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Runbeam vs InterSystems HealthShare

Comparing an interoperability platform suite with Runbeam's distributed proxy architecture for secure data exchange

Quick Comparison

FeatureRunbeamInterSystems HealthShare
Best ForDistributed gateways and federated connectivityEnterprise healthcare interoperability programmes
ArchitectureDistributed proxies + centralised orchestrationPlatform suite architecture (deployment-dependent)
HL7 v2Coming soonCommon in healthcare integration programmes (capabilities vary by deployment)
FHIR✓ Supported✓ Strong native support
DICOM✓ Supported✓ Supported
Protocol transforms✓ Native (e.g. FHIR ↔ DICOM)Supported (native)
Cross-site connectivity✓ JWT-based Data Mesh authenticationTypically addressed through platform deployment and external networking controls
Federated data meshes✓ SupportedNot supported
HTTP/3 (QUIC)✓ Supported (HTTP/3 + TLS 1.3)Unknown/varies
Programme governanceGateway and pipeline governance focusPlatform governance patterns (varies by deployment)

Choose Runbeam For

Federated Data Mesh for partner and cross-team access

Runbeam is designed to connect organisations with authenticated ingress/egress policies.

  • JWT-based mutual authentication
  • Federated topologies
  • Explicit routing policies

Distributed deployment model

Deploy gateways close to source systems and control how data moves between environments.

  • Behind-the-firewall deployments
  • Explicit egress control
  • Works across multiple environments

Choose InterSystems HealthShare For

Enterprise interoperability programmes

If you want a broader healthcare interoperability platform suite and are investing in an enterprise programme.

  • Platform suite approach
  • Vendor-supported deployment models
  • Often used in large healthcare organisations

Use Case Comparison

Cross-organisation data exchange

Multiple organisations need controlled access to shared integration endpoints with clear boundaries between environments.

Runbeam Approach

Use Federated Data Mesh authentication and explicit ingress/egress definitions for each environment.

Varies💰 Varies
InterSystems HealthShare Approach

Implement integration and governance via platform deployment and supporting operational/network patterns.

Varies💰 Varies

Pricing Comparison

Runbeam

Open-source core + commercial orchestration
  • Gateway runs in your infrastructure
  • Commercial options for orchestration and management

InterSystems HealthShare

Enterprise platform pricing
  • Pricing varies by deployment scope
  • Costs often depend on programme size and support

HealthShare is positioned as a broader interoperability platform suite; Runbeam focuses on distributed gateways and federated connectivity as code.

Need federated connectivity without broad network access?

Federated Data Mesh enables authenticated cross-organisation connectivity with explicit boundaries.