Premium Reports
Contact KLAS
 Download Report Brief  Download Full Report    Zoom in charts



Related Series

Global (Non-US) EMR Market Share 2023
Global (Non-US) EMR Market Share 2022
Global (Non-US) EMR Market Share 2021
Global (Non-US) EMR Market Share 2019
Global (Non-US) EMR Market Share 2018
Global EMR Market Share 2017
Global Market Share 2016
Global EMR Market Share
Global EMR Market Share 2014

Related Segments

Related Articles

 End chart zoom
Global (non-US) EMR Market Share 2020 Global (non-US) EMR Market Share 2020
* A page refresh may be necessary to see the updated image

Global (non-US) EMR Market Share 2020
Regional Vendor Energy Rising

author - Everton Santos
Everton Santos
author - Jonathan Christensen
Jonathan Christensen
May 7, 2020 | Read Time: 7  minutes

2019 saw a marked uptick in EMR purchases in nearly every region of the world. Total decisions increased by more than 50%, for a total of 224 contracts involving 565 facilities. Large regional or group decisions shaped the landscape in Canada, Europe, and the Middle East. Regional solutions’ energy increased as purchasing accelerated in regions where multiregional vendors lack a strong presence or haven’t recently excelled.

Region-Specific Solutions from Softway Medical, Dedalus, Agfa HealthCare, CompuGroup See Top Energy 

While multiregional vendors have had the largest wins (in beds) for several years, a number of regional solutions took the lead in 2019. Softway Medical, an up-and-comer in public facilities, was selected in several group decisions in France. Dedalus’ region-specific solutions were chosen in France and Italy, and their new multiregional platform, C4C (Collaboration 4 Care), gained its first customers, in Italy. Local solutions from CompuGroup Medical and Agfa HealthCare were chosen in one large regional decision each in Austria. Other regional vendors also were widely selected: MV and Philips were selected in a large number of organizational decisions (new and migrations) covering many hospitals and beds. Thanks to many 2019 migrations, all Health Insights inpatient customers have deployed or are deploying the vendor’s new web-based platform. Five Swedish regions chose Cambio, multiple groups in France chose Maincare Solutions or SIB, and two large organizations in Belgium together chose ChipSoft.

2019 new hospital wins by contract type and number of beds

Slower Year for Multiregional Vendors; Highest Energy for DXC Technology in Egypt, Epic in Norway

total number of hospital migrations in 2018Amid efforts to transform the country’s healthcare delivery, Egypt chose DXC Technology Enterprise Management as its underlying technology platform. A pilot has begun at hundreds of healthcare facilities in five regions. Epic’s total of four 2019 contracts is only slightly below average compared to the last five years, though a well-below-average number of facilities and beds were impacted. MEDITECH expanded into several new countries through a contract with a large multihospital group spanning multiple South Central Asian and East African countries. Cerner and InterSystems were selected in three decisions each, making this their slowest year since 2014.

EUROPE: Regional/Group Decisions Shape European Landscape


2019 regional breakdown europeGroupements hospitaliers de territoires (GHTs) drove EMR consolidation and decisions in France, leading to high purchase energy. Softway Medical’s web-based platform had the most wins—four GHTs (representing 27 of the vendor’s 31 total facility customers) opted to replace all of their existing EMR platforms with Softway. Dedalus and Maincare Solutions also saw substantial growth, primarily through EMR consolidation and add-on contracts within GHTs. Two GHTs selected SIB’s lower-cost Sillage platform.

The Nordics

Three large decisions in Austria shaped activity in the region. Two were public: Niederösterreichische (the larger of the two) chose CompuGroup Medical, and Oberösterreich chose Agfa HealthCare. The third large decision was an 11-hospital network that chose Meierhofer. Agfa, who has the leading market share in Germany, continues to be most frequently selected there; as in previous years, five of their seven new hospital wins in Germany were add-ons.


Two significant regional decisions were made in the Nordics: one in Sweden, one in Norway. Cambio’s first major EMR contract in five years came from the SUSSA group, which encompasses five Swedish regions (15 facilities, ~3,000 beds). Norway’s Helse Midt-Norge region selected Epic for their 15-hospital network (~2,200 beds), Epic’s fourth regional deployment in the Nordics.


All new 2019 contracts were in England. The largest decision (two trusts with five hospitals) went to Cerner, increasing Cerner’s leading market share in England (24 trusts total). Two trusts (five hospitals) selected Allscripts, bringing Allscripts’ total market share in England to 11 trusts. Cerner and Allscripts have consistently been chosen by one or two UK trusts per year. With the recent expansion of multiregional vendors in England, few decisions have gone to local vendors. DXC Technology’s Lorenzo solution and IMS MAXIMS have not been selected since 2016. Following a win in 2017 and 2018, System C had no 2019 contracts.


