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NightscoutvsOpenEMR

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

NightscoutOpenEMR
Score67/10072/100
Rank in category#2 of 31 in Health & Fitness#1 of 5 in Healthcare
GitHub stars2 8525 555
Stars, last 30 days+23+89
Stable releases, 12 months66
Latest releasev15.0.9 · 21 Oct 2026v8_5_0 · 27 Oct 2026
SetupModerateAdvanced
Official Docker imageYesYes
LicenseAGPL-3.0GPL-3.0
Main languageJavaScriptPHP

Which one should you pick?

OpenEMR scores 72/100 against 67/100 for Nightscout, so it is the safer default.

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

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

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