# OpenEMR vs OpenMRS

| Attribute | OpenEMR | OpenMRS |
|---|---|---|
| **vioscaleAI score** | 36.7 (63% (medium)) | 43.5 (8% (low)) |
| activity.commits_last_30d | 10 | - |
| adoption.dependent_repos | 0 | - |
| adoption.github_stars | 119 | - |
| content.faq | `[{"answer":"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. It is indexed under Healthcare Software.","source":"https://www.open-emr.org/","question":"What is OpenEMR?","confidence":0.6},{"answer":"OpenEMR is open source, so it can be self-hosted and used at no licence cost. It is released under the GPL-3.0 licence. A commercial or hosted edition starts at $70 per month. Pricing changes often, so verify at source before relying on it.","source":"https://www.open-emr.org/","question":"Is OpenEMR free to use?","confidence":0.6},{"answer":"We have confirmed browser-based access to OpenEMR. That is the extent of what we could verify from public sources, so it may well offer desktop or mobile clients we have not indexed.","source":"https://www.open-emr.org/","question":"What platforms does OpenEMR support?","confidence":0.6},{"answer":"Yes. OpenEMR can be deployed cloud / SaaS, hybrid, on-premise and self-hosted, so it does not have to run on the vendor's infrastructure.","source":"https://www.open-emr.org/","question":"Can OpenEMR be self-hosted?","confidence":0.6},{"answer":"We have independently confirmed HIPAA for OpenEMR. Certifications we do not list are ones we have not been able to verify from public sources, which is not the same as OpenEMR not holding them. Always confirm compliance directly before you rely on it.","source":"https://www.open-emr.org/","question":"What security certifications does OpenEMR have?","confidence":0.6},{"answer":"Yes. OpenEMR is published under the GPL-3.0 licence, a copyleft licence, so check its terms before embedding it in a closed-source product. Licence terms can change between releases, so verify against the repository for the version you intend to use.","source":"https://github.com/openemr/openemr-devops","question":"Is OpenEMR open source?","confidence":0.95},{"answer":"OpenEMR is available in the United States. Its primary market is the United States.","source":"https://www.open-emr.org/","question":"Where is OpenEMR available?","confidence":0.75}]` | `[{"answer":"A freely available medical records system developed collaboratively by a global community of developers and healthcare professionals, designed to support clinical care delivery and adaptable to diverse healthcare needs worldwide It is indexed under Healthcare Software.","source":"https://openmrs.org/pricing-icon-1/","question":"What is OpenMRS?","confidence":0.6},{"answer":"OpenMRS is open source, so it can be self-hosted and used at no licence cost. Pricing changes often, so verify at source before relying on it.","source":"https://openmrs.org/","question":"Is OpenMRS free to use?","confidence":0.6},{"answer":"OpenMRS supports the web and a command-line interface. Platforms we have not confirmed are simply not listed here rather than ruled out.","source":"https://openmrs.org/pricing-icon-1/","question":"What platforms does OpenMRS support?","confidence":0.6},{"answer":"Yes. OpenMRS can be deployed self-hosted, so it does not have to run on the vendor's infrastructure.","source":"https://openmrs.org/pricing-icon-1/","question":"Can OpenMRS be self-hosted?","confidence":0.6},{"answer":"We have confirmed 5 integrations for OpenMRS, including DHIS2, OHDSI, OMOP CDM, ERP Systems and Lab Systems. This is what we could verify from public sources, so the vendor may support others we have not indexed.","source":"https://openmrs.org/","question":"What does OpenMRS integrate with?","confidence":0.6}]` |
| deployment.options | `{"cloud":true,"hybrid":true,"on_prem":true,"self_hosted":true}` | `{"self_hosted":true}` |
| description.long | 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. | An open-source medical records system providing flexible healthcare delivery infrastructure, helping clinics and providers manage patient information across developing regions. |
