TEPR 2006 demo provides 1st look at continuity of care record

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The Medical Records Institute annual conference Towards the Electronic Patient Record (TEPR 2006), held this week in Baltimore, provided a first opportunity to see the ASTM continuity of care record (CCR) an open XML standard, by which critical patient data can be shared between payers, patient's personal health records (PHR) and a clinician's electronic health record (EHR), in action. The CCR XML file was presented through a conjunction of over a dozen vendors in the TEPR Exhibition Hall.

The demonstration and a workshop explored two critically important capabilities: how physicians and patients can jump-start a continuity of care record by using claims data, avoiding the need to populate a new electronic system; and how portable the CCR can be.

The TEPR CCR demo used the ASTM CCR as the vehicle for transporting a core set of clinically relevant personal health data between different software applications, such as a PHR used by a patient and an EHR used in a physician office or a hospital.

Attendees could see how a patient-centered and standardized clinical data set – the CCR XML file – can be created for a patient using readily available health claims data as a starting point. Then, they could see the exchange (transport, view, import) of the health information among different software applications from different vendors. Data can be transported via USB drive, cell phone and web-based patient registry.

The CCR XML file is non-proprietary and viewable within a web browser or as a PDF file, using common and familiar desktop tools such as Internet Explorer, Firefox, or Adobe Acrobat Reader. All of the data within the CCR xml file can be made secure and compliant with HIPAA and state privacy protection laws and regulation, although some of the security and privacy protections have been intentionally disabled TEPR 2006 will be the first chance to see the ASTM Continuity of Care Record (CCR) an open XML standard, by which critical patient data can be shared between payers, patient's personal health records (PHR) and a clinician's electronic health record (EHR), in action.

The Demo shows how a patient-centered and standardized clinical data set – the CCR xml file – can be created for a patient using readily available health claims data as a starting point. It then shows the exchange (transport, view, import) of the health information among different software applications, including PHRs and EHRs, from different vendors. Also on display are various options for transporting data, including a USB drive, cell phone, and web-based patient registry. The latter utilizes a new open Internet protocol – the CXP – to facilitate secure point-to-point transfer or CCR files over the internet. The demo exclusively uses technology that is available now. Participants can visit the booths of the vendors and companies who are collaborating in the TEPR CCR Portability Demo and see the many fine products and services exhibited.

The CCR xml file is non-proprietary and is viewable within a web browser or as a PDF file, using common and familiar desktop tools such as Internet Explorer, Firefox, or Adobe Acrobat Reader. All of the data within the CCR xml file can be made secure and compliant with HIPAA and state privacy protection laws and regulation, although for the purposes of the demonstration some of the security and privacy protections were intentionally disabled.