The Continuity of Care Record (CCR) is an XML standard that summarizes a patient’s electronic health record (EHR) in a standard format used for interoperability and exchanging patient records with their care team. With your comprehensive records of patient care, you need to ensure that you support continuity of care for your patients.
The Continuity of Care Record (CCR) is a standard for the electronic exchange of clinical and health-related data. With the evolution of multiple standards, the Health Level Seven International (HL7) and the American Society for Testing and Materials (ASTM) organizations collaborated on the Continuity of Care Document (CCD) to sync the ASTM’s CCR with the HL7’s Clinical Document Architecture (CDA).
The Healthcare Information Technology Standards Panel (HITSP) endorsed the CCD standard, but both CCD and CCR are recognized by the U.S. Centers for Medicare & Medicaid Services (CMS) as required standards. The goal for HL7 and ASTM is to speed up the adoption of electronic medical records (EMRs) and electronic health records (EHRs).
What does CCR stand for in medical terms?
Continuity of Care Record (CCR)
What is CCR in billing?
The total amount of money required to operate a hospital, divided by the sum of the revenues received from patient care and all other operating revenues.
What does CCD stand for in healthcare?
The Continuity of Care Document (CCD) is an electronic document exchange standard for sharing patient summary information. Summaries include the most commonly needed pertinent information about current and past health status in a form that can be shared by all computer applications, including web browsers, electronic medical record (EMR) and electronic health record (EHR) software systems.
- The Continuity of Care Document is a compromise reached by two standards groups, ASTM International and Health Level 7 ( HL7 ).
- The specific content and scope of the Continuity of Care Document was determined by another specification, ASTM’s Continuity of Care Record ( CCR ), an XML-based specification for patient summary data.
While some suggest that the Continuity of Care Document standard competes with the Continuity of Care Record standard, HL7 considers the CCD standard an implementation of the CCR standard. Learn more: HL7 and ASTM International announce the approval of the CCD standard,
What does CCR mean in laboratory?
CCR Lab The CCR Lab is a network of collaborators, including students and former students of Dr. Mirella Stroink, with interests in Complexity, Culture, and Resilience. Disciplinary backgrounds are varied and include Psychology, Social Work, Health Sciences, Geography, and Natural Resources.
Systems ThinkingEnvironment of AdaptationDynamic Psychological ResiliencePerceived Food SecurityCultural and Psychological Factors in Ecologically Sustainable Food Behaviour Meaning-makingAttachment and Relationship ProcessesApplications of Social Network Analysis Consultation to Community groups and organizations interested in the application of Complexity and Resilience concepts (see )
: CCR Lab
What is CCR in physiology?
CCR chemokine receptor family – The CCR chemokine receptors are expressed on cells important to allergic inflammation including eosinophils, basophils, lymphocytes, macrophages, and dendritic cells, whereas the CXCR are expressed mainly on neutrophils and lymphocytes.
Activation of chemokine cell surface receptors by specific chemokines results in activation of a cascade of intracellular signalling pathways, including guanosine triphosphate-binding proteins of the Ras and Rho families, leading ultimately to the formation of cell surface protrusions termed uropods and lamellipods, which are required for cellular locomotion.
Some chemokine receptors are expressed only on certain cell types, whereas other chemokine receptors are more widely expressed. In addition, some chemokine receptors are expressed constitutively whereas others are expressed only after cell activation.
A given leukocyte often expresses multiple chemokine receptors, and more than one chemokine typically binds to the same receptor. Examples of chemokine receptor expression by circulating cells important to allergic inflammation include: eosinophils and basophils, which express the CC chemokine receptor CCR3, T cells, which express CCR4 and CCR8, and dendritic cells, which express CCR6.
Read full chapter URL: https://www.sciencedirect.com/science/article/pii/B9780723436584000056
What is a clinical terminology?
Terminology in Healthcare – Different from what you expect – Clinical terminology is different from medical terminology. Medical Terminology refers to the vocabulary that medical professionals use to describe the body—what it does, diseases that impact it, and procedures to correct it —enabling precise communication among practitioners.
