It could be interesting to openly discuss possible licensing/payment options of openEHR platforms, tools and services. We’ve heard it can be a bit tricky to find business models for some things.
The openEHR specifications and models (archetypes etc) are free to use, and are funded/fueled by voluntary donations of time and also by money via membership/sponsorship. This works pretty well now (but was a bit tricky in the beginning) and removes entry barriers to openEHR as such.
But tools, platforms etc based on the specs of course need time and/or funding to stay updated and supported. Let’s list some current and future possible models in this thread and discuss what fits what.
- A. Free product (often Open Source) with paid consultancy and support services
- B. Licence/support fee per user
- B1. Per identified individual user (username etc)
- B2. Per concurrent user (“seat”) - licenses shared in a pool for co-workers, e.g. maximum 5 logged in to the tool at once.
- C. Licence/support fee per patient/EHR-record in a EHR/CDR-system
- D. Licence/support fee per inhabitant in a region/territory (that a healthcare organisation serves)
- E. Licence fee based on purchasing organisations size
- E1. organisation revenue
- E2. organisation full time staff (equivalents)
Snomed has different options for licencing including an interesting…
- F. …territory/country World Bank Gross National Income (GNI) based model where a territory license allows any person or organisation/company to use it within the territory.
- G. Per hospital/ institution/ practice (practices cheaper than hospitals)
- G1. Data Creation system fees
- G2. Data Analysis system fees
- H Mobile Application fees (based on number of downloads and % of retail price)
So what fits what from seller and buyer perspectives?
For CDRs (Clinical Data Repositories) A, C and D seem to be common.
What works for tools, like form-builders, form renderers, AQL querying/reporting tools if they are not bundled with a CDR offering? Have Low-code platforms and No-Code platforms found any good business models that would work?
(This post is a wiki-post and can be updated by others than the original author. Changelog: March12 Added B1 & B2)