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Smile CDR v2024.08.PRE
On this page:
Welcome to Smile CDR
Table of Contents
1.0
Smile CDR Maturity Model
1.1
Smile CDR Premium Solutions
1.2
List of Features by Maturity
1.3
Changelog (2024 Releases)
1.4
Changelog (2023 Releases)
1.5
Changelog (2022 Releases)
1.6
Changelog (2021 Releases)
1.7
Changelog (2020 Releases)
1.8
Changelog (2019 Releases)
1.9
Changelog (2018 Releases)
1.10
Changelog (2017 Releases)
1.11
Getting Started
Basic Concepts
2.0
Platform Requirements
2.1
Installation
Installing Smile CDR
3.0
Docker Container Installation
3.1
Unix Service Installation
3.2
Tuning your Installation
3.3
Message Brokers
3.4
Message Broker Failure Management
3.5
Message Broker: Kafka
3.6
Message Broker: ActiveMQ
3.7
Pre-Seeding Configuration and Data
3.8
Upgrading Smile CDR
3.9
Production Checklist
3.10
Module Licensing
3.11
Tutorial and Tour
Preamble and Setup
4.0
Processing HL7 v2.x Feeds
4.1
Federated OAuth2/OIDC Setup
4.2
The FHIR Standard
FHIR Introduction
5.0
FHIR CRUD Operations
5.1
FHIR Searching Basics
5.2
FHIR Search: References and Includes
5.3
FHIR Search: Custom Search Parameters
5.4
FHIR Transactions and Batches
5.5
FHIRPath Expressions
5.6
FHIR Storage
Concepts in Smile CDR
6.0
FHIR Storage Modules
6.1
FHIR Endpoint Module
6.2
FHIRWeb Console
6.3
OpenAPI / Swagger Support
6.4
FHIR Endpoint Customization
6.5
Resource IDs
6.6
Search Parameters
6.7
Search Parameter Features
6.8
Phonetic Search Parameters
6.9
Search Parameter Tuning
6.10
Search Parameter Reindexing
6.11
Searching for Data
6.12
Creating Data
6.13
Reading Data
6.14
Updating Data
6.15
Deleting Data
6.16
Binary Data
6.17
Request Tracing and Provenance
6.18
FHIR Versions
6.19
Resource Versions and Versioned References
6.20
Tags, Profiles, and Security Labels
6.21
Partitioning and Multitenancy
6.22
Custom Resource Types
6.23
Batch and Scheduled Jobs
6.24
FHIR Storage (Relational)
FHIR Storage (Relational) Module
7.0
Resource Storage Mode
7.1
Performance Tuning
7.2
Lucene Indexing
7.3
Performance and Caching
7.4
Chained Searching and Sorting
7.5
MegaScale
7.6
FHIR Storage (MongoDB)
FHIR Storage (MongoDB) Module
8.0
MongoDB Sharding / Partitioning
8.1
Validation and Conformance
Introduction
9.0
Validation Support Repository
9.1
Validation Support Repository Options
9.2
Conformance Data
9.3
Repository Validation
9.4
Repository Validation: Java
9.5
Repository Validation: Javascript
9.6
Repository Validation: Validation Bean
9.7
Endpoint Validation
9.8
Packages and Implementation Guides
9.9
Package Registry Endpoint Module
9.10
Remote Terminology Services
9.11
Suppressing Messages
9.12
Validation Performance
9.13
Automatic Provenance Injection
9.14
Terminology
Terminology Introduction
10.0
Uploading Codes
10.1
Terminology and Lucene Indexing
10.2
ValueSet Expansion
10.3
FHIR Response Terminology Mapping
10.4
Subscription
Introduction
11.0
Architecture
11.1
Channel Types
11.2
Delivery Options
11.3
Manual Triggering
11.4
Topic Subscriptions
11.5
Interceptors
Interceptors
12.0
Pointcuts
12.1
Starter Project
12.2
Examples: FHIR Endpoints
12.3
Examples: HL7v2 Endpoints
12.4
Examples: FHIR Storage
12.5
Examples: FHIR Gateway
12.6
Examples: FHIR Client
12.7
Examples: MDM
12.8
Examples: Subscription
