Smile Digital Health website screenshot

Smile Digital Health

Smile Digital Health (formerly Smile CDR) is a Toronto-based health interoperability software company and the commercial steward of the open source HAPI FHIR project (the world's most widely deployed Java implementation of the HL7 FHIR standard). Its flagship product, Smile CDR — marketed under the broader Smile Omni portfolio as the OmniVera Health Data Platform — is a FHIR-native clinical data repository and integration platform that ingests HL7 v2.x, CDA, CSV, JSON, XML, and FHIR payloads, normalizes them into FHIR (R4, R5, STU3, DSTU2), and exposes them through a hardened FHIR REST API, SMART on FHIR / OAuth2 / OIDC security, Bulk Data export, Subscriptions, MDM, Terminology Services, CQL-based Quality Measures, and a JSON Admin API. The platform is deployed on-prem and across AWS, Azure, and GCP, with HITRUST v9.4, SOC 2 Type II, ISO 27001, and ONC 2015 Edition certifications, and is used by 190+ global customers, including 30+ US payers running CMS Interoperability and Prior Authorization (CMS-0057-F) workloads on its CMS Suite. Adjacent Smile Omni product families include OmniCompli (regulatory compliance, including CMS Suite and CMS Concierge), OmniQ (digital quality measures / HEDIS, Intelligence Hub), and OmniConcierge (managed and professional services). The primary developer surface is the FHIR REST API, with per-endpoint auto-generated OpenAPI / Swagger UI at `{baseUrl}/swagger-ui/`, plus a separate JSON Admin API for cluster, module, user, audit, batch job, MDM, and OpenID Connect administration.

Smile Digital Health publishes 11 APIs on the APIs.io network. Tagged areas include Healthcare, FHIR, HL7, Clinical Data Repository, and Interoperability.

Smile Digital Health’s developer surface includes developer portal, documentation, YouTube channel, and 32 more developer resources.

16.9/100 emerging ▬ flat Agent 0/100 human only Full breakdown ↓
scored 2026-08-05 · rubric v0.9.1
11 APIs
HealthcareFHIRHL7Clinical Data RepositoryInteroperabilityHAPI FHIRSMART on FHIRTerminology ServicesMDMBulk DataSubscriptionsCMS InteroperabilityPrior AuthorizationDigital Quality MeasuresCQLPayerProviderHealth Information Exchange

Kin Score

Kin Score Kin Score How this is scored →
scored 2026-08-05 · rubric v0.9.1
Composite quality — 16.9/100 · emerging
Contract Quality 0.0 / 25
Developer Ergonomics 3.5 / 20
Commercial Clarity 5.8 / 20
Operational Transparency 0.0 / 13
Governance 0.0 / 12
Discoverability 6.5 / 10
Agent readiness — 0/100 · human only
Machine-Readable Contract 0 / 18
Agentic Access Contract 0 / 10
MCP Server 0 / 12
Machine-Readable Auth 0 / 10
Idempotency 0 / 9
Stable Error Semantics 0 / 8
Request/Response Examples 0 / 7
Rate-Limit Signaling 0 / 7
Typed Event Surface 0 / 6
Agent Skills 0 / 5
Well-Known Catalog 0 / 4
Consent & Bot Identity 0 / 3
A2A Agent Card 0 / 8
Dry-Run / Simulate Mode 0 / 4
Improve this rating by publishing the missing artifacts — every area above can be raised, and the full rubric is at apis.io/rating/. This rating is computed from github.com/api-evangelist/smile-cdr: open an issue to ask a question, or submit a pull request to add artifacts. Want it done for you? Prioritized profiling — $2,500 →

APIs 11

Individual APIs this provider publishes, each with its own machine-readable definition.

Smile CDR FHIR Endpoint

The core FHIR REST API exposed by every Smile CDR FHIR Endpoint module. Supports the full FHIR REST interaction set (read, vread, update, patch, delete, history, search, transac...

Smile CDR SMART on FHIR

SMART on FHIR / OAuth2 / OIDC authorization surface for FHIR endpoints, supporting standalone launch, EHR launch, public and confidential clients, scopes, PKCE, refresh tokens, ...

Smile CDR Bulk Data

Implementation of the FHIR Bulk Data Access (Flat FHIR) specification for asynchronous, system-, group-, and patient-level export of FHIR resources as NDJSON, with status pollin...

