Building Blocks for Data Transformation

Build the Next Gen HIE with Smile Digital Health

It hasn’t been easy, has it?

Building a secure, compliant and quality digital exchange of health data across populations with multi-stakeholder collaboration, an evolving legislative landscape and heavily siloed data from disconnected legacy IT systems.

This may have been healthcare IT’s history. But it is not our future

Smile Digital Health (Smile) enables HIEs, payers, providers, researchers and life sciences organizations to ingest, transform, store, enrich, analyze, aggregate and share health information. Our solution is a FHIR®-powered Health Data Fabric (HDF). It was created with open-standards to modernize public health utility services. Contextual, structured data that is captured, then enables automations to create care traffic control systems - this includes managing safety and mitigating risks in near-real time. 

FHIR and Next-Gen Health Information Exchange (HIE)

FHIR is the simplest, most extendable, and most adopted version of healthcare interoperability standards that is also comprehensive, flexible, and intuitive. The CMS and ONC’s interoperability proposed rules mandate and progressively enforce FHIR endpoints and FHIR workflows. FHIR leads the way because it provides the healthcare industry with a breadth of standards from a data model perspective. This includes a set of APIs, a well structured way of modeling and storing the information, as well as a set of guidelines and approaches (implementation guides or IGs) that describe how to use FHIR to achieve your organization’s goals. Those goals could be how to measure and impact social determinants of health, how to build on clinical research, how to optimize and store imaging, how to securely store and transmit volumes of managed, structured data between organizations, just to name a few. 

Unlike other IT vendors who offer legacy interoperability solutions or use their own proprietary data models, outdated or legislatively unresponsive technology or cloud offerings that lock customers into expensive transactional billing models, the Smile HDF is different.

Smile and the Next-Gen HIE

The Smile HDF is open-standards compliant and is composed of three utilities, which support reducing administrative and maintenance costs, improving population health, and facilitating patient engagement. This is how: 

  • Cost Savings with the Health Data Utility (HDU) - which supports all data infrastructure (such as security, consent, search, persistence modules and the clinical data repository), data uplifting (Master Data Management or MDM, translations and transformations), and 3rd party apps and service integration capabilities (CDS hooks and interceptors). Through FHIR’s semantically permissive and structured characteristics and the HDF’s data validation capabilities, you can significantly reduce costs of maintaining feeds. Even more savings are available with guaranteed structured data capture and real time access to accurate data, due to Smile’s MDM capabilities. Over time, the HDU can substantially reduce the reported US $3B of waste due to the lack of nationwide HIE connectivity. 

  • Clinical Decision Support, Population Health Management and Analytics with the Clinical Reasoning Utility (CRU) - which supports capabilities like CQL-based clinical reasoning engine and decision support logic. This utility can improve population health and offer a suite of health data, clinical reasoning, decision support logic and analytics that pave the way for value-based care. This utility also supports digital Quality Measures (dQM), computable CPGs (clinical practice guidelines), proactive closing of care gaps, Prior Authorization and more. 

  • Patient Engagement with the Marketplace Partner Utility (MPU) - which enables SMART on FHIR apps, consent and form modules and more features that integrate with EHRs. This utility provides patients with real-time access to their data. Additionally, providers have access to real-time relevant patient information to reduce clinical burnout, enhance patient safety and care and create new efficiencies. This provides HIEs with complete, real-time access to health data that drives flexible analytics (such as care gaps, Quality Measures, population health data). 

The Smile Health Data Fabric is secure and performant at scale.

Smile leads the industry in security certifications, giving your organization peace of mind that your data is safe and exchangeable. We hold certifications in HITRUST®, SOC 2® - Type II, ISO 27001, ISO 27018 and  ISO 13485:2016.

Our product is designed to perform at scale and break-through industry benchmarks

Clinical Reasoning At Scale and Continuous Innovation

By utilizing a FHIR-powered Health Data Fabric, we can envision Clinical Reasoning (CR) as the upcoming frontier in reducing the workload of healthcare providers, freeing them from excessive computer interaction. Moreover, it opens the path to conduct individual or population-level analytics within the FHIR framework.

Clinical Reasoning holds the potential to facilitate genuinely computable Clinical Practice Guidelines in FHIR, paving the way for fully automated Clinical Decision Support in various clinical applications. Additionally, by harnessing the capabilities of CQL in FHIR, it becomes possible to attain advanced analytics and digital quality measures (dQM).

Clinical Reasoning can be enriched, better informed and executed faster than before. This is part of our process for continuous innovation - pushing the bar higher towards our vision for #BetterGlobalHealth

With Smile as your vendor-partner and trusted guide, you can also look forward to:

  • Proven, battle-tested performance, security and data exchange, at scale

  • Alignment and compliance with TEFCA, CMS,and other national and regional regulations.

  • Near real-time Digital Quality metrics to improve quality of care, population health and reduce operational costs. 

  • Unleash analytics and innovation with AI/ML and other workflow learning products that can be implemented regularly.

  • Simple integration, management and analytics on 3rd party applications.

Let Smile help your organization contribute to the art of what is possible! #ChooseOpenStandards to drive #BetterGlobalHealth 

Book a meeting with us to discuss how our solutions help drive change in the industry. 


Details That Will Make Your Organization’s Technical Team Smile

If you’re unsure how a FHIR-based data fabric can serve as the building blocks for your HIE’s digital transformation, here are some details and specifications.

What is HL7? Health Level 7 (HL7) is a messaging standard that enables interoperability and helps healthcare providers deliver better care.
What is FHIR? FHIR is built on HL7 and is the simplest, most adopted and comprehensive version of healthcare interoperability standards
What are the use-cases of HL7-FHIR? Universal health data exchange - including apps, smart devices, and wearables. 
Message Format XML/JSON/RDF, API-based access.
Interoperability Method Syntactic and semantic.
Supported Platform EMR, EHR, HIS, mobile apps, and wearables.
Tools required Only console and browser.
Human Readability Yes.

Additional learning resources are available here