Every European healthcare & EHR software tool reviewed
Koblenz, Germany
Licence plus service contract
Demo on request
Best for: Practices, hospitals and pharmacies needing connected national systems
CompuGroup Medical is a German healthcare IT group whose software runs in doctors' practices, hospitals, pharmacies, laboratories and dental surgeries across dozens of countries. It is the closest thing Europe has to a full-stack alternative to the American hospital vendors.
Its advantage is national connectedness. German healthcare runs on the Telematikinfrastruktur — the electronic patient record, e-prescription, the connectors and card readers — and CGM builds for that regime directly. A vendor that was not designed into a national health infrastructure cannot meaningfully participate in it.
CompuGroup Medical SE is headquartered in Koblenz and listed in Frankfurt, covering practice management, hospital information systems, pharmacy and laboratory software, e-prescription and telematics connectivity, plus telemedicine. It is sold as licences and service contracts through a partner network rather than as published subscriptions.
What CompuGroup Medical does well
- Broadest coverage across care settings
- Built into the German Telematikinfrastruktur
- Pharmacy and laboratory software alongside clinical
- Listed German company with scale
- Present in dozens of national markets
- E-prescription and telemedicine included
Where CompuGroup Medical falls short
- Pricing opaque, sold through partners
- Product breadth means uneven depth
- Interface modernisation varies by product line
- Support experience depends on the local partner
Standout feature. Software in the practice, the pharmacy and the lab, all connected to national health infrastructure.
Florence, Italy
Enterprise licence and services
Demo on request
Best for: Hospitals and regional health authorities
Dedalus is an Italian healthcare software group operating across European health systems, with clinical, diagnostic and administrative software for hospitals and the regional authorities that run them.
It works at the level European healthcare is actually organised: the region. Public health systems procure for networks of hospitals with shared records and referral pathways, and Dedalus builds for that structure rather than for the single-institution model American vendors assume.
Dedalus is headquartered in Florence and has grown by acquiring European health IT businesses, giving it a footprint across several national systems. Its range covers hospital information systems, electronic patient records, laboratory and radiology software, imaging, and regional health information exchange.
What Dedalus does well
- Built for regional health system structures
- Clinical, diagnostic and administrative in one group
- Laboratory and radiology software included
- Presence across several national systems
- Regional health information exchange platforms
Where Dedalus falls short
- Growth by acquisition means varied product lineage
- Integration between acquired products varies
- Public tender sales cycles
- Pricing not published
Standout feature. Software procured and deployed at regional scale, the way European health systems actually buy.
Amsterdam, Netherlands
Enterprise licence and services
Demo on request
Best for: Hospitals in the Netherlands and Belgium
ChipSoft builds HiX, the hospital information system used by the large majority of Dutch hospitals and a growing number of Belgian ones — an integrated electronic patient record covering clinical, administrative and financial processes in one system.
Its position rests on that word integrated. HiX is one system rather than a suite of integrated products, which removes the interface layer where most clinical IT programmes lose their money and their timelines. That is the main reason Epic has made limited headway in the Dutch market.
ChipSoft is headquartered in Amsterdam and builds specifically for the Dutch and Belgian healthcare systems — their funding models, coding standards and reporting duties — with a patient portal and mobile apps alongside the clinical system.
What ChipSoft does well
- One integrated system rather than an interfaced suite
- Dominant installed base in Dutch hospitals
- Built for Dutch and Belgian funding and coding
- Patient portal and mobile apps included
- Amsterdam-based, national market focus
Where ChipSoft falls short
- Effectively limited to the Netherlands and Belgium
- Large implementation programme
- Market dominance limits competitive pressure
- Pricing not published
Standout feature. One system rather than an interfaced suite — which is where hospital IT programmes usually fail.
Bodø, Norway
Public tender licensing
Demo on request
Best for: Hospitals and health regions replacing a US EHR
DIPS is the electronic health record used across the majority of Norwegian hospitals — a full clinical system for specialist care rather than a practice management tool, developed in Bodø since the 1980s.
DIPS Arena is built on openEHR, which matters more than it sounds. Clinical content is modelled in open archetypes rather than in a vendor's private schema, so the record stays readable and portable — the exact property a hospital loses when a proprietary EHR becomes the only thing that can open twenty years of its own data. Documentation, orders and results, medication, referrals and surgery planning sit on top of it.