12.9
Examples: Channel Import
12.10
Examples: Cluster Manager
12.11
2024.02.01 Migration Guide
12.12
Channel Import
Channel Import Overview
13.0
Realtime Export
Realtime Export Overview
14.0
Realtime Export Rules Definition
14.1
Using FHIRPath
14.2
Debezium
14.3
Security
Security in Smile CDR
15.0
Authentication Protocols
15.1
Authorization and Consent
15.2
Inbound Security Module
15.3
Local Inbound Security Module
15.4
LDAP Inbound Security Module
15.5
Scripted Inbound Security Module
15.6
SAML Inbound Security Module
15.7
Trusted Client Mode
15.8
Roles and Permissions
15.9
Callback Scripts
15.10
Anonymous Access
15.11
Consent Service
15.12
Consent Service: JavaScript API
15.13
Consent Service: Java API
15.14
Security Recipes
15.15
Two Factor Authentication
15.16
Troubleshooting Security
15.17
SMART on FHIR
SMART on FHIR: Introduction
16.0
SMART: Scopes
16.1
SMART: Auth Flows
16.2
SMART: Endpoints
16.3
Client Management
16.4
OIDC Keystores
16.5
SMART: Smile CDR Support
16.6
SMART Outbound Security: Module
16.7
SMART Outbound Security: Skinning
16.8
SMART Outbound Security: Context Selection
16.9
SMART Outbound Security: SAML Bridging
16.10
SMART: Federated OAuth2/OIDC Login
16.11
SMART: Application Approval/Consent
16.12
SMART Inbound Security Module
16.13
SMART: Session Management
16.14
SMART: Assigning Permissions
16.15
SMART: Access Tokens
16.16
SMART: User Profile Information
16.17
FHIR Client Authentication
16.18
appSphere
Introduction
17.0
Getting Started
17.1
Associated Module Configurations
17.2
Client Creation and Configuration
17.3
Other Configurations
17.4
Developer Portal
17.5
App Management Console
17.6
App Gallery
17.7
Appendix
17.8
FHIR Gateway
FHIR Gateway Introduction
18.0
Configuration: Initial Setup
18.1
Configuration: Document
18.2
Custom Operations
18.3
Caching
18.4
Pagination
18.5
FHIR Hybrid Providers
Hybrid Providers
19.0
REST Custom Operations
19.1
LiveBundle
LiveBundle Overview
20.0
LiveBundle API
20.1
LiveBundle Rule Definition
20.2
LiveBundle Keepers
20.3
CDS Hooks
CDS Hooks
21.0
Master Data Management
MDM
22.0
MDM Quickstart Guide
22.1
MDM Rule Definition
22.2
Using EIDs in MDM Rule Definition
22.3
MDM Survivorship Rules
22.4
Upgrading from the EMPI module
22.5
MDM UI
22.6
MDM Blocklist Definition
22.7
MDM Evaluate Operation
22.8
Quality Improvement
Quality Improvement Overview
23.0
Clinical Quality Language (CQL)
23.1
Care Gaps
23.2
Evaluating Measures
23.3
Quality Payment Program (QPP)
23.4
ActivityDefinitions
23.5
PlanDefinitions
23.6
Questionnaires
23.7
IG Support
International Patient Summary (IPS)
24.0
EasyShare
EasyShare SMART Health Links (SHL)
25.0
EasyShare SHL Public module
25.1
EasyShare SHL Admin module
25.2
Clustering
Designing a Cluster
26.0
Migration To 2020.02
26.1
Logging
Overview
27.0
Audit Log
27.1
Transaction Log
27.2
System Logging
27.3
Troubleshooting Logs
27.4
Custom Logging
27.5
HL7 v2.x Support
Introduction
28.0
Inbound Messaging
28.1
FHIR-Based Terminology Translation
28.2
Outbound Messaging
28.3
Outbound: Default Resource Conversion
28.4
Outbound: Custom Resource Conversion
28.5
Outbound: Verbatim Messaging
28.6
Outbound: Transport
28.7
Transactions
28.8
Structure Definitions
28.9
Segment Definitions
28.10
Table Definitions
28.11
