Software:List of open-source health software

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The following is a list of software packages and applications licensed under an open-source license or in the public domain for use in the health care industry.

Public health and biosurveillance

Electronic records and medical practice management

Name Maintainer License Programming language/
Software stack
Operating System Features Target setting
EHR/EMR HIS? Practice management? Other
ClearHealth ClearHealth Inc.[4] GNU GPL[4] PHP, JavaScript[5] ? EMR ? Scheduling & billing HIPAA security
ERPNext Frappe Technologies GNU GPL[6] Python; JavaScript ? EMR Yes Yes
GaiaEHR ? GNU GPL[7] PHP & Ext JS ? EHR ? ?
GNUmed GNUmed GNU GPL[8] Python (wxPython); PostgreSQL[8] Cross-platform[8] Yes[8] No ?
GNU Health GNU Health (GNU Project) GNU GPL[9] Python; PostgreSQL Cross-platform EMR[9] Yes[9] Yes[9]
Hospital OS ? GNU GPL[10] Java[10] Linux & Windows[10] ? Yes ? Small Thai hospitals[10]
HOSxP ? Public domain[11] Delphi/Kylix[11] Windows[11] EHR Yes[11] Financial[11] Thai hospitals[11]
MedinTux MedinTux team[12] CeCILL[12] C++[13] Cross-platform[14] ? ? Yes Modular design; web[15] & desktop interfaces France hospital emergency departments & smaller practices
OpenEMR ? GNU GPL[16] PHP, JavaScript; MySQL[17] Cross-platform[16] Yes[16] ? Yes[16] Patient portal & prescriptions[16]
Open Dental Open Dental Software[18] GNU GPL[18] ? ? Dental record No Yes Dentistry
OpenHospital Informatici Senza Frontiere[19] GNU GPL[19] Java[19] Cross-platform[19] EMR Yes Yes Small rural hospitals
OpenMRS OpenMRS Inc.[20] MPL with Healthcare Disclaimer[20] Java ? EMR ? ? Extensible & scalable
OSCAR McMaster ? GNU GPL[21] Java ? EMR[21] ? Billing Web interface; PHR[21] Canadian healthcare providers
PopHealth OSEHRA Apache[22] ? ? Reporting engine No No Clinical Quality Measure database; web interface
Spinnaker Dental IT Ltd[23] GNU GPL[23] ? ? Dental record ? Yes Open Dental fork[24] United Kingdom dental practices[24]
THIRRA ? MPL[25] PHP5 (CodeIgniter), JavaScript (jQuery);[25] PostgreSQL ? EHR[25] ? ? Disease surveillance;[25] web interface Ambulatory care & public health[25]
VistA US Department of Veterans Affairs Free[26] ? ? EHR ? ? Veterans Health Administration facilities
WorldVistA WorldVistA[26] GNU GPL[27] ? ? EHR[26] ? with VistA-Edge PMS Non-governmental use
ZEPRS Zcore Research Triangle Institute[28] Apache[28] Java[28] ? Yes ? ? Web interface

Health system management

  • iHRIS is an integrated Human Resource Information System developed by IntraHealth International under USAID-funded CapacityPlus project and deployed in more than 20 countries in the world.[29] iHRIS is distributed under the GNU GPL.[30]
  • DHIS is a district health management information system and data warehouse. DHIS2 is released under the BSD license.[31]
  • HRHIS is a human resource for health information system for management of human resources for health developed by University of Dar es Salaam college of information and communication technology, Department of Computer Science and Engineering, for Ministry of Health and Social Welfare (Tanzania) and funded by the Japan International Cooperation Agency (JICA).[citation needed]

Disease management

  • Breathing Games is a series of research-backed, co-created games to prevent, diagnose and treat chronic respiratory diseases. They are released under the Peer Production licence.[32]
  • Nightscout is a collection of software tools, including mobile clients, to enable DIY cloud-based continuous glucose monitoring “…for informational and educational purposes.”[33] Individual components are available under various open-source licenses, including the GNU GPL,[34] GNU AGPL,[35] MIT License,[36] and BSD licenses.[37]


