Smile CDR is a health technology company that reduces barriers between information and care for those who deliver or consume healthcare services and products and whose roles or care are hindered by fractured, inaccessible, or complex information systems.

Our complete clinical data repository is built around the HL7 FHIR standard used for storing health records. It includes out-of-the-box enterprise-grade capabilities for terminology, security, audit and compliance, Lucene-based search, HL7 v2 to FHIR conversion, and much more. It supports all FHIR resource types, the complete REST API, versioning, soft deletes, and other useful features. It targets enterprises, research organizations, application developers, consultants and integrators.

Trust Smile CDR for TechnologyBusiness and People


We Power Interoperability

Smile CDR is powered by HAPI, the open source reference implementation of the FHIR specifications in Java. With Smile CDR, HAPI users globally have the option to seamlessly transition from an unsupported open source FHIR server to a commercially supported, enterprise-class FHIR repository when ready. By using Smile CDR, organizations can enable interoperability of their health systems using a standards-based product that leverages the most proven FHIR implementation in the world.

Finally a Technology That Truly Helps You Innovate

Smile CDR's modular design means you can customize the system for any configuration you can dream up. We've got a few ideas but the possibilities are endless. USE CASES: Multi-Site Provider, Health Exchange, App Developers



Our clients know how to go big. This multi-site hospital system is just one example of what you can build with the Smile CDR platform. Their challenge was bringing together many different sites with many different EHR data sources for fast, flexible management.

With Smile CDR, we were able to feed a repository with HL7 v2 from all of their systems while mapping that data into FHIR. With this, they had a real-time mirror of all of the EHR data sitting inside a repository, ready for use. And they made use of two great benefits of HL7 FHIR - authorization and subscription. Learn More




Smile CDR makes the perfect heart of hospital data strategy systems. A hospital can use Smile CDR at the centre of its architecture for data exchange, and feed it with data from any source that makes sense: their EMR system, their patients’ PHRs or wearables, clinician’s internal devices - anywhere relevant data is created. You can also populate or export Smile CDR data with other sources by taking advantage of FHIR endpoints or by using HL7 v2.x interfaces.

With all of that data is sitting in one central repository, managing it takes on a whole new level of functionality… discoverability, rich queries, full text indexing, and more. Getting that data back out enables the bridging of research and clinical care, while being given the capacity to treat it as a united data set. Then take it even further by building custom apps that leverage that wealth of data to support your entire system. Learn More

Usecase Hospital



Smile CDR can serve as a central broker for data that is coming in from and going to a large variety of sources. An appropriate inbound security module is chosen in order to facilitate integration across a wide variety of users and environments. This might take the form of a central IAM system with tokens being validated by Smile CDR, a distributed and federated LDAP directory forest, or a simple authentication scheme built within Smile CDR itself.

In order to ease integration across many sources, terminology mapping is centralized in terminology tables within Smile CDR. Data may be submitted according to multiple current standards with mapping happening after-the-fact. Learn More

Usecase Enterprise



Whether you’re a startup building a new app, or a mature company delving into needs-based software development, Smile CDR makes the perfect backend for health and clinical applications. Taking advantage of the power of the FHIR data model gives you a significant head start in bringing your ideas to market quickly. Build apps or deploy apps written by other people against a backend that supports the complete SMART on FHIR specification.

We have extensive experience in the health app development space. We have helped to build successful FHIR-based apps for the management of chronic conditions, as well as for wellness and general health. Our team of experts can consult on or offer building support at any stage of your process, from discovery to implementation. Learn More

FHIR endpoint

A Data Strategy That Works for Business

You work hard to manage your healthcare business’ data so you can respond in ways that meet the needs of your stakeholders.

We’re here to help you do even more.

With the Smile CDR platform, you can get focused feedback from every level of your organization. This means you can identify key areas to target as you adjust your business management strategies—while having the tooling and support to make it happen. And with flexible licensing, the Smile CDR platform is affordable for any budget.



Outdated or locked-vendor data strategies can be a significant drain on your company’s resources. The Smile CDR platform is designed with flexibility at its core, meaning that every solution we create is as unique as the business it empowers. With a built-in management interface, your developers can simplify their work and be more productive, so your business can build and customize applications faster than ever before.

Combined with fixed-cost tiers, additional volume discounts, and pricing caps, the Smile CDR platform is affordable at any budget. Plus, as a standards-based, open-source solution, there is no risk of vendor lock-in. You’ll always have full access to your data and can easily move to a new product if required. Our goal is to make sure you never want to.


One-size-fits-all interfaces are a thing of the past. With the speed and flexibility of the Smile CDR platform, you have the power to create a consumer outreach strategy in line with your health management practices. By building interfaces specific to your users, you empower them with tools that they actually want to use.

For health products, this facilitates user retention and interaction, working to drive key performance indicators surrounding your consumer population. For health systems, like hospitals, custom designed applications enable your clinicians to work with the world in the way that they want. This helps them work smarter - and happier.



In the past, an isolated data strategy was sufficient. But expectations are changing, and the future of health IT is data compatibility for regional exchanges. Until recently, big health data systems have made it very difficult for organizations to interact with regional systems, such as EHR platforms. They just aren’t built for it. Smile CDR is built on the upcoming international standard for health data.

With Smile CDR, you’ll have access to the wealth of data from your regional system to further support your health management practices. And you’ll be ready for the future.





With Smile CDR, you can give your developers access to a service interface that simplifies their work and makes them more productive. It will enable your business to build and customize applications faster than ever before. This gives you a shortened development cycle with happier users and clients.

But we are so much more than just a product. The Smile CDR team is an experienced and passionate group of experts ready to help you at any stage of your process. We can consult on or build any of these pieces, from discovery to implementation, and deliver them in a way that makes sense to your business.

There's a Lot to Smile About

At its heart, the Smile CDR platform enables people and organizations to better manage healthcare data. It’s built around a standard made by HL7 called FHIR (pronounced fire), which acts like a new universal language for healthcare data. By speaking the same data language, different information technology systems are able to communicate, which can play a huge role in the advancement of real-world endeavours like health research and clinical care. Here are just a few ways we hope technologies like Smile CDR will benefit people.



Clinicians are the frontline of effective healthcare. So healthcare technology should efficiently support clinicians, not the other way around. At Smile CDR, we know it's important for clinicians to be empowered to work the way they need to. Generically-built software that doesn’t take into account the unique needs of individual healthcare environments is a problem.

That’s why we built our platform to make it easier than ever for organizations to quickly build and deliver custom software applications directly with and for their clinicians. And because we also help manage the health data these applications use, we can build new ways to bridge clinical care and research to deliver real, focused outcomes back to where they’re needed.



Data has the power to change healthcare. One of Smile CDR’s key values lies in moving healthcare IT towards a future of interoperability for the sharing of all kinds of health data. If more service providers, health systems, governments, and organizations start sharing their data, there’s no telling what kinds of discoveries could be found.

By improving the management of data from the inside-out, we help to speed up the process. That means real, focused outcomes can be given back to healthcare providers fast, which means better understanding and treatment for patients.



We are all patients at some point. If our healthcare technologies become compatible, it’s better for everyone. Our health records, which can hold important information about our past and future health, could be accessible all the time - when we move, when we travel, even on our personal devices.

At Smile CDR, we love this idea. If technologies like ours become the standard, we can move towards empowering patients to be in control of their own health information, instead of relying on providers to store, access, and share it exclusively. This means patients can be healthcare partners with their doctors - and that benefits everyone.