7 European alternatives · updated 15 October 2026 · How we select
Practice Fusion’s US base and unclear data transfer terms push EU practices to seek alternatives that keep patient records under GDPR. Clinics also cite steep, unpredictable pricing as a reason to switch. Denteo, appointmed and medatixx host data in the EU and offer published or request-based pricing for practice management, e-prescribing and billing workflows.
Practice Fusion covers electronic health records, e-prescribing, practice management, medical billing and patient portal. European alternatives: Denteo, appointmed, medatixx, CGM (CompuGroup Medical) and Delemed and 2 more. By area: medatixx, CGM (CompuGroup Medical) and Delemed for electronic health records; medatixx, CGM (CompuGroup Medical) and Delemed for e-prescribing; Denteo, appointmed and medatixx for practice management; Denteo, appointmed and medatixx for medical billing; Denteo, medatixx and CGM (CompuGroup Medical) for patient portal.
Swiss cloud dental practice management with online booking and treatment planning
Handles practice management, billing and patient access for dental clinics only.
Cloud practice management for therapists and private physicians
Covers practice management and billing for therapists and private physicians.
German practice management software with AI copilot and FHIR integration
Full Practice Fusion replacement with AI copilot and FHIR integration.
German healthcare practice management with EHR, lab integration and telemedicine
Full replacement for Practice Fusion with EHR, e-prescribing, billing and patient access.
Swiss practice management software for medical and dental clinics
Complete substitute for Practice Fusion with EHR, e-prescribing, billing and patient access.
Swiss practice management software for medical teams
Replaces Practice Fusion’s EHR, e-prescribing, practice management and billing.
Open-source practice management for Swiss healthcare providers
Replaces Practice Fusion’s EHR and practice management for Swiss clinics.
Which part of Practice Fusion each alternative covers.
| Provider | Electronic health records | E-prescribing | Practice management | Medical billing | Patient portal | From | Rating | Import from Practice Fusion |
|---|---|---|---|---|---|---|---|---|
| Practice Fusion 🇺🇸 (the tool you are replacing) | ✓ | ✓ | ✓ | ✓ | ✓ | $199/mo | ★ 3.8 | – |
| Denteo 🇨🇭 | ✓ | ✓ | ✓ | 299 CHF/mo | – | ✓ service | ||
| appointmed 🇦🇹 | ✓ | ✓ | €9.50/mo | – | – | |||
| 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.
What to know about the tool you are replacing, with sources.
Sources: g2.com · capterra.com · practicefusion.com · researched 5 October 2026
Practice Fusion exports your data as CSV and TSV, and its API can read everything out. With help from the vendor: Denteo. Every import above links its source on the product card.
Elexis, CGM, Delemed, medatixx and Vitodata cover electronic health records, e-prescribing, practice management, medical billing and patient portals. Denteo and appointmed handle practice management and medical billing but not e-prescribing.
Denteo is a Swiss cloud solution built for dental practices. It includes online booking, treatment planning and patient portal features.
Practice Fusion supports CSV, TSV and API exports. Check the import options of the tool you shortlist. Denteo offers a vendor-managed migration service.
Denteo and appointmed publish their prices. Elexis is open source and free to use. CGM, Delemed, medatixx and Vitodata provide pricing on request.
Denteo, appointmed and medatixx host data in the EU. Elexis, CGM, Delemed and Vitodata do not publish EU hosting as a fact.
Elexis is open source and self-hosted, so you control the data. For cloud tools like Denteo, appointmed and medatixx, check if they provide a DPA.