ECS File Storage
When running Mirth® Connect by NextGen Healthcare in ECS, the local file system of each container is ephemeral, so certain Mirth® Connect features do not work as usual. Installing extensions, installing custom JAR files into the server-launcher-lib folder, and using a shared keystore across the cluster will not work without additional configuration. To use these features, we recommend storing the appropriate files in S3 and setting environment variables that tell the containers where to download the files from.