New answers tagged database
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SharePoint 2013 has remote event receivers that would allow you to do this through code:
http://code.msdn.microsoft.com/office/SharePoint-2013-Call-a-f5d247db
If you're not on 2013, then you'd have to build a similar mechanism. Perhaps a timer job that polls the external database and programatically starts a workflow when a change is detected?
But if ...
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With custom development it is possible to do so, even though it is not recomanded, due to various reasons, such as: handling connections issues, timeouts, long operations, etc. - practically everything requiring user intervention at least, etc.
You would have 2 options:
Either create a custom activity which you would then be able to use even through ...
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