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Mirth Connect
Mirth Connect · Irvine, California, United States · founded 1974
What it is
Mirth Connect is a healthcare integration engine for routing, filtering, and transforming messages between health information systems. It supports bidirectional exchange and real-time synchronization, with tools for protocol conversion, advanced mapping, and channel mapping that users can create, test, and deploy. Listed formats include HL7 v2.x and v3.x, CSV and other delimited text, DICOM, EDI/X12, XML, JSON, NCPDP, and raw data. Transfer options include MLLP, TCP/IP, HTTP, files, databases, SFTP, FTP, SMB, WebDAV, email, DICOM, JMS, SOAP, and custom Java or JavaScript.
The product page describes EHR and practice-management read/write across 800+ integration routes, plus a FHIR-enabled Patient Access API and SMART on FHIR support. Customers can self-host or use NextGen’s co-located US data centers or AWS environment. The customer operates the licensed engine and builds and supports interfaces in-house. Pricing is on request, with a free plan for active nonprofit research studies. Starting with version 4.6, a proprietary license must be purchased to upgrade.
For and against
For
- Supports numerous healthcare data formats and transfer methods.
- Includes protocol conversion and mapping tools.
- Offers a FHIR-enabled Patient Access API.
- Can be self-hosted or hosted in NextGen or AWS environments.
- Research plan is free for eligible studies.
Against
- Enterprise pricing is available on request.
- Customers operate the engine and support interfaces in-house.
- Version 4.6 and later upgrades require a purchased license.
The verdict
Mirth Connect covers message exchange, transformation, and API capabilities across varied formats and transfer methods. Buyers should account for the customer-operated engine and licensing requirements, while eligible nonprofit research studies can use the free plan.
Who it suits
It suits healthcare organizations that need to route and transform data between systems and can operate the engine and support interfaces in-house. The free research option is limited to active studies affiliated with a nonprofit institution.
Plans and prices
Mirth Connect for Research
Complimentary license for approved active studies affiliated with a nonprofit institution
Read 14 Oct 2026 · nextgen.com
Enterprise
Unlimited support cases · 50 channel-analytics channels · SSL Manager, Channel History, Message Generator · Success Community access
Read 14 Oct 2026 · nextgen.com
Gold
Unlimited support cases · 100 channel-analytics channels · 24x7 phone support · broader extension bundle
Read 14 Oct 2026 · nextgen.com
Platinum
Unlimited support cases · 200 channel-analytics channels · 24x7 phone support · advanced clustering and alerting
Read 14 Oct 2026 · nextgen.com
On the record
- Administration
- The architecture includes a server, Java Administrator client, Server Manager and command-line interface for channel deployment and administration.docs.nextgen.com · read 14 Oct 2026
- API and SDK depth
- The extension documentation identifies a mirth-core-client library with a Client class for server API requests and servlet interfaces for API hooks.docs.nextgen.com · read 14 Oct 2026
- API capability
- The product page describes an enterprise API for read/write EHR and practice-management access across more than 800 integration routes.nextgen.com · read 14 Oct 2026
- Company founded
- Crunchbase states that NextGen Healthcare was founded in 1974.crunchbase.com · read 14 Oct 2026
- Company headquarters
- Crunchbase places NextGen Healthcare in Irvine, California, United States.crunchbase.com · read 14 Oct 2026
- Company legal name
- Crunchbase lists the legal name as NextGen Healthcare Inc.crunchbase.com · read 14 Oct 2026
- Company size
- LinkedIn lists NextGen Healthcare as a privately held software-development company with 1,001–5,000 employees.linkedin.com · read 14 Oct 2026
- Connectors
- The product supports protocol and transport integrations such as HTTPS, TCP, SFTP, HL7, DICOM, web services and file-based exchange.g2.com · read 14 Oct 2026
- Current licence
- Starting with version 4.6 released March 19, 2025, new releases use a closed-source proprietary commercial licence and their source code is not published.github.com · read 14 Oct 2026
- Customer responsibility
- The licensed Mirth Connect engine is maintained and operated by the customer, who builds and supports interfaces in-house.nextgen.com · read 7 Oct 2026
- Databases
- Supported message-store databases include Apache Derby, PostgreSQL, MySQL, Oracle and Microsoft SQL Server.docs.nextgen.com · read 14 Oct 2026
- Data retrieval
- Mirth Connect can automate patient-data queries and retrieval from external EHR systems.nextgen.com · read 14 Oct 2026
- Data transformation
- Yesnextgen.com · read 22 Sep 2026
- Deployment
- The server is a standalone application that runs in its own JVM and does not require an application server.docs.nextgen.com · read 14 Oct 2026
- Documentation
- NextGen provides a user guide covering system requirements, installation, administration, connectors, upgrades and licensing FAQs.docs.nextgen.com · read 14 Oct 2026
- Extensibility
- Custom extensions can use client, server-plugin, model, UI and utility core libraries, and can implement custom connector plugins.docs.nextgen.com · read 14 Oct 2026
- Extensions
- Mirth Connect extensions are only available as part of a Mirth Connect license and are not sold individually.nextgen.com · read 7 Oct 2026
- FHIR
- The product includes a built-in Patient Access API that is FHIR enabled and supports SMART on FHIR embedded applications.nextgen.com · read 14 Oct 2026
