# OpenEMR vs paperclip

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

| | OpenEMR | paperclip |
|---|---|---|
| Score | 72/100 | 88/100 ✓ |
| Rank in category | #1 of 5 in Healthcare | #4 of 124 in AI |
| GitHub stars | 5 556 | 108 406 ✓ |
| Stars, last 30 days | +88 | +25 582 ✓ |
| Stable releases, 12 months | 6 | 10 ✓ |
| Latest release | v8_5_0 · 27 Oct 2026 ✓ | v2026.1012.0 · 12 Oct 2026 |
| Setup | Advanced | Moderate ✓ |
| Official Docker image | Yes | Yes |
| License | GPL-3.0 | MIT |
| Main language | PHP | Typescript |

## Which one should you pick?

paperclip scores 88/100 against 72/100 for OpenEMR, so it is the safer default.

paperclip ships more often: 10 stable releases in the past year, against 6 for OpenEMR.

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

paperclip is growing faster right now (+25 582 stars in 30 days).

## Details

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

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