ASTM E2369-12
Standard Specification for Continuity of Care Record (CCR)

Standard No.

ASTM E2369-12

Release Date

2012

Published By

American Society for Testing and Materials (ASTM)

Latest

ASTM E2369-12

Scope

1.1 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.² 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.

1.1.1 The CCR data set includes a summary of the patient???s health status (for example, problems, medications, allergies) and basic information about insurance, advance directives, care documentation, and the patient???s care plan. It also includes identifying information and the purpose of the CCR. (See 5.1 for a description of the CCR???s components and sections, and Annex A1 for the detailed data fields of the CCR.)

1.1.2 The CCR may be prepared, displayed, and transmitted on paper or electronically, provided the information required by this specification is included. When prepared in a structured electronic format, strict adherence to an XML schema and an accompanying implementation guide is required to support standards-compliant interoperability. The Adjunct³ to this specification contains a W3C XML schema and Annex A2 contains an Implementation Guide for such representation.

1.2 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.

1.2.1 This specification does not speak to other use cases or to workflows, but is intended to facilitate the implementation of use cases and workflows. Any examples offered in this specification are not to be considered normative.⁴

1.3 To ensure interchangeability of electronic CCRs, this specification specifies XML coding that is required when the CCR is created in a structured electronic format.⁵ This specified XML coding provides flexibility that will allow users to prepare, transmit, and view the CCR in multiple ways, for example, in a browser, as an element in a Health Level 7 (HL7) message or CDA compliant document, in a secure email, as a PDF file, as an HTML file, or as a word processing document. It will further permit users to display the fields of the CCR in multiple formats.

1.3.1 The CCR XML schema or .xsd (see the Adjunct to this specification) is defined as a data object that represents a snapshot of a patient???s relevant administrative, demographic, and clinical information at a specific moment in time. The CCR XML is not a persistent document, and it is not a messaging standard.

Note 1???The CCR XML schema can also be used to define an XML representation for the CCR data elements, subject to the......

ASTM E2369-12 Referenced Document

• ASTM E1382 Standard Test Methods for Determining Average Grain Size Using Semiautomatic and Automatic Image Analysis
• ASTM E1384 Standard Guide for Content and Structure of the Electronic Health Record (EHR)
• ASTM E1762 Standard Guide for Electronic Authentication of Health Care Information
• ASTM E1869 Standard Guide for Confidentiality, Privacy, Access, and Data Security Principles for Health Information Including Electronic Health Records
• ASTM E1985 Standard Guide for User Authentication and Authorization
• ASTM E1986 Standard Guide for Information Access Privileges to Health Information
• ASTM E2084 Standard Specification for Authentication of Healthcare Information Using Digital Signatures
• ASTM E2085 Standard Guide on Security Framework for Healthcare Information
• ASTM E2086 Standard Guide for Internet and Intranet Healthcare Security
• ASTM E2147 Standard Specification for Audit and Disclosure Logs for Use in Health Information Systems
• ASTM E2182 Standard Specification for Clinical XML DTDs in Healthcare
• ASTM E2183 Standard Guide for XML DTD Design, Architecture and Implementation
• ASTM E2184 Standard Specification for Healthcare Document Formats
• ASTM E2211 Standard Specification for Relationship Between a Person (Consumer) and a Supplier of an Electronic Personal (Consumer) Health Record
• ASTM E2212 Standard Practice for Healthcare Certificate Policy

ASTM E2369-12 history

• 2012 ASTM E2369-12 Standard Specification for Continuity of Care Record (CCR)
• 2005 ASTM E2369-05e2 Standard Specification for Continuity of Care Record (CCR)
• 2005 ASTM E2369-05e1 Standard Specification for Continuity of Care Record (CCR)
• 2005 ASTM E2369-05 Standard Specification for Continuity of Care Record (CCR)