| features.capabilities | `{"hipaa":true,"deployment":"on_prem","care_setting":"ambulatory","product_type":"ehr","onc_certified":true,"revenue_cycle":true,"patient_portal":true,"target_segment":"clinic","interoperability":"fhir","telehealth_builtin":true}` | `{"deployment":"on_prem","care_setting":"cross","product_type":"ehr","target_segment":"clinic","interoperability":"fhir"}` |
| integrations.count | 1 | 5 |
| integrations.list | `[{"name":"ClaimRev Clearinghouse Module"}]` | `[{"name":"DHIS2"},{"name":"OHDSI"},{"name":"OMOP CDM"},{"name":"ERP Systems"},{"name":"Lab Systems"},{"name":"OpenELIS"},{"name":"OpenIMIS"}]` |
| language.primary | Shell | - |
| license.spdx | GPL-3.0 | - |
| market.availability | `{"primaryMarkets":["US"],"availabilityScope":"regional","availableCountries":["US"],"notAvailableCountries":[]}` | `{"primaryMarkets":[],"availabilityScope":"global","availableCountries":[],"notAvailableCountries":[]}` |
| platform.support | `{"web":true,"linux":true,"windows":true}` | `{"cli":true,"web":true}` |
| pricing | `{"type":"hybrid","plans":[{"free":true,"name":"Self-Hosted (Open Source)","description":"Free and open source software for self-deployment"},{"free":false,"name":"Cloud Standard Edition","summary":"Starting at approximately $70/month with no per-provider charges","components":[{"kind":"fixed","amount":70,"period":"month","currency":"USD"}],"description":"Managed cloud hosting on AWS Marketplace","contactSales":false}],"summary":"Free open-source or managed cloud starting at ~$70/month","currency":"USD","freeTier":true,"sourceUrl":"https://www.open-emr.org/","retrievedAt":"2026-08-25T21:45:36.304Z","startingPrice":{"amount":70,"period":"month","currency":"USD"}}` | `{"type":"open_source","plans":[{"free":true,"name":"OpenMRS","summary":"Free, open-source EMR","features":["Configurable for any clinical area","Clinical documentation and diagnosis tracking","Flexible forms with Form Builder","Patient registration, appointments, queues","Billing and inventory management","REST and FHIR APIs for interoperability","Role-based access control and audit logging","Multi-language translation support","Clinical data reporting and analytics","Research integration with OHDSI ecosystem"],"description":"Open-source EMR with no license fees or vendor lock-in","contactSales":false}],"summary":"Free, open-source with no license fees","freeTier":true,"sourceUrl":"https://openmrs.org/","retrievedAt":"2026-08-03T12:05:29.562Z"}` |
| pricing.free_tier | yes | yes |
| pricing.model | free | open_source |
| pricing.price_level | free | free |
| pricing.starting_price | `{"amount":70,"currency":"USD"}` | - |
| pricing.transparent | no | yes |
| reliability.status_page | - | yes |
| security.certifications | `[{"name":"ONC Ambulatory EHR Certification","status":"active"}]` | - |
| security.gdpr | yes | - |
| security.hipaa | yes | - |
| security.vulnerabilities | `{"count":0,"source":"https://advisories.ecosyste.ms/api/v1/advisories?ecosystem=go&package_name=github.com%2Fopenemr%2Fopenemr-devops&per_page=100","last_12m":0,"max_severity":null}` | - |

## Capabilities (Healthcare Software)

| Capability | OpenEMR | OpenMRS |
|---|:--:|:--:|
| **Core** |  |  |
| Product type | EHR/EMR | EHR/EMR |
| Care setting | Ambulatory / outpatient | Cross-setting |
| **Compliance** |  |  |
| HIPAA compliant / BAA available | ✓ | - |
| ONC Health IT certified | ✓ | - |
| HITRUST CSF certified | - | - |
| **Clinical** |  |  |
| e-Prescribing with EPCS (controlled substances) | - | - |
| Built-in telehealth / video visits | ✓ | - |
| **Interoperability** |  |  |
| Interoperability standards | FHIR / SMART on FHIR | FHIR / SMART on FHIR |
| **Engagement** |  |  |
| Patient portal | ✓ | - |
| **Financial** |  |  |
| Revenue-cycle / medical billing | ✓ | - |
| **Deployment** |  |  |
| Deployment | On-premises | On-premises |
| **Pricing** |  |  |
| Pricing model | - | - |
| **Market** |  |  |
| Target segment | Clinic / group practice | Clinic / group practice |

*Source: vioscaleAI. Generated 2026-10-16T18:57:05.455Z. "-" = undocumented, not absent.*