Naming System Mapping
28.12
Processing Results Feeds
28.13
Protocol
28.14
CDA Exchange Module
Introduction
29.0
JavaScript Templates
29.1
Rest API Operations
29.2
Available Document and Section Types for CDA Export
29.3
Available Document and Section Types for CDA Import
29.4
JavaScript Hooks on CDA Import / Export
29.5
Further Reading
29.6
CDA Exchange+ Module
Introduction
30.0
JavaScript Templates
30.1
Rest API Operations
30.2
Available Document and Section Types for CDA Export
30.3
Available Document and Section Types for CDA Import
30.4
JavaScript Hooks on CDA Import / Export
30.5
FHIR-Based Terminology Translation
30.6
Further Reading
30.7
System to System Data Exchange
System to System Data Exchange Module
31.0
Smile CDR Payer to Payer Quickstart Guide
31.1
Custom Matching Script
31.2
Bulk Operations
ETL Import Module
32.0
FHIR Bulk Import Operation
32.1
FHIR Bulk Export Operation
32.2
Additional Features
Da Vinci Clinical Data Exchange (CDex)
33.0
Da Vinci Health Record Exchange (HRex)
33.1
Monitoring
Monitoring Basics
34.0
Elastic APM Basics
34.1
Externalized Metrics
34.2
OpenTelemetry Integration
34.3
Product Administration
Batch Job Management
35.0
Web Admin Console
35.1
JSON Admin Endpoints
JSON Admin API
36.0
Audit Log Endpoint
36.1
Batch Job Endpoint
36.2
Bulk Import Endpoint
36.3
CDA Exchange Endpoint
36.4
Metrics Endpoint
36.5
Module Config Endpoint
36.6
OpenID Connect Clients Endpoint
36.7
OpenID Connect Servers Endpoint
36.8
OpenID Connect Sessions Endpoint
36.9
Runtime Status Endpoint
36.10
System Config Endpoint
36.11
Transaction Log Endpoint
36.12
Troubleshooting Log Endpoint
36.13
User Management Endpoint
36.14
HFQL: Direct SQL Access
HFQL/SQL Overview
37.0
SQL Syntax
37.1
SQL Syntax: Select
37.2
SQL Syntax: Where
37.3
SQL Syntax: Limitations
37.4
SQL Syntax: Examples
37.5
Product Configuration
HTTP Server Setup
38.0
TLS and HTTPS Reference
38.1
Java Execution Environment
Security Attributes
39.0
Library Support
39.1
Exception Handling
39.2
Javadocs
39.3
JavaScript Execution Environment
Introduction
40.0
Specifying JavaScript in Configuration File
40.1
Remote Debugging
40.2
ECMA Modules (import)
40.3
Converter API
40.4
Environment API
40.5
Exceptions API
40.6
OAuth2 Exceptions API
40.7
FHIR REST API
40.8
FHIR Model API
40.9
HL7 v2.x Mapping API
40.10
HTTP API
40.11
LDAP API
40.12
Log API
40.13
Composition Resource API
40.14
Composition Section API
40.15
TransactionBuilder API
40.16
Util API
40.17
UUID API
40.18
XML API
40.19
Callback Models
40.20
Database Administration
Database Design
41.0
Database Connection Pool
41.1
Setting Up PostgreSQL
41.2
Troubleshooting PostgreSQL
41.3
Setting Up MySQL
41.4
Setting Up MariaDB
41.5
Setting Up Oracle
41.6
Setting Up SQL Server (MSSQL)
41.7
AWS IAM Authentication
41.8
Localization
Localization
42.0
Examples
42.1
Available Localization Keys
42.2
Smile CDR CLI (smileutil)
Introduction
43.0
Bulk Import
43.1
Create FHIR Package
43.2
Execute Script Function
43.3
Export ConceptMap to CSV
43.4
HL7 v2.x Analyze Flat File
43.5
HL7 v2.x Transmit Flat File
43.6
Import CSV to ConceptMap
43.7
Map and Upload CSV Bulk Import File
43.8
Migrate Database
43.9
Clear Database Migration Lock
43.10
Module Config Properties Export
43.11
Reindex Terminology
43.12
