Smile Digital Health

Smile Digital Health (operating at smiledigitalhealth.com) is a FHIR-native Clinical Data Repository (CDR) platform engineered for seamless healthcare data interoperability. Founded in 2011 by James Agnew, Duncan Weatherston, and Clement Ng, and headquartered in Canada, Smile Digital Health specializes in unifying fragmented healthcare data—solving the long-standing challenge of siloed electronic health records (EHRs) and disparate clinical systems. Under the hood, the platform leverages FHIR (Fast Healthcare Interoperability Resources) standards to create a secure, compliant, and enterprise-grade infrastructure that ingests, structures, and standardizes clinical data in real time. This allows healthcare providers, payers, and population health organizations to derive actionable insights, automate digital quality measures, and accelerate clinical intelligence—ultimately improving patient outcomes and operational efficiency. Backed by over $65 million in funding, including a $30 million Series B round and a $15 million follow-on investment in 2025, Smile Digital Health is positioned as the commercially supported instance of HAPI FHIR, trusted by enterprises for scalable, interoperable data solutions.