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MisskeyvsOpenEMR

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

MisskeyOpenEMR
Score74/10072/100
Rank in category#1 of 5 in Fediverse#1 of 5 in Healthcare
GitHub stars11 3665 556
Stars, last 30 days+42+88
Stable releases, 12 months96
Latest release2026.10.1 · 23 Oct 2026v8_5_0 · 27 Oct 2026
SetupModerateAdvanced
Official Docker imageNoYes
LicenseAGPL-3.0GPL-3.0
Main languageTypescriptPHP

Which one should you pick?

Misskey scores 74/100 against 72/100 for OpenEMR, so it is the safer default.

Misskey ships more often: 9 stable releases in the past year, against 6 for OpenEMR.

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

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

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