Clinical terminology systems are used to code the entire healthcare domain, from procedure to diagnosis and beyond. They function as a common reference system that uses compositional grammar concepts (conversation words) that can be coded and queried. Terminology systems personalize medicine such that everyone is speaking the same language about a patient in the exam room and the billing office.
These systems also provide support for clinical trials and research across multiple organizations. Additionally, they offer semantic interoperability for sharing data easily and accurately.
What is CCR in customer service?
Customer Churn Rate (CCR)
What is CCR in operations?
• The CCR Operator is responsible for the operation of different plant sections from the central control room. • Plant operation and optimizing the process parameters • Co ordination with field people from CCR for smooth operation of the plant. • Measurement of various process parameters along with Shift In-charge • Recording of process parameters and plant log for the respective section • Inspection of specific parameters on regular basis • Perform any extra duties assigned by the Shift In-Charge.
• 5 – 8 years of work experience in work specializing in Chemical Science in the high technology Cement plants. • Complex problem solving • Critical thinking • Active listening • Firm time management skills • Strong mathematical & science skills • Sound judgment and decision making skills • Solid verbal & writing skills • Problem Sensitivity capabilities • Flexibility of disclosure capabilities • Inductive & deductive reasoning • Information ordering capabilities • Exceptional leadership skills & capabilities.
Qatari Investors Group is a leading provider of high quality business, industrial, investment services and products in Qatar. Qatari Investors Group plays a major role in the various fields of industry and investment. We create value for our customers, shareholders, employees and community and enjoy an excellent reputation in the market.
What is CCR in industry?
Continuous Catalytic reforming (CCR) is a chemical process that converts petroleum refinery naphthas distilled from low-octane oil into high-octane liquid products called reformates, which are premium blending stocks for high-octane gasoline. The process partially dehydrogenates paraffins, isoparaffins, and cyclic naphthenes and converts them into high-octane aromatics.
- There are several applications in a CCR process that require the use of electric process heaters.
- First, because the chemical reactions are endothermic (i.e.
- Absorb heat), inter-stage heaters are required to raise the temperature of the fluids to ensure they are at the proper temperature to achieve successful chemical reactions.
Second, metal catalysts, such as platinum, are used in the process to improve reaction efficiency and yield. These catalysts need to be regenerated on a continual basis using a hot, inert gas. This regeneration is also accomplished using electric process heaters.
What is CCD NHS?
From the outset of a patient’s admission, the multidisciplinary team leading their care, plus the patient, their family and carers, all need to have a clear expectation of what is going to happen during their stay. Reducing unnecessary patient waiting should be a priority for all teams, with a patient’s time being viewed as the most important currency in healthcare.
As a first step, all patients’ cognitive, functional, and social status should be assessed prior to admission and on admission. Where possible, therapy input should also be increased in emergency departments and acute medical assessment units so patients can be assessed immediately, and a comprehensive geriatric assessment can be undertaken for people with frailty.
The first consultant contact may be the most appropriate time to set the Clinical Criteria for Discharge (CCD) and Expected Date of Discharge (EDD), However, this should be set no later than the first consultant post-take ward round the next morning.
- The CCD is the minimum physiological, therapeutic and functional status a patient needs to achieve before discharge.
- You should include a ‘functional’ element within the CCD.
- This is essential for older patients, who are more likely to have frailty or impairments to their daily living.
- The healthcare professional must be reflective of the patient’s ‘norms’ rather than any generalised expectations.
For example, a patient with dementia, reduced mobility and a normal exercise tolerance of 25 yards may indicate not meeting the criteria to reside and will be fit for discharge if their toilet is only five yards from their bedroom, they are mobile with a frame and they have the supervision of one person.
- It is important to anticipate that patients will continue to recover at home with or without support.
- In fact, many patients need to leave the hospital to be able to complete their recovery fully.
- Objectives should be set and reviewed every day.
- This should not be about one team or one healthcare professional assuming responsibility – it should truly be a multidisciplinary approach.
