# Smile Digital Health

**Canonical:** https://apis.io/providers/smile-cdr/  
**Website:** https://www.smiledigitalhealth.com  
**APIs profiled:** 11

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.

## Kin Score — 11.5 / 100 (emerging)

Scored 2026-08-25 under rubric 0.14.0. Trend: flat (+0.0 from 11.5).

| Facet | Score |
|---|---|
| Discoverability | 64.8 |
| Contract Quality | 0.0 |
| Governance | 0.0 |
| Contract Governance | 0.0 |
| Operational Transparency | 0.0 |
| Developer Ergonomics | 19.0 |
| Commercial Clarity | 10.5 |
| Access Clarity | 10.5 |

Regulatory layer — **Health**: 12.5 (matched via tags).

## Agent readiness — 0.0 (human-only)

| Dimension | Value |
|---|---|
| Spec Presence | no |
| Agentic Access | no |
| Reversibility Documented | no |
| MCP Server | no |
| Auth Clarity | no |
| Idempotency | no |
| Error Semantics | no |
| OpenAPI Examples | no |
| Rate Limit Signal | no |
| Event Surface Described | no |
| Agent Skills | no |
| Well Known Catalog | no |
| Consent Identity | no |
| Agent Card | no |
| Dry Run Mode | no |
| Delegated Identity | no |
| Protected Resource Metadata | no |
| Dynamic Client Registration | no |
| Agentic Commerce | no |

## Access

Unknown — onboarding: unknown, pricing: unknown, trial: no (confidence: low).

## APIs (11)

- **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...

## Security (1)

- **Smile Cdr Domain Security** — TLSv1.3 · HSTS · DMARC

## Tags

Healthcare, FHIR, HL7, Clinical Data Repository, Interoperability, HAPI FHIR, SMART on FHIR, Terminology Services, MDM, Bulk Data, Subscription, CMS Interoperability, Prior Authorization, Digital Quality Measures, CQL, Payer, Provider, Health Information Exchange

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Profiled by [API Evangelist](https://apievangelist.com) and published on [APIs.io](https://apis.io/providers/smile-cdr/). Scores are computed from the provider's own public artifacts under a published rubric.