Head-to-head

Immuware logovsMedgate logo

Immuware vs Medgate

A neutral, side-by-side comparison of Immuware and Medgate across all 24 occupational health capabilities we track — so you can see exactly where they overlap and where they differ.

Last reviewed: June 2026

Immuware logo
Immuware

Part of Propelus

Employee health, immunization, and medical surveillance tracking.

Built-in
9 / 24
Best for
Health systems and employers that need rigorous immunization and medical-surveillance compliance.
Medgate logo
Medgate

Part of Cority

Occupational health & safety information system.

Built-in
15 / 24
Best for
Large, safety-driven employers managing occupational health at scale.

Immuware vs Medgate: the short version

Immuware is built for health systems and employers that need rigorous immunization and medical-surveillance compliance, while Medgate is built for large, safety-driven employers managing occupational health at scale. Of the 24 capabilities we track, Immuware offers 9 built-in and Medgate offers 15, with 7 that both cover. Immuware pulls ahead on employer / client portal and mobile / employee app, while Medgate leads on occupational health records (ehr), exam & test management, and injury & case management. On delivery, Immuware is cloud-based and Medgate is cloud-based or on-premise. The right pick comes down to which capabilities your workflow depends on — the full breakdown is below.

Immuware vs Medgate at a glance

ImmuwareMedgate
Best forHealth systems and employers that need rigorous immunization and medical-surveillance compliance.Large, safety-driven employers managing occupational health at scale.
Built-in capabilities9 / 2415 / 24
Deploymentcloud-basedcloud-based or on-premise
Pricingquote-based pricingquote-based pricing
Common segmentsMulti-site provider groups, Occ health & urgent care clinics, Employers & on-site clinics, Enterprise EHSEnterprise EHS, Employers & on-site clinics

Both built-in

  • Medical surveillance programs
  • Immunization & titer tracking
  • OSHA 300 / 300A / 301 recordkeeping
  • Regulatory & audit reporting
  • HRIS / HCM integration
  • Cloud-based SaaS
  • Role-based access control

Immuware advantage

  • Employer / client portal
  • Mobile / employee app

Medgate advantage

  • Occupational health records (EHR)
  • Exam & test management
  • Injury & case management
  • Respirator clearance & fit testing
  • Clinic charting & encounter workflow
  • Protocol & job-based rules
  • HIPAA & SOC 2 posture
  • Implementation & onboarding

Immuware vs Medgate, capability by capability

Built-inPartialAdd-onNot offeredUnconfirmed
CapabilityImmuware logoImmuwareMedgate logoMedgate
Clinical & Medical Records
Occupational health records (EHR)PartialBuilt-in
Medical surveillance programsBuilt-inBuilt-in
Exam & test managementPartialBuilt-in
Injury & case managementPartialBuilt-in
Immunization & titer trackingBuilt-inBuilt-in
Compliance & Reporting
OSHA 300 / 300A / 301 recordkeepingBuilt-inBuilt-in
DOT / FMCSA complianceNot offeredPartial
Drug & alcohol testingNot offeredPartial
Respirator clearance & fit testingPartialBuilt-in
Regulatory & audit reportingBuilt-inBuilt-in
Operations & Workflow
Appointment schedulingNot offeredPartial
Clinic charting & encounter workflowNot offeredBuilt-in
Employer / client portalBuilt-inPartial
Protocol & job-based rulesPartialBuilt-in
Billing & invoicingNot offeredNot offered
Platform & Integrations
HRIS / HCM integrationBuilt-inBuilt-in
Lab integration (HL7 / LIS)PartialPartial
Open API & webhooksPartialPartial
Telehealth visitsNot offeredNot offered
Mobile / employee appBuilt-inPartial
Security & Support
Cloud-based SaaSBuilt-inBuilt-in
HIPAA & SOC 2 posturePartialBuilt-in
Implementation & onboardingPartialBuilt-in
Role-based access controlBuilt-inBuilt-in

How to read this comparison

Support levels reflect publicly available product information and are a neutral starting point for your own evaluation — not a definitive scorecard. Confirm specifics with each vendor before making a decision.

Frequently asked questions

What is the difference between Immuware and Medgate?

Immuware is positioned for health systems and employers that need rigorous immunization and medical-surveillance compliance while Medgate is positioned for large, safety-driven employers managing occupational health at scale. Across the 24 capabilities we track, Immuware offers 9 built-in and Medgate offers 15. Immuware stands out on Employer / client portal, Mobile / employee app. Medgate stands out on Occupational health records (EHR), Exam & test management, Injury & case management, Respirator clearance & fit testing.

Is Immuware or Medgate better for occupational health?

Neither is universally "better" — it depends on your operating model. Both are commonly considered for Employers & on-site clinics, Enterprise EHS teams. Immuware is best for health systems and employers that need rigorous immunization and medical-surveillance compliance; Medgate is best for large, safety-driven employers managing occupational health at scale. Compare them against the capabilities your workflow actually depends on rather than the raw feature count.

How much do Immuware and Medgate cost?

Immuware uses quote-based pricing and Medgate uses quote-based pricing. Most occupational health vendors quote based on locations, users, or employee volume, so request a tailored quote from each to compare like-for-like.

Who should consider Immuware?

Immuware — Employee health, immunization, and medical surveillance tracking.. Immuware is cloud-based employee health software from Propelus that automates immunization tracking, medical surveillance, screenings, and exposure and injury records. It is built for health systems, universities, and employers that must prove compliance with vaccination and surveillance requirements.

Who should consider Medgate?

Medgate — Occupational health & safety information system.. Medgate (part of Cority) is an occupational health and safety information system used by large employers to manage clinical records, surveillance, and incident data across sites.