Praxis EMR typical implementation process:
Initial Consultation & Planning: Praxis EMR begins with a strategic assessment to understand the practice’s specialty, size, and workflow preferences. During this stage, system goals, implementation milestones, and customization options are defined, emphasizing Praxis’s template‑free configuration model.
System Configuration: The Praxis team installs and personalizes the EMR instance based on each user’s preferences. Its Concept Processor AI is configured to model the physician’s style of documentation, terminology, and charting sequences, eliminating the need for standardized templates.
Data Migration: Patient demographics, historical charts, and billing data from the previous EHR are securely imported into Praxis using HL7 and FHIR interoperability tools. The AI engine begins learning from historical data to optimize future workflows.
Integration Setup: Praxis integrates with labs, billing, and pharmacy networks (e.g., LabCorp, Surescripts, and Availity). Interfaces are implemented to ensure smooth bidirectional data transfer for clinical results, insurance claims, and medication management.
User Role Assignment: User permissions and access controls are established based on administrative, clinical, and billing functions within the practice, ensuring data privacy and operational accuracy.
Training and Knowledge Transfer: Praxis offers comprehensive onboarding through web‑based seminars, on‑site training, and its “Knowledge Exchanger” system that lets users access best practices from established clinicians. New practices also receive prebuilt medical knowledge models to accelerate adoption.
Pilot Phase (Parallel Testing): The practice runs live simulations and limited patient encounters to validate that workflows and documentation align with regulatory and performance goals before a full deployment.
Go‑Live Support: The Praxis implementation team monitors real‑time system use and assists staff during the first week(s) of live operations, ensuring that e‑prescriptions, charting, labs, and scheduling modules function seamlessly.
Praxis EMR is highly customizable and uniquely designed to fit the distinct workflows, documentation preferences, and operational needs of individual practices. Its architecture, centered on the Concept Processor AI, ensures that every instance of the software evolves alongside the physician’s own clinical logic—making it one of the most configurable EHR systems available in 2025.
Template-free customization: Unlike traditional EHRs that rely on static templates, Praxis EMR uses its AI engine to learn from the physician’s style and create personalized workflows, documentation layouts, and terminology. This allows every user to tailor how diagnoses, notes, and reports are generated without reliance on predefined forms.
Flexible clinical workflows: Users can modify the sequence and format of charting, lab ordering, coding, and reporting tools. The system dynamically reorganizes documentation workflows to mirror specialty-specific requirements—ideal for internal medicine, psychiatry, cardiology, and urgent care facilities.
Practice management integration: Praxis can be fully aligned with practice management and billing tools through custom APIs and HL7/FHIR protocols, streamlining administrative functions such as scheduling, claims submission, and insurance validation.
Adaptive user interface: The software continually reshapes the user experience through AI-driven adaptive learning, adjusting interfaces based on past documentation habits, case types, and charting frequency, ensuring smoother operation and reduced click fatigue.
Custom reports and analytics: Praxis includes Datum+ reporting, which lets users build and export custom analytics for MIPS, MACRA, and PQRS. These reports embed discrete data points for compliance, quality audits, or operational performance reviews while remaining modifiable for each organization’s metrics.
Knowledge Exchanger: A built-in collaboration system allows clinicians to import or share specialty-specific documentation methods, clinical phrases, and best practice models. Health providers can customize imported “knowledge bases” to match their exact care delivery style.
Customizable patient communication: Clinicians can tailor the Patient-Provider Portal and automated Smart Agent messaging to deliver personalized follow-ups, reminders, and educational content aligned with patient demographics and diagnoses.
Practice Guidelines and Advisories: Users can create new or modify existing intelligent advisories for clinical decision support, drug interaction alerts, or disease-specific workflows directly within the system without vendor reliance.
Integration personalization: Praxis EMR allows for custom integrations with labs (Quest Diagnostics, LabCorp), e-prescription systems (Surescripts), and clearinghouses (Availity). Each integration can be configured to mirror the provider’s preferred operational sequence.
Role-specific customization: Administrators can define custom access roles, workflow permissions, and dashboard views for physicians, nurses, billers, or assistants—adjusting data visibility to support internal compliance and data governance.
Multi‑specialty compatibility: The system adjusts to specialty-specific documentation, enabling custom templates for areas such as pediatrics, rheumatology, neurosurgery, and allergy/immunology.
Mobile optimization: Praxis interfaces can be configured for tablet use, allowing practices to design mobile workflows for examinations, telehealth consultations, and bedside charting.
