The HL7 Continuity of Care Document (CCD) is the result of a collaborative effort between the Health Level Seven and ASTM organizations to “harmonize” the data format between ASTM’s Continuity of Care Record (CCR) and HL7′s Clinical Document Architecture (CDA) specifications.
The CCD will enable greater interoperability or healthcare integration of clinical data and “allow physicians to send electronic medical information to other providers without loss of meaning.”
With CCD, the CCR is represented and mapped into the HL7 CDA. These are structured XML standards for clinical information exchange. The harmonized standards should support greater streamlined exchanges with Electronic Medical Record (EMR) and Electronic Health Record (EHR) systems as well as various healthcare providers.


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