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Healthcare · head to head

Cliniko vs OpenMRS

Cliniko logo

Cliniko

Healthcare

Clinic management software for health practitioners

From
Free
Rated
-
Full reviewWebsite
OpenMRS logo

OpenMRS

Healthcare

Open source electronic medical record platform for low-resource settings, with no vendor and paid implementers instead

From
Free
Rated
-
Full reviewWebsite

The short version

  • Each has a real cost: Cliniko priced in practitioner bands rather than per seat, so a clinic adding a sixth practitioner jumps from $95 to $145 a month; OpenMRS there is no vendor and no support contract from OpenMRS itself, so a procurement that requires a named supplier with a service level must instead contract an implementer, and the quality of that implementer determines the outcome more than the software does
  • They diverge on capability: Cliniko covers Appointment Scheduling, OpenMRS covers Concept dictionary.
  • Prices and features above were last checked on 1 September 2026.

Where they differ

Only the attributes on which Cliniko and OpenMRS actually diverge.

Attributes where Cliniko and OpenMRS differ
AttributeClinikoOpenMRS
Pricing modelsubscriptionOpen source, no licence fee
PlatformsWeb, MobileLinux, Web, Windows
Founded2012Unknown

Identical on both: starting price (Free), free tier (Yes), 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 Cliniko

  • Appointment Scheduling
  • Online Booking
  • Client Management
  • Invoicing
  • Patient Portal
  • Telehealth
  • Payment processors
  • Online forms

Only in OpenMRS

  • Concept dictionary
  • Modular architecture
  • Modern front end
  • FHIR support
  • Offline tolerance
  • Patient matching and registration
  • Distributions

What people use each for

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

Cliniko

  • Practice management for allied health clinicsnot OpenMRS
  • Appointment scheduling and online bookingsnot OpenMRS
  • Clinical notes and patient recordsnot OpenMRS
  • Telehealth consultationsnot OpenMRS
  • Invoicing and payment tracking for a multi-practitioner clinicnot OpenMRS

OpenMRS

  • A ministry of health standardising HIV treatment records across hundreds of facilities where per-patient licensing would be unaffordablenot Cliniko
  • A hospital network in a country where no commercial vendor supports the local language, clinical forms or reporting requirementsnot Cliniko
  • An NGO running a tuberculosis programme that must report into DHIS2 and needs the clinical record beneath it to be modifiablenot Cliniko
  • A health system that wants to own its clinical data model outright rather than depend on a vendor to extend itnot Cliniko

Where each one falls short

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

Cliniko

  • Priced in practitioner bands rather than per seat, so a clinic adding a sixth practitioner jumps from $95 to $145 a month
  • The top published band stops at 200 practitioners
  • SMS is charged separately at 10 cents a message
  • Telehealth requires entering card details before it unlocks, even during the trial
  • There is no free tier, only a 30 day trial

OpenMRS

  • There is no vendor and no support contract from OpenMRS itself, so a procurement that requires a named supplier with a service level must instead contract an implementer, and the quality of that implementer determines the outcome more than the software does
  • It is a framework rather than a ready product, so a deployment requires clinical content, form design, concept dictionary work and integration before a single patient is registered, and that work is months of skilled effort
  • Funding comes largely from donor programmes, which makes the pace of core development dependent on grant cycles rather than on a commercial roadmap, and priorities can shift when a funder does
  • Distribution choice, core OpenMRS against Bahmni against Ozone, locks in a different set of components and a different implementer pool, and migrating between distributions later is close to a fresh implementation
  • The people cost never goes away: a national deployment needs permanent internal informatics capacity or a permanent support contract, and organisations that budget only the zero licence fee run out of money at the point the system becomes clinically critical

Pricing, plan by plan

Cliniko

Free
  • 1 Practitioner$45/month
  • 2-5 Practitioners$95/month
  • 6-8 Practitioners$145/month
  • 9-12 Practitioners$195/month

OpenMRS

Free
  • OpenMRSFree
    • Openly licensed, no licence fee and no seat limits
    • Community support through forums and the OpenMRS Talk platform
    • No support contract available from OpenMRS itself

Which should you pick?

Choose Cliniko if

  • You need appointment scheduling.
  • You want to start without paying.
  • You work on Web, Mobile.
  • You also want online booking.
Cliniko review

Choose OpenMRS if

  • You need concept dictionary.
  • You want to start without paying.
  • You work on Linux, Web, Windows.
  • You also want modular architecture.
OpenMRS review

Questions people ask

Is Cliniko or OpenMRS better?
Neither clearly leads. Cliniko starts at Free and OpenMRS at Free, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Cliniko or OpenMRS?
Cliniko starts at Free and OpenMRS at Free.
Does Cliniko or OpenMRS run on more platforms?
Cliniko runs on Web, Mobile. OpenMRS runs on Linux, Web, Windows.
Can I use Cliniko for free?
Both have a free tier, so you can try either at no cost before committing.
What is Cliniko best used for?
Cliniko is most often used for practice management for allied health clinics, appointment scheduling and online bookings, clinical notes and patient records, telehealth consultations. Of those, practice management for allied health clinics and appointment scheduling and online bookings are not what OpenMRS is typically brought in for.
What can Cliniko do that OpenMRS cannot?
Cliniko covers Appointment Scheduling, Online Booking, Client Management, Invoicing. OpenMRS covers Concept dictionary, Modular architecture, Modern front end, FHIR support.

Answered from the vendors’ own pages

Cliniko: How much does Cliniko cost for a practice?

Cliniko uses per-practitioner pricing: 1 practitioner $45/month, 2-5 practitioners $95/month, 6-8 practitioners $145/month, 9-12 practitioners $195/month, 13-25 practitioners $295/month, 26-200 practitioners $395/month.

Source
OpenMRS: Who supports OpenMRS if it breaks?

Not OpenMRS itself. Support is bought from implementers such as Mekom Solutions, which offers long-term production service level agreements for OpenMRS, Bahmni and Ozone deployments, or from regional partners.

Cliniko: Does Cliniko offer a free trial?

Cliniko is free to try for the first 30 days with no credit card required initially. A credit card is required to unlock features like Telehealth after the trial begins.

Source
OpenMRS: Is it really free?

The software has no licence fee. Hosting, configuration, clinical content, integration and support are the real cost, and they are ongoing.

Cliniko: What is included in all Cliniko plans?

Every Cliniko subscription includes complete feature access, unlimited admin and reception users, unlimited locations, unlimited file storage, unlimited patients, 24/7 monitoring, automatic backups, regular updates, and 24/7 customer support.

Source
OpenMRS: What is the difference between OpenMRS, Bahmni and Ozone?

OpenMRS is the core platform. Bahmni and Ozone are distributions that package it with billing, laboratory and inventory components. Choosing a distribution constrains your implementer options.

Cliniko: Does Cliniko charge extra for SMS and what discounts apply?

SMS messaging costs 10 cents per message (pre-paid credits required). Annual billing includes one month free every year. Charities and educational institutions qualify for free access. Cliniko commits to no feature-specific fees beyond SMS and offers no annual commitment discounts.

Source
OpenMRS: Does it support FHIR?

Yes. FHIR support is the standard route for integrating laboratory, pharmacy and national reporting systems.

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