Smile Digital Health is a health technology company focused on making structured health data easier to share, access, and use. Its core product is a FHIR-first Health Data Platform that enables organisations across the healthcare ecosystem - including payers, providers, Health Information Exchanges (HIEs), and research organisations - to exchange data using open standards. The platform converts legacy health data into FHIR resources, and is built to preserve complete data ownership for clients while avoiding vendor lock-in.
The company serves over 120 customers in more than 20 countries, working with major payers, legacy HIEs, providers, and research bodies. Its technical scope spans health data integration, interoperability, data transformation, enterprise performance, and security - all oriented around the HL7 FHIR standard as a foundation rather than an afterthought.
Smile Digital Health was co-founded by James Agnew and Duncan Weatherston, who first collaborated in 2011 on health integration and data repository projects. The company describes its mission as reducing barriers between information and care by harnessing open standards - a direction it pursues under the banner of #BetterGlobalHealth. The team characterises itself as inclusive, principled, and passionate about the transformative potential of interoperable health data.