EU Sovereignty Score

Healthcare: 59 European alternatives to Epic, Oracle Health and GE Healthcare

Healthcare software covers electronic health records, hospital and practice systems, medical imaging and PACS, laboratory and pharmacy systems, scheduling, and patient-facing apps. Hospitals, general practitioners, laboratories and care organisations use them to run care and to exchange information with colleagues and patients. Epic and Oracle Health are widely known non-EU reference points.

This is the most regulated category in the catalogue. Health data is special-category data under GDPR, and the European Health Data Space regulation sets a common framework for electronic health record systems, patient access, cross-border exchange and secondary use of health data. EHR system manufacturers are expected to meet interoperability and security requirements, and the sector falls under NIS2. For sovereignty, three points stand out: the imaging and record archives that must be kept for many years, the clinical dependency on availability, and the support staff who may access identifiable records from outside the EU.

When choosing a European option, check conformity with applicable medical-device and interoperability requirements, support for established exchange standards such as HL7 FHIR and DICOM, and national connections to patient portals and prescription systems. Ask where identifiable data is processed, how vendor support access is logged and limited, and how an archive can be exported in standard form if you change supplier.

vendors scored
91
European
59
American
25
other
7
last checked
11 October 2026

91 vendors in total: 59 European, 25 American, 7 other; 4 open source.

European vendors

Score per vendor: 0 = high exposure, 100 = sovereign

Sort

Alternatives to Epic, Oracle Health, GE Healthcare and other non-European vendors

For each vendor, the page with European alternatives and the sovereignty profile.

Why this matters for digital sovereignty

Healthcare applications process medical data that counts as a special category under GDPR, and clinical software may also fall under EHDS rules and medical-device legislation. Check certification status, where patient data is stored, and whether the vendor can limit its own access to identifiable records.

Assess your stack →

Frequently asked questions

Which European Healthcare vendors are there?

The knowledge base lists 59 European Healthcare vendors, including Ada Health, Agfa HealthCare, Aiforia and Aignostics. Every record is checked for headquarters, ultimate owner, hosting locations and licence.

Are there open-source options for Healthcare?

Yes. Open-source Healthcare software from Europe includes dcm4che (self-host), OpenEMR (EU-host pattern), OpenMRS and Orthanc (self-host); you can self-host it with the encryption keys under your own control.