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Powered by Smile CDR v2025.02.PRE-04 (build e75afbc13c)
Showing documentation for 2024.08.R01
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
  • Examples 39.4

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

Prior Auth CRD (Coverage Requirement Discovery)

  • Prior Auth CRD (Coverage Requirement Discovery) Module 45.0

Prior Auth DTR (Documentation Templates and Rules)

  • Prior Auth DTR (Documentation Templates and Rules) Module 46.0

Prior Auth Support

  • Prior Auth Support Module 47.0

Modules

  • JSON Admin API 48.0
  • Web Admin Console 48.1
  • CDA Exchange 48.2
  • Channel Import 48.3
  • Cluster Manager 48.4
  • CQL 48.5
  • Audit Log Persistence 48.6
  • Transaction Log Persistence 48.7
  • Digital Quality Measures (DQM) 48.8
  • Documentation Templates and Rules (DTR) 48.9
  • Enterprise Master Patient Index 48.10
  • CDS Hooks Endpoint 48.11
  • FHIR Gateway Endpoint 48.12
  • FHIR REST Endpoint (All Versions) 48.13
  • FHIR REST Endpoint (DSTU2 - Deprecated) 48.14
  • FHIR REST Endpoint (DSTU3 - Deprecated) 48.15
  • FHIR REST Endpoint (R4 - Deprecated) 48.16
  • FHIRWeb Console 48.17
  • HL7 v2.x Listening Endpoint 48.18
  • HL7 v2.x Listening Endpoint (Deprecated) 48.19
  • HL7 v2.x Sending Endpoint 48.20
  • Hybrid Providers Endpoint 48.21
  • Package Registry Endpoint 48.22
  • Subscription Websocket Endpoint 48.23
  • ETL Importer 48.24
  • MDM 48.25
  • MDM UI 48.26
  • Prior Auth CRD 48.27
  • Prior Auth Support 48.28
  • Narrative Generator 48.29
  • FHIR Storage (DSTU2 RDBMS) 48.30
  • FHIR Storage (R3 RDBMS) 48.31
  • FHIR Storage (R4 RDBMS) 48.32
  • FHIR Storage (R5 RDBMS) 48.33
  • FHIR Storage (Mongo) 48.34
  • Realtime Export 48.35
  • LDAP Inbound Security 48.36
  • Local Inbound Security 48.37
  • SAML Inbound Security 48.38
  • Scripted Inbound Security 48.39
  • SMART Inbound Security 48.40
  • SMART Outbound Security 48.41
  • Subscription Matcher (All FHIR Versions) 48.42
  • Subscription Matcher (DSTU2 - Deprecated) 48.43
  • Subscription Matcher (DSTU3 - Deprecated) 48.44
  • Subscription Matcher (R4 - Deprecated) 48.45
  • appSphere 48.46
  • Payer to Payer 48.47
  • System to System Data Exchange 48.48
  • Amazon HealthLake Outbound REST Connector 48.49
  • License 48.50
  • Camel 48.51

