[Home](https://www.selecthub.com/) \> [EMR](https://www.selecthub.com/category/emr/) \> [EMR Software](https://www.selecthub.com/c/emr-software/) \> [OpenEMR](https://www.selecthub.com/p/emr-software/openemr/) \> OpenEMR vs OpenMRS 

#  OpenEMR vs OpenMRS 

 Last Updated: May 11th, 2026 

Our analysts compared [OpenEMR](https://www.selecthub.com/p/emr-software/openemr/) vs [OpenMRS](https://www.selecthub.com/p/emr-software/openmrs/) based on data from our 400+ point analysis of [EMR Software](https://www.selecthub.com/c/emr-software/), user reviews and our own crowdsourced data from our [free software selection platform](https://www.selecthub.com/about/start-free-selection-project-site/?category=EMR Software&cta=emr-software).

[Overview](#product-overview) [Pricing](#product-pricing) [Our Review](#product-analyst-summary) [User Ratings](#user-sentiment-section) [Features](#product-benefits-features) [Screenshots](#product-screenshots) 

Remove Add to Compare 

[![OpenEMR Software Tool](https://cdn.selecthub.com/products/d139db6a236200b21cc7f752979132d0-8ebab6b0e536cb95902d97cbacacfacf/resources/normal/logo.png?1693318220)](https://www.selecthub.com/p/emr-software/openemr/)

Remove Add to Compare 

[![OpenMRS Software Tool](https://cdn.selecthub.com/products/a9cc6694dc40736d7a2ec018ea566113-b1345747ee00491e728a02a2e842e83d/resources/normal/logo.png?1737567297)](https://www.selecthub.com/p/emr-software/openmrs/)

[ ![Product Awards](https://www.selecthub.com/display/images/awards_badge.svg) ](#awards-section) 

[Get Free Demo](https://pmo.selecthub.com/get-product-demo/?category=EMR+Software&product%5Fname=OpenEMR&product%5Flogo=https%3A%2F%2Fd3uimxdj41cg3o.cloudfront.net%2Fproducts%2Fd139db6a236200b21cc7f752979132d0-8ebab6b0e536cb95902d97cbacacfacf%2Fresources%2Fnormal%2Flogo.png%3F1693318220) [Demo](https://pmo.selecthub.com/get-product-demo/?category=EMR+Software&product%5Fname=OpenEMR&product%5Flogo=https%3A%2F%2Fd3uimxdj41cg3o.cloudfront.net%2Fproducts%2Fd139db6a236200b21cc7f752979132d0-8ebab6b0e536cb95902d97cbacacfacf%2Fresources%2Fnormal%2Flogo.png%3F1693318220) [Request Pricing](https://pmo.selecthub.com/get-product-pricing-medical/?category=EMR+Software&product%5Fname=OpenEMR&product%5Flogo=https%3A%2F%2Fd3uimxdj41cg3o.cloudfront.net%2Fproducts%2Fd139db6a236200b21cc7f752979132d0-8ebab6b0e536cb95902d97cbacacfacf%2Fresources%2Fnormal%2Flogo.png%3F1693318220&price=1) [Pricing](https://pmo.selecthub.com/get-product-pricing-medical/?category=EMR+Software&product%5Fname=OpenEMR&product%5Flogo=https%3A%2F%2Fd3uimxdj41cg3o.cloudfront.net%2Fproducts%2Fd139db6a236200b21cc7f752979132d0-8ebab6b0e536cb95902d97cbacacfacf%2Fresources%2Fnormal%2Flogo.png%3F1693318220&price=1) 

[Get Free Demo](https://pmo.selecthub.com/get-product-demo/?category=EMR+Software&product%5Fname=OpenMRS&product%5Flogo=https%3A%2F%2Fd3uimxdj41cg3o.cloudfront.net%2Fproducts%2Fa9cc6694dc40736d7a2ec018ea566113-b1345747ee00491e728a02a2e842e83d%2Fresources%2Fnormal%2Flogo.png%3F1737567297) [Demo](https://pmo.selecthub.com/get-product-demo/?category=EMR+Software&product%5Fname=OpenMRS&product%5Flogo=https%3A%2F%2Fd3uimxdj41cg3o.cloudfront.net%2Fproducts%2Fa9cc6694dc40736d7a2ec018ea566113-b1345747ee00491e728a02a2e842e83d%2Fresources%2Fnormal%2Flogo.png%3F1737567297) [Request Pricing](https://pmo.selecthub.com/get-product-pricing-medical/?category=EMR+Software&product%5Fname=OpenMRS&product%5Flogo=https%3A%2F%2Fd3uimxdj41cg3o.cloudfront.net%2Fproducts%2Fa9cc6694dc40736d7a2ec018ea566113-b1345747ee00491e728a02a2e842e83d%2Fresources%2Fnormal%2Flogo.png%3F1737567297&price=1) [Pricing](https://pmo.selecthub.com/get-product-pricing-medical/?category=EMR+Software&product%5Fname=OpenMRS&product%5Flogo=https%3A%2F%2Fd3uimxdj41cg3o.cloudfront.net%2Fproducts%2Fa9cc6694dc40736d7a2ec018ea566113-b1345747ee00491e728a02a2e842e83d%2Fresources%2Fnormal%2Flogo.png%3F1737567297&price=1) 