Smile CDR Subscriptions

FHIR Subscription (R4) and Subscription / SubscriptionTopic (R4B/R5 backport) support for push notifications on resource change, with REST hook, websocket, email, and message-qu...

Smile CDR Master Data Management

FHIR-native Master Data Management for Patient and Practitioner records, with probabilistic matching, golden records, candidate matching rules, survivorship, and administrative ...

Smile CDR Terminology Services

Terminology Service implementing FHIR `$expand`, `$validate-code`, `$lookup`, `$translate`, and `$subsumes` operations over CodeSystems, ValueSets, and ConceptMaps. Bundled supp...

Smile CDR CQL & Quality Measures

Clinical Quality Language (CQL) engine and FHIR Clinical Reasoning module (Measure, Library, PlanDefinition) backing OmniQ digital Quality Measures (dQM) including HEDIS measure...

Smile CDR CDA Exchange

Bidirectional HL7 CDA / C-CDA exchange — ingest CDA documents and convert to FHIR Bundle, and render FHIR data as CDA for partners that consume the older standard. Exposed via t...

Smile CDR HL7 v2.x Interface

MLLP-based HL7 v2.x inbound and outbound interfaces for ADT, ORM, ORU, MDM, SIU, VXU, and DFT messages, with bidirectional v2-to-FHIR mapping and ACK/NAK handling.

Smile CDR JSON Admin API

REST/JSON administrative API for cluster operations — Module Config, System Config, User Management, Audit Log, Transaction Log, Troubleshooting Log, Metrics, Runtime Status, Ba...

Smile CDR CMS Interoperability Suite

Pre-packaged CMS-compliant FHIR APIs for US payers — Patient Access, Provider Directory, Drug Formulary, Payer-to-Payer (CMS-9115-F) and Prior Authorization (CMS-0057-F / HL7 Da...

Scroll for all 11

Security Posture 1

Authentication, domain security, vulnerability disclosure, and trust-center signals.

Smile Cdr Domain Security

TLSv1.3 · HSTS · DMARC

SECURITY

Resources

Get Started 6

Portal, sign-up, and the first successful call

Documentation 5

Reference material describing how the API behaves

Build 4

SDKs, sample code, and the tooling you integrate with

Access & Security 2

Authentication, authorization, and security posture

Learn 1

Tutorials, courses, talks, and written guidance

Operate 1

Status, limits, changes, and where to get help

Commercial 2

Pricing, plans, and the legal terms of use

Company 5

The organization behind the API

Other 9

Properties that don't map to a standard resource type

Scroll for all 9

Source (apis.yml)

