nu ses and nu sing assis an s in cha ge o ex ac ing he oocy es om he pa ien , wi h he aid o an oocy e punc u e needle, in he su ge y and, on he o he hand, in he labo a o y in he da k, a e he emb yologis s and labo a o y echnician who a e in cha ge o p epa ing he oocy es ex ac ed om cul u e pla es o hei subsequen conse a ion in an incuba o . All he in o ma ion abou he p ocess is collec ed in he ea men shee , which a e in pape o ma . In addi ion o he p ocess o oocy e ex ac ion and p ese a ion, 3 mo e p ocesses we e s udied. The p ocess o seminal p epa a ion, he p ocess o o ules e iliza ion and subsequen ans e and, inally, he p ocess o c yop ese a ion o samples. The gene al ision ob ained a e his case s udy is ha despi e being a clinic wi h all he ad ances in labo a o y echnology, whe e he p egnancy a e is highe han he na ional a e age, i is necessa y o imp o e he aceabili y con ol sys em. Today hey con inue o make use o he DMC p o ocol. Al hough he e idence sugges s ha i may no be as sa e and e ec i e because he e ec s o mechaniza ion may dec ease le els o ca e. In addi ion, i in ol es he duplica ion o esou ces in an al eady expensi e p ocess. 416 L. M. T ujillo e al. Figu e 1 Ex ac ion o oocy es. In addi ion, a p esen all he in o ma ion ob ained om labo a o y p ocesses is collec ed in pape o ma and independen o he clinic’s pa ien managemen so wa e. This means, among o he hings, a double o iple wo k, because many o hese in o ma ion suppo s mus be upda ed pe iodically which leads o he ealiza ion o a new one om ime o ime. 3 Re iew Me hod This pape desc ibes he applica ion o one o he mos widely accep ed me hods in he a ea o so wa e enginee ing o pe o m Sys ema ic Li e a u e Re iew (SLR) as o he esea che s ha e done in pape s such T aceabili y Managemen o Sys ems o Sys ems 417 as [18] by En íquez e al. and [19] by Pe e sen e al. Ini ially, his me hod was p oposed by Ki chenham e al. [20] and i s goal was o p esen a ai e alua ion o a esea ch opic by using a us wo hy, igo ous, and audi able me hodology. In his con ex , he e o e, ou s udy aims o iden i y and analyze SoS solu ions and heo e ical p oposals o BSM and aceabili y o samples inART p ocesses using e iew me hods men ioned p e iously. Fo his pu pose, we ha e ocused he e iew p ocess in wo a eas: scien i ic ield and indus ial ield. The e iew p ocess in bo h a eas will be ca ied ou ollowing he phases desc ibed by Ki chenham [20]: (i) planning, which con i ms he necessi y o he esea ch, de ines he e iew p o ocol, esea ch ques ions ( he mos impo an ac i i y) and decides how esea che s should ca y ou he e iew; (ii) conduc ing, which execu es he de ined p o ocol p e iously; and (iii) epo ing, which desc ibes how he inal epo has been elabo a ed. Finally, we ha e p oposed wo inc emen al i e a ions in o de o adjus and imp o e ou e iew p o ocol in scien i ic ield and indus ial ield. This decision has allowed o iden i y indus ial, echnical and scien i ic p oposals wi h a b oade scope, p o iding a gene al iew o hem. Then, he i s i e a ion akes in o accoun only some esul s om da asou ces o ob ain a g ea e eedback, which allows us o imp o e e iew p o ocol and sea ch keywo ds. La e , he e iew p ocess is exhaus i ely execu ed in he second i e a ion ollowing all phases p oposed by Ki chenham. Nex sec ions desc ibe in de ail how we ha e conduc ed each phase o achie e ou esea ch goal. Howe e , i is impo