CRM migration

Migrate from Pulse Digital Clinic to Twenty CRM

Field-level mapping, validation, and rollback between Pulse Digital Clinic and Twenty CRM. We move data and schema; workflows are rebuilt natively in Twenty CRM.

Pulse Digital Clinic logo

Pulse Digital Clinic

Source

Twenty CRM

Destination

Twenty CRM logo

Compatibility

90%

9 of 10

objects map 1:1 between Pulse Digital Clinic and Twenty CRM.

Complexity

BStandard

Timeline

48–72 hours

Rollback included Accuracy guarantee Field-level validation

Overview

What this migration involves

Pulse Digital Clinic is a medical practice management platform built around patient records, multi-physician scheduling, billing, e-prescribing, and appointment management. It stores patient demographics, treatment histories, billing entries, and communication logs in a purpose-built healthcare schema. Twenty CRM is a modern open-source CRM built on People, Companies, Opportunities, Notes, and Tasks — with support for custom objects and unlimited fields on all plans. The fundamental mismatch is domain: Pulse Digital Clinic operates as a practice-management system with CRM-adjacent patient tracking, while Twenty is a generic CRM that models contacts as People, organizations as Companies, and sales motion as Opportunities. We migrate what we can directly (patient → People, clinic → Companies, appointments → Tasks) and build custom fields for what has no native equivalent (billing amounts, e-prescription status, physician specialty). Workflows, automations, and e-prescribing rules do not migrate — they must be rebuilt in Twenty's workflow builder or handled outside the CRM. We use Pulse Digital Clinic's CSV export and API endpoints to read source data, validate relational integrity (patient-to-appointment links, physician-to-record ownership), and load into Twenty via CSV import or REST API depending on record volume.

Field-level fidelity

Every standard and custom field arrives verified.

Schema-aware mapping

AI proposes the map; you confirm before any record moves.

Relationships preserved

Parent–child, lookups, and ownership stay linked.

Full activity history

Calls, emails, meetings — with original timestamps.

Attachments & notes

Documents, uploads, and inline notes move with the record.

Why teams make this switch

Two sides of the same decision

Leaving

Pulse Digital Clinic logo

Pulse Digital Clinic

What's pushing teams away

  • No public API or programmatic access means integrations with third-party tools are impossible, forcing clinics to use workarounds or manual data re-entry for any external systems.
  • Customization is explicitly not possible according to the vendor, limiting clinics with specialized workflows, unique charting requirements, or specialty-specific needs beyond general EMR.
  • WhatsApp integration carries an additional subscription cost on top of the base price, creating an unexpected line-item that adds up across multiple practitioners.
  • As a small-vendor India-focused product, clinics worry about long-term viability, vendor lock-in, and the difficulty of migrating away if the vendor sunsets the product.
  • Reporting and analytics are described as basic historical reporting, which frustrates growing practices that need revenue cycle analytics, clinical outcome tracking, or multi-location performance dashboards.

Choosing

Twenty CRM logo

Twenty CRM

What's pulling them in

  • Top open-source CRM on GitHub with 40.6K stars, giving teams full source code access and infrastructure ownership without per-feature licensing surprises.
  • Free self-hosting under AGPL-3.0 means unlimited users and custom objects for the cost of cloud infrastructure alone, typically $20–100/month.
  • Pricing page explicitly mocks competitors for charging add-on fees for API access, webhooks, and workflows — transparency that resonates with RevOps teams burned by Salesforce.
  • Unlimited custom objects and fields with no price impact, letting teams shape the data model to their business rather than forcing business into rigid schemas.
  • Modern TypeScript/React/PostgreSQL stack means developer-led teams can extend, self-host, or integrate without fighting legacy architecture.

Object mapping

How Pulse Digital Clinic objects map to Twenty CRM

Each row shows how a Pulse Digital Clinic 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.

Pulse Digital Clinic

Patient Record

maps to

Twenty CRM

People

1:1
Fully supported

Pulse Digital Clinic patient records map directly to Twenty's People object. Patient name, date of birth, contact information, address, and medical history fields migrate as standard and custom fields on the People record. Source system patient ID is stored as Source_System_ID__c for delta-run de-duplication.

