Best Open Hospital Alternatives in 2026
The top Open Hospital alternatives are CareFlow EPR, Cambio COSMIC and Sunrise EHR: 15 electronic medical records - inpatient (EMR - IP) software our editors would look at instead of Open Hospital, in our ranking order.
Open Hospital: A self-hosted system covering core inpatient, clinical, pharmacy and administrative workflows. Where it falls short: requires local self-hosted deployment rather than cloud delivery.
Switching from Open Hospital? For most electronic medical records - inpatient (emr - ip) software buyers the best Open Hospital alternative is CareFlow EPR, built for acute hospitals needing comprehensive inpatient EPR. OpenMRS has a free plan.
Why People Look for an Open Hospital Alternative
- Requires local self-hosted deployment rather than cloud delivery
- Windows and Linux deployment may require local technical capacity
- Support is through community channels and documentation
Quick Picks by What You Need
- Best overallCareFlow EPR9.3
Acute hospitals needing comprehensive inpatient EPR
Visit CareFlow EPR - Best free optionOpenMRS8.2
Has a free plan
Visit OpenMRS
All 15 Open Hospital Alternatives, Ranked
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.
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Best forAcute hospitals needing comprehensive inpatient EPR
- Better than Open Hospital:
- Editor score 9.3 vs 7.8
A cloud EPR for acute hospitals covering clinical, medicines, orders and patient administration workflows.
- Computerized order entry
- Inpatient documentation
- Medication management
9.3/10★★★★★Visit CareFlow EPR -
Best forRegional providers coordinating care across organisations
- Better than Open Hospital:
- Editor score 9.2 vs 7.8
A broad inpatient record system built for care that spans organisations and facilities.
- Computerized order entry
- Inpatient documentation
- Medication management
9.2/10★★★★★Contact Cambio -
Best forHospitals with acute and surgical workflows
- Better than Open Hospital:
- Editor score 9.1 vs 7.8
A hospital EHR spanning acute, critical-care, medication and surgical workflows.
- Computerized order entry
- Inpatient documentation
- Medication management
9.1/10★★★★★Visit Sunrise EHR -
Best forHospitals wanting broad HIS and ancillary coverage
- Better than Open Hospital:
- Editor score 8.9 vs 7.8
A broad hospital system spanning inpatient records, orders, administration and ancillary workflows.
- Computerized order entry
- Inpatient documentation
- Medication management
8.9/10★★★★☆Visit IQVIA -
Best forHospitals needing deep clinical and diagnostic integration
- Better than Open Hospital:
- Editor score 8.8 vs 7.8
A broad inpatient system linking clinical documentation, admissions, pharmacy and diagnostics.
- Computerized order entry
- Inpatient documentation
- Medication management
8.8/10★★★★☆Contact NEXUS -
Best forRural and community hospitals
- Better than Open Hospital:
- Editor score 8.7 vs 7.8
Inpatient documentation, orders and medication workflows for rural and community hospitals.
- Computerized order entry
- Inpatient documentation
- Medication management
8.7/10★★★★☆Contact TruBridge -
Best forCommunity and critical-access hospitals
- Better than Open Hospital:
- Editor score 8.6 vs 7.8
Cloud-based hospital EHR with inpatient documentation, orders and medication workflows.
- Computerized order entry
- Inpatient documentation
- Medication management
8.6/10★★★★☆Visit TruBridge -
Best forHospitals needing configurable multi-department workflows
- Better than Open Hospital:
- Editor score 8.4 vs 7.8
Configurable inpatient workflows spanning clinical departments, records, medication and operations.
- Computerized order entry
- Inpatient documentation
- Medication management
8.4/10★★★★☆Visit NEXUS HIS -
Best forHospitals needing inpatient and Thai service workflows
- Better than Open Hospital:
- Editor score 8.3 vs 7.8
Inpatient records, paperless orders and billing workflows with Thai health-service integrations.
8.3/10★★★★☆Visit BMS -
Best forHealthcare organizations able to manage EMR implementation
- Better than Open Hospital:
- Editor score 8.2 vs 7.8
A free, extensible EMR with inpatient support, configurable workflows and interoperability APIs.
