# Epic Canto vs BackpackEMR

The clearest difference is rating: BackpackEMR at 4.0 against Epic Canto's 1.9. BackpackEMR also leads on device support (3 vs 1) and iOS requirement (13.0 vs 18.0). Epic Canto's advantage is ratings volume (124 vs 4) and update cadence (every 3 weeks vs every 2 months). On price, ads, in-app purchases and monetization model there is nothing between them.

Both are free to download. Neither carries in-app purchases, so what you see is what you pay.

BackpackEMR holds the better App Store score, 4.0 against 1.9. That said, the two scores are not equally well evidenced: Epic Canto has 124 ratings behind it against 4, so its average is the more settled of the two. Written reviews complicate that: 9% of Epic Canto's written reviews are positive against 0% of BackpackEMR's, so the app with the better star average is not the one people write more warmly about.

Epic Canto ships an update every 3 weeks, BackpackEMR every 2 months. The most recent releases landed on October 14, 2026 and October 5, 2026 respectively.

## The numbers

| Metric | Epic Canto | BackpackEMR |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [1.9 (124 ratings)](https://appshunter.io/ios/app/epic-canto/id395395172/reviews) | **[4.0 (4 ratings)](https://appshunter.io/ios/app/backpackemr/id1222073725/reviews)** |
| Number of ratings | **124** | 4 |
| Positive reviews | **8.9% of reviews** | 0.0% of reviews |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | **Every 3 weeks** | Every 2 months |
| Monetization | Free | Free |
| Size | 559 MB | 26 MB |
| Requires iOS | 18.0 | **13.0** |
| Devices | iPad | **iPhone, iPad, iPod** |
| Age rating | 17+ | 17+ |
| Developer | [Epic](https://appshunter.io/developer/348308666) | [Binary Bridge](https://appshunter.io/developer/1222073724) |

## What reviewers say

### Epic Canto

[App page](https://appshunter.io/ios/app/epic-canto/id395395172)

Securely access patient information, schedules, and notes from Epic's Electronic Health Record. Supports dictation and In Basket for authorized clinical users.

**Highlights:** Secure EHR access, Clinic schedules, Patient lists, Health summaries, Test results, Dictation support, In Basket access

**In-app purchases:** none


### BackpackEMR

[App page](https://appshunter.io/ios/app/backpackemr/id1222073725)

This lightweight electronic medical records system is designed for remote areas with limited internet and power. It enables offline data sharing between devices, ensuring continuous operation and no data loss during power outages. Features include streamlined workflows, specialty modules, and secure, encrypted data storage.

**Highlights:** Offline data-sharing network, Streamlined patient flow, Specialty modules, Voice-to-text integration, Secure, encrypted data, Integrated patient photos, Multi-language support

**Features:** Vision Pro support

**In-app purchases:** none


## Frequently asked questions

### Is Epic Canto free?

Epic Canto is free to download, with no in-app purchases.

### Is BackpackEMR free?

BackpackEMR is free to download, with no in-app purchases.

### Which has better reviews, Epic Canto or BackpackEMR?

BackpackEMR is rated higher. Epic Canto averages 1.9 out of 5 from 124 ratings, while BackpackEMR averages 4.0 from 4 ratings.

### Do Epic Canto or BackpackEMR have ads?

Neither Epic Canto nor BackpackEMR shows ads.

### Which is updated more often, Epic Canto or BackpackEMR?

Epic Canto ships an update every 3 weeks, and BackpackEMR every 2 months. Most recently, Epic Canto was updated on October 14, 2026 and BackpackEMR on October 5, 2026.

---

*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*