Hire Database Developers

What is HIPAA-compliant Database?  A database is an organized collection of structured information controlled by a database management system. To be HIPAA-compliant, the database must follow administrative, physical, and technical safeguards of the HIPAA Security Rule. Often it means limiting access to PHI, as well as safely processing, transmitting, receiving, and encrypting data, plus having a proactively breach mitigation strategy. Administrative, physical, and technical safeguards of the HIPAA Security Rule HIPAA Rules for Database Security If your database contains even a part of PHI, it is covered by the HIPAA Act of 1996 and can attract the attention of auditors. PHI is the information containing any identifiers that link an individual to their health status, the healthcare services they have received, or their payment for healthcare services. The HIPAA Security Rule (the part of HIPAA Act) specifically focuses on protecting electronic PHI. Technical safeguards (the part of HIPAA Security Rule) contain requirements for creating a HIPAA-compliant database. Centers for Medicare & Medicaid Services (CMS) covers HIPAA Technical Safeguards for database security in their guidance. The first question that can arise is whether you should use any specific database management system to address the requirements? The answer is absolutely no. The Security Rule is based on the concept of technology neutrality. Therefore, no specific requirements for types of technology are identified. Businesses can determine themselves which technologies are reasonable and appropriate to use. There are many technical security tools, products, and solutions that a company may select. However, the guidance warns that despite the fact that some solutions may be costly, it can’t be the cause of not implementing security measures. "Required" (R) specifications are mandatory measures. "Addressable" (A) specifications may not be implemented if neither the standard measure nor any reasonable alternatives are deemed appropriate (this decision must be well-documented and justified based on the risk assessment). Here are the mandatory and addressable requirements for a HIPAA-compliant database. Mandatory HIPAA Database Security Requirements HIPAA Compliant Database Access Control Database authentication. Verify that a person looking for access to ePHI is the one claimed. Database authorization. Restrict access to PHI according to different roles ensuring that no data or information is made available or disclosed to unauthorized persons. Encrypted PHI PHI must be encrypted both when it is being stored and during transit to ensure that a malicious party cannot access information directly. Unique User IDs You need to distinguish one individual user from another followed by the ability to trace activities performed by each individual within the ePHI database.  Database security logging and monitoring All usage queries and access to PHI must be logged and saved in a separate infrastructure to archive for at least six years.  Database backups Must be created, tested, and securely stored in a separate infrastructure, as well as properly encrypted.  Patching and updating database management software Regular software upgrades, as soon as they are available, to ensure that it’s running the latest tech. ePHI disposal capability Methods of deleting ePHI by trained specialists without the ability to recover it should be implemented. By following the above requirements you create a HIPAA-compliant database. However, it’s not enough. All HIPAA-compliant databases must be settled in a high-security infrastructure (for example, cloud hosting) that itself should be fully HIPAA-compliant. HIPAA-Compliant Database Hosting You need HIPAA-compliant hosting if you want either to store ePHI databases using services of hosting providers, or/and to provide access to such databases from the outside of your organization. Organizations can use cloud services to store or process ePHI, according to U.S. Department of Health & Human Services. HIPAA compliant or HIPAA compliance supported? Most of the time, cloud hosting providers are not HIPAA compliant by default but support HIPAA compliance, which means incorporating all the necessary safeguards to ensure HIPAA requirements can be satisfied. If healthcare business wants to start collaborating with a cloud hosting provider, they have to enter into a contract called a Business Associate Agreement (BAA) to enable a shared security responsibility model, which means that the hosting provider takes some HIPAA responsibility, but not all.  deloitte.com/content/dam/Deloitte/us/Documents/risk/us-hipaa-compliance-in-the-aws-cloud.pdf In other words, it is possible to utilize HIPAA compliance supported services and not be HIPAA compliant. Vendors provide tools to implement HIPAA requirements, but organizations must ensure that they have properly set up technical controls - it's their responsibility only. Cloud misconfigurations can cause an organization to be non-compliant with HIPAA. So, healthcare organizations must: be ensured that the ePHI is encrypted during transit, in use, and at rest; enable