apis.yml Raw ↑
aid: smile-cdr
name: Smile Digital Health
description: Smile Digital Health (formerly Smile CDR) is a Toronto-based health interoperability software company and the
  commercial steward of the open source HAPI FHIR project (the world's most widely deployed Java implementation of the HL7
  FHIR standard). Its flagship product, Smile CDR — marketed under the broader Smile Omni portfolio as the OmniVera Health
  Data Platform — is a FHIR-native clinical data repository and integration platform that ingests HL7 v2.x, CDA, CSV, JSON,
  XML, and FHIR payloads, normalizes them into FHIR (R4, R5, STU3, DSTU2), and exposes them through a hardened FHIR REST API,
  SMART on FHIR / OAuth2 / OIDC security, Bulk Data export, Subscriptions, MDM, Terminology Services, CQL-based Quality Measures,
  and a JSON Admin API. The platform is deployed on-prem and across AWS, Azure, and GCP, with HITRUST v9.4, SOC 2 Type II,
  ISO 27001, and ONC 2015 Edition certifications, and is used by 190+ global customers, including 30+ US payers running CMS
  Interoperability and Prior Authorization (CMS-0057-F) workloads on its CMS Suite. Adjacent Smile Omni product families include
  OmniCompli (regulatory compliance, including CMS Suite and CMS Concierge), OmniQ (digital quality measures / HEDIS, Intelligence
  Hub), and OmniConcierge (managed and professional services). The primary developer surface is the FHIR REST API, with per-endpoint
  auto-generated OpenAPI / Swagger UI at `{baseUrl}/swagger-ui/`, plus a separate JSON Admin API for cluster, module, user,
  audit, batch job, MDM, and OpenID Connect administration.
type: Index
accessModel:
  pricing: unknown
  onboarding: unknown
  trial: false
  try_now: false
  public: false
  label: Unknown
  confidence: low
  source: []
  generated: '2026-07-22'
  method: derived
position: Provider
access: 3rd-Party
image: https://kinlane-images.s3.amazonaws.com/shared/apis-json/icons/smile-cdr.png
tags:
- Healthcare
- FHIR
- HL7
- Clinical Data Repository
- Interoperability
- HAPI FHIR
- SMART on FHIR
- Terminology Services
- MDM
- Bulk Data
- Subscriptions
- CMS Interoperability
- Prior Authorization
- Digital Quality Measures
- CQL
- Payer
- Provider
- Health Information Exchange
url: https://raw.githubusercontent.com/api-evangelist/smile-cdr/refs/heads/main/apis.yml
created: '2026-05-24'
modified: '2026-05-24'
specificationVersion: '0.20'
apis:
- aid: smile-cdr:smile-cdr-fhir-endpoint
  name: Smile CDR FHIR Endpoint
  description: The core FHIR REST API exposed by every Smile CDR FHIR Endpoint module. Supports the full FHIR REST interaction
    set (read, vread, update, patch, delete, history, search, transaction, batch, conditional CRUD) across FHIR R4, R5, STU3,
    and DSTU2, plus FHIRPath, custom search parameters, custom operations, and conformance via the `/metadata` CapabilityStatement.
    OpenAPI / Swagger UI is auto-generated and served at `{baseUrl}/swagger-ui/` when enabled.
  humanURL: https://smilecdr.com/docs/fhir/standard.html
  tags:
  - FHIR
  - REST API
  - CRUD
  - Search
  - CapabilityStatement
  properties:
  - type: Documentation
    url: https://smilecdr.com/docs/fhir/standard.html
  - type: Documentation
    url: https://smilecdr.com/docs/fhir/crud_operations.html
  - type: Documentation
    url: https://smilecdr.com/docs/fhir/searching.html
  - type: OpenAPISupport
    url: https://smilecdr.com/docs/fhir_repository/openapi_swagger.html
  - type: SwaggerUI
    url: https://hapi.fhir.org/baseR4/swagger-ui/
- aid: smile-cdr:smile-cdr-smart-on-fhir
  name: Smile CDR SMART on FHIR
  description: SMART on FHIR / OAuth2 / OIDC authorization surface for FHIR endpoints, supporting standalone launch, EHR launch,
    public and confidential clients, scopes, PKCE, refresh tokens, and consent. Includes `.well-known/smart-configuration`,
    authorization, token, introspection, and revocation endpoints.
  humanURL: https://smilecdr.com/docs/smart/index.html
  tags:
  - SMART on FHIR
  - OAuth2
  - OIDC
  - Authorization
  - Consent
  properties:
  - type: Documentation
    url: https://smilecdr.com/docs/smart/index.html
  - type: Documentation
    url: https://smilecdr.com/docs/security/openid_connect.html
- aid: smile-cdr:smile-cdr-bulk-data
