Continuity of Care Record
Encyclopedia
Continuity of Care Record (CCR) is a health record standard specification developed jointly by ASTM International
, the Massachusetts Medical Society
http://www.massmed.org/ (MMS), the Healthcare Information and Management Systems Society
(HIMSS), the American Academy of Family Physicians
(AAFP), the American Academy of Pediatrics
http://www.aap.org/ (AAP), and other health informatics vendors.
(EHR) system at the end of an encounter.
Because it is expressed in the standard data interchange language known as XML
, a CCR can potentially be created, read and interpreted by any EHR or EMR software application. A CCR can also be exported in other formats, such as PDF and Office Open XML (Microsoft Word 2007 format).
Continuity of Care Document
(CCD) r1 is an HL7 CDA
implementation of the Continuity of Care Record (CCR) and not a competing standard as mentioned by some. It is generally possible to convert a CCR document into CCD using Extensible Stylesheet Language Transformations (XSLT
), however it is not always possible to perform the inverse transformation as some CCD features are not supported in CCR. HITSP provides reference information that demonstrates how CCD and CCR (as HITSP C32) are embedded in CDA.
ASTM International
ASTM International, known until 2001 as the American Society for Testing and Materials , is an international standards organization that develops and publishes voluntary consensus technical standards for a wide range of materials, products, systems, and services...
, the Massachusetts Medical Society
Massachusetts Medical Society
The Massachusetts Medical Society is the oldest continuously-operating state medical society in the United States. Incorporated on November 1, 1781, by an act of the Massachusetts General Court, the MMS is a non-profit organization that consists of approximately 22,000 physicians, medical students...
http://www.massmed.org/ (MMS), the Healthcare Information and Management Systems Society
Healthcare Information and Management Systems Society
The Healthcare Information and Management Systems Society is a not-for-profit organization dedicated to improving the quality, safety, cost-effectiveness, and access to healthcare through the best use of information technology and management systems. Originally founded in 1961 as the Hospital...
(HIMSS), the American Academy of Family Physicians
American Academy of Family Physicians
The American Academy of Family Physicians was founded in 1947 to promote the science and art of family medicine. It is one of the largest medical organizations in the United States, with over 100,000 members...
(AAFP), the American Academy of Pediatrics
American Academy of Pediatrics
The American Academy of Pediatrics is the major professional association of pediatricians in the United States. The AAP was founded in 1930 by 35 pediatricians to address pediatric healthcare standards. It currently has 60,000 members in primary care and sub-specialist areas...
http://www.aap.org/ (AAP), and other health informatics vendors.
The CCR standard
The CCR standard is a patient health summary standard. It is a way to create flexible documents that contain the most relevant and timely core health information about a patient, and to send these electronically from one caregiver to another. It contains various sections such as patient demographics, insurance information, diagnoses and problem list, medications, allergies and care plan. These represent a "snapshot" of a patient's health data that can be useful or possibly lifesaving, if available at the time of clinical encounter. The ASTM CCR standard is designed to permit easy creation by a physician using an electronic health recordElectronic Health Record
An electronic health record is an evolving concept defined as a systematic collection of electronic health information about individual patients or populations...
(EHR) system at the end of an encounter.
Because it is expressed in the standard data interchange language known as XML
XML
Extensible Markup Language is a set of rules for encoding documents in machine-readable form. It is defined in the XML 1.0 Specification produced by the W3C, and several other related specifications, all gratis open standards....
, a CCR can potentially be created, read and interpreted by any EHR or EMR software application. A CCR can also be exported in other formats, such as PDF and Office Open XML (Microsoft Word 2007 format).
Continuity of Care Document
Continuity of Care Document
The Continuity of Care Document specification is an XML-based markup standard intended to specify the encoding, structure and semantics of a patient summary clinical document for exchange....
(CCD) r1 is an HL7 CDA
Clinical Document Architecture
The HL7 Clinical Document Architecture is an XML-based markup standard intended to specify the encoding, structure and semantics of clinical documents for exchange.CDA is part of the HL7 version 3 standard...
implementation of the Continuity of Care Record (CCR) and not a competing standard as mentioned by some. It is generally possible to convert a CCR document into CCD using Extensible Stylesheet Language Transformations (XSLT
XSLT
XSLT is a declarative, XML-based language used for the transformation of XML documents. The original document is not changed; rather, a new document is created based on the content of an existing one. The new document may be serialized by the processor in standard XML syntax or in another format,...
), however it is not always possible to perform the inverse transformation as some CCD features are not supported in CCR. HITSP provides reference information that demonstrates how CCD and CCR (as HITSP C32) are embedded in CDA.
External links
- ASTM CCR Standard E2369-05
- CCRStandard.com
- Medical Records Institute - CCR
- Center for Health Information Technology (CHiT)