Aplicación web basada en arquitectura hexagonal para la gestión de documentos clínicos en el departamento médico del mercado mayorista de Ambato.

Abstract

With the purpose of modernizing and optimizing the management of clinical information in local health institutions, a technological solution was developed for the Medical Department of the Ambato Wholesale Market. This initiative addressed deficiencies such as the manual handling of records, the loss of documents, and the lack of security for sensitive information. The project focused on implementing a web application based on the hexagonal architecture for clinical document management. The technical proposal was founded on the separation of responsibilities using the hexagonal architecture, ensuring that the central business logic remained independent of technologies. Next.js was selected for the interface and MySQL for data management, which assures scalability and maintainability. Development was executed under the agile Scrumban methodology, responding to detailed requirements identified through surveys applied to 178 users and interviews with specialists. The validation of the data collection instrument using the Cronbach's Alpha coefficient confirmed its consistency. Initial results evidenced problems in document delivery and delays due to incomplete histories. The final implementation of the system resulted in operational efficiency improvements exceeding 97%. Processes that previously consumed between 8 and 30 minutes are now executed in seconds. This allowed for automation, the reduction of human errors, and the immediate availability of histories. The final outcome was an improvement in organization, which enables medical staff to dedicate more time to direct patient care.