CRM migration
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
Source
Twenty CRM
Destination
Compatibility
9 of 10
objects map 1:1 between Pulse Digital Clinic and Twenty CRM.
Complexity
BStandard
Timeline
48–72 hours
Overview
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.
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 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
Twenty CRM
People
1:1Pulse 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
Twenty CRM
Companies
1:1Pulse 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
Twenty CRM
Task
1:1Pulse 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
Twenty CRM
Workspace Member (custom field)
1:1Pulse 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
Twenty CRM
Custom Object: BillingLedger
1:1Pulse 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
Twenty CRM
Custom Field on People
1:1Pulse 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
Twenty CRM
Note
1:1Pulse 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
Twenty CRM
Custom Field + Note
1:1Pulse 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
Twenty CRM
Custom Field Set on People
1:1Pulse 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
Twenty CRM
Note + Custom Fields on People
many:1Pulse 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.
| Pulse Digital Clinic | Twenty CRM | Compatibility | |
|---|---|---|---|
| Patient Record | People1:1 | Fully supported | |
| Clinic / Organization | Companies1:1 | Fully supported | |
| Appointment / Scheduling | Task1:1 | Fully supported | |
| Physician / Staff Profile | Workspace Member (custom field)1:1 | Fully supported | |
| Patient Billing Entry | Custom Object: BillingLedger1:1 | Fully supported | |
| E-Prescription Log | Custom Field on People1:1 | Fully supported | |
| Communication / Messaging Log | Note1:1 | Fully supported | |
| Campaign / Outreach | Custom Field + Note1:1 | Fully supported | |
| Patient Registration / Intake Form | Custom Field Set on People1:1 | Fully supported | |
| Treatment / Visit History | Note + Custom Fields on Peoplemany: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.
Pulse Digital Clinic gotchas
No public API forces manual or custom extraction
WhatsApp conversation history is non-exportable
Medical records require field-level schema mapping
Lifetime license holders face migration timing pressure
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
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.
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.
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.
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.
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
Pulse Digital Clinic
Source
Strengths
Weaknesses
Twenty CRM
Destination
Strengths
Weaknesses
Complexity grading
Standard CRM migration. 1 of 8 objects need a manual workaround.
Overall complexity
Standard migration
Derived from compatibility, mapping clarity, API constraints, and data volume across Pulse Digital Clinic and Twenty CRM.
Object compatibility
1 of 8 objects need a manual workaround.
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
Pulse Digital Clinic: Not applicable — APIs explicitly not available.
Data volume sensitivity
Pulse Digital Clinic 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.
Category
FAQ
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