DIPS AS is based in Bodø in northern Norway — EEA rather than EU, so GDPR applies directly. For hospital records, which are special category data under Article 9, the vendor's jurisdiction is a legal constraint rather than a preference.
What DIPS does well
- Proven at national scale across Norwegian hospitals
- openEHR archetypes keep the record portable
- Full specialist care scope, not a practice system
- Integrates with national health infrastructure
- Norwegian vendor, EEA jurisdiction and GDPR direct
Where DIPS falls short
- Procured through public tender, not bought off a price list
- Deployment is a multi-year programme
- Norwegian market focus shapes the product
- Little relevance to an outpatient practice
Standout feature. An openEHR-based record, so the hospital's own history stays readable without the vendor.
Groenlo, Netherlands
Per client or per user subscription
Demo on request
Best for: Care organisations outside the hospital
Nedap Healthcare builds electronic care records for the part of healthcare that hospital systems handle badly: long-term care, disability services, mental health and home care, where the record follows a client over years rather than an admission over days.
Long-term care has a different shape from acute care — care plans, goal-setting, shift handovers and funding streams rather than diagnoses and discharges — and Nedap builds for it directly, including the Dutch care funding and billing rules that determine whether the organisation gets paid.
Nedap is headquartered in Groenlo in the eastern Netherlands, covering client records and care planning, scheduling and time registration for care staff, mobile access for community workers, and client and family portals. Care records combine health data with details of someone's home life and dependence.
What Nedap Healthcare does well
- Built for long-term and home care specifically
- Care planning and goal-setting rather than episodes
- Mobile access for community staff
- Dutch care funding and billing built in
- Client and family portals
Where Nedap Healthcare falls short
- Primarily a Dutch market product
- Not suited to acute hospital care
- Funding model tied to Dutch regulations
- Smaller international footprint
Standout feature. A record that follows a client for years, built around care plans rather than admissions.
Stockholm, Sweden
Enterprise licence and services
Demo on request
Best for: Regional health authorities in the Nordics
Cambio builds COSMIC, an electronic health record deployed across Swedish regions and into Denmark and the UK, designed for the Nordic model where a region runs hospitals and primary care as one connected system.
It is built for regional continuity rather than institutional record-keeping. When a patient moves between primary care, a district hospital and a specialist clinic inside the same region, the record follows — which is the actual design requirement of a Nordic health system rather than a feature added to a hospital product.
Cambio is headquartered in Stockholm, covering the record across hospital and primary care with clinical decision support, medication management, referral and care pathway coordination, and regional reporting. Nordic health systems are publicly run and procured under national rules with health legislation layered over the GDPR.
What Cambio does well
- Spans hospital and primary care in one record
- Built for regional deployment
- Clinical decision support included
- Referral and care pathway coordination
- Track record across Swedish regions
Where Cambio falls short
- Nordic focus with limited reach elsewhere
- Public procurement sales cycles
- Regional deployments are multi-year programmes
- Pricing not published
Standout feature. The record follows the patient across the whole region, which is how Nordic care is organised.
Eltville am Rhein, Germany
Monthly licence per practice
Demo on request
Best for: German medical practices and MVZs
medatixx is one of the German practice information systems — the software a doctor's surgery runs on for records, billing and the mandated connections to the German health telematics infrastructure.
This category is decided by certification, not by features. A German practice system must implement KBV requirements and connect to the Telematikinfrastruktur for e-prescriptions and the electronic patient record; a US-built EHR cannot simply be localised into that, which is why the German market is served by German vendors. Records, quarterly billing, appointment and resource planning and specialty modules follow from there.
medatixx GmbH & Co. KG is based in Eltville am Rhein with German hosting for its cloud products, available as a local install or hosted, and supported through a regional partner network.
What medatixx does well
- KBV-certified and connected to the Telematikinfrastruktur
- e-prescription and electronic patient record supported
- Local install or hosted, both German
- Specialty modules per discipline
- Regional partner network for installation and support
Where medatixx falls short
- Only relevant inside the German system
- Licensed per practice through partners, not self-serve
- Interface follows regulation more than usability
- Migration between German practice systems is painful
Standout feature. Certification for the German system, which is the requirement rather than a feature.
