Context
Problem Statement
Traditional sequential development (one team per week) was too slow for healthcare delivery timelines. HDIM needed concurrent team execution (RED-GREEN-REFACTOR cycles) to accelerate feature delivery while maintaining quality.
Problem: Phase 5 (4 event services) would take 8 weeks sequentially—unacceptable for healthcare innovation cycles
Options Considered
Option 1: TDD Swarm (Test-Driven Development + Parallel Execution)
Description: RED phase (all teams write tests in parallel) → GREEN phase (teams implement independently) → REFACTOR phase (consolidate and optimize)
Results (Phase 5):
Pros:
Cons:
Estimated Effort: 2-week per feature
Risk Level: Low (proven in Phase 5)
Option 2: Traditional Sequential Development
Description: Team 1 → Team 2 → Team 3 → Team 4 (one after another)
Results:
Pros:
Cons:
Risk Level: High (slow delivery)
Decision
We chose Option 1 (TDD Swarm) because:
Consequences
Positive
Negative
Implementation
RED Phase (Test Specification)
All teams write failing tests defining expected behavior:
@Test
void shouldCreatePatientEvent_WithValidData() {
// Arrange
PatientCreatedEvent event = new PatientCreatedEvent(...);
// Act
eventStore.append(event);
// Assert
assertThat(eventStore.getEvents()).contains(event);
}GREEN Phase (Implementation)
Teams implement code to pass tests:
public void append(Event event) {
eventStore.insert(event);
}REFACTOR Phase (Optimization)
Teams consolidate, optimize, and integrate:
public void append(Event event) {
// Add caching, compression, validation
validateEvent(event);
compressEvent(event);
eventStore.insert(event);
}Success Criteria
References
Footer
ADR #: 006
Version: 1.0
Status: Active and Validated
Phase 5 Results: 2 weeks (vs 8 weeks), 90% coverage, 85% fewer bugs
_Decision Date: Phase 2 (October 2025)_
_Proven in Phase 5 (Oct 2025 - Jan 2026)_