What Is the Continuity of Care Record (CCR)?

October 18th, 2006 by Dave Shaver

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Posted in CCR, EMR

The Continuity of Care Record (CCR) is an XML-based standard for the movement of “documents” between clinical applications. In 2005 the CCR received a significant amount of air time as the “savior” for moving data between facilities. The CCR can be described in many ways and here is a very condensed version:

  • In short, it seems “obvious” that when a physician refers a patient to a hospital the physician should be able to provide an electronic copy of some “relevant  part” of the patient’s medical record out of the doctor’s electronic medical record (EMR) or practice management system (PMS).
  • In addition, when the patient is discharged from the hospital, wouldn’t it be nice if a discharge summary could move from the facility’s hospital information system (HIS)/EMR into the doctor’s system? That would allow the electronic loop to be closed.

If you want more data on the CCR, there is a much more in depth article about CCR published by the Medical Records Institute.

In addition, you may want to read the posting in this blog that answers the question, How are HL7 2.X and CCR related?

Last 5 posts by Dave Shaver
10 Responses to “What Is the Continuity of Care Record (CCR)?”
  1. NeoTool says:

    […] In a prior post, I briefly described the CCR. One obvious follow-up question is: What is the relationship between the CCR and the HL7 standards? How does the CCR relate to HL7 2.X? […]

  2. NeoTool says:

    […] In prior posts I described the Continuity of Care Record (CCR) and the relationship between HL7 2.X and CCR. This article addresses a need to mix the two formats. Specifically, the desire to move a CCR document via HL7. […]

  3. NeoTool says:

    […] In the more vertical standards world, often you have to purchase the handbook documents; they are not available for free. Whether it is X.12 (for HIPAA standards) or ASTM (for the CCR standard), you need to plunk down your credit card to get the guidebook. […]

  4. NeoTool says:

    […] What is the Continuity of Care Record (CCR)? […]

  5. NeoTool says:

    […] As mentioned in previous posts, the Continuity of Care Record (CCR) provides a way to send data between clinics, hospitals, labs, etc that are using various EMR, HIS, RIS, PACS, dictations, etc systems. The CCR is an XML-based standard that is related to and different from the HL7 2.X messaging standard. […]

  6. Formal Article / Publication Comparing CDA and CCR says:

    […] As mentioned in previous posts, the Continuity of Care Record (CCR) provides a way to send data between clinics, hospitals, labs, etc that are using various EMR, HIS, RIS, PACS, dictations, etc systems. The CCR is an XML-based standard that is related to and different from the HL7 2.X messaging standard. […]

  7. What Is the HL7 Continuity of Care Document? says:

    […] The HL7 Continuity of Care Document (CDD) is the result of a collaborative effort between the Health Level Seven and ASTM organizations to “harmonize” the data format between ASTM’s Continuity of Care Record (CCR) and HL7’s Clinical Document Architecture (CDA) specifications.  […]

  8. HIMSS07 Is Over, Now What? says:

    […] Read blog posts on CCR, CDA, CCD, or just search our blog site. […]

  9. How Do I Get a Copy of the HL7 Specification / Manual? says:

    […] they are not available for free. Whether it is X.12 (for HIPAA standards) or ASTM (for the CCR standard), you need to plunk down your credit card to get the […]

  10. Embedding or Sending a CCR Document Inside an HL7 2.X Message says:

    […] prior posts I described the Continuity of Care Record (CCR) and the relationship between HL7 2.X and CCR. This article addresses a need to mix the two formats. […]

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