Synchronize FHIR Servers
43.13
Upgrade H2 Database File
43.14
Upload Bundle Files
43.15
Upload CSV Bulk Import File
43.16
Upload Sample Dataset
43.17
Upload Terminology
43.18
Generate Realtime Export Schema
43.19
Validate FHIR Resources
43.20
Apache Camel Integration
Camel Module Overview
44.0
Smile Camel Processors
44.1
Smile Camel Converters
44.2
Modules
JSON Admin API
45.0
Web Admin Console
45.1
CDA Exchange
45.2
Channel Import
45.3
Cluster Manager
45.4
CQL
45.5
Audit Log Persistence
45.6
Transaction Log Persistence
45.7
Digital Quality Measures (DQM)
45.8
Documentation Templates and Rules (DTR)
45.9
Enterprise Master Patient Index
45.10
CDS Hooks Endpoint
45.11
FHIR Gateway Endpoint
45.12
FHIR REST Endpoint (All Versions)
45.13
FHIR REST Endpoint (DSTU2 - Deprecated)
45.14
FHIR REST Endpoint (DSTU3 - Deprecated)
45.15
FHIR REST Endpoint (R4 - Deprecated)
45.16
FHIRWeb Console
45.17
HL7 v2.x Listening Endpoint
45.18
HL7 v2.x Listening Endpoint (Deprecated)
45.19
HL7 v2.x Sending Endpoint
45.20
Hybrid Providers Endpoint
45.21
Package Registry Endpoint
45.22
Subscription Websocket Endpoint
45.23
ETL Importer
45.24
MDM
45.25
MDM UI
45.26
Prior Auth CRD
45.27
Prior Auth Support
45.28
Narrative Generator
45.29
FHIR Storage (DSTU2 RDBMS)
45.30
FHIR Storage (R3 RDBMS)
45.31
FHIR Storage (R4 RDBMS)
45.32
FHIR Storage (R5 RDBMS)
45.33
FHIR Storage (Mongo)
45.34
Realtime Export
45.35
LDAP Inbound Security
45.36
Local Inbound Security
45.37
SAML Inbound Security
45.38
Scripted Inbound Security
45.39
SMART Inbound Security
45.40
SMART Outbound Security
45.41
Subscription Matcher (All FHIR Versions)
45.42
Subscription Matcher (DSTU2 - Deprecated)
45.43
Subscription Matcher (DSTU3 - Deprecated)
45.44
Subscription Matcher (R4 - Deprecated)
45.45
appSphere
45.46
Payer to Payer
45.47
System to System Data Exchange
45.48
Amazon HealthLake Outbound REST Connector
45.49
License
45.50
Camel
45.51
Configuration Categories
Web Admin Console Settings
46.0
appSphere
46.1
Payer Config
46.2
Initial appSphere Seeding
46.3
Authentication Callback Scripts
46.4
Auth: General for APIs
46.5
User Authentication
46.6
Auth: HTTP Basic
46.7
Auth: OpenID Connect
46.8
Browser Syntax Highlighting
46.9
Camel
46.10
Capability Statement (metadata)
46.11
Care Gaps
46.12
CDA Generation
46.13
CDA Import
46.14
CDA Interceptors
46.15
CDA JavaScript Execution Scripts
46.16
CDA Terminology
46.17
CDS Hooks Definitions
46.18
CDS Hooks On FHIR
46.19
Channel Import
46.20
Channel Retry
46.21
Kafka
46.22
Cluster Manager Maintenance
46.23
Message Broker
46.24
Cluster Level Security
46.25
CQL
46.26
Credentials
46.27
Cross-Origin Resource Sharing (CORS)
46.28
System to System Data Exchange
46.29
Database
46.30
Da Vinci Health Record Exchange
46.31
DQM
46.32
DTR
46.33
EasyShare SMART Health Links
46.34
Email Configuration
46.35
Encounter Start CDS hook configuration
46.36
MDM UI
46.37
ETL Import: CSV Properties
46.38
ETL Import: Source
46.39
FHIR Binary Storage
46.40
FHIR Bulk Operations
46.41
Capability Statement
46.42
FHIR Configuration
46.43
Consent Service
46.44
FHIR Endpoint Conversion
46.45
FHIR Endpoint HFQL Support
46.46
FHIR Endpoint Partitioning
46.47
Resource Providers
46.48
FHIR Endpoint Security
46.49
Endpoint Terminology
46.50
FHIR Gateway Cache
