Softwr

Healthcare · head to head

Bahmni vs eClinicalWorks

Bahmni logo

Bahmni

Healthcare

Open source hospital information system and EMR for low-resource hospitals, built on OpenMRS

From
Free
Rated
-
Full reviewWebsite
eClinicalWorks logo

eClinicalWorks

Healthcare

Comprehensive EHR and practice management platform

From
On request
Rated
-
Full reviewWebsite

The short version

  • Only Bahmni has a free tier, so it costs nothing to try first.
  • Each has a real cost: Bahmni the licence is free and the implementation is not; configuration, data migration, training and multi-year support from a partner routinely cost far more than a small commercial system would have, and hospitals that budget only for hardware stall.; eClinicalWorks pricing details not disclosed on website; requires sales consultation or demo
  • They diverge on capability: Bahmni covers OpenMRS clinical record, eClinicalWorks covers Electronic Health Records.
  • Prices and features above were last checked on 1 September 2026.

Where they differ

Only the attributes on which Bahmni and eClinicalWorks actually diverge.

Attributes where Bahmni and eClinicalWorks differ
AttributeBahmnieClinicalWorks
Starting priceFreeOn request
Pricing modelOpen source, no licence feeUnknown
Free tierYesNo
PlatformsWeb, Linux, AndroidWeb, Cloud-based
FoundedUnknown1999

Identical on both: user rating (Not yet rated), category (Healthcare).

What each one covers

Drawn from each product's published feature list. An absence here means we hold no record of it - not that the product lacks it.

Only in Bahmni

  • OpenMRS clinical record
  • Configurable clinical forms
  • Laboratory integration
  • Billing and inventory
  • Imaging
  • Inpatient management
  • Offline-capable clinical app
  • Reporting

Only in eClinicalWorks

  • Electronic Health Records
  • Practice Management
  • Revenue Cycle
  • Patient Portal
  • ePrescribing
  • Telehealth
  • HL7
  • FHIR

What people use each for

The jobs each tool is most often brought in to do.

Bahmni

  • A mission or charitable hospital in India or East Africa that cannot fund a commercial hospital information system licence but needs a real EMR rather than papernot eClinicalWorks
  • A ministry of health standardising district hospitals on one system and required by donors to use a recognised Digital Public Goodnot eClinicalWorks
  • An NGO health network wanting one clinical record across several facilities with reporting that can feed a national DHIS2 instancenot eClinicalWorks
  • A hospital that needs the clinical record, laboratory, pharmacy and billing to share one patient identity rather than running four disconnected systemsnot eClinicalWorks

eClinicalWorks

  • EHR and practice management for multi-specialty medical practicesnot Bahmni
  • Patient engagement through telehealth (healow) and secure messagingnot Bahmni
  • Revenue cycle management with 98%+ first-pass acceptance ratenot Bahmni
  • AI-powered clinical documentation with Sunoh.ai medical scribenot Bahmni

Where each one falls short

Documented limitations, not opinions. Every one is a constraint you would hit in normal use.

Bahmni

  • The licence is free and the implementation is not; configuration, data migration, training and multi-year support from a partner routinely cost far more than a small commercial system would have, and hospitals that budget only for hardware stall.
  • There is no single vendor with an obligation to you unless you contract one, so upgrade timing, security patching and defect resolution depend on whichever partner you hired and how long they stay engaged.
  • It integrates four substantial open source systems, which means an upgrade touches OpenMRS, OpenELIS, Odoo and the imaging stack together, and hospitals with heavy customisation often freeze on an old version rather than risk it.
  • Skilled Bahmni implementers are concentrated in a small number of firms in India and a few African countries, so a hospital outside those markets may find nobody local who can support it.
  • Funding for the coalition and its shared engineering comes from donors and member contributions rather than licence revenue, which makes the pace of core development dependent on grant cycles rather than on customer demand.

eClinicalWorks

  • Pricing details not disclosed on website; requires sales consultation or demo
  • No published technical system requirements specified
  • Cloud-based solution requires reliable internet connectivity for clinics

Pricing, plan by plan

Bahmni

Free
  • BahmniFree
    • AGPL open source, no licence fee
    • All modules included
    • Community support via forum and documentation

eClinicalWorks

On request

No published plan breakdown. See the eClinicalWorks review.

