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DiscoursevsOpenEMR

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

DiscourseOpenEMR
Score83/10072/100
Rank in category#1 of 69 in Social Networks & Forums#1 of 5 in Healthcare
GitHub stars48 0285 556
Stars, last 30 days+132+88
Stable releases, 12 months16
Latest release_gh-attach-assets · 15 Jul 2026v8_5_0 · 27 Oct 2026
SetupModerateAdvanced
Official Docker imageYesYes
LicenseGPL-2.0GPL-3.0
Main languageRubyPHP

Which one should you pick?

Discourse scores 83/100 against 72/100 for OpenEMR, so it is the safer default.

OpenEMR ships more often: 6 stable releases in the past year, against 1 for Discourse.

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

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