Mirth Connect Integration Services for Healthcare Orgs
Upgrade, migrate, or manage your integration engine
Mirth Connect’s Open-Source Era is Over.
Mirth Connect 4.5.2 was the final open-source release. Version 4.6+ requires a commercial license from NextGen Healthcare. Running an unsupported version?
What to Know About the Mirth Connect Licensing Shift
On March 19, 2025, NextGen Healthcare ended Mirth Connect’s open-source licensing model. Starting with version 4.6, Mirth Connect is available only under a commercial, proprietary license. For the thousands of healthcare organizations that relied on the free open-source version, this creates an urgent decision point.
No More Security Patches
Open-source versions of Mirth Connect (4.5.2 and older) will no longer receive security updates from NextGen. Every month you stay on an unsupported version, your exposure to vulnerabilities — and your HIPAA compliance risk — grows.
New Licensing Costs
Organizations that previously ran Mirth Connect at no license cost now face commercial pricing. NextGen’s license tiers start with the new Enterprise level and scale up to Platinum, which has historically been priced around $30,000 per year.
Existing Channels Still Work — For Now
Your current Mirth Connect interfaces and channels will continue to function on the legacy open-source version. But without updates, you’re building on a foundation that’s no longer being maintained, and technical debt compounds quickly.
An Opportunity to Modernize
This forced change is also a chance to reassess your entire integration architecture. Whether you upgrade, migrate, or move to managed services, you can come out of this with a more resilient, better-documented, and more scalable integration environment.
Know Your Options
Three Paths Forward for Mirth Connect Users
On March 19, 2025, NextGen Healthcare ended Mirth Connect’s open-source licensing model. Starting with version 4.6, Mirth Connect is available only under a commercial, proprietary license. For the thousands of healthcare organizations that relied on the free open-source version, this creates an urgent decision point.
Stay on Mirth Connect 4.5.2
Remain on the final open-source release. No new license costs, but no security patches, no bug fixes, and growing compliance risk. This is a viable short-term option — but not a long-term strategy.
HIGHER RISK OVER TIME
Upgrade to Commercial Mirth 4.6+
Purchase a NextGen commercial license and upgrade to the latest version. You get continued support, security patches, and new features like Mirth Command Center. We handle the full upgrade and license evaluation.
BEST FOR MIRTH-COMMITTED ORGS
Migrate to an Alternative Engine
Move your interfaces to BridgeLink (open-source fork), Rhapsody, or another integration platform. We provide channel-by-channel migration with parallel validation and zero-downtime cutover support.
MOST FLEXIBILITY
Mirth Connect Services Built for Healthcare
From a quick health check to full managed services, we meet you where you are and get your integration environment where it needs to be.
Mirth Connect Health Check & Assessment
A comprehensive audit of your current Mirth Connect environment — channels, interfaces, dependencies, security posture, and compliance gaps — with a clear recommendation report.
- Full channel and interface inventory
- Security vulnerability assessment
- HIPAA compliance gap analysis
- Upgrade vs. migrate cost comparison
- Executive summary with recommendations
Mirth Connect Migration Services
Moving away from Mirth? We execute full migrations to BridgeLink, Rhapsody, or other integration engines — channel by channel, with parallel validation and zero-downtime cutover.
- Target platform evaluation
- Channel translation and rebuild
- HL7/FHIR interface validation
- Parallel environment testing
- Go-live and post-migration support
Mirth Connect Upgrade Services
For organizations staying with Mirth Connect, we manage the full upgrade from open-source to commercial 4.6+ — licensing guidance, environment setup, channel testing, and go-live.
- License tier evaluation and guidance
- Upgrade planning and execution
- Channel regression testing
- SSL/TLS security configuration
- Mirth Command Center setup
Managed Mirth Connect Services
Don’t want to own the integration engine problem? We run it for you. Monitoring, channel management, new interface builds, break/fix support, and compliance reporting — all under a predictable monthly cost.
- 24/7 monitoring and alerting
- New interface development
- Ongoing channel management
- Compliance and audit reporting
- Vendor-neutral platform support
Deep Expertise Across Healthcare Data Standards
Mirth Connect’s power comes from its ability to translate between healthcare data formats. Our team has hands-on experience with every major standard and protocol that flows through your interface engine.
Standards and Protocols We Work With
HL7 v2.x
HL7 FHIR
HL7 v3 / CDA
DICOM
X12 / EDI
JSON / REST
SOAP / XML
TCP / MLLP
SFTP / FTP
JDBC
CCDA
ADT / ORM / ORU
A Proven Process for Mirth Connect Engagements
Every engagement starts with understanding what you have and ends with a documented, tested, production-ready integration environment.
Discovery & Audit
We inventory every channel, interface, connection, and dependency in your current Mirth environment. No surprises downstream.
Recommendation
Based on your org size, budget, compliance requirements, and technical complexity, we deliver a clear recommendation: upgrade, migrate, or managed services.
Execution
We build, configure, and test in a parallel environment. Every channel is validated. Every interface is regression-tested before anything touches production.
Go-Live & Handoff
Zero-downtime cutover with full documentation. Your team gets runbooks, monitoring guides, and direct access to our support team through stabilization.
Why Work With Us
What Sets Our Mirth Connect Practice Apart
Mirth Connect Services for Every Type of Healthcare Organization
Whether you’re a community hospital with 12 interfaces or a health system managing hundreds, our services scale to fit.
Hospitals & Health Systems
EHR integrations, lab systems, radiology, billing, ADT feeds, clinical data repositories — we manage the full spectrum of hospital integration complexity, including Epic, Cerner, MEDITECH, and Allscripts connectivity.
Ambulatory & Physician Groups
Streamlined interface management for practice management systems, e-prescribing, patient portals, and lab ordering workflows. Right-sized for organizations that need integration done right without enterprise overhead.
Health Information Exchanges
Mirth Connect powers one-third of public HIEs in the U.S. We help exchanges navigate the licensing transition while maintaining uptime and data continuity across their participant networks.
Healthcare Software Vendors
If Mirth Connect is embedded in your product, the licensing change affects your cost structure and your customers. We help vendors evaluate alternatives, migrate embedded engines, and maintain customer commitments.
Frequently Asked Questions
Ready to make a plan for your Mirth Connect environment?
We can help. We’ll start by auditing your current channels, evaluate your options, and deliver a recommendation you can act on — no obligation, no sales pitch.