This process streamlines the transfer of care from the beginning of the inpatient journey, taking social care requirements and the risk of overprescribing community care into consideration. If necessary, the EDD can be adjusted. However, it is crucial that you set the EDD assuming an ideal recovery pathway unencumbered by either internal or external waits, so that these aren’t hidden.
- The CCD and EDD are essential care coordination tools.
- They are not tools for hospital management – they are there to support clinicians and patients.
- However, one of the key benefits of using the CCD and EDD is that hospital management can clearly identify where there may be unnecessary waits and focus on resolving these.
What’s more, having plans in medical notes that include clear clinical criteria for discharge make it easier for non-medical teams to implement criteria led discharge, It may appear more straightforward to implement this process for elective, surgical patients than for those admitted as an emergency.
What is CCR in quality control?
Consumer Confidence Reports Consumer Confidence Reports (CCRs), also known as water quality reports or drinking water quality reports, provide you with important information about the quality of your drinking water. The U.S. Environmental Protection Agency (EPA) every community water supplier to provide a CCR to its customers.
- Community water suppliers must provide CCRs to their customers by mail or,
- If you don’t pay your water bill directly—for example, if you live in an apartment, condominium, or rental house where a management company pays the water bill—you may need to contact a building manager or landlord for more information.
You could also check online to see if your CCR is posted. Only community water systems that serve the same people year-round provide CCRs, If you receive water from a (for example, a hospital that has its own water system or a system that provides water in a place like a gas station or campground), you may need to contact a building manager for drinking water quality information.
People who get their water from a private ground-water well do not receive CCRs. EPA does not regulate private wells, so there is no requirement for a CCR as there is for community water systems. To learn more about safe water when using private well systems, maintaining private wells, and well testing, please visit page.
Information in your report is often tailored to local water systems, so not all CCRs look alike. Some of the water quality information included in your report can help you understand how your drinking water can affect your health. For example, your water source may contain harmful germs, chemicals, and minerals.
Some of these contaminants occur naturally (for example, arsenic), while others come from environmental contamination like sewage discharge, industrial waste, or runoff from plant or animal farming. Not all contaminants are bad. Some things listed as “contaminants” in your CCR can improve water quality, such as the appropriate amount of a disinfectant that keeps your water safe from harmful germs.
For example, if your water utility adds to the water, these disinfectants will be listed as contaminants even though they protect your health and kill harmful waterborne germs. Contaminants marked as “violated” are present at levels higher than EPA allows,
Knowing what levels of contaminants are in your water source—and whether those contaminants are harmful—can help you determine whether you should take additional actions to protect yourself and your family from potential water-related illnesses. EPA determines what levels of contaminants are safe to have in drinking water.
Your CCR will show whether your water source has a higher level of contaminants than recommended. CCRs must explain violations, how they may affect your health, and how the problem will be fixed. Review of your last several CCRs may help you understand if the violation is an ongoing issue (keeping in mind even single violations may be concerning).
- Ask your local water utility, your local health department, and your healthcare provider for more information about how the quality of your drinking water may affect your health.
- EPA requires a CCR section on Cryptosporidium.
- This section does not necessarily mean that your drinking water has the,
- All CCRs are required to provide an educational statement about avoiding this parasite for people who are in groups with a higher risk of illness from it.
This parasite can cause severe diarrheal illness and can be dangerous for people with, even at low levels. It is also hard to kill, even with chlorine disinfection of water. For information on drinking water options for people with weakened immune systems, see the “Drink safe water” tab on the web page,
Date Report shows the findings of required water testing. The current CCR will display information about your drinking water from the past year. Multilingual audiences In areas where many residents don’t speak English, water systems must provide CCR information in the relevant languages. Is my water safe? A water provider may choose to include an introductory statement about the past year’s water quality results and compliance. Do I need to take special precautions? CCRs must state that some people may be more at risk of getting ill than others from harmful chemicals or germs that can be found in water. It will list examples of people who should ask their doctor about drinking water. Where does my water come from? The report must include the source of the water delivered by a water provider (wells vs. rivers or lakes) and generally where that source is located.
