# OpenEMR vs Practice Fusion

| Attribute | OpenEMR | Practice Fusion |
|---|---|---|
| **vioscaleAI score** | 36.7 (63% (medium)) | 35.4 (75% (high)) |
| activity.commits_last_30d | 10 | - |
| adoption.dependent_repos | 0 | - |
| adoption.github_stars | 119 | - |
| content.faq | `[{"answer":"Free, open-source EHR and practice management platform available for self-deployment or as a managed cloud service. ONC-certified and HIPAA-compliant, designed for ambulatory healthcare practices with integrated clinical workflows and medical billing. It is indexed under Healthcare Software.","source":"https://www.open-emr.org/","question":"What is OpenEMR?","confidence":0.6},{"answer":"OpenEMR is open source, so it can be self-hosted and used at no licence cost. It is released under the GPL-3.0 licence. A commercial or hosted edition starts at $70 per month. Pricing changes often, so verify at source before relying on it.","source":"https://www.open-emr.org/","question":"Is OpenEMR free to use?","confidence":0.6},{"answer":"We have confirmed browser-based access to OpenEMR. That is the extent of what we could verify from public sources, so it may well offer desktop or mobile clients we have not indexed.","source":"https://www.open-emr.org/","question":"What platforms does OpenEMR support?","confidence":0.6},{"answer":"Yes. OpenEMR can be deployed cloud / SaaS, hybrid, on-premise and self-hosted, so it does not have to run on the vendor's infrastructure.","source":"https://www.open-emr.org/","question":"Can OpenEMR be self-hosted?","confidence":0.6},{"answer":"We have independently confirmed HIPAA for OpenEMR. Certifications we do not list are ones we have not been able to verify from public sources, which is not the same as OpenEMR not holding them. Always confirm compliance directly before you rely on it.","source":"https://www.open-emr.org/","question":"What security certifications does OpenEMR have?","confidence":0.6},{"answer":"Yes. OpenEMR is published under the GPL-3.0 licence, a copyleft licence, so check its terms before embedding it in a closed-source product. Licence terms can change between releases, so verify against the repository for the version you intend to use.","source":"https://github.com/openemr/openemr-devops","question":"Is OpenEMR open source?","confidence":0.95},{"answer":"OpenEMR is available in the United States. Its primary market is the United States.","source":"https://www.open-emr.org/","question":"Where is OpenEMR available?","confidence":0.75}]` | `[{"answer":"Practice Fusion is an integrated EHR and practice management solution that helps independent practices efficiently manage patient records, clinical data, billing, and practice operations. It is indexed under Healthcare Software.","source":"https://www.practicefusion.com/","question":"What is Practice Fusion?","confidence":0.6},{"answer":"Practice Fusion is a paid product; published pricing starts at $199 per provider per month. There is no free tier. Prices are published openly on the vendor's own pricing page. Pricing changes often, so verify at source before relying on it.","source":"https://www.practicefusion.com/","question":"How much does Practice Fusion cost?","confidence":0.6},{"answer":"We have confirmed browser-based access to Practice Fusion. That is the extent of what we could verify from public sources, so it may well offer desktop or mobile clients we have not indexed.","source":"https://www.practicefusion.com/","question":"What platforms does Practice Fusion support?","confidence":0.6},{"answer":"We have only confirmed a cloud / SaaS deployment for Practice Fusion, so it appears to be vendor-hosted. If a self-hosted option exists we have not found it documented publicly.","source":"https://www.practicefusion.com/","question":"Can Practice Fusion be self-hosted?","confidence":0.6},{"answer":"We have confirmed 9 integrations for Practice Fusion, including Updox, CoverMyMeds, Surescripts, LabCorp, Medi-Span, Emdeon, HLI and Carequality, plus 1 more. This is what we could verify from public sources, so the vendor may support others we have not indexed.","source":"https://www.practicefusion.com/","question":"What does Practice Fusion integrate with?","confidence":0.6},{"answer":"We have independently confirmed HIPAA for Practice Fusion. Certifications we do not list are ones we have not been able to verify from public sources, which is not the same as Practice Fusion not holding them. Always confirm compliance directly before you rely on it.","source":"https://www.practicefusion.com/","question":"What security certifications does Practice Fusion have?","confidence":0.6},{"answer":"Practice Fusion is available worldwide. Its primary market is the United States.","source":"https://www.practicefusion.com/","question":"Where is Practice Fusion available?","confidence":0.5}]` |
| deployment.options | `{"cloud":true,"hybrid":true,"on_prem":true,"self_hosted":true}` | `{"cloud":true}` |
| description.long | Free, open-source EHR and practice management platform available for self-deployment or as a managed cloud service. ONC-certified and HIPAA-compliant, designed for ambulatory healthcare practices with integrated clinical workflows and medical billing. | Practice Fusion is an integrated EHR and practice management solution that helps independent practices efficiently manage patient records, clinical data, billing, and practice operations. |
| features.capabilities | `{"hipaa":true,"deployment":"on_prem","care_setting":"ambulatory","product_type":"ehr","onc_certified":true,"revenue_cycle":true,"patient_portal":true,"target_segment":"clinic","interoperability":"fhir","telehealth_builtin":true}` | `{"hipaa":true,"hitrust":false,"deployment":"cloud","care_setting":"ambulatory","product_type":"ehr","pricing_model":"per_provider","revenue_cycle":true,"patient_portal":true,"target_segment":"solo","interoperability":"hl7v2","telehealth_builtin":false}` |
| integrations.count | 1 | 9 |
| integrations.list | `[{"name":"ClaimRev Clearinghouse Module"}]` | `[{"name":"Updox"},{"name":"CoverMyMeds"},{"name":"Surescripts"},{"name":"LabCorp"},{"name":"Medi-Span"},{"name":"Emdeon"},{"name":"HLI"},{"name":"Carequality"},{"name":"Dynamsoft"}]` |
| language.primary | Shell | - |
| license.spdx | GPL-3.0 | - |
| market.availability | `{"primaryMarkets":["US"],"availabilityScope":"regional","availableCountries":["US"],"notAvailableCountries":[]}` | `{"primaryMarkets":["US"],"availabilityScope":"global","availableCountries":[],"notAvailableCountries":[]}` |
| platform.support | `{"web":true,"linux":true,"windows":true}` | `{"web":true}` |
| pricing | `{"type":"hybrid","plans":[{"free":true,"name":"Self-Hosted (Open Source)","description":"Free and open source software for self-deployment"},{"free":false,"name":"Cloud Standard Edition","summary":"Starting at approximately $70/month with no per-provider charges","components":[{"kind":"fixed","amount":70,"period":"month","currency":"USD"}],"description":"Managed cloud hosting on AWS Marketplace","contactSales":false}],"summary":"Free open-source or managed cloud starting at ~$70/month","currency":"USD","freeTier":true,"sourceUrl":"https://www.open-emr.org/","retrievedAt":"2026-08-25T21:45:36.304Z","startingPrice":{"amount":70,"period":"month","currency":"USD"}}` | `{"type":"subscription","plans":[{"free":false,"name":"Provider","summary":"$199/month per provider","commitment":"monthly","components":[{"kind":"per_unit","unit":"provider","amount":199,"period":"month","currency":"USD"}],"contactSales":false}],"summary":"Starting at $199/month per provider. Free trial available.","currency":"USD","freeTier":false,"sourceUrl":"https://www.practicefusion.com/","retrievedAt":"2026-08-24T22:31:43.328Z","startingPrice":{"unit":"provider","amount":199,"period":"month","currency":"USD"},"billingPeriods":["month"]}` |
| pricing.free_tier | yes | no |
| pricing.model | free | commercial |
| pricing.price_level | free | high |
| pricing.starting_price | `{"amount":70,"currency":"USD"}` | `{"amount":199,"currency":"USD"}` |
| pricing.transparent | no | yes |
| reliability.status_page | - | yes |
| security.certifications | `[{"name":"ONC Ambulatory EHR Certification","status":"active"}]` | - |
| security.gdpr | yes | - |
| security.hipaa | yes | yes |
| security.vulnerabilities | `{"count":0,"source":"https://advisories.ecosyste.ms/api/v1/advisories?ecosystem=go&package_name=github.com%2Fopenemr%2Fopenemr-devops&per_page=100","last_12m":0,"max_severity":null}` | - |