data backup and disaster recovery plan to create and maintain retrievable exact copies of ePHI, including secure authorization and authentication  even during times where emergency access to ePHI is needed; implement authentication and authorization mechanisms to protect ePHI from being altered or destroyed in an unauthorized manner as well as include procedures for creating, changing, and safeguarding passwords; implement procedures to monitor log-in attempts and report discrepancies; conduct assessments of potential risks and vulnerabilities to the confidentiality, integrity, and availability of ePHI; include auditing capabilities for their database applications so that security specialists can analyze activity logs to discover what data was accessed, who had access, from what IP address, etc. In other words, one needs to track, log, and store data in special locations for extended periods of time. PaaS/DBaaS vs IaaS Database Hosting Solutions Healthcare organizations may use their own on-premise HIPAA-compliant database management solutions or utilize cloud hosting services (sometimes with managed database services) offered by external hosting providers.  Selecting between different hosting options is often selecting between PaaS/DBaaS and IaaS.  For example, Amazon Web Services (AWS) provides Amazon Relational Database Services (Amazon RDS) that not only gives you access to already cloud-deployed MySQL, MariaDB, PostgreSQL, Oracle, Microsoft SQL Server or Amazon Aurora relational database management software, but also removes almost all administration tasks (so-called PaaS/DBaaS solution). In turn, Amazon's Elastic Compute Cloud (Amazon EC2) services are for those who want to control as much as possible with their database management in the cloud (so-called IaaS solution).  on-Premise vs PaaS/DBaaS vs IaaS Database Hosting Solution PaaS/DBaaS vs IaaS Database Hosting Solution Azure also provides relational database services that are the equivalent of Amazon RDS: Azure SQL Database, Azure Database for MySQL, Azure Database for PostgreSQL, and Azure Database for MariaDB. Other database engines such as SQL Server, Oracle, and MySQL can be deployed using Azure VM Instances (Amazon EC2 equivalent in Azure). Our company is specializing in database development and creates databases for large and smaller amounts of data storage. Belitsoft’s experts will help you prepare a high-level cloud development and cloud migration plan and then perform smooth and professional migration of legacy infrastructure to Microsoft Azure, Amazon Web Services (AWS), and Google Cloud. We also employ experts in delivering easy to manage HIPAA-compliant solutions and technology services for medical businesses of all sizes. Contact us if you would like to get a HIPAA risk assessment and analysis.

What is MongoDB? MongoDB is a general-purpose NoSQL document-oriented database designed for modern applications. It was created for working with unstructured data. MongoDB is a distributed database with high availability, horizontal scaling, and geographic distribution. It also provides support for ad hoc queries and indexing for easy access and analysis of data. You can use MongoDB at no cost, however, managed services such as Atlas or AWS DocumentDB offer premium cloud services. There is a wide selection of computing systems that use MongoDB, such as those on-premise and those in the cloud. Besides its common application, it is also employed in custom database development for configuration management, emerging data requirements, E-commerce product catalogs, and social networking sites. Implementing suitable indexes to improve performance, refining backup and recovery processes, and following the best practices when integrating REST APIs into a framework or model are all part of a MongoDB developer's job. Rely on us for quality MongoDB development services. Hire MongoDB database developers for integration with PHP, Laravel, Drupal, Symfony or front-end frameworks like Angular, React. Contact us today to get started. Benefits of MongoDB Highly Scalable. Its horizontal and scale-out architecture makes MongoDB highly expandable, allowing it to handle large volumes of data and traffic. Cost-effective. Using MongoDB can save expenses, as well as reduce maintenance costs because of simpler data models and automatic repair functionality. User-friendly. MongoDB is a straightforward database that boasts a variety of features, such as ad hoc queries, file storage, load balancing, replication, and more. It provides a set of tools facilitating data manipulation for developers, analysts and data scientists Globally popular. Facebook, Google, Verizon, PayPal, Intuit, and many others use MongoDB. Productive and flexible. With rich JSON documents, MongoDB provides the most natural and productive approach to working with data, which enables the creation of dynamic schemas with a high degree of versatility. Expressive and rich. MongoDB's eloquent query language allows filtering and sorting of records by any field, no matter the nesting. Hassle-free to manage. Atlas, MongoDB cloud service, offers effortless management on AWS, Azure, and Google