DevOps for Clinical Informatics

Objectives

The company is a team of doctors, practitioners, medical professionals, nurses, pharmacists, and engineers that bring boots-on-the-ground experience in healthcare workflows and technology.

The customer team has developed a portfolio of healthcare integration solutions and Smart on FHIR apps that can dramatically extend the capabilities of your clinical systems and enable deep workflow integration
of other 3rd party apps, data, and clinical decision support content into your system workflow.

Client Goal

Customers have a team of healthcare professionals who bring boots-on-the-ground experience in healthcare workflows and technology. The mission is to deliver custom, knowledge-driven workflows into your EHR and other HIT systems through standard, cost-effective means. This case study describes the improvement in Healthcare Informatics release management and deployment activities for various Healthcare apps.

Business Challenges

Solution

CI/CD (Continuous Integration & Deployment):

For Continuous Integration and Continuous Deployment, we use the tool Jenkins which will help the user for faster deployment. A pipeline helps you automate steps in your software delivery process, such as initiating automatic builds and then deploying to Amazon EC2 instances.

Security

Heaptrace provides several security capabilities and services to increase privacy and control network access. By implementing the following generic security factors

  • Using a VPN enables you to securely connect to your on-premises network.
  • Active Directory, which is used to manage multiple machines and other devices on the network.
  • We could restrict access with IAM Roles and Policies.
  • Manage the security groups at each level like VPC, Network ACL, LBS, and resources.
  • By Flow logs at subnets, the user could capture the information about the IP traffic that is going to and from network interfaces in VPC and fetch it in Cloud watch.
  • With Cloud Trail, you can log, continuously monitor and retain account activity related to actions across your AWS infrastructure. SNS is used for applications, end-users, and devices to instantly send and receive notifications from the cloud.

Management & Governance

By observing the basic factors of how the customer chooses the AWS, we focused on the following challenging requirements:

  • Cloud Formation – We use this service for creating and managing the infrastructure, and implementing for simplifying Infrastructure management, quickly replicating Infrastructure, and tracking & controlling the changes in Infrastructure.
  • System Manager – Systems Manager provides a unified user interface so you can view operational data from multiple AWS services and allows you to automate operational tasks across your AWS resources. With Systems Manager, you can group resources, like Amazon EC2 instances, Amazon S3 buckets, or Amazon RDS instances, by application, view operational data for monitoring and troubleshooting, and take action on your groups of resources.
  • Cloud watch – Implementing the cloud watch, will provide you with the data and actionable insights to monitor the applications, understand and respond to system-wide performance changes, optimize resource utilization, and get a unified view of operational health.

Architecture for robustness & performance

  • Performance – Increase the performance with scalable cloud architecture ECS + LBS + Auto-scaling performance where you can maintain the load on the instances and improve with automatic instance increase.
  • Robustness – In terms of failure, we maintain the power of the robustness of AWS specializing in cloud integration.
  • Kubernetes – It manages a cluster of compute instances and schedules containers to run on the cluster based on the available compute resources and the resource requirements of each container.

Backups & Storage

Manage the centrally configured backup policies and monitor backup activity for AWS resources, such as AMI, Amazon RDS databases, Amazon DynamoDB tables, Amazon EFS file systems, and S3.

Monitoring

  • We Perform easy monitoring of multiple AWS instances; and track a wide variety of helpful metrics, including CPU usage, latency, network traffic, storage space, memory, and other custom performance counters for optimal application performance at any scale at the resource level such as Instances, RDS, DocumentDB, DynamoDB, Neptune DB.
  • We use a third-party monitoring service named “Prometheus” which allows us to automatically discover and monitor the EC2 instances.

Security Assessment Service

With automated security assessment service will help to improve the security and compliance of applications deployed on AWS. The services we provide the Amazon Inspector, Guard Duty, and third-party service Nessus.

Executive Summary

Traditional approaches to software development and delivery are needed. Manual processes are error-prone, break down, and they create waste and delayed response. The customer businesses can’t afford to focus on cost while neglecting speed of delivery or choosing speed over managing risk. A DevOps approach offers a powerful solution to these challenges.

DevOps reduces the time to customer feedback, increases quality, and reduces risk and cost across the end-to-end lifecycle which includes the plan, monitoring, quality, measure, development and test, release and deployment, and monitoring and optimization.

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