Pulse Digital Clinic

Clinic / Organization

maps to

Twenty CRM

Companies

1:1
Fully supported

Pulse Digital Clinic stores the primary clinic name and location data. This maps to Twenty's Companies object as the clinic's organizational record. If Pulse Digital Clinic tracks referring partner clinics as separate entities, each becomes a distinct Company record in Twenty.

Pulse Digital Clinic

Appointment / Scheduling

maps to

Twenty CRM

Task

1:1
Fully supported

Pulse Digital Clinic appointment records (date, time, physician, patient, type, status) transform into Twenty Tasks linked to the corresponding People record. The appointment type maps to Task type, and the physician-assigned owner resolves by email match against Twenty Workspace Members.

Pulse Digital Clinic

Physician / Staff Profile

maps to

Twenty CRM

Workspace Member (custom field)

1:1
Fully supported

Pulse Digital Clinic physician profiles (name, specialty, credentials) do not have a direct equivalent in Twenty's user model. We migrate physician identity as a custom field on People records and create a physician lookup field so patients can be linked to their primary physician without creating duplicate user accounts.

Pulse Digital Clinic

Patient Billing Entry

maps to

Twenty CRM

Custom Object: BillingLedger

1:1
Fully supported

Pulse Digital Clinic billing records (amount, status, payment date, insurance provider) have no native equivalent in Twenty CRM. We create a custom BillingLedger object with fields for amount, status, payment_date, insurance_provider, and patient_link. Invoicing functionality must be rebuilt in a separate billing tool post-migration.

Pulse Digital Clinic

E-Prescription Log

maps to

Twenty CRM

Custom Field on People

1:1
Fully supported

Pulse Digital Clinic e-prescription records (medication, dosage, prescriber, date) have no clinical field type in Twenty CRM. We store prescription history as a multi-line text or JSON-formatted custom field on the People record. Clinical e-prescribing workflows must be handled by a dedicated healthcare tool post-migration.

Pulse Digital Clinic

Communication / Messaging Log

maps to

Twenty CRM

Note

1:1
Fully supported

Pulse Digital Clinic chat and messaging history linked to patient records migrates as Twenty Notes attached to the corresponding People record. Original timestamps and sender identity are preserved. Messaging is not a native Twenty object — notes capture the content and metadata.

Pulse Digital Clinic

Campaign / Outreach

maps to

Twenty CRM

Custom Field + Note

1:1
Fully supported

Pulse Digital Clinic campaign management tracks patient outreach and health-awareness campaigns. Twenty CRM has no native campaign object. Campaign membership data migrates as a custom pick-list field on People; campaign content and scheduling notes migrate as attached Notes. Outbound campaign automation must be rebuilt in Twenty's workflow builder or an external marketing tool.

Pulse Digital Clinic

Patient Registration / Intake Form

maps to

Twenty CRM

Custom Field Set on People

1:1
Fully supported

Pulse Digital Clinic intake form fields (emergency contact, insurance details, consent status, referral source) have no native equivalent in Twenty's People object. We create custom fields for each intake attribute. Referral source maps to a custom pick-list field for downstream reporting.

Pulse Digital Clinic

Treatment / Visit History

maps to

Twenty CRM

Note + Custom Fields on People

many:1
Fully supported

Pulse Digital Clinic stores individual visit records with date, physician, diagnosis codes, and notes. We merge visit history into Notes attached to the People record and surface key clinical flags (chronic conditions, allergies) as custom fields. Detailed diagnosis coding requires a custom object or external EMR integration.

Gotchas + challenges

What specifically takes care here

Platform-specific issues from each side, plus the pair-specific challenges that don't show up on either platform's page on its own.

Pulse Digital Clinic logo

Pulse Digital Clinic gotchas

High

No public API forces manual or custom extraction

High

WhatsApp conversation history is non-exportable

Medium

Medical records require field-level schema mapping

Medium

Lifetime license holders face migration timing pressure

Twenty CRM logo

Twenty CRM gotchas

High

Import order is enforced and critical

High

Export limited to 20,000 records and visible columns only

Medium

Soft-deleted records count toward uniqueness and trigger restores

Medium

API rate limits cap at 200 req/min on Organization tier

Low

No native email sequences — follow-up cadences require external tools

Pair-specific challenges

  • CSV export cap at 20,000 records per file in Twenty

    Twenty CRM's CSV import UI enforces a 20,000-record ceiling per file, and exports only visible columns in the current view. Pulse Digital Clinic practices with large patient histories spanning multiple years of appointments and billing entries will need staged exports — one file per object — with column visibility configured before each export run. We handle the staging and column-visibility setup as part of the migration plan so no data is silently truncated.

