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Runbeam vs NGINX

Comparing a general-purpose reverse proxy with Runbeam's distributed proxy architecture for interoperability and secure data exchange

Quick Comparison

FeatureRunbeamNGINX
Best ForInteroperability gateways and managed pipelinesReverse proxying and traffic management
ArchitectureOpinionated gateway + pipeline modelFlexible proxy building block
Deployment modelDistributed proxies + centralised orchestrationDeploy wherever you run NGINX
Healthcare protocols✓ FHIR, DICOM (HL7 v2 coming soon)Requires custom modules/Lua
Protocol transforms✓ Native (e.g. FHIR ↔ DICOM)External processing required
Cross-site connectivity✓ JWT-based Data Mesh authenticationTypically handled outside the proxy (network/identity)
Federated data meshes✓ SupportedNot supported
HTTP/3 (QUIC)✓ Supported (HTTP/3 + TLS 1.3)Varies by NGINX distribution and configuration
ExtensibilityProtocol-focused adapters and pipeline configExtensible via modules/plugins (varies)
Operational modelConfiguration-first pipelines + orchestrationProxy configuration + separate tooling

Choose Runbeam For

Protocol interoperability as a product

Runbeam is designed around interoperability workflows rather than generic HTTP reverse proxying.

  • FHIR and DICOM workflows as first-class concerns
  • Policy and routing as pipeline configuration
  • Federated Data Mesh for cross-organisation connectivity

Authenticated cross-site connectivity

Use Data Mesh authentication instead of treating connectivity as a separate network project.

  • JWT-based mutual authentication
  • Federated topologies
  • Explicit ingress/egress rules

Choose NGINX For

Proxy building block

If you want a flexible reverse proxy and will implement protocol handling, governance, and cross-site patterns separately.

  • Widely deployed reverse proxy
  • Configurable routing and traffic controls
  • Often used as a base layer in custom stacks

Use Case Comparison

From proxying to interoperability

A team starts with HTTP routing and then needs healthcare protocol mediation and partner connectivity.

Runbeam Approach

Use pipeline configuration for routing and protocol mediation, and add Federated Data Mesh for partner access.

Varies💰 Varies
NGINX Approach

Use NGINX for routing and add separate application components for healthcare protocols and partner connectivity patterns.

Varies💰 Varies

Pricing Comparison

Runbeam

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

NGINX

Open-source and commercial options
  • Cost varies by distribution and support model
  • You may need additional tooling for governance and cross-site connectivity

NGINX is a general-purpose proxy building block; Runbeam packages protocol interoperability and federated connectivity into a single gateway model.

Need more than HTTP routing?

If you need interoperability workflows and federated cross-site connectivity, Runbeam provides a more opinionated architecture.