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Smile Digital Health vs TheHive comparison

 

Comparison Buyer's Guide

Executive Summary

Review summaries and opinions

We asked business professionals to review the solutions they use. Here are some excerpts of what they said:
 

Categories and Ranking

Smile Digital Health
Ranking in AWS Marketplace
27th
Average Rating
9.4
Number of Reviews
3
Ranking in other categories
No ranking in other categories
TheHive
Ranking in AWS Marketplace
39th
Average Rating
7.6
Number of Reviews
3
Ranking in other categories
No ranking in other categories
 

Mindshare comparison

As of August 2026, in the AWS Marketplace category, the mindshare of Smile Digital Health is 0.2%, down from 1.2% compared to the previous year. The mindshare of TheHive is 0.2%, down from 0.3% compared to the previous year. It is calculated based on PeerSpot user engagement data.
AWS Marketplace Mindshare Distribution
ProductMindshare (%)
Smile Digital Health0.2%
TheHive0.2%
Other99.6%
AWS Marketplace
 

Featured Reviews

EK
Software Engineer at GigaTECH
Structured FHIR workflows have enabled me to focus on interoperability and business logic
In terms of improvements for Smile Digital Health, there was not anything major that stood out as broken or missing for my use case or the company's needs. Most of what we required was handled well. If I had to nitpick, I would say sometimes the learning curve and visibility into what is happening under the hood could be tricky, especially when debugging across multiple systems. A bit more straightforward observability or clearer error messaging would have made troubleshooting faster. However, I did not find anything that prevented us from accomplishing our tasks, and I was very satisfied.If I had to add something about needed improvements, it would relate to documentation. The platform itself is solid, but when working across multiple systems, it was not always obvious where an issue originated—whether it was from our Java services, an external system, or how Smile Digital Health interpreted a FHIR resource. Clearer guided troubleshooting or examples in the documentation could have helped with those edge cases. However, integration-wise, it worked fine for what we needed; during tricky moments, I sometimes had to dig deeper to understand where and what went wrong.
Karsh Trivedi - PeerSpot reviewer
Security Engineer at Payatu
Automation has transformed incident response and case management has boosted daily productivity
TheHive is actually quite beautiful and very optimized. If I had to improve anything, I would say that it could improve costing. TheHive is pretty expensive right now. With a low number of users, it works for how the business runs, but I feel that it is pretty expensive when you want to go for the commercial versions, which is where people might not want to go with it. Cost is the only downside, but it is the major downside. I would like to share an incident with you about a recent meeting I had with a client regarding TheHive. The only trigger that they had not to go with TheHive was the cost. Everything looked very good and was very fine, but the costing part was hard. The costing part was something that made them hold off on TheHive and choose a different solution. Over the years, TheHive has improved significantly in how the platform is used and how cases are managed. One good feature that I appreciated when I moved from TheHive 4 to TheHive 5 was the dark mode. When Strange Bee did the rebranding and made it a closed-source product, they added the dark mode feature, which I need because I am not good with light screens. TheHive was the only tool having only white mode capabilities. Once they added it, they have improved a lot. Many connectors are added, and many more integrations are possible now with TheHive. Basically, the appearance, performance, and integrations have improved a lot over the years.

Quotes from Members

We asked business professionals to review the solutions they use. Here are some excerpts of what they said:
 

Pros

"From what I saw, the positive impact of Smile Digital Health on my organization is that it reduced the amount of custom infrastructure we had to build."
"If you are a small or medium-sized company that needs a clinical data repository, Smile Digital Health is definitely the cheaper alternative for those looking into using a clinical data repository."
"Smile Digital Health offers excellent features including their health data platform, Omni, which can perform 250,000 transactions a second, making it beneficial for getting data ready for analysis, regardless of the type of analysis needed."
"TheHive has positively impacted my organization because before that, we did not have a good solution to register the tickets."
"The people at TheHive have made it very customizable, flexible, and very security-centric, as they understand what a particular incident responder or security team needs and provide it quite well."
"TheHive has positively impacted our organization because it is a free solution."
 

Cons

"If I had to nitpick, I would say sometimes the learning curve and visibility into what is happening under the hood could be tricky, especially when debugging across multiple systems."
"TheHive can be improved because if you want to use it in a small or medium company, it will be really good, but for a really huge company like mine was, I believe that at least on the free version, you will have big issues regarding performance because the solution is not built for a huge company like mine was."
"Cost is the only downside, but it is the major downside."
"I would rate it a seven because I think the design could be better in TheHive."
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Top Industries

By visitors reading reviews
Insurance Company
36%
Construction Company
26%
Financial Services Firm
6%
Comms Service Provider
5%
Construction Company
28%
Manufacturing Company
12%
Media Company
11%
Comms Service Provider
8%
 

Company Size

By reviewers
Large Enterprise
Midsize Enterprise
Small Business
No data available
No data available
 

Questions from the Community

What is your experience regarding pricing and costs for Smile Digital Health?
My experience with pricing, setup cost, and licensing for Smile Digital Health is that they are very reasonable, with the partner training making the implementation and setup a turnkey process.
What needs improvement with Smile Digital Health?
Smile Digital Health’s offerings are mature and reliable. Continued investment in implementation accelerators, expanded preconfigured mappings, automated validation, and user-friendly configuration...
What is your primary use case for Smile Digital Health?
My primary use case is Smile Digital Health’s Omni platform for standards-based processing of healthcare data using FHIR. We use its FHIR-based capabilities to transform disparate healthcare data i...
What needs improvement with TheHive?
I would rate it a seven because I think the design could be better in TheHive. The graphics need improvement. When I used TheHive, the platform did not have AI governance and security options yet, ...
What is your primary use case for TheHive?
My main use case for TheHive is to work in our incident response team, where we manage the incident response process inside TheHive and alerts as well. A specific example of how TheHive fits into m...
What advice do you have for others considering TheHive?
I rate TheHive an eight on a scale of one to ten. I choose the number eight because it is a really good solution if you know how to configure it and if you know how to measure the infrastructure ne...
 

Comparisons

No data available
 

Overview

Find out what your peers are saying about Smile Digital Health vs. TheHive and other solutions. Updated: July 2026.
909,948 professionals have used our research since 2012.