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The Health Data Platform for Standardized, Structured,and Computable DataTake control of your healthcare data withthe Smile Health Data Platform. Smile’sPlatform transforms your healthcare datainto a powerful tool for driving better clinicaloutcomes, streamlining operations, andensuring compliance. Modernize yoursystems and turn legacy data into future-ready FHIR resources with the mostcomprehensive platform built for healthcareinteroperability, scalability, and security.Why Smile Health DataPlatform?Health Experts You Can Trust Our experts can guide you through every phase ofyour health data modernization strategy. Fromplanning to implementation, we ensure a smoothand successful transformation that sets yourorganization up for long-term success with themost comprehensive support for the FHIRstandard.Health Information You Can Trust Smile’s Platform ensures your data is standardizedand structured according to global healthcarestandards, making it accurate, real- time, andactionable for critical decisions that drive betterclinical outcomes.www.smiledigitalhealth.com | sales@smiledigitalhealth.com | 877-537-3343Copyright © 2025 Smile CDR Inc. (doing business as Smile Digital Health).Integrate andnormalize fragmenteddata from legacy systemsConsistently import disparate data formats such as HL7v2, CSV, and CDA into FHIR-compliant resources for a unified, actionable data source.Simplify regulatory complianceEnsure regulatory compliance with built in support for HIPAA, GDPR, and HITRUST® standards plus consent management, audittrails, and reporting. Ensure secure accessControl and manage data security with advanced tools, including encryption, multi-factor authentication, andconsent management.Build for the futureLeverage Smile’s open architecture and open APIs to ensure your platform aligns with long-term goals, providing extensibility and customization without being confined to proprietary systems.When implementing a data modernization strategy, healthcare organizations face challenges such as fragmented data, outdated legacy systems, and evolving regulatory requirements. The Smile Health DataPlatform provides solutions that transform these challenges into opportunities:Smile Health Data Platform: The Foundationof Your Modernization StrategyAddressing Healthcare’s Data Modernization Challenges
Native FHIR-Based Data Repository:Smile offers full support for multipleFHIR versions, ensuring your data isstructured for standardized, secureexchange tailored to your needs.Built-In Security & Privacy: Protect sensitive health data with AES-256 encryption, multi-factor authentication (MFA), and role-based access control (RBAC), ensuring compliance with global standards.Real-Time Data Processing: Access immediate insights through real-time data transformation, optimizing clinical workflows and decision-making.Scalability for Every Organization:The Smile Platform scaleseffortlessly to support small clinicsand large health systems, withoutcompromising on performance.Seamless Integration with External Systems: Full API support allows integration with third-party systems, clinical decision support tools, and analytics platforms.Contact us todayto learn how Smilecan revolutionize yourdata strategy. www.smiledigitalhealth.com | sales@smiledigitalhealth.com | 877-537-3343Copyright © 2025 Smile CDR Inc. (doing business as Smile Digital Health).The Smile Health Data Platform is your foundationfor a future-ready healthcare infrastructure.Drive better care, smarter decisions, and strongeroutcomes with the most secure, flexible, andinteroperable health data platform available.Beyond these core capabilities, the Smile Health Data Platform delivers bulk FHIR import forstreamlined data ingestion, advanced audit logging to track every system interaction, andcomprehensive reporting and analytics tools to help you make data-driven decisions. With supportfor multi-cloud deployment and federated identity management, the Smile Platform ensures thatyour organization’s data infrastructure is flexible, secure, and ready to scale alongside your needs.Smile Health Data Platform: The Foundationof Your Modernization StrategyKey Capabilities for Healthcare Transformation
Product HighlightsWhy Choose Smile CDA Exchange+?Enhanced InteroperabilityBi-Directional TransformationScalabilityOut-of-the-Box SupportCompliancePlug-and-Play ImplementationStrategic InsightsIntegrated SolutionEffortlessly converts data between C-CDA and FHIR.Seamlessly integratesclinical data into a unified,accessible record.Pre-configured mappingfor easy, code-free conversions.Efficiently managedata at any scale withease. Supports US Core 5.0.1 and USCDI v2.Ensure adherence toregulatory requirementseffortlessly. Leverages the Smile HealthData Platform for addeddata enrichment andelevation.Healthcare organizations face significantchallenges in managing clinical dataintegration, requiring solutions that areefficient, scalable, and compliant withindustry standards. Smile CDA Exchange+addresses these challenges by providing aseamless, robust platform that simplifies thecomplexities of data transformation andsupports better decision-making throughenriched, actionable insights.Introducing Smile CDA Exchange+ Our premium solution is designed to transform yourC-CDA* data into actionable FHIR resources, ensuring seamless interoperability and compliancewith industry standards.Smile CDA Exchange+ enables the acquisition,normalization, and enhancement of clinicaldata from electronic health records (EHRs) andhealth information exchanges (HIEs). By delivering an intuitive, integrated approach,it empowers organizations to overcomeinteroperability barriers, streamlineprocesses, and achieve impactful outcomes.Smile CDA Exchange+: Unlock the Powerof Your Clinical Datawww.smiledigitalhealth.com | sales@smiledigitalhealth.com | 877-537-3343Copyright © 2025 Smile CDR Inc. (doing business as Smile Digital Health). *C-CDA: Consolidated Clinical Document ArchitectureGain actionable CDIstrategies for betterbusiness outcomes.