Billing flexibility: The EMR supports connection to virtually any practice management or billing software, using custom data-mapping tools that align with local or specialty billing codes.
Praxis EMR offers a user-centered training and support system designed to ensure seamless adoption, skill mastery, and long-term user satisfaction. The company’s training model combines personalized instruction, on-demand resources, and continuous support to help new users harness the platform’s AI-driven features efficiently and effectively.
Onboarding and Setup Support: New users benefit from guided onboarding sessions where Praxis’s implementation specialists configure the platform to each physician’s workflow. The process includes data import assistance, interface setup, e‑prescribing configuration, and AI model initialization tailored to the practice’s clinical patterns.
Praxis Learning Center: The Learning Center provides extensive self-paced education through video tutorials, user manuals, and webinars. These cover all essential operations—charting with the Concept Processor, integrating labs, creating patient records, and customizing workflows. Physicians can also schedule one‑on‑one or group training sessions for personalized guidance.
Knowledge Exchanger: Praxis’s exclusive Knowledge Exchanger tool allows new users to access and import specialty‑specific practice methodologies and medical content from experienced clinicians. This enables instant familiarity and charting efficiency at startup while letting practices adapt the imported knowledge to their own style.
Multiple Training Formats: Training is available in person, through live online sessions, and via webinars—each designed to match varying learning preferences and schedules. Praxis also includes refresh training for users who want advanced efficiency coaching after initial deployment.
Technical Support Access: Praxis offers multi‑channel support, including phone, live chat, help desk tickets, FAQs, and a customer forum. Support is available Monday through Friday, 8 a.m. to 8 p.m., with extended and weekend coverage by appointment. Users can also access the Customer Support Portal to submit tickets, track cases, and download software tools, updates, and tutorials.
24/7 Live Support (By Request): For critical issues or after‑hours needs, Praxis provides optional round‑the‑clock support, ensuring operational continuity for practices operating across time zones or urgent specialties.
Knowledge Base & Documentation: The system provides a searchable knowledge base with detailed technical manuals, feature guides, and troubleshooting frameworks covering every module of the EMR, including Datum+ reporting, billing, and interoperability.
Praxis EMR implements an advanced, multi-layered security framework built to protect patient health data, ensure regulatory compliance, and maintain system integrity across its cloud and on-premise environments. The platform’s data protection protocols focus on HIPAA and HITECH compliance, combining robust encryption, identity controls, continuous monitoring, and trusted cloud partnerships to safeguard sensitive medical information.
HIPAA and HITECH Compliance: Praxis EMR is fully certified under the Health Insurance Portability and Accountability Act (HIPAA) and HITECH regulations, ensuring that all personal health information (PHI) is protected during storage, access, and transmission. This includes administrative, technical, and physical safeguards to prevent unauthorized use or disclosure of medical data.
Advanced Data Encryption: Praxis uses AES‑256 encryption for data at rest and TLS 1.2 or higher for data in transit. This ensures that all information stored on servers or exchanged between systems remains encrypted and unreadable to unauthorized parties.
Role‑Based Access Control (RBAC): The system employs a detailed role-permission model, restricting access to patient records based on user roles. Physicians, nurses, administrative staff, and billing teams can only view or modify the data relevant to their responsibilities, reducing insider threat risks.
Multi‑Factor Authentication (MFA): Praxis EMR enforces two-step security verification using combinations of strong passwords, one‑time codes, or biometric factors to prevent unauthorized account access, a particularly crucial measure for remote and mobile logins.
Regular Security Audits and Updates: Praxis conducts routine penetration tests, vulnerability scans, and internal security assessments to identify and address potential risks. Security patches and updates are automatically deployed, ensuring continuous threat mitigation and compliance with evolving federal cybersecurity standards.
Audit Trails and Monitoring: Every access, modification, or transmission of patient data is logged automatically. Praxis EMR maintains comprehensive audit trails, allowing administrators to track user actions, detect anomalies, and produce compliance documentation during regulatory inspections.
Secure Direct Messaging: Praxis integrates with DirectTrust-certified secure messaging, enabling encrypted communication between healthcare providers. This feature allows safe data exchange for referrals, lab results, and consultations while maintaining legal compliance with U.S. interoperability laws.
Secure Cloud Infrastructure: Hosted on HIPAA-compliant secure cloud servers, Praxis provides redundant data backups, advanced firewall protections, and real-time failover systems to ensure service continuity during outages or disasters.