Cloud. What Industries is MongoDB Used for? Marketing and Advertising. Many companies, including publishing houses, require storage space for large amounts of data, such as articles, digital content, and eBooks, in order to integrate various learning tools onto a single platform. Content-rich applications often rely on metadata and need quick response times. MongoDB makes building content-based applications simpler and quicker, with improved access to data and the ability to store various types of content. Retail and eCommerce. MongoDB provides a combination of enterprise-level database capabilities and cost-effective technology solutions. It can handle a high volume of transactions with minimal expense. Media and Entertainment. Through MongoDB, companies can benefit from scalability. It is highly flexible and manages large loading while maintaining low latency in real-time scenarios, such as video and interactive content. MongoDB can efficiently handle millions of active users in real-time events. Gaming. Engaging games can bring in many users fast, leading to a growth in data volume. For such applications, a database system capable of storing large volumes of data is necessary. MongoDB can run more users and data as it scales up. MongoDB Developers' Hiring Options If you want to accelerate project delivery with minimal investment, hiring dedicated MongoDB developers who work exclusively on your project is a smart choice. Other advantages of a dedicated team include: The development team operates as your in-house team, ensuring a close collaboration and seamless communication. Skilled MongoDB developers guarantee high-quality deliverables, satisfying the client's requirements and expectations. There are no start-up or hidden costs associated with hiring a dedicated MongoDB team, providing transparency and cost-effectiveness. You have complete control over the project, allowing you to direct the team towards the desired outcome. The hiring model is both cost-effective and flexible, enabling you to scale the team as per your project needs. We have customized our hiring models to find MongoDB experts for your needs: Short-term assignments Ongoing projects Full-time contracts Dedicated team As a top-tier development agency, our professionals adopt a robust and dynamic approach to comprehend the distinctive elements of your concept and execute them with accuracy. If you need applications developed for your business or require an expansion of your team, Belitsoft MongoDB developers provide the best solution. Let us consider your business case. MongoDB Services by Belitsoft MongoDB Database Designing The service involves the creation and management of databases using the MongoDB database management system. MongoDB database designing covers requirements gathering, data modeling, indexing, ensuring security, scaling, backup, and recovery. MongoDB Consulting Services MongoDB's professionals provide expert guidance on performance tuning, data modeling to help design the structure of the database, architecture design in various deployment scenarios, security, and disaster recovery, training and support. Setup and Implementation Services Implementing and carrying out MongoDB includes the installation, configuration, deployment, testing, and documentation of the MongoDB database management system. On demand, MongoDB setup and implementation service may also involve training services to help the organization's staff get familiar with MongoDB and how to use it effectively. MongoDB Database Development Solutions The service allows creating applications and software solutions that use MongoDB database management system as their underlying data store. It starts by gathering requirements and data modeling. Then, the service provider develops APIs that allow the application to interact with the MongoDB database and performs the application development, using a programming language such as Java, Python, or Node.js. Finally, your vendor conducts testing and deployment of the app and the MongoDB database in a standalone, replica set, or shared cluster deployment. MongoDB Integration Get customized services and integrations from a skilled team who will fully manage this thorough process. MongoDB Integration combines the MongoDB database management system with other software applications, tools. The service involves the analysis of the existing software and tools, developing an integration strategy, data migration, API development, testing and deployment of the MongoDB integration in the organization's IT environment. MongoDB Support and Maintenance There is ongoing support for companies that use the MongoDB database management system. The service includes the database monitoring to identify issues, troubleshooting, upgrades and updates to ensure proper functioning, implementing security measures to protect the MongoDB database from unauthorized access, data breaches, etc., performance tuning to ensure peak efficiency, backup, and recovery. MongoDB Cloud Database MongoDB cloud database offers cloud-based database management, quick and easy deployment, scaling, and running. The service covers automated deployment, elastic