endorsedOngoing

Cloud-native Healthcare Platform for Tuned Care

Services Covered:

Custom Software Development • Cloud Consulting and Services • DevOps • Software QA and Testing • Cybersecurity

Industry

Software Development

Duration

62 months

Budget

200K - 999K

Start Date

1 June 2021

Team Size

6-10 Employees

Engagement Model

Offshore

Project Capability Score (PCS)

82/100

Strong

Project Capability Score (PCS) estimates how capable Qualium Systems is of successfully delivering a project like this, based on its past experience, track record, and ability to handle similar work. Learn more about PCS

Client

Tuned Care Inc.

United States of America

Project Summary

Qualium Systems designed and built a cloud-native, microservices-oriented platform for Tuned Care Inc., implementing infrastructure-as-code on AWS and a React/Next.js frontend. They delivered system and infrastructure design, CI/CD pipelines, observability, scalable microservices, and HIPAA-focused compliance artifacts. The client reports a dependable two-week Scrum rhythm, reliable production releases, and a low post-release bug rate.

Key Challenges

Provide turnkey engineering extension to boost development velocity
Architect for scale and resilience using a cloud-native, microservices-oriented design and infrastructure-as-code
Implement auto-scaling AWS services and a resilient deployment pipeline

Project Deliverables

End-to-end architecture diagrams and decision records
Infrastructure-as-code (Terraform) modules provisioning VPCs, ECS Fargate clusters, Aurora Serverless v2, S3, CloudFront, and CI/CD in GitHub Actions
Centralized logging (CloudWatch) and distributed tracing (AWS X-Ray)
Backend stateless microservices (Node.js + TypeScript) exposing REST/GraphQL APIs
Frontend React/Next.js 14 SPA with a storybook-driven component library
85% automated test coverage (Jest + Playwright)
Scalability engineering (auto-scaling policies, read replicas, SQS/SNS queues)
HIPAA compliance artifact pack including threat model, risk assessment, and mapping to HIPAA §164 controls

Project Solution

Designed end-to-end cloud-native architecture and authored Terraform IaC to provision VPCs, ECS Fargate clusters, Aurora Serverless v2, S3, CloudFront, and automated CI/CD in GitHub Actions. Implemented centralized logging (CloudWatch) and tracing (AWS X-Ray). Built backend stateless microservices (Node.js + TypeScript) exposing REST/GraphQL APIs and a React/Next.js frontend SPA, delivered high automated test coverage and a storybook component library, introduced autoscaling and queuing (SQS/SNS) for resilience, and prepared HIPAA compliance artifacts and audit-grade logging.

Project Outcome

Established a steady two-week Scrum rhythm with reliable production releases
Consistently delivered planned features on schedule with an exceptionally low post-release bug rate
Cleared all security and compliance reviews with outstanding marks
Maintained high availability and resilience, including <250 ms p95 API latency under simulated 10× load and improved database throughput

Platforms

Tech Stack

Node.js
React.js
Next.js
GraphQL
Amazon Aurora
Amazon Web Services (AWS)
AWS CloudWatch

Client Endorsement

Overall Review Rating

Timeliness

Cost Rating

Willing to Refer

Quality of Deliverables

“Qualium Systems has delivered a production-ready platform that is secure and scalable. The team has a reliable two-week Scrum rhythm with production releases, planned features, and a low post-release bug rate. Qualium Systems has a disciplined and consistent work approach and is highly dependable.”
Ofer Raz
CTO
Date: 07/31/2025