CRM migration
Field-level mapping, validation, and rollback between Gensolve Practice Manager and Twenty CRM. We move data and schema; workflows are rebuilt natively in Twenty CRM.
Gensolve Practice Manager
Source
Twenty CRM
Destination
Compatibility
12 of 12
objects map 1:1 between Gensolve Practice Manager and Twenty CRM.
Complexity
BStandard
Timeline
48–72 hours
Overview
Gensolve Practice Manager structures its universe around the client record — a flat entity that carries personal details, Medicare and health-fund numbers, practitioner assignments, appointment history, clinical notes, referral source data, and custom form responses all in one place. There is no native Gensolve API export; data extraction requires a managed export through Gensolve support or a third-party migration tool, which produces CSV files that FlitStack AI ingests and restructures. Twenty CRM uses a relational object model: People, Companies, Opportunities, Tasks, Notes, and custom objects linked by foreign keys. The migration therefore has to decompose Gensolve's flat client rows into normalized Twenty records — splitting address components into Twenty's address fields, routing practitioner email addresses to Workspace Members that must exist before import, separating referral entities into Companies with a referrer type tag, and linking appointment and clinical-note rows back to their parent People records via Twenty's peopleId. Gensolve custom form fields (configured via GPM Custom Fields) require Twenty custom fields created in Settings → Data Model before the CSV import runs. Gensolve workflows, appointment reminders, and SMS/email templates do not migrate — those live in Gensolve's scheduling engine and must be rebuilt in Twenty's workflow builder or via a third-party sequencing tool. The migration runs with scoped read access on Gensolve, a sample-diff pass on a representative record slice, then a full bulk import with a 24–48 hour delta-pickup window for in-flight changes during cutover.
Every standard and custom field arrives verified.
AI proposes the map; you confirm before any record moves.
Parent–child, lookups, and ownership stay linked.
Calls, emails, meetings — with original timestamps.
Documents, uploads, and inline notes move with the record.
Why teams make this switch
Leaving
What's pushing teams away
Choosing
What's pulling them in
Object mapping
Each row shows how a Gensolve Practice Manager object lands in Twenty CRM, including any object-level transformations, lookup resolution, or schema-design dependencies.
Typical mapping — final map is confirmed during the sample migration step.
Gensolve Practice Manager
Client
Twenty CRM
People
1:1Gensolve client records map directly to Twenty People. The client name splits into FirstName + LastName where available; single-field client names land in FirstName with LastName blank and a display-name note. All standard contact fields (phone, email, address) map 1:1; practitioner assignment, Medicare number, and health-fund data migrate as custom fields on the People record.
Gensolve Practice Manager
Client.Address (flattened)
Twenty CRM
People (address fields)
1:1Gensolve stores address as separate columns (address1, suburb, state, postcode, country). These decompose into Twenty's address1, address2, city, state, and country fields. Postcode requires no transformation; country defaults to the Gensolve deployment region (AU or NZ) if not explicitly populated.
Gensolve Practice Manager
Referrer
Twenty CRM
Company (type=Referrer)
1:1Gensolve referrers (GPs, specialists, allied health referral sources) become Twenty Companies tagged with type=Referrer. Contact name, email, phone, fax, and address map to the equivalent Company fields. The referrer's unique Gensolve ID is preserved as Source_Referrer_ID__c for traceability. When multiple clients reference the same referrer, they all point to the single Company record, maintaining a normalised referrer entity.
Gensolve Practice Manager
Clinic
Twenty CRM
Company (type=Clinic)
1:1Gensolve clinic locations become Twenty Companies tagged with type=Clinic. Clinic name, address, phone, and contact person map to Company name, address, phone, and a custom point-of-contact field. Multi-site practices generate multiple Company records, each with a distinct address. The Gensolve clinic ID is preserved as Source_Clinic_ID__c, and appointment data linked to specific clinics reconciles through the clinic reference on associated client records.