Paris, France
Per practitioner, per month
Demo on request
Best for: Practices and clinics booking patients
Doctolib is the booking and practice platform European healthcare runs on at the patient-facing end, with tens of millions of patients across France, Germany and Italy using it to find and book appointments.
It solves a different problem from the record systems here. Patients already have accounts and already search there, so a practice joining becomes findable rather than merely bookable — and the practice management around it covers schedules, reminders that cut no-shows, documents and video consultations.
Doctolib is headquartered in Paris and hosts health data with certified health data hosting providers in Europe, which is a legal requirement rather than a marketing point: the fact of an appointment can reveal the condition. It appears here cross-listed from Appointment Scheduling, where its page lives.
What Doctolib does well
- Patients already search and book there
- Practice management alongside booking
- Reminders that measurably cut no-shows
- Video consultations included
- Certified health data hosting
Where Doctolib falls short
- Not an electronic health record for hospitals
- Network value varies by country
- Per-practitioner subscription
- Platform dependence once patients book through it
Standout feature. The patient-facing half of healthcare IT — a network rather than a booking form.
Boulogne-Billancourt, France
Per-practice licence and subscription, quoted; special terms for newly installed practitioners
Demo on request
Best for: French GPs, specialists and paramedics needing certified national tools
Cegedim is one of France's largest health-technology groups, and its healthcare division sells the software layer French ambulatory care actually runs on: MonLogicielMedical.com (MLM) for GPs and specialists, and a family of RM Ingénierie products — Kiné+, Infi+, Ortho+ and Medi+ — for physiotherapists, nurses, speech therapists and midwives. Between them these cover most of the health professions that touch a French patient outside hospital, which is a different kind of breadth from a single-discipline EHR.
The products are built for French administrative reality rather than adapted to it: LAP-certified prescribing linked to the Base Claude Bernard drug database, DMP integration that publishes patient summaries automatically, secure messaging (MSS) with other providers, and electronic invoicing to the health insurance system. Simply Vitale adds a tablet-based Carte Vitale reader for mobile and home visits.
Cegedim SA is headquartered in Boulogne-Billancourt and listed on Euronext Paris, which gives it a scale and balance-sheet stability most single-product vendors in this category lack — and also means healthcare software is one line of business among several rather than the sole focus. No public price list is published; access runs through a sales conversation, with stated preferential terms for newly installed practitioners.
What Cegedim does well
- Covers GPs, specialists and four paramedical professions
- LAP-certified prescribing tied to the Base Claude Bernard drug database
- DMP and secure messaging (MSS) built in
- Publicly listed French group with financial scale
- Special terms for newly installed practitioners
Where Cegedim falls short
- No public price list
- Healthcare is one division within a larger, more diversified group
- Interface conventions vary between the MLM and RM Ingénierie product lines
- Primarily built for the French system
Standout feature. One vendor across GPs, specialists, nurses, physiotherapists and midwives, all tied to the same French drug database and DMP.
Aarhus, Denmark
Enterprise licence and services, quoted per deployment
Demo on request
Best for: Hospitals and regions running Columna across the Nordics
Systematic is a Danish software company whose healthcare division builds Columna, a suite covering the clinical record (Columna CIS), hospital patient flow and bed management (Columna Flow), and municipal social and home care (Columna Cura). It sits in the same regional-deployment category as Cambio and Dedalus already in this directory: Danish regions, Norwegian trusts and Swedish institutions such as Karolinska University Hospital run Columna at the scale of a health system rather than a single hospital.
The Cura side is the less common half. Where most hospital vendors stop at discharge, Columna Cura continues into municipal social and elderly care, and Danish municipalities including several in the greater Copenhagen area have extended their Cura contracts specifically for that continuity between hospital and home. Columna Flow adds real-time patient tracking and task management for wards and emergency departments, used at Aalborg University Hospital among others.
Systematic A/S is headquartered in Aarhus and, unusually for a company this size, remains privately held rather than venture- or PE-backed. It also builds defence and public-safety software, so healthcare is one industry line rather than the whole business. Pricing is enterprise and quoted per deployment; there is no self-serve tier for a hospital system of this kind.
