Smart Health Card - Revision history

Tom: /* Included Token */

2025-09-02T22:16:05Z

‎Included Token

2025-09-02T22:12:44Z

‎Included Token

2025-09-02T19:57:49Z

‎Technical Details

2025-08-07T23:17:38Z

‎Embedding in QR codes

2025-08-07T23:16:55Z

‎Technical Details

2024-03-16T02:14:09Z

‎References

2024-03-16T02:13:09Z

‎Context

2021-10-28T00:29:58Z

‎Embedding in QR codes

2021-10-28T00:29:24Z

‎Embedding in QR codes

2021-10-28T00:27:38Z

‎Embedding in QR codes

@@ Line 29: / Line 29: @@
 HL7 Spec: https://hl7.org/fhir/uv/smart-health-cards-and-links/
-CMS Pledge: https://lnkd.in/eyjZAFGU
+CMS Pledge: https://www.cms.gov/health-tech-ecosystem/early-adopters/kill-the-clipboard
-COVID vaccine cards: https://lnkd.in/eiJsVgFJ
+COVID vaccine cards: https://www.thecommonsproject.org/newsroom/newsroom-press-release-the-commons-project-foundation-collaborates-with-google-to-introduce-smart-health-cards-for-android
 ==Technical Details==

@@ Line 27: / Line 27: @@
 With this in mind, I can imagine a flow with no patient portals: I finish my appointment at Provider A, they email me a summary along with a QR code, I rock up to my appointment at Provider B, present the QR code at check-in and then the Provider B EHR grabs the token and selectively pulls my records from Provider A with all the power of FHIR queries and without the hassle of patient matching. I'm not sure if this is the flow they envisioned, as details are sparse (and there are questions around security and PIN protection, etc.) but it sounds promising for a standard I haven't heard much about since COVID vaccine cards.
-HL7 Spec: https://lnkd.in/ePKYtauh
+HL7 Spec: https://hl7.org/fhir/uv/smart-health-cards-and-links/
 CMS Pledge: https://lnkd.in/eyjZAFGU

@@ Line 19: / Line 19: @@
 * [https://support.apple.com/en-us/HT212752 Apple iOS 15 can capture and share] the [[Smart Health Card]].
 * [https://support.apple.com/guide/healthregister/verifiable-health-records-support-apdc9fec917c/web Verifiable Health Records support] for Apple EHR vendors describes that the SHC is included in the health app rather than in the wallet.
 ==Technical Details==

@@ Line 45: / Line 45: @@
+  }
 ===Embedding in QR codes===
-* The [[Smart Health Card]] is typically embedded in a JWS (JOSE) format with a header, payload and signature block for verification. While it can be transported in many media, the commonly used method is in a QR code displayed on paper in stored as a photo in a smart phone.
+* The [[Smart Health Card]] is typically embedded in a JWS (Signed JOSE) format with a header, payload and signature block for verification. While it can be transported in many media, the commonly used method is in a QR code displayed on paper in stored as a photo in a smart phone.
 *Each JWS string that appears in the [[Verifiable Credential]] of a .smart-health-card file can be embedded in one or more QR codes. We aim to ensure that printed (or electronically displayed) codes are usable at physical dimensions of 40mmx40mm. This constraint allows us to use QR codes up to Version 22, at 105x105 modules. When embedding a JWS string in QR codes, the JWS string SHALL be encoded as Numerical Mode QR codes consisting of the digits 0-9 (see [https://spec.smarthealth.cards/#encoding-chunks-as-qr-codes Encoding Chunks as QR codes]).
 * On iPhones the default behavior of scanning a QR [[Smart Health Card]] is to ask to store the VC in the Apple [[Wallet]].

@@ Line 21: / Line 21: @@
 ==Technical Details==
+* 2025-08-07 [https://hl7.org/fhir/uv/smart-health-cards-and-links/STU1/ its now an official HL7 spec.]
 * [https://spec.smarthealth.cards Smart Health Card Technical Specs]
 * [https://github.com/smart-on-fhir/health-cards Github for smart health cards]

← Older revision		Revision as of 02:14, 16 March 2024
Line 53:		Line 53:
	* [[Smart Health Card Example]] in typescript on Windows		* [[Smart Health Card Example]] in typescript on Windows

		+	[[Category: Credential‏‎]]
	[[Category: Health]]		[[Category: Health]]

@@ Line 7: / Line 7: @@
 * [https://smarthealth.cards/index.html What are SMART Health Cards?] The (SHC) Web Site from Boston Children's Hospital.
 * The primary context is the [https://wiki.idesg.org/wiki/index.php/Health_Care_Profile Kantara Health Care Profile].
-* There is a commercial [https://www.youtube.com/watch?v=UdlmRoJK1Yg&t=26s effort in Microsoft] as part of VCI to take ownership of this term [https://bitly.com/fhir20-did for the VCI] that they belong to using DIDs. The SHC is structure like a [[Verifiable Credential]] using FHIR formatted data from HL7 EHRs, but there is no ability to give patients control of the data that is released from the SHC.
+* There is a commercial [https://www.youtube.com/watch?v=UdlmRoJK1Yg&t=26s effort in Microsoft] as part of VCI to take ownership of this term [https://bitly.com/fhir20-did for the VCI] that they belong to using DIDs. The SHC is structured like a [[Verifiable Credential]] using FHIR formatted data from HL7 EHRs, but there is no ability to give patients control of the data that is released from the SHC.
 ===Design Goals===