OpenEMRvsSpacetimeDB
Two self-hosted projects, compared on the numbers selfhost.directory tracks live: score, popularity, release cadence and setup effort.
| OpenEMR | SpacetimeDB | |
|---|---|---|
| Score | 72/100 | 75/100 |
| Rank in category | #1 of 5 in Healthcare | #7 of 38 in Databases |
| GitHub stars | 5 556 | 25 403 |
| Stars, last 30 days | +88 | +81 |
| Stable releases, 12 months | 6 | 7 |
| Latest release | v8_5_0 · 27 Oct 2026 | v2.13.0 · 19 Oct 2026 |
| Setup | Advanced | Moderate |
| Official Docker image | Yes | Yes |
| License | GPL-3.0 | Other |
| Main language | PHP | Rust |
Which one should you pick?
SpacetimeDB scores 75/100 against 72/100 for OpenEMR, so it is the safer default.
SpacetimeDB ships more often: 7 stable releases in the past year, against 6 for OpenEMR.
If you want the quickest setup, SpacetimeDB is easier to run; OpenEMR needs more configuration.
OpenEMR details →SpacetimeDB details →
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