OpenEMR Alternatives
Safer and better-maintained options, ranked by Nerq Trust Score. Updated 2026-09-12.
OpenEMR has a Nerq Trust Score of 36 (E). Integrates with OpenEMR healthcare system using OAuth 2.0 and PKCE authentication.
| # | Name | Trust | Grade | Stars | Key Difference |
|---|---|---|---|---|---|
| 1 | LuffyTheFox/Qwen3.6-35B-A3B-Uncensored-Genesis-Hermes-V13-GGUF | 89 | A | 604 | Higher trust (89 vs 36); Much larger community; Category: image-text-to-text |
| 2 | IBM/mcp-context-forge | 86 | A | 3.5k | Higher trust (86 vs 36); Much larger community; Category: infrastructure |
| 3 | promptfoo/promptfoo | 86 | A | 18.4k | Higher trust (86 vs 36); Much larger community; Category: security |
| 4 | mikeyobrien/ralph-orchestrator | 85 | A | 2.4k | Higher trust (85 vs 36); Much larger community; Category: infrastructure |
| 5 | tech-leads-club/agent-skills | 84 | A | 1.6k | Higher trust (84 vs 36); Much larger community; Category: coding |
| 6 | snyk/agent-scan | 84 | A | 2.0k | Higher trust (84 vs 36); Much larger community; Category: infrastructure |
| 7 | livekit/agents-js | 83 | A | 790 | Higher trust (83 vs 36); Much larger community; Category: coding |
| 8 | deepset-ai/haystack | 82 | A | 24.5k | Higher trust (82 vs 36); Much larger community; Category: coding |
| 9 | OpenHands/software-agent-sdk | 82 | A | 595 | Higher trust (82 vs 36); Much larger community; Category: agent framework |
| 10 | strands-agents/docs | 82 | A | 175 | Higher trust (82 vs 36); Much larger community; Category: infrastructure |
| 11 | vstorm-co/full-stack-fastapi-nextjs-llm-template | 82 | A | 585 | Higher trust (82 vs 36); Much larger community; Category: infrastructure |
| 12 | TencentCloudBase/CloudBase-MCP | 82 | A | 980 | Higher trust (82 vs 36); Much larger community; Category: infrastructure |
| 13 | SmythOS/sre | 82 | A | 1.2k | Higher trust (82 vs 36); Much larger community; Category: infrastructure |
| 14 | microsoft/qlib | 82 | A | 37.6k | Higher trust (82 vs 36); Much larger community; Category: finance |
| 15 | Giskard-AI/giskard-oss | 82 | A | 5.1k | Higher trust (82 vs 36); Much larger community; Category: AI tool |
Compare
- OpenEMR vs LuffyTheFox/Qwen3.6-35B-A3B-Uncensored-Genesis-Hermes-V13-GGUF
- OpenEMR vs IBM/mcp-context-forge
- OpenEMR vs promptfoo/promptfoo
- OpenEMR vs mikeyobrien/ralph-orchestrator
- OpenEMR vs tech-leads-club/agent-skills
FAQ
What are the best alternatives to OpenEMR?
The top alternatives based on Nerq Trust Score are listed above, all independently evaluated for security and reliability.
Is it safe to switch from OpenEMR?
Check each alternative's safety report by clicking its name. Trust scores above 70 indicate strong reliability.
How does Nerq rank OpenEMR alternatives?
Alternatives are ranked by Trust Score v2, combining security, maintenance, documentation, and community signals.