10decodersScalable HealthTech Cloud Migration for High Availability and Rapid Growth
Modernizing a legacy Remote Patient Monitoring (RPM) platform to a cloud-native, resilient and multi-tenant HealthTech SaaS — achieving 99.98% uptime and 5x patient scalability.
A legacy RPM platform rebuilt for cloud-native scale
Our client is a HealthTech company providing a remote monitoring solution for chronic care management to healthcare providers and patients across multiple countries. As platform adoption grew, legacy infrastructure could not keep up with the demands for scalability, reliability, and faster innovation. To foster growth and new B2B partnerships, the company required a secure, cloud-native architecture that supported continuous patient care and rapid expansion.
10decoders partnered with the client to deliver a complete cloud-native modernization — migrating the legacy monolith to containerized microservices on AWS, implementing DevSecOps CI/CD, building FHIR-based real-time streaming, and introducing a multi-tenant SaaS model. The result: 99.98% uptime, 5x patient scalability, and 30% lower infrastructure costs.
How we modernized the infrastructure
Microservices on AWS
Migrated the legacy monolith to containerized microservices — enabling elastic scaling, fault isolation, and dramatically improved system resiliency under growing patient load.
CI/CD with Security Built In
Automated CI/CD pipelines with integrated security and compliance enforcement — enabling faster, safer deployments without manual risk and eliminating outage-causing errors.
FHIR Real-Time Streaming
FHIR-compatible real-time event streaming pipelines for seamless, low-latency health data interoperability across all connected provider and patient systems.
Multi-Tenant Architecture
A configurable, secure multi-tenant SaaS model enabling rapid enterprise partner onboarding — with full data isolation and centralized governance across all tenants.
High-Availability Design
Cloud-native HA architecture with automated failover and health monitoring — delivering 99.98% platform uptime and continuous care access for providers and patients.
Container Orchestration
Right-sized container orchestration and cloud resource optimization eliminated legacy over-provisioning — reducing operational and infrastructure costs by 30%.
The Problem, and How We Solved It
An RPM platform under strain — from a monolithic architecture, manual deployments, and the absence of a scalable multi-tenant model for B2B growth.
The Challenge
- Monolithic interdependent servers made it impossible to scale independent features — higher patient volume caused performance bottlenecks and inconsistent user experience
- Manual deployments with no CI/CD automation caused regular outages — directly disrupting care continuity for providers and patients
- No multi-tenant SaaS model made enterprise and B2B partner onboarding slow, complex, and resource-intensive — blocking commercial expansion
Our Approach
- Migrated the monolith to containerized microservices on AWS with elastic scaling and fault isolation — 5x patient capacity, 99.98% uptime
- Implemented DevSecOps CI/CD automation with integrated security enforcement — eliminating manual deployment risk and outage-causing errors
- Built a configurable multi-tenant SaaS architecture with FHIR real-time streaming — enabling rapid partner onboarding and seamless interoperability
The Solution
10decoders partnered with the client to deliver a secure, scalable HealthTech modernization — migrating their legacy RPM platform to cloud-native microservices on AWS, automating deployments through DevSecOps, and introducing FHIR-based streaming and a multi-tenant SaaS model.
Cloud-Native Microservices Migration on AWS
Transitioned legacy monolithic platform to containerized microservices — enabling elastic scaling, fault isolation, and greater system resiliency to support 5x patient growth.
DevSecOps-Driven CI/CD Implementation
Automated CI/CD pipelines with integrated security and compliance enforcement — delivering faster, safer releases without the outages caused by manual deployment processes.
FHIR-Based Real-Time Health Data Streaming
FHIR-compatible real-time event streaming pipelines for seamless, low-latency health data interoperability across all connected provider and patient-facing systems.
Multi-Tenant SaaS Architecture
A configurable, secure multi-tenant model enabling rapid enterprise partner onboarding — with full data isolation, centralized governance, and streamlined B2B expansion.
