OpenEMRvsOrca
Two self-hosted projects, compared on the numbers selfhost.directory tracks live: score, popularity, release cadence and setup effort.
| OpenEMR | Orca | |
|---|---|---|
| Score | 72/100 | 91/100 |
| Rank in category | #1 of 5 in Healthcare | #1 of 209 in AI Agents |
| GitHub stars | 5 555 | 109 264 |
| Stars, last 30 days | +87 | +9 357 |
| Stable releases, 12 months | 6 | 16 |
| Latest release | v8_5_0 · 27 Oct 2026 | v1.4.244 · 29 Oct 2026 |
| Setup | Advanced | Easy |
| Official Docker image | Yes | No |
| License | GPL-3.0 | MIT |
| Main language | PHP | Typescript |
Which one should you pick?
Orca scores 91/100 against 72/100 for OpenEMR, so it is the safer default.
Orca ships more often: 16 stable releases in the past year, against 6 for OpenEMR.
If you want the quickest setup, Orca is easier to run; OpenEMR needs more configuration.
Orca is growing faster right now (+9 357 stars in 30 days).
OpenEMR details →Orca details →
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