  name: Smile CDR Bulk Data
  description: Implementation of the FHIR Bulk Data Access (Flat FHIR) specification for asynchronous, system-, group-, and
    patient-level export of FHIR resources as NDJSON, with status polling, manifest, and backend services authorization.
  humanURL: https://smilecdr.com/docs/bulk/fhir_bulk_export.html
  tags:
  - Bulk Data
  - NDJSON
  - Export
  - Asynchronous
  properties:
  - type: Documentation
    url: https://smilecdr.com/docs/bulk/fhir_bulk_export.html
  - type: Documentation
    url: https://smilecdr.com/docs/bulk/fhir_bulk_import.html
- aid: smile-cdr:smile-cdr-subscriptions
  name: Smile CDR Subscriptions
  description: FHIR Subscription (R4) and Subscription / SubscriptionTopic (R4B/R5 backport) support for push notifications
    on resource change, with REST hook, websocket, email, and message-queue channels.
  humanURL: https://smilecdr.com/docs/fhir/subscriptions.html
  tags:
  - Subscriptions
  - Webhooks
  - Event Driven
  - Notifications
  properties:
  - type: Documentation
    url: https://smilecdr.com/docs/fhir/subscriptions.html
- aid: smile-cdr:smile-cdr-mdm
  name: Smile CDR Master Data Management
  description: FHIR-native Master Data Management for Patient and Practitioner records, with probabilistic matching, golden
    records, candidate matching rules, survivorship, and administrative override via the MDM Admin endpoint and `$mdm-*` FHIR
    operations.
  humanURL: https://smilecdr.com/docs/mdm/mdm.html
  tags:
  - MDM
  - Master Data Management
  - Patient Matching
  - Golden Record
  properties:
  - type: Documentation
    url: https://smilecdr.com/docs/mdm/mdm.html
- aid: smile-cdr:smile-cdr-terminology
  name: Smile CDR Terminology Services
  description: Terminology Service implementing FHIR `$expand`, `$validate-code`, `$lookup`, `$translate`, and `$subsumes`
    operations over CodeSystems, ValueSets, and ConceptMaps. Bundled support for SNOMED CT, LOINC, ICD-10/11, RxNorm, and
    CPT, with bulk terminology upload.
  humanURL: https://smilecdr.com/docs/terminology/index.html
  tags:
  - Terminology
  - CodeSystem
  - ValueSet
  - ConceptMap
  - SNOMED CT
  - LOINC
  - ICD-10
  properties:
  - type: Documentation
    url: https://smilecdr.com/docs/terminology/index.html
- aid: smile-cdr:smile-cdr-cql-quality-measures
  name: Smile CDR CQL & Quality Measures
  description: Clinical Quality Language (CQL) engine and FHIR Clinical Reasoning module (Measure, Library, PlanDefinition)
    backing OmniQ digital Quality Measures (dQM) including HEDIS measures, with `$evaluate-measure` and `$apply` operations.
  humanURL: https://smilecdr.com/docs/measures/index.html
  tags:
  - CQL
  - Quality Measures
  - HEDIS
  - dQM
  - Clinical Reasoning
  properties:
  - type: Documentation
    url: https://smilecdr.com/docs/measures/index.html
- aid: smile-cdr:smile-cdr-cda-exchange
  name: Smile CDR CDA Exchange
  description: Bidirectional HL7 CDA / C-CDA exchange — ingest CDA documents and convert to FHIR Bundle, and render FHIR data
    as CDA for partners that consume the older standard. Exposed via the CDA Exchange Admin endpoint and inbound document
    upload channels.
  humanURL: https://smilecdr.com/docs/cda_exchange/cda_exchange.html
  tags:
  - CDA
  - C-CDA
  - Document Exchange
  - HL7
  properties:
  - type: Documentation
    url: https://smilecdr.com/docs/cda_exchange/cda_exchange.html
- aid: smile-cdr:smile-cdr-hl7-v2
  name: Smile CDR HL7 v2.x Interface
  description: MLLP-based HL7 v2.x inbound and outbound interfaces for ADT, ORM, ORU, MDM, SIU, VXU, and DFT messages, with
    bidirectional v2-to-FHIR mapping and ACK/NAK handling.
  humanURL: https://smilecdr.com/docs/hl7v2x/hl7v2x_support.html
  tags:
  - HL7 v2
  - MLLP
  - ADT
  - ORU
  - Integration
  properties:
  - type: Documentation
    url: https://smilecdr.com/docs/hl7v2x/hl7v2x_support.html
- aid: smile-cdr:smile-cdr-json-admin-api
  name: Smile CDR JSON Admin API
  description: REST/JSON administrative API for cluster operations — Module Config, System Config, User Management, Audit
    Log, Transaction Log, Troubleshooting Log, Metrics, Runtime Status, Batch Job, Bulk Import, MDM Admin, OpenID Connect
