OpenEMRvssdnext
Two self-hosted projects, compared on the numbers selfhost.directory tracks live: score, popularity, release cadence and setup effort.
| OpenEMR | sdnext | |
|---|---|---|
| Score | 72/100 | 71/100 |
| Rank in category | #1 of 5 in Healthcare | #3 of 11 in Image Generation |
| GitHub stars | 5 555 | 7 362 |
| Stars, last 30 days | +87 | +16 |
| Stable releases, 12 months | 6 | 0 |
| Latest release | v8_5_0 · 27 Oct 2026 | — |
| Setup | Advanced | Moderate |
| Official Docker image | Yes | Yes |
| License | GPL-3.0 | Apache-2.0 |
| Main language | PHP | Python |
Which one should you pick?
OpenEMR scores 72/100 against 71/100 for sdnext, so it is the safer default.
OpenEMR ships more often: 6 stable releases in the past year, against 0 for sdnext.
If you want the quickest setup, sdnext is easier to run; OpenEMR needs more configuration.
OpenEMR is growing faster right now (+87 stars in 30 days).
OpenEMR details →sdnext details →
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