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SMART Health Cards: Vaccination & Testing Implementation Guide (Jira PSS-1783)

Basics

SMART Health Cards: Vaccination & Testing Implementation Guide (Jira PSS-1783)

1694
Ballot - Informative


FHIR Implementation Guide

Implementation Guide

Details

As part of the response to COVID-19, a coalition of health and technology leaders has created the Vaccination Credential Initiative (VCI; https://vaccinationcredential.org/). VCI’s goal is to provide a trusted and verifiable copy of vaccination records, or other COVID-related laboratory test results. This will be accomplished by using the SMART Health Cards framework (https://smarthealth.cards/), which works with both digital and paper workflows.

The SMART Health Cards framework does not specify the clinical content contained within. The purpose of the proposed FHIR Implementation Guide is to do just this: describe the contents of a FHIR Bundle that is contained within a Health Card.

The development of this IG is part of the VCI working group (n.b. that this is not a HL7 Work Group), which includes representatives from EHR vendors, large health systems, testing laboratories, and technology companies. We are working closely with experts from these organizations to inform the content and structure of the IG.

The resulting product of this effort will be a FHIR IG that Issuers of Health Cards can use to build and validate their implementation, and Verifiers of Health Cards can use to design their verification process.


There is a pressing public health need to empower individuals with a convenient, standardized, equitable access to COVID-19 vaccination and testing status. The Vaccination Credential Initiative is a community-driven approach that uses the SMART Health Cards specification to solve this problem.

The goal of this IG is to facilitate and coordinate inclusion of key clinical data related to COVID (and other infectious diseases) by implementers of the SMART Health Cards framework. This is necessary to achieve the goal of a trusted and verifiable copy of vaccination records, or other COVID-related laboratory test results.



Given External Drivers (3d), we will work with HL7 and our sponsoring WG to reach STU1 as quickly as possible.


PSS: https://confluence.hl7.org/x/Kqs7Bg Project Proposal: https://jira.hl7.org/browse/PSS-1783

This IG is being created as part of the Vaccination Credential Initiative.


Clinical and Public Health Laboratories, Immunization Registries, Regulatory Agency, Payors,Clinical and Public Health Laboratories; Local and State Departments of Health; Healthcare Institutions (hospitals, long term care, home care, mental health),EHR, PHR; Health Care IT; Lab

Epic, Cerner, The Commons Project

The timeline for this work is driven by the real-world need described above. Given the extraordinary circumstances of the COVID-19 pandemic, we are moving as quickly as possible to make a stable version of this Implementation Guide available to implementers; this will likely occur soon (by the end of March 2021) out of band with the typical HL7 balloting workflow.

vaccination credentials, vaccination yellow card, vaccine yellow card


Yes


No

2026 May: TSC approved an STU Publication request for HL& FHIR Implementation Guide; SMART Health Cards Vaccination and Testing, Edition 1 2024 June: This project is on the Idle Ballots list at https://confluence.hl7.org/display/TSC/Idle+Ballots.
Organization & Realm

Universal

People

Max Masnick



Public Health Work Group


Status & Dates

Active

STU - Test Period/Accepting Comments

03/22/2021

09/15/2028

2028 Sept WGM/Ballot

05/15/2028

2028 May WGM/Ballot

2021 Sept Ballot Cycle Info: STU Ballot results: Met basic vote requirements. 26 Negatives to reconcile Document Name: HL7 FHIR Implementation Guide: SMART Health Cards Vaccination and Testing, Release 1 (See Jira Ballot Dashboard)
Approvals

05/26/2021


Not Needed


All Received




System Info






05/07/2026

Anne Wizauer