Configuration Categories

  • Web Admin Console Settings 49.0
  • appSphere 49.1
  • Payer Config 49.2
  • Initial appSphere Seeding 49.3
  • Authentication Callback Scripts 49.4
  • Auth: General for APIs 49.5
  • User Authentication 49.6
  • Auth: HTTP Basic 49.7
  • Auth: OpenID Connect 49.8
  • Browser Syntax Highlighting 49.9
  • Camel 49.10
  • Capability Statement (metadata) 49.11
  • Care Gaps 49.12
  • CDA Generation 49.13
  • CDA Import 49.14
  • CDA Interceptors 49.15
  • CDA JavaScript Execution Scripts 49.16
  • CDA Terminology 49.17
  • CDS Hooks Definitions 49.18
  • CDS Hooks On FHIR 49.19
  • Channel Import 49.20
  • Channel Retry 49.21
  • Kafka 49.22
  • Cluster Manager Maintenance 49.23
  • Message Broker 49.24
  • Cluster Level Security 49.25
  • CQL 49.26
  • Credentials 49.27
  • Cross-Origin Resource Sharing (CORS) 49.28
  • Invoke Export 49.29
  • Member Match 49.30
  • Database 49.31
  • Da Vinci Health Record Exchange 49.32
  • DQM 49.33
  • EasyShare SMART Health Links 49.34
  • Email Configuration 49.35
  • MDM UI 49.36
  • ETL Import: CSV Properties 49.37
  • ETL Import: Source 49.38
  • FHIR Binary Storage 49.39
  • FHIR Bulk Operations 49.40
  • Capability Statement 49.41
  • FHIR Configuration 49.42
  • Consent Service 49.43
  • FHIR Endpoint Conversion 49.44
  • FHIR Endpoint HFQL Support 49.45
  • FHIR Endpoint Partitioning 49.46
  • Resource Providers 49.47
  • FHIR Endpoint Security 49.48
  • Endpoint Terminology 49.49
  • FHIR Gateway Cache 49.50
  • FHIR Gateway Configuration 49.51
  • FHIR Interceptors 49.52
  • LiveBundle Service 49.53
  • FHIR MDM Server 49.54
  • FHIR Performance 49.55
  • FHIR Performance Tracing 49.56
  • FHIR Realtime Export 49.57
  • Repository Validation 49.58
  • FHIR Resource Types 49.59
  • FHIR REST Endpoint 49.60
  • FHIR Search 49.61
  • Custom Resource Types 49.62
  • IG Support 49.63
  • MegaScale 49.64
  • FHIR Storage Module Conditional Updates 49.65
  • FHIR Storage Module Scheduled Tasks 49.66
  • FHIR Validation Services 49.67
  • FHIR Storage Package Registry 49.68
  • FHIR Storage Partitioning 49.69
  • Versioned References 49.70
  • FHIR Subscription Delivery 49.71
  • FHIR Subscription Persistence 49.72
  • Amazon HealthLake REST Endpoint 49.73
  • HL7 v2.x Mapper - Contained Resource 49.74
  • HL7 v2.x Mapper - DG1 49.75
  • HL7 v2.x Mapper - Forced Namespace Mode 49.76
  • HL7 v2.x Mapper - General 49.77
  • HL7 v2.x Mapper - Medications 49.78
  • HL7 v2.x Mapper - OBR 49.79
  • HL7 v2.x to FHIR Mapper - OBSERVATION Group 49.80
  • HL7 v2.x Mapper - ORC 49.81
  • HL7 v2.x to FHIR Mapper - ORDER_OBSERVATION Group 49.82
  • HL7 v2.x Mapper - PID 49.83
  • HL7 v2.x Mapper - PV1 49.84
  • Listener Interceptors 49.85
  • HL7 v2.x Listener Script 49.86
  • HL7 v2.x Listening Endpoint 49.87
  • HL7 v2.x MLLP Listener 49.88
  • HL7 v2.x MLLP Sender 49.89
  • FHIR to HL7 v2.x Mapper Script 49.90
  • HL7 v2.x Outbound Mapping 49.91
  • HTTP Access Log 49.92
  • HTTP Listener 49.93
  • HTTP Request Pool 49.94
  • HTTP Security 49.95
  • Hybrid Providers Definitions 49.96
  • IG Support 49.97
  • Initial User Seeding 49.98
  • JavaScript Execution Environment 49.99
  • JSON Web KeySet (JWKS) 49.100
  • LDAP Authentication 49.101
  • Smile CDR License 49.102
  • Lucene FullText Indexing 49.103
  • MDM 49.104
  • Narrative Generator 49.105
  • OpenID Connect Token Validation 49.106
  • OpenID Connect (OIDC) 49.107
  • Payer to Payer 49.108
  • Prior Authorization Coverage Requirement Discovery 49.109
  • Prior Auth DTR 49.110
  • Prior Authorization Support 49.111
  • Privacy Security Notice 49.112
  • Provenance Injection 49.113
  • Quality Payment Program (QPP) 49.114
  • Realtime Export 49.115
  • Endpoint Validation: Request Validating 49.116
  • Scheduler Configuration 49.117
  • Search Parameter Seeding 49.118
  • SAML Provider 49.119
  • Security Inbound Script 49.120
  • Inbound SMART on FHIR Authentication 49.121
  • Inbound SMART on FHIR Endpoints 49.122
  • OAuth2/OIDC Federation 49.123
  • SMART Callback Script 49.124
  • Cross-Organizational Data Access Profile 49.125
  • SMART Login Skin 49.126
  • SMART Login Terms of Service 49.127
  • SMART Authorization 49.128
  • SMART Definitions Seeding 49.129
  • Sessions 49.130
  • Two Factor Authentication 49.131
  • TLS / SSL (Encryption) 49.132
  • Transaction Log 49.133
  • Trusted Client 49.134
  • User Self Registration 49.135

Product Reference

  • Enumerated Types 50.0

Amazon HealthLake Outbound REST Connector

  • Introduction 51.0
  • Getting Started 51.1
  • Data Management and Transfer 51.2

Appendix

  • Preparing a Linux Host 52.0
  • Installing Smile CDR, NGINX and PostgreSQL in a Docker Stack 52.1
  • Deploying a Kubernetes Managed Cluster 52.2
  • Password Hashing Algorithms 52.3
  • Resource Paths 52.4
  • JWT Signature Algorithms 52.5
  • Inferno Considerations 52.6
   52.5    JWT Signature Algorithms
  • Appendix
  • 52.0 Preparing a Linux Host
  • 52.1 Installing Smile CDR, NGINX and PostgreSQL in a Docker Stack
  • 52.2 Deploying a Kubernetes Managed Cluster
  • 52.3 Password Hashing Algorithms
  • 52.4 Resource Paths
  • 52.5 JWT Signature Algorithms
  • 52.6 Inferno Considerations
    •    Table of Contents

    Inferno Considerations

    52.6.1Considerations for Testing with Inferno

     

    When testing a Smile CDR installation with the Inferno testing tool, the following settings should be considered:

    • Reject Insufficient Permissions with HTTP 401 should be enabled on the FHIR Endpoint module in order to meet the requirements of test OSLS-11

    • The ANONYMOUS user must be granted the FHIR_CAPABILITIES permission.

       52.5    JWT Signature Algorithms
  • Appendix
  • 52.0 Preparing a Linux Host
  • 52.1 Installing Smile CDR, NGINX and PostgreSQL in a Docker Stack
  • 52.2 Deploying a Kubernetes Managed Cluster
  • 52.3 Password Hashing Algorithms
  • 52.4 Resource Paths
  • 52.5 JWT Signature Algorithms
  • 52.6 Inferno Considerations