Open-source software stack for medical clinics
For small clinics that want patient data on infrastructure they control and fewer per-provider subscriptions.
9 tools · saves about $6,317/yr for a team of 10 · picks reviewed Oct 2026
Self-hosting does not by itself make a practice compliant with HIPAA, GDPR or other health-data rules; that remains the clinic's responsibility.
Online patient booking
Replaces Acuity Scheduling · Standard, up to 6 calendars (billed yearly) · $27/mo · checked Oct 2026
Purpose-built appointment booking per provider and service, with reminders.
Telehealth video
Replaces Doxy.me · Professional (billed yearly) · $29/user/mo · 4 seats · checked Oct 2026
Browser video visits with no app for patients, hosted where you choose.
Also good: Ottehr
AI scribe & transcription
Replaces Freed · Core · $79/user/mo · 4 seats · checked Oct 2026
Extra running cost: GPU server, $250/mo
Transcribes visits on your own hardware so audio never goes to a cloud API.
Scanned records
OCRs and indexes referrals, faxes and scanned forms for search.
Consent forms & e-signatures
Replaces DocuSign · Standard (billed yearly) · $25/user/mo · 4 seats · checked Oct 2026
Consent and intake forms signed with an audit trail you host.
Also good: OpenSign
Staff chat
Replaces Slack · Pro (billed yearly) · $7.25/user/mo · 10 seats · checked Oct 2026
Private staff chat used by healthcare teams, kept on your own servers.
Also good: Zulip
Password manager
Replaces 1Password · Business (billed yearly) · $7.99/user/mo · 10 seats · checked Oct 2026
Bitwarden-compatible vault for portal, lab and payer logins.
Staff records & HR
Replaces BambooHR · Core, up to 25 employees · $250/mo · checked Oct 2026
Staff records, leave and onboarding for a small clinic.
How we calculate
For each paid tool you tick, we take its public list price for the plan shown and multiply it by the seats your team would need. Some tools are only used by part of a team, so a row may count a share of your team or a fixed number of seats; the row says how many. Prices that depend on sales or usage are shown but not counted.
From that we subtract an estimate for running the open-source stack yourself: $165/month plus $2 per person per month (Two 8 vCPU / 16 GB cloud servers, plus storage per person), and any extra running cost a row lists, such as a GPU. The time it takes to set up and maintain the tools is not included.