GristvsOpenEMR
Two self-hosted projects, compared on the numbers selfhost.directory tracks live: score, popularity, release cadence and setup effort.
| Grist | OpenEMR | |
|---|---|---|
| Score | 75/100 | 72/100 |
| Rank in category | #2 of 10 in Data Management | #1 of 5 in Healthcare |
| GitHub stars | 12 011 | 5 555 |
| Stars, last 30 days | +160 | +89 |
| Stable releases, 12 months | 16 | 6 |
| Latest release | v1.7.21 · 9 Oct 2026 | v8_5_0 · 27 Oct 2026 |
| Setup | Easy | Advanced |
| Official Docker image | Yes | Yes |
| License | Apache-2.0 | GPL-3.0 |
| Main language | Typescript | PHP |
Which one should you pick?
Grist scores 75/100 against 72/100 for OpenEMR, so it is the safer default.
Grist ships more often: 16 stable releases in the past year, against 6 for OpenEMR.
If you want the quickest setup, Grist is easier to run; OpenEMR needs more configuration.
Grist details →OpenEMR details →
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