COVID-19 Digital Health Credentials

If you’ve received one of the COVID-19 vaccines, you might have realized that there are many ways to prove that you have been vaccinated. First there is the physical “COVID-19 Vaccination Record Card” with the logos from the U.S. Department of Health and Human Services and Centers for Disease Control at the upper right. Here’s mine:

If you received your shot at a location where you normally receive healthcare, you might also be able to access your immunization records through a patient portal. Here’s what mine looks like from a desktop-based web browser. Note that it unfortunately does not list the dates, and there was a data entry error because for my second shot, I asked that it be injected into my RIGHT arm.

In some cases, your local city or county may have partnered with a 3rd party health information technology company to provide you with a digital version of your vaccination record that can be added to a mobile wallet. Los Angeles County has partnered with Healthvana on this effort, and I received a text message that my vaccination record was available to be added to my mobile wallet. Here are screenshots from my iPhone to illustrate what it looks like to retrieve my vaccine information from a mobile web browser and what the record looks like in Apple Wallet:

As if there weren’t enough options, if you have an iPhone and a healthcare provider that supports interoperable patient data through a “Blue Button” download, you could transfer your vaccination information and other health records to your Apple Health app. Follow these instructions to add your health data to Apple Health. Here’s what my immunization record looks like in Apple Health, both in human-readable summary view as well as the underlying data:

There is much discussion about vaccine passports nowadays which has given rise to many questions. Can we do it? Should we do it? Is it even legal? Without getting into a lengthy debate, suffice it to say that technologies have already been around for many years, and we’ve already been implementing digital health credentials to varying degrees for quite some time. For me, adding data related to COVID-19 vaccination simply represents a more comprehensive picture of my overall health data.

In addition to the discussion about vaccine credentials or passports, perhaps a bigger challenge is to figure out whether we can all agree on a common method to share health data. There is a saying that goes something like this: “The great thing about health IT standards is that there are so many of them to choose from.”