SMART Health Cards are paper or digital versions of your clinical information, such as vaccination history or test results. They allow you to keep a copy of your records on hand and easily share this information with others if you choose.
A SMART Health Card has a 2D barcode (QR code) and may look something like this; see image below. Although the other information on your SMART Health Card may vary based on your individual records, most will have the SMART logo.
You can keep your SMART Health Card as a record of your vaccination history and/or test results. You can also choose to share it with others (such as your doctor or a specialist your doctor refers you to or schools and other venues requiring immunization for admittance) if you want or need to show them this information.
COVID-19 SMART Health Cards as well as other SMART Health Cards may come from any organization that has your clinical information, such as a pharmacy, doctor's office, or state registry. You can find a list of issuers here. Here are some of the ways you may get a SMART Health Card from them:
Yes. The organization with your clinical information may give you a printed paper copy of your SMART Health Card.
No. There should be no fee to get a SMART Health Card. If you decide to share your SMART Health Card with someone, there should be no fee for you or them.
SMART Health Cards do not change over time. Whenever you receive an additional vaccine or booster, you will need to request an updated COVID-19 vaccination record from the entity that provided your SMART Health Card. Note: It can sometimes take several weeks to get booster information from your vaccination location into your state's immunization registry. If you were recently vaccinated and don't see your booster appearing on your new SMART Health Card, you might need to try again after a few weeks. If you continue to have issues, you should contact the organization from which you received your vaccination or check with your state immunization registry. Here is a list of state immunization registries and here is a list of SMART Health Card issuers.
Different organizations have different rules for verifying COVID-19 vaccinations or test results. For example, some states and countries may have different rules than others. SMART Health Cards are designed so they may be used by any organization that wants to use them, for COVID-19 as well as other healthcare credentialing. All organizations should provide options for users who don't have or prefer not to use SMART Health Cards.
Even if you get a SMART Health Card, you do not need to share it with anyone. Choosing to share your information is always in your control and the SMART Health Card should never be your only option when asked to show your vaccination history or test results.
You can destroy a paper SMART Health Card and/or delete a digital SMART Health Card at any time. If you change your mind, you may be able to get a copy from the organization that provided your vaccination or test.
You should contact the organization that performed your vaccination or test. They are responsible for the accuracy of your records and these records are the source of the information on your SMART Health Card.
Yes, as long as you have permission to do so. Sharing a SMART Health Card is similar to sharing other medical records in this way.
Your vaccination history and/or test results are stored directly within the SMART Health Card as a 2D barcode (QR code) or file that you control. Sharing your card is completely up to you.
Sharing your SMART Health Card information is just like sharing a paper copy of immunization records with a school, faxing medical records to a physician's office, or using your credit card at a restaurant. You should only share your SMART Health Card information with trusted organizations that tell you what they intend to do with your data and/or if they will keep it. If you are not comfortable with the organization seeing the information in your SMART Health Card, you should not share it.
Just like a normal file, you can save back-ups of your digital SMART Health Card. You may also make copies of a paper SMART Health Card. You may be able to receive a new SMART Health Card from the organization that has your records.
Your SMART Health Card can be presented by anyone holding it. However, SMART Health Cards are verified with another form identification, such as a student account in a school system or a driver's license.
In the USA, no. The card should only contain your legal name, date of birth, and clinical information like test results and/or vaccination history. A SMART Health Card issued in other countries could include commonly used identifiers, depending on local practices or regulations.
SMART Health Cards are a way to store your vaccination history and/or test results for your personal records and can help you easily share your status to an organization that asks for it.
SMART Health Cards empower individuals with secure, equitable, and privacy-preserving access to their clinical information.
SMART Health Cards are built on top of the SMART Health Cards Framework. The Framework is openly licensed and and available for anyone to use. It is not associated with any single organization, corporation, or government entity; and it was created to provide people simple, secure, and privacy-preserving access to their health records.
In the future, you may be able to use your SMART Health Card to share and store other health information.
