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LibrumvsOpenEMR

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

LibrumOpenEMR
Score60/10072/100
Rank in category#5 of 7 in E-book Management#1 of 5 in Healthcare
GitHub stars5 3185 556
Stars, last 30 days+-2+88
Stable releases, 12 months06
Latest release—v8_5_0 · 27 Oct 2026
SetupModerateAdvanced
Official Docker imageNoYes
LicenseGPL-3.0GPL-3.0
Main languageCPHP

Which one should you pick?

OpenEMR scores 72/100 against 60/100 for Librum, so it is the safer default.

OpenEMR ships more often: 6 stable releases in the past year, against 0 for Librum.

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

OpenEMR is growing faster right now (+88 stars in 30 days).

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