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invoice-as-a-servicevsOpenEMR

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

invoice-as-a-serviceOpenEMR
Score43/10072/100
Rank in category#12 of 13 in Billing#1 of 5 in Healthcare
GitHub stars2185 555
Stars, last 30 days—+89
Stable releases, 12 months16
Latest releasev2026-10-23 · 23 Oct 2026v8_5_0 · 27 Oct 2026
SetupModerateAdvanced
Official Docker imageYesYes
LicenseMITGPL-3.0
Main languagePHPPHP

Which one should you pick?

OpenEMR scores 72/100 against 43/100 for invoice-as-a-service, so it is the safer default.

OpenEMR ships more often: 6 stable releases in the past year, against 1 for invoice-as-a-service.

If you want the quickest setup, invoice-as-a-service is easier to run; OpenEMR needs more configuration.

OpenEMR is growing faster right now (+89 stars in 30 days).

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