Automating vaccine response reviews

  • Release version: Zurich
  • Updated July 31, 2025
  • 3 minutes to read
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    Summary of Automating vaccine response reviews

    ServiceNow’s Vaccination Status application enables organizations to automate the validation and review of vaccine responses by integrating third-party validator services and utilizing workflows. This automation reduces manual effort in approving or validating vaccine responses submitted by users, especially in bulk.

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    Validating Vaccine Responses

    Validation is performed by analyzing attachments submitted by users, such as SMART health cards, through validator service APIs integrated with Vaccination Status. The system verifies key data points including first and last name, vaccination date, and vaccine code (e.g., CVX codes for vaccine manufacturers).

    Validation outcomes are recorded as work notes on vaccine response records, providing insights into the validation process and reasons if validation fails. Administrators can then review these records to approve or deny vaccine responses manually if needed.

    To set up automated validation, organizations must:

    • Obtain credentials for a chosen validator service
    • Create connections and credential aliases for integration
    • Configure validator service records and supported attachment types (e.g., SMART health cards)
    • Create subflows for validator services (templates are available)
    • Set up vaccine code systems and lists of supported vaccine codes (including CDC codes)
    • Activate the auto-validation flow to automatically update vaccine response statuses

    Automating Vaccine Response Reviews

    Vaccination Status can be configured to automatically approve vaccine responses that meet validation criteria. Responses failing validation remain in a "Not yet reviewed" state for manual review by administrators or managers.

    To enable full automation of vaccine response reviews, the following are required:

    • Configure Vaccination Status to perform automatic vaccine response validation
    • Activate the property allowing the validation engine to update Vaccine Review Outcome records

    Provided Validator Services and Integrations

    Vaccination Status supports integration with several validator services to streamline vaccine validation:

    • The CommonTrust Network: Supports SMART health card validation and vaccine code verification with prebuilt subflows and attachment types. Organizations must obtain their own credentials for integration.
    • Azure Form Recognizer Service: Uses machine learning to analyze CDC vaccination cards and generates confidence scores for first and last name matches. The system compares these scores against a configured threshold to validate the vaccine response.

    Configurations for these integrations include setting up subflows, attachment types, vaccine code systems, and connections, enabling organizations to tailor automation based on their chosen validation service.

    Your organization can automatically validate and review vaccine responses with Vaccination Status by integrating third-party validator services and enabling workflows.

    Organizations may want methods to reduce the effort required to validate or approve vaccine responses in bulk. You can choose to automatically validate attachments used in vaccine reviews or automate the entire review process.

    Validating vaccine responses

    Validation systems work with Vaccination Status to review attachments in a user's vaccine response. First, the user attaches a supported attachment type, such as a SMART health card, and submits their vaccine response. The validator service API and the Vaccination Status flows analyze information from the attachment to see whether there is a match on the following items:
    • First and last name
    • Date received
    • Vaccine code, such as CVX, to verify the vaccine manufacturer

    For more information on submitting a vaccine response, see Report vaccination status to your organization.

    The validation process creates work notes on the vaccine response record about the validation process to inform you whether the review was completed, and if not, why. You can also see a user's vaccine response record that details each attachment reviewed.
    Note:
    Work notes might not be comprehensive. If validation failed, you might want to investigate further to ensure that other information isn't also mismatched.

    Once the validation is completed, you can review the vaccine response record to approve or deny the response. For more information on manually reviewing a vaccine response or confirming whether the validator service is working, see Confirm the reported vaccination status for a user.

    To automate the validation process, you must do the following:
    • Obtain credentials to integrate with the validator service of your choice.
    • Create a connection and credentials alias for the validator service. For more information, see Create a Connection and Credential alias.
    • Create a record for the validator service.
    • Create a record for the attachment type the vaccine codes can be read from, such as a SMART health card.
    • Create a subflow for the validator service. (A sample Validate vaccine response attachment template is available).
    • Configure a vaccine code system used to read vaccine codes and validate submitted data. Some systems are included with Vaccination Status. Refer to your validator service for more information on the system they support.
    • Configure a list of vaccine codes used by the vaccine code system. Some commonly supported codes are included with Vaccination Status.
      Note:
      Other commonly supported codes are provided by the Centers for Disease Control and Prevention (CDC). For more information, see COVID-19 Vaccine Related Codes.
    • Activate the Auto-validate vaccine response flow to update the status of vaccine response reviews.

    Automating Vaccine response reviews

    Vaccination Status can automatically approve vaccine responses based on valid documentation and supported vaccine codes. Unapproved responses are left in the Not yet reviewed state so that Vaccination Status administrators or managers (if enabled) can perform a manual review.

    To enable the automation of reviews, you must do the following:
    • Configure Vaccination Status to automatically validate vaccine responses.
    • Activate the Allow validation engine approvals to update Vaccine Review Outcome records property.

    For more information on automating vaccine response reviews, see Automate reviews of vaccine responses.

    Provided services and integrations

    Table 1. Validator services provided with Vaccination Status
    Validator services Integration details
    The CommonTrust Network
    The CommonTrust Network is a supported integration and validator service in Vaccination Status. The following items are provided and supported by Vaccination Status to streamline the integration process for the CommonTrust Network:
    • An existing subflow, CommonTrust Network: Validate SMART Health Card
    • Records for CVX vaccine codes and the SMART health card vaccine system
    • SMART health card is available as an attachment type and linked to the CommonTrust Network validator service

    You must still obtain credentials for your organization to provide in the CommonTrust Network record. For more information on SMART health cards, see SMART Health Cards: Vaccination & Testing Implementation Guide.

    If you want to automate vaccine response reviews, see Automate reviews of vaccine responses.

    Azure Form Recognizer service

    Vaccination Status can integrate with Azure Form Recognizer. This integration enables the Azure Form Recognizer service to act as an alternate vaccine validation service. The Azure Form Recognizer service reads CDC Vaccination Cards and utilizes a trained machine-learning (ML) service, or model, to determine if there is a match for the user submitting the vaccine response.

    Validity is by the first and last name as each of these fields generates a confidence score provided by the Azure Form Recognizer service. This score is compared to the confidence threshold set in Vaccination Status.

    For more information, see Automating vaccine response reviews with the Azure Form Recognizer service.

    To configure Vaccination Status to use the Azure Form Recognizer service, see Configure Azure Form Recognizer integration for automatic vaccine response reviews.