scalability, high availability and disaster recovery capabilities, and security. Migration Services for MongoDB MongoDB simplifies data migration and is beneficial for businesses upgrading their database systems or switching to a more efficient and scalable system. The service involves data extraction, transformation, and loading. Then, testing and validation take place to verify performance. Once the migration is complete, the service provider will deploy the new MongoDB database and ensure that it is properly configured and optimized for the organization's needs. Serverless Web Application Development MongoDB database developers can create robust automated flexible applications tailored to your needs and adjusted to spikes in visitor traffic. For that, the specialists build an architecture, develop front-end using modern front-end frameworks such as React, Vue.js or Angular and back-end logic. Once the web application has been developed, the service provider performs rigorous testing to ensure proper functioning. Mobile App Backend Development For developing high-demand mobile apps, a comprehensive database engine like MongoDB is essential. MongoDB mobile app backend development involves building the backend infrastructure for mobile applications using MongoDB, API development (RESTful APIs, GraphQL APIs, etc.), creating cloud-based infrastructure. Also, the service provider can implement secure authentication and authorization mechanisms, add real-time data synchronization between the mobile app and the database, and optimize the app performance to ensure that the mobile application is responsive and fast. Data Analytics The team of Data Analysts is proficient in the use of MongoDB's analytics and visualization tools (MongoDB BI Connector, MongoDB Charts) to gain insights into a company's data to create custom and visually appealing visualizations. We can also group, filter, and consolidate data in real-time through MongoDB's aggregation pipeline, data modeling, and integration. Our MongoDB development services enable database scalability and adaptability. By hiring MongoDB database developers, you can benefit from exceptional back-end and database support. Let's talk about more details. How to Hire MongoDB Database Developers Hiring a software development company to manage your MongoDB database development simplifies the process to a few steps. Step 1. Explain your needs to your software partner. On a set call to go through your needs, do not stress over giving all the specifics - just provide what you can. Share the project goals, skills and requirements for MongoDB developers. Step 2. Shortlist the best MongoDB developers. Your partner will review CVs and pick appropriate MongoDB developers. Choose the best ones and schedule a Zoom or Google Meet call with the candidates to evaluate their skills. You may also assign the selection to your vendor's specialist. Step 3. Start working when ready. An experienced software development company manages the onboarding process for the MongoDB developers swiftly. Your vendor will take care of the details, so you can focus on your work. It takes the burden of hiring off your shoulders, so you can get to work without delay. Step 4. Benefit from effective management. Effective performance management strategies implemented with the help of a software vendor to get a solution that fits your needs to get a customized solution that works for you. Step 5. Iterate and scale on demand. Your MongoDB development needs may change as your business grows. The right vendor can quickly build your team, scaling it up and down as needed. Step 6. Get the results regularly and on time. Performance reports provide a clear overview of the scope of work completed within sprints every 2 weeks, making the development process transparent and predictable. Use these reports to spot potential issues early in the project. What Belitsoft does for you to hire MongoDB database developers We recognize the importance of thoroughly testing and hiring MongoDB developers that suit your requirements. Hence, we have implemented a comprehensive interview process with multiple rounds of evaluations until you feel content. You can examine the candidate's experience in various projects. Candidate screening. We identify the right talents for you, evaluating tech and soft skills, logical ability and cultural compatibility through interviews. Test task. We require developers to go through intense testing that our clients typically provide for assessing their skills and confirming their interest. Technical test. Upon client’s request, we evaluate developers' MongoDB-related knowledge and problem-solving abilities through open-ended questions and tricky problems. Our goal is to assess their technical skills and grasp their mental processes. We ensure a good fit through a background check. Giving specific feedback. We provide clear feedback on both the test task and the technical test after evaluating the developer's expertise. Shortlist top talents for your interview. We offer the opportunity to interview the developers we have shortlisted to ensure that they meet your requirements and are a suitable fit for