Welcome to the forum
Which country are you from?
First thing — your clinical background in X-ray, CT, and IR is a bigger asset than you probably think. Most people coming into integration engineering are pure IT and have to learn radiology workflows from scratch. You already understand modality worklists, order flow, exam lifecycle, and why PACS actually matters day-to-day. That context is hard to teach, and employers at imaging vendors and health systems really value it. Lead with that, don’t bury it.
On the CDIP from SIIM — yes, worth doing. It’s the closest thing to a recognized credential for DICOM/imaging informatics integration and it signals seriousness to employers. It also fills in structured knowledge around DICOM conformance statements, SOP classes, and imaging workflow standards. Not a golden ticket, but it’s legitimate and well-known in the PACS/VNA space.
For Mirth, push beyond destination scripting and make sure you can demonstrate a full ADT → ORM → ORU flow end-to-end, and especially DICOM worklist (MWL) integration between a RIS and PACS . Also get comfortable with basic DICOM tooling: dcm4che, a DICOM viewer and reading conformance statements.
If I were stacking certs in order I’d go: CDIP first, then HL7 FHIR Fundamentals (HL7.org) — FHIR is increasingly showing up even in imaging integration. Mirth doesn’t have a formal cert, but a public GitHub showing a real channel handling something like ORM^O01 → MWL is honestly worth more than a cert to a hiring manager.
To get noticed: be active in communities like this one, SIIM Connect, and the Mirth forums — answer questions, don’t just ask them. And rather than going straight for a Sectra integration engineer title, look for “integration analyst” or “HL7 analyst” roles at health systems or imaging centers first. Those roles transition into vendor-side integration work pretty naturally. Sectra also hires “application specialists” from clinical backgrounds — that’s another entry point that can move sideways into integration over time.
You’re already further along than most people starting this. Keep going.