an o men ion ha his pape is ocused on p esen ing he inal i e a ion o ou e iew p ocess because i is he mos exhaus i e and comple e i e a ion. 4 Planning he Sys ema ic Re iew This sec ion desc ibes in de ail he planning p ocess ha ha e been ca ied ou in his s udy o scien i ic and indus ial pu poses. Du ing his p ocess, i has been iden i ied he need o pe o ming his e iew, he esea ch ques ions ha e been o mula ed, and he e iew p o ocol has been de ined and alida ed. 424 L. M. T ujillo e al. by checking whe he any o he documen s emaining a e he i s sc eening we e duplica ed, lea ing us wi h a o al o 14 documen s. This was due o he ac ha mos o he documen s ound h ough he di e en sea ch engines we e coinciden . In sho , he inal esul was a o al o 17 p ima y s udies o ead he ull ex . O hese 17 p ima y s udies inally selec ed, 14 belonged o he sea ch p ocess co esponding o 7.57% o he o al esul s ound in he ini ial sea ch and 3 p ima y s udies ha we e ecommended by expe s in he ield. Figu e 2 summa izes he olume o p ima y s udies ha we e ob ained a e applying each selec ion p ocess and inclusion/exclusion c i e ia. On he o he hand, Table 5 shows he o al o selec ed p ima y s udies, ha is, he 17 selec ed p ima y s udies. Figu e 2 P ima y s udies selec ion p ocedu e. T aceabili y Managemen o Sys ems o Sys ems 425 Table 5 P ima y s udies. Scien i ic ield Ti le Re e ence T aceabili y in assis ed ep oduc ion echnology [22] Quali y managemen in he ART labo a o y [23] O e all quali y imp o emen o an IVF cen e: Use ulness o a quali y sys em in ep oduc ion [24] A no el emb yo iden i ica ion sys em by di ec agging o mouse emb yos using silicon-based ba codes [25] Di ec emb yo agging and iden i ica ion sys em by a achmen o bio unc ionalized polysilicon ba codes o he zona pellucida o mouse emb yos [26] Ba code agging o human oocy es and emb yos o p e en mix-ups in assis ed ep oduc ion echnologies [27] T aceabili y o human spe m samples by di ec agging wi h polysilicon mic oba codes [28] Failu e mode and e ec s analysis o wi nessing p o ocols o ensu ing aceabili y du ing IVF [29] Re ised guidelines o good p ac ices in IVF labo a o ies [30] Applica ion o ailu e mode and e ec analysis in an assis ed ep oduc ion echnology labo a o y [31] Failu e mode an a ec s analysis o wi nessing p o ocols o ensu ing aceabili y du ing PGD/PGS cycles [32] Elec onic wi ness sys em in IVF-pa ien s pe spec i e [33] Quali y managemen in he IVF labo a o y: Wi nessing [34] Comp ehensi e p o ocol o aceabili y du ing IVF: The esul o a mul icen e ailu e mode and e ec analysis [35] Di e en ba codes codi ica ion o emb yo mic olabeling [36] De elopmen o a secu i y sys em o assis ed ep oduc i e echnology (ART) [37] Measu ing human e o in he IVF labo a o y using an elec onic wi nessing sys em [38] 5.1.2 Syn hesis o da a This sec ion summa izes he da a ob ained a e execu ing he que ies de ined in he sea ch s a egy sec ion o his documen . In o de o de ine he classi ica ion amewo k o each o he p ima y s udies ound, he 426 L. M. T ujillo e al. p ocedu e app oached was o y o answe each one o he esea ch ques ions o mula ed in he planning o he e iew, and o keep each one o he cha ac e is ics ha de ined i , in such a way ha , o each ques ion, a se ies o cha ac e is ics ha de ine i is ob ained. On he o he hand, wo comple e i e a ions we e ca ied ou o classi y all he s udies and check ha all he cha