CCD Chart Exchange
The Continuity of Care Document (CCD) specification is an XML-based format for medical
information to be passed between computer systems as a type of document file.
The intention of the file is to provide a new medical provider with rapid access
to the patient's previous medical history. Although developed by the Health Level Seven International organization and
using the HL7 data paradigm, the document wrapper and markup language are done in XML.
The document file typically contains a combination of human-readable text and structured data
for computer interpretation.
CCD is a specific implementation of the Continuity of Care Record (CCR) specification. As both CCD and CCR
are based on XML, translation between the two formats can be done but is not always implemented correctly
in current medical computing systems.
Note that the CCD can be shared with the patient who may transport it to another physician with or without
the originating physician's involvement. Meaningful Use Stage I requirements include a test of
electronic information exchange (CCD) with an external entity using a certified EHR.
- Ability to pull patient chart information from primary care physician after normal business hours for
emergency room and urgent care
- Ability of patient to transport medical record amongst multiple providers
- Import of patient's medical history as structured, numerical data into a new provider's EMR system
- Unauthorized access of a patient's record
- Patient misinterpretation of their medical data
Medical Incentive Technologies LLC consultants have experience with conducting CCD exchange tests
as part of the Meaningful Use attestation process. We can play a leading role in implementing CCD access
for patients through tools like Patient Portal or medical partner data exchanges.