- Computerized order entry
- Inpatient documentation
- Medication management
8.2/10★★★★☆Visit OpenMRS -
Best forFacilities prioritizing medication safety and coordination
- Better than Open Hospital:
- Editor score 8.1 vs 7.8
A hospital information system built around coordinated inpatient records and medication safety.
- Computerized order entry
- Inpatient documentation
- Medication management
8.1/10★★★★☆Visit site -
Best forHospital groups needing shared longitudinal records
A longitudinal hospital record for coordinated documentation, prescribing and medication workflows.
- Computerized order entry
- Inpatient documentation
- Medication management
7.7/10★★★★☆Visit Maincare -
Best forMid-market hospitals wanting workflow customization
A customizable hospital EHR spanning care workflows, analytics and population health.
7.2/10★★★★☆Visit ezCaretech -
Best forHospitals focused specifically on radiology operations
A specialized radiology information system for hospitals that need structured exam operations.
6.8/10★★★☆☆Visit Epic Radiant -
Best forHospitals focused on revenue-cycle operations
An end-to-end healthcare revenue-cycle solution, not an inpatient clinical records system.
5.5/10★★★☆☆Visit InterSystems
Open Hospital Alternatives: Common Questions
What is the best alternative to Open Hospital?
CareFlow EPR: #1 in our Electronic Medical Records - Inpatient (EMR - IP) Software ranking, with an editor score of 9.3 out of 10. A cloud EPR for acute hospitals covering clinical, medicines, orders and patient administration workflows.
Is there a free alternative to Open Hospital?
Yes. OpenMRS has a free plan or a free tier.
Why do people look for Open Hospital alternatives?
Requires local self-hosted deployment rather than cloud delivery; Windows and Linux deployment may require local technical capacity; Support is through community channels and documentation.
How do I switch from Open Hospital?
Export your data from Open Hospital (most tools have an export in their settings). Sign up for the alternative; start on its free plan or trial if it has one. Import your export and set up the integrations your team relies on. Run both side by side for a short while, then cancel Open Hospital.
How to Switch from Open Hospital
- Export your data from Open Hospital (most tools have an export in their settings).
- Sign up for the alternative; start on its free plan or trial if it has one.
- Import your export and set up the integrations your team relies on.
- Run both side by side for a short while, then cancel Open Hospital.
Open Hospital vs Each Alternative
| # | Tool | Free plan | Paid from | Inpatient documentation | Computerized order entry | Medication management | Deployment options | Score |
|---|---|---|---|---|---|---|---|---|
| 12 | Open Hospital | Yes | Free | Yes | Yes | On-premises | 7.8 | |
| 1 | CareFlow EPR | Yes | Yes | Yes | Cloud | 9.3 | ||
| 2 | Cambio COSMIC | Yes | Yes | Yes | 9.2 | |||
| 3 | Sunrise EHR | No | Yes | Yes | Yes | Both | 9.1 | |
| 4 | IQVIA Hospital Information System | Yes | Yes | Yes | Both | 8.9 | ||
| 5 | NEXUS / ESKULAP | No | Yes | Yes | Yes | 8.8 | ||
| 6 | Evident EHR | No | Yes | Yes | Yes | Cloud | 8.7 | |
| 7 | TruBridge EHR | No | Yes | Yes | Yes | Cloud | 8.6 | |
| 8 | NEXUS HIS | No | Yes | Yes | Yes | Both | 8.4 | |
| 9 | HOSxP | 8.3 | ||||||
| 10 | OpenMRS | Yes | Free | Yes | Yes | Yes | Both | 8.2 |
| 11 | Softway Medical Hôpital Manager | Yes | Yes | Yes | 8.1 | |||
| 12 | Maincare M-Care | Yes | Yes | Yes | Cloud | 7.7 | ||
| 13 | BESTCare 2.0 | No | 7.2 | |||||
| 14 | Epic Radiant | 6.8 | ||||||
| 15 | InterSystems TrakCare Revenue Cycle Management | 5.5 |
Reviewed by iTechGuides Editors · Editorial team · Updated Oct 2026
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