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Smile Omni

From Fragmentation to Unified Interoperability

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

The Fragmentation Problem

Organizations do not lack data or technology. They struggle with fragmentation across systems, programs, and governance structures. Complex layers of point solutions create operational friction and limit scalability.

The issues are:

 

Data Silos

Information fragmented across systems

Inconsistent formats and mappings

No unified, computable source of truth


Disconnected Quality

Retrospective reporting rather than prospective insight

Manual abstraction and reconciliation

Limited ability to close care gaps prospectively

Technical Compliance vs. Operational Readiness

API deployment without workflow integration

Regulatory requirements implemented in isolation

Audit and operational risk surfacing late in execution

The result is manual rework, unvalidated data, inconsistent decision-making, and slow response to regulatory or clinical change.

The Solution Approach

Healthcare leaders are asking themselves:

Is our architecture built on a shared, standards-based foundation?
Can data move securely and at scale across systems?
Can the system apply computable logic over that data?
Can clinical logic coordinate workflows, govern decisions, and produce auditable outcomes?

To achieve seamless information flow, organizations must address three interconnected layers:

 

Data Interoperability

HL7 FHIR standard, with no vendor lock-in

Standardized exchange and structural/syntactic alignment

emantic consistency across systems

Knowledge Interoperability

Standards-based clinical logic

Practice guidelines and quality measures

Medical evidence expressed using CQL standard

Process Interoperability

Workflow coordination and alignment

Governance & policy enforcement

Operational execution with audit traceability

Most modernization approaches address one or two, but not all three. 

 Smile Omni - One Unified Foundation

One Unified Foundation

Smile Omni is a unified FHIR-native architecture that powers all three interoperability layers on a shared foundation. Data, computable logic, compliance execution, and workflows operate consistently without manual reconciliation across systems.

 

 

One Portfolio | One Foundation | Consistent Outcomes

190+ global implementations

30+ US payer deployments

Maintainers of HAPI FHIR
(world's prevailing FHIR implementation)

Contributors to 30+ HL7 FHIR working groups

Each Smile Omni solution family addresses a distinct domain: data, compliance, quality and expertise, all built upon the same validated computable foundation. Omni is a collection of these families.

 

OmniVera - The Unified Source of truth

Data Interoperability • FHIR-Native Foundation • Trusted at Scale

OmniVera establishes a unified, governed data layer by transforming fragmented healthcare data into 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 

OmniCompli - The Unified Source of Compliance

Process Interoperability • Standards-Based Execution • Audit-Ready Outcomes

OmniCompli transforms fragmented regulatory interpretation into consistent, transparent, and auditable execution across healthcare programs.

 

30+ US Payers

Trusting OmniCompli for CMS compliance

110M+ Lives

American lives touched by OmniCompli

Jan 1, 2027

CMS-0057-F enforcement date ready

OmniCompli Solutions Execute Compliance 

OmniQ - The Unified Source of Quality

Knowledge Interoperability • Clinical Intelligence • Quality at Scale

OmniQ applies computable quality logic and measurement frameworks to unified FHIR data, generating accurate, explainable insights that support quality programs, population health, and operational decision‑making.

 

First

Fully NCQA-validated vendor for Digital HEDIS®

< 1%

Measurement variance through validation

Near Real-Time

Scoring vs. retrospective reporting

OmniQ Solutions Validate Quality & Intelligence 

OmniConcierge - One Unified Source of Expertise

Implementation • Operations • Enablement • Support

OmniConcierge ensures organizations can operationalize trusted data,computable rules, and quality intelligence through expert implementation, managed operations, and structured enablement programs.

 

30+

HL7 FHIR working group contributions

HAPI FHIR + CQL Ruler

Maintained by Smile

190+

Global implementations delivered

OmniConcierge Solutions Deliver Expertise & Experience 

Smile Omni operates on the same trusted computable data.

Truth | Compliance | Intelligence | Expertise

UNIFIED

Where To Start?

Comprehensive architecture transformation typically begins with a focused initiative.

We recommend you start where your operational friction lies—whether driven by regulatory mandates, prior authorization modernization, or digital quality initiatives. Architecture built for one use case becomes the foundation for the next, without rework. 

With Smile Omni, the architecture built for one use case becomes the foundation for the next, without rework.

Let’s Discuss Your Modernization Journey

See how Smile Omni powers your modernization strategy with clarity,
consistency, and confidence.