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Case Study: Orion Health Migrates 80M+ Health Records to AWS Cloud

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Orion Health is a global, independently owned eHealth software company with proven experience in delivering interoperable, connected solutions for healthcare facilities, organizations and regions. Orion Health and Logicworks have a partnership building Health Information Exchange systems that allows hospitals, private doctors, universities, and insurance companies to share medical records.



Over the past four years, this partnership produced the largest network of HIEs in the country, extending from California to Massachusetts. As of 2017, some of the individual HIEs under Orion Health and Logicworks’ management will reach over nine million participants. When Orion was selected to power the largest HIE in the United States, Logicworks designed a HIPAA compliant solution on AWS to support the scalability, security controls, and automation required to ensure the successful operation and growth of the project.


  • Massive storage requirements as millions of participants input medical records
  • Highly scalable performance required for periods of peak use
  • Mission critical healthcare data requires “always-on” reliability
  • Enterprise-grade Backup and Disaster Recovery preparedness
  • Strict HIPAA compliance requirements
  • Aggressive time to production


  • Integrated application and infrastructure through DevOps for self-scaling and self-healing
  • Comprehensive HIPAA Security program for healthcare services
  • Scalable infrastructure deployed and managed on AWS
  • Able to scale infinitely for compute (EC2) and Storage (EBS & S3)
  • Virtual Private Cloud Network design with DMZ for PHI Data
  • Security monitoring
  • Intrusion Detection, Multi-Factor Authentication, Log Management
  • Audit reporting
  • Data encryption
  • File integrity monitoring
  • 24 x 7 x 365 Network Operations Center


Beyond scale and speed, AWS allowed Logicworks to architect Orion Health’s server infrastructure in ways that would not have been possible with traditional hardware. Every piece in the network is responsive to the needs of the application. In a physical data center, components like switches, routers, firewalls, and load-balancers all had the potential to become bottlenecks. Now that all those components are virtualized, the application can make a call that it needs more resources and they’ll be added dynamically in real time.

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