ac e is ics ha had been ound included he con en o each s udy. Table 6 shows and desc ibes he classi ica ion amewo k ha has been c ea ed based on he 17 p ima y s udies esul ing om he execu ion o he a o emen ioned sea ches, he applica ion o he inclu- sion/exclusion c i e ia and he inco po a ion o s udies ecommended by expe s. Table 6 Cha ac e is ic o classi ica ion. Scien i ic ield Ques ion Cha ac e is ic Desc ip ion RQ1 Me hod and/o echnique This cha ac e is ic de ines whe he he p oposal ha is made in he p ima y s udy is a se o p ocedu es o ob ain a esul . Mic o echnology suppo This cha ac e is ic de ines whe he he p oposal made in he p ima y s udy is a echnology composed o mic ode ices. RQ2 Academic This cha ac e is ic de ines whe he he p oposal made in he p ima y s udy has been alida ed wi h a case s udy a he academic le el. Indus ial This cha ac e is ic de ines whe he he p oposal made in he p ima y s udy has been alida ed wi h any case s udy in indus y. Valida e This cha ac e is ic de ines whe he he p oposal made in he p ima y s udy has been alida ed wi h expe imen s, use cases o su eys. No alida e This cha ac e is ic de ines whe he he p oposal made in he p ima y s udy has no been alida ed wi h expe imen s, use cases o su eys. Expe imen This cha ac e is ic de ines whe he he p oposal made in he p ima y s udy has been alida ed wi h he elabo a ion o di e en expe imen s. (Con inued) T aceabili y Managemen o Sys ems o Sys ems 427 Table 6 Con inued Ques ion Cha ac e is ic Desc ip ion Case o use This cha ac e is ic de ines whe he he p oposal made in he p ima y s udy has been alida ed wi h he s udy o a use case. Su ey This cha ac e is ic de ines whe he he p oposal made in he p ima y s udy has been alida ed wi h he elabo a ion o some ype o su ey. RQ3 Quali y managemen sys em This cha ac e is ic de ines whe he he solu ion p oposed by he p ima y s udy is based on he implemen a ion o a quali y managemen sys em. Silicon ba codes This ea u e de ines whe he he solu ion p oposed by he p ima y s udy is based on he use o silicon ba codes. Bio unc ional polysilicon ba codes This cha ac e is ic de ines whe he he solu ion p oposed by he p ima y s udy is based on he use o bio unc ional polysilicon ba codes. FMEA This cha ac e is ic de ines whe he he solu ion p oposed by he p ima y s udy is based on he applica ion o a p ocess aul iden i ica ion me hodology (FMEA). RFID This ea u e de ines whe he he solu ion p oposed by he p ima y s udy is based on he use o adio equency iden i ica ion (RFID) ags. DMC This cha ac e is ic de ines whe he he solu ion p oposed by he p ima y s udy is based on he applica ion o he double-manual checking (DMC) p o ocol. Guide o good p ac ice This cha ac e is ic de ines whe he he solu ion p oposed by he p ima y s udy is based on he use o good p ac ice guides. RQ4 Compa ison o solu ions This cha ac e is ic de ines whe he he solu ion p oposed by he p ima y s udy is a compa ison o se e al exis ing p oposals in he li e a u e. P oposal o solu ions This cha ac e is ic de ines whe he he solu ion p oposed by he p ima y s udy is a new p oposed solu ion. Imp o ed o solu ions This cha ac e is ic de ines whe he he solu ion p oposed by he p ima y s udy is an imp o emen o an exis ing p oposal in he li e a u e. 428 L. M. T ujillo e al. The esea ch ques ion o which each cha ac e is ic ob ained co e- sponds, i s name o iden i ica ion and a b ie