    Clients / Keystores / Servers / Sessions, Privacy Notice, and Version. Permission-scoped (VIEW_MODULE_CONFIG, UPDATE_MODULE_CONFIG,
    CONTROL_MODULE, etc.).
  humanURL: https://smilecdr.com/docs/json_admin_endpoints/json_admin_api.html
  tags:
  - Admin API
  - Module Configuration
  - User Management
  - Audit Log
  - Operations
  properties:
  - type: Documentation
    url: https://smilecdr.com/docs/json_admin_endpoints/json_admin_api.html
  - type: Documentation
    url: https://smilecdr.com/docs/json_admin_endpoints/module_config_endpoint.html
  - type: Documentation
    url: https://smilecdr.com/docs/json_admin_endpoints/user_management_endpoint.html
- aid: smile-cdr:smile-cdr-cms-suite
  name: Smile CDR CMS Interoperability Suite
  description: Pre-packaged CMS-compliant FHIR APIs for US payers — Patient Access, Provider Directory, Drug Formulary, Payer-to-Payer
    (CMS-9115-F) and Prior Authorization (CMS-0057-F / HL7 Da Vinci PAS, CRD, DTR) — built on Smile CDR with US Core, CARIN
    BB, Da Vinci, and PDex profiles.
  humanURL: https://www.smiledigitalhealth.com/solution/cms-suite
  tags:
  - CMS Interoperability
  - Patient Access
  - Prior Authorization
  - Da Vinci
  - US Core
  - CARIN BB
  - PDex
  - Payer
  properties:
  - type: Documentation
    url: https://www.smiledigitalhealth.com/solution/cms-suite
common:
- type: DomainSecurity
  url: security/smile-cdr-domain-security.yml
- type: Website
  url: https://www.smiledigitalhealth.com
- type: Portal
  url: https://www.smiledigitalhealth.com
- type: ProductLine — Smile Omni
  url: https://www.smiledigitalhealth.com/smile-omni
- type: Product — OmniVera Health Data Platform
  url: https://www.smiledigitalhealth.com/smilecdr
- type: Product — OmniCompli CMS Suite
  url: https://www.smiledigitalhealth.com/solution/cms-suite
- type: Product — OmniQ dQM
  url: https://www.smiledigitalhealth.com/solution/digital-quality-measures
- type: Product — OmniConcierge
  url: https://www.smiledigitalhealth.com/solution/professional-services
- type: Documentation
  url: https://smilecdr.com/docs/welcome/table_of_contents.html
- type: Documentation — Installation
  url: https://smilecdr.com/docs/installation/index.html
- type: Documentation — Security
  url: https://smilecdr.com/docs/security/index.html
- type: Documentation — OpenAPI / Swagger
  url: https://smilecdr.com/docs/fhir_repository/openapi_swagger.html
- type: Documentation — JSON Admin API
  url: https://smilecdr.com/docs/json_admin_endpoints/json_admin_api.html
- type: OpenSource — HAPI FHIR
  url: https://hapifhir.io
- type: GitHubOrganization — Smile Digital Health
  url: https://github.com/smilecdr
- type: GitHubOrganization — HAPI FHIR
  url: https://github.com/hapifhir
- type: SDK — HAPI FHIR (Java)
  url: https://github.com/hapifhir/hapi-fhir
- type: SDK — FHIR.ts (TypeScript / JavaScript)
  url: https://github.com/smilecdr/FHIR.ts
- type: TestServer — Public HAPI FHIR
  url: https://hapi.fhir.org
- type: Industry — Payers
  url: https://www.smiledigitalhealth.com/industry/payers
- type: Industry — Providers
  url: https://www.smiledigitalhealth.com/industry/providers
- type: Industry — Health Information Exchanges
  url: https://www.smiledigitalhealth.com/industry/health-information-exchanges
- type: Industry — Government
  url: https://www.smiledigitalhealth.com/industry/government
- type: Industry — Life Sciences
  url: https://www.smiledigitalhealth.com/industry/life-sciences
- type: Company
  url: https://www.smiledigitalhealth.com/about
- type: Newsroom
  url: https://www.smiledigitalhealth.com/blog
- type: Events
  url: https://www.smiledigitalhealth.com/events
- type: Careers
  url: https://www.smiledigitalhealth.com/careers
- type: Contact
  url: https://www.smiledigitalhealth.com/contact
- type: TrustCenter
  url: https://www.smiledigitalhealth.com/trust-center
- type: PrivacyPolicy
  url: https://www.smiledigitalhealth.com/privacy-policy
- type: TermsOfService
  url: https://www.smiledigitalhealth.com/terms-of-use
- type: LinkedIn
  url: https://www.linkedin.com/company/smile-digital-health
- type: Twitter
  url: https://twitter.com/SmileDigiHealth
- type: YouTube
  url: https://www.youtube.com/@SmileCDR
maintainers:
- FN: Kin Lane
  email: kin@apievangelist.com