Gensolve Practice Manager
Appointment
Twenty CRM
Task
1:1Gensolve appointment records migrate as Twenty Tasks. The appointment date maps to Task.dueAt, appointment time is merged into the datetime value. Appointment type (Initial Consultation, Follow-up, etc.) stores as a custom pick-list field. Practitioner assignment resolves to Task.assigneeId via email match against Twenty Workspace Members.
Gensolve Practice Manager
Appointment.Status
Twenty CRM
Task.status
1:1Gensolve appointment statuses (Scheduled, Attended, Cancelled, No-Show, DNA) map to Twenty Task status values. 'Attended' and 'Completed' map to Done; 'Scheduled' maps to Todo; 'Cancelled' and 'No-Show'/'DNA' map to a custom cancelled pick-list value. Probability of attendance is not modeled in Twenty Tasks — this data is preserved in a custom field for reporting.
Gensolve Practice Manager
Clinical Note
Twenty CRM
Note
1:1Gensolve clinical notes (attached to client sessions) migrate as Twenty Notes linked to the corresponding People record via peopleId. Note body carries the clinical text; note type (Subjective, Objective, Assessment, Plan) stores as a custom pick-list field. CreatedAt timestamps and practitioner author are preserved.
Gensolve Practice Manager
Attachment / File
Twenty CRM
External storage with link in Note
1:1Gensolve file attachments (letters, consent forms, imaging files) have no native equivalent in Twenty's current object model. FlitStack AI downloads attachments, uploads them to the Twenty workspace's connected storage (S3-compatible), and creates a Note record with a link to the file URL and original metadata.
Gensolve Practice Manager
Gensolve Custom Form fields
Twenty CRM
Twenty Custom Field (per object)
1:1Gensolve custom form fields (e.g., health-fund number, NDIS plan reference, emergency contact details) require pre-created Twenty custom fields in Settings → Data Model before import. Each custom field's data type (text, number, date, pick-list) maps to the equivalent Twenty field type. The Gensolve custom field label becomes the Twenty field label.
Gensolve Practice Manager
Practitioner / Staff user
Twenty CRM
WorkspaceMember
1:1Gensolve practitioner and staff accounts map to Twenty Workspace Members. User resolution is by email match — the Gensolve user export must include email addresses. Unmatched practitioners are flagged before migration so the Twenty workspace can be populated first. Role and permission levels require manual configuration in Twenty's Settings → Members.
Gensolve Practice Manager
Client.ReferralSource (lookup)
Twenty CRM
People.companyId
1:1Gensolve clients carry a referral source lookup pointing to a Referrer record. After referrers migrate as Companies (step 30), the referral link is reconstructed as People.companyId pointing to the matching Company record. This gives sales-referral attribution reporting in Twenty. Orphaned referral sources — where the Referrer record was not included in the export — are flagged in a validation report for you to either create a placeholder Company or remove the reference.
Gensolve Practice Manager
Deal / Invoice line (if applicable)
Twenty CRM
Opportunity
1:1Gensolve practices that track service agreements or billed amounts as Deals map those to Twenty Opportunities. Opportunity.name is the service description, Amount is the fee, StageName is set to Closed Won by default (historical record), and CloseDate is the service date. Pipeline mapping is not applicable for historical data — new opportunities use the default pipeline.
| Gensolve Practice Manager | Twenty CRM | Compatibility | |
|---|---|---|---|
| Client | People1:1 | Fully supported | |
| Client.Address (flattened) | People (address fields)1:1 | Fully supported | |
| Referrer | Company (type=Referrer)1:1 | Fully supported | |
| Clinic | Company (type=Clinic)1:1 | Fully supported | |
| Appointment | Task1:1 | Fully supported | |
| Appointment.Status | Task.status1:1 | Fully supported | |
| Clinical Note | Note1:1 | Fully supported | |
| Attachment / File | External storage with link in Note1:1 | Fully supported | |
| Gensolve Custom Form fields | Twenty Custom Field (per object)1:1 | Fully supported | |
| Practitioner / Staff user | WorkspaceMember1:1 | Fully supported | |
| Client.ReferralSource (lookup) | People.companyId1:1 | Fully supported | |
| Deal / Invoice line (if applicable) | Opportunity1:1 | Fully supported |
Gotchas + challenges
Platform-specific issues from each side, plus the pair-specific challenges that don't show up on either platform's page on its own.