desc ip ion o i s pu pose o na u e a e p esen ed. 5.2 Indus ial Field Once he s udy o indus ial echnologies has been ca ied ou , and he p ima y echnologies ha e been de ec ed and selec ed, he main conclusions ob ained a e shown. The sea ch engines e u n e y ew esul s due o he ac ha his is a a he p ema u e ield in he indus y. I he es ic ion ha hese esul s mus be new compa ed o hose ound in he scien i ic ield is added o his, he esul s ob ained a e u he educed. In addi ion, many o he esul s ob ained h ough he di e en sea ch engines we e coinciden , which esul ed in a g ea e dec ease in he numbe o inal elemen s. Finally, a o al o 5 po en ial esul s we e ob ained o add ess he p oblem o he con ol o biological samples in assis ed ep oduc ion labo a o ies. All he esul s ound a e echnologies o me hods used in indus y oday, whe he o a g ea e o lesse ex en , which is why hey do no appea in he scien i ic ield, since mos o he elemen s ound in ha ield (scien i ic ield) belonged o esea ch ha ocused on he use o me hodologies and di e en suppo s o mic ode ices bu none was a comple e solu ion so hey could no be launched on he ma ke o es ed in he ield o indus y. The classi ica ion applied o ca y ou he syn hesis o he da a ob ained a e ca ying ou he sea ches is ma ked by he esea ch ques ions. The p ocedu e used was he same as ha used o he scien i ic ield (seeTable 6), i consis s o answe ing each o he esea ch ques ions and keeping each one o he cha ac e is ics ha de ined i . Table 7 shows he o al o selec ed p ima y s udies. 6 Repo ing and Discussion This sec ion discusses one by one he answe s o he ou esea ch ques ions de ined as he a ge o ul ill his sys ema ic li e a u e e iew. T aceabili y Managemen o Sys ems o Sys ems 429 Table 7 P ima y s udies. Indus ial ield Name Re e ence RI Wi nessTM [39] Handbook o Good P ac ices [40] SIRHA [41] Gidge [42] IVF Pa ol [43] Figu e 3 Resul s RQ1. Scien i ic ield. RQ1. «Wha me hods, echniques and/o a i ac s/ ools ha e been in es iga ed o he con ol o he aceabili y o biological samples in assis ed ep oduc ion?» The esea ch ques ion RQ1 ocuses on inding me hods, echniques and/o ools ha ha e been in es iga ed o he con ol o he aceabili y o biological samples in assis ed ep oduc ion. Rega ding scien i ic ield, Figu e 3 shows he p edominan ype o s udy a e me hods and/o echniques, which ep esen 52.94% o he o al numbe o s udies. The es o s udies co espond o suppo s o mic o echnologies wi h 47.06%. Rega ding indus ial ield, Figu e 4 shows ha mos esul s co espond o comple e sys ems based on echnology composed o mic o-de ices, wi h 4 elemen s o he o al, he emaining elemen , co espond o p oposed me hodologies. In e ms o pe cen ages, he 430 L. M. T ujillo e al. Figu e 4 Resul s RQ1. Indus ial ield. Figu e 5 Resul s RQ2. Scien i ic ield. comple e sys ems wi h mic o echnology suppo ep esen 80% o he o al o he elemen s and in e ms o he me hod p oposal hey co espond o 20% o he esul s. RQ2. «Wha me hods, echniques and/o ools ha e been used o con ol he aceabili y o biological samples in assis ed ep oduc ion?» The second esea ch ques ion aims o know i esea ch wo ks ound a e p ac ical o heo e ical wo ks. Rega ding scien i ic ield, Figu e 5 shows ha he as majo i y o publica ions belong o he academic ield, speci ically 82.35% o T aceabili y Managemen o Sys ems o Sys ems 431 Figu e 6 Valida ion o academic p ima y s udies. he o al. In addi ion, a