Oslo, 2023 - present
Project-based team: 5 engineers

How to Build a Secure Cloud Content Hub with an AI Chatbot for Healthcare

To build a secure, scalable cloud content hub with an AI chatbot for healthcare, we modernized the core architecture and implemented compliant cloud infrastructure capable of supporting nearly 200 medical experts and approximately 7,000 quality-assured documents with source references. Designed for doctors and healthcare professionals across Scandinavia and parts of Western Europe, the platform combines structured content management, strict access control, and AI-powered contextual assistance.

 

Through a phased transformation — from architectural modernization to embedded intelligence — it evolved into a secure, responsive clinical knowledge companion built to scale with modern healthcare delivery.

 

Technical stack includes:

  • Backend: .NET 5, ASP.NET Core, Node.js, NestJS, MediatR, NServiceBus
  • Frontend: React, JavaScript
  • Databases: MS SQL, Azure SQL, PostgreSQL, MongoDB, PG Vector, Redis
  • AI/ML: OpenAI models, Multi-agent system, n8n workflow automation
  • Authentication: IdentityServer 4, OAuth 2.0, OpenID Connect, Auth0
  • DevOps: Docker, Kubernetes, Azure DevOps
  • Integration: Twilio SendGrid, OpenAI
  • Testing: xUnit, Moq, Cypress, NBomber
  • Architecture: DDD, CQRS, Event-Driven, SOA, Clean Architecture

Our Client

Our client is Scandinavia’s leading provider of health information for medical professionals.

Nearly all GPs in Norway use their initial system alongside hospitals and public services. It also offers e-learning for health personnel and runs Norway’s largest health information portal.

Development Stages 

  • Digitalization of a legacy system
  • First steps in AI Transformation: Q&A chatbot

Project-Based Team

To address slow development, legacy code, and limited scalability caused by an outdated monolithic system, we deployed a dedicated team of 5 engineers. They fixed poor UX/UI, rigid user permissions, and integration issues to modernize the platform and boost performance under high load.

Later, we analyzed the options, and then deployed a project-based AI team to deliver a foundational AI feature and map out future transformations. We suggested building new features on existing microservices and Azure cloud for secure deployment.

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Initial Client's Challenges

  • Outdated monolithic architecture that slowed down development.
  • Poor UX/UI leading to low user satisfaction and productivity.
  • Rigid user roles and permission system with limited flexibility.
  • Difficulties integrating new features due to legacy code.
  • Limited scalability and performance under high user load.

Modernization Solution

  • Ardas’ dedicated team led the full-cycle product development and modernization.
  • Refactored the entire codebase using modern engineering standards.
  • Converted the monolith architecture into scalable microservices with well-defined modules.
  • Implemented granular user access control with customizable permission levels.
  • Revamped UX/UI design, applying best practices for enhanced usability.

Key Product Features

  • Live medical updates
  • Smart search & filters
  • Role-based access
  • EHR integration
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Delivered Results for Modernization Phase

  • Faster Development & Scalability: Microservices architecture enabled faster development and improved scalability.
  • Enhanced User Experience: Revamped UX/UI increased user satisfaction and productivity.
  • Flexible Access Control: Granular user permissions provided customizable access levels.
  • Seamless Integration of New Features: Refactored architecture allowed smooth integration of new features.
  • Increased System Reliability: Modern technologies improved system reliability, uptime, and performance.

AI Transformation Phase

With the digital core stabilized, leadership moved toward AI adoption.

Despite strong strategic alignment at C-level, the client's CTO faced a gap in talent and expertise to deliver further transformation securely and at scale.

Our Solution

Ardas team analyzed the possible options, and then deployed a project-based AI team to deliver a foundational AI feature and map out future product transformations.

We suggested building new chatbot features on existing microservices and Azure cloud for secure deployment.

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First AI Feature: Q&A Chatbot

A natural language chatbot trained on the entire medical handbook allows clinicians to:

 
  • Ask questions in natural language;

  • Get precise, real-time answers fast;

  • Summarize big guidelines instantly;

  • Search needed documents contextually.

AI Transformation Phase Results

  • 40% less time spent on manual document search

  • 25% higher adoption of evidence-based practice

  • 30% faster, secure rollout of AI features without disrupting core services

Next Steps: Future AI Capabilities

  • Clinical note auto-summarization;
  • Personalized content based on clinician specialty;
  • Workflow-integrated recommendations.
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FAQ

What architecture is required to run an AI chatbot in production for healthcare?

Production-ready AI in healthcare requires cloud-native infrastructure, structured data pipelines, secure API orchestration, observability, audit logging, and compliance layers (HIPAA/GDPR). Without this foundation, AI will expose system weaknesses under load.

How do we prevent AI chatbot failures in clinical environments?

We implement fallback logic, response validation layers, human-in-the-loop oversight, and performance monitoring to reduce risk and ensure traceable outputs.

How do we make an AI healthcare platform compliant with HIPAA and GDPR?

Compliance requires encryption at rest and in transit, role-based access control, audit trails, secure hosting environments, and strict data governance policies. AI components must operate within controlled data boundaries.

How can we scale AI-driven knowledge access across multiple clinics or hospitals?

A multi-tenant, modular SaaS architecture allows secure data isolation while sharing centralized infrastructure. Horizontal scaling, load balancing, and monitoring ensure reliability during traffic spikes.

Why do healthcare CTOs partner with Ardas to implement AI in production?

Healthcare AI projects require more than model integration. Ardas designs compliant cloud architectures, structured data pipelines, and AI orchestration layers that ensure scalability, observability, and long-term maintainability. We focus on production stability, not experimental prototypes.

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Andrii
Ryzhokhin
Chief Executive Officer