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Amazon RDS for Aurora vs TrueVault: What are the differences?

### Key Differences: Amazon RDS for Aurora vs. TrueVault

1. **Database Architecture**: Amazon RDS for Aurora is a MySQL and PostgreSQL-compatible relational database service built for the cloud, offering high performance and availability. TrueVault, on the other hand, is a HIPAA-compliant database service designed specifically for healthcare applications, focusing on security and compliance with health data regulations.

2. **Data Security**: While Amazon RDS for Aurora provides encryption at rest and in transit for data security, TrueVault offers advanced security features such as data encryption, access controls, and audit logs tailored for healthcare data protection and compliance with HIPAA regulations.

3. **Scalability and Performance**: Amazon RDS for Aurora is known for its scalability, high performance, and automatic scaling capabilities to handle varying workloads efficiently. In contrast, TrueVault focuses on providing a scalable infrastructure designed to manage large volumes of healthcare data securely and efficiently.

4. **Compliance and Regulatory Requirements**: TrueVault is specifically designed to meet HIPAA requirements and other healthcare industry regulations, allowing healthcare organizations to store and manage sensitive patient data securely. Amazon RDS for Aurora caters to a broader range of industries and complies with general data protection regulations.

5. **Management and Maintenance**: Amazon RDS for Aurora simplifies database management by handling routine tasks such as backups, software patching, and monitoring, while TrueVault offers managed services tailored towards healthcare applications, increasing focus on data security and compliance management for healthcare organizations. 

6. **Customization and Integration Capabilities**: Amazon RDS for Aurora provides a flexible platform with options for customization and integration with various AWS services, allowing users to build complex applications. TrueVault, on the other hand, offers pre-built healthcare-specific infrastructure and tools to streamline integration and development for healthcare applications.

In Summary, Amazon RDS for Aurora is a versatile cloud-based database service optimized for performance and availability across various industries, while TrueVault is a specialized healthcare database service focusing on security, compliance, and scalability for healthcare applications.
Decisions about Amazon Aurora and TrueVault
Phillip Manwaring
Developer at Coach Align · | 5 upvotes · 28.5K views

Using on-demand read/write capacity while we scale our userbase - means that we're well within the free-tier on AWS while we scale the business and evaluate traffic patterns.

Using single-table design, which is dead simple using Jeremy Daly's dynamodb-toolbox library

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Pros of Amazon Aurora
Pros of TrueVault
  • 14
    MySQL compatibility
  • 12
    Better performance
  • 10
    Easy read scalability
  • 9
    Speed
  • 7
    Low latency read replica
  • 2
    High IOPS cost
  • 1
    Good cost performance
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    Cons of Amazon Aurora
    Cons of TrueVault
    • 2
      Vendor locking
    • 1
      Rigid schema
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      What is Amazon Aurora?

      Amazon Aurora is a MySQL-compatible, relational database engine that combines the speed and availability of high-end commercial databases with the simplicity and cost-effectiveness of open source databases. Amazon Aurora provides up to five times better performance than MySQL at a price point one tenth that of a commercial database while delivering similar performance and availability.

      What is TrueVault?

      TrueVault was built to help startups simplify the complexities of HIPAA. TrueVault will save you hundreds of dev hours. Focus on building your software's core functionality, and let TrueVault protect your data at HIPAA-security levels.

      Need advice about which tool to choose?Ask the StackShare community!

      What companies use Amazon Aurora?
      What companies use TrueVault?
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          What are some alternatives to Amazon Aurora and TrueVault?
          MySQL
          The MySQL software delivers a very fast, multi-threaded, multi-user, and robust SQL (Structured Query Language) database server. MySQL Server is intended for mission-critical, heavy-load production systems as well as for embedding into mass-deployed software.
          PostgreSQL
          PostgreSQL is an advanced object-relational database management system that supports an extended subset of the SQL standard, including transactions, foreign keys, subqueries, triggers, user-defined types and functions.
          MongoDB
          MongoDB stores data in JSON-like documents that can vary in structure, offering a dynamic, flexible schema. MongoDB was also designed for high availability and scalability, with built-in replication and auto-sharding.
          Redis
          Redis is an open source (BSD licensed), in-memory data structure store, used as a database, cache, and message broker. Redis provides data structures such as strings, hashes, lists, sets, sorted sets with range queries, bitmaps, hyperloglogs, geospatial indexes, and streams.
          Amazon S3
          Amazon Simple Storage Service provides a fully redundant data storage infrastructure for storing and retrieving any amount of data, at any time, from anywhere on the web
          See all alternatives