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Healthcare · head to head

Bahmni vs LimeSurvey

Bahmni logo

Bahmni

Healthcare

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

From
Free
Rated
-
LimeSurvey logo

LimeSurvey

Surveys

Open source survey software you can self-host, with German-hosted cloud as the alternative

From
Free
Rated
-

The short version

  • 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.; LimeSurvey self-hosting shifts patching, backups and PHP upgrades onto your own team, and neglected installations become a security liability holding participant data.
  • They diverge on capability: Bahmni covers OpenMRS clinical record, LimeSurvey covers Self-hosted deployment.
  • Prices and features above were last checked on 1 September 2026.

Where they differ

Only the attributes on which Bahmni and LimeSurvey actually diverge.

Attributes where Bahmni and LimeSurvey differ
AttributeBahmniLimeSurvey
Pricing modelOpen source, no licence feeOpen source, with paid cloud hosting
PlatformsWeb, Linux, AndroidWeb, Self-hosted
CategoryHealthcareSurveys

Identical on both: starting price (Free), free tier (Yes), user rating (Not yet rated).

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 LimeSurvey

  • Self-hosted deployment
  • Question type depth
  • Expression manager
  • Quotas and screening
  • Multilingual surveys
  • Participant management

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 LimeSurvey
  • A ministry of health standardising district hospitals on one system and required by donors to use a recognised Digital Public Goodnot LimeSurvey
  • An NGO health network wanting one clinical record across several facilities with reporting that can feed a national DHIS2 instancenot LimeSurvey
  • A hospital that needs the clinical record, laboratory, pharmacy and billing to share one patient identity rather than running four disconnected systemsnot LimeSurvey

LimeSurvey

  • A university study whose ethics approval requires participant data to stay on institutional serversnot Bahmni
  • A public body procuring survey software under European data protection rulesnot Bahmni
  • A market research agency running multilingual instruments with quotas and screening logicnot Bahmni
  • A team that needs complex matrix and ranking questions consumer form builders do not supportnot 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.

LimeSurvey

  • Self-hosting shifts patching, backups and PHP upgrades onto your own team, and neglected installations become a security liability holding participant data.
  • The default interface and themes look dated beside Typeform or Jotform, which measurably lowers completion rates on consumer-facing surveys.
  • Cloud plans are capped on responses per period, so an unexpectedly successful field wave can force an upgrade in the middle of data collection.
  • Serious theming and layout changes require template and CSS work rather than a visual designer, so agencies often budget developer time per project.
  • Support on the free edition is community forums only, and paid support is a separate purchase, which is a poor fit for teams with no technical staff.

Pricing, plan by plan

Bahmni

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

LimeSurvey

Free
  • Community Edition (self-hosted)Free
    • Free under the GNU General Public Licence
    • No response limits imposed by the vendor
    • Hosting, patching, backups and upgrades are your responsibility
  • LimeSurvey Cloud$undefined/year
    • Hosted on servers in Germany
    • Tiered on responses and storage per period rather than per user
    • Higher tiers add branding removal, more storage and support

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.

Choose LimeSurvey if

  • You need self-hosted deployment.
  • You want to start without paying.
  • You work on Web, Self-hosted.
  • You also want question type depth.

Questions people ask

Is Bahmni or LimeSurvey better?
Neither clearly leads. Bahmni starts at Free and LimeSurvey at Free, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Bahmni or LimeSurvey?
Bahmni starts at Free and LimeSurvey at Free.
Does Bahmni or LimeSurvey run on more platforms?
Bahmni runs on Web, Linux, Android. LimeSurvey runs on Web, Self-hosted.
Can I use Bahmni for free?
Both have a free tier, so you can try either at no cost before committing.
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 LimeSurvey is typically brought in for.
What can Bahmni do that LimeSurvey cannot?
Bahmni covers OpenMRS clinical record, Configurable clinical forms, Laboratory integration, Billing and inventory. LimeSurvey covers Self-hosted deployment, Question type depth, Expression manager, Quotas and screening.

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.

LimeSurvey: Is LimeSurvey really free?

The self-hosted Community Edition is free under the GPL with no vendor response limits. The hosted cloud is paid and tiered by response volume.

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.

LimeSurvey: Where is cloud data stored?

On servers in Germany, which is why public sector and academic buyers choose it over United States hosted competitors.

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.

LimeSurvey: Can it handle complex research designs?

Yes. Quotas, randomisation, piping and matrix question types are core features rather than enterprise add-ons.

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.

Bahmni: Where is it used?

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

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