OpenEMRvsPixelFed
Two self-hosted projects, compared on the numbers selfhost.directory tracks live: score, popularity, release cadence and setup effort.
| OpenEMR | PixelFed | |
|---|---|---|
| Score | 72/100 | 64/100 |
| Rank in category | #1 of 5 in Healthcare | #12 of 69 in Social Networks & Forums |
| GitHub stars | 5 556 | 7 131 |
| Stars, last 30 days | +88 | +24 |
| Stable releases, 12 months | 6 | 15 |
| Latest release | v8_5_0 · 27 Oct 2026 | v0.15.2 · 21 Oct 2026 |
| Setup | Advanced | Advanced |
| Official Docker image | Yes | No |
| License | GPL-3.0 | AGPL-3.0 |
| Main language | PHP | PHP |
Which one should you pick?
OpenEMR scores 72/100 against 64/100 for PixelFed, so it is the safer default.
PixelFed ships more often: 15 stable releases in the past year, against 6 for OpenEMR.
OpenEMR is growing faster right now (+88 stars in 30 days).
OpenEMR details →PixelFed details →
Swap a project
Keep OpenEMR, compare it with
Keep PixelFed, compare it with