e analyzing he p ima y s udies ound in ou sys ema ic e iew, i is possible o iden i y ha mos s udies ha e been alida ed in he academic ield (Figu e 6). Also, ega ding alida ed s udies, h ee g oups ha e been di e en i- a ed (Figu e 7).The i s one (expe imen a ion g oup) e e s o alida ed wo ks by means o expe imen al me hods using es da a o eal da a. This g oup is he one ha con ains he majo i y o he ound esul s ha we e alida ed (61.54% o he o al). The second g oup e e s o a alida ion o he p oposal using use cases o case s udies. The p opo ion o p ima y s udies included in his g oup is 38.46%. Finally, he hi d g oup g oups he p oposals ha ha e been alida ed h ough su eys. In his case, only 7.69% o he s udies analyzed ha e been alida ed wi h his me hod. Rega ding indus ial ield, Figu e 8 shows ha all esul s ob ained a e execu ing he sea ch p o ocol a e p ac ical esul s and, he e o e, hese esul s ha e been classi ied in he indus ial ield. RQ3. «Wha is he na u e o he me hods, echniques and/o ools ound on he con ol o he aceabili y o biological samples in assis ed ep oduc ion?» This esea ch ques ion aims o iden i y he na u e o he me hods, echniques and/o ools ound o con ol he aceabili y o biological samples in assis ed ep oduc ion. 432 L. M. T ujillo e al. Figu e 7 Types o alida ion p ima y s udies. Figu e 8 Resul s RQ2. Indus ial ield. Rega ding scien i ic ield, as can be seen in he Figu e 9, se e al ca ego ies o classi ica ion a e dis inguished. The p edominan ones a e he use o bio unc ional polysilicon ba codes and he applica ion o he me hod o iden i y ac ual o po en ial e o s in he p ocesses (FMEA). Bo h ones ep esen 23.53% o he o al. Nex one is he ca ego y o applica ion o quali y managemen sys ems, wi h 17.65%. The es o he s udies appea in low measu e. Mo eo e , a e analyzing he p ima y s udies in conside a ion o hei na u e, i is possible o iden i y wo g oups: (i) me hods and/o echniques which includes he cha ac e is ics o quali y managemen sys ems, FMEA, MDT and guide o good p ac ices, and (ii) mic ode- ice suppo , which includes RFID ea u es, silicon ba codes and bio unc ional polysilicon ba codes. T aceabili y Managemen o Sys ems o Sys ems 433 Figu e 9 Resul s RQ3. Scien i ic ield. Figu e 10 Resul s RQ3. Indus ial ield. Rega ding indus ial ield, and acco ding o he de ined axonomy, he na u e o he solu ion ha s ands ou is he one ha uses RFID (Figu e 10). In o al 2 elemen s ha e been ob ained in which RFID is used, ep esen ing 40% o he o al. Subsequen ly, he e is a se o na u es ha ob ained a single esul , hese ep esen 20% o he esul s and co espond o he moni o ing o a guide o good p ac ices, a web se ice as an in o ma ion suppo and a sys em in which ba codes a e used o con ol biological samples. The es o he classi ied na u es did no ob ain any esul s o his a ea. Finally, we could in eg a e he esul s ob ained in bo h he scien i ic and indus ial ields in o p ocess-o ien ed managemen . This manage- men has a clea mul idisciplina y cha ac e ha has condi ioned he 440 L. M. T ujillo e al. [11] Cohen, J., Gilligan, A., & Ga isi, J. (2005). Se ing up an ART labo a o y. In Tex book o Assis ed Rep oduc i e Techniques (pp. 37–44). CRC P ess. [12] ESHRE G oup. (2015). Re ised guidelines o good p ac ice in IVF labo a o ies. Guideline o he Eu opean Socie y o Human Rep oduc ion and Emb yology. Eu opean Socie y o Human Rep oduc ion and Emb yology. [13] Tyle , J. P. (2016). Da a Managemen in he ART Uni . In O ganiza ion and Managemen o IVF Uni s (pp. 193–215). Sp inge , Cham. [14] Tho nhill, A. R., B une i, X. O., & y Bi d, S. (2013). Medici´ on de e o es humanos en el labo a o io de FIV median e un sis ema elec ´ onico de obse aci´ on. En el 17◦Cong eso Mundial sob e con o e sias en Obs e icia, Ginecolog´ ıa e In e ilidad (COGI) (p. 101). [15] Commission Di ec i e, (2015). Di ec i e 2006/86/EC as ega ds ce ain echnical equi emen s o he coding o human issues and cells. O icial Jou nal o he Eu opean Union. Commission Di ec i e (EU) 2015/565. ELI:h p://da a.eu opa.eu/eli/di /2015/ 565/oj [16] Coope Su gical Company. RI Wi nessART Managemen Sys em. Websi e: h ps:// e ili y.coope su gical.com/p oduc s/ i-wi ness/ (accessed Feb ua y, 2019). [17] Inebi . Websi e: h ps://inebi .com/en/ (accessed Feb ua y, 2019). [18] En ´ ıquez, J. G., Dom´ ınguez-Mayo, F. J., Escalona, M. J., Ross, M., & S aples, G. (2017). En i y econcilia ion in big da a sou ces: A sys ema ic mapping s udy. Expe Sys ems wi h Applica ions, 80, 14–27. [19] Pe e sen, K., Feld , R., Muj aba, S., & Ma sson, M. (2008, June). Sys ema ic mapping s udies in so wa e enginee ing. In Ease (Vol. 8, pp. 68–77). [20] Ki chenham, B., & B e e on, P. (2013). A sys ema ic e iew o sys ema ic e iew p ocess esea ch in so wa e enginee ing. In o ma ion and So wa e Technology, 55(12), 2049–2075. h p://doi.o g/10.1016/j.in so .2013.07.010. [21] S. Feye , S. Siebe , B. Gipp, A. Aizawa, & J. Beel, In eg a- ion o he scien i ic ecommende sys em M . DLib in o he T aceabili y Managemen o Sys ems o Sys ems 441 e e ence manage JabRe , in: Lec . No es Compu . Sci. (Including Subse . Lec . No es A i . In ell. Lec . No es Bioin o ma ics), 2017. doi:10.1007/978-3-319-56608-5 80. [22] L. La ue, T aceabili y in assis ed ep oduc i e echnology, And ologie. 29 (2000) 384–387. [23] P. M. M. Kas op, Quali y managemen in he ART labo a o y, Rep od. Biomed. Online. 7 (2003) 691–694. [24] R. Nunez-Calonge, S. Co es, B. Pe amo, & P. Caballe o, O e all quali y imp o emen o an IVF cen e: Use ulness o a quali y sys em in ep oduc ion, In . Cong . Se . (2004). doi:10.1016/j.ics.2004.04.007. [25] S. No o, L. Ba ios, J. San al, R. Gmez-Ma nez, M. Duch, J. Es e e, J. A. Plaza, C. Nogus, & E. Ibez, A no el emb yo iden i ica ion sys em by di ec agging o mouse emb yos using silicon-based ba codes, Hum. Rep od. (2011). doi:10.1093/hum ep/deq309. [26] S. No o, O. Penon, L. Ba ios, C. Nogu´ es, J. San al´ o, S. Du ´ an, R. G´ omez-Ma ´ ınez, J. Sami ie , J. A. Plaza, L. P´ e ez-Ga c´ ıa, & E. Ib´ a˜ nez, Di ec emb yo agging and iden i ica ion sys em by a achmen o bio unc ionalized polysilicon ba codes o he zona pellucida o mouse emb yos, Hum. Rep od. (2013). doi:10.1093/hum ep/de 083. [27] S. No o, C. Nogu´ es, O. Penon, L. Ba ios, J. San al´ o, R. G´ omez-Ma ´ ınez, J. Es e e, A. E achid, J.A. Plaza, L. Pˆ e ez- Ga c´ ıa, & E. Ib´ a˜ nez, Ba code agging o human oocy es and emb yos o p e en mix-ups in assis ed ep oduc ion echnologies, Hum. Rep od. (2014). doi:10.1093/hum ep/de 409. [28] S. No o, I. Mo a-Esp´ ı, R. G´ omez-Ma ´ ınez, L. Ba ios, E. Ib´ a˜ nez, X. Such, M. Duch, X. Mo a, J.A. Plaza, & C. Nogu´ es, T aceabili y o human spe m samples by di ec agging wi h polysilicon mic oba codes, Rep od. Biomed. Online. (2015). doi:10.1016/j. bmo.2015.04.012. [29] L. Rienzi, F. Ba iani, M. Dalla-Zo za, S. Romano, C. Sca ica, R. Maggiulli, A. Nanni-Cos a, & F. Ubaldi, Failu e mode and e ec s analysis o wi nessing p o ocols o ensu ing aceabili y du ing IVF, Rep od. Biomed. Online. (2015). 