Section 2 – Water Assessment, Contaminants, Monitoring, and Involvement
Source water assessment and its availability If your water source went through laboratory testing or other assessments, this section will tell you how to get the results. The report may also show these results, such as the quantity and names of any chemicals and germs found. How can I get involved? All CCRs must tell the public how they can participate in decisions that affect the quality of local drinking water. Monitoring and reporting of compliance data violations If your water has unsafe levels of contaminants, the report must explain the violations, including how they may affect your health and how the problem will be fixed. To learn about EPA limits for contaminants, see the EPA’s,
Section 3 – Lead, Nitrate, Arsenic, and Water Quality Data Table
Additional information for lead An educational statement about lead is required on each CCR, even if your water source does not contain lead. Additional information for nitrate Information on contaminants like nitrate may also be included when a system detects nitrate at levels above 10 mg/L. Infants below the age of six months who drink water containing nitrate in excess of 10 mg/L could become seriously ill and, if untreated, may die. Symptoms include shortness of breath and blue-baby syndrome. Additional information for arsenic must be included if a system detects arsenic above 0.005 mg/L and up to and including 0.010 mg/L. In many cases, this means arsenic is a natural part of the rocks in your area, and over time it has leached out of the rocks and contaminated your water source. Levels up to and including 0.010 are considered safe. Water Quality Data Table
Chloramine (as C12)(mg/L) Water additive to control microbes Erosion of natural deposits; water additive which promoted strong teeth; Contaminants : Contaminants are anything found in your water besides water molecules. Contaminants can be good or harmful for your health, depending on the particular substance and quantity.
- MCLG : If the level of a contaminant in your drinking water is below the Maximum Contaminant Level Goal (MCLG) number indicated, there is no known or expected risk to your health.
- MRDLG : If the level of the drinking water disinfectant used by your water supplier is below the Maximum Residual Disinfection Level Goal (MRDLG) number indicated, there is no known or expected risk to your health.
MRDLGs do not reflect potential benefits of disinfectants. §MCL : The highest level of a contaminant that is allowed in drinking water is the Maximum Contaminant Level (MCL). Contaminant levels above the MCL number violate the EPA standards to protect public health.
¶TT : The Treatment Technique (TT) is a required process intended to reduce the level of a contaminant in drinking water. **MRDL : The highest level of a disinfectant allowed in your drinking water is the Maximum Residual Disinfectant Level (MRDL). A certain amount of disinfectant has been shown to help control germs in the water.
Amount detected : Contaminants that exist in your water source. Range detected : The “range” on your CCR refers to the levels—both low and high—at which contaminants were detected in your drinking water. A range of levels may exist due to changes in contaminant levels during a calendar year.
Sample date : The date on which a sample from your water system was collected. Violation : A violation indicates that the level of a contaminant in your drinking water has exceeded the maximum level allowed for that contaminant by EPA. Typical sources : Contaminant sources, such as runoff or erosion, are indicated here. Contaminant name : The names of specific contaminants are indicated under each contaminant category (like chloramine under Disinfectants ).
Contaminant categories : This line in the table shows what group of contaminants is being listed. This usually includes categories such as Disinfectants (like chlorine and chloramine), Inorganic Contaminants (like fluoride, nitrate, and lead), and Organic Contaminants (like atrazine and benzene), but other categories may be seen here as well depending on your water system.
††Action Level : The concentration of a contaminant that signals the need for additional treatment or other required actions by the water system. Violations and Exceedances : EPA requires that violations of allowable contaminant levels be explained, including the length of time the violation occurred, any potential bad health effects that the violation could cause, and how the violation is being fixed.: Consumer Confidence Reports
What is CCR in biology?
Creatinine clearance rate, a measure of kidney/renal function.
What does CCR stand for in biology?
Chemokine Receptor CCR – an overview | ScienceDirect Topics. Search.
What is CCR in biochemistry?
Ideal values of creatinine clearance (CCr) for reference male and female subjects and their relative body cell mass (BCM) and body cell mass index (BCMI) Source publication. The application of body cell mass index for studying muscle mass changes in health and disease conditions.