your company. Hire the best. With our intelligent hiring process, you find the perfect developers for your needs. Our team sources, vets, matches, and manages developers, taking the guesswork out of the hiring process. Provide Infrastructure. We take care of a range of tasks and costs, including a comfortable work environment, payroll and tax management, legal support, hardware provision, insurance coverage, and robust infrastructure and security measures. Take on the Back-office process. We can handle your back-office processes, including custom recruiting, HR management, onboarding, retention, employment benefits, and hiring processes. Belitsoft takes care of all the complexities of outsourcing, from screening developers to international payments, so you can save time and money. Let's discuss your case. How much does it cost to hire a MongoDB developer The rates for MongoDB development services may vary based on several factors, such as the developer's experience and expertise, location, and market conditions. Those with a great deal of expertise in the field may cost more, but they can complete tasks quickly, possess specialized knowledge, and can create top-notch results. Conversely, a less experienced developer will offer a more competitive rate, while still having enough proficiency to perform routine tasks. The cost of MongoDB developers in the US usually varies with their level of expertise: juniors and middle-level developers around $20-90/hr and senior developers charging around $120/hr Transparency and budgeting are a priority for us. We strive to keep our clients informed of costs and details related to MongoDB developers and are committed to customer satisfaction. GET A FREE QUOTE MongoDB Developers' Skills to Require You or your client may have selected MongoDB for its open-source nature and ability to offer high scalability with in-memory computing, native replication, and cloud compatibility. However, to fully leverage these advantages and create a well-optimized database that seamlessly integrates with your IT architecture, you require top-notch MongoDB database developers. This is where we come in by identifying and fulfilling the skills and requirements that qualified MongoDB developers must possess. MongoDB developer skills and job responsibilities Examples of MongoDB job responsibilities: Management of MongoDB deployments on-premises and in the cloud, including configuration and management tasks Designing, developing, and implementing data architectures to meet specific business needs Providing assistance to IT operations teams with tasks such as virtualization, DevOps automation, and building big data analytics pipelines. Management of databases Analysis of big data using technologies such as Spark and Hadoop Automation of DevOps processes with tools like Ansible and Puppet Implementation of virtualization using platforms like VMware and Kubernetes Expertise in cloud technologies like AWS, Google Cloud Platform, and Microsoft Azure MongoDB developers should possess the following competences at an advanced level: Extensive experience in MongoDB and NoSQL, including collection formation, index building, sharding implementation, and debugging. Familiarity with other NoSQL tools such as Cassandra, ElasticSearch, DynamoDB, and HBase. Good understanding of SQL databases like SQLite, MySQL, or PostgreSQL, to leverage the strengths of both SQL and NoSQL for their projects. Hands-on experience with cloud systems, such as AWS, Azure, Google Cloud, or other, to ensure high performance and continuous delivery and integration. Good understanding of the company's technologies. Reading/Writing MongoDB through PHP/.NET. Proficiency in operating MongoDB ODBC Connector and MongoDB Compass JSON. Expertise in replica sets, sharding, database schemas, indexing, query optimization, and performance tuning. Proficient in backup and recovery procedures. Capability of migrating data from RDBMS to MongoDB. Experience developing data cleansing routines through standardization, transformation, rationalization, linking, and matching. Knowledge of infrastructure engineering. Ability to design MongoDB high-availability (HA) strategies. Ability to manage the security of MongoDB databases. MongoDB Developers Job Description Clearly define the project, budget, and talent needed in the job post. Include adequate details for contractors to make an informed decision. Be specific in the post title. Describe the project with scope and budget. We recognize that each client may have their own approach to hiring a MongoDB developer. We'll test the developer's experience in a way that suits you if you share your preferred model with us. Why choose Belitsoft for MongoDB database services Our MongoDB developers understand the importance of database systems. They are highly experienced, team players, and innovative thinkers. We also ensure that by hiring MongoDB programmers from us, you get professionals who can follow commands while possessing the flexibility to excel as problem-solvers and visionaries. At Belitsoft, we take pride in our ability to train and develop highly knowledgeable and skilled MongoDB database