###  Products Insights

 Product Ranking 

## #8

 among all   
 EMR Software

## #17

 among all   
 EMR Software

[Find out who the leaders are](https://pmo.selecthub.com/request-custom-scorecard?post%5Ftype=auto%5Fvs%5Farticle&category%5Fslug=emr-software&product%5Fslug=openemr&category=EMR+Software) 

 Price Starts From

$0 Free, Open-Source 

[ Free Trial is available →](https://pmo.selecthub.com/free-trial/?product%5Fname=OpenEMR&category=EMR Software&product%5Flogo=https://d3uimxdj41cg3o.cloudfront.net/products/d139db6a236200b21cc7f752979132d0-8ebab6b0e536cb95902d97cbacacfacf/resources/normal/logo.png?1693318220) 

$0 Free, Open-Source 

 Free Trial is unavailable →

 Pros

 What we like about OpenEMR and OpenMRS:

* Free to install with no licensing fees, keeping costs low for practices of all sizes
* Comprehensive built-in billing tools handle clearinghouses, insurance tracking and eligibility queries
* Clinical decision rules engine helps physicians make treatment decisions based on patient algorithms

* Free open-source platform with no licensing costs, accessible for resource-limited settings
* Built-in HL7 and FHIR interoperability support connects with other health information systems
* Scales from small clinics to large hospital networks without requiring a full system overhaul

 Cons

 What we dislike about OpenEMR and OpenMRS:

* Interface can be difficult to navigate, especially for users new to open-source EMR software
* Relies on community-driven support with no dedicated customer service team
* Customization often requires technical expertise or third-party developers to implement

* Customization demands programming knowledge, which can be a barrier for non-technical staff
* Concept dictionary and modular setup add complexity that takes time to learn and configure
* Limited out-of-the-box clinical workflow features compared to more practice-focused EMR tools

###  Our Review

**Bottom line:** OpenEMR is the better fit if you run a small to mid-sized clinic and need a ready-to-use EMR with built-in billing and clinical decision tools. OpenMRS makes more sense if you need a highly adaptable platform that can scale across a large or global health organization and connect with other health systems.

OpenEMR comes with a broad set of clinical tools out of the box. It handles appointment scheduling, patient records, lab integration, e-prescribing and billing — including insurance eligibility queries and clearinghouse support. If your practice needs something that works without heavy configuration, OpenEMR's depth of built-in features gives you a head start.

OpenMRS takes a different approach. It's built around a modular architecture and a concept dictionary that standardizes medical terminology across the platform. This makes it particularly strong for organizations that need to customize workflows extensively or share data across multiple systems using HL7 and FHIR standards. It also supports mobile device access and multiple languages, which matters if you're working in diverse or distributed settings.

Both are free and open-source, so neither carries licensing costs. OpenEMR starts at $0, and OpenMRS also starts at $0\. The real cost difference shows up in implementation — OpenEMR's richer out-of-the-box setup may need less custom development for a typical clinic, while OpenMRS typically requires more technical investment to get running the way you need.

Support is community-driven for both, so don't expect a dedicated help desk with either. OpenEMR has an active forum, and OpenMRS benefits from a global contributor base. If you need deep customization or enterprise-scale deployments, OpenMRS is the stronger foundation. If you want a fully featured clinical tool that doesn't require building from scratch, OpenEMR is the more practical starting point.

###  User Sentiment Summary

 OpenEMR has a user sentiment rating of 78 based on 32 reviews. OpenMRS has a user sentiment rating of 96 based on 4 reviews. 

![Good User Sentiment](https://www.selecthub.com/display/images/scores/good.svg) 32 reviews 

![Excellent User Sentiment](https://www.selecthub.com/display/images/scores/excellent.svg) 4 reviews 

 Synopsis

 Evaluating all review platforms, our market analysts have compiled the following user sentiment data.