Gensolve Practice Manager gotchas
Gensolve requires direct support coordination for data exports
Xero-linked invoices risk duplication without deduplication flags
Custom field registry is per-practice and requires enumeration before mapping
SMS and email template content is not stored as standalone records
Twenty CRM gotchas
Import order is enforced and critical
Export limited to 20,000 records and visible columns only
Soft-deleted records count toward uniqueness and trigger restores
API rate limits cap at 200 req/min on Organization tier
No native email sequences — follow-up cadences require external tools
Pair-specific challenges
Migration approach
Request Gensolve managed data export and enumerate the full schema
FlitStack AI initiates the Gensolve managed export request on your behalf. While the export is being prepared, we audit your Gensolve admin panel for custom form field lists, user accounts, referrer and clinic entity counts, and appointment date ranges. This gives us the full field inventory needed to plan Twenty custom field creation and import sequencing. We do not touch production Gensolve data at this stage — we use read access and export files only.
Create Twenty custom fields, Workspace Members, and Company records for referrers and clinics
Before any People or Task records import, the Twenty workspace must have its schema in place. FlitStack AI delivers a custom-field creation checklist mapped from Gensolve's custom form fields — you or your Twenty admin create these in Settings → Data Model. All Gensolve practitioners and staff are invited as Twenty Workspace Members and must accept invitations. Referrers and clinics from the Gensolve export are imported as Companies (tagged by type) so they exist before client records need to link to them via companyId.
Resolve practitioner and staff assignments by email match
Gensolve practitioner assignments on clients, appointments, and clinical notes are resolved by matching practitioner email addresses from the Gensolve user export against Twenty Workspace Members. Any practitioner without a Twenty account is flagged; you decide whether to invite them to Twenty or assign their records to a fallback Workspace Member. This step runs before any People or Task records are created so that assigneeId foreign keys resolve cleanly on import.
Run a sample migration with field-level diff on a representative record slice
A sample of 100–500 Gensolve records (spanning clients with appointments, clinical notes, referrer links, and custom fields) migrates into Twenty first. FlitStack AI generates a field-level diff report showing every mapped field, the source value, the destination value, and any null or truncated results. You verify appointment-status value mapping, practitioner assignment resolution, referrer link reconstruction, and custom field population before the full migration commits.
Execute full migration with delta-pickup window for in-flight records
The full Gensolve dataset loads into Twenty in the correct import order: Companies (referrers and clinics), then People, then Tasks (appointments), then Notes (clinical notes). A delta-pickup window of 24–48 hours runs concurrently with your team's final Gensolve use before go-live, capturing any records created or modified during the cutover period. FlitStack AI provides a reconciliation report comparing Gensolve final state to Twenty state, flags any records that require manual review, and supports one-click rollback if the reconciliation reveals unexpected gaps.
Platform deep dives
Gensolve Practice Manager
Source
Strengths
Weaknesses
Twenty CRM
Destination
Strengths
Weaknesses
Complexity grading
Standard CRM migration. 2 of 8 objects need a mapping; the rest are 1:1.
Overall complexity
Standard migration
Derived from compatibility, mapping clarity, API constraints, and data volume across Gensolve Practice Manager and Twenty CRM.
Object compatibility
2 of 8 objects need a mapping; the rest are 1:1.
Field mapping clarity
Field mapping is derived from defaults — final spec confirmed during the sample migration.
Timeline complexity
8-object category — typical timelines run 2–7 days end-to-end.
API constraints
Gensolve Practice Manager: Not publicly documented.
Data volume sensitivity
Gensolve Practice Manager doesn't expose a bulk API — REST + parallelization used for high-volume runs.
Estimator
Rule-based pricing — no per-record fees, no manual quotes. Migrations over 2M records are scoped individually.
Step 1
Pick a category, then your source and destination platforms.
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