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Runbeam vs Orion Health Rhapsody

Comparing a healthcare integration engine with Runbeam's distributed proxy architecture for secure data exchange

Quick Comparison

FeatureRunbeamOrion Health Rhapsody
Best ForDistributed deployment + federated connectivityHealthcare interface engine workflows
ArchitectureDistributed proxies + centralised orchestrationIntegration engine pattern
HL7 v2Coming soonMature HL7 v2 tooling (common use case)
FHIR✓ SupportedVaries by deployment and integration approach
DICOM✓ Supported✓ Supported
Protocol transforms✓ Native (e.g. FHIR ↔ DICOM)Supported (engine-based)
Cross-site connectivity✓ JWT-based Data Mesh authenticationTypically handled via networking patterns and operational setup
Federated data meshes✓ SupportedNot supported
HTTP/3 (QUIC)✓ Supported (HTTP/3 + TLS 1.3)Not supported
Operational modelConfiguration-first pipelinesEngine-specific configuration and tooling

Choose Runbeam For

Federated connectivity as a feature

Runbeam includes Federated Data Mesh for cross-team and cross-organisation topologies.

  • JWT-based mutual authentication
  • Explicit ingress/egress rules
  • Partner integrations without broad network access

Modern interoperability workflows

FHIR and DICOM workflows are built into the gateway model; HL7 v2 is coming soon.

  • FHIR mediation and routing
  • DICOM routing and filtering
  • Protocol transformations as configuration

Choose Orion Health Rhapsody For

Established interface engine workflows

If your team prefers an interface engine model with existing operational processes and tooling.

  • HL7 v2 interface engine patterns
  • Integration team familiarity
  • Centralised engine administration

Use Case Comparison

Partner connectivity with strict egress control

A hospital network needs to expose a small number of integration endpoints to external partners without providing network-wide access.

Runbeam Approach

Use Data Mesh authentication with explicit ingress/egress definitions and federated topology rules.

Varies💰 Varies
Orion Health Rhapsody Approach

Use the integration engine for message routing while cross-organisation connectivity is typically implemented via external networking and identity controls.

Varies💰 Varies

Pricing Comparison

Runbeam

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

Orion Health Rhapsody

Enterprise healthcare integration platform pricing
  • Pricing varies by deployment and support model
  • Cost drivers may include environments and support

Integration engines focus on interface workflows; Runbeam focuses on distributed deployment, authenticated connectivity, and modern protocol mediation.

Need federated topologies across organisations?

Federated Data Mesh is designed for authenticated cross-organisation connectivity without broad network access.