www.smiledigitalhealth.com | sales@smiledigitalhealth.com | 877-537-3343Copyright © 2025 Smile CDR Inc. (doing business as Smile Digital Health). *C-CDA: Consolidated Clinical Document ArchitectureReady to transform your clinical data integration? Visit our website orcontact our sales team to learn more and schedule a demo.Smile CDA Exchange+ enhances data sharing and care coordination across HealthInformation Exchanges (HIEs), streamlines claims processing and accuracy for payers, andconsolidates patient records for comprehensive care in Health IT systems. This unifiedapproach supports better decision-making and improved patient care.Discover MoreHow It WorksPre-process(optional)Optimize C-CDA data for smooth transformation. Transform Post-process (optional) Apply business rules to FHIR resources before saving them in the SmileHealth Data Platform1 2 3Smile CDA Exchange+: Unlock the Powerof Your Clinical DataSimplify conversions with our robust mapping engine.
Smile Digital Health’sMaster DataManagement (MDM)solution is designedto change that • Seamlessly integrateswith the FHIR standard• Strengthens your datamanagement strategy.• Flexible and ready tomeet the evolving demands of healthcare. Cost EffectiveDesigned to integrate smoothly with Smile’sHealth Data Platform (HDP), our MDMsolution is positioned as a value-add thatmaximizes efficiency without incurringadditional standalone product costs.Golden RecordsCreates single, accurate and completesource-of-truth records that are structuredand maintain clinical context which can beleveraged for real time clinical insights.www.smiledigitalhealth.com | sales@smiledigitalhealth.com | 877-537-3343Copyright © 2025 Smile CDR Inc. (doing business as Smile Digital Health). Integrated SolutionReduce your IT footprint through completeintegration with the Health Data Platform,offering a comprehensive, unified platformthat ensures your data is interoperable andoptimized according to FHIR standardsIntuitive User-InterfaceOur evolving, sophisticated user interfaceoffers intuitive navigation and powerful tools,enabling users to efficiently manage datawith reduced manual intervention.Versatility Beyond BoundariesLinks related records and identifies thoseneeding review, with the capability to matchon FHIR resources that can support clinical,business, and operational insights.1 Source: https://www.rbccm.com/en/gib/healthcare/episode/the_healthcare_data_explosion) 2 Source: World Economic Forum HEALTHCAREGENERATESMORE DATATHAN EVERACCOUNTS FORAPPROXIMATELY30%OF GLOBAL DATAVOLUME¹97%OF THAT DATAGOES UNUSED The small utilized portionoften struggles withinaccuracies or duplication,limiting its impact.²What Makes Smile MDM UniqueSmile MDM: Create Accurate andSmile MDM: Create Accurate andTrusted DataTrusted Data
Contact us today!Ready to TransformYour Data Management?• Tailored to meet the unique challenges of healthcare organizations• Offers unmatched accuracy, interoperability, and efficiency• Improve patient care and grow your business. Smile’s MDM Delivers Lasting Value Learn how Smile’s MDM solution can revolutionizeyour data management strategy and help your organizationachieve better patient outcomes and operational excellence.Don’t settle forretrofitted, genericsolutions —choose aplatform built from theground up to supportyour data needs todayand in the future.FHIR StandardOur solution is built on FHIR standards,ensuring compatibility with the futureof healthcare data management.Integrated SolutionReduces your IT and security burdenby offering a comprehensive,unified platform.Operational EfficiencyMinimizes dependency on high-cost,low-availability tech workers with aneasy-to-use, consumer-grade user interface.www.smiledigitalhealth.com | sales@smiledigitalhealth.com | 877-537-3343Copyright © 2025 Smile CDR Inc. (doing business as Smile Digital Health). • Built with FHIR from the start for seamlessintegration.• Flexible MDM adapts to your evolving healthcare data needs.• Provides long-term value without unnecessary costs.• Integrates smoothly with other Smile solutions, creating a unified platform.Smile’sCompetitiveEdgeSmile MDM: Create Accurate andSmile MDM: Create Accurate andTrusted DataTrusted Data
The client: A non-prot health information exchange (HIE) network that provides data infrastructure across the continuum of care in a US mid-western state. The network routes and processes data for over 14 million patients, receives over 98% admission notications from network-hospitals and reports over 8.3 billion cumulative messages exchanged.The issues:The changing industry landscape requires that HIEs provide enhanced value to citizens, and evolve with growing population needs, while maintaining cost-eectiveness. The client was locked into a siloed legacy proprietary data platform for decades. The legacy vendor’s proprietary model had become increasingly expensive to maintain, upgrade, change and scale, since their IT architecture was not based on open standards. As a result, the client needed to nd an alternative solution that would enable interoperable data exchange in alignment with ONC and CMS mandates. The client searched for a vendor-solution that could implement commercial FHIR®-native infrastructure, upon which they could integrate and build