Audit-First Assessment
Before we define the migration scope, we analyze the existing healthcare system: architecture, PHI data flows, integration dependencies, and compliance posture. Before any migration work begins, we identify and document HIPAA-relevant data flows.
HIPAA-Compliant Data Handling
PHI is encrypted in transit and at rest at every stage of the migration. The target environment is prepared and validated for HIPAA compliance before any production data migration, and audit logs are available for each step of migration.
We use AI-assisted tools to speed up analysis of legacy healthcare codebases, mapping clinical workflow logic, identifying dependencies, and generating test coverage. This helps reduce the time needed to understand system behaviour before modernization efforts.
Phased Migration with Clinical Continuity
We phase our migration with parallel operation periods. Legacy systems remain live until the validation of the phase is complete. Cutover windows development includes clinical schedules to minimize impact on care delivery.
Compliance with Security and Healthcare Standards
We begin with architectural inputs from HIPAA Security Rules, HL7 FHIR implementation guides, and healthcare application security standards. Compliance documentation is generated at each stage to support audit readiness and regulatory review.
Single module refactoring or version upgrade, a small system with limited integrations
Project manager, developer, QA engineer
Project manager, developer, QA engineer
Full legacy EHR reengineering, limited customization, up to 5 integrations
Project manager, solution architect, developers, DBA, QA engineer
Project manager, solution architect, developers, DBA, QA engineer
Large multi-facility healthcare platform migration, HIPAA compliance validation, 5+ integrations
Project manager, business analyst, solution architect, developers, DBA, integration engineer, QA engineer
Project manager, business analyst, solution architect, developers, DBA, integration engineer, QA engineer
This engagement model means building a dedicated team of developers, DBAs, testers, a project manager, or other IT experts committed to your legacy healthcare project. They integrate into the development process and operate under your stakeholders’ supervision.
Full delegation of the healthcare migration project to Chudovo. We handle planning, execution, testing, and delivery against agreed milestones. This model suits organizations that want a defined output delivered within a fixed timeline and budget without managing the engineering team day-to-day.
This model foresees hiring the software engineers or other IT experts to work as members of your current team for a defined period in order to cover some particular skills gaps. The solution is recommended to companies having their own team requiring certain expertise in healthcare migrations, etc.
Chudovo provides healthcare legacy migration and transformation solutions for any type of healthcare operation – clinical and administrative – and understands the differences in compliance needs, data privacy, and availability constraints unique to each sector of healthcare.
The team at Chudovo took on modernization and migration of the legacy healthcare apps ecosystem to handle healthcare processes within the correctional facilities that included the prescription, dispensing of medications, management of clinical processes, as well as medical documentation. Works included modernizing applications, refactoring modules, building new applications, CI/CD, and 24×7 DBA support.
Chudovo’s engineers performed maintenance and upgrades of legacy medical applications utilized by correctional facilities, such as a patient EHR management application and an application that manages the workflow around medications. Engineers performed migration of legacy code to the current version of frameworks, refactored modules, and configured CI/CD within Azure DevOps. Also, the team transitioned from Windows Active Directory to Microsoft Azure Entra and developed and integrated a medication order management application into the ecosystem.
We took over maintenance of the legacy EHR system and proceeded with the full reengineering of the product to bring the system architecture up to date and migrate the back-end and front-end infrastructure to the current one. The reengineering fixed the outdated architecture that impeded scalability, per-facility data segmentation, and the inability to access patient records from other facilities, performance issues, and outdated UI. The updated EHR system remains HIPAA-compliant and allows accessing patients’ records centrally from several correctional facilities.
Our team at Chudovo has created an independent RBAC system that handles users’ permissions and access within a number of legacy healthcare applications, as well as the functional modules of each application separately. Before that, users’ access rights were assigned individually for every application separately by administrators without any control or logging. Now we have implemented permissions that depend on users’ roles in the company, governance across applications, and logging of all the actions performed.
