OpenEMRvsTrilium Notes
Two self-hosted projects, compared on the numbers selfhost.directory tracks live: score, popularity, release cadence and setup effort.
| OpenEMR | Trilium Notes | |
|---|---|---|
| Score | 72/100 | 83/100 |
| Rank in category | #1 of 5 in Healthcare | #2 of 42 in Knowledge Management |
| GitHub stars | 5 555 | 38 608 |
| Stars, last 30 days | +87 | +633 |
| Stable releases, 12 months | 6 | 14 |
| Latest release | v8_5_0 · 27 Oct 2026 | v0.106.1 · 23 Oct 2026 |
| Setup | Advanced | Moderate |
| Official Docker image | Yes | Yes |
| License | GPL-3.0 | AGPL-3.0 |
| Main language | PHP | Typescript |
Which one should you pick?
Trilium Notes scores 83/100 against 72/100 for OpenEMR, so it is the safer default.
Trilium Notes ships more often: 14 stable releases in the past year, against 6 for OpenEMR.
If you want the quickest setup, Trilium Notes is easier to run; OpenEMR needs more configuration.
Trilium Notes is growing faster right now (+633 stars in 30 days).
OpenEMR details →Trilium Notes details →
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