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Mirth Connect

by NextGen Healthcarenextgen.com
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OVERVIEW

A powerful, standards-based healthcare integration engine for bi-directional message routing, filtering, and transformation.

Mirth Connect, by NextGen Healthcare, is a versatile and robust healthcare data integration engine designed to solve the critical challenge of interoperability between disparate health information systems. Originally launched as an open-source project, it has become an industry-leading tool, with NextGen reporting that it powers one-third of all public Health Information Exchanges in the U.S. and is deployed in over 40 countries.

Key Capabilities and Features:

Mirth Connect acts as a universal translator for healthcare systems, enabling real-time exchange of clinical and administrative data. It supports a wide array of healthcare data standards and protocols, including HL7 v2.x, HL7 v3 (CDA/CCD), FHIR (Fast Healthcare Interoperability Resources), DICOM, X12 (EDI), JSON, and XML. The platform's core functionality is built around its channel-based architecture, which allows users to define message pathways for:

  • Filtering: Intelligently parsing and filtering incoming messages based on user-defined rules or scripting.
  • Transformation: Converting messages from one format to another (e.g., HL7 to FHIR JSON) using a graphical drag-and-drop editor or a versatile JavaScript/Java scripting engine.
  • Routing: Directing messages to one or multiple destination systems securely and efficiently.
  • Data Ingestion: Connecting to systems via various protocols like TCP/MLLP, HTTP/HTTPS (REST and SOAP), FTP/SFTP, databases (JDBC), and web services.

Licensing and Deployment:

Historically, Mirth Connect was known for its free, open-source version (under the Mozilla Public License 2.0). While older versions remain available as a free tier, new versions (4.6+) have transitioned to a fully commercial, proprietary license model with tiered annual subscriptions (Enterprise, Gold, Platinum) provided by NextGen Healthcare. It is a cross-platform application (written in Java) that supports flexible deployment, including on-premise servers and cloud environments (e.g., AWS).

RATING & STATS

Customers
1,000+
Founded
2006

KEY FEATURES

  • HL7, FHIR, DICOM, X12 Support
  • Bi-Directional Message Routing & Filtering
  • Graphical Data Transformation & Mapping
  • Custom Scripting (JavaScript/Java)
  • Database & Web Service Connectors
  • Real-Time Monitoring and Alerting
  • Advanced Clustering (Enterprise Feature)
  • Built-in Patient Access API (FHIR-enabled)

PRICING

Model: enterprise
Subscription model with tiered annual licenses (Enterprise, Gold, Platinum) based on server instances for new versions (4.6+). Older versions (pre-4.6) are available as free, open-source software, acting as a functional free tier.
FREE TIER

TECHNICAL DETAILS

Deployment: cloud, on_premise, hybrid
Platforms: web, windows, mac, linux
🔌 API Available⚡ Open Source

USE CASES

EHR/EMR Interoperability and Health Information Exchange (HIE)Laboratory Information System (LIS) IntegrationRadiology/PACS/RIS ConnectivityPublic Health Reporting and SurveillanceWrapping Legacy Systems with Modern FHIR APIs

INTEGRATIONS

HL7 v2.xHL7 v3 (CDA/CCD)FHIR R4DICOMX12 (EDI)JSONXMLREST/SOAP Web ServicesJDBC Databases (MySQL, PostgreSQL, SQL Server)

COMPLIANCE & SECURITY

Compliance:
ONC Health IT 2015 Edition Cures UpdateHIPAA
Security Features:
  • 🔒Multifactor Authentication
  • 🔒LDAP Authentication
  • 🔒SSL/TLS Encryption
  • 🔒Role-Based Access Control
  • 🔒Audit Logging

SUPPORT & IMPLEMENTATION

Support: phone, email, community forum, 24/7 support
Implementation Time: 1-4 weeks
Target Company Size: small, medium, enterprise
TRAINING AVAILABLE

PROS & CONS

✓ Pros:
  • +Strong support for a wide range of healthcare standards (HL7, FHIR, DICOM) and protocols.
  • +Highly flexible and customizable with a powerful JavaScript/Java scripting engine.
  • +Proven scalability, used by one-third of all public HIEs in the U.S.
  • +GUI-based development environment accelerates channel setup and maintenance.
  • +Older versions are available as a free, open-source solution for community and small-scale use.
✗ Cons:
  • -New versions (4.6+) have transitioned from open-source to a proprietary, commercial license model.
  • -User interface/GUI is often cited as functional but in need of modernization.
  • -Advanced features (e.g., clustering, MFA) require the enterprise subscription.
  • -Limited built-in reporting/analytics for real-time data compared to some competitors.

ABOUT NEXTGEN HEALTHCARE

Other software by NextGen Healthcare:
Mirth Health Data Hub (Healthcare Data Exchange NetworksHealth Information Exchange (HIE) platforms)
NextGen EHR (Other Specialty Niche SystemsPediatric subspecialty modules)
NextGen Healthcare (Healthcare Provider OperationsAdvanced EHR and specialty EHRs (10+ types))
NextGen Patient Portal (Personal Health Records (PHR)Patient portals (EHR-tethered))
NextGen Podiatry (Women's Health & FertilityMenstrual cycle tracking)