Significant differences exist among MCDM techniques based on different integration's on ranking scores.
There is no significant differences among MCDM techniques when the ranking scores are represented to the ranking orders.
The software GNUmed, OpenEMR, OpenMRS, and ZEPRS do not differ in ranking scores/orders for all MCDM techniques presented
GNUmed, OpenEMR, and OpenMRS software are the most promising candidates for providing a good basis ranking scores/orders.
ZEPRS is not recommended because it records the worst ranking score/order in comparison with other OS‐EMR software.
