Continuity of Care Document
Encyclopedia
The Continuity of Care Document (CCD) specification is an XML
-based markup standard intended to specify the encoding, structure and semantics of a patient summary clinical document for exchange.
The CCD specification is a constraint on the HL7 Clinical Document Architecture
(CDA) standard. The CDA specifies that the content of the document consists of a mandatory textual part (which ensures human interpretation of the document contents) and optional structured parts (for software processing). The structured part is based on the HL7 Reference Information Model (RIM) and provides a framework for referring to concepts from coding systems such as from SNOMED
and LOINC
.
The patient summary contains a core data set of the most relevant administrative, demographic, and clinical information facts about a patient's healthcare, covering one or more healthcare encounters. It provides a means for one healthcare practitioner, system, or setting to aggregate all of the pertinent data about a patient and forward it to another practitioner, system, or setting to support the continuity of care. Its primary use case is to provide a snapshot in time containing the pertinent clinical, demographic, and administrative data for a specific patient.
The CCD specification contains U.S. specific requirements; its use is therefore limited to the U.S. The U.S. Healthcare Information Technology Standards Panel
has selected the CCD as one of its standards.
(CCR) and the HL7
Clinical Document Architecture
(CDA) specifications. It is intended as an alternate implementation to the one specified in ASTM ADJE2369 for those institutions or organizations committed to implementation of the HL7 Clinical Document Architecture.
(CCR) are often seen as competing standards. Google Health
supports a subset of CCR, while Microsoft HealthVault
claims to support a subset of both CCR and CCD.
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....
-based markup standard intended to specify the encoding, structure and semantics of a patient summary clinical document for exchange.
The CCD specification is a constraint on the HL7 Clinical Document Architecture
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...
(CDA) standard. The CDA specifies that the content of the document consists of a mandatory textual part (which ensures human interpretation of the document contents) and optional structured parts (for software processing). The structured part is based on the HL7 Reference Information Model (RIM) and provides a framework for referring to concepts from coding systems such as from SNOMED
Systematized Nomenclature of Medicine
The Systematized Nomenclature of Medicine is a multiaxial, hierarchical classification system . As in any such system, a disease may be located in a body organ which results in a code in a topography axis and may lead to morphological alterations represented by a morphology code.-Purpose:SNOMED...
and LOINC
LOINC
Logical Observation Identifiers Names and Codes is a database and universal standard for identifying medical laboratory observations. It was developed and is maintained by the Regenstrief Institute, a US non-profit medical research organization, in 1994...
.
The patient summary contains a core data set of the most relevant administrative, demographic, and clinical information facts about a patient's healthcare, covering one or more healthcare encounters. It provides a means for one healthcare practitioner, system, or setting to aggregate all of the pertinent data about a patient and forward it to another practitioner, system, or setting to support the continuity of care. Its primary use case is to provide a snapshot in time containing the pertinent clinical, demographic, and administrative data for a specific patient.
The CCD specification contains U.S. specific requirements; its use is therefore limited to the U.S. The U.S. Healthcare Information Technology Standards Panel
Healthcare Information Technology Standards Panel
The American National Standards Institute Healthcare Information Technology Standards Panel was created in 2005 as part of efforts by the Office of the National Coordinator for Health Information Technology to promote interoperability in health care by harmonizing health information technology...
has selected the CCD as one of its standards.
Development History
CCD was developed by HL7 with consultation and advice from several members of ASTM E31, the technical committee responsible for development and maintenance of the Continuity of Care Record, CCR, standard. In the opinion of HL7 and its members, the CDA CCD combines the benefits of ASTMs Continuity of Care RecordContinuity of Care Record
Continuity of Care Record is a health record standard specification developed jointly by ASTM International, the Massachusetts Medical Society , the Healthcare Information and Management Systems Society , the American Academy of Family Physicians , the American Academy of Pediatrics , and other...
(CCR) and the HL7
Health Level 7
Health Level Seven , is an all-volunteer, non-profit organization involved in development of international healthcare informatics interoperability standards...
Clinical Document Architecture
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...
(CDA) specifications. It is intended as an alternate implementation to the one specified in ASTM ADJE2369 for those institutions or organizations committed to implementation of the HL7 Clinical Document Architecture.
Competition and Internet Health Industry Standards
CCD and Continuity of Care RecordContinuity of Care Record
Continuity of Care Record is a health record standard specification developed jointly by ASTM International, the Massachusetts Medical Society , the Healthcare Information and Management Systems Society , the American Academy of Family Physicians , the American Academy of Pediatrics , and other...
(CCR) are often seen as competing standards. Google Health
Google Health
Google Health is a personal health information centralization service by Google introduced in 2008 and announced for withdrawal in 2011...
supports a subset of CCR, while Microsoft HealthVault
Microsoft HealthVault
Microsoft HealthVault is a web-based platform from Microsoft to store and maintain health and fitness information. Started in October 2007, the website is accessible at and addresses both and . In June 2010, Microsoft HealthVault was launched in the UK, the website is accessible at - Components...
claims to support a subset of both CCR and CCD.
See also
- HL7
- Clinical Document ArchitectureClinical Document ArchitectureThe 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...
- Healthcare Information Technology Standards PanelHealthcare Information Technology Standards PanelThe American National Standards Institute Healthcare Information Technology Standards Panel was created in 2005 as part of efforts by the Office of the National Coordinator for Health Information Technology to promote interoperability in health care by harmonizing health information technology...
- Continuity of Care RecordContinuity of Care RecordContinuity of Care Record is a health record standard specification developed jointly by ASTM International, the Massachusetts Medical Society , the Healthcare Information and Management Systems Society , the American Academy of Family Physicians , the American Academy of Pediatrics , and other...
(CCR)