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Connected Health for Canadians

The Canadian Ecosystem Today

The pressure of legacy IT systems locked in proprietary silos has created pervasive fragmentation across the healthcare landscape. This fragmentation has created a patchwork of disconnected sources that limits data liquidity and right-access, stifles innovation and the delivery of high-quality timely care, and has increased administrative burden costs over time. This is a major barrier to high-quality, patient-centred care that Canadians deserve.

While legislation like Bill S-5, which is currently advancing through parliament, is a step in the right direction, the Canadian health ecosystem requires deeper technical coherence to ensure interoperability, data sovereignty, and high-powered intelligent data systems that lower administrative burdens, costs and delays in care delivery.

Market Drivers Shaping the Canadian Landscape

Four convergent forces are driving the shift toward a unified digital health infrastructure:

  • Fiscal Pressure: Every healthcare organization is now under pressure to improve outcomes, reduce manual administrative costs, and rationalize technology investments.

  • Data Sovereignty Needs: The increasing demand for domestic data residency and governance frameworks, that ensures sensitive health information remains under jurisdictional control.

  • Standards Convergence: Semantic inconsistency and diverse formats of unstandardized data prevent true interoperability and reliable automations. The global adoption of FHIR® as the standard for health interoperability and data exchange is critical to data harmonization and consistent access and usability.

  • Legislative Momentum: Federal Bill S-5 advances interoperability and anti-data-blocking requirements, while Ontario Bill 11 and Bill 13 reinforce the shift toward connected, digitally-integrated care.

The Canadian-made Modernization

Smile Digital Health empowers organizations within the health ecosystem to shift from the legacy patchwork of reactive and siloed IT architectures, towards a unified, fully computable FHIR-based data foundation which is semantically-aligned.

This solution approach allows:

Providers

To replace manual chart-chasing with real-time access to comprehensive patient data, enabling informed, timely care. 



Policy Makers & National Agencies (like CIHI and Infoway)

To gain high-fidelity, standardized data for population health analytics and wait-time management.

Provincial/Territorial Ministries

To achieve a national floor for data quality, sovereignty, and interoperability with automated rules that respect local governance, patient and population consent.

Vendors

To deliver value-added services that enable true automation, analytics and innovation, without data blocking, built upon a secure FHIR-native architecture. 

Federal Health Ministry

To manage secure, transparent, scalable policy initiatives across the nation, including areas of Corrections, and National Defense. 

First Nations Health Services

To govern and maintain community-led data governance that respects ownership.

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From Fragmentation to Elevated Modernization

Smile Omni Delivers FHIR®-native Data, Knowledge and Process Interoperability .

The Smile Omni Solution: A Unified Foundation

Smile Omni is a unified FHIR®-native architecture that powers interoperability on a shared data foundation. Computable logic, compliance execution, and diverse workflows operate consistently on the same high-quality source, without manual reconciliation across systems. By building upon a FHIR-native foundation, organizations ensure that every dollar spent on IT investments powers other downstream initiatives. 

OmniVera

Data Interoperability • FHIR-Native Foundation • Trusted at Scale

The FHIR-native foundation that ingests and standardizes data from all formats and sources, including CDAs, at massive speeds into a single, trusted source-of-truth. By transforming fragmented healthcare inputs into a unified, governed layer, OmniVera delivers aligned, FHIR‑native information ready for automation, compliance, quality measurement, and intelligence. 

2B+ Records

Transformed into FHIR in < 26 hours

255,000+ TPS

Transactions per second at scale

99.99%

Annual availability in production

OmniVera Solutions Build Your Trusted Data Foundations

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Knowledge Interoperability • Clinical Intelligence • Quality at Scale

OmniQ applies computable quality logic (expressed through HL7® CQL standard) and measurement frameworks upon unified FHIR data to generate accurate, explainable insights that support quality programs, population health, and operational decision‑making. It bridges the gap between manual retrospective reporting and pre-emptive action, improving patient and population outcomes aligned with national policies.

Turn

Medical Guidelines into Clinical Action with HL7 CQL

Automate

CIHI, NACRS, DAD, Infoway Reporting Workflows

~$250K

Annual savings through reduced rework, automations

OmniQ Solutions Validate Quality & Intelligence

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Implementation • Operations • Enablement • Support

OmniConcierge is the expertise layer that ensures enterprise-wide orchestration, governance and coordination through the modernization journey. Customized support is offered through expert implementations, managed operations, strategy consultation, training and support programs.

30+

HL7 FHIR working group contributions

 HAPI FHIR + CQL Ruler

Maintained by Smile

 190+

Global implementations delivered

OmniConcierge Solutions Deliver Expertise & Experience

Talk to Smile About Building an Interoperable, Sovereign Health Architecture that Delivers Connected Care to Canadians
Get in Touch

Smile Omni in Action

How Smile is Shaping the Canadian Healthcare Ecosystem