442 L. M. T ujillo e al. [30] M. De los San os, S. Ap e , G. Co icchio, S. Deb ock, K. Lundin, C. Plancha, F. P ados, L. Rienzi, G. Ve heyen, B. Woodwa d, & N. Ve meulen, Re ised guidelines o good p ac ices in IVF labo a o ies, Hum. Rep od. (2015). [31] G. In a, A. Al e i, L. Co i, E. Rabello i, E. Papaleo, L. Res elli, S. Biondo, M. P. Ga ancini, M. Candiani, & P. Vigan` o, Applica ion o ailu e mode and e ec analysis in an assis ed ep oduc ion echnology labo a o y, Rep od. Biomed. Online. (2016). doi:10.1016/j. bmo.2016.05.008. [32] D. Cimadomo, F. M. Ubaldi, A. Capalbo, R. Maggiulli, C. Sca ica, S. Romano, C. Poggiana, D. Zucca ello, A. Giancani, A. Vaia elli, & L. Rienzi, Failu e mode and e ec s analysis o wi nessing p o ocols o ensu ing aceabili y du ing PGD/PGS cycles, Rep od. Biomed. Online. (2016). doi:10.1016/j. bmo.2016. 06.002. [33] M. Fo e, F. Faus ini, R. Maggiulli, C. Sca ica, S. Romano, C. O olini, A. Fa comeni, A. Palagiano, A. Capalbo, F. Ubaldi, & L. Rienzi, Elec onic wi ness sys em in IVF-pa ien s pe spec i e., J. Assis . Rep od. Gene . (2016). [34] D. H. McCulloh, P. A. Labella, & C. McCa ey, Quali y manage men in he IVF labo a o y: Wi nessing, in: P inc. IVF Lab. P ac . Op im. Pe o m. Ou comes, 2017. doi:10.1017/9781316569 238.040. [35] L. Rienzi, F. Ba iani, M. Dalla Zo za, E. Albani, F. Benini, S. Chamayou, M.G. Minasi, L. Pa megiani, L. Res elli, G. Vizziello, & A. N. Cos a, Comp ehensi e p o ocol o aceabili y du ing IVF: The esul o a mul icen e ailu e mode and e ec analysis, Hum. Rep od. (2017). doi:10.1093/hum ep/dex144. [36] R. G´ omez-ma ´ ınez, S. No o, M. Duch, L. Ba ios, E. Iba˜ nez, C. Nogues, J. Es e e, & J.A. Plaza, Di e en ba codes codi ica ion o emb yo mic olabeling, 14 h In . Con . Minia u ized Sys . Chem. Li e Sci. (2010). [37] Y. S. Hu , E. K. Ryu, S. J. Pa k, J. Yoon, S. H. Yoon, G. D. Yang, C. Y. Hu , W. D. Lee, & J. H. Lim, De elopmen o a secu i y sys em o assis ed ep oduc i e echnology (ART), J. Assis . Rep od. Gene . (2015). doi:10.1007/s10815-014-0367-0. T aceabili y Managemen o Sys ems o Sys ems 443 [38] A. R. Tho nhill, X. B une i-O iols, & S. Bi d, Measu ing human e o in he IVF labo a o y using an elec onic wi nessing sys em, WORLD Cong . Con o . Obs e . Gynecol. In e il. (n.d.). [39] Coope Su gical Fe ili y Companies, RI Wi ness, (n.d.). h ps:// www.o igio.com/p oduc s/ i-wi ness/ (accessed Feb ua y, 2019). [40] A. de la Fuen e, M. Boada, A. Reche, M. Mu˜ noz, M. Ma ´ ınez- Moya, M. Nicol´ as, J. Ma que a, J. Mozas, I. A no , F. Abell´ an, J. Nadal, L. Fei o, & A. Romeu, J. Ballesc´ a, Manual de buenas p ´ ac icas, 144 (2016). [41] Minis e io de sanidad consumo y bienes a social, Gabine e de P ensa - No as de P ensa, (n.d.). h ps://www.mscbs.gob.es/ gabine e/no asP ensa.do?id=4223 (accessed Feb ua y, 2019). [42] Me ck, Gidge : an elec onic wi ness & wo k low solu ion o labs, (n.d.). h ps://hcp.me ckg oup.com/en/ e ili y/ echnolo gies/Gidge .h ml? (accessed Feb ua y, 2019). [43] GineFi , IVF Pa ol. Segu idad o al en u a amien o de e ilidad, (n.d.). h ps://www.gine i .com/i -pa ol (accessed Feb ua y, 2019). [44] Shewha , Wal e And ew; DEMING,William Edwa ds. S a is ical me hod om