their own resources. The objective:The client’s main goal was to consolidate all their legacy systems and modernize their IT infrastructure, and data exchange processes by 2025. This goal was part of their IT modernization strategy; to provide a network architecture that enabled centralized data access, streamlined exchange and reporting without being locked into a proprietary vendor platform. The client had several requirements to achieve their objective:• Ownership - The requirement to control their own data, processes and speed of innovation, including building and evolving modules, instead of outsourcing this to their IT vendor. • Cost of ownership - Low TCO or total cost of ownership, which includes the initial investment and operating costs for a technology solution. They also needed an IT platform that enabled them to upgrade as they needed, in a cost-eective way. • Quality data - The consistent availability of good data quality which is unduplicated, complete and contextual in order to run timely reports, quality management initiatives and predictive analytics. • Shared infrastructure - Continual enhancement of core shared services across the network like robust security, authorization measures, identity and consent management.• Data Utility - The ability to seamlessly plug-in third-party software for use-cases such as clinical decision support (CDS), patient portals, prior authorization, Revenue Cycle Management (RCM) etc.• Innovation - Flexible and agnostic cloud scalability—to handle increasing volumes of data from a variety of sources—along with seamless interoperability, enabling data access across all points-of-care in near real-time. A mix of cloud and on-premise data centers were unable to keep up with increasing demand and caused inecient workows and increased down-time. • Compliance - The technology infrastructure had to be compliant with ONC and CMS FHIR mandates, as well as future regulations.After a rigorous evaluation process, to help them choose a FHIR® vendor-partner, Smile emerged as the solution of choice to meet the client’s interoperability and modernization requirements. smiledigitalhealth.com | sales@smiledigitalhealth.com | 877-537-3343Copyright © 2024 Smile CDR Inc. (doing business as Smile Digital Health).Modernizing HIEs: Future-Forward Interoperable Data Exchange
Vendor and Solution Evaluation Continuous IT modernization is a fundamental process for any organization’s current and future operations. The client’s objective required the replacement of their entire existing legacy vendor system. To evaluate the depth and breadth of solutions for this vital and complex task, they created a thorough and comprehensive procurement process. As such, over a period of 1.5 years, a spectrum of evaluators—from their entire executive team to frontline sta across the network—tested hundreds of features, capabilities, use-cases and processes within their sandbox (test) environment through to Limited Production Release (LPR). The evaluation process tested Smile’s capabilities with other vendors, including, but not limited to: • Ingestion of various types and sources of data into FHIR, and pulling outputs from over 5,600 care entities in the network, without compromising speed and security.• Modular architecture with elements that could be turned o and on, on demand—like MDM (Master Data Management) and HL7 V2 messaging compliant with USCDI.• Validating and verifying terminology and code systems—clinical vocabulary and groups of codes that correspond to procedures and treatments—that allow relevant data to be mined from CDAs (Clinical Document Architectures). • Relevant availability of real-time event driven data in order to deliver the best clinical decisions support (CDS).• Managing shared utilities such as security measures, identity and consent management. • Enhanced experience for users—patients, providers and payers—for everyday operations and consumer service.In addition, Smile’s industry expertise is unparalleled. Smile is the maintainer of HAPI FHIR—the world’s prevailing open source reference implementation of FHIR. The team at Smile actively leads and participates in over 31 Implementation Guide (IG) Working Groups including CARIN IG, the framework that outlines how to integrate third party consumer apps into FHIR in accordance with CMS Patient Access API Rules. With experience completing over 160 successful global implementations, Smile’s team demonstrated depth of knowledge and expertise when challenges arose during the evaluation process. For these reasons Smile emerged as the vendor-solution of choice after the long, demonstration-based evaluation process.The Implemented Solution The client network which includes over 140 hospitals and over 1,000 clinical facilities now runs on Smile’s HDP (Health Data Platform)—a FHIR-native IT infrastructure that is completely connected and integrated in the back-end. With a consolidated and connected base architecture, the client can now:• Provide complete, comprehensive and longitudinal patient records across their network. • Oer secure and relevant real-time access to clinicians, so they can provide more informed, better coordinated care to the population they serve• Support more of the continuum of care by integrating third-party apps, including multiple patient and provider viewers and an independent FHIR-based EMPI (Enterprise Master Patient Index) solution.smiledigitalhealth.com | sales@smiledigitalhealth.com | 877-537-3343Copyright © 2024 Smile CDR Inc. (doing business as Smile Digital Health).Modernizing HIEs: Future-Forward Interoperable Data Exchange
