# Nightscout vs OpenEMR

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

| | Nightscout | OpenEMR |
|---|---|---|
| Score | 67/100 | 72/100 ✓ |
| Rank in category | #2 of 31 in Health & Fitness | #1 of 5 in Healthcare |
| GitHub stars | 2 852 | 5 555 ✓ |
| Stars, last 30 days | +21 | +87 ✓ |
| Stable releases, 12 months | 6 | 6 |
| Latest release | v15.0.9 · 21 Oct 2026 | v8_5_0 · 27 Oct 2026 ✓ |
| Setup | Moderate ✓ | Advanced |
| Official Docker image | Yes | Yes |
| License | AGPL-3.0 | GPL-3.0 |
| Main language | JavaScript | PHP |

## 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 (+87 stars in 30 days).

## Details

- [Nightscout](https://selfhost.directory/project/nightscout) (markdown: https://selfhost.directory/project/nightscout.md)
- [OpenEMR](https://selfhost.directory/project/openemr) (markdown: https://selfhost.directory/project/openemr.md)

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Source: https://selfhost.directory/compare/nightscout-vs-openemr