CCD-Continuity of Care Document
The Continuity of Care Document (CCD) is built using HL7 Clinical Document Architecture (CDA)  elements and contains data that is defined by the ASTM Continuity of Care Record (CCR) . It is used to share summary information about the patient within the broader context of the personal health record.
The CCD was formed through a joint collaboration between Health Level 7  and ASTM International as a way to address the divide between those who had adopted HL7 is a Standards Developing Organization accredited by the American National Standards Institute (ANSI) to author consensus-based standards representing a board view from healthcare system stakeholders. HL7 has compiled a collection of message form... Clinical Document Architecture (CDA) HL7 CDA uses XML for encoding of the documents and breaks down the document in generic, unnamed, and non-templated sections. Documents can include discharge summaries, progress notes, history and physical reports,... and those who had adopted ASTM Continuity of Care Record (CCR) is an XML-based standard for the movement of “documents” between clinical applications. Furthermore, it responds to the need to organize and make transportable a set of basic information about a patient’s health .... It was endorsed by the Certification Commission for Health Information Technology (Certification Commission for Healthcare IT (CCHIT) serves as the recognized US certification authority for electronic health records (EHR) and their networks. In September 2005, CCHIT was awarded a 3-year contract by the U.S. Department of Health and...) as part of their Electronic Health Record (EHR), as defined in Defining Key Health Information Technology Terms (The National Alliance for Health Information Technology, April 28, 2008): An electronic record of health-related information on an individual that conform... certification requirements in June 2008, and was predicted to drive the use of electronic exchange for clinical data.
Continuity of Care Document (Continuity of Care Document (CCD) The HL7 CCD is the result of a collaborative effort between the Health Level Seven and American Society for Testing Materials (ASTM) to “harmonize” the data format between ASTM’s Continuity of Care Record (CCR)...) Goals
- Apply CCR content to the already accepted framework of CDA.
- Provide the necessary health information for the continuation of care.
- Reduce medical errors.
CCD is compatible with any document or standard that uses RIM-based specifications, including new versions of HL7 , new types of public safety reports, IHE  specifications, Healthcare Information Technology Standards Panel (HITSP) serves as a cooperative partnership between the public and private sectors for the purpose of achieving a widely accepted and useful set of standards specifically to enable and support widespr... specifications and CDISC. Because of its small fixed XML tag set, CCD can be universally rendered as HTML or PDF without requiring specialized communication efforts.
CCD uses a detailed set of constraints (or templates) for CDA elements, providing the framework of the CCD. The templates define how to use CDA elements to communicate clinical data, but the scope of the data within the templates is determined by the CCR dataset.
CCD Templates* include:
- Family history
- Social history
- Advance directives
- Medical equipment
- Vital signs
- Functional stats
- Plan of care
*excludes supporting templates
- HL7 Continuity of Care Document Quick Start Guide (blog post)
- HL7 CCD Topic Category (blog)
- Continuity of Care Document white paper (PDF)
- Health Standards In The News: CCD and Consolidated CDA  (blog post)
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