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Healthcare · head to head

DHIS2 vs NextGen Enterprise EHR

DHIS2 logo

DHIS2

Healthcare

Open source health information platform run from the University of Oslo and used by national ministries

From
Free
Rated
-
Full reviewWebsite
NextGen Enterprise EHR logo

NextGen Enterprise EHR

Healthcare

Enterprise-grade EHR and RCM for large healthcare organizations

From
On request
Rated
-
Full reviewWebsite

The short version

  • Only DHIS2 has a free tier, so it costs nothing to try first.
  • Each has a real cost: DHIS2 the licence is free and the implementation is not; national rollouts routinely cost hundreds of thousands of dollars in configuration, hosting, training and support, and budgets built on the word free fail immediately.; NextGen Enterprise EHR no pricing published on website
  • They diverge on capability: DHIS2 covers Aggregate data reporting, NextGen Enterprise EHR covers Electronic Health Records.
  • Prices and features above were last checked on 1 September 2026.

Where they differ

Only the attributes on which DHIS2 and NextGen Enterprise EHR actually diverge.

Attributes where DHIS2 and NextGen Enterprise EHR differ
AttributeDHIS2NextGen Enterprise EHR
Starting priceFreeOn request
Pricing modelOpen source, no licence feequote
Free tierYesNo
PlatformsWeb, Android, Self-hosted, CloudWeb, Desktop
FoundedUnknown1997

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 DHIS2

  • Aggregate data reporting
  • Tracker
  • Android capture app
  • Dashboards and analytics
  • Metadata packages
  • Data quality tools
  • GIS mapping

Only in NextGen Enterprise EHR

  • Electronic Health Records
  • Clinical Documentation
  • Revenue Cycle Management
  • Patient Management
  • Analytics
  • Reporting
  • HL7
  • FHIR

Both cover

  • Interoperability

What people use each for

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

DHIS2

  • A ministry of health replacing paper monthly reporting from thousands of facilities with a national routine systemnot NextGen Enterprise EHR
  • A donor-funded HIV or tuberculosis programme that must report standard indicators across several districtsnot NextGen Enterprise EHR
  • A disease surveillance unit needing weekly case reporting with outbreak alerting and mappingnot NextGen Enterprise EHR
  • An NGO running individual patient follow-up in a programme where facilities are frequently offlinenot NextGen Enterprise EHR

NextGen Enterprise EHR

  • Patient Carenot DHIS2
  • Medical Recordsnot DHIS2
  • Practice Managementnot DHIS2
  • Telehealthnot DHIS2

Where each one falls short

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

DHIS2

  • The licence is free and the implementation is not; national rollouts routinely cost hundreds of thousands of dollars in configuration, hosting, training and support, and budgets built on the word free fail immediately.
  • HISP UiO introduced a Shared Services Fee in 2025, so organisations that depend on DHIS2 are now being asked for an annual contribution that did not previously exist in their plans.
  • Development funding comes from a small set of donors including Norad, the Global Fund and the Gates Foundation, which concentrates the platform's long-term direction in the priorities of those funders.
  • Implementation capability is concentrated in regional HISP groups, so a country whose local HISP group is overstretched has few alternative suppliers with equivalent expertise.
  • Analytics performance depends heavily on how metadata was designed at the outset, and a poorly structured initial configuration produces slow dashboards and bad indicator definitions that are painful to correct years later.

NextGen Enterprise EHR

  • No pricing published on website

Pricing, plan by plan

DHIS2

Free
  • DHIS2 softwareFree
    • BSD licence
    • All modules including Tracker
    • No user or facility limits
  • Shared Services Fee$undefined/year
    • Voluntary annual contribution introduced by HISP UiO
    • Funds shared global infrastructure and platform sustainability
    • Amount agreed with the HISP Centre
  • Implementation and support$undefined/year
    • Delivered by regional HISP groups or private implementers
    • Configuration, metadata design, hosting, training and support
    • Quoted per programme, commonly the dominant cost

NextGen Enterprise EHR

On request

No published plan breakdown. See the NextGen Enterprise EHR review.

Which should you pick?

Choose DHIS2 if

  • You need aggregate data reporting.
  • You want to start without paying.
  • You work on Web, Android, Self-hosted, Cloud.
  • You also want tracker.
DHIS2 review

Choose NextGen Enterprise EHR if

  • You need electronic health records.
  • You work on Web, Desktop.
  • You also want clinical documentation.
NextGen Enterprise EHR review

Questions people ask

Is DHIS2 or NextGen Enterprise EHR better?
Neither clearly leads. DHIS2 starts at Free and NextGen Enterprise EHR at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, DHIS2 or NextGen Enterprise EHR?
DHIS2 has a free tier; the other does not. Paid plans start at Free for DHIS2 and On request for NextGen Enterprise EHR.
Does DHIS2 or NextGen Enterprise EHR run on more platforms?
DHIS2 runs on Web, Android, Self-hosted, Cloud. NextGen Enterprise EHR runs on Web, Desktop.
Can I use DHIS2 for free?
Yes. DHIS2 has a free tier, so you can try it without paying. NextGen Enterprise EHR starts at On request.
What is DHIS2 best used for?
DHIS2 is most often used for a ministry of health replacing paper monthly reporting from thousands of facilities with a national routine system, a donor-funded hiv or tuberculosis programme that must report standard indicators across several districts, a disease surveillance unit needing weekly case reporting with outbreak alerting and mapping, an ngo running individual patient follow-up in a programme where facilities are frequently offline. Of those, a ministry of health replacing paper monthly reporting from thousands of facilities with a national routine system and a donor-funded hiv or tuberculosis programme that must report standard indicators across several districts are not what NextGen Enterprise EHR is typically brought in for.
What can DHIS2 do that NextGen Enterprise EHR cannot?
DHIS2 covers Aggregate data reporting, Tracker, Android capture app, Dashboards and analytics. NextGen Enterprise EHR covers Electronic Health Records, Clinical Documentation, Revenue Cycle Management, Patient Management. Both handle Interoperability.

Answered from the vendors’ own pages

DHIS2: Who owns and develops DHIS2?

The HISP Centre at the University of Oslo, funded by donors including Norad, the Global Fund, the Gates Foundation and Wellcome.

NextGen Enterprise EHR: What is NextGen Enterprise EHR pricing?

NextGen Healthcare does not publish pricing for its Enterprise solutions on their website. The company uses a consultative sales model where pricing is determined after understanding specific practice requirements and needed features.

Source
DHIS2: Is DHIS2 free?

The software is free under a BSD licence. Implementation, hosting, training and support are not, and are the dominant cost.

DHIS2: What is the Shared Services Fee?

A voluntary annual contribution introduced by HISP UiO in 2025 to fund shared global infrastructure and long-term platform sustainability.

DHIS2: Can I buy commercial support?

Yes, from regional HISP groups or private implementers such as Devotta, which is contracted by HISP UiO for core platform development and also works independently.

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