The HDP’s proven capabilities not only satised all the client’s objectives (outlined above) to modernize their entire network architecture, but also set the foundation for future growth and continued innovation. Future GrowthWith a FHIR-native data modernization implementation, the client can do more with their data, now that it is standardized, clean, shareable, secure, contextual and interoperable. The modernization project provides the basis for new strategic investments. Smile is supporting some of these strategic investments, including: • Enhancing positive impact on patient outcomes, ecient care coordination and cost savings with Smile’s FHIR and CQL (clinical quality language) solutions. FHIR and CQL oer rened clinical reasoning (CR) and clinical quality management (CQM) across the network. • Sharing SDoH (Social Drivers of Health) data securely to support care coordination and population health initiatives in underserved communities.• Analytic-driven policies to bridge health inequities and serve vulnerable populations better.• Enabling value-based care initiatives, PA (prior authorization) and payer-to-payer solutions, by creating custom use cases within the network to cost-savings, revenue-generation and patient satisfaction. The new generation of HIEs have to respond to growing population needs, and create more value from complete, accessible, actionable, exchangeable data.smiledigitalhealth.com | sales@smiledigitalhealth.com | 877-537-3343Copyright © 2024 Smile CDR Inc. (doing business as Smile Digital Health).Modernizing HIEs: Future-Forward Interoperable Data ExchangeDon’t get left behind. Start your data modernization journey with SmileCLICK HERE
The client: A Canadian provincial HIE (health information exchange) responsible for delivering, overseeing and validating high quality and timely care delivery for 15.5 million citizens. The agency collects and manages data systems from over 200 hospitals, 4,300 pharmacies, private labs, drug repositories, community and specialty care clinics.The issues:The provincial agency collects data from multiple disparate repositories and EHR (electronic health record) systems across the continuum of care in both physical (paper-based) and digital formats. These legacy systems lack true interoperability resulting in incomplete, inaccessible data, inecient workows and incompatible security and authorization protocols. Accessing records in a timely manner is a complex and burdensome task, often riddled with delays and gaps in information. The provincial system does not receive source data from primary care facilities, which provide 80% of care delivery to the population. This combination of siloed data and incompatible processes has contributed to increased risks and costs, delays and gaps in care management, an inability to scale best practices across the continuum of care, and health inequity across the province. The eort to make data complete and comprehensive requires high manual eort—considerable time spent by care teams to gather relevant data, ensure it is up-to-date, usable, without errors and duplication—and substantial burden on resources and funding allocation.The objectives:The client’s goal was to create a province-wide unied EHR (electronic health record) system that compiled complete and longitudinal health records for each citizen. They needed their new unied system to facilitate seamless and interoperable health data exchange from a diverse collection of applications and sources—imaging, drug, community care, primary and long-term care—to facilitate timely, accurate and appropriate care provision. They knew that achieving this goal would reduce clinical and operational burdens and costs across the network, enhance coordinated quality care delivery, and improve health equity across the population. To achieve this goal, the client had to rst consolidate their technologies, policies and business workows and create a modern interoperable health data ecosystem. They searched for a solution that could:• Consolidate and standardize data from all fragmented systems into a single source-of-truth health repository that could collect, aggregate and analyze, across multiple cloud platforms.• Reduce operational and administrative burdens and process complexities of data exchange by using the HL7® FHIR® implementation standard for data interoperability and exchange.• Manage and comply with provincial policies and procedures around data exchange, risk, vulnerability, ethics, authorization, privacy, security and patient access. • Create a province-wide clean, quality data repository (complete, matched, de-duplicated records), to eventually support specic use cases such as clinical reasoning capabilities, medication dispensing records (for Opioid management etc.), population health trends, etc.• Comply with provincial quality guidelines to ensure health equity across underserved populations like Indigenous, rural and low-literacy communities.• Ensure their data sovereignty and stewardship, i.e. a no vendor lock-in IT infrastructure. smiledigitalhealth.com | sales@smiledigitalhealth.com | 877-537-3343Copyright © 2024 Smile CDR Inc. (doing business as Smile Digital Health).Value of Massive Scale Data Modernization for an HIE