 78%

of users recommend this product

 OpenEMR has a 'good' User Satisfaction Rating of 78% when considering 32 user reviews from 2 recognized software review sites.

 96%

of users recommend this product

 OpenMRS has a 'excellent' User Satisfaction Rating of 96% when considering 4 user reviews from 2 recognized software review sites.

 User Review Scores

**G2.com, Inc** 

**3.5** (5) 

**5.0** (1) 

**Capterra Inc** 

**4.0** (27) 

**4.7** (3) 

###  Awards

SelectHub awards earned by these products based on a comprehensive analysis by our research analysts.

No awards.

 OpenMRS stands above the rest by achieving an ‘Excellent’ rating as a User Favorite. 

![User Favorite Award]()

###  Product Assistance

 Training Resources

Documentation

In Person

Live Online

Videos

Webinars

Documentation

In Person

Live Online

Videos

Webinars

 Support

Email

Phone

Chat

FAQ

Forum

Knowledge Base

24/7 Live Support

Email

Phone

Chat

FAQ

Forum

Knowledge Base

24/7 Live Support

###  Product Basics

 Company Size 

 i

Small

Medium

Large

Small

Medium

Large

 Platforms Supported

Windows

Mac

Linux

Android

Chromebook

Windows

Mac

Linux

Android

Chromebook

 Deployment Supported

Cloud

On-Premise

Mobile

Cloud

On-Premise

Mobile

 Comparison of Top Alternatives

[ OpenEMR Alternatives](https://www.selecthub.com/emr-software/openemr/alternatives/) 

[ OpenMRS Alternatives](https://www.selecthub.com/emr-software/openmrs/alternatives/) 

###  Screenshots

![Screenshots]()![Screenshots]()![Screenshots]() 

![Screenshots]() 

###  Key Features

* **Clinical decision rules** – A customizable rules engine sends reminders to patients and physicians, generates clinical quality measures and helps guide treatment based on patient-specific algorithms.
* **Billing tools** – Supports billing clearinghouses, an insurance tracking interface and insurance eligibility queries to keep financials organized across the practice.
* **Lab integration** – Lab orders send automatically and results are added directly to a patient's chart, cutting down on manual data entry.
* **Patient portal** – Patients can log in to submit medications and allergies, schedule appointments, make payments and message their physician directly.

* **Concept dictionary** – A built-in dictionary standardizes medical terminology across the platform, keeping data consistent for reporting, research and interoperability without changing the underlying structure.
* **Interoperability standards** – Supports HL7 and FHIR, making it easier to exchange data with other health information systems and coordinate care across different services.
* **Modular architecture** – The system is designed so developers can add or customize modules to match specific clinical workflows, local practices or reporting requirements.
* **Localization support** – The interface can be translated into multiple languages, making it usable across diverse or international healthcare settings.

###  Top Alternatives in EMR Software 

[  AdvancedMD ](https://www.selecthub.com/p/medical-software/advancedmd/) [  athenaOne ](https://www.selecthub.com/p/ehr-software/athenaone/) [  CareCloud Central ](https://www.selecthub.com/p/medical-practice-management-software/carecloud-central/) [  ChartLogic ](https://www.selecthub.com/p/ehr-software/chartlogic/) [  CureMD ](https://www.selecthub.com/p/ehr-software/curemd/) [  DrChrono ](https://www.selecthub.com/p/ehr-software/drchrono/) [  eClinicalWorks ](https://www.selecthub.com/p/ehr-software/eclinicalworks/) [  Elation Health ](https://www.selecthub.com/p/ehr-software/elation-health/) [  EpicCare ](https://www.selecthub.com/p/ehr-software/epiccare/) [  Intergy ](https://www.selecthub.com/p/ehr-software/intergy/) [  MEDITECH Expanse ](https://www.selecthub.com/p/ehr-software/meditech/) [  NextGen Enterprise ](https://www.selecthub.com/p/ehr-software/nextgen-enterprise/) [  Oracle Ambulatory EHR ](https://www.selecthub.com/p/ehr-software/oracle-ambulatory-ehr/) [  Praxis EMR ](https://www.selecthub.com/p/emr-software/praxis-emr/) [  Tebra EHR ](https://www.selecthub.com/p/ehr-software/tebra-ehr/) 

###  Head-to-Head Comparison

![OpenEMR Software Tool]() 

![CompuGroup Medical Software Tool]() 

[OpenEMR VS CompuGroup Medical](https://www.selecthub.com/emr-software/openemr-vs-compugroup-medical/) 

![OpenEMR Software Tool]() 

