# Technological architecture for a multi-region solution within the regulation of Brazil’s Unified Health System

**Authors:** Pablo Holanda Cardoso, Tiago de Oliveira Barreto, Janaína Luana Rodrigues da Silva Valentim, Karilany Dantas Coutinho, João Paulo Queiroz dos Santos, Antônio Higor Freire de Morais, Nícolas Vinícius Rodrigues Veras, Aldo Eduardo de Almeida Portela, Juliano Silva Melo, Célio da Costa Barros, Andréa Santos Pinheiro, Monise Barros Dantas, Jordana Crislayne de Lima Paiva, José Arilton Pereira Filho, Raul Silva de Almeida, Walkyso dos Santos Júnior, Arthur Meireles da Silva, Elionai Augusto Silva de Melo, Douglas Lemos Inácio da Silva, João Victor Medeiros Crisostomo, Sandra Rubina Freitas Cardoso dos Santos, Claudia Maria Fileno Miranda Veloso, Guilherme Medeiros Machado, Ricardo Alexsandro de Medeiros Valentim

PMC · DOI: 10.3389/fdgth.2026.1763929 · Frontiers in Digital Health · 2026-02-20

## TL;DR

This paper describes a digital health system designed to improve healthcare access and transparency in Brazil's health system.

## Contribution

A new digital health architecture that integrates regional healthcare data and supports equitable access.

## Key findings

- The architecture achieved flexibility and interoperability across different regions.
- Real-time monitoring and queue management improved healthcare transparency.
- The system could serve as a model for national and international healthcare solutions.

## Abstract

This article presents the design and implementation of a digital health technology architecture focused on healthcare regulation in Brazil's National Health System (SUS). The objective was to develop an architectural model capable of optimizing resource allocation, increasing transparency, and integrating health information from different levels of care, with a focus on reducing inequalities in access.

Methodologically, a transdisciplinary applied research approach based on action research was adopted, with iterative development cycles in accordance with agile methodologies. The architecture was implemented in the states of Rio Grande do Norte, Espírito Santo, and Mato Grosso, respecting regional specificities and integrating international interoperability standards, as well as architectural principles and software engineering.

The results point to flexibility, interoperability, real-time monitoring, queue management, and transparency, including direct access for control bodies and process auditability.

It can be concluded that the proposed architecture represents a significant advance for equity in access and could serve as a basis for solutions on a national and international scale.

## Full-text entities

- **Diseases:** vascular diseases (MESH:D014652), ES (MESH:C567819), Organ Failure (MESH:D009102), COVID-19 (MESH:D000086382)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

6 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12963291/full.md

## References

33 references — full list in the complete paper: https://tomesphere.com/paper/PMC12963291/full.md

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Source: https://tomesphere.com/paper/PMC12963291