Two large Belgian hospital groups jointly purchased ChipSoft; this is the vendor’s most significant contract outside the Netherlands to date. Dedalus continues to be the main choice in Italy. Both legacy and new customers favored new Dedalus offerings—Tabula Web App (for smaller facilities) and the modular C4C (Collaboration 4 Care) platform.

LATIN AMERICA: 2019 Selections Mirror 2018—MV Leads Philips in Brazil; InterSystems Wins Biggest Decision outside Brazil


2019 regional breakdown europeMV and Philips continue to be the dominant EMR vendors in Brazil, accounting for 75% of net new 2019 wins. In new decisions, hospitals chose MV more frequently (as in 2018) than Philips—44 new hospitals went to MV compared to Philips’ 31. Legacy clients tend to migrate to MV’s and Philips’ go-forward platforms; very few switch to other vendors. SPDATA was selected third most frequently. Pixeon and Agfa HealthCare also gained a few new customers.

EMR purchases in other Latin American countries were sporadic. InterSystems won the largest new contract in Spanish-speaking countries—with Chile’s largest private healthcare group. Organizations in the Caribbean continue favoring MEDITECH, and CPSI was also selected in the area for the first time. Hospitals under construction chose everis, an NTT DATA Company (in Mexico) and Cerner (in Colombia).


MIDDLE EAST & AFRICA: DXC Wins Large Regional Decision; Health Insights Customers Migrating to New Cloud Platform

Egypt saw the region’s largest decision—a pilot project, part of the country’s healthcare overhaul, was awarded to DXC Technology via a local partner. Five regions and 70 hospitals will implement the solution, with potential for countrywide rollout in the future. Health Insights’ 2019 efforts were focused on customer retention; all remaining legacy customers are migrating to the vendor’s new cloud platform, MEDiCACLOUDCARE. A medical city in Riyadh chose Epic, the vendor’s second deployment in the country (first public hospital). InterSystems was selected by a university hospital. For the third year running, Cerner had no new Millennium contracts in the region.

EMR purchasing in Africa has been limited. MEDITECH is being rolled out to two facilities in Kenya and Uganda as part of a contract spanning countries in Africa and Asia. Napier is being implemented for a university hospital in Kenya. Dedalus DxCare is being rolled out to an add-on facility in Morocco.

ASIA & OCEANIA: ezCaretech, Allscripts, MEDITECH Contracts Account for Most Activity in Asia; Oceania Quiet

Purchasing in Asia was spread across multiple countries. ezCaretech expanded on their significant presence in large university hospitals in South Korea, and two smaller hospitals (200–300 beds) chose ezCaretech’s new Cloud HIS solution. Allscripts was selected for the first time in the Philippines, by a large nonprofit healthcare group. MEDITECH was chosen by two healthcare groups in the region—one multihospital group spanning several Asian and African countries, and one standalone facility in Singapore. Napier Healthcare had their best year yet for hospital EMR purchases: they were chosen by four hospitals in India and one in New Zealand (Napier’s first in Oceania and the only one in the region for any measured vendor). Health Insights’ customer in Malaysia is migrating to the vendor’s new cloud platform. A newly constructed hospital in Indonesia chose InterSystems, adding to the vendor’s market share in the country. Philips signed their first client in Asia (a specialty hospital in Japan).

2019 regional breakdown middle east africa
2019 regional breakdown asia oceania

CANADA: New Decisions Continue to Favor Epic, Cerner Also Selected in Combined Tender

2019 regional breakdown canadaEMR decisions picked up from 2018, mostly in Ontario. Epic continued to win the most net new contracts, with two selections (15 inpatient facilities) finalized in Ontario. Each year since 2015, Epic has had the most net new wins of any vendor (except in 2018, which saw no net new decisions). Cerner also was selected in Ontario in one decision (six hospital locations). This is the second contract for Cerner in Canada since 2015. MEDITECH had one new contract for an add-on facility, and three organizations (11 inpatient facilities) chose to migrate to Expanse.

author - Amanda Wind Smith
Amanda Wind Smith
author - Madison Moniz
Madison Moniz
 Download Report Brief  Download Full Report

This material is copyrighted. Any organization gaining unauthorized access to this report will be liable to compensate KLAS for the full retail price. Please see the KLAS DATA USE POLICY for information regarding use of this report. © 2024 KLAS Research, LLC. All Rights Reserved. NOTE: Performance scores may change significantly when including newly interviewed provider organizations, especially when added to a smaller sample size like in emerging markets with a small number of live clients. The findings presented are not meant to be conclusive data for an entire client base.