What Systematic does well
- Spans hospital records, patient flow and municipal care in one suite
- Deployed at national and regional scale across Denmark, Norway and Sweden
- Cura extends care coordination into municipal and home care
- Privately held Danish company, not PE-backed
- Used at leading hospitals including Karolinska University Hospital
Where Systematic falls short
- Enterprise procurement only, no published pricing
- Nordic-language support and workflows are the primary focus
- Multi-year implementation for a hospital-wide deployment
- Healthcare is one of several industries the company serves
Standout feature. Columna Cura is the rare hospital-grade record that keeps working after discharge, into municipal home and social care.
Mortsel, Belgium
Enterprise licence and services, quoted
Demo on request
Best for: Hospitals standardising imaging across radiology, cardiology and pathology
Agfa HealthCare is the imaging-IT half of the Agfa-Gevaert group, and its Enterprise Imaging Platform is built to be the one place a hospital keeps every image regardless of department — radiology, cardiology, breast imaging, digital pathology, molecular imaging and point-of-care ultrasound all land in the same vendor-neutral archive instead of five separate department systems, each with its own viewer and its own copy of the same study.
That consolidation is the actual sell: fewer systems to maintain, one place for a clinician to find any image on a patient, and a single XERO universal viewer rather than one per specialty. RUBEE, Agfa's AI layer, sits on top for workflow prioritisation rather than diagnosis, and teleradiology and streaming access cover remote and multi-site reading.
Agfa HealthCare N.V. is registered in Mortsel, Belgium, part of the Agfa-Gevaert group listed on Euronext Brussels — a multinational with three decades of imaging IT behind it rather than a recent entrant. Pricing is enterprise and quoted; the honest trade-off is that Agfa HealthCare is an imaging platform rather than a full clinical or hospital administration record, so it typically sits alongside a separate EHR rather than replacing one.
What Agfa HealthCare does well
- One vendor-neutral archive across radiology, cardiology, pathology and more
- Single universal viewer instead of one per department
- Three decades of imaging IT experience
- Part of the listed Agfa-Gevaert group, Euronext Brussels
- Teleradiology and remote reading built in
Where Agfa HealthCare falls short
- Imaging platform, not a full clinical or hospital record system
- Pricing not published
- Large legacy install base means uneven modernisation across modules
- Best value appears at multi-department, multi-site scale
Standout feature. Every imaging department shares one archive and one viewer, instead of radiology, cardiology and pathology each keeping their own.
Leeds, England, United Kingdom
Founded 2000
Supplied to NHS and care organisations via national framework contracts
Demo on request
Best for: NHS primary, community and mental health services at national scale
SystmOne is the clinical system behind a striking amount of NHS activity: TPP's own figures put 61 million electronic health records on the database, accessed by more than 300,000 users across roughly 7,800 NHS organisations spanning more than 25 care settings — general practice, community nursing, mental health, prisons and hospices among them.
That single shared record is the actual product: a district nurse, a GP and a mental health team can see the same patient history rather than three separate ones.
The single-database design is unusual in this category. Rather than integrating separate systems per care setting, SystmOne runs one record that different services view through different modules, which is what makes cross-organisation handover work without a separate interoperability project layered on top.
The Phoenix Partnership (Leeds) Ltd, trading as TPP, is based in Horsforth, Leeds, and has been incorporated since 2000; Companies House lists Tpp Finance Limited, a UK entity at the same address, as the company's sole person with significant control, so ownership sits inside the UK.
SystmOne is supplied to NHS and care organisations through national and regional framework contracts rather than sold off a public price list, and the UK sits outside the EEA under an adequacy decision rather than inside EU jurisdiction directly.
What SystmOne does well
- 61 million patient records on a single shared database
- Used across 7,800+ NHS organisations and 25+ care settings
- One record spans GP, community, mental health and more
- UK-owned, with no non-UK parent in the ownership chain
- Two and a half decades of continuous NHS deployment
Where SystmOne falls short
- Sold through NHS framework procurement, not a public price list
- United Kingdom jurisdiction, outside the EEA
- Built around NHS workflows, limited relevance outside the UK
- Onboarding a new organisation is a formal NHS IT project
Standout feature. One database behind 61 million records: SystmOne is built so a district nurse and a GP already share the same patient file.
Oslo, Norway
Enterprise licence and services, quoted
Demo on request
Best for: Specialist hospital software for oncology, laboratories and imaging
Omda is the current name of what was CSAM Health Group until a 2023 rename — the Norwegian Business Register's own history for the entity shows it was registered in 2012 as CSAM Invest AS, renamed CSAM Health Group AS in 2020 and Omda AS in 2023.
