Honestly, I never looked into any "competitors". I got in touch with the maintainer while looking for projects to contribute to, and it looked like there was a good amount of work that needed doing, so I got to work.
I'm sure there are similar projects that do some things better or worse, but I can't say I've looked into them.
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How's it compare to bhima, "a hospital information management application for rural Congolese hospitals" that's also written in Node?
Honestly, I never looked into any "competitors". I got in touch with the maintainer while looking for projects to contribute to, and it looked like there was a good amount of work that needed doing, so I got to work.
I'm sure there are similar projects that do some things better or worse, but I can't say I've looked into them.