# OpenEMR vs Redox

**Leader by Vioscale score:** Redox

| Attribute | OpenEMR | Redox |
|---|---|---|
| **Vioscale score** | 31.8 (63% (medium)) | 53.7 (60% (medium)) |
| activity.commits_last_30d | 10 | - |
| adoption.github_stars | 118 | - |
| deployment.options | `{"cloud":true,"hybrid":true,"on_prem":true,"self_hosted":true}` | `{"cloud":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. | Intelligent healthcare data integration platform that unifies interoperability, workflow orchestration, and AI readiness. Redox enables organizations to connect systems, normalize clinical data, and activate insights at scale. |
| 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}` | `{"hipaa":true,"hitrust":true,"deployment":"cloud","care_setting":"cross","pricing_model":"quote","target_segment":"enterprise"}` |
| integrations.count | 1 | 7 |
| integrations.list | `[{"name":"ClaimRev Clearinghouse Module"}]` | `[{"name":"CommonWell"},{"name":"TEFCA"},{"name":"Microsoft Azure"},{"name":"Google Cloud"},{"name":"AWS"},{"name":"Databricks"},{"name":"Snowflake"}]` |
| language.primary | Shell | - |
| license.spdx | GPL-3.0 | - |
| market.availability | `{"primaryMarkets":["US"],"availabilityScope":"regional","availableCountries":["US"],"notAvailableCountries":[]}` | - |
| platform.support | `{"web":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":"hybrid","plans":[{"free":false,"name":"Sandbox","summary":"$15k/year starting","features":["Developer environment & testing","FHIR sandbox with simulated patient data","Real-time traffic alerts","Granular event logging","Multi-factor authentication (MFA)","Role-Based Access Control (RBAC)","Audit APIs"],"commitment":"annual","components":[{"kind":"fixed","amount":15000,"period":"year","currency":"USD"}],"description":"For digital health startups (<500 employees) to build and validate prototypes in a safe development environment","contactSales":false},{"free":false,"name":"Core","summary":"$35k/year starting","features":["All Sandbox features","Live production subscriptions","Managed VPN endpoints","Data mapping and writeback","Platform API access","Automated polling","AI-powered capabilities (AI Assistant Suite, MCP server)","24/7 technical support","Dedicated message queue management","Automated elastic scaling"],"commitment":"annual","components":[{"kind":"fixed","amount":35000,"period":"year","currency":"USD"}],"description":"For teams needing secure production workflows with enterprise-grade support","contactSales":false},{"free":false,"name":"Advanced","summary":"Contact sales","features":["All Core features","Content-based routing","Conditional routing logic","Message bundling/fetching","Visual workflow mapping"],"commitment":"annual","description":"For teams requiring maximum flexibility with advanced data orchestration and custom workflows","contactSales":true}],"addOns":[{"name":"Managed Services"}],"summary":"From $15k/year (Sandbox) or $35k/year (Core) plus transparent consumption-based costs. Hybrid model with platform infrastructure fees and usage-based metered pricing.","currency":"USD","freeTier":false,"sourceUrl":"https://www.redoxengine.com/","retrievedAt":"2026-08-03T12:17:28.771Z","startingPrice":{"amount":15000,"period":"month","currency":"USD"},"billingPeriods":["year"]}` |
| pricing.free_tier | yes | no |
| pricing.model | freemium | quote |
| pricing.price_level | high | unknown |
| pricing.starting_price | `{"amount":70,"currency":"USD"}` | - |
| pricing.transparent | no | no |
| reliability.sla_pct | - | 99.95 |
| reliability.status_page | - | yes |
| security.disclosure_policy | - | yes |
| security.hipaa | yes | yes |
| security.soc2 | - | yes |

## Capabilities (Healthcare Software)

| Capability | OpenEMR | Redox |
|---|:--:|:--:|
| **Core** |  |  |
| Product type | 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 | - | - |
| **Engagement** |  |  |
| Patient portal | ✓ | - |
| **Financial** |  |  |
| Revenue-cycle / medical billing | ✓ | - |
| **Deployment** |  |  |
| Deployment | On-premises | Cloud / SaaS |
| **Pricing** |  |  |
| Pricing model | - | Quote / contact sales |
| **Market** |  |  |
| Target segment | Clinic / group practice | Enterprise / life sciences |

*Source: Vioscale. Generated 2026-09-01T16:48:33.228Z. "-" = undocumented, not absent.*