developers. We ensure: Scalability. We modify the structure of your dedicated team as per your project needs. Fast kick-off. We enable a quick hiring process and maintain staff on a bench, so projects can start in days or weeks. , so projects can start in days or weeks. Flexibility. We can tailor the development team size on your demand. Transparency. We make the development process visible to stakeholders, including regular reporting of progress, issues, and risks, so you take more informed decisions. Experienced developers from our 400+ employees’ pool to choose from. Our MongoDB developers team can provide solutions for your business in many fields. They work as an extension of your in-house team, providing error-free code and taking on projects from start to finish. Adaptable and affordable pricing model. Clients can customize their payment plans with Belitsoft on an hourly, monthly, or part-time basis. Excellent communication skills. When hiring MongoDB developers, Belitsoft considers communication skills as an essential factor besides technical and logical skills. Strong Security & protection. We prioritize confidentiality by signing an NDA with all MongoDB developers and maintain high levels of security to protect your intellectual property. No freelance resources. We are passionate about providing the best service to our clients, which is why we have a dedicated team of full-time in-house MongoDB developers. Our team of expert developers, who have been carefully selected, guarantees the on-time delivery of any project. MongoDB Best Practices. Our MongoDB developers leverage automation platforms to conduct code reviews, and we also employ the latest tools to ensure faster and smoother deployment. Looking for MongoDB developers to take your project to the next level? Contact Belitsoft now to hire MongoDB database developers who can deliver high-quality solutions tailored to your business needs.

Professional Developers mostly use relational databases like PostgreSQL, MySQL, SQLite, and Microsoft SQL Server. https://survey.stackoverflow.co/2022/#most-popular-technologies-database-prof Databases in Healthcare: Zero Downtime and High Security The healthcare industry, like a hospital, it's a 24/7 operation, it's open all year long. Hospitals have thousands of connections to the database and database administrators cannot afford to put the database down. If the database isn't available when a surgeon or doctor is in the operating room and needs to make a decision and they don’t have all the information about the patient anymore, that can have really big consequences. There's a lot of private information in healthcare, and patients are involved. Looking at certain information, like an address or telephone number, should be locked for non-authorized users including… healthcare software developers. So developers must not have patient information in test and dev, they have to use not real but mixed data like names changed to something random, replacing characters, selecting a random record, and stuff like that. Examples of Relational Databases in Healthcare EHR Databases eClinicalWorks sells electronic medical record and practice management software to more than 70,000 healthcare providers in the United States. Their Java-based applications use SQL Server databases.  They moved the database server to an Infrastructure as a Service (IaaS) cloud (Azure Virtual Machines and Azure Disk Storage). In a typical SQL cluster, the company has two VMs deployed in zone redundancy and one for disaster recovery in a different region to enhance availability and reliability. In total, they use 2,200 Azure virtual machines.  “Every customer gets their own back-end database and is logically separated on the shared infrastructure. This is how we’re able to deploy customers running independently without any commingling of data,” explains Bharat Satyanarayan, Vice President of Technology and Quality Assurance at eClinicalWorks. Claims Databases Consumer Direct Care Network (CDCN) provides different services to tens of thousands of individuals, including claim processing services.   They moved the back-end of their Claim Processing System from an on-premises to a Database as a Service (DBaaS) cloud (followed by rebuilding and rearchitecting to make it cloud-ready).  Using Azure SQL Database, a fully managed relational database service, CDCN can handle 400,000 transactions in billing and payroll a week, and their portal serves 200,000 users.   Health Analytics Databases  Health analytics company Dr Foster helps hospitals and regional care systems understand the factors influencing the quality of care, using Microsoft SQL Server Big Data Clusters.   “We need to be able to access like several hundreds of terabytes of data and that's data for every hospital in England. We need to be able to access it quickly and shape it and make sense of it. SQL allows us to do that with speed and with accuracy and helps us keep it safe,”  says George Bayliffe, Head of Data at Dr Foster. Five different teams work with the data store.  Data engineering team manages data processes to pass usable data to the team of statistical analysts. Team of statistical analysts models the data with AI and machine learning to produce insights.  