The product line is specialist rather than general-purpose: Cytodose for oncology treatment planning, laboratory information management, connected imaging, maternity and fertility software, and emergency response systems, sold to hospitals that already run a general EHR and need depth in one department.
That specialism is the actual pitch. A general hospital information system treats oncology as one module among many; Omda's Cytodose is built only for chemotherapy dosing and treatment planning, which is the kind of depth a department buys as a second system rather than expects from its EHR vendor.
Omda AS is headquartered in Oslo and holds ISO 13485:2016 certification, the quality-management standard for medical device software, which matters for treatment-planning software specifically. Norway is in the EEA and fully inside the GDPR though outside the EU itself. Pricing is enterprise and quoted, and the company's history of renames is worth knowing before searching for "CSAM" and finding an old product page.
What Omda does well
- ISO 13485:2016 certified, relevant for treatment-planning software
- Deep specialist modules: oncology, LIMS, imaging, maternity
- Norwegian company, EEA and GDPR jurisdiction
- Sold as a department-level complement to an existing EHR
- Continuous operating history since 2012 under different names
Where Omda falls short
- Norway is EEA, not EU
- Renamed twice (CSAM Invest, CSAM Health Group, now Omda), which complicates research
- Pricing not published
- Specialist modules rather than a general hospital record
Standout feature. Cytodose treats only oncology dosing, which is the depth a cancer department needs and a general EHR rarely has.
Ghent, Belgium
Per-practice subscription by module, quoted
Demo on request
Best for: Belgian GPs, pharmacists, dentists and allied health professionals
Corilus sells CareConnect, a modular practice-management platform used across an unusually wide span of Belgian healthcare professions: general practitioners, pharmacists, dentists, physiotherapists, nurses, midwives, ophthalmologists and specialists including dermatologists, cardiologists and paediatricians. Rather than one product per discipline built independently, the modules share patient records and integrate with Belgian eHealth services, so a GP and a pharmacist can see the same medication history through their own interface.
Scale is the evidence for that model working: Corilus reports more than 47,000 customers across roughly 540 employees, which for a Belgian-only vendor is a substantial share of the country's primary care software market — a position closer to CompuGroup Medical's breadth-across-settings approach than to a single-discipline EHR.
Corilus NV is registered in Ghent, Belgium (enterprise number 0428.555.896). No public price list is available; access is quoted per practice and module, consistent with how most of this category sells.
What Corilus does well
- One platform across eight or more healthcare professions
- Shared records between GPs, pharmacists and specialists
- Integrated with Belgian eHealth services
- Large installed base: 47,000+ customers
- Breadth across Belgian primary and allied care
Where Corilus falls short
- Pricing not published
- Primarily a Belgian product
- Breadth across professions means each module is narrower than a dedicated specialist system
- Module pricing adds up for a multi-discipline practice
Standout feature. The same patient record follows a GP, a pharmacist and a physiotherapist, each through a module built for their own profession.
Oosterhout, Netherlands
Per-practice subscription, quoted
Demo on request
Best for: Dutch general practices and pharmacies sharing one patient record
PharmaPartners builds Medicom, the practice-management system a large share of Dutch general practitioners use for records, prescribing and scheduling, and Pharmacom, its counterpart for pharmacies. The two are built to work together rather than merely to exchange files: a prescription written in Medicom is built to reach Pharmacom without a separate interface project, which is the specific problem a GP-only or pharmacy-only EHR does not solve.
PharmaPartners states figures of roughly 2,500 GP practices and 1,200 pharmacies on its systems, reaching more than eight million patients, and describes the platform as built on open standards including FHIR, HL7 and the Dutch government's zorginformatiebouwstenen (ZIBs) — the structured data building blocks Dutch health information exchange is standardising around. MijnGezondheid/MedGemak adds a patient portal on top for appointments and secure messaging with a provider.
PharmaPartners B.V. is based in Oosterhout, Netherlands, with a stated 45-plus years in Dutch primary care digitisation behind it. No public pricing is available; access is quoted per practice, which is consistent with the rest of this category and with ChipSoft and Nedap Healthcare already in this directory.