SMART Health Cards are open source and available to anyone who wants to utilize these standards. Free tutorials and getting-started guidance to help you build solutions that utilize the SMART Health Cards Framework can be found at https://docs.smarthealthit.org/ and https://spec.smarthealth.cards/. Additionally, visit VCI.org to learn more about joining VCI, a free and collaborative coalition of public and private organizations interested in empowering individuals with digital access to their verifiable clinical information (including vaccination records).
Anyone who is interested in developing apps for verifying clinical results can utilize SMART Health Cards, which are open source and available to anyone. Free tutorials and getting-started guidance to help you build solutions that utilize the SMART Health Cards Framework can be found at https://docs.smarthealthit.org/ and https://spec.smarthealth.cards/. Additionally, visit VCI.org to learn more about joining VCI, a free and collaborative coalition of public and private organizations interested in empowering individuals with digital access to their verifiable clinical information (including vaccination records).
Yes. SMART Health Cards are an open-source standard and are based on the SMART Health Card Framework. Anyone can use the SMART Health Card Framework to build solutions that verify clinical results, and organizations all over the world have already adopted these standards for that reason as well as for numerous other use cases. For instance, with iOS 15, Apple is using the SMART Health Cards Framework to allow users to download and store verifiable COVID-19 test results or vaccination records in the Health app, Walmart has announced the creation of a digital wallet for its customers to track their health information built on SMART, and in less than one year, more than 20 states and U.S. territories have launched SMART Health Cards systems by offering residents a digital record of their COVID-19 vaccination status.
What's more, the SMART on FHIR API is being used throughout the healthcare community to enable interoperability, including the National Institutes of Health prioritizing SMART on FHIR for use in its research programs, Microsoft using SMART on FHIR in its Azure health product, and numerous EHR vendors, like Epic, Cerner, and Allscripts, integrating the SMART on FHIR API into their products as well.
An issuer is the organization that generates a SMART Health Card. Issuers are able to provide digital or paper copies of clinical information, such as vaccination or testing information, to individuals. An issuer is any organization authorized to generate these cards, including pharmacies, hospitals, healthcare providers, medical labs, public health agencies, and more.
VCI reviews and approves potential issuers to make sure they are trustworthy and capable of issuing SMART Health Cards in a reliable and secure way. Then, they approve them to be included in the VCI Directory as authorized issuers. You can learn more about the VCI Directory issuer types here.
When businesses require proof of vaccination, they need to know that the proof of vaccination they're seeing comes from a trustworthy source and is legitimate. The VCI Directory and the CommonTrust Network were developed to create this trust. These directories vet and approve potential issuers. Then, they openly publish the list of organizations that meet VCI's standards. This ensures that only SMART Health Cards issued by reliable sources get approved when proof of vaccination is taking place, which means verifiers can have confidence in the reliability of a person's vaccination status when they're scanning a SMART Health Card.
Data aggregators and other health IT vendors play a critical role in immunization record keeping and vaccination verification. They facilitate the flow of clinical information by tackling interoperability challenges and by supporting networks and applications that give the public access to their health records. The work done by these leading healthcare technology companies is vital to helping healthcare providers and public health organizations serve their customers.
VCI stands for Verifiable Clinical Information. VCI is a voluntary coalition of public and private organizations committed to empowering individuals with access to a trustworthy and verifiable copy of their vaccination records and other clinical information in digital or paper form using open, interoperable standards.
To achieve its purpose, the founding members of VCI collaborated to develop The SMART Health Cards Framework Implementation Guide and The SMART Health Cards Vaccination and Testing Implementation Guide.
You can learn more about VCI here.
Immunization information systems (IIS), also known as immunization registries, can be found in all 50 United States. An IIS is a computerized public health system that includes information on all the vaccines the residents in that area have been given—helping providers and families by consolidating immunization information into one reliable source.
More than twenty states have already embraced SMART Health Cards by becoming issuers, giving their residents an easy way to access their own, personal immunization information that's already in their state's IIS. And more than 200 million people in the United States across all 50 states have access to SMART Health Cards through nationwide pharmacies, hospitals, clinicians, laboratories, and other healthcare providers.
Learn more about immunization information systems here.