Nirmitee.io

Mirth Connect integration, Engineered like Production Software.

Channel development, version migration, production monitoring, and deployment automation for health systems and digital health companies.

HL7v2FHIR R4X12DICOMMirth 3.x & 4.x

HIPAA compliant . BAA available

channels: liveretries 14msgs 15,139

3x

Message standards per typical deployment - HL7v2, FHIR, X12

90%

Of operational visibility suppressed by Mirth's default ERROR log level

5

Business days to a prioritized assessment of your environment

30d

Days of post-deployment support included on every channel build

Most Mirth Deployments We Inherit Share the Same Five Problems.

Channels built by an engineer who has since left. No automated deployment. Logging at ERROR level - no visibility into transformer failures. An upgrade from 3.x to 4.x deferred, again. We address these across five scoped engagement types, each priced to a specific problem.

See the engagement models
01

Orphaned channels

Built manually in the GUI by someone who's gone. No version control, no documentation, no one who can safely modify them.

02

Silent failures

Root log level ships at ERROR. Transformer exceptions, HTTP errors, and routing decisions never surface until a clinician calls.

03

Manual deployment

Changes promoted by hand from the Administrator GUI. The deploy endpoint returns success even when nothing deployed.

04

The deferred 3.x -> 4.x upgrade

A Java 8 -> 17 change, a database migration, and channel-by-channel review. Not a version bump - and out of commercial support.

05

No one to call

A full-time Mirth engineer is overkill; emergency consultants bill 2-3x and only show up after something breaks.

Five Ways To Work With Us.

Each engagement is scoped to a specific problem and priced accordingly. Click any model to see scope, format, and investment.

The Interfaces We Build,
Production-Grade.

Every channel ships with version-controlled XML, retry logic, and a dead-letter queue. Filter by standard to see typical channel types.

InterfaceStandardTransformationProtocol
ADT feed - Admit / Discharge / TransferHL7v2A01 / A04 / A08 route and filterTCP / MLLP
Lab orders and resultsHL7v2ORM / ORU map and enrichTCP / MLLP
HL7v2 to FHIR R4 transformationFHIR R4HL7v2 to FHIR BundleHTTP / REST
Eligibility and claimsX12270/271, 837/835 parse and validateSFTP / API
Medical device data ingestionDevice / ProprietaryProprietary to HL7v2 / FHIRTCP / serial / file
REST API to HL7v2 translationJSONJSON to HL7v2HTTP to MLLP
FHIR subscription routingFHIR R4Event routingWebhook
Scope a custom channel

We Watch the Channels Mirth Will Not Tell You About.

Mirth ships with the root log level at ERROR - transformer failures, HTTP errors, and routing decisions never surface. Managed Operations replaces that blind spot with live monitoring and alerting, so you hear about a failing channel before your clinical team does.

Sample monitor -X12 Claimschannel flagged: elevated error rate, auto-retry engaged

Channel Health Monitor

LIVE

Messages today

1,320,202

across 5 active channels

Avg transform latency

42 ms

p95 under 110ms

Failed & auto-retried

319

0 lost . all in dead-letter queue

Aggregate throughput . last 60s

0 msg/s
ThroughputFailed / retried
ADT feedHL7v20/min
Lab resultsORU0/min
FHIR transformR40/min
ClaimsX12 8370/min
Device ingestOBX0/min

Illustrative monitor reflecting the alerting and dead-letter patterns included with Managed Operations.

What Does Mirth Coverage Actually Cost You?

Most teams need 20-40 hours a month, not a full-time role. This directional estimate compares common support models.

18

Current support model

Estimated annual cost by model

Full-time engineer$165,000/yr
Ad-hoc consultants$93,600/yr
Managed Operations$78,000/yr

Estimated saving vs current model

$15,600/yr

Get a precise quote

3.x Is Out of Commercial Support. The Clock is the Risk.

The 4.x migration touches the Java runtime, the database, and every channel. We run both versions in parallel until you're confident, then cut over with a documented rollback.

Plan a Migration
Java 8
Java 17

Runtime and library compatibility

Derby
PostgreSQL

Schema migration

Mirth 3.x
Mirth 4.x

Per-channel validation

Rhapsody / Cloverleaf
Mirth Connect

Engine migration

Frequently Asked Questions

Still unsure which engagement fits? The assessment is built for exactly that.

Assessments can start within one week of signing. Channel development and migration engagements require a scoping conversation first, with typical kickoff in 2-3 weeks.

Let's Build Healthcare Solutions Together

Tell us what you are running and where the pressure is. We will respond with a specific recommendation for your situation.

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