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NextGen Enterprise EHR vs OpenMRS

NextGen Enterprise EHR logo

NextGen Enterprise EHR

Healthcare

Enterprise-grade EHR and RCM for large healthcare organizations

From
On request
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

  • Only OpenMRS has a free tier, so it costs nothing to try first.
  • Each has a real cost: NextGen Enterprise EHR no pricing published on website; 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: NextGen Enterprise EHR covers Electronic Health Records, OpenMRS covers Concept dictionary.
  • Prices and features above were last checked on 1 September 2026.

Where they differ

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

Attributes where NextGen Enterprise EHR and OpenMRS differ
AttributeNextGen Enterprise EHROpenMRS
Starting priceOn requestFree
Pricing modelquoteOpen source, no licence fee
Free tierNoYes
PlatformsWeb, DesktopLinux, Web, Windows
Founded1997Unknown

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 NextGen Enterprise EHR

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

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.

NextGen Enterprise EHR

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

OpenMRS

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

Where each one falls short

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

NextGen Enterprise EHR

  • No pricing published on website

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

NextGen Enterprise EHR

On request

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

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 NextGen Enterprise EHR if

  • You need electronic health records.
  • You work on Web, Desktop.
  • You also want clinical documentation.
NextGen Enterprise EHR 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 NextGen Enterprise EHR or OpenMRS better?
Neither clearly leads. NextGen Enterprise EHR starts at On request and OpenMRS at Free, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, NextGen Enterprise EHR or OpenMRS?
OpenMRS has a free tier; the other does not. Paid plans start at On request for NextGen Enterprise EHR and Free for OpenMRS.
Does NextGen Enterprise EHR or OpenMRS run on more platforms?
NextGen Enterprise EHR runs on Web, Desktop. OpenMRS runs on Linux, Web, Windows.
Can I use OpenMRS for free?
Yes. OpenMRS has a free tier, so you can try it without paying. NextGen Enterprise EHR starts at On request.
What is NextGen Enterprise EHR best used for?
NextGen Enterprise EHR is most often used for patient care, medical records, practice management, telehealth. Of those, patient care and medical records are not what OpenMRS is typically brought in for.
What can NextGen Enterprise EHR do that OpenMRS cannot?
NextGen Enterprise EHR covers Electronic Health Records, Clinical Documentation, Revenue Cycle Management, Patient Management. OpenMRS covers Concept dictionary, Modular architecture, Modern front end, FHIR support.

Answered from the vendors’ own pages

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
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.

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.

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.

OpenMRS: Does it support FHIR?

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

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