Due to the very specific nature of the interface to the databases. If you're interested: they are PIDS and COAS servers (see http://www.omg.org/healthcare, search for Person Identification Specification and Clinical Observation Access Specification). Basically they don't support SQL but use specific queries.
OK, so if the interface is sufficiantly similar to JDBC, you might be able to adapt the DatabaseActions in the org.apache.cocoon.acting.modular package. Adapting OJB or Hibernate is probably out of question although it would be the preferred way.
Other than that, my advice is to put your database access into a java class (better: Avalon components) and access it from flow. If you cannot or don't want to use flow, use actions to access it.
HTH
Chris.
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