Which should you pick?

Choose Bahmni if

  • You need openmrs clinical record.
  • You want to start without paying.
  • You work on Web, Linux, Android.
  • You also want configurable clinical forms.
Bahmni review

Choose eClinicalWorks if

  • You need electronic health records.
  • You work on Web, Cloud-based.
  • You also want practice management.
eClinicalWorks review

Questions people ask

Is Bahmni or eClinicalWorks better?
Neither clearly leads. Bahmni starts at Free and eClinicalWorks at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Bahmni or eClinicalWorks?
Bahmni has a free tier; the other does not. Paid plans start at Free for Bahmni and On request for eClinicalWorks.
Does Bahmni or eClinicalWorks run on more platforms?
Bahmni runs on Web, Linux, Android. eClinicalWorks runs on Web, Cloud-based.
Can I use Bahmni for free?
Yes. Bahmni has a free tier, so you can try it without paying. eClinicalWorks starts at On request.
What is Bahmni best used for?
Bahmni is most often used for a mission or charitable hospital in india or east africa that cannot fund a commercial hospital information system licence but needs a real emr rather than paper, a ministry of health standardising district hospitals on one system and required by donors to use a recognised digital public good, an ngo health network wanting one clinical record across several facilities with reporting that can feed a national dhis2 instance, a hospital that needs the clinical record, laboratory, pharmacy and billing to share one patient identity rather than running four disconnected systems. Of those, a mission or charitable hospital in india or east africa that cannot fund a commercial hospital information system licence but needs a real emr rather than paper and a ministry of health standardising district hospitals on one system and required by donors to use a recognised digital public good are not what eClinicalWorks is typically brought in for.
What can Bahmni do that eClinicalWorks cannot?
Bahmni covers OpenMRS clinical record, Configurable clinical forms, Laboratory integration, Billing and inventory. eClinicalWorks covers Electronic Health Records, Practice Management, Revenue Cycle, Patient Portal.

Answered from the vendors’ own pages

Bahmni: Is Bahmni free?

The software is, under an open source licence. Implementation, hosting, configuration, training and support are charged by whichever partner you engage.

eClinicalWorks: What does eClinicalWorks EHR cost per provider?

eClinicalWorks EHR costs $449/month per provider with no startup costs. This includes the electronic medical record system, mobile access, patient portal, messaging, document management, prescribing, reporting, and 24/7 support with cloud hosting.

Source
Bahmni: Who owns and governs Bahmni?

Thoughtworks transferred ownership in October 2017 to the Bahmni Coalition, under the fiscal sponsorship of the non-profit OpenMRS Inc. Thoughtworks remains on the governing committee.

eClinicalWorks: What is the cost of eClinicalWorks with Practice Management?

eClinicalWorks EHR with Practice Management costs $599/month per provider with no startup costs. This adds practice management functionality and billing implementation services.

Source
Bahmni: What does an implementation actually cost?

It varies by hospital size and country, but expect the dominant costs to be partner services, training and multi-year support rather than software or hardware. Get a fixed-scope quote covering upgrades, not just go-live.

eClinicalWorks: What is eClinicalWorks' Revenue Cycle Management pricing?

eClinicalWorks RCM as a Service costs 2.9% of practice collections with no startup costs. It covers claim processing, denial management, appeals, and accounts receivable visibility.

Source
Bahmni: Is it a recognised Digital Public Good?

Yes, Bahmni is on the Digital Public Goods Alliance register, which is increasingly a condition of donor funding for health information systems.

eClinicalWorks: Is there a cost for data migration to eClinicalWorks?

No, eClinicalWorks offers free data migration for practices switching from other EHR systems.

Source
Bahmni: Where is it used?

More than 500 implementations across roughly 50 countries, concentrated in South Asia and Africa.

eClinicalWorks: Are training costs included with eClinicalWorks?

Initial training is included for practices with 1-9 providers. Additional fees apply for larger practices.

Source
Share

Related pages

More on Bahmni

More on eClinicalWorks

Keep looking

Other head to heads