# OpenEMR vs Tailscale

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

| | OpenEMR | Tailscale |
|---|---|---|
| Score | 72/100 | 84/100 ✓ |
| Rank in category | #1 of 5 in Healthcare | #1 of 56 in VPN |
| GitHub stars | 5 556 | 38 286 ✓ |
| Stars, last 30 days | +88 | +1 444 ✓ |
| Stable releases, 12 months | 6 | 14 ✓ |
| Latest release | v8_5_0 · 27 Oct 2026 | v1.104.4 · 27 Oct 2026 |
| Setup | Advanced | Moderate ✓ |
| Official Docker image | Yes ✓ | No |
| License | GPL-3.0 | BSD-3-Clause |
| Main language | PHP | Go |

## Which one should you pick?

Tailscale scores 84/100 against 72/100 for OpenEMR, so it is the safer default.

Tailscale ships more often: 14 stable releases in the past year, against 6 for OpenEMR.

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

Tailscale is growing faster right now (+1 444 stars in 30 days).

## Details

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

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