CCR and CCD Interfaces

A successful EHR implementation takes more than simply selecting the right EHR software for your medical practice or hospital. It requires consideration of many key factors, including patient portal integration using approved standards for Health Information Exchange (HIE). The most commonly used interface standards in healthcare are:

  • Health Level Seven (HL7)
  • Continuity of Care Record (CCR)
  • Continuity of Care Document (CCD)

Medical Web Experts | Since 2003Medical Web Experts has developed its Bridge Patient Portal solution using the CCD standard. While most patient portals support only the CCR format, Medical Web Experts’ solutions support the importation and exportation of personal health records in both CCR and CCD formats. For over 10 years, Medical Web Experts has made an enormous impression in the EMR industry. Beyond our strong reputation in healthcare web design and physician marketing, founder and President John Deutsch has worked with multiple EMR software companies and maintains an active role in improving the EMR experience for physicians and hospitals.

What is the difference between CCR and CCD interface standards?

The Continuity of Care Record is a standard developed by ASTM International, a global leader in the creation of consensus standards. Because a CCR document is slightly limited in its ability to become a highly-scalable solution for interfacing two systems, the Continuity of Care Document was invented to link ASTM’s CCR with the HL7’s Clinical Documentation Architecture. Think of CCD as CCR on steroids.

Continuity of Care Record (CCR)

The Continuity of Care Record (CCR) is a core data set of the most relevant administrative, demographic, and clinical information facts about a patient’s healthcare, covering one or more healthcare encounters. It provides a means for one healthcare practitioner, system, or setting to aggregate all of the pertinent data about a patient and forward it to another practitioner, system, or setting to support the continuity of care. The primary use case for the CCR is to provide a snapshot in time containing the pertinent clinical, demographic, and administrative data for a specific patient. To ensure interchangeability of electronic CCRs, this specification specifies XML coding that is required when the CCR is created in a structured electronic format. Conditions of security and privacy for a CCR instance must be established in a way that allows only properly authenticated and authorized access to the CCR document instance or its elements. The CCR consists of three core components: the CCR Header, the CCR Body, and the CCR Footer. Source: ASTM

Continuity of Care Document (CCD)

Medical Web Experts has extensive experience with CCD technology, the preferred interface standard for communication between EMR software systems and patient portal systems. This is because the CCD standard offers greater scalability in comparison to the CCR standard – meaning that it can grow and accommodate greater amounts of work.

The CCD is a joint effort of HL7 and ASTM to foster interoperability of clinical data to allow physicians to send electronic medical information to other providers without loss of meaning, which will ultimately improve patient care. It passed balloting in February 2007 and is endorsed by the Healthcare Information Technology Standards Panel (HITSP) as the harmonized format for the exchange of clinical information including patient demographics, medications and allergies. The CCD is a CDA implementation of ASTM’s Continuity of Care Record (CCR). It 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. The CCD represents a complete implementation of CCR, combining the best of HL7 technologies with the richness of CCR’s clinical data representation, and does not disrupt the existing data flows in payer, provider, or pharmacy organizations. The CCD is an XML-based standard that specifies the structure and encoding of a patient summary¬†clinical¬†document. It provides a “snapshot in time,” constraining a summary of the pertinent clinical, demographic, and administrative data for a specific patient. From its inception, CDA has supported the ability to represent professional society recommendations, national clinical practice guidelines, standardized data sets, etc. Source: HL7

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Leading the way in Patient Portal technology, Medical Web Experts’ Bridge Patient Portal offers a solution for the healthcare industry to meet the needs of single-provider primary care physicians, hospitals and everything in between. To learn more about our Patient Portal, click here.

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Last updated: June 22, 2015

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