May 10, 2004 this long overdue step has been achieved with a standard for the continuity of care. The continuity of care record ccr is a health record standard specification developed jointly by astm international, the massachusetts medical societymms, the himss, the american academy of family physicians aafp, the american academy of pediatrics aap, and other health informatics vendors. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Astm e2369 12 standard specification for continuity of care. Thus, the following information, in particular that related to the ccrs content, is subject to change as a result of the consensusbuilding activities associated with the design of the ccr. Continuity of care record wikipedia republished wiki 2. Pdf the clinical document architecture and the continuity. Health records request continuity of care this form is to request records for continuity of care only.
Continuity of care record, ccr is a system for monitoring the continuity of care. While continuity of care includes having an ongoing, trusting relationship with a health provider, it also refers to receiving accessible, continuity of care that is individualised to the persons. Ensuring continuity of care through electronic health records. The continuity of care record, or ccr, is a standard for the creation of electronic. Va continuity of care document va ccd my healthevet. Standard specification for continuity of care record ccr.
Continuity of care maturity model himss analytics europe. The continuity of care record editorials american family. Given the framework already provided by the hl7 clinical document architecture and the proven clinical utility afforded by the ccr, the authors believe that synergy could be achieved by working together to blend the two standards into a single document exchange standard that retains the best features of each. Semantic scholar extracted view of the continuity of care record. Continuity of care record ccr 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. Continuity of care record versus continuity of care document. The clinical document architecture and the continuity of care.
Continuity assessment record and evaluation care item set. The clinical document architecture and the continuity of. W h i t e pa pe r understanding the continuity of care record it would be overtly obvious to suggest that to. Continuity of care record ccr is a computing standard used to create extended support for electronic patient information accessible with various medical applications. Sep 12, 2005 overview of the continuity of care record. Continuity assessment record and evaluation care data between the centers for medicare and medicaid services cms and health care providers. Continuity of care, definition of american academy of. 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. Ccr documents are created in xml formatting paving ways for other applications to render ccr files freely. Sadly those times are rapidly vanishing and, ultimately, it will be the health and welfare of the animals under our care that will suffer. The continuity assessment record and evaluation care item set. The ccr and ccd are standard specifications developed by different groups of organizations to achieve similar goals.
Implementing consolidatedclinical document architecture. You knew them like friends and knew their animals better. Continuity of care record ccr 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 ped. Understanding the continuity of care record semantic scholar. A ccr can also be exported to other formats, such as pdf or office open xml microsoft word 2007 format. In those happy, halcyon days of yore, clients were for life.
Continuity of care record ccr the concept paper of the ccr version 2. Continuity of care record ccr the concept paper of the ccr. Ccd is an implementation guide for sharing continuity of care. This white paper, the first in a series on the many healthcare standards, will serve to. Continuity of care record ccr the continuity of care record ccr 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. This document is the action plan to improve the suitability of astm continuity of care record ccr to support the department of health and human services stage 1 meaningful use. For the purpose of providing ongoing medical, dental, andor mental health care. Lantana consulting group prepared this report for the national institute of standards and technology nist to accompany the related ccr suitability analysis1. Limited shared care plans outside the organisation. The development and testing of the continuity assessment record and evaluation care item set. Level 7 hl7 message or cda compliant document, in a secure email, as a pdf file. Hl7 standards product brief continuity of care document. It is the process by which the patient and hisher physicianled care team are cooperatively involved in ongoing health care. E236912 standard specification for continuity of care record ccr.
Conceptual model of continuity of care record version 1, 02082004. Continuity of care record ccr is a health record standard specification developed jointly by. Some externally generated data incorporated into patient record. Continuity of care record versus continuity of care document as. Pdf on nov 1, 2004, david c kibbe and others published the continuity of care record find, read and cite all the research you need on. The ccr is intended to foster and improve continuity of patient care, reduce medical errors, increase patients roles in managing their health, enable epidemic. The deficit reduction act dra of 2005 directed cms to develop a medicare payment reform demonstration prd that used standardized patient information to examine the consistency of payment incentives for medicare populations treated in various settings. The va ccd makes it possible to share a summary of your va health information with nonva health care computer systems. The clinical document architecture and the continuity of care record. Continuity of care is concerned with quality of care over time. Continuity of care is how one patient experiences care over time as coherent and linked. The continuity of care document ccd is a joint effort of hl7 international and astm.
Introduction to the va continuity of care document va ccd what is needed to use the va continuity of care document va ccd have a my health e vet account my health e vet account types premium account users and the va continuity of care document va ccd. These analyses are in line with the underlying goal of the care assessment design, which was to develop an assessment that captured patient clinical, functional, cognitive, and social support. It is used to share summary information about the patient within the broader context of the personal health record. In 2005 the ccr received a significant amount of air time as the savior for moving data between facilities.
In addition, records can be exported as pdf or openoffice xml files. It is a standard specification developed jointly by astm, the massachusetts medical society, the health information management and systems society, the american academy of family physicians, the american academy of pediatrics, along with multiple healthcare it vendors. Astm international specification for the continuity of care record. Clients seem to be registered not with one practice but often. View understanding the continuity of care record ccr. The astm specification for continuity of care record was developed by. There are times when you may be able to continue care with your provider who is not in medica s network and still receive innetwork benefits. The continuity of care record ccr is a structured format for patients core data, which is a standard document, transferrable from one institution to another. This contains health information that comes from your va health record. Oct 18, 2006 the continuity of care record ccr is an xmlbased standard for the movement of documents between clinical applications. A request from a healthcare provider for medical, dental, andor mental health information only. Continuity of care record versus continuity of care. Use this form to request approval to continue care with your current provider who is no longer in your plans network.
Cms has established the care data set to promote standardsbased exchange of care data with the ultimate goal of improving the quality of care experienced by patients as they transition among providers. Braithwaite, md, phd treasurer, hl7 board of directors. The current trend seems to be a particular problem in equine practice. Implementing consolidatedclinical document architecture c. Continuity of care record wikimili, the free encyclopedia. Its aim is to improve the quality of health care and to reduce medical errors by making current information readily available to physicians.
To foster and improve continuity of patient care, to enhance patient safety to reduce medical errors. Health records, which is under the jurisdiction of. Va continuity of care document va ccd user guide select a topic below to view that page. Most electronic health record vendors have adopted the ccd rather than the continuity of care record since it is a newer format that harmonizes the continuity of care record and the hl7 clinical document architecture cda specifications. Document standards are essential to achieving interoperability between phr systems and between phrs and ehrs. 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. Implementing consolidatedclinical document architecture ccda for meaningful use stage 2 onc implementation and testing division april 5, 20. It has not been developed by just a standards developer like all other health informatics. Continuity of care record ccr were introduced to begin solving. It is a core data set called the continuity of care record ccr.