# Medplum vs OpenEMR

**Leader by Vioscale score:** Medplum

| Attribute | Medplum | OpenEMR |
|---|---|---|
| **Vioscale score** | 58.5 (62% (medium)) | 31.8 (63% (medium)) |
| activity.commits_last_30d | - | 10 |
| adoption.github_stars | - | 118 |
| deployment.options | `{"cloud":true,"on_prem":true,"self_hosted":true}` | `{"cloud":true,"hybrid":true,"on_prem":true,"self_hosted":true}` |
| description.long | A FHIR-native, API-first cloud and self-hosted platform that provides production-ready infrastructure for clinical software development. Includes built-in HIPAA and SOC2 compliance, integration engine, automation workflows, and pre-built healthcare modules. | 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. |
| 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","telehealth_builtin":true}` |
| integrations.count | 19 | 1 |
| integrations.list | `[{"name":"Epic"},{"name":"FHIR"},{"name":"HL7"},{"name":"DoseSpot"},{"name":"Okta"},{"name":"Azure"},{"name":"Auth0"},{"name":"Twilio"},{"name":"Sendbird"},{"name":"Qualtrics"},{"name":"Jotforms"},{"name":"Formstack"},{"name":"Redcap"},{"name":"Medidata"},{"name":"Particle"},{"name":"HealthGorilla"},{"name":"Paubox"},{"name":"ShipBob"},{"name":"Amazon"}]` | `[{"name":"ClaimRev Clearinghouse Module"}]` |
| language.primary | - | Shell |
| license.spdx | - | GPL-3.0 |
| market.availability | `{"primaryMarkets":["US"],"availabilityScope":"global","availableCountries":[],"notAvailableCountries":[]}` | `{"primaryMarkets":["US"],"availabilityScope":"regional","availableCountries":["US"],"notAvailableCountries":[]}` |
| platform.support | `{"cli":true,"web":true}` | `{"web":true}` |
| pricing | `{"type":"subscription","plans":[{"free":true,"name":"Self-Hosted","summary":"Free, open source","features":["Self-hosted deployment","Open source (Apache 2.0)","Community support via Discord and GitHub","All core features"],"components":[{"kind":"one_time","amount":0,"currency":"USD"}],"description":"Open source version for self-hosted or on-premises deployment","contactSales":false},{"free":false,"name":"Production","summary":"$2,000/month","features":["Standard BAA","Communications module","Integrations","Lab/Diagnostics integration","Medications and eRx integration","HL7 Integration Engine","Discord support","GitHub support"],"commitment":"monthly","components":[{"kind":"fixed","amount":2000,"period":"month","currency":"USD"}],"description":"Cloud-hosted tier for standard production deployments","contactSales":false,"includedLimits":{"websocket_subscriptions":"2"}},{"free":false,"name":"Premium","summary":"$6,000/month","features":["All Production features","Expanded integration capacity","Discord support (with SLA)","GitHub support (with SLA)"],"commitment":"monthly","components":[{"kind":"fixed","amount":6000,"period":"month","currency":"USD"}],"description":"Cloud-hosted tier optimized for messaging-heavy and integration-heavy use cases","contactSales":false,"includedLimits":{"websocket_subscriptions":"2000"}},{"free":false,"name":"Enterprise","summary":"Custom pricing","features":["All Premium features","CISO Dashboard","SOC 2 compliance certification","CLIA/CAP certification","ONC certification","Audit support","Private Slack support","Email support (with SLA)","Custom integrations and workflows","Dedicated support"],"description":"Custom cloud or self-hosted solution for complex enterprise deployments","contactSales":true}],"summary":"From $2,000/month for cloud deployments. Free self-hosted option. Enterprise plans available on contact.","currency":"USD","freeTier":true,"sourceUrl":"https://www.medplum.com/pricing","retrievedAt":"2026-08-25T12:06:36.930Z","startingPrice":{"amount":2000,"period":"month","currency":"USD"},"billingPeriods":["month"]}` | `{"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"}}` |
| pricing.free_tier | yes | yes |
| pricing.model | freemium | freemium |
| pricing.price_level | high | high |
| pricing.starting_price | `{"amount":2000,"currency":"USD"}` | `{"amount":70,"currency":"USD"}` |
| pricing.transparent | yes | no |
| reliability.status_page | yes | - |
| security.disclosure_policy | yes | - |
| security.hipaa | yes | yes |
| security.soc2 | yes | - |

*Source: Vioscale. Generated 2026-09-01T17:32:08.941Z. "-" = undocumented, not absent.*