medatixx vs NextGen Healthcare
Last updated October 2026
Looking for a European alternative to NextGen Healthcare? Here's how medatixx compares, on EU hosting, GDPR and what it does.
Our pick for a European buyer: medatixx. We weight data residency, GDPR and EU jurisdiction above everything else — that is the constraint this directory exists to solve.
What it is
German practice management software with AI copilot and FHIR integration
Provides electronic health records, practice management, and interoperability solutions for healthcare organizations.
Headquarters
🇩🇪 DE
🇺🇸 US · 1974
EU data residency
Yes, for all customersGermany (EU)
Not offeredMirth Fully Managed is only available in the United States.
DSGVO / GDPR
Yes
not established
Certifications
No
ISO 27001, ISO 27017, ISO 27018, SOC 2 Type II, SOC 3, HITRUST CSF
Price from
No
No
Free plan
No
No
Open Source
No
No
Ratings
No
Integrations
Nelly, Docmedico, Tandem (AI scribe), Corti, gesund.de +1
Surescripts, Luma Health, MedBridge, First Databank (FDB), Health iPASS +2
Where each one wins
medatixx
NextGen Healthcare
Strengths
- +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
- +ONC-certified APIs for patient access and data exchange
Limitations
- −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
- −Steep learning curve for new users and administrators
Data residency & compliance
medatixx
NextGen Healthcare
EU data residency
Yes, for all customersGermany (EU)
Not offeredMirth Fully Managed is only available in the United States.
Transfer mechanism
Not required — data stays in the EU
not established
Sub-processors
not established
not established
Certifications
No
ISO 27001, ISO 27017, ISO 27018, SOC 2 Type II, SOC 3, HITRUST CSF
Features
medatixx
- Practice management and organization
- Patient management, Appointment scheduling with integrated planner, Task management for routine activities and to-dos, Treatment documentation
- Interoperability and integration
- medatixx-HealthHub as FHIR-based integration platform, Connection to specialized partner applications (e.g., online appointment booking, digital anamnesis, online reception), Support for electronic patient record (ePA) with structured electronic medication list (eML), KOB certification
- Artificial intelligence
- medatixx-Copilot: context-sensitive AI chatbot for 24/7 software support, x.scribe: real-time transcription of doctor-patient conversations (in development), Interface to clinical decision support systems (CDSS) (in development)
- Mobile use and updates
- Mobile data access via apps, Automatic background updates without downtime
- Additional modules and add-ons
- Digital archiving (e.g., via mediDOK integration), Vaccination management, Practice-patient communication (e.g., with gesund.de), Care data management
NextGen Healthcare
- Electronic Health Records (EHR)
- ONC-certified FHIR and Patient Access APIs, Electronic patient records and clinical workflows, Patient portal and intake services, Cohort and patient data export
- Practice Management
- Scheduling and appointment management, Operational automation and cost estimation, Financial and operational analytics, Billing and revenue cycle management
- Interoperability
- Mirth Connect for healthcare data exchange, Support for FHIR, HL7, DICOM, and X12 standards, 800+ integration routes with external systems, Self-hosting, US data centers, or AWS cloud options