Data Backup and Disaster Recovery: Daily encrypted backups are stored in geographically dispersed locations. These backups include built-in recovery protocols that can restore full records within minutes in the event of a cyberattack, system failure, or physical catastrophe.
User Privacy Controls and De‑Identification: Beyond encryption, Praxis supports data anonymization and de‑identification functions, allowing providers to safely share aggregated health data for research or analytics without exposing individual patient identities.
Praxis EMR follows a structured and proactive update schedule to ensure optimal performance, continuous security, and regulatory compliance. Its update management system reflects the software’s commitment to user stability and long-term adaptability rather than disruptive, large-scale version overhauls.
Update Frequency: Praxis EMR typically releases minor updates quarterly and major upgrades annually, ensuring that users benefit from consistent improvements in system intelligence, usability, and integration capabilities. Each release enhances the AI-driven Concept Processor™, strengthens HIPAA and ONC compliance mechanisms, and introduces workflow refinements aligned with user feedback.
Automatic and Scheduled Updates: Updates are conducted primarily through scheduled maintenance windows. Praxis’s support team coordinates directly with clients to plan upgrades for minimal downtime. Cloud-hosted Praxis users receive automatic updates, while on-premise clients schedule their upgrades with the support team to align with operational hours.
Version Control: Praxis employs a structured versioning system—major versions (e.g., 4.x) represent significant architectural or compliance shifts, while minor updates (.x) introduce incremental enhancements like documentation automation, billing refinements, or interoperability expansions. Upgrading between closer versions (e.g., 4.11 → 4.12) is faster than large-scale jumps (e.g., 2.x → 4.x).
Data Integrity and Security Validation: Before upgrading, Praxis conducts integrity checks, data encryption validations, and server synchronization tests to ensure clinical data is preserved without corruption or loss. This process complies with HIPAA technical safeguards and ensures databases remain fully encrypted during transfer.
Notification and Release Notes: Clients are notified in advance via the Praxis user portal and email. Each update is accompanied by detailed release notes outlining new AI capabilities, bug fixes, integration modifications (e.g., Surescripts or LabCorp APIs), and performance enhancements. Support staff provide a personalized briefing when necessary to assist with the adoption of new functions.
System Optimization Updates: Praxis performs periodic server maintenance and environment upgrades to boost performance, spee,d and resilience. For instance, its 2025 update migrated core services to a more modern infrastructure, increasing load capacity, backup reliability, and chart retrieval speed.
Customization Preservation: Praxis’s update architecture safeguards all user-specific customizations and AI-learned behavior. When an upgrade occurs, local learning models, custom reports, and physician-specific templates (if configured) are automatically migrated and validated without requiring manual reconfiguration.
Support During Upgrades: The Praxis support team provides live assistance during and after upgrades. Technical staff monitor system stability via remote diagnostic tools to ensure all integrations (billing, labs, e-prescribing) remain functional.
Praxis EMR’s data ownership and portability policies are built around transparency, physician control, and full compliance with HIPAA and GDPR‑aligned data privacy principles. Its policies ensure that medical practices and their patients retain full ownership of their health data, while Praxis (Infor*Med, Inc.) functions as a data custodian responsible for secure storage, integrity, and availability of that data.
Data Ownership: Praxis EMR explicitly recognizes that healthcare providers—the subscribing practice or clinician—retain sole ownership and stewardship of all clinical data, patient records, and documentation stored in its system. The software merely facilitates secure data processing and storage under a Business Associate Agreement framework (as required by HIPAA). Praxis does not claim, sell, or license ownership of provider or patient content and only accesses data for maintenance, backup, and compliance purposes.
Custodianship and Legal Framework: Praxis acts as a data processor to the physician (the controller) and enforces privacy under approved Standard Contractual Clauses (SCCs) or Binding Corporate Rules (BCRs) when transferring data internationally (for instance, for U.S.–EU data compliance based on post‑Privacy Shield standards). It restricts any access to PHI to authorized technical staff under strict confidentiality agreements, ensuring full auditability during data access events.
Retention and Erasure Policy: Praxis retains healthcare data for the duration of the client’s active subscription, after which it follows a secure data destruction protocol. Once the legal or contractual data retention period expires, the data privacy manager ensures all information is deleted or anonymized in compliance with U.S. and EU data protection laws. Practices may request early deletion or transfer of their data at any time through a written instruction verified by authorized personnel.
