# OpenMRS vs Practice Fusion

**Leader by Vioscale score:** Practice Fusion

| Attribute | OpenMRS | Practice Fusion |
|---|---|---|
| **Vioscale score** | 22.4 (9% (low)) | 35.4 (75% (high)) |
| deployment.options | `{"self_hosted":true}` | `{"cloud":true}` |
| description.long | A free, open-source electronic health record platform developed and maintained by a worldwide community of healthcare professionals and technologists. Adaptable across diverse clinical settings with standards-based APIs for integration and no licensing costs or vendor lock-in. | 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 | `{"deployment":"on_prem","care_setting":"cross","product_type":"ehr","target_segment":"clinic","interoperability":"fhir"}` | `{"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 | 5 | 9 |
| integrations.list | `[{"name":"DHIS2"},{"name":"OHDSI"},{"name":"OMOP CDM"},{"name":"ERP Systems"},{"name":"Lab Systems"}]` | `[{"name":"Updox"},{"name":"CoverMyMeds"},{"name":"Surescripts"},{"name":"LabCorp"},{"name":"Medi-Span"},{"name":"Emdeon"},{"name":"HLI"},{"name":"Carequality"},{"name":"Dynamsoft"}]` |
| market.availability | `{"primaryMarkets":[],"availabilityScope":"global","availableCountries":[],"notAvailableCountries":[]}` | `{"primaryMarkets":["US"],"availabilityScope":"global","availableCountries":[],"notAvailableCountries":[]}` |
| platform.support | `{"web":true}` | `{"web":true}` |
| pricing | `{"type":"open_source","plans":[{"free":true,"name":"OpenMRS","summary":"Free, open-source EMR","features":["Configurable for any clinical area","Clinical documentation and diagnosis tracking","Flexible forms with Form Builder","Patient registration, appointments, queues","Billing and inventory management","REST and FHIR APIs for interoperability","Role-based access control and audit logging","Multi-language translation support","Clinical data reporting and analytics","Research integration with OHDSI ecosystem"],"description":"Open-source EMR with no license fees or vendor lock-in","contactSales":false}],"summary":"Free, open-source with no license fees","freeTier":true,"sourceUrl":"https://openmrs.org/","retrievedAt":"2026-08-03T12:05:29.562Z"}` | `{"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 | open_source | commercial |
| pricing.price_level | free | high |
| pricing.starting_price | - | `{"amount":199,"currency":"USD"}` |
| pricing.transparent | yes | yes |
| reliability.status_page | yes | yes |
| security.hipaa | - | yes |

## Capabilities (Healthcare Software)

| Capability | OpenMRS | Practice Fusion |
|---|:--:|:--:|
| **Core** |  |  |
| Product type | EHR/EMR | EHR/EMR |
| Care setting | Cross-setting | 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: Vioscale. Generated 2026-09-01T17:10:53.904Z. "-" = undocumented, not absent.*