What is the difference between CCD and C-CDA?
What are CCD and CCDA files? CCD stands for Continuity of Care Document. CCDA stands for Consolidated-Clinical Data Architecture and it is used to create documents and standardize the content and structure for clinical care summaries and can include CCD files.
What is the difference between a CCD and a CDA?
What’s Contained Within a C-CDA Document? – C-CDA documents are generally represented in XML. They can include structured information like a medication list. They’re also good at capturing unstructured information, like images. C-CDA is generally read-only (although the information can be parsed and uploaded elsewhere with some effort).
It’s a library of templates, and can encompass information from a single point in time to an aggregation of one’s medical history. C-CDA is also known for popularizing the Continuity of Care Document (CCD), CCDs are documents that give a snapshot of a patient’s health record in C-CDA format. In reality, many CDA and C-CDA documents are limited in scope.
There are plenty of documents under CDA for specific use cases. For instance, a Discharge Summary is limited to information about the release of a patient from care. While the specification doesn’t define the transport mechanism for communication, the mechanisms for the communication of clinical documents are defined in a hierarchy of specifications.
At Particle, the networks we communicate with have built upon the framework outlined by IHE International. In some ways, C-CDA is a victim of its own success. Older CCDs can go on for pages and pages, requiring something like Particle’s data transformation platform to convert information from CDA to FHIR which can then be searched in a more programmatic way.
Even shorter documents benefit from a transformation to FHIR, a JSON-language standard, which makes it manageable to use the valuable data in C-CDA records at scale. There are a bunch of other C-CDA document types, such as procedure notes, diagnostic imaging reports, and discharge summaries. A typical visualization of a C-CDA Continuity of Care Document from Particle Health’s developer portal, A C-CDA Continuity of Care Document code snippet.
What is CCD in CCTV?
A. CCD Technology – A CCD camera is a solid state electrical device that is capable of converting light input into electronic signal. The term “charged-coupled” refers to the coupling of electrical potentials that exist within the chemical structure of the silicon material that comprises the layers of the chip.
The surface of the CCD is broken down into pixels, or picture elements that are controlled by an array of electrodes or gates. A positive potential is applied to a portion of each pixel such that when photons of high enough energy strike the surface, electrons are effectively captured and binned in a two-dimensional array, which is then detected as an electronic pulse for digital signal processing ( Kristian and Blouke, 1982 ).
The quantum efficiency of the conversion of photons to electrons is about 0.70–0.80. One of the biggest sources of error in this type of photon detection is from thermal processes that mask the subtle changes in electron charge within the matrix. To minimize thermal background effects, some CCD cameras are cooled to temperatures as low as 150K ( Kristian and Blouke, 1982 ).
The bigger challenge for the detection of radioisotopic emissions is getting the energy of the beta converted efficiently to photons. Several unique methods have been developed for making this conversion, each of which is so different from the other that they cannot be compared in terms of performance, but are better categorized by appropriate applications for which they are best suited.
Two types of digital beta imaging systems have been developed, the β IMAGER and the μ Imager (Biospace Mesures, France) that incorporate a CCD in their detection method. Another type of CCD area imaging system, two of which are the LEADseeker (Amersham BioSciences, Piscataway, NJ) and the ViewLux (Perkin Elmer, Boston, MA), has been developed specifically for the detection of radioisotopes in microplate applications for high-throughput screening assays.
What is the difference between FHIR and CCD?
Example FHIR Resource – Beginning of a FHIR medication resource (with synthetic data). To sum up, C-CDA is a markup standard that creates large bundles of patient data. FHIR includes additional API elements that allow for unbundling of patient data. Particle’s tools – including our API, industry-leading record locator 🌎, and stunningly reliable document converter ✨ – add additional functionality to both data formats. About the author Hal Levy Hal stays up to date on healthcare interoperability rules as the Content Marketing Manager at Particle. He’s an avid runner and gardener with years of experience writing for insurers, clinicians, and digital health startups.