46.51
FHIR Gateway Configuration
46.52
FHIR Interceptors
46.53
LiveBundle Service
46.54
FHIR MDM Server
46.55
FHIR Performance
46.56
FHIR Performance Tracing
46.57
FHIR Realtime Export
46.58
Repository Validation
46.59
FHIR Resource Types
46.60
FHIR REST Endpoint
46.61
FHIR Search
46.62
Custom Resource Types
46.63
IG Support
46.64
MegaScale
46.65
FHIR Storage Module Conditional Updates
46.66
FHIR Storage Module Scheduled Tasks
46.67
FHIR Validation Services
46.68
FHIR Storage Package Registry
46.69
FHIR Storage Partitioning
46.70
Versioned References
46.71
FHIR Subscription Delivery
46.72
FHIR Subscription Persistence
46.73
Amazon HealthLake REST Endpoint
46.74
HL7 v2.x Mapper - Contained Resource
46.75
HL7 v2.x Mapper - DG1
46.76
HL7 v2.x Mapper - Forced Namespace Mode
46.77
HL7 v2.x Mapper - General
46.78
HL7 v2.x Mapper - Medications
46.79
HL7 v2.x Mapper - OBR
46.80
HL7 v2.x to FHIR Mapper - OBSERVATION Group
46.81
HL7 v2.x Mapper - ORC
46.82
HL7 v2.x to FHIR Mapper - ORDER_OBSERVATION Group
46.83
HL7 v2.x Mapper - PID
46.84
HL7 v2.x Mapper - PV1
46.85
Listener Interceptors
46.86
HL7 v2.x Listener Script
46.87
HL7 v2.x Listening Endpoint
46.88
HL7 v2.x MLLP Listener
46.89
HL7 v2.x MLLP Sender
46.90
FHIR to HL7 v2.x Mapper Script
46.91
HL7 v2.x Outbound Mapping
46.92
HTTP Access Log
46.93
HTTP Listener
46.94
HTTP Request Pool
46.95
HTTP Security
46.96
Hybrid Providers Definitions
46.97
IG Support
46.98
Initial User Seeding
46.99
JavaScript Execution Environment
46.100
JSON Web KeySet (JWKS)
46.101
LDAP Authentication
46.102
Smile CDR License
46.103
Lucene FullText Indexing
46.104
MDM
46.105
Narrative Generator
46.106
OpenID Connect Token Validation
46.107
OpenID Connect (OIDC)
46.108
Order Sign CDS hook configuration
46.109
Payer to Payer
46.110
Prior Authorization Coverage Requirement Discovery
46.111
Prior Authorization Support
46.112
Privacy Security Notice
46.113
Provenance Injection
46.114
Quality Payment Program (QPP)
46.115
Realtime Export
46.116
Endpoint Validation: Request Validating
46.117
Scheduler Configuration
46.118
Search Parameter Seeding
46.119
SAML Provider
46.120
Security Inbound Script
46.121
Inbound SMART on FHIR Authentication
46.122
Inbound SMART on FHIR Endpoints
46.123
OAuth2/OIDC Federation
46.124
SMART Callback Script
46.125
Cross-Organizational Data Access Profile
46.126
SMART Login Skin
46.127
SMART Login Terms of Service
46.128
SMART Authorization
46.129
SMART Definitions Seeding
46.130
Sessions
46.131
Two Factor Authentication
46.132
TLS / SSL (Encryption)
46.133
Transaction Log
46.134
Trusted Client
46.135
User Self Registration
46.136
Product Reference
Enumerated Types
47.0
Amazon HealthLake Outbound REST Connector
Introduction
48.0
Getting Started
48.1
Data Management and Transfer
48.2
Appendix
Preparing a Linux Host
49.0
Installing Smile CDR, NGINX and PostgreSQL in a Docker Stack
49.1
Deploying a Kubernetes Managed Cluster
49.2
Password Hashing Algorithms
49.3
Resource Paths
49.4
JWT Signature Algorithms
49.5
Inferno Considerations
49.6
45.28 Prior Auth Support
45.29 Narrative Generator
Modules
45.0
JSON Admin API
45.1
Web Admin Console
45.2
CDA Exchange
45.3
Channel Import
45.4
Cluster Manager
45.5
CQL
45.6
Audit Log Persistence
45.7
Transaction Log Persistence
