Comparison

Medplum vs OpenEMR

No clear leader: Medplum (41.2) and OpenEMR (36.7) are within the 5-point margin; treat as a tie. The attribute-by-attribute breakdown below, with a source and date on every value, is the honest way to compare them.

Machine formatsMarkdownJSONGraphQLMarkdown is open. JSON and GraphQL need a free key.
Medplum41
OpenEMR37
Score
vioscaleAI score
Medplum41 / 100medium · 62%
OpenEMR37 / 100medium · 63%
Pricing
Free tier
Medplum✓
OpenEMR✓
Model
Medplumfreemium
OpenEMRfree
Price level
Medplumhigh
OpenEMRfree
Starting price
Medplum$2,000
OpenEMR$70
Transparent
Medplum✗
OpenEMR✗
Integrations
Count
Medplum19
OpenEMR1
Security
Disclosure policy
Medplum✓
OpenEMR–
Gdpr
Medplum–
OpenEMR✓
Hipaa
Medplum✓
OpenEMR✓
Soc2
Medplum✓
OpenEMR–
Reliability
Status page
Medplum✓
OpenEMR–
Adoption
Dependent repos
Medplum–
OpenEMR0
Github stars
Medplum–
OpenEMR119
Activity
Commits last 30d
Medplum–
OpenEMR10
License
Spdx
Medplum–
OpenEMRGPL-3.0
Language
Primary
Medplum–
OpenEMRShell
Content
Faq
Medplum7 items
OpenEMR7 items

Features

The capabilities each product documents. These tools do not share a category taxonomy, so this aligns what each vendor states rather than a normalised feature set.

Declared feature comparison
FeatureMedplumOpenEMR
Care setting-ambulatory
Deployment-on_prem
Hipaa-✓
Interoperability-fhir
Onc certified-✓
Patient portal-✓
Product type-ehr
Revenue cycle-✓
Target segment-clinic
Telehealth builtin-✓

What each one is

The product in its own terms, so the numbers below have context.

Medplum

Provides a platform for healthcare application development with integrated compliance features, medical system integrations, and support for both cloud and self-hosted deployment models.

Independently observed

OpenEMR

Free, open-source EHR and practice management platform available for self-deployment or as a managed cloud service. ONC-certified and HIPAA-compliant, designed for ambulatory healthcare practices with integrated clinical workflows and medical billing.

Independently observed

Pricing

List pricing as published by each vendor, with the date we read it. Always verify at the source before you buy.

Medplum

from $2000/moSubscriptionFree tier

Free tier available for development and self-hosted use. Production cloud tier from $2,000/month. Enterprise tier pricing available upon request.

  • Free (Cloud)Free
    • 10 websocket subscriptions
    • Discord support
    • GitHub support
    • Basic compliance features
  • Production$2,000/month
    • 2000 websocket subscriptions
    • Lab/Diagnostics integrations
    • Medications/eRx integrations
    • HL7 Integration Engine
    • Discord and GitHub support with SLA
    • +5 more
  • EnterpriseContact sales
    • Custom configuration
    • Advanced compliance support
    • Enhanced SLAs
    • Dedicated support options
  • Free (Self-Hosted)Free
    • Self-hosted deployment
    • Open source option
as of verify ↗

OpenEMR

from $70/moHybridFree tier

Free open-source or managed cloud starting at ~$70/month

  • Self-Hosted (Open Source)Free
  • Cloud Standard EditionStarting at approximately $70/month with no per-provider charges
as of verify ↗

Platform & deployment

Where each product runs and how it can be hosted. A dash means undocumented, not unsupported.

Platforms
Web
Medplum✓
OpenEMR✓
Windows
Medplum✗
OpenEMR✓
Linux
Medplum✗
OpenEMR✓
CLI
Medplum✓
OpenEMR✗
Deployment
Cloud / SaaS
Medplum✓
OpenEMR✓
Self-hosted
Medplum✓
OpenEMR✓
On-premise
Medplum✗
OpenEMR✓
Hybrid
Medplum✗
OpenEMR✓

Integrations

What each product connects to. Counts come from the vendor's own integration directory where one exists.

Medplum

23 total
  • Epic
  • FHIR
  • HL7
  • DoseSpot
  • Okta
  • Azure
  • Auth0
  • Twilio
  • Sendbird
  • Qualtrics
  • Jotforms
  • Formstack
  • Redcap
  • Medidata
  • Particle
  • HealthGorilla
  • Paubox
  • ShipBob
  • Amazon
  • Lab/Diagnostics
  • Medications/eRx
  • HL7 Integration Engine
  • Azure SSO
Independently observed

OpenEMR

1 total
  • ClaimRev Clearinghouse Module
Independently observed
Still deciding?

Medplum or OpenEMR: which one depends on you

A composite score cannot know your constraints. Describe them and both get re-weighted against what you actually need, with the evidence behind every position.

Free to run, no account needed to start. How the evaluation works

Comparison generated from independently-sourced facts. Every value links to its source and retrieval date. See the method.