Application development team builds web apps to present the data to customers.  Consultant group provides custom services (including reporting) to customers.  Operations team is responsible for the security, integrity, and availability of the data across the organization.  “[For one of our clients] we had to deploy our solution to a datacenter in Germany. By replicating the entire environment with Azure Virtual Machines, we can keep this data completely isolated from our network [to maintain data within national borders to satisfy GDPR regulations],”  says George Bayliffe.  Database for Real-time Analytics in Healthcare POCT Science House is a diagnostics company that enables healthcare providers to receive lab reports. It operates 85 labs that produce several thousand patient reports every day for district and community hospitals. Inside the labs, more than 400 automated analyzers identify chemicals and other characteristics in biological samples.  The data from the tests are then compiled into reports to help clinicians quickly identify signs of disease and propose treatments. Plus, the government uses anonymized versions of the data to get a broad view of the nation’s well-being to help plan healthcare policies. The company uses Oracle MySQL HeatWave Database (managed database service) on Oracle Cloud Infrastructure to collect data from 400-plus automated analyzers. The integrated HeatWave in-memory query accelerator makes fats dashboard reporting without needing to move the data for analysis.  The medical device manufacturer Bionime provides diabetes patients with a self-monitoring blood glucose system.  Bionime selected Oracle MySQL HeatWave on AWS as a fully managed database service that combines transaction processing with an in-memory query accelerator for a high-performance analytics engine.  Oracle MySQL HeatWave consolidates both transaction processing and queries in one MySQL Database for real-time analytics. It eliminates the need for a separate analytics database and ETL (extract, transform, and load) processes.   Databases for Cloud-based Healthcare SaaS apps Nuance Communications software technology corporation provides primarily SaaS-based speech recognition and transcription healthcare application that is used by more than 500,000 clinicians in 10,000 healthcare organizations globally to capture more than 300 million patient stories each year. The company uses Azure SQL Database with the geo-replication features in two datacenters, so database changes are propagated in real-time from the master database to five read-only database instances across the datacenters to guarantee a recovery point objective (RPO) of five minutes or less. IT Infrastructure of healthcare SaaS Azure Traffic Manager routes traffic to the closest data center based on network response times to provide the optimal user experience without any downtime. Azure Load Balancer routes the request to an available microservice instance deployed as an Azure Virtual Machine and can quickly be horizontally scaled to provide unlimited capacity. And while Azure Virtual Machines provide the raw compute power, Azure Storage is used to provide an access to the file system. Azure Virtual Network in conjunction with Network Security Groups is used to ensure that only authorized personnel has access to patient data. Azure Security Center to manage and monitor individual virtual machines for malware and virus protection.  Clinical Quality Registries IT Infrastructure of Uppsala Clinical Research Center (UCR) UCR's National Quality Registries include treatment and outcome data based on all hospital patients and are used by thousands of doctors, nurses, medical secretaries, and representatives within county councils. A national quality registry contains person-based details relating to a problem, the taken actions, and the results within the health and care services. The registers provide feedback on the work of the healthcare providers and can generate intra-departmental comparisons of the treatments and results, as well as comparisons with other care providers. We are "automatically loading patients' data, both from the primary health and hospital care, into the MySQL database servers," says Kalle Spångberg, Group Director at UCR. The National Quality Registries is based on four MySQL servers. All in all, treatment data from about 1.5 million patients are registered in the Quality Registries. The users of the National Quality Registries record patients, treatments and outcomes. It collects transferred patients' data automatically or through the online Web form.   The data is received by an Apache Web server which, in turn, sends a request to a Tomcat Java Application Server where logic and communication with the MySQL databases are managed. About 20 quality registries are allocated on two MySQL servers, "DBMaster" and "DB-Prod". Every night, the MySQL production database as well as the MySQL redundant slave database sends a batch of data to the analysis server, which produces dynamic reports through the National Quality Registries' online application.