Continuity of Care Record
ASTM E2369 - 12: Standard Specification for Continuity of Care Record (CCR) | |
Abbreviation | CCR |
---|---|
Organization | Electronic health records |
License | Proprietary |
Website | www |
Continuity of Care Record (CCR)[1] is a health record standard specification developed jointly by ASTM International, the Massachusetts Medical Society (MMS), the Healthcare Information and Management Systems Society (HIMSS), the American Academy of Family Physicians (AAFP), the American Academy of Pediatrics (AAP), and other health informatics vendors.[1]
Although there is no official "death" of the CCR standard announced anywhere, the CCR is effectively dead in any major industry use, with most organizations now transmitting documents and information with
Background and scope
The CCR was generated by health care practitioners based on their views of the data they may want to share in any given situation.[2][failed verification] The CCR document is used to allow timely and focused transmission of information to other health professionals involved in the patient's care.[2] The CCR aims to increase the role of the patient in managing their health and reduce error while improving continuity of patient care.[3] 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. The CCR's intent is also to create a standard of health information transportability when a patient is transferred or referred, or is seen by another healthcare professional.[4]
Development
The CCR is a unique development effort via a syndicate of the following sponsors:
- ASTM International
- Massachusetts Medical Society
- HIMSS
- American Academy of Family Physicians
- American Academy of Pediatrics
- American Medical Association
- Patient Safety Institute
- American Health Care Association
- National Association for the Support of LTC
Content
The CCR data set contains a summary of the patient's health status including problems, medications, allergies, and basic information about health insurance, care documentation, and the patient's care plan.[4] 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.[2] The ASTM CCR standard's purpose is to permit easy creation by a physician using an electronic health record (EHR) system at the end of an encounter.[2]
More specifically within the CCR, there are mandated core elements in 6 sections.[4]
These 6 sections are:
- Header
- Patient Identifying Information
- Patient Financial and Insurance Information
- Health Status of the Patient
- Care Documentation
- Care Plan Recommendation
CCR standard and structure
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 to other formats, such as PDF or Office Open XML (Microsoft Word 2007 format).[4]
The
Although the CCR and CCD standards could continue to coexist, with CCR providing for basic information requests and CCD servicing more detailed requests, the newer CCD standard might eventually completely supplant CCR.[7]
Technology
As mentioned, the CCR standard uses
See also
References
- ^ doi:10.1520/E2369-12. ASTM E2369 - 12.
- ^ PMID 16501180.
- PMID 15508532.
- ^ a b c d e Continuity of Care Record:The Concept Paper of the CCR (Report). American Society for Testing and Materials. 2013.
- ISBN 978-1-4493-0502-4. Archivedfrom the original on 3 September 2011. Retrieved 22 August 2017.
- ^ "HITSP 09 N 451 – Comparison of CCR/CCD, CDA Documents and HITSP Products" (PDF). ANSI Public Document Library. December 2009. Archived from the original (PDF) on 2011-10-01. Retrieved 2011-08-06.
- ^ Kibbe, David C. (19 June 2008). "Untangling the Electronic Health Data Exchange". e-CareManagement Blog. Better Health Technologies, LLC.
- ^ a b Kibbe, David C. (10 August 2006). "An Overview of the ASTM Continuity of Care Record (CCR)" (PDF). NCHICA. North Carolina Healthcare Information and Communications Alliance, Inc. Archived from the original (PDF) on 2013-01-14. Retrieved 2013-06-09.