45.8
Digital Quality Measures (DQM)
45.9
Documentation Templates and Rules (DTR)
45.10
Enterprise Master Patient Index
45.11
CDS Hooks Endpoint
45.12
FHIR Gateway Endpoint
45.13
FHIR REST Endpoint (All Versions)
45.14
FHIR REST Endpoint (DSTU2 - Deprecated)
45.15
FHIR REST Endpoint (DSTU3 - Deprecated)
45.16
FHIR REST Endpoint (R4 - Deprecated)
45.17
FHIRWeb Console
45.18
HL7 v2.x Listening Endpoint
45.19
HL7 v2.x Listening Endpoint (Deprecated)
45.20
HL7 v2.x Sending Endpoint
45.21
Hybrid Providers Endpoint
45.22
Package Registry Endpoint
45.23
Subscription Websocket Endpoint
45.24
ETL Importer
45.25
MDM
45.26
MDM UI
45.27
Prior Auth CRD
45.28
Prior Auth Support
45.29
Narrative Generator
45.30
FHIR Storage (DSTU2 RDBMS)
45.31
FHIR Storage (R3 RDBMS)
45.32
FHIR Storage (R4 RDBMS)
45.33
FHIR Storage (R5 RDBMS)
45.34
FHIR Storage (Mongo)
45.35
Realtime Export
45.36
LDAP Inbound Security
45.37
Local Inbound Security
45.38
SAML Inbound Security
45.39
Scripted Inbound Security
45.40
SMART Inbound Security
45.41
SMART Outbound Security
45.42
Subscription Matcher (All FHIR Versions)
45.43
Subscription Matcher (DSTU2 - Deprecated)
45.44
Subscription Matcher (DSTU3 - Deprecated)
45.45
Subscription Matcher (R4 - Deprecated)
45.46
appSphere
45.47
Payer to Payer
45.48
System to System Data Exchange
45.49
Amazon HealthLake Outbound REST Connector
45.50
License
45.51
Camel
45.30 FHIR Storage (DSTU2 RDBMS)
Table of Contents
Narrative Generator
45.29.1
Narrative Generator
45.29.2
Configuration Categories
The Narrative Generator module includes the following configuration categories:
Narrative Generator
45.28 Prior Auth Support
45.29 Narrative Generator
Modules
45.0
JSON Admin API
45.1
Web Admin Console
45.2
CDA Exchange
45.3
Channel Import
45.4
Cluster Manager
45.5
CQL
45.6
Audit Log Persistence
45.7
Transaction Log Persistence
45.8
Digital Quality Measures (DQM)
45.9
Documentation Templates and Rules (DTR)
45.10
Enterprise Master Patient Index
45.11
CDS Hooks Endpoint
45.12
FHIR Gateway Endpoint
45.13
FHIR REST Endpoint (All Versions)
45.14
FHIR REST Endpoint (DSTU2 - Deprecated)
45.15
FHIR REST Endpoint (DSTU3 - Deprecated)
45.16
FHIR REST Endpoint (R4 - Deprecated)
45.17
FHIRWeb Console
45.18
HL7 v2.x Listening Endpoint
45.19
HL7 v2.x Listening Endpoint (Deprecated)
45.20
HL7 v2.x Sending Endpoint
45.21
Hybrid Providers Endpoint
45.22
Package Registry Endpoint
45.23
Subscription Websocket Endpoint
45.24
ETL Importer
45.25
MDM
45.26
MDM UI
45.27
Prior Auth CRD
45.28
Prior Auth Support
45.29
Narrative Generator
45.30
FHIR Storage (DSTU2 RDBMS)
45.31
FHIR Storage (R3 RDBMS)
45.32
FHIR Storage (R4 RDBMS)
45.33
FHIR Storage (R5 RDBMS)
45.34
FHIR Storage (Mongo)
45.35
Realtime Export
45.36
LDAP Inbound Security
45.37
Local Inbound Security
45.38
SAML Inbound Security
45.39
Scripted Inbound Security
45.40
SMART Inbound Security
45.41
SMART Outbound Security
45.42
Subscription Matcher (All FHIR Versions)
45.43
Subscription Matcher (DSTU2 - Deprecated)
45.44
Subscription Matcher (DSTU3 - Deprecated)
45.45
Subscription Matcher (R4 - Deprecated)
45.46
appSphere
45.47
Payer to Payer
45.48
System to System Data Exchange
45.49
Amazon HealthLake Outbound REST Connector
45.50
License
45.51
Camel
45.30 FHIR Storage (DSTU2 RDBMS)