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13 responses to "CCD vs. CCR and Part of MU"

1. # AXEO SYSTEMS commented on October 30th, 2009:

   John,

   One way to think about it: CDA is data that goes in at the point of care, and CCR is data that comes out and goes to the patient or other providers like a report — hopefully in a “meaningful” way. One goal is for the patient to be “transferable” in and around the system.

   CCD bridges CDA and CCR. Overly-simplistic, but one view.

   – Jack

2. # David C. Kibbe, MD MBA commented on October 31st, 2009:

   Colleagues: The CCR standard is alive and well, being used all over the world for computable summary health data and its messaging. It is used both internally in large organizations, as a means of data transport and exchange, and externally, as for moving data from a hospital to patients’ PHRs. See http://7thspace.com/headlines/323806/global_leaders_team_up_to_give_portable_health_information_to_medical_travelers.html for a press announcement of Thailand’s Bumrungrad Hospital and Microsoft HealthVault, that mentions their use of the ASTM CCR standard.
   See the Medpedia entry under CCR standard for more information.
   With kind regards, DCK

3. # John commented on October 31st, 2009:

   David,
   That’s kind of the point of this post. Not to suggest that CCR isn’t alive. In fact, it’s because I think that it’s alive and well that I want to learn more about where it’s being used and how the standard is evolving. Who’s the driving force behind it? What are the goals of CCR? Who is adopting the standard?

4. # Jeffrey E. Epstein, MD commented on October 31st, 2009:

   CCR moves SUMMARY health data.
   CCD moved DOCUMENTS.
   They are both important!
   When I see a patient in the ER, I want to know their medications and their past medical history but I also want to read their last discharge summary and their last cardilogy consultation and their catheterization report.

   CCR and CCD are both important.
   We need to see data AND documents.

5. # Jeffrey E. Epstein, MD commented on October 31st, 2009:

   Glad to see David Kibble here. He is an EMR Rock Star! He could be the Bill Gates of EMRs (without the billions of dollars) :)

6. # Peter Harrison commented on November 1st, 2009:

   CCR )continuing care record) is an ANSI standard. CDA (clinical document architecture) is an HL7 standard. HL7 and ANSI have approved the CCD as a joint standard. CCHIT talks only about CCD for certification. A quick search on the ONC website also show multiple references to CCD as recommended for meaningful use.

7. # Fly on the Wall commented on November 1st, 2009:

   CCR is championed by David Kibbe who has been very critical of CCHIT and CCHIT’s leader (I forget his name). I think CCHIT does not mention CCR because of this conflict between these two very influencial men and their organizations.

   CCR is here to stay and so is CCD. I am not sure about CCHIT although the people who run CCHIT make lots of money each year from doing certifications and collecting money from our government. They are very motivated to survive and will do almost anything to keep their paychecks rolling in.

8. # Springcharts commented on November 2nd, 2009:

   The AAFP defines “continuity of care” as the process by which the patient and the physician are cooperatively involved in ongoing health care management toward the goal of high quality, cost-effective medical care.

9. # John commented on November 2nd, 2009:

   Thanks for the analysis and information. I’ll have to contact David Kibbe directly. Maybe he’ll consider doing a guest post on this blog about the standards or at least about CCR.

10. # Comparison of CCR and CCD | EMR and HIPAA pingbacked on November 5th, 2009:

    [...] response to my previous post about CCR and CCD, I’ve learned a whole bunch about the two different standards for healthcare data exchange. [...]

11. # Merry James commented on November 11th, 2009:

    I am really glad to see such a useful infromation about CCD and CCR. This really helped me alot understanding the basic concepts behind the idea.

12. # Chris Bickford MD MPH commented on November 21st, 2009:

    CCR ASTM standard for Clinical Summary using XML one way

    CDA HL7 standard for Clinical Documents (Generic) using XML in a
    fashion that seems to be incompatible with CCR

    CCD Supposedly the long sought “Harmonization” of CCR & CDA
    as a CCR expressed in XML in a fashion that did not violate
    either approach to using XML. This should have become the
    standard, but for reasons that Kibbe, Waldren and Waegeman
    could explain is still not the agreed standard.

13. # Goodscript21 commented on October 27th, 2011:

    CCR Validation service shows ‘HTTP Status 500′ error, while uploading the files to
    http://utility.cchit.org:8081/ValidationService-1.0/

    Same file shows successful validation on “health vault”.
    http://developer.healthvault.com/pages/types/types.aspx

    I got the pass result, when I had changed the encoding to UTF-16 . It is on FF browser, however not

    in IE and Chrome.

    Anyone knows the issue.

    Thank You.