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HL7 Continuity of Care Document Quick Start Guide

HIMSS EHRVA developed a Quick Start Guide for implementing the Continuity of Care Document (CCD). HIMSS EHRVA is a trade association of Electronic Health Record (EHR) vendors. Included in the file are two sample CCDs. The guide seems to be a useful resource for implementers of integrated healthcare systems.

A few past posts and insights that you may want to explore:

Please post any experiences that you have in implementing the CCD or using this Quick Start Guide.

Related posts:

  1. What Is the HL7 Continuity of Care Document?
  2. What Is the Continuity of Care Record (CCR)?
  3. What is the Relationship Between the Continuity of Care Record (CCR) and HL7 2.X Messaging?
  4. HL7 Beginners Guide Article
  5. Embedding or Sending a CCR Document Inside an HL7 2.X Message
Posted in CCD, EHR, EMR
  • http://hl7standards.com/blog/2008/07/23/an-overview-of-ccd-templates/ An Overview of CCD Templates

    [...] additional information on getting started with CCD, please read the post on the quick start guide provided by [...]

  • http://hl7standards.com/blog/2008/07/29/continuity-of-care-document-for-clinical-data-exchange/ Continuity of Care Document for Clinical Data Exchange

    [...] implementing CCD will be readily compatible with new technology, while simultaneously opening the doors to greater [...]

  • http://orbit.rambrijgmail.com Rambrij

    Can you send me a example xml of HITSP Summary Documents Using HL7 Continuity of Care Document (CCD) Component

  • Dan Bernstein

    The link above to the “Quick Start Guide” seems to be misdirected.

    Dan

  • http://www.neotool.com Jon Mertz

    Thanks, Dan. It looks like they changed their URL. It has been updated.

  • fang cao

    Is there interoperability between HL7 V2 messages and CCD(CDA)?

  • http://www.corepointhealth.com Jon Mertz

    Thank you for your question. We checked with one of our integration specialists and have the following response:

    The short answer is “yes” with the long answer being “it depends.”

    There are different levels of CDA/CCD documents. It probably would be possible to create a Level-1 CDA document from an HL7 v2 message, assuming you had a fairly robust HL7 v2 report of some flavor (MDM or ORU type of message most likely).

    It would be harder to take an HL7 v2 message and convert it into a Level-2 or Level-3 CDA document. More data is required in those formats, and that data needs to be structured, not just free form text.

    The CDA is based on the HL7 v3 RIM, and compliant CDA documents will follow that data model. Mapping from one data model to another can be challenging.

    All CDA documents need to have a responsible party or person who ‘signs’ the document. At a minimum, the HL7 v2 message would have to have this information.

    Converting a CDA document into an HL7 v2 message is possible, but you run the risk of losing the ‘context’ of the data that is in the original document if it is a highly structured Level-2 or Level-3 document. If the CDA contains nothing more than a textual report and some patient demographic information, then it can be converted into a comparable v2 message.

  • prakash

    Hi All,

    Is there any way to validate the CCD document ?

    Thanks,
    Prakash

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