# OpenEMR vs Practice Fusion

| Attribute | OpenEMR | Practice Fusion |
|---|---|---|
| **Vioscale score** | 31.8 (63% (medium)) | 35.4 (75% (high)) |
| activity.commits_last_30d | 10 | - |
| adoption.github_stars | 118 | - |
| 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","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}` | `{"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 | freemium | commercial |
| pricing.price_level | high | high |
| pricing.starting_price | `{"amount":70,"currency":"USD"}` | `{"amount":199,"currency":"USD"}` |
| pricing.transparent | no | yes |
| reliability.status_page | - | yes |
| security.hipaa | yes | yes |

## 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 | - | 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: Vioscale. Generated 2026-09-01T16:51:29.249Z. "-" = undocumented, not absent.*