From legacy monolith to a resilient, scalable SaaS platform.
Cloud-native microservices, DevSecOps automation, FHIR interoperability, and multi-tenant architecture — all connected into a platform built for continuous patient care and rapid growth.
Legacy Monolithic RPM Platform
Interdependent servers, manual deployments, frequent outages, no multi-tenant model — unable to scale with growing patient volume or B2B demand.
10decoders Cloud-Native Modernization
AWS microservices migration, DevSecOps CI/CD, FHIR real-time streaming, and multi-tenant SaaS architecture — delivered end-to-end.
Scalable HealthTech SaaS Platform
99.98% uptime, 5x patient scalability, 30% lower infrastructure costs — HIPAA-aligned, FHIR-compliant, and built for rapid B2B expansion.
Reliability, scale, and compliance — by design
Every architectural decision was made to maximize patient care continuity, platform scalability, and operational efficiency — without disrupting live services.
99.98% Platform Uptime
High-availability cloud architecture with automated failover eliminated outages — giving providers and patients continuous, uninterrupted access to care.
5x Patient Capacity
Containerized microservices with elastic scaling support 5x more patient users — with zero performance degradation even at peak load.
30% Lower Infrastructure Costs
Right-sized container orchestration and cloud resource optimization eliminated legacy over-provisioning — cutting operational and infrastructure costs by 30%.
Secure, Automated Deployments
DevSecOps CI/CD pipelines with integrated security enforcement replaced manual processes — delivering faster releases with dramatically reduced deployment risk.
FHIR-Compliant Data Streaming
Real-time FHIR event streaming pipelines enable seamless, low-latency health data exchange across all connected provider and patient systems.
Rapid B2B Partner Onboarding
Configurable multi-tenant SaaS architecture with data isolation and centralized governance enables rapid, scalable enterprise partner expansion.
What We Built
Cloud-Native Microservices on AWS
Containerized microservices architecture with elastic scaling, fault isolation, and high-availability for the RPM platform — replacing the legacy monolith.
DevSecOps CI/CD Pipeline
Automated deployment pipeline with integrated security and compliance enforcement — enabling faster, safer platform releases without manual intervention.
FHIR Real-Time Streaming
FHIR-compatible event streaming pipelines enabling seamless, low-latency health data interoperability across all connected provider and patient systems.
Multi-Tenant SaaS Framework
Configurable, secure multi-tenant architecture with data isolation and centralized governance for rapid, scalable B2B enterprise partner onboarding.
What Changed
Platform Architecture
Monolithic interdependent servers → Containerized microservices on AWS with elastic scaling, fault isolation, and improved system resiliency.
Deployment Process
Manual deployments causing regular outages → CI/CD automation with integrated security — faster, safer releases with zero outage risk.
Partner Onboarding
Slow, resource-intensive B2B partner onboarding → Multi-tenant SaaS model enabling rapid, configurable partner onboarding at scale.
Data Interoperability
Siloed health data with no real-time streaming → FHIR-based real-time event streaming pipelines for seamless, low-latency interoperability.
System Reliability
Frequent outages disrupting patient care continuity → 99.98% uptime with high-availability cloud architecture and automated failover.
Infrastructure Costs
Over-provisioned legacy infrastructure → Cloud-native container orchestration and right-sizing reducing operational costs by 30%.
Impact Across the Organization
99.98% Uptime — Continuous Care
High-availability cloud architecture eliminated outages — giving healthcare providers and patients uninterrupted access to the RPM platform and care data.
5x Scalability, 30% Cost Reduction
Containerized microservices support 5x more patients at peak load with zero degradation, while container orchestration cut infrastructure costs by 30%.
Rapid B2B Partner Expansion
Multi-tenant SaaS architecture with configurable isolation reduced partner onboarding complexity — enabling rapid commercial expansion across enterprise accounts.
