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Modernization and Integration of Patient Portal with Multi-Instance EHR System on Azure
  1. case
  2. Modernization and Integration of Patient Portal with Multi-Instance EHR System on Azure

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Modernization and Integration of Patient Portal with Multi-Instance EHR System on Azure

emergentsoftware.net
Medical
Business services
Information technology

Challenges with Legacy Systems and EHR Integration

Outdated homegrown applications with technical debt, incompatible with new EHR platforms. Complex caregiver/patient workflows, state-specific billing requirements, and on-premises infrastructure limitations hinder scalability and reliability. Need secure integration with multiple Brightree EHR instances post-acquisition.

About the Client

National pediatric home health care provider specializing in children with medical complexities and technology dependencies

Modernization Goals and Enhanced User Experience

  • Modernize legacy applications to supported .NET/Angular frameworks
  • Implement seamless integration with Brightree EHR across multiple instances
  • Improve caregiver/patient portal experience with digital onboarding
  • Migrate infrastructure to Azure for scalability and reliability
  • Establish CI/CD pipelines for confident deployments

Core System Requirements

  • Multi-caregiver/patient relationship management
  • Digital patient onboarding with MRN/DOB verification
  • Secure messaging between caregivers and PHS staff
  • Cross-state billing compliance engine
  • Order processing with Azure Service Bus retry mechanism

Technology Stack Requirements

.NET Core
Angular 11+
Azure Service Bus
Azure AD Managed Identity
Azure Functions
Node.js 14+

System Integration Needs

  • Brightree EHR (multiple instances)
  • Legacy on-premises EHR systems
  • State-specific billing platforms
  • Active Directory (via Graph API)

Operational Requirements

  • 99.95% system uptime SLA
  • HIPAA-compliant data encryption
  • Automated scaling for seasonal demand
  • Zero-downtime deployment capability
  • Real-time error monitoring with auto-retry

Expected Business Outcomes

Enables nationwide scalability through Azure cloud hosting, reduces deployment risks with CI/CD pipelines, improves caregiver satisfaction through self-service portal features, ensures EHR integration reliability with message queuing, and supports future acquisitions through multi-instance architecture.

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