  • E-prescription and clinical data have no native home in Twenty

    Pulse Digital Clinic stores structured e-prescription logs with medication, dosage, prescriber, and timestamp. Twenty CRM has no clinical field types — there is no medication field, no prescription object, and no clinical notes taxonomy. We store prescription history as a text block on the People record, which is readable but does not support structured querying by medication or dosage. If your practice requires structured e-prescribing records, those must live in a dedicated clinical tool post-migration.

  • Multi-physician patient assignments require custom relation field

    Multi-physician practices let a single patient be linked to several physicians with distinct roles such as attending or consulting. Twenty CRM's People record supports a single owner by default, which does not natively capture that many‑to‑many relationship. We add a custom Physician_Relation__c multi‑select or relation field on People, storing each physician's name and role as a concatenated label or separate role pick‑list value. If role nuance matters, we can add a second Role__c pick‑list field or a dedicated Physician custom object linked to People via a junction table. The default owner field stays blank or set to a system admin, ensuring every patient record shows at least one physician.

  • Billing ledger integrity depends on patient-record ordering

    Pulse Digital Clinic billing entries link to patients by internal ID. Twenty CRM requires the patient People record to exist before a BillingLedger record can reference it via the personId relation field. We sequence the migration so all People records are loaded first, then BillingLedger records are imported in a second pass. Circular references or orphaned billing entries (patients deleted in Pulse Digital Clinic) are flagged and excluded from the migration.

  • Campaign and outreach data has no native equivalent in Twenty

    Pulse Digital Clinic's campaign management tracks patient outreach sequences, health-awareness campaigns, and marketing-driven patient acquisition. Twenty CRM has no native campaign object — there is no Campaign, no CampaignMember, and no sequence/automation logic. We migrate campaign association as a custom pick-list field on People and campaign notes as attached Notes. Outbound sequences, drip messaging, and campaign automation must be rebuilt in Twenty's workflow builder or migrated to a dedicated marketing-automation tool.

Migration approach

Six steps for a successful Pulse Digital Clinic to Twenty CRM data migration

  1. Audit Pulse Digital Clinic data and design Twenty schema

    We connect to Pulse Digital Clinic via your admin account and export a full data inventory — patients, appointments, billing entries, physician profiles, e-prescription logs, and messaging history. We count records per object, identify custom fields, and map relational links (patient-to-physician, appointment-to-patient). Based on this inventory, we design Twenty's custom objects, custom fields, and pick-list values before any data moves. You review and approve the schema plan before migration begins.

  2. Resolve physician and staff identities against Twenty Workspace Members

    Twenty requires a Workspace Member (user account) to own Tasks and other records. We match Pulse Digital Clinic physician and staff IDs to Twenty users by email address. Any physician without a Twenty account is flagged — you either invite them to Twenty first or we assign their records to a fallback owner. No Task or People record migrates without a resolved owner.

  3. Migrate People and Companies before related records

    Twenty's CSV import enforces referential integrity — a BillingLedger record cannot reference a People record that does not yet exist. We sequence the migration: Companies first (clinic entities), then People (patients), then Tasks (appointments), then custom objects (BillingLedger, prescription data). This ordering is documented in the migration plan and automated in our import runner so no foreign-key violation stalls the migration.

  4. Run sample migration with field-level diff

    A representative slice — typically 200–500 records spanning patients, appointments, billing entries, and physician links — migrates first. We generate a field-level diff between Pulse Digital Clinic source values and Twenty destination values so you can verify mapping accuracy, confirm that physician assignments resolved correctly, and check that billing amounts and prescription history are readable in Twenty before the full run commits.

