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Case Study: National Healthcare System of Brazil and Java

Posted by: Dion Almaer on February 27, 2004 DIGG
Sun has posted a case study on how the National Healthcare System of Brazil is using Java and XML. The case study talks about a project to implement a national repository of health records.

The interesting part of the architecture is that it is very old school, in that they just use JDBC. No Entity Beans, or JDO/Hibernate, or fancy DAO builder. The same goes for JAXP vs. JAXB/XML Beans/<insert cool XML system>, and for Servlets vs. Struts/WebWork/Faces/Tapestry/<insert cool web application framework>. This is probably just due to the age of the application though ("JAXB was not available at the time of the pilot").

View the case study on: How Java Technology and XML Are Improving Healthcare in Brazil

Threaded replies

·  Case Study: National Healthcare System of Brazil and Java by Dion Almaer on Fri Feb 27 09:51:24 EST 2004
  ·  Case Study: National Healthcare System of Brazil and Java by T Q on Fri Feb 27 10:02:25 EST 2004
    ·  Case Study: National Healthcare System of Brazil and Java by Erik Bengtson on Fri Feb 27 10:18:32 EST 2004
    ·  Case Study: National Healthcare System of Brazil and Java by Dorel Vaida on Fri Feb 27 10:46:03 EST 2004
    ·  In a good way... by Dion Almaer on Fri Feb 27 11:36:36 EST 2004
      ·  KISS by Rolf Tollerud on Fri Feb 27 13:49:42 EST 2004
        ·  KISS by Erik Bengtson on Fri Feb 27 14:36:25 EST 2004
  ·  Makes me proud by Henrique Steckelberg on Fri Feb 27 11:01:01 EST 2004
    ·  Makes me proud by Henrique Steckelberg on Fri Feb 27 11:32:02 EST 2004
    ·  Makes me proud by Mark Nuttall on Fri Feb 27 15:23:36 EST 2004
    ·  Brazillian Voting System by Emerson Cargnin on Mon Mar 01 13:35:34 EST 2004
  ·  Case Study: National Healthcare System of Brazil and Java by Ian Mitchell on Fri Feb 27 11:21:07 EST 2004
    ·  KISS by Larry Edelstein on Sat Feb 28 19:55:05 EST 2004
      ·  KISS by D S on Mon Mar 01 04:02:10 EST 2004
        ·  KISS by thoff thoff on Mon Mar 01 14:13:27 EST 2004
          ·  KISS by Ian Mitchell on Tue Mar 02 16:33:05 EST 2004
  ·  The amount of data. by Fuad Ibrahimov on Fri Feb 27 15:14:53 EST 2004
    ·  The amount of data. by Juozas Baliuka on Sat Feb 28 01:50:12 EST 2004
      ·  The amount of data. by Fuad Ibrahimov on Sat Feb 28 10:39:50 EST 2004
        ·  The amount of data. by Juozas Baliuka on Sun Feb 29 03:19:02 EST 2004
          ·  The amount of data. by Fuad Ibrahimov on Sun Feb 29 06:08:18 EST 2004
  Message #112326 Post reply Post reply Post reply Go to top Go to top Go to top

Case Study: National Healthcare System of Brazil and Java

Posted by: T Q on February 27, 2004 in response to Message #112324
++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
The interesting part of the architecture is that it is very old school, in that they just use JDBC. No Entity Beans, or JDO/Hibernate, or fancy DAO builder.
============================================================

Sun is writing a paper to market their technology not yours or your buddies. Why you are pointing to old technology? Smart people can build excellent application using simple JDBC

  Message #112328 Post reply Post reply Post reply Go to top Go to top Go to top

Case Study: National Healthcare System of Brazil and Java

Posted by: Erik Bengtson on February 27, 2004 in response to Message #112326
> Smart people can build excellent application using simple JDBC

you don't need to be smart to build an excellent application with only JDBC, but to select it.

