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Head-to-head · Psychiatry Electronic Medical Records Software

SmartCare vs Opus EHR

  • Updated Oct 2026
  • Both researched from official sources
  • 5 checks side by side
Higher score SmartCare #4 in Psychiatry Electronic Medical Records Software 7.9/10 Pricing on request ✓ 2 of 6 features Visit Streamline
Opus EHR #7 in Psychiatry Electronic Medical Records Software 7.6/10 Paid ✓ 3 of 6 features Visit Opus EHR

SmartCare leads on 0 checks, Opus EHR on 0, and 5 are even. Who comes out ahead on the 5 yes/no, price and count checks where we have data for both products. The editor score weighs everything else too.

Our verdict

  • Highest scoreSmartCare · 7.9/10
  • Most featuresOpus EHR · 3 of 6

SmartCare scores higher on our rubric for psychiatry electronic medical records software: 7.9 against 7.6 out of 10; our editors rank them #4 and #7.

SmartCare is the better fit for enterprise behavioral-health networks. Opus EHR is the better fit for behavioral health practices seeking AI-assisted EHR.

  • SmartCare fits best

    Enterprise behavioral-health networks

  • Opus EHR fits best

    Behavioral health practices seeking AI-assisted EHR

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 SmartCare 7.9/10 Visit ↗ Opus EHR 7.6/10 Visit ↗
At a glance
Editor score 7.9 7.6
Ranking #4 in Psychiatry Electronic Medical Records Software #7 in Psychiatry Electronic Medical Records Software
Best for Enterprise behavioral-health networks Behavioral health practices seeking AI-assisted EHR
Pricing model Paid Paid
Starting price Pricing on request —
Free plan Not checked yet —
Free trial — —
Deployment Cloud Cloud
Platforms Web Web
Compliance HIPAA HIPAA
Integrations 5 integrations 3 integrations
Built for Enterprise Small business, Mid-market, Enterprise
Features SmartCare 2/6 · Opus EHR 3/6
E-prescribing Not checked yet ✓ (best)
Telehealth visits ✓ ✓
Psychiatry templates Not checked yet Not checked yet
Claims and billing Not checked yet ✓ (best)
Patient portal ✓ (best) Not checked yet
Mobile app Not checked yet Not checked yet
Our review
Pros
  • Connects assessments, treatment plans, progress notes, and workflow validation
  • Supports billing, claims, remittance posting, and financial dashboards
  • Includes inpatient, residential, and intensive outpatient workflows
  • Combines charting, scheduling, billing workflows, and patient lead tracking.
  • AI scribe drafts progress notes for in-person and telehealth sessions.
  • Includes e-prescribing, lab ordering, outcomes measurement, and more than 140 reports.
Cons
  • Designed for enterprise organizations rather than smaller practices
  • Subscription pricing requires contacting sales
  • Web is the only listed platform
  • There is no free plan.
  • The platform is cloud-based and available on the web.
  • Growth highlights advanced features without specifying them individually.
Our verdict

SmartCare is a cloud-based electronic health record and care management platform from Streamline Healthcare Solutions, designed for behavioral health and human services organizations. Its scope suits enterprise networks coordinating care…

Read the review →

Opus EHR brings clinical records, practice management, CRM, and revenue cycle workflows together for addiction treatment and behavioral health organizations, including mental health and psychiatry practices. Its scope extends from…

Read the review →
  1. SmartCarePsychiatry Electronic Medical Records Software 7.9Pricing on request
  2. Opus EHRPsychiatry Electronic Medical Records Software 7.6Paid

Strengths and trade-offs

  • SmartCare — where it wins

    • Connects assessments, treatment plans, progress notes, and workflow validation
    • Supports billing, claims, remittance posting, and financial dashboards
    • Includes inpatient, residential, and intensive outpatient workflows

    Where it doesn't

    • Designed for enterprise organizations rather than smaller practices
    • Subscription pricing requires contacting sales
    • Web is the only listed platform

  • Opus EHR — where it wins

    • Combines charting, scheduling, billing workflows, and patient lead tracking.
    • AI scribe drafts progress notes for in-person and telehealth sessions.
    • Includes e-prescribing, lab ordering, outcomes measurement, and more than 140 reports.

    Where it doesn't

    • There is no free plan.
    • The platform is cloud-based and available on the web.
    • Growth highlights advanced features without specifying them individually.

More comparisons

All psychiatry electronic medical records software comparisons → · Full ranking →

Reviewed by iTechGuides Editors · Editorial team · Updated Oct 2026

Last updated · How we research and update