Bruce Gilham Jr.

All work · Healthcare

Aranscia

Five acquired healthcare products becoming one Azure platform under HIPAA, HITECH, HITRUST and SOC 2, with none of them switched off and no customer left unserved while it happens.

Years
2025–now
Sector
Healthcare technology
Role
Unified Platform Technical Lead
Outcome
In progress

The problem the business had

A healthcare company had grown by acquisition and owned separate software products, each with its own stack and its own databases. They needed one coherent platform, in a regulated setting, and they could not stop serving customers while they got there.

What was done

I own the target architecture and the decisions that carry risk: which Azure services, where they run, how customers are kept apart, who can access what, and how the platform recovers from a failure against approved recovery targets. The migration is incremental by design: features move out of the old products one at a time, old and new run side by side, and each old system is switched off only once its replacement is verified in production. The platform talks to the rest of the healthcare estate over the standard interfaces the sector uses.

What it returned

The unifying data layer is built, working and tested. It reaches every acquired product's own stack and databases and pulls all data-access code into one place, so the expensive refactor happens once rather than in twenty places. I hold final technical decision authority within approved scope, and the go/no-go on every cutover.

Stack

Azure C# .NET gRPC HL7 FHIR SMART on FHIR HL7 v2 X12 EDI C-CDA DICOM Kafka SNOMED / LOINC / RxNorm CI/CD

Does your business depend on a system like this?

Tell me what it does for the business, what it is written in, and what stops when it goes down. I will say plainly whether I can help.

Tell me what it runs on