  Message #112339 Post reply Post reply Post reply Go to top Go to top Go to top

Case Study: National Healthcare System of Brazil and Java

Posted by: Dorel Vaida on February 27, 2004 in response to Message #112326
I remember James Gosling talking about this in early 2003. See how he saw the system comparing to Sun's case study

http://weblogs.java.net/jag/page1.html#8

  Message #112342 Post reply Post reply Post reply Go to top Go to top Go to top

Makes me proud

Posted by: Henrique Steckelberg on February 27, 2004 in response to Message #112324
This makes me even more proud of being a Brazilian software developer. Other countries should take a look at our electronic voting system too, the most advanced in the world:

http://www.enterbrasil.com/election/election.html

The only bad thing about it: it's not based on Java technology... :(

Regards,
Henrique Steckelberg

  Message #112347 Post reply Post reply Post reply Go to top Go to top Go to top

Case Study: National Healthcare System of Brazil and Java

Posted by: Ian Mitchell on February 27, 2004 in response to Message #112324
This is good stuff. KISS is a pattern in itself, and probably the most neglected in business architecture.

The Sun article also does justice to this principle. It is clearly laid out and easy to understand, and manages to be fairly comprehensive without sacrificing too much technical detail. All in 10 pages! An object lesson in how to construct a high-level architecture document.

  Message #112351 Post reply Post reply Post reply Go to top Go to top Go to top

Makes me proud

Posted by: Henrique Steckelberg on February 27, 2004 in response to Message #112342
Other link about the project:

http://www.saude.gov.br/cartao (in Portuguese only)

Regards,
Henrique Steckelberg

  Message #112352 Post reply Post reply Post reply Go to top Go to top Go to top

In a good way...

Posted by: Dion Almaer on February 27, 2004 in response to Message #112326
I meant this in a GOOD way. They developed an app that works, and didn't just talk about buzzwords and bleading edge tech.

Dion

  Message #112377 Post reply Post reply Post reply Go to top Go to top Go to top

KISS

Posted by: Rolf Tollerud on February 27, 2004 in response to Message #112352
Perhaps Vic Cekvenich is involved?

Regards
Rolf Tollerud

  Message #112386 Post reply Post reply Post reply Go to top Go to top Go to top

KISS

Posted by: Erik Bengtson on February 27, 2004 in response to Message #112377
> Perhaps Vic Cekvenich is involved?

are they using struts and ibatis? :)

  Message #112388 Post reply Post reply Post reply Go to top Go to top Go to top

The amount of data.

Posted by: Fuad Ibrahimov on February 27, 2004 in response to Message #112324
"> 50 gigabytes of data/million users/year"

Our clinic is producing one terabyte of radiology data every 6-7 months for 10000 -15000 patients. Actually we are working on the same project in Germany and it is very interesting for me how they solved problem of transfer such a big data to the central servers.

  Message #112390 Post reply Post reply Post reply Go to top Go to top Go to top

Makes me proud

Posted by: Mark Nuttall on February 27, 2004 in response to Message #112342
I know we've looked at your bus system (Curitiba).

  Message #112436 Post reply Post reply Post reply Go to top Go to top Go to top

The amount of data.

Posted by: Juozas Baliuka on February 28, 2004 in response to Message #112388
> "> 50 gigabytes of data/million users/year"
>
> Our clinic is producing one terabyte of radiology data every 6-7 months for 10000 -15000 patients. Actually we are working on the same project in Germany and it is very interesting for me how they solved problem of transfer such a big data to the central servers.

It is very interesting project, I hope you do not use XML, do you ?

  Message #112449 Post reply Post reply Post reply Go to top Go to top Go to top

The amount of data.

Posted by: Fuad Ibrahimov on February 28, 2004 in response to Message #112436
The radiology data stays in original DICOM format and we use streaming to deliver DICOM data to the end points. The rest data is in XML.

