Healthcare

Engineering Foundation Medicine’s digital backbone.

12 Years Powering Genomic Cancer Profiling.

Results

Supported 5 unique cancer tests and delivered millions of reports to physicians and patients.

Enabled innovation with full-stack development across UI, backend, and cloud migration.

Maintained and evolved critical platforms from lab tools to billing systems.

Highlights / Intro

Since 2012, Foundation Medicine has trusted unosquare to engineer the technology powering its genomic cancer profiling.

From real-time genomic reporting to cloud-based infrastructure, our teams have been embedded in every layer of development, ensuring physicians and patients receive accurate, individualized treatment insights faster.

Challenge

Scaling innovation at the pace of cancer research brought major technology hurdles:

A legacy MR2 reporting system on NodeJS/Oracle that strained performance and scalability.

The need to migrate to Postgres without disrupting live reporting.

Delivering new genomic products while modernizing the existing platform.

Solution

unosquare assembled a specialized nearshore team to accelerate Foundation Medicine’s roadmap:

Team

1 Business Analyst/Scrum Master, 13 QA Engineers, 1 BI Expert, 7 Frontend Engineers, 16 Backend Engineers, 3 Full Stack Engineers, 1 Salesforce Engineer.

Tech Stack

JavaScript, Node.js, React, C#, TypeScript, Java, AWS, Postgres, Jest, Cypress, Selenium.

We migrated Foundation Medicine’s core from NodeJS/Oracle to Postgres, unlocking scalability and performance, delivered three flagship genomic products (FoundationOne Heme, Liquid Biopsy Assay, and FoundationOne Liquid), and built intuitive UI layers that gave clinicians clarity at every decision point.

Our Centers of Excellence made the difference: QA embedded automation and compliance from the start, Cloud fine-tuned AWS for high-volume genomic workloads, Data & Analytics safeguarded accuracy in every report, Business Strategy kept modernization aligned to clinical priorities, and Design turned raw genomic complexity into clarity for clinicians.

The result: a digital backbone built to scale with science; stable, compliant, and always moving at the pace of cancer research.