Solution & Expertise Smile’s Health Data Platform (HDP)—a cloud-based enterprise-level data exchange and interoperability platform, built on the HL7® FHIR® standard—is a modern solution with no vendor lock-in. It was evaluated by the client in an open bid against competing market solutions. Smile was awarded the bid due to the wide-range of capabilities demonstrated, including: • Compatibility with all HL7 FHIR resources to simplify the data ingestion and standardization process from multiple disparate sources, including legacy third party vendor applications and systems.• Extendibility and support across multiple cloud platforms—including Microsoft Azure and AWS—to unify data management and sharing across environments, and optimize care delivery and cost.• Modular architecture with specic features that can be turned on and o, on demand—like MDM (master data management) and RTE (real-time export)—providing both exibility and ownership of IT infrastructure.• Performance and scalability demonstrated by exceeding the client’s minimum requirements: over 40 million transactions exchanged per day, more than 1TB of data managed each week, and storage of near-innite data volumes. • Industry leadership with over 160 successful enterprise-level implementations globally and leading over 31 Working Groups that create IGs (Implementation Guides) for technical deployments.• Compliance with PHIPPA, ISO 13482 and ISO 27001 industry certications.A dedicated team at Smile delivers continuous operational maintenance, and technical support services. The team leverages Microsoft Azure’s managed service capabilities to provide both application operations (AO) and infrastructure operations (IO) support. This frees the client’s in-house IT resources to focus on their business operations, as opposed to IT management.Time to Value Within 18 months of implementation, the client achieved: • A FHIR-based Clinical Data Foundation (CDF) was established to ingest, store and share health data, complete with seamless, automated integrations to existing provincial registries, systems and services.• Multiple implementations of FHIR-powered analytical solutions—the rst ever by the provincial agency in the Microsoft Azure cloud—which reports on centralized waitlist management, mental health and addictions, surgical eciency and cardiac care metrics.• A Primary Care information exchange for patient information, such as current conditions, prescriptions, allergies, vaccinations, etc. which contributes to a complete, scalable and shareable Patient Summary (PS).• Closed data-contribution gaps across repositories like long-term, acute care, lab, drug, medication dispensing and imaging, by standardizing both data and processes, in and out of systems. This has simplied and harmonized hundreds of business and system requirements across the network. For medication dispensing, data is now collectable from community pharmacies and hospital administrators.• Launch of Innovation & Vendor Acceleration (IVA) environments to enable development within areas of acute, community and primary care as well as medication data domains using FHIR IGs. This accelerates timelines to implement new data exchanges within these sectors. smiledigitalhealth.com | sales@smiledigitalhealth.com | 877-537-3343Copyright © 2024 Smile CDR Inc. (doing business as Smile Digital Health).Value of Massive Scale Data Modernization for an HIE
• Harmonizing IGs and clinical terminology to provide richer clinical and historical context to build better clinical decision support tools, and understand health inequities through data-driven analytics.Though the implementation with the client is still ongoing, the above benets fullled their key objectives, while also lowering the total cost curve of care management and delivery across time.Strategic ValueWith a completely modernized, cloud-based Health Data Platform, the client can continually run and rene analytics and insights to enhance digital services, virtual care, and lower health equity barriers while optimizing costs. Improved and timely care delivery can be scaled to emergency care, recalls and safety alerts and medication reconciliation across all points-of-care. The modernization benets include analysis of data for both primary use (e.g. treatment plans) and secondary use (e.g. research data). As comprehensive and rich data continues to be contributed to the data platform, new possibilities are unleashed, such as integrated assessment records, long term care management, and predictive analytics on patient and population trends, to name a few. smiledigitalhealth.com | sales@smiledigitalhealth.com | 877-537-3343Copyright © 2024 Smile CDR Inc. (doing business as Smile Digital Health).Value of Massive Scale Data Modernization for an HIEBring massive scale data modernization to your HIE with Smile’s Health Data Platform. CLICK HERE
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