  Message #112466 Post reply Post reply Post reply Go to top Go to top Go to top

KISS

Posted by: Larry Edelstein on February 28, 2004 in response to Message #112347
No, KISS is not a pattern, it's a goddamned slogan.

  Message #112482 Post reply Post reply Post reply Go to top Go to top Go to top

The amount of data.

Posted by: Juozas Baliuka on February 29, 2004 in response to Message #112449
> The radiology data stays in original DICOM format and we use streaming to deliver DICOM data to the end points. The rest data is in XML.

I am not expert and there is no way to implement something like this in our country (internet connection is too slow or it can be more expensive than data itself). We have two ways, reduce and compress data, drop XML or to use bag to transport this kind of data if compression does not help.

  Message #112485 Post reply Post reply Post reply Go to top Go to top Go to top

The amount of data.

Posted by: Fuad Ibrahimov on February 29, 2004 in response to Message #112482
> I am not expert and there is no way to implement something like this in our country (internet connection is too slow or it can be more expensive than data itself). We have two ways, reduce and compress data, drop XML or to use bag to transport this kind of data if compression does not help.

We didn't solve data transfer problem finally, but for end users, e.g. for doctors we deliver radiology data through streaming and it works fine even with slow modem connection.
Actually the model of our application is different than one in Brazil, but problems with data transfer are same.

  Message #112546 Post reply Post reply Post reply Go to top Go to top Go to top

KISS

Posted by: D S on March 01, 2004 in response to Message #112466
>> No, KISS is not a pattern, it's a goddamned slogan

Actually it's the one of the best pieces of advice you'll ever get as a software engineer.

  Message #112604 Post reply Post reply Post reply Go to top Go to top Go to top

Brazillian Voting System

Posted by: Emerson Cargnin on March 01, 2004 in response to Message #112342
I'm very proud of this (healthy system) news too. As a brazillian developer, I'm sure that we one of the most advanced coutries in Java. I work in the Electoral Court and think that it could use more open technologies, as linux and Java, and the lack of a more open-source sight of the Electoral big heads..
But nobody can't say brazil hasn't one of the most success eletronic vote system ever done. In this year (as in 2002) we'll have all the cities covered by the Urna Eletrônica (as we call the vote machine), and that's not small think, as there's a lot of remote places hard to get to.

Emerson Cargnin

  Message #112611 Post reply Post reply Post reply Go to top Go to top Go to top

KISS

Posted by: thoff thoff on March 01, 2004 in response to Message #112546
>Actually it's the one of the best pieces of advice you'll ever get
> as a software engineer.

You can't measure it. Most people will not agree on it when they see it.
Most people will not agree on a way to get it. There's more than one
way to get there. It's very personal. It's very context sensitive.

It's very sloganish because it is ineffable. It's more of guise
for everyone to do what they want under the protection of a
lofty principle.

  Message #112759 Post reply Post reply Post reply Go to top Go to top Go to top

KISS

Posted by: Ian Mitchell on March 02, 2004 in response to Message #112611
When I say that "KISS is a pattern in itself", I am thinking in terms of Christopher Alexander's original definition, of which context sensitivity is indeed part. IIRC he defined a pattern as a three part construct:

(1) the context (i.e. under what conditions does this pattern hold).
(2) a system of forces that exert pressure away from a problem and towards a solution or goal.
(3) the solution itself; a configuration that balances the system of forces or solves the problems presented.

I would therefore say that KISS meets the criteria of pattern identity, since:

(1) it holds under conditions where simplicity does not degrade quality, and where additional complexity does not provide appreciable and forseeable benefit.
(2) there is a system of forces (usability, maintainability, testability, understandability, etc.) which exert pressure away from complex solutions and towards simple ones.
(3) reduced complexity (fewer artifacts, nodes, dependencies, SLOC) balances those forces, and solves those problems concerning usability, maintainability etc.

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