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.
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.
| Feature | Medplum | OpenEMR |
|---|---|---|
| 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.
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.
Pricing
List pricing as published by each vendor, with the date we read it. Always verify at the source before you buy.
Medplum
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
OpenEMR
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
Platform & deployment
Where each product runs and how it can be hosted. A dash means undocumented, not unsupported.
Integrations
What each product connects to. Counts come from the vendor's own integration directory where one exists.
Medplum
- 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
OpenEMR
- ClaimRev Clearinghouse Module
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.