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Head-to-head · Family Practice Electronic Medical Records Software

GNUmed vs Semble

  • Updated Oct 2026
  • Both researched from official sources
  • 3 checks side by side
Higher score GNUmed #7 in Family Practice Electronic Medical Records Software 7.7/10 Free plan Free plan✓ 0 of 4 features Visit GNUmed
Semble #8 in Family Practice Electronic Medical Records Software 7.4/10 Pricing on request ✓ 2 of 4 features Visit Semble

GNUmed leads on 0 checks, Semble on 0, and 3 are even. Who comes out ahead on the 3 yes/no, price and count checks where we have data for both products. The editor score weighs everything else too.

Our verdict

  • Highest scoreGNUmed · 7.7/10
  • Free planonly GNUmed
  • Most featuresSemble · 2 of 4

GNUmed scores higher on our rubric for family practice electronic medical records software: 7.7 against 7.4 out of 10; our editors rank them #7 and #8.

On mobile access, Semble gives you Web where GNUmed offers None.

GNUmed is the better fit for cost-conscious practices comfortable with self-hosting. Semble is the better fit for practices needing straightforward records and telehealth.

  • GNUmed fits best

    Cost-conscious practices comfortable with self-hosting

  • Semble fits best

    Practices needing straightforward records and telehealth

Advertiser disclosure: iTechGuides is reader-supported. Vendors can pay for top positions in our rankings and for a place on other products' pages, and we may earn a commission when you click some links. Bought places stand at the number bought; this page and our disclosure say so. Paying vendors may get a fuller, more detailed review from our editors, and that review can change their score. How we rank.

Side by side

Feature GNUmed 7.7/10 Visit ↗ Semble 7.4/10 Visit ↗
At a glance
Editor score 7.7 7.4
Ranking #7 in Family Practice Electronic Medical Records Software #8 in Family Practice Electronic Medical Records Software
Best for Cost-conscious practices comfortable with self-hosting Practices needing straightforward records and telehealth
Pricing model Free Paid
Starting price Free plan Pricing on request
Free plan ✓ (best) Not checked yet
Free trial — —
Deployment Self-hosted, Desktop Cloud
Platforms Windows, macOS, Linux Web
Built for Solo, Small business, Mid-market Small business, Mid-market, Enterprise
Features GNUmed 0/4 · Semble 2/4
E-prescribing Not checked yet Not checked yet
Patient portal Not checked yet ✓ (best)
Telehealth Not checked yet ✓ (best)
Claims included Not checked yet Not checked yet
Specs
Mobile access None Web
Our review
Pros
  • Tracks longitudinal records, medications, allergies, tests and vaccinations
  • Includes appointments, waiting lists, billing items and invoices
  • Free, open-source desktop clients for Windows, macOS and Linux
  • Combines electronic records, notes, scheduling and billing workflows
  • Includes online patient access and telehealth consultations
  • Cloud delivery supports small, mid-market and enterprise practices
Cons
  • Requires local installation and a PostgreSQL database
  • No mobile access is listed
  • No e-prescribing, patient portal or telehealth is listed
  • Pricing is arranged through a contact-sales model
  • Web access may not meet teams seeking native mobile applications
  • The broad workflow suite may exceed the needs of records-only practices
Our verdict

GNUmed is a free, open-source electronic medical record system for ambulatory practices and clinics. Its focus is longitudinal patient care, making it relevant to clinicians and other health professionals who need to document ongoing…

Read the review →

Semble is a cloud-based healthcare practice platform for private clinics and medical professionals. It brings electronic patient records, clinical notes, appointment scheduling, patient communications, billing and invoicing workflows into…

Read the review →
  1. GNUmedFamily Practice Electronic Medical Records Software 7.7Free plan
  2. SembleFamily Practice Electronic Medical Records Software 7.4Pricing on request

Strengths and trade-offs

  • GNUmed — where it wins

    • Tracks longitudinal records, medications, allergies, tests and vaccinations
    • Includes appointments, waiting lists, billing items and invoices
    • Free, open-source desktop clients for Windows, macOS and Linux

    Where it doesn't

    • Requires local installation and a PostgreSQL database
    • No mobile access is listed
    • No e-prescribing, patient portal or telehealth is listed

  • Semble — where it wins

    • Combines electronic records, notes, scheduling and billing workflows
    • Includes online patient access and telehealth consultations
    • Cloud delivery supports small, mid-market and enterprise practices

    Where it doesn't

    • Pricing is arranged through a contact-sales model
    • Web access may not meet teams seeking native mobile applications
    • The broad workflow suite may exceed the needs of records-only practices
  • GNUmed7.7/10 · Free plan

    A self-hosted EMR for practices that want longitudinal records without a license fee.

    Visit GNUmedFull verdict →
  • Semble7.4/10 · Pricing on request

    A web-based cloud suite combining records, scheduling, billing and telehealth.

    Visit SembleFull verdict →

More comparisons

All family practice electronic medical records software comparisons → · Full ranking →

Reviewed by iTechGuides Editors · Editorial team · Updated Oct 2026

Last updated · How we research and update