Data Portability: In adherence with HIPAA’s right of access and GDPR Article 20, Praxis ensures practices and individual patients can export all records in structured, machine‑readable formats. Supported formats include XML, JSON, CSV, and HL7/FHIR exports, allowing seamless transfer to other EHR systems or secure archival. These exports preserve metadata, audit histories, and diagnostic notes without data loss or formatting collapse.
Backup and Accessibility: Praxis automatically performs routine encrypted database backups, creating ISO‑validated dump files that can be restored by clients independently or through Praxis support. These backups protect clients from vendor lock‑in, since they contain all raw data necessary for migration to another platform if the practice discontinues use.
Patient Data Rights: Within its Patient‑Provider Portal, Praxis honors patient access rights by allowing secure retrieval of summaries, prescriptions, and encounter data. Practices can configure access levels or export health records upon verified patient requests, consistent with HIPAA’s Privacy Rule.
Lawful Disclosures and Fair Use: The platform’s Fair Processing Notice outlines procedures ensuring data is shared only with patient consent or under lawful regulatory or clinical necessity, such as health audits or interoperability with certified partners. In such cases, only the minimal necessary dataset is transferred for processing or care coordination.
Praxis EMR includes flexible terms that allow healthcare organizations to scale their subscriptions up or down as their staffing, patient volumes, or business model evolves. Its architecture and pricing framework are designed for adaptability in both solo and multi‑provider settings, offering simple user‑based and modular scalability without requiring complex re‑licensing or infrastructure changes.
Cloud‑based scalability: Praxis EMR’s infrastructure is fully cloud‑hosted, making it inherently scalable across single locations or multi‑site group practices. Clients can quickly add or remove providers, locations, or data storage capacity without disrupting existing configurations or requiring local reinstallation.
User‑based licensing model: Praxis pricing operates on a per‑provider subscription basis, meaning practices can scale up by simply adding new providers or staff logins. Each active clinician receives an individual license, while administrative users, nurses, and staff are typically added under support tiers tied to the main subscription.
Adding new users or roles: New users can be provisioned directly from the administrative dashboard. Role‑based permissions and access levels are automatically aligned with HIPAA privacy mandates, enabling practices to add providers, medical assistants, billers, or telehealth coordinators safely and immediately.
Down‑scaling flexibility: Organizations that consolidate operations or downsize staff can deactivate unused licenses at the end of their current billing period. Praxis does not charge permanent infrastructure or “seat” fees, allowing practices to scale their subscription count downward without paying for inactive accounts beyond the contract term.
Storage and performance scalability: As patient volume or chart history expands, Praxis EMR automatically scales its allocated database and server resources in real time. Its cloud model adds capacity without downtime or extra configuration costs. Larger multi‑clinic networks can also enable multi‑site synchronization across facilities.
Modular expansion: Practices can expand functionality by activating additional modules (e.g., billing integrations, telehealth, or advanced analytics). These modules can be added or discontinued independently from core EHR functions, keeping licensing costs proportional to usage.
Contract flexibility for growth: Praxis’s multi-year agreements (typically 48- or 60-month terms) allow for mid-term scaling. Clients may request prorated user additions partway through their current subscription year, with pricing adjusted in the next billing cycle. This avoids waiting until renewal to expand licenses.
Technology‑driven adaptability: Because Praxis uses its unique Concept Processor™ AI engine, the system self‑learns from new providers’ documentation styles as they join the organization. This enables consistent record‑keeping and workflow alignment even as provider panels change.
Cost structure: Subscription expansion follows predictable per‑user pricing tiers (starting at approximately $219 per provider/month). There are no “growth penalties” for onboarding more physicians, ensuring transparent cost scaling as organizations increase headcount.
Praxis EMR operates under clear contractual terms designed for flexibility, transparency, and long‑term stability. Its terms and conditions cover subscription duration, renewal procedures, cancellation rights, update obligations, and associated service responsibilities. The company, Infor*Med Inc., details these provisions within its Application Access Terms of Use and Pricing and Additional Information Agreement.
Contract Duration: Praxis EMR offers subscription-based contracts, typically structured around 48‑month or 60‑month terms. The 60‑month plan is priced at approximately $219 per provider per month, while the shorter 48‑month option costs around $259. Each licensing agreement includes initial onboarding, training, and first-year upgrades at no additional charge.
