Section 1: Primary Standards
Section 3: Clinical and Administrative Domains
Section 5: Implementation Guides

HL7/ASTM Implementation Guide for CDA® R2 -Continuity of Care Document (CCD®) Release 1

DESCRIPTION

The Continuity of Care Document (CCD) is a joint effort of HL7 International and ASTM. CCD fosters interoperability of clinical data by allowing physicians to send electronic medical information to other providers without loss of meaning and enabling improvement of patient care. CCD is an implementation guide for sharing Continuity of Care Record (CCR) patient summary data using the HL7 Version 3 Clinical Document Architecture (CDA), Release 2. CCD establishes a rich set of templates representing the typical sections of a summary record, and expresses these templates as constraints on CDA. These same templates for vital signs, family history, plan of care, and so onÑcan then be reused in other CDA document types, establishing interoperability across a wide range of clinical use cases.

ALTERNATIVE NAMES

HL7/ASTM Implementation Guide for CDA® R2 -Continuity of Care Document (CCD®) Release 1 may also go by the following names or acronyms:

Implementation Guide for CDA R2 CCD

TARGETS

  • Healthcare Providers
  • Healthcare IT Vendors
  • Electronic Health Record (EHR) and Personal Health Record (PHR) Systems

BENEFITS

  • Allows physicians to send electronic medical information to other providers without loss of meaning
  • Provides a "snapshot in time," constraining a summary of the pertinent clinical, demographic, and administrative data for a specific patient
  • Supports the ability to represent professional society recommendations, national clinical practice guidelines, standardized data sets, etc

IMPLEMENTATIONS/CASE STUDIES

  • CDA Implementation Guide for: Consult Notes, Release 1; Operative Notes; History & Physical; and Procedure Notes
  • Quality Reporting Document Architecture
  • Integrating the Healthcare Enterprise Patient Care Coordination Profiles
  • Integrating the Healthcare Enterprise XDS Medical Summary for Referral and Discharge

DEVELOPMENT BACKGROUND

The CCD 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. It represents a complete implementation of CCR, combining the best of HL7 technologies with the richness of CCRs clinical data representation, and does not disrupt the existing data flows in payer, provider or pharmacy organizations. The CCD is an XML-based standard and was recognized in 2008 by the US Secretary of Health and Human Services for this use. It has been named in US Regulations for exchange of clinical information.

RELATED DOCUMENTS

HL7/ASTM Implementation Guide for CDA® R2 -Continuity of Care Document (CCD®) Release 1

(Download) (4.10 MB)

HL7 CCD to ASCII Blue Button Transform, Release 1 (View Brief) (Buy)

ADDITIONAL DETAILS

http://en.wikipedia.org/wiki/Continuity_of_Care_Document.