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Runbeam Beta: Cloud-managed healthcare interoperability is here

Runbeam is now available in beta—a cloud control plane for managing distributed Harmony gateway instances with centralised configuration, monitoring, and policy management across your healthcare organisation.

Christopher Skene
Christopher Skene - Founder & Lead Engineer
November 18, 2025

We're excited to announce that Runbeam is now available in beta—our cloud control plane for managing distributed Harmony gateway instances across healthcare organisations. After months of development and testing, we're opening the beta program to organisations seeking centralised management and monitoring for their integration infrastructure.

What is Runbeam?

Runbeam provides cloud-based management and orchestration for distributed Harmony gateway deployments. Whether you're operating a single hospital with multiple integration points or managing a health system spanning dozens of facilities, Runbeam gives you unified visibility and control over your entire healthcare interoperability platform from a central console.

The challenge we're solving is fundamental: as healthcare organisations adopt modern integration architectures with distributed gateways closer to data sources, operational complexity grows. Each gateway requires configuration management, monitoring, policy enforcement, and ongoing maintenance. Runbeam centralises these operational concerns while maintaining the performance and security benefits of distributed deployment.

Core Capabilities

Cloud Control Plane

Runbeam's centralised dashboard provides unified management for all your Harmony instances. View the health, performance, and configuration status of gateways across your organisation from a single interface. Track data flows, monitor error rates, and identify integration issues before they impact clinical operations.

The control plane maintains secure communication with distributed gateways without requiring changes to your network architecture or data flows. Gateway-to-cloud communication uses authenticated channels with JWT-based authorisation and machine token lifecycle management. Your healthcare data remains within your infrastructure—only metadata and configuration travel to the control plane.

Configuration Synchronisation

Push configuration updates, transformation logic, and routing rules to multiple gateways simultaneously. Define a new FHIR transformation once, deploy it to every relevant gateway with a single action. Update backend endpoints, modify middleware chains, or adjust network settings across your infrastructure without manual configuration file editing on each instance.

Configuration synchronisation includes automatic validation before deployment—Runbeam won't push configurations that fail validation checks, preventing misconfigurations from impacting production operations. Transformation specifications referenced in configurations are automatically downloaded and distributed to target gateways, ensuring all dependencies are available before configurations activate.

Unified Policy Management

Define security policies once, deploy consistently across all sites. Implement IP allowlists, rate limiting rules, path restrictions, and time-based access controls that apply uniformly across your integration infrastructure. When compliance requirements change or new security policies are needed, update centrally and deploy across your entire gateway fleet.

For healthcare organisations managing multiple facilities with varying local requirements, Runbeam supports both organisation-wide policies and site-specific overrides. Define baseline security posture at the organisational level while allowing individual facilities to implement additional restrictions based on local needs.

Monitoring and Observability (coming soon)

Track performance, health, and data flows across your distributed interoperability gateway infrastructure. Runbeam will soon collect telemetry from all connected gateways, providing organisation-wide visibility into integration operations. Identify bottlenecks, track error patterns, monitor throughput, and analyse latency across your integration network.

The observability platform supports drill-down from organisation-level metrics to individual gateway performance, enabling both strategic oversight and tactical troubleshooting. Set up alerts for critical conditions—gateway disconnections, error rate spikes, configuration validation failures—ensuring operations teams are notified when intervention is needed.

Simplified Deployment

Reduce operational overhead through centralised provisioning and lifecycle management. Deploy new gateways with configuration templates, automate version updates across your fleet, and maintain consistent operational standards without manual intervention on each instance.

Benefits for Healthcare Organisations

Multi-Site Health Systems

For health systems managing multiple hospital locations, Runbeam provides operational leverage to maintain consistent integration infrastructure across sites while respecting local autonomy and data sovereignty requirements. Define organisation-wide security policies, deploy standard transformation logic, and monitor integration performance from a central console—while individual facilities retain local control over their healthcare data.

Clinical data never leaves your infrastructure during normal operations. Gateways process data locally, applying transformations and routing logic defined centrally but executed within your network boundaries. Runbeam manages the configuration and monitoring infrastructure, not the healthcare data itself.

Regional Health Information Exchanges

Regional health information exchanges benefit from simplified governance and compliance reporting. Runbeam's centralised visibility makes it easier to identify integration issues, optimise performance, and demonstrate regulatory compliance.

When new healthcare providers join the exchange or existing participants modify their integration requirements, configuration updates propagate through Runbeam without manual coordination across dozens of gateway instances. Transformation logic for consent enforcement, data normalisation, or privacy protection can be updated centrally and applied consistently across all exchange participants.

DevOps and Integration Teams

For DevOps teams responsible for healthcare integration infrastructure, Runbeam reduces operational burden. Instead of SSH-ing into individual gateway instances to update configurations, review logs, or diagnose issues, operators work through a unified interface. Configuration management becomes declarative—define desired state centrally, let Runbeam handle distribution and activation across the gateway fleet.

Integration teams gain better visibility into how data flows through their infrastructure. When configuration changes are needed, test in development environments, validate in staging, and promote to production with confidence that all gateways receive identical configurations.

Accessing the Beta program

Runbeam is currently available through our beta program. We're working with a limited number of organisations to refine the platform based on real-world operational requirements. If your organisation is interested in experiencing centralised management for your integration infrastructure, we'd like to hear from you.

To access the beta:

Contact us at hello@aurabox.cloud to discuss your requirements and integration architecture. We're particularly interested in organisations operating multiple sites, managing complex integration scenarios, or building regional health information exchanges. Beta participants receive:

  • Early access: Experience cutting-edge capabilities before general availability
  • Direct influence: Provide feedback that shapes product direction and feature priorities
  • Partnership pricing: Favourable terms for beta participants who continue to production
  • Dedicated support: Direct access to engineering team for implementation guidance and troubleshooting

We're working closely with beta partners to understand operational requirements, identify gaps, and ensure Runbeam solves real problems healthcare integration teams face daily.

Technical Requirements

To participate in the beta, you'll need:

  • Harmony 0.5 or later deployed (0.6 recommended for latest features)
  • Network connectivity from gateways to Runbeam Cloud (HTTPS outbound)
  • Organisational approval for cloud-based configuration management
  • Technical contact for implementation and feedback

Runbeam supports all Harmony deployment patterns—Docker containers, Kubernetes clusters, bare metal servers, and cloud VM instances. Existing Harmony deployments can be connected to Runbeam with minimal configuration changes.

Roadmap and Vision

The beta release focuses on core operational capabilities—configuration management, monitoring, and policy deployment. Our roadmap includes enhanced observability features, advanced transformation tooling, and deeper integration with healthcare data standards.

We're committed to community-driven development. Your feedback during the beta program directly influences which capabilities we prioritise, how features are designed, and where we invest engineering effort. Healthcare interoperability is complex, and solving it requires understanding real-world operational challenges across diverse organisational contexts.

Get Started

Ready to experience centralised management for your healthcare integration infrastructure? Contact us at hello@aurabox.cloud to discuss your requirements and join the beta program.

We're building the future of healthcare interoperability operations, and we'd like you to be part of it.

Centralised management for distributed healthcare interoperability—Runbeam beta is here.

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