## Capabilities (Healthcare Software)

| Capability | OpenEMR | Practice Fusion |
|---|:--:|:--:|
| **Core** |  |  |
| Product type | EHR/EMR | EHR/EMR |
| Care setting | Ambulatory / outpatient | Ambulatory / outpatient |
| **Compliance** |  |  |
| HIPAA compliant / BAA available | ✓ | ✓ |
| ONC Health IT certified | ✓ | - |
| HITRUST CSF certified | - | ✗ |
| **Clinical** |  |  |
| e-Prescribing with EPCS (controlled substances) | - | - |
| Built-in telehealth / video visits | ✓ | ✗ |
| **Interoperability** |  |  |
| Interoperability standards | FHIR / SMART on FHIR | HL7 v2 |
| **Engagement** |  |  |
| Patient portal | ✓ | ✓ |
| **Financial** |  |  |
| Revenue-cycle / medical billing | ✓ | ✓ |
| **Deployment** |  |  |
| Deployment | On-premises | Cloud / SaaS |
| **Pricing** |  |  |
| Pricing model | - | Per provider / clinician |
| **Market** |  |  |
| Target segment | Clinic / group practice | Solo / independent provider |

*Source: vioscaleAI. Generated 2026-10-16T19:05:43.594Z. "-" = undocumented, not absent.*