  5. Full migration with delta-pickup and rollback plan

    The full dataset is loaded into Twenty via CSV import or REST API. After the primary run, a delta‑pickup window of 24–48 hours captures any patient records, appointments, or billing entries added or updated in Pulse Digital Clinic during cut‑over. Our migration runner writes an audit log that records every insert, update, and error for each object type, letting you trace each record to its source. If reconciliation detects mismatched counts or missing foreign keys, a one‑click rollback reverts Twenty to its pre‑migration state, preserving the original data so your team can fix the issue and re‑run safely.

Platform deep dives

Context on both ends of the pair

Pulse Digital Clinic logo

Pulse Digital Clinic

Source

Strengths

  • All-in-one EMR, scheduling, billing, and patient management in a single subscription.
  • Affordable pricing with a lifetime purchase option reducing long-term costs for small practices.
  • WhatsApp integration for patient communication through a familiar channel widely used in India.
  • Multi-physician and multi-clinic management from a single account.
  • Consistent backend support praised across long-term user reviews spanning 5+ years.

Weaknesses

  • No public API or programmatic access limits integrations and automated data extraction.
  • Explicitly no customization, restricting use for specialty practices with unique workflows.
  • Basic historical reporting insufficient for growing practices needing advanced analytics.
  • WhatsApp integration carries an additional recurring cost beyond the base subscription.
  • Small-vendor risk: limited evidence of enterprise-grade security certifications or regulatory compliance documentation beyond general EMR claims.
Twenty CRM logo

Twenty CRM

Destination

Strengths

  • AGPL-3.0 open-source license with full source code on GitHub — no vendor lock-in, no sunset risk.
  • Unlimited users and unlimited custom objects on self-hosted, with no feature gating based on headcount.
  • REST and GraphQL APIs available on all paid tiers, not locked behind an enterprise add-on fee.
  • MCP server and webhooks shipped as standard features, not premium upgrades.
  • Modern PostgreSQL-backed data model that developer teams can query, extend, and self-host.

Weaknesses

  • Recent v1.0 release means limited production hardening compared to CRMs with multi-year operational track records.
  • No native email sequencing or sales engagement tools — follow-up cadences require a separate platform.
  • No native two-way email sync or inbox integration, requiring third-party connectors for full activity logging.
  • Self-hosting 'free' pricing hides real infrastructure and DevOps costs that stack up over time.
  • Workflow automation is functional but lacks the complexity needed for sophisticated multi-step sales motions.

Complexity grading

How hard is this migration?

Standard CRM migration. 1 of 8 objects need a manual workaround.

B

Overall complexity

Standard migration

Derived from compatibility, mapping clarity, API constraints, and data volume across Pulse Digital Clinic and Twenty CRM.

  • Object compatibility

    B

    1 of 8 objects need a manual workaround.

  • Field mapping clarity

    C

    Field mapping is derived from defaults — final spec confirmed during the sample migration.

  • Timeline complexity

    B

    8-object category — typical timelines run 2–7 days end-to-end.

  • API constraints

    B

    Pulse Digital Clinic: Not applicable — APIs explicitly not available.

  • Data volume sensitivity

    B

    Pulse Digital Clinic doesn't expose a bulk API — REST + parallelization used for high-volume runs.

Estimator

Estimate your Pulse Digital Clinic to Twenty CRM migration cost

Rule-based pricing — no per-record fees, no manual quotes. Migrations over 2M records are scoped individually.

Step 1

What are you migrating?

Pick a category, then your source and destination platforms.

Category

FAQ

Frequently asked questions about Pulse Digital Clinic to Twenty CRM data migrations

Answers to the questions buyers ask most during Pulse Digital Clinic to Twenty CRM migration scoping. Not seeing yours? Book a call.

Can't find your answer?

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Book a free 30 minute consultation

Most Pulse Digital Clinic to Twenty CRM migrations complete in 48–72 hours of clock time for under 10,000 patient records. Practices with 50,000+ records or complex billing ledgers extending across multiple years typically need 5–10 days. The longest planning step is designing Twenty's custom object schema for billing and prescription data — that design review typically takes 2–3 business days before data moves.

Adjacent paths

Related migrations to explore

Ready when you are

Move from Pulse Digital Clinic.
Land in Twenty CRM, intact.

Tell us record counts and timeline. We'll come back with a written quote inside 1 business day — no commitment, no sales pitch.

Accuracy guarantee Rollback included Quote in 1 business day