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ActivepiecesvsOpenEMR

Two self-hosted projects, compared on the numbers selfhost.directory tracks live: score, popularity, release cadence and setup effort.

ActivepiecesOpenEMR
Score80/10072/100
Rank in category#4 of 32 in Workflow Automation#1 of 5 in Healthcare
GitHub stars25 2665 556
Stars, last 30 days+547+88
Stable releases, 12 months376
Latest release0.92.3-hotfix.2 · 28 Oct 2026v8_5_0 · 27 Oct 2026
SetupEasyAdvanced
Official Docker imageYesYes
LicenseOtherGPL-3.0
Main languageTypescriptPHP

Which one should you pick?

Activepieces scores 80/100 against 72/100 for OpenEMR, so it is the safer default.

Activepieces ships more often: 37 stable releases in the past year, against 6 for OpenEMR.

If you want the quickest setup, Activepieces is easier to run; OpenEMR needs more configuration.

Activepieces is growing faster right now (+547 stars in 30 days).

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