  • CamBA is a collection of neuroimaging pipelines distributed under the GNU GPL.[38]
  • Drishti is a volumetric visualization package for viewing computer tomography data. Able to import DICOM image stacks. It is available under the MIT license.[39]
  • Endrov Image and data viewer and editor. It is available under the BSD license.[40]
  • GIMIAS is a workflow-oriented environment focused on biomedical image computing and simulation. It is available under a BSD-style license.[41]
  • Ginkgo CADx Cross-platform open source DICOM viewer and dicomizer. It is available under the GNU LGPL.[42]
  • Insight Segmentation and Registration Toolkit (ITK) v4.0+ is released under the Apache license.[43]
  • InVesalius 3D medical imaging reconstruction software. It is available under the GNU GPL.[44]
  • ITK-SNAP Interactive software for 3D image navigation, annotation, and automatic segmentation. It is available under the GNU GPL.[45]
  • MITK Medical Imaging Interaction Toolkit for interactive medical image processing. It is available under a BSD-style license.[46]
  • Orthanc – Lightweight, RESTful DICOM server for medical imaging. It is available under the GNU GPL with OpenSSL exception.[47]
  • OsiriX 3D DICOM medical viewer for Mac OS X. Complete DICOM Viewer with DICOM network support.[citation needed]
  • ParaView large-scale visualization tool. It is available under the BSD license.[48]
  • 3DSlicer Platform for medical image visualization and algorithm development. DICOM support, segmentation and registration, Diffusion MRI processing, and image guided surgery support. It is available under a BSD-style license.[49]
  • Voreen volume rendering engine—a library for visually exploring volume data sets. DICOM is supported and Voreen is used in medical visualization as well as for visualizing electron microscopy data. It is available under the GNU GPL.[50]
  • VTK is a visualization toolkit available under the BSD license.[51]
  • Studierfenster (StudierFenster) is a free, non-commercial Open Science client/server-based Medical Imaging Processing (MIP) online framework.[52]

Medical information systems

  • Caisis is a web-based information system for the storage and analysis of cancer patient data intended to bridge the gap between clinic and research. It is available under the GNU GPL.[53]
  • cTAKES ("clinical Text Analysis Knowledge Extraction Software") is a natural language processing system for extracting information from electronic medical record clinical free-text, an Apache top level project (TLP) since 2013, developed by the Mayo Clinic and others. It is available under the Apache license.[54]


  • Galaxy is a web platform for data-intensive biology using geographically-distributed supercomputers.[55]
  • LabKey Server is an extensible platform for integrating, analyzing and sharing all types of biomedical research data. It provides secure, web-based access to research data and includes a customizable data processing pipeline. It is distributed under the Apache license.[56]

Mobile devices

  • Glucosio allows people with diabetes to track their glucose levels while supporting diabetes research via Android or iOS mobile apps. The apps are released under the GNU GPL.[57]
  • OpenAPS is a set of development tools and documentation to support a DIY implementation of an artificial pancreas for people with Type 1 Diabetes. Common setups include the interfacing of CGMs, Insulin Pumps, and Raspberry Pi devices. It is released under the MIT license, but compatible medical devices are proprietary.[58]
  • Ushahidi allows people to submit crisis information through text messaging using a mobile phone, email or web form. Displays information in map view. It is released under the GNU Affero General Public License, but some libraries use different licenses.[59]

Out-of-the-box distributions


  • Laika was developed by the Certification Commission for Healthcare Information Technology (CCHIT) and MITRE to test EHR software for compliance with CCHIT interoperability data standards, including the HITSP C32 XML and HL7 v2 Lab messages. Laika is available under the Apache license.[61]
  • Mirth is an open source cross-platform HL7 interface engine that enables bi-directional sending of HL7 messages between systems and applications over multiple transports. It is available under the Mozilla Public License.[62]


