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To me, it's the fact that Mirth nickel-and-dimes users for "premium" features and has pretty poor documentation to push people towards support plans. It's an open source platform "kind of", which rubs some folks the wrong way.

However, the functionality of the engine itself is top notch. We've had some Mirth servers running for a year at this point without incident. It handles alot of things around the nuances of HL7 nonchalantly, which has usually been my hang-up with non-healthcare specific toolsets like Mule or Camel.




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