Implementing Serverless Architecture with Amazon ECS
Discover how we replatformed a healthcare application onto Amazon ECS with Fargate to enhance software’s scalability and operational agility.

OUR CUSTOMER
Health Service and Medication Management Marketplace
Healthera is a UK-based digital healthcare platform that allows patients to manage prescriptions, medications, and health services through a single online portal. For pharmacies and healthcare providers, it offers a way to modernize service delivery, reduce administrative workload, and support sustainable business growth in an increasingly digital landscape.
THE CHALLENGE
Legacy Infrastructure Slowing Operations and Delivery
Our customer as a digital health company operating a suite of healthcare applications, faced growing limitations with its IT infrastructure setup. Their environment relied heavily on manually configured EC2 instances spread across multiple development and production environments.
This legacy infrastructure configuration of client’s platform created several challenges:
- Operational Overhead
Infrastructure updates, patching, and environment support consumed significant time and resources due to the lack of automation. - Scaling Bottlenecks
Without a standardized deployment process, scaling workloads or onboarding new services introduced risk and complexity. - Limited Deployment Agility
Without environment isolation and CI/CD pipelines, the platform struggled to release new features quickly or test changes safely.
To support growth and long-term scalability, Healthera needed a cloud-native solution built around infrastructure automation, environment isolation, and deployment efficiency.
THE SOLUTION
Migration to Containerized Architecture on ECS Backed by IaC
After conducting a comprehensive assessment of the existing AWS environment and application architecture, our specialists identified that the infrastructure wasn’t following AWS best practices and recommended a containerization strategy using Amazon Elastic Container Service (ECS) with Fargate.
Key components of implemented solution included:
- Containerization with Docker
We replaced legacy EC2-based workloads with Docker containers to make deployments portable and consistent across environments. - Amazon ECS with Fargate
Leveraging ECS with Fargate allowed engineers to run containers without managing servers, simplifying operations while supporting auto-scaling. - Multi-Account Environment Isolation
By isolating production, staging, and development into separate accounts, we improved access control, deployment safety, and compliance readiness. - Infrastructure as Code with Terraform and Terragrunt
Every resource (from networks to compute and IAM policies) was defined as code. This ensured repeatable, version-controlled deployments and eliminated configuration drift. - CI/CD Pipeline Automation
In the final step, we integrated automated deployment pipelines to accelerate releases and reduce deployment-related errors. - Observability and Monitoring
Integrating CloudWatch metrics with Grafana dashboards and proactive alerts to enhance visibility and accelerate recovery.
Serverless Architecture with Amazon ECS – AWS Architecture Digram
THE RESULTS
Cloud-Native Infrastructure on AWS ECS Enabling Scalability, Agility, and Compliance
The solution we designed and implemented directly addressed Healthera’s core operational bottlenecks. The client’s platform now scales automatically with demand, operates with greater cost visibility and control, as well as gets better security posture.
Higher Operational Efficiency
- Eliminated manual infrastructure tasks through containerization and IaC
- Reduced time spent on patching and configuration management
- Accelerated and error-free deployments powered by automated CI/CD pipelines
Enhanced Scalability and Capability
- Improved workload handling during peak demand
- Optimized compute resource usage with container orchestration
- Advanced monitoring and performance tuning
Cost Optimization
- Lowered infrastructure management costs with serverless containers
- Enabled granular cost control and forecasting through AWS tools
- Improved efficiency in resource utilization across environments
Accelerated Development Velocity
- Enabled safer and faster release cycles through environment isolation
- Reduced risk of regressions with staging environments for QA
- Boosted development team productivity with automated, reproducible workflows
Stronger Security and Compliance
- Isolated environments strengthened data protection and access control
- Standardized infrastructure aligned with compliance requirements
- Improved auditability of deployments and access policies.
Why Romexsoft
Experts in Cloud Architecture, Development, and Deployment on Amazon ECS
As an AWS Advanced Tier Services Partner with a proven track record in container orchestration for cloud-native application modernization, we help software product owners and providers adopt, scalable, secure, and cost-effective infrastructure using Elastic Container Service.
Organizations from Healthcare and HealthTech partner with us to lead complex ECS-related projects because we:
- Design ECS architecture that scale reliably under real-world workloads
- Enforce environment isolation across dev, staging, and production for safer rollouts
- Build mature CI/CD automation pipelines for accelerating release velocity
- Improve observability and incident response with best-in-class monitoring systems
- Optimize ECS deployments for both performance and cost savings.