See also


  1. "Epi Info". 13 September 2016. 
  2. "Download STEM". 22 June 2017. 
  3. "Eclipse Foundation Software User Agreement". 9 April 2014. 
  4. 4.0 4.1 "clearhealth/LICENSE". 30 January 2013. 
  5. "clearhealth/clearhealth". 
  6. "ERPNext Healthcare/LICENSE". 29 January 2016. 
  7. "gaiaehr/LICENSE". 29 January 2016. 
  8. 8.0 8.1 8.2 8.3 "Gnumed FAQs". 10 October 2011. 
  9. 9.0 9.1 9.2 9.3 "GNU Health - Summary". 
  10. 10.0 10.1 10.2 10.3 "Hospital OS". 10 April 2013. 
  11. 11.0 11.1 11.2 11.3 11.4 11.5 "HOSxP". 17 April 2013. 
  12. 12.0 12.1 "À propos" (in fr). 
  13. "dev" (in fr). 29 June 2012. 
  14. "Installation" (in fr). 
  15. "MedWebTux" (in fr). 13 July 2013. 
  16. 16.0 16.1 16.2 16.3 16.4 "OpenEMR Features". 6 May 2017. 
  17. "Development Policies". 17 April 2017. 
  18. 18.0 18.1 "Open Source License". 
  19. 19.0 19.1 19.2 19.3 "Open Hospital". 4 June 2017. 
  20. 20.0 20.1 "OpenMRS License Information". 
  21. 21.0 21.1 21.2 "Welcome". 
  22. "popHealth". March 2017. 
  23. 23.0 23.1 "Welcome to Spinnaker". Dental IT Ltd.. 
  24. 24.0 24.1 "Spinnaker". Dental IT Ltd.. 
  25. 25.0 25.1 25.2 25.3 25.4 "THIRRA Electronic Health Records Systems". 31 January 2017. 
  26. 26.0 26.1 26.2 "Distributions of VistA". 
  27. "WorldVistA EHR GPL License". 
  28. 28.0 28.1 28.2 "Licensing". 
  29. "About iHRIS". 
  30. "Frequently Asked Questions". 
  31. "DHIS 2 Overview". 
  32. "Get Involved". 17 December 2016. 
  33. "The Nightscout Project". 
  34. "android-uploader/LICENSE". 27 September 2014. 
    "lasso/LICENSE". 2 July 2015. 
    "chrome-uploader/". 24 November 2014. 
    "windows-phone-app/LICENSE". 29 November 2014. 
  35. "cgm-remote-monitor/LICENSE". 25 September 2014. 
    "process-controls/LICENSE". 11 January 2015. 
  36. "nightscout-apple-watch/LICENSE". 23 June 2015. 
  37. "fda-presubmission/LICENSE". 24 June 2014. 
    "cgm-pebble/LICENSE". 22 February 2014. 
  38. "CamBA: Tool/Resource Info". Neuroimaging Informatics Tools and Resources Clearinghouse. 
  39. "drishti/". 1 February 2016. 
  40. "Endrov". 3 January 2016. 
  41. "License". 
  42. "Ginkgo CADx". 
  43. "Copyright and License". Kitware. 
  44. "invesalius3/LICENSE.txt". 10 June 2009. 
  45. "ITK-SNAP". Neuroimaging Informatics Tools and Resources Clearinghouse. 
  46. "License". 1 December 2014. 
  47. "Download". 
  48. "ParaView License". 
  49. "License". 24 November 2016. 
  50. "About Voreen". 
  51. "License". 
  52. "License". 
  53. "Frequently Asked Questions". BioDigital. 
  54. "History". Apache Software Foundation. 
  55. "Copyrights and Licenses". 14 May 2015. 
  56. "FAQ - Frequently Asked Questions". 
  57. "glucosio-android/LICENSE". 19 August 2015. 
    "glucosio-ios/LICENSE". 19 August 2015. 
  58. "LICENSE.txt". 26 August 2017. 
  59. "platform/". 18 November 2014. 
  60. "Debian Med". Software in the Public Interest, Inc.. 5 July 2016. 
  61. "LAIKA: EHR Testing Framework". 19 April 2013. 
  62. Brauer, Jacob (14 August 2013). "Source Code Contribution Guidelines". 
  63. "FHIR Foundation". 
  64. "Foundation Module". HL7. 19 April 2017. 
  65. "License and Legal Terms". HL7. 19 April 2017. 
  66. "specifications-BASE/LICENSE". 29 July 2015. 

Further reading