he iewpoin o quali y con ol. Cou ie Co po a ion, 1986. [45] Blanco, R., En ´ ıquez, J. G., Dom´ ınguez-Mayo, F. J., Escalona, M. J., & Tuya, J. (2018). Ea ly In eg a ion Tes ing o En i y Reconcilia ion in he Con ex o He e ogeneous Da a Sou ces. IEEE T ansac ions on Reliabili y, 67(2), 538–556. [46] En ´ ıquez, J. G., Oli e o, M., Escalona, M. J., & Mej´ ıas, M. (2018). MARIA: A P ocess o Model En i y Reconcilia ion P oblems. J. Web Eng., 17(3&4), 206–223. [47] Dom´ ınguez-Mayo, F. J., Escalona, M. J., Mej´ ıas, M., Ross, M., & S aples, G. (2014). Towa ds a homogeneous cha ac e iza ion o he model-d i en web de elopmen me hodologies. Jou nal o web enginee ing, 13(1-2), 129–159. [48] Escalona, M. J., Gu i´ e ez, J. J., P´ e ez-P´ e ez, M., Molina, A., Dom´ ınguez-Mayo, E., & Dom´ ınguez-Mayo, F. J. (2011). Mea- su ing he quali y o model-d i en p ojec s wi h NDT-Quali y. In In o ma ion Sys ems De elopmen (pp. 307–317). Sp inge , New Yo k, NY. 444 L. M. T ujillo e al. Biog aphies Le icia Mo ales T ujillo holds a Bachelo ’s Deg ee in Heal h Engi- nee ing wi h a men ion in Biomedical Enginee ing om he Uni e si y o Se ille since 2016 and a Mas e ’s Deg ee in So wa e Enginee ing and Technology om he Uni e si y o Se ille since 2018. Since 2016 esea che associa ed o he esea ch g oup o Web Enginee ing and Ea ly Tes ing (IWT2), belonging o he Depa men o Languages and Compu e Sys ems o he Uni e si y o Se ille. Cu en ly, she is en olled in he doc o al p og am 2018-2019 o he Uni e si y o Se ille. A he esea che le el he has pa icipa ed in se e al esea ch p ojec s a a na ional le el. Among i s mos impo an esea ch esul s a e se e al con ibu ions o na ional and in e na ional con e ences and publica ions in JCR jou nals. Julián Albe o Ga cía was awa ded his PhD in Compu e Science by he Uni e si y o Se ille, Spain, in 2015. Since 2008, he has pa icipa ed in R&D p ojec s as a esea che in he Web Enginee ing and Ea ly Tes ing G oup (IWT2). He cu en esea ch in e es s include he a eas o p ope y enginee ing, Business P ocess Managemen (BPM), Model- D i en Enginee ing and quali y assu ance. Julian is esponsible o he BPM a ea and esponsible o secu i y o in IWT2. He is lec u e in T aceabili y Managemen o Sys ems o Sys ems 445 he Uni e si y o Se illa (Spain) and manages se e al echnological ans e p ojec s wi h companies and he pa icipa es as a membe comi ee in se e al in e na ional cong esses and jou nals. Da id Lizcano holds a Ph.D. in Compu e Science (2010) and a M.Sc. in Resea ch in Complex So wa e De elopmen (2008) om he Uni e sidad Poli écnica de Mad id, UP. He is P o esso a Mad id Open Uni e si y, UDIMA. He held a esea ch g an om he Eu opean Social Fund, and was in ol ed in se e al na ional and Eu opean- unded p ojec s ela ing o se ice-o ien ed a chi ec u es, p og amming pa adigms, so wa e enginee ing, human-compu e in e ac ion and end-use de elopmen . He has published his esea ch in mo e han 30 high- anking JCR-indexed jou nals. Manuel Mejías was awa ded his Ph.D in Indus ial Enginee ing by he Uni e si y o Se ille, Spain, in 1997. He has been a lec u e a his uni e si y since 1987, whe e he is cu en ly a lec u e and esea che . He has been se e al yea s eaching and esea ching in he ield o So wa e Enginee ing. His cu en lines o esea ch a e plo ed in he a eas o me hodological issues in so wa e p ocess, quali y assu ance and e e ence models in so wa e p oduc ion.