EU Sovereignty Score
Self-hosted / open sourceHealthcareHeadquarters: EU

OpenMRS: sovereignty score and 8 European alternatives

OpenMRS is an open-source electronic medical record system built by a global community. It can be adapted to many clinical areas, including primary care, non-communicable diseases, maternal and child health, HIV, TB and malaria. It offers REST and FHIR APIs for integration with other systems and is easy to translate. The software is a Java web application that runs on an application server such as Tomcat or in Docker containers. There are no licence fees and no vendor lock-in.

OpenMRS is released under the Mozilla Public License 2.0 with an added Healthcare Disclaimer. OpenMRS, Inc. is a nonprofit in the United States, incorporated in Indiana, which holds the project's trademarks and assets and represents it in legal and financial matters. There is no commercial vendor with a parent company. A European organisation can install OpenMRS itself and keep all data in the EU. The project's stated mission is care in resource-constrained environments, so operation, security and GDPR compliance remain with the organisation or a service provider it chooses.

See the 8 European alternatives ↓Assess your stack with OpenMRS pre-selected
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Sovereignty score
94 / 1000 = high exposure
100 = sovereign
  • Jurisdiction SOV-2100
    Headquartered in the EU: European law applies
  • Data residency SOV-3100
    EU-only hosting
  • Cryptographic key sovereignty SOV-390
    Self-hostable: encryption keys under your own control
  • Freedom from lock-in SOV-680
    Open source: low switching costs
  • Source & runtime sovereignty SOV-4 · SOV-6100
    Source code auditable, forkable and self-hostable

SOV codes: the matching objective in the European Commission's Cloud Sovereignty Framework. Official source

How the score is calculated

Facts and evidence

Last checked July 2, 2026
Headquarters
EU (EU)Verified by hand
EU adequacy decision
No — no adequacy decisionVerified by hand
Sovereignty model
Open-source, distributedVerified by hand
Data hosting
EUVerified by hand
Open-source
YesVerified by hand
GDPR-compliant
YesVendor-stated
Hosting signal
AUTOMATTIC - Automattic, Inc, US (US)Technically measured
Category
Healthcare
Type
Product
Website
openmrs.org ↗

The hosting signal shows the network that serves the vendor's website, often a CDN, and not necessarily where the service or your data is hosted. How we verify · Something wrong? Suggest a correction

Top EU-based & GDPR-compliant alternatives to OpenMRS

The European alternatives to OpenMRS come from our knowledge base of over 6,800 vendors. We only list vendors headquartered in the EU or the EEA; fully European-owned vendors rank before vendors with a foreign owner. For each alternative you see the country, the open-source status and a short description.

Score per alternative: 0 = high exposure, 100 = sovereign

59 European Healthcare vendors are in the catalogue. View the whole category · Submit an alternative · View category on the map

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Why digital sovereignty matters with OpenMRS

OpenMRS is headquartered in EU and therefore falls under European law: the GDPR, NIS2 and the Data Act. No foreign legislation can compel access to your data.

Data is hosted exclusively in the EU, so OpenMRS scores best on data residency.

OpenMRS is open source. You can audit the source code, self-host the software and keep the encryption keys under your own control. Switching is easier because data and software are not tied to a single party.

What this means for your organisation depends on your whole stack and context. The free assessment weighs OpenMRS together with your other vendors and gives a total score, a heatmap and the main risk drivers.

Frequently asked questions

What is the best European alternative to OpenMRS?

It depends on your use case. Strong EU alternatives to OpenMRS include Ada Health, Agfa HealthCare and Aiforia. On this page you can compare 8 EU alternatives by jurisdiction, data residency and open-source status.

Are there open-source alternatives to OpenMRS?

Our list of EU alternatives to OpenMRS is mostly commercial options. Browse the category on the map for open-source choices.

Is OpenMRS GDPR-compliant and where is the data hosted?

OpenMRS is headquartered in EU (EU) and hosts data in EU. It is also open-source, so you can self-host it. That makes OpenMRS an EU-sovereign choice in its own right; the EU alternatives on this page are comparable European tools.

Details and sources

Verified by handHeadquarters, owner, hosting locations and licence have been checked by us against public sources. Free of charge and for every vendor, not a paid label. Nothing in this knowledge base is taken over automatically. Last checked on July 2, 2026.

Sources

This record was checked via the vendor's website and legal notice during the full audit of June and July 2026. Source links have been recorded per record since 20 September 2026.

Compliance evidence

The links below point to the vendor's own public documents. We only record what we found: a missing link means "not found publicly", not "not compliant".

No public compliance evidence has been recorded for this vendor yet. Do you know its DPA or subprocessor list? Something wrong? Suggest a correction

Digital sovereignty in Healthcare

Healthcare: Healthcare — medical imaging, PACS, clinical systems. In this category the choice of vendor determines who has legal access to your data, where that data lives and how easily you can switch later.

Also in this category

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8 European alternatives to OpenMRS — GDPR-compliant & EU-hosted · EU Sovereignty Score