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Business process modeling was suggested by academia and implemented by the industry to trigger device requirements. Maturity models of software processes are also similar in the software industry. Therefore, business software requirement engineering approaches-based process should aim to fulfil with the maturity models. Although researchers in the area of Software Engineering, Project Management, and Business Intelligent have addressed planning and execution and a lot of research still needs to be done, in this study, we focused on doing a questionnaire based on different prominent universities, major companies, and software houses. The purpose of the questionnaire was to dig out the main factors that negatively affect software houses and their products and services, especially in the medical field. A questionnaire was generated to accomplish these reasons, and interviews were conducted to extract the key explanation why software developers and software houses in developing countries are not familiar with the CMMI (Capability Maturity Model Integration) model for medical software projects. This analysis attempted to figure out why the tech enterprises of developing countries are behind foreign competitors. We aimed to determine why software developers do not meet the international requirements for software. The novelty of the research is that attempts were made to strengthen the new approach by adding agile at level 3 to keep the local software industry appropriate and reveal the requirements for medical software life cycle study, because accurate decision support is really necessary for healthcare systems.

Enhancement of the Capability Maturity Model for Improving the Quality of Software Projects in Developing Countries