Denteo🇨🇭 CH
Swiss cloud dental practice management with online booking and treatment planning
Handles dental practice management and booking; not for general medical practices.
Practice ManagementFrom 299 CHF/mo
EU hostingGDPR
The best alternatives to NextGen Healthcare
8 European alternatives · updated 14 October 2026 · How we select
NextGen Healthcare’s closed API and desktop performance issues push practices toward European alternatives like CGM. These offer open integrations, faster charting, and cloud-native workflows without the lock-in or multi-month implementations.
In short
NextGen Healthcare covers electronic health records, practice management and healthcare interoperability. European alternatives: Denteo, appointmed, Doctolib, medatixx and CGM (CompuGroup Medical) and 3 more. By area: appointmed, Doctolib and medatixx for electronic Health Records; Denteo, appointmed and Doctolib for practice Management; medatixx and CGM (CompuGroup Medical) for healthcare Interoperability.
European alternatives to NextGen Healthcare
appointmed🇦🇹 AT
Cloud practice management for therapists and private physicians
Cloud practice management and EHR for therapists; no lab integration.
Electronic Health RecordsPractice ManagementFrom €9.50/mo
EU hostingGDPR
appointmed vs NextGen Healthcare →
What users praise and criticise
- Intuitive and clear interface with minimal onboarding effort
- Simplifies daily practice management with intelligent calendar and scheduling
- Quick invoice creation and streamlined administrative workflows
- Limited advanced customization for larger or highly specialized practices
- Cloud-based with no offline functionality, requiring stable internet connectivity
- Mobile app is functional but has room for improvement
Doctolib🇫🇷 FR
French practice management and patient booking platform with teleconsultation and AI tools
Replaces NextGen’s practice management and EHR with a patient booking focus; lacks full interoperability.
Electronic Health RecordsPractice ManagementFrom €79/mo★ 3.2 (3877 reviews)
EU hostingGDPRISO 27001
Doctolib vs NextGen Healthcare →
What users praise and criticise
- Intuitive and easy-to-use interface for booking
- Fast and straightforward appointment scheduling
- Comprehensive agenda and slot management
- High cost for professionals
- Limited character count for complex messages
- Lack of transparency in directory visibility for open slots
medatixx🇩🇪 DE
German practice management software with AI copilot and FHIR integration
German practice management with EHR and FHIR integration; full replacement.
Covers all of NextGen Healthcare
EU hostingGDPR
German healthcare practice management with EHR, lab integration and telemedicine
Full replacement with EHR, practice management and lab integration.
Covers all of NextGen Healthcare★ 4.3 (62 reviews)
Delemed🇨🇭 CH
Swiss practice management software for medical and dental clinics
Swiss practice management and EHR for medical and dental clinics; no interoperability.
Electronic Health RecordsPractice Management
Swiss hosted
Vitodata🇨🇭 CH
Swiss practice management software for medical teams
Swiss practice management and EHR for medical teams; no interoperability.
Electronic Health RecordsPractice Management
Swiss hosted
Elexis🇨🇭 CH
Open-source practice management for Swiss healthcare providers
Open-source Swiss practice management and EHR; lacks built-in interoperability tools.
Electronic Health RecordsPractice Management
Open Source
All NextGen Healthcare alternatives at a glance
Which part of NextGen Healthcare each alternative covers.
| Provider | Electronic Health Records | Practice Management | Healthcare Interoperability | From | Rating |
|---|---|---|---|---|---|
| NextGen Healthcare 🇺🇸 (the tool you are replacing) | ✓ | ✓ | ✓ | – | ★ 3.8 |
| Denteo 🇨🇭 | ✓ | 299 CHF/mo | – | ||
| appointmed 🇦🇹 | ✓ | ✓ | €9.50/mo | – | |
| Doctolib 🇫🇷 | ✓ | ✓ | €79/mo | ★ 3.2 (3877) | |
| medatixx 🇩🇪 | ✓ | ✓ | ✓ | On request | – |
| CGM (CompuGroup Medical) 🇩🇪 | ✓ | ✓ | ✓ | On request | ★ 4.3 (62) |
| Delemed 🇨🇭 | ✓ | ✓ | On request | – | |
| Vitodata 🇨🇭 | ✓ | ✓ | On request | – | |
| Elexis 🇨🇭 | ✓ | ✓ | On request | – |
Prices per user and month in the cheapest paid plan. Ratings are weighted across G2, Capterra, OMR and other portals, with the review count in brackets.
NextGen Healthcare: the facts
What to know about the tool you are replacing, with sources.
- Headquarters
- 🇺🇸 US · since 1974
- Where your data is stored
- No EU data regionMirth Fully Managed is only available in the United States.
- Rating
- ★ 3.8 (200 reviews)
What users value in NextGen Healthcare
- Strong interoperability with Mirth Connect supporting multiple healthcare data standards
- Comprehensive EHR and practice management features for healthcare workflows
- Certified for ISO 27001, SOC 2 Type II, and HITRUST CSF
What they criticise
- No public pricing; costs vary and require direct inquiry
- No default EU/German data residency for core services
- No publicly available DPA or subprocessor list URLs
Sources: g2.com · capterra.com · nextgen.com · researched 5 October 2026
Moving away from NextGen Healthcare
NextGen Healthcare exports your data as CSV, Excel, HTML, XML, PDF and ASCII, and its API can read everything out.
Frequently asked questions
Which European EHR system fully replaces NextGen Healthcare?
Doctolib, CGM, medatixx, and Elexis cover both electronic health records and practice management, matching NextGen Healthcare’s core scope. Delemed and Vitodata also cover EHR and practice management but lack interoperability features.
Are there European EHR systems with open APIs?
medatixx supports FHIR integration. NextGen Healthcare itself offers ONC-certified FHIR and Patient Access APIs.
Do European NextGen Healthcare alternatives host data in the EU?
Doctolib, Denteo, appointmed and medatixx host data in the EU. NextGen Healthcare does not offer EU data residency.
Can I take my data with me when switching from NextGen Healthcare?
NextGen Healthcare allows cohort and patient data export in CSV, Excel, HTML, XML, PDF and ASCII formats. Check the import options of the tool you shortlist.
What is the pricing model for European NextGen Healthcare alternatives?
Doctolib, Denteo and appointmed publish their prices. CGM, Delemed, medatixx and Vitodata provide pricing on request. Elexis is open source and free to use.
Which European tool is best for appointment scheduling?
Doctolib is widely used for appointment scheduling in Europe. Denteo and appointmed also offer booking features for healthcare practices.