What Is the Continuity of Care Record (CCR)?
October 18th, 2006 by Dave Shaver
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
- Integrating EMRs with Reference Labs - September 3rd, 2008
- Massachusetts Hospitals Must Have CPOE by 2012 and CCHIT-Certified EHRs by 2015 - August 13th, 2008
- HL7 Dates and Times - July 25th, 2008
- HL7 Time Zone Qualification - July 25th, 2008
- RHIOs vs. Peer-to-Peer Communications - July 11th, 2008

(2 votes, average: 4.5 out of 5)




[…] 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? […]
[…] 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. […]
[…] 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. […]
[…] What is the Continuity of Care Record (CCR)? […]
[…] 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. […]
[…] 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. […]
[…] 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. […]
[…] Read blog posts on CCR, CDA, CCD, or just search our blog site. […]
[…] 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 […]
[…] 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. […]