Cloud governance focused on protecting PHI, supporting data residency posture, and enabling compliant modernization for providers, payers, and life-sciences.
From EHR backends to medical-device telemetry — governed, audited, and HIPAA-aware.
Document management (DMS)
PHI document vaults with field-level encryptionMedical imaging metadata index (DICOM-adjacent)Clinical trial documentation with 21 CFR Part 11 controlsConsent management audit trailsLegal-hold for litigation and regulatory examination
Hardware & storage
HIPAA-eligible encrypted-at-rest storage volumesObject store for DICOM image archives with lifecycle tieringHigh-memory nodes for genomics / bioinformatics workloadsGPU nodes for radiology AI inferenceGeo-restricted replicas within data-residency boundary
Virtual machines & containers
PHI-zone-isolated VMs with dedicated hypervisor hostsEHR containerization (Epic, Cerner, Allscripts patterns)Medical device integration VMs with HL7 / FHIR gatewaysImmutable images with vulnerability scans pre-deployFailover VMs for continuity of patient care systems
Databases
PostgreSQL with row-level security for PHI tablesMongoDB for flexible clinical document schemaRedis for patient session state and real-time clinical alertsClickHouse for population-health analyticsTimescaleDB for wearable / bedside monitor telemetry
Messaging & streaming
Kafka for HL7 v2 / FHIR R4 event streaming between systemsRabbitMQ for clinical workflow orchestrationNATS for lightweight IoMT (Internet of Medical Things) telemetryDead-letter routing for missed critical-alert delivery
Networking: IP, mTLS, DNS, LB
PHI network zone isolation per HIPAA addressable safeguardmTLS for all inter-service clinical API callsDNS private zones per care siteL7 load balancer with WAF on patient-portal endpointsVPN tunnels to payer clearinghouses and HIE networks
Compliance: HIPAA, HITECH, SOC 2
Continuous posture monitoring with exportable evidence for auditors.
✓HIPAA Security Rule control mapping across all infrastructure layers
Modelled planning figure for typical scenarios in this sector. Actual results depend on your estate and are only confirmed by measuring against a baseline you approve.
How to read this
Dollar ranges below are planning assumptions, not quotes or customer results. Use the ROI calculator or request an assessment to model your own estate.
$EHR modernization (for example moving Epic or Cerner workloads off bare metal) can reduce on-premises server maintenance and downtime risk.
$PHI-zone-isolated cloud VMs can replace dedicated HIPAA-scoped hardware per care site or payer organization.
$Automated HIPAA Security Rule control mapping cuts compliance audit preparation from 6–10 weeks to under 2 weeks per cycle.
$FHIR R4 API gateway consolidation can replace several point-to-point HL7 integration appliances.
$Radiology AI inference on on-demand GPU nodes avoids buying dedicated GPU hardware that sits idle between studies.
Regulatory & Framework Coverage
HIPAA Security RuleHITECHSOC 2 Type II21 CFR Part 11FHIR R4CMS InteroperabilityHL7 v2/v3GDPR (EU health data)
Interactive TCO scenario
Illustrative · Replace with your data
Monthly infrastructure spend$500K
$50K$5M
36-mo savings (illus.)
$1.2M est.
Payback
13 mo.
Risk level
High
Illustrative scenario using sector preset assumptions. Actual results depend on verified inventory, real provider quotes, compliance requirements and accepted migration plan.