Patient records
Charts, encounters, vitals and clinical notes, designed for Canadian clinics.
Open-source EMR for Canada, built in Canada
Your charts, your books and your team. One open platform.
OPHIS stands for Open-source Platform for Healthcare Integrated Services. It is a new Canadian EMR, built on Frappe and ERPNext. Patient records, scheduling, OHIP billing, accounting and payroll run on one system, with no licence fee and no lock-in.
EncounterVitalsNotesBillingMessages
MT
Maya Thompson
HCN 4821 •••• 63 · KT · 42 y
BP118/76 mmHg
Pulse72 bpm
Temp36.8 °C
Weight64.2 kg
Assessment. Follow-up for seasonal allergies. Symptoms improved on current plan. Renew prescription, review in 3 months.
A007AIntermediate assessmentReady for OHIPThe idea
What is an open-source EMR?
An EMR whose source code is public and free to use. There is no vendor licence and no lock-in, and your data stays in a standard database your clinic controls. OPHIS is licensed under GPL v2 and built on the Frappe framework.
Scheduling
Appointments by practitioner and room, tied to billing and staff shifts.
Billing & accounting
OHIP claims, invoices, payments, general ledger and bank reconciliation.
HR & payroll
Staff records, shifts, attendance, leave and payroll.
Inventory & purchasing
Supplies, medications and equipment, from order to shelf.
Team messaging
Channels and direct messages, with records shared in chat.
Reports & roles
Dashboards, role-based access and audit trails on every record.
Open APIs
REST APIs and point-and-click customizing, so the system fits your clinic.
Clinic EMR market
What Canadian clinics pay for an EMR today
~90%
of Ontario's ~12,000 family physicians already use an EMR.
~92%
of that market sits with three commercial vendors.
Licence fees, 5 doctors$24,600/yr
At $410 per provider per month, a published EMR rate.**
OPHIS$0 licence
Pay only for the hosting and support you choose.
| Product | Ontario share* | Licence | How you pay |
|---|---|---|---|
| PS SuiteTELUS Health | ~42% | Proprietary | Subscription per provider, by quote |
| AccuroQHR Technologies | ~26% | Proprietary | Per provider per month, by quote |
| OSCAR ProWELL Health | ~24% | Commercial edition of OSCAR | Per provider per month plus setup, migration and training |
| OPHISBuilt on Frappe | New | Open source, GPL v2 | No licence fee |
Commercial EMRs also charge for add-ons, such as online booking and reminders (from $31 per provider per month) or patient engagement ($82 to $199 per FTE per month).
* Ontario EMR share by vendor, industry estimates (OpsMed Ontario clinic tech report, 2026). TELUS includes PS Suite, Med Access and CHR; WELL includes OSCAR Pro and Juno. ** Intrahealth Profile, $410 per provider per month (New Brunswick Medical Society, 2025). PS Suite, Accuro and OSCAR Pro do not publish prices.
How it compares
Open-source EMRs, side by side
| Feature | OPHIS | OSCAR | OpenEMR |
|---|---|---|---|
| Open-source licence | |||
| Built in Canada | |||
| OHIP billing | |||
| OntarioMD certified | |||
| Accounting & bookkeeping | |||
| HR & payroll | |||
| Team chat | |||
| Inventory & purchasing | |||
| Point-and-click customizing | |||
| No licence fee |
YesPartly or in progressMissing
OPHISOpen source under GPL v2. OHIP billing built in. OntarioMD certification in progress.
OSCARGPL v2, from McMaster. OHIP billing and OntarioMD-certified versions. Internal messages only.
OpenEMRGPL, US-focused and ONC-certified. US claim formats, no OHIP billing.
Public information as of October 2026: Wikipedia and worldoscar.org (OSCAR), open-emr.org, ERPNext (GPL v3), Raven (AGPL v3). Features vary by version and provider. Names are trademarks of their owners; OPHIS is not affiliated with them.
Included with Frappe
Standard packages for your whole organization
No extra licences. The same platform that runs the EMR runs the business.
OPHIS EMR
Patient records, scheduling, encounters and OHIP billing for Canadian clinics.
Organization
Companies, locations, departments, users and roles.
ERP
Purchasing, inventory, assets and projects.
Accounts
Invoices, payments, receivables and payables.
Bookkeeping
General ledger, bank reconciliation and financial statements.
HRM
Recruiting, attendance, leave, shifts and payroll.
Let's talk
Help shape an open EMR built for Canada.
We are working with a small group of early clinics. Here is how it starts.
A short conversation
20 minutes on your current EMR, billing and back-office tools.
A live walkthrough
See records, scheduling, accounts and HR working together.
A pilot, if it fits
Early clinics help decide what gets built first.
Questions
Common questions from clinics
Is OPHIS really free to use?
Yes. OPHIS is open source under GPL v2, so there is no licence fee per provider. You pay only for the hosting and support you choose.
Who owns our data?
Your clinic does. Records are kept in a standard database that you control, and you can move it whenever you want.
Does it handle OHIP billing?
Yes. OHIP billing is built in and connected to scheduling, invoices and the general ledger.
Is OPHIS OntarioMD certified?
Certification is in progress. Talk to us about where it stands and what that means for your clinic.
What is Frappe?
Frappe is the open-source framework behind ERPNext. OPHIS is built on it, so accounting, inventory, HR and payroll come from the same platform.
Who is OPHIS for?
Family clinics across Canada that want charts, billing and the back office on one system, without per-provider licence fees.