![CureMD Software Tool]() 

[OpenEMR VS CureMD](https://www.selecthub.com/ehr-software/curemd-vs-openemr/) 

![OpenEMR Software Tool]() 

![eClinicalWorks Software Tool]() 

[OpenEMR VS eClinicalWorks](https://www.selecthub.com/ehr-software/eclinicalworks-vs-openemr/) 

![OpenEMR Software Tool]() 

![EpicCare Software Tool]() 

[OpenEMR VS EpicCare](https://www.selecthub.com/emr-software/openemr-vs-epiccare/) 

![OpenEMR Software Tool]() 

![Intergy Software Tool]() 

[OpenEMR VS Intergy](https://www.selecthub.com/emr-software/openemr-vs-intergy/) 

![OpenEMR Software Tool]() 

![Meditab Software Tool]() 

[OpenEMR VS Meditab](https://www.selecthub.com/emr-software/openemr-vs-meditab/) 

![OpenEMR Software Tool]() 

![MEDITECH Expanse Software Tool]() 

[OpenEMR VS MEDITECH Expanse](https://www.selecthub.com/ehr-software/meditech-vs-openemr/) 

![OpenEMR Software Tool]() 

![NextGen Enterprise Software Tool]() 

[OpenEMR VS NextGen Enterprise](https://www.selecthub.com/emr-software/openemr-vs-nextgen-enterprise/) 

![OpenEMR Software Tool]() 

![Oracle Ambulatory EHR Software Tool]() 

[OpenEMR VS Oracle Ambulatory EHR](https://www.selecthub.com/emr-software/openemr-vs-oracle-ambulatory-ehr/) 

![OpenEMR Software Tool]() 

![Practice Fusion Software Tool]() 

[OpenEMR VS Practice Fusion](https://www.selecthub.com/ehr-software/practice-fusion-vs-openemr/) 

![OpenEMR Software Tool]() 

![Praxis EMR Software Tool]() 

[OpenEMR VS Praxis EMR](https://www.selecthub.com/emr-software/openemr-vs-praxis-emr/) 

![OpenEMR Software Tool]() 

![Tebra EHR Software Tool]() 

[OpenEMR VS Tebra EHR](https://www.selecthub.com/emr-software/openemr-vs-tebra-ehr/) 

**About SelectHub (and our data)** 

We’re the employee-owned Austin-based startup democratizing software data so you can make your decisions in an influence-free zone. Our market data is crowdsourced from our user-base of 100,000+ companies.

WE DISTILL IT INTO REAL REQUIREMENTS, COMPARISON REPORTS, PRICE GUIDES and more...

![SelectHub Products Reporting and Analytics]() 

[ Build Your Requirements](https://pmo.selecthub.com/emr-req-template-site-vers/)

![SelectHub Products Cost and Pricing Guide]() 

[ Get Your Free Comparison Report](https://pmo.selecthub.com/request-custom-scorecard/?category=EMR%20Software)

**Tier 1:**  
 Fully/moderately supported out-of-the-box allowing for quick and easy deployment.  
Fully or moderately supported out-of-the-box with industry-leading capabilities and is immediately available after installation without needing any add-ons, integrations, or custom development. 

**Tier 2:**  
 Supported with workarounds or add-ons that may require additional costs.  
Not directly available in the software, but can be accomplished using other built-in features, workarounds, or add-ons/products from the vendor with or without any additional cost. 

**Tier 3:**  
 Requires partner integrations or custom development that is often at an additional cost.  
Requires additional integrations, plugins, marketplace applications from a third-party vendor, or custom development using the APIs, libraries, extensions, and development framework supported by the software, with or without any additional cost. 

[Close](#) 

```json
{
              "@context": "https://schema.org",
              "@type": "BreadcrumbList",
              "itemListElement": [
              {
                "@type": "ListItem",
                "position": 1,
                "name": "Home",
                "item": "https://www.selecthub.com/"
              }, 
              {
                "@type": "ListItem",
                "position": 2,
                "name": "EMR",
                "item": "https://www.selecthub.com/category/emr/"
              }, 
              {
                "@type": "ListItem",
                "position": 3,
                "name": "EMR Software",
                "item": "https://www.selecthub.com/c/emr-software/"
              }, 
              {
                "@type": "ListItem",
                "position": 4,
                "name": "OpenEMR",
                "item": "https://www.selecthub.com/p/emr-software/openemr/"
              }, 
              {
                "@type": "ListItem",
                "position": 5,
                "name": "OpenEMR Vs OpenMRS"
              }
            ]
          }
```