Unify Your Data.
Align Every Team.
Smile Omni is a FHIR®-native and CQL engine that unifies data ingestion, quality and compliance at enterprise scale.
WEDI National Conference 2026
October 26-29, 2026
American University,
Washington College of Law, Washington, DC
Book 15 minutes with Smile to Explore How Your Organization Can Unify Digital Quality and Compliance
Computable Clinical Logic for the Age of AI
Healthcare organizations are investing in technology to modernize their infrastructure, meet regulatory mandates, and reduce administrative burden and cost. Much of that investment targets data modernization, including conversion to FHIR®, along with specific mandated processes such as Prior Authorization under CMS-0057-F, and the NCQA-led move to Digital HEDIS®.
As AI adoption increases and it becomes embedded in clinical and operational decision-making, organizations need guardrails that ensure AI decision support is transparent, consistent, auditable, and accurate. The creation of common computable clinical logic is one of those guardrails. It includes the clinical knowledge, decision rules, and processes that guide AI-reasoning models. Narrative documents like a Prior Authorization policy, a HEDIS measure, or a clinical best-practice guideline are transformed, using FHIR and CQL, into standardized, common, computable logic that can be shared and interpreted the same way across different systems and initiatives.
When clinical logic is encoded once, AI operates within defined clinical boundaries, and organizations can share clinical knowledge consistently across platforms, use-cases and between organizations or departments, rather than being locked in silos and manually reinterpreted inconsistently.
One Unified Foundation
for Every Healthcare Decision
FHIR-native, Computable, Semantically
Aligned Data
OmniVera transforms fragmented healthcare data into aligned, FHIR®-native information that every downstream program, from compliance to quality measurement, runs on. It brings together the Health Data Platform, Data Quality+, and Data Access+ with more than 2 billion records transformed to FHIR to date.
One Consistent, Auditable Rules Engine
Across Mandates and Workflows
OmniCompli turns regulatory requirements into consistent, transparent, and auditable execution across programs, mandates, and operational workflows.CMS Suite, CMS Suite+, and ePrior Authorization support payer programs for CMS-0057-F, whose API requirements take effect January 1, 2027.
Unified Data Powers Real-time Quality Intelligence at Scale
OmniQ applies computable quality logic, written in CQL, to unified FHIR® data, moving quality programs from retrospective reporting toward near-real-time insight and prospective action. OmniQ dQM - Measures for HEDIS® runs NCQA’s digital HEDIS® measures, and dQM - Custom Measures runs an organization’s own measures on the same engine.
Global Standards Expertise that
De-risks Transformation
OmniConcierge puts trusted data, computable rules, and quality logic into production through expert implementation, managed operations, and structured enablement. Smile maintains HAPI FHIR, the world’s most widely deployed FHIR implementation, contributes to 30+ HL7® work.
Solutions Architected by Industry Leaders in FHIR Interoperability
Expert Sessions
Beyond Connectivity: Building Trust in the Health Data Ecosystem
Speakers:
- Duncan Weatherston, Smile Digital Health
- Emma Andelson, AMA
When: Friday, Oct 23rd, 12:15pm - 1pm
Description: We have made tremendous progress connecting the healthcare ecosystem, but the ability to exchange data raises a bigger question: can we trust that the data will be shared appropriately and that a patient’s choices will be respected? This session brings together HL7 FAST leaders, a patient advocate, and industry stakeholders to explore how computable consent can turn patient preferences into actionable, enforceable requirements, and what it will take to operationalize trusted data exchange across the healthcare ecosystem.
CQL & FHIR: Putting Knowledge
to Work
Speakers:
- David Chisholm, VP, Payer Solutions, Smile Digital Health
- Rob Reynolds, VP, Clinical Intelligence, Smile Digital Health
When: Wednesday, Oct 28th, 10:45am -11:30am
Description: See how KALM AI is revolutionizing healthcare workflows by turning narrative medical policies into computable logic. We will showcase the efficiency of "encode once, reuse everywhere." Learn how a single encoded policy—built using Smile tools and CQL produces versatile output that can simultaneously automate Prior Authorization, streamline Care Management, simplify Digital Quality reporting, and accelerate value based care initiatives without duplicating effort.
Book 15 Minutes with Smile Experts at WEDI
Tell us where your organization stands today and where it needs to go. We’ll walk through how Smile Omni supports quality, compliance, and AI initiatives on a shared FHIR®-native foundation.
Start Your Quality Modernization Journey
Talk to us about where your organization is today, what needs to change next, and how to build a
quality foundation that can support the journey through 2030 and beyond.