What PharmaPartners does well
- GP and pharmacy records built to share one prescription workflow
- Built on open standards: FHIR, HL7 and Dutch ZIBs
- Reaches an estimated 8 million+ Dutch patients
- Patient portal (MijnGezondheid/MedGemak) included
- Decades in the Dutch primary care market
Where PharmaPartners falls short
- Pricing not published
- Dutch market only
- Two product names (Medicom, Pharmacom) to keep straight when evaluating
- Smaller international footprint than the hospital vendors in this directory
Standout feature. A prescription written in Medicom is designed to reach Pharmacom directly, without a bolt-on interface between GP and pharmacy.
Hildesheim, Germany
Modular licence per care organisation, quoted
Demo on request
Best for: German ambulatory, inpatient and youth care providers
MEDIFOX DAN covers the part of German healthcare IT that the hospital-focused vendors in this directory do not: ambulatory nursing care (MD Ambulant), inpatient and residential care (MD Stationär), therapy practices (MD Therapie) and youth welfare services (MD Jugendhilfe), plus Care.One for admissions and smartAware for staff training. It sits in the same long-term and home-care category as Nedap Healthcare, already in this directory, but for the German rather than Dutch market and regulatory framework.
The company states more than 20 years developing software specifically for German care providers, with 8,000-plus customers and over 100,000 daily users across its products — a scale that reflects how fragmented and locally regulated German long-term care software still is, and how much of that fragmentation MEDIFOX DAN alone now covers.
MEDIFOX DAN GmbH is registered in Hildesheim, Germany (Handelsregister HRB 202124, Amtsgericht Hildesheim), and states that its cloud products are hosted entirely in Germany. No public price list is available; licensing is quoted per organisation and module. The name reflects a 2019 merger of two previously separate German care-software companies, MEDIFOX and DAN.
What MEDIFOX DAN does well
- Covers ambulatory, inpatient, therapy and youth care in one group
- Hosting stated as 100% within Germany
- Large installed base: 8,000+ customers, 100,000+ daily users
- Staff training platform (smartAware) included alongside records
- Two decades focused specifically on German care regulation
Where MEDIFOX DAN falls short
- Pricing not published
- German market and regulatory framework only
- Product family spans several distinctly named modules to navigate
- Not suited to acute hospital care
Standout feature. One vendor covers ambulatory nursing, residential care and youth welfare, the fragmented middle of German care that hospital EHRs skip.
Ljubljana, Slovenia
Better Studio free tier; platform licensing quoted per institution
Free tier for Better Studio; demo on request for the platform
Best for: Health organisations building on open, vendor-neutral clinical data
Better takes a different approach from every other entry in this category: instead of selling a finished EHR, it sells an openEHR- and FHIR-based platform — Better Platform plus Better Studio, a low-code environment — on which a hospital, region or vendor builds its own clinical applications, shared care records, medication management (Better Meds) and patient-reported outcome tools.
The clinical data itself is stored in open, vendor-neutral archetypes rather than a proprietary schema, the same underlying idea as DIPS's openEHR-based record already in this directory, but offered as a platform rather than a finished product.
That openness is the actual argument for choosing it: an organisation that builds its shared care record on Better is not locked into Better's own application layer the way it would be with a closed EHR, because the data model is a published open standard rather than a private one. Deployments span more than 30 markets, including NHS trusts in England, university hospitals in Sweden, Germany and Switzerland, and national programmes in Slovenia, Greece and Ireland.
Better, programska oprema, d.o.o. is headquartered in Ljubljana, Slovenia, with additional offices in Cardiff and Hamburg. Better Studio has a free entry point; the platform itself is licensed to healthcare institutions on a quoted basis. The honest trade-off is that a platform is not a turnkey EHR — an organisation still has to build or commission the applications that run on it, which is a materially different commitment from buying a finished record system.
What Better does well
- openEHR and FHIR-based, avoiding a proprietary clinical data model
- Better Studio offers a free low-code entry point
- Deployed in 30+ markets including NHS trusts and Nordic university hospitals
- Slovenian company with offices in the UK and Germany
- Modular: platform, medication management and PROMs sold separately
Where Better falls short
- A platform to build on, not a finished EHR out of the box
- Requires implementation effort a turnkey system does not
- Platform licensing not published; quoted per institution
- Value depends on having the capacity to build or commission applications
Standout feature. The clinical record is stored in open openEHR archetypes, so a hospital building on Better is not locked into Better's own applications.