Kokoro FastAPIvsOpenEMR
Two self-hosted projects, compared on the numbers selfhost.directory tracks live: score, popularity, release cadence and setup effort.
| Kokoro FastAPI | OpenEMR | |
|---|---|---|
| Score | 69/100 | 72/100 |
| Rank in category | #4 of 9 in Text to Speech | #1 of 5 in Healthcare |
| GitHub stars | 5 611 | 5 555 |
| Stars, last 30 days | +134 | +87 |
| Stable releases, 12 months | 14 | 6 |
| Latest release | v0.9.1 · 28 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 | Python | PHP |
Which one should you pick?
OpenEMR scores 72/100 against 69/100 for Kokoro FastAPI, so it is the safer default.
Kokoro FastAPI ships more often: 14 stable releases in the past year, against 6 for OpenEMR.
If you want the quickest setup, Kokoro FastAPI is easier to run; OpenEMR needs more configuration.
Kokoro FastAPI details →OpenEMR details →
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