Automatic Renewal: Unless canceled, each Praxis EMR contract automatically renews at the end of its current term for the same duration. Renewal ensures continued access to updates, support, and compliance upgrades—particularly important since annual maintenance guarantees CPT code updates, new drug libraries, and ONC certification releases.
Renewal Notifications: Clients receive reminders before the expiration of a billing cycle or long-term plan, allowing them to renew, modify, or terminate service. Failure to renew results in suspension of updates, maintenance, and training privileges after the contract term.
Cancellation Policy: Clients may cancel their agreement after the contract’s minimum term by providing written notice—commonly 30 to 60 days before the next renewal window. Early cancellation before contract expiration generally does not trigger penalties in the cloud model, but may forfeit prepaid annual maintenance benefits.
Fee Adjustments and Billing: Praxis reserves the right to revise subscription or support fees, with advance written notice of material changes. These changes are communicated via official notifications or the customer portal and take effect in the subsequent billing cycle.
Termination for Breach or Nonpayment: In cases of delinquent payments or material breach, Praxis may terminate service access. Customers remain accountable for unpaid fees for the active subscription term. Termination automatically deactivates user credentials and API access to the Praxis database within set retention intervals.
Post‑Termination Data Rights: Upon termination, Praxis facilitates a complete data export of patient, billing, and historical records in structured, machine-readable formats (HL7, XML, or CSV). Clients may request that Praxis maintain records temporarily or destroy them securely, in accordance with HIPAA and GDPR standards. Praxis never withholds or restricts data migration.
Refunds and Partial Disuse: Praxis EMR contracts specify that partial cancellations or early discontinuation typically do not qualify for proration or refund. Refunds may be possible only if the user terminates within the first 14 days of trial use or within a new billing cycle without engaging system functionality.
Maintenance and Upgrade Obligations: All active contracts include access to software version upgrades, database maintenance, and annual CPT and clinical code updates. Continued support depends on maintaining an active maintenance subscription beyond the initial year.
Praxis EMR complies with the highest U.S. and international regulatory standards for health information technology, ensuring that its platform meets institutional, clinical, security, and interoperability requirements across healthcare environments.
ONC Health IT Certification (45 CFR 170 Subpart C): Praxis EMR is fully certified under the Office of the National Coordinator for Health IT (ONC) Certification Program. Its current certification—Certificate ID 15.02.05.2766.INFO.01.02.1.220310, updated in June 2025—confirms that Praxis EMR Version 9 meets all federal criteria for certified Health IT Modules, including security, data exchange, and EHR functionality for ambulatory care practices.
CCHIT Certification: Praxis was one of the first EMRs to receive CCHIT certification, passing 100% of all required benchmarks for functionality, interoperability, and security. This ensures the software’s capability to create, manage, and securely share electronic records while protecting sensitive patient data and supporting nationwide healthcare information exchange.
HIPAA and HITECH Compliance: Praxis adheres to the security and privacy requirements outlined in HIPAA (Health Insurance Portability and Accountability Act) and HITECH, safeguarding protected health information (PHI) through access control, data encryption, audit trails, and secure messaging protocols. It regularly conducts internal audits and implements technical and administrative safeguards in accordance with federal law.
Meaningful Use and Certified EHR Technology (CEHRT): Praxis EMR supports all measures required for Meaningful Use and MIPS/MACRA participation by automating quality reporting and performance metrics. The software’s certification modules comply with Stage 3 Meaningful Use and allow clinics to qualify for incentive payment programs under the U.S. CMS Quality Payment Program (QPP).
DirectTrust and Secure Email Compliance: Through an integration with EMR Direct, Praxis follows DirectTrust standards for encrypted healthcare messaging. This allows clinicians to transmit patient summaries, lab records, and referrals securely across different organizations, maintaining interoperability while meeting U.S. federal data exchange regulations.
Interoperability Standards: Praxis EMR fully supports HL7, FHIR, and CCD/C‑CDA protocols, enabling seamless data exchange with laboratories, billing systems, pharmacies, and other EHR vendors. These standards meet ONC‑required interoperability specifications for health information exchange (HIE) participation.
Security and Privacy Certifications: Praxis meets industry encryption and data retention standards, including 256‑bit AES encryption and encrypted TLS data transmission in compliance with federal cybersecurity frameworks. Its alignment with ISO/IEC 27001 best practices ensures confidentiality, integrity, and availability of clinical data across its cloud and hybrid deployments.
Praxis EMR
By Infor-Med Inc
