Short Description

Real-world testing of the CARIN IG for Digital Insurance Card using a SMART Health Card/SMART Health Link.

Long Description

This project is intended to develop artifacts (FHIR implementation guides, code mappings, reference implementations, etc) to retrieve proof of insurance coverage information via FHIR when requested or shared by a Patient in order to create an electronic rendering of the insurance membership card within a digital application.

The objectives of this track are: 

  • Test the SMART Health Card/SMART Health Link use cases.
  • Test and gather feedback on the Implementation Guide.
  • Identify gaps or errors.

What are the goals?

  • Generation, capture, display, and sharing of the SMART Health Link.
  • Consume and validate SHL from QR code or link, display and confirm details.


Test an Implementation Guide

Call for participants

Patients, Providers, Insurance companies, App developers

Track Prerequisites

In advance of the Connectathon we would ask participants to attend the Implementers Connection Calls and have signed up for the track ahead of the deadline. It is critical to attend the calls and sign up by the deadline as we will be matching implementers to ensure that everyone has someone to test the below Scenarios.  Testers are encouraged to review the CARIN IG For Digital Insurance Cards SMART Health Links Use Case and are listen to a recording of a meeting walking through the use cases:
Passcode: %1I+ch6g 

Track Lead(s)

Track Lead Email(s);

Specification Information

CARIN IG for Digital Insurance Card (PSS, STU1

Zulip stream

Track Kick off Call

Track Kick-off Call: 12pm ET on Thursday, August 17.

A recording of the call can be found here:

Passcode: gs*fiq3z 

Testers should join the two touchpoint calls to coordinate testing objectives.

Touchpoint Call #1: Wednesday, August 30 3-4pm ET

Touchpoint Call #2: Wednesday, September 6th 12-1pm ET

  • Zoom
Password: 863191

Track Participants

The Commons Project


Thoughtkeg Application Services Corporation


Point of Care Partners

Blue Cross and Blue Shield of Alabama


DateTimeSession Title

Saturday, September 9

9:00 – 9:30am

HL7 FHIR Connectathon Kick-Off

9:30 – 10:30am

CARIN Digital Insurance Card Kick-Off & Testing

10:30 – 10:45am

Break for Morning Coffee

10:45am –12:00pm


12:00 – 12:45pm


12:45 – 3:00pm

Continue Testing

3:00 – 3:30pm

Cookie Break

DateTimeSession Title

Sunday, September 10

9:00 – 9:45am

Level Set for Sunday’s Activity & Testing

9:45 – 10:00am

Break for Morning Coffee

10:00 – 11:00am

Continue Testing

11:00am – 12:00 pm

Continue Testing

12:00 – 1:00pm


1:00 – 2:00pm

Gather and Develop Report-Out Documentation

2:00 – 2:30pm

Breakout Session in Room 1 & Report-Out

3:00 – 3:30pm

Cookie Break

3:30 – 5:00pm

HL7 FHIR Connectathon Closing & Report-Out

Breakout Session

Testing Scenario

In advance of the Connectathon we would ask participants to attend the Touchpoint calls and have signed up for the track ahead of the deadline.

Implementer Roles

  • Data holders: generate a SMART Health Link
  • PHR/ wallet/ patient apps: capture, display, store, share the SMART Health Link
  • Providers/ platforms: ingest and validate the SMART Health Link

Main Scenario

Scenario: PHR/ wallet/ patient apps ingests SMART Health Link from Data Holder.

  • Action: Data holder generates a digital insurance card as a SMART Health Link.
  • Precondition: Data holder has capability to generate a SMART Health Link.
  • Success Criteria #1: PHR/ wallet/ patient apps captures and display the SMART Health Link digital insurance card on the device.
  • Bonus Point #1: Provider/platform ingests and validates SHL from QR code or link, displays and confirms details.
  • Bonus Point #2: Successful testing of the full workflow of payer to individual to provider.

Step #1 Review CI Build

Step #2 Review the Shc-web-reader

Implementers can use the create-react-app web application that can run standalone or as a provider-launch SMART-on-FHIR application. It scans Smart Health Card QR Codes sourced from barcode scanners, copy/paste, connected cameras or by searching a patient record for scanned documents (e.g., an insurance card scan). Data from the SHC are displayed in a structured way and can be easily copied to complete structured input forms.

Step #3 If you have the capability to capture a SMART Health Insurance card, you can use the Sample Cigna SMART Health Insurance Card

Step #4 A useful repository with additional sample SMART Health Links to aid in testing viewers and other SHC- or SHL-consuming apps.