CarneiroTech/Content/Cases/en/sap-integration-healthcare.md

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title slug summary client industry timeline role image tags featured order date seo_title seo_description seo_keywords
SAP Healthcare Integration System sap-integration-healthcare Bidirectional integration processing 100k+ transactions/day with 99.9% uptime Confidential - Healthcare Multinational Healthcare 6 months Integration Architect
SAP
C#
.NET
Integrations
Enterprise
Healthcare
true 1 2023-06-15 Case Study: SAP Healthcare Integration - 100k Transactions/Day How we architected SAP integration system processing 100k+ daily transactions with 99.9% uptime for healthcare company. SAP integration, C#, .NET, SAP Connector, enterprise integration, healthcare

Overview

Client: Healthcare Multinational (confidential) Size: 100,000+ employees Project: Benefits integration Timeline: 6 months My Role: Integration Architect


Challenge

Client had internal benefits management system that needed to sync with SAP ECC to process payroll.

Main pain points:

  • Manual process prone to errors
  • 3-5 day delay between systems
  • 100k employees waiting for processing
  • Load spikes (month-end)

Constraints:

  • Limited budget (no SAP BTP)
  • Small internal SAP team (2 developers)
  • Tight deadline (6-month go-live)
  • Legacy .NET Framework 4.5 system

Solution

Bidirectional integration architecture:

[Internal System] ←→ [Queue] ←→ [SAP Connector] ←→ [SAP ECC]
       ↓                              ↓
  [MongoDB Logs]              [ABAP Z_BENEFITS]

Components:

  • .NET Service with SAP Connector (NCo 3.0)
  • Custom ABAP transaction (Z_BENEFITS)
  • Queue system (RabbitMQ) for retry logic
  • MongoDB for audit and troubleshooting
  • Scheduler (Hangfire) for batch processing

Flow:

  1. System generates changes (new hires, modifications)
  2. Service processes batch (500 records/batch)
  3. SAP Connector calls Z_BENEFITS via RFC
  4. SAP returns status (success/error)
  5. Automatic retry if failure (max 3x)
  6. MongoDB logs for troubleshooting

Results

Metrics:

  • 100k+ transactions/day processed
  • 99.9% uptime
  • Reduced 5 days → 4 hours (delay)
  • 80% reduction in processing time
  • Zero manual errors (vs 2-3% before)

Benefits:

  • Employees receive benefits on-time
  • HR team saves 40h/month (manual work)
  • Complete audit (compliance)
  • Scalable (30% year-over-year growth without refactor)

Tech Stack

C# .NET Framework 4.5 SAP NCo 3.0 RabbitMQ MongoDB Hangfire Docker SAP ECC ABAP RFC


Decisions & Motivation

Decision 1: SAP Connector vs SAP BTP

Options evaluated:

  • SAP BTP (events, modern APIs, cloud)
  • SAP Connector (direct RFC, on-premise)

We chose: SAP Connector

Motivation:

  • Client had on-premise SAP ECC (not S/4)
  • Budget didn't allow BTP license
  • SAP team comfortable with ABAP/RFC
  • Needs met with RFC (didn't need real-time event-driven)

Accepted trade-off:

  • Less "modern" than BTP, but 100% functional
  • $0 additional cost vs $30k+/year BTP
  • 2 months faster delivery (no BTP learning curve)

Decision 2: Queue System vs Direct Calls

Options evaluated:

  • Direct synchronous calls (simpler)
  • Queue with retry (more complex)

We chose: Queue + Retry

Motivation:

  • SAP occasionally unavailable (maintenance)
  • Load spikes (month-end = 200k requests)
  • Ensure zero data loss
  • Resilience > simplicity (critical environment)

Implementation:

  • RabbitMQ with dead-letter queue
  • Exponential retry (1min, 5min, 15min)
  • Alerts if 3 consecutive failures

Result:

  • Zero data loss in 2 years production
  • HR team doesn't need to "keep watch"

Decision 3: Custom ABAP vs Standard

Options evaluated:

  • Standard SAP BAPIs (zero ABAP code)
  • Custom transaction (Z_BENEFITS)

We chose: Custom transaction

Motivation:

  • Standard BAPIs didn't have business-specific validations
  • Client wanted logic centralized in SAP (single source of truth)
  • Allowed complex validations (eligibility, dependents, limits)

Trade-off:

  • Requires ABAP maintenance (internal SAP team)
  • But: Client preferred vs duplicate logic (risk of desync)

Alternatives NOT Chosen

Webhook/Callback (Event-Driven):

  • Client had no infrastructure to expose APIs
  • Internal system behind firewall
  • Batch polling works well for the case

Kubernetes Microservices:

  • Overkill for single integration
  • Team had no K8s expertise
  • Simple Docker sufficient

Real-time Sync (<1min):

  • Business doesn't need (daily batch ok)
  • Infrastructure cost would increase 3x
  • 4h delay acceptable for payroll

Learnings

What worked very well:

  • Involve SAP team from day 1 (buy-in)
  • MongoDB for logs (10x faster troubleshooting)
  • Retry logic saved countless times

What I would do differently:

  • Add health check endpoint earlier
  • Monitoring dashboard from start (added later)

Lessons for next projects:

  • Client "limited budget" ≠ "limited solution" - creativity solves
  • Document ALL architectural decisions (team turnover)
  • Simplicity beats complexity when both work (KISS)

Need Something Similar?

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