# Template and Schema for the ASTM Continuity of Care Record (CCR) and HL7 CCD **Category:** [Technical (archive)](https://discourse.openehr.org/c/technical-archive/156) **Created:** 2010-02-22 18:02 UTC **Views:** 13 **Replies:** 8 **URL:** https://discourse.openehr.org/t/template-and-schema-for-the-astm-continuity-of-care-record-ccr-and-hl7-ccd/14967 --- ## Post #1 by @Alberto_Moreno_Conde Dear all, In the openEHR Specifications Strategic Directions for 2008 there was the creation of templates and schemas for the Continuity of Care Record \(CCR\) and HL7 CCD\. In what stage is this project and where can I find more information about? Kind Regards Alberto --- ## Post #2 by @Anton_Brass Dear Alberto Merona Conde, my name is Anton Brass and I'm working on a research project ([http://www.helmholtz-muenchen.de/en/bymedconnect/home/index.html](http://www.helmholtz-muenchen.de/en/bymedconnect/home/index.html)) in Germany about communication of health data between different health care institutions based on the 13606. For this purpose we analyse the CCR and our next step is to create (or adapt) an archetype (of course several archetypes) that should represent it. May I ask what are you working on? Maybe we have some intersections in our research work. Kind Regards Anton Alberto Moreno Conde schrieb: --- ## Post #3 by @Alberto_Moreno_Conde Dear Anton, At the moment I am working dissertation about the archetype development process for the MS in Health Informatics in Trinity College, at the same time I am working in the University Hospitals Virgen del Rocio in Spain in a project that involves the a system implementation based in archetypes and HL7 CDA\. I agree with you that our work is very related since I need map from CDA to Archetypes and HL7 CCD looks like the first step in my journey\. I think that there are many people working doing similar things and a lot duplicated work\. I hope also that the outcome of your project will help to foster the archetype widespread\. Are your future developed archetypes going to be shared at the end of your project? In what point of development are you now? Kind Regards Alberto --- ## Post #4 by @ian.mcnicoll Hi Alberto/ Anton et al, The expression of CCD in openEHR is vitally important but I think we want to be able to do this by creating CCD-aligned templates of the official openEHR (CKM) archetypes, wherever possible. In general the CKM archetypes, because of the 'maximal dataset' approach are supersets of CCD templates. We can then constrain down the CKM archetypes to match the CCD templates, adding the relevant term and termset bindings. We should definitely be doing this in a shared,international space and it seems to me that this would be a great opportunity to use the newly arrived CKM Template review facility to create and review a set of CCD templates at [www.openehr.org/knowledge](http://www.openehr.org/knowledge) What we need is for people to look at the relevant CKM archetypes and try to identify any gaps or mis-alignments from a CCD perspective, and then either contribute to the formal reviews or simply add comments to the archetype. The top 10 CKM archetypes thatwe are currently working through are very similar in scope to the CCD templates. Doing things this way will greatly reduce the work overall and will result in a set of good quality CKM archetypes that are wholly CCD compatible. We can then start to add simple transforms that can convert native openEHR data into valid CDA XML. I am currently involved in just such an example for importing CDA-based device data but is heavily based on CCD templates. Any volunteers for a CCD template team for CKM? I have copied this to the Clinical list as I think there will be some interest there as well. Ian Dr Ian McNicoll office / fax +44(0)141 560 4657 mobile +44 (0)775 209 7859 skype ianmcnicoll [ian.mcnicoll@oceaninformatics.com](mailto:ian.mcnicoll@oceaninformatics.com) [ian@mcmi.co.uk](mailto:ian@mcmi.co.uk) Clinical Analyst Ocean Informatics openEHR Archetype Editorial Group Member BCS Primary Health Care SG Group [www.phcsg.org](http://www.phcsg.org) / BCS Health Scotland --- ## Post #5 by @Koray_Atalag Hi Ian, I am pretty excited to hear what you are up to. We are currently running a rather large trial here in New Zealand around establishing an evidence base on the use of telemonitoring for chronic disease management. Obviously we will have large amounts of device data comprising mainly vital signs as well as basic medical information in the clinical backend. So we are looking at a pathway to do the clinical information requirements and modelling with openEHR and then transforming this into CCD. I have so far seen that this is indeed doable by means of deriving archetype specific transform and that the art of doing this is how we structure the template and leverage existing high quality archetypes. The answer to your question is: Yes I am volunteering! I have came across a few recent publications on the use of CDA/CCDD which you might find interesting:
1. Wolf K, Schirmer S, Marschollek M, Haux R. Representing Sensor Data Using the HL7 CDA Personal Healthcare Monitoring Report Draft. Stud Health Technol Inform 2009;150:480-484.
2. Spyropoulos B, Tzavaras A, Botsivaly M, Koutsourakis K. Ensuring the Continuity of Care of Cardiorespiratory Diseases at Home. Monitoring Equipment and Medical Data Exchange over Semantically Annotated Web Services [Internet]. Methods Inf Med 2010 Feb;49(2)[cited 2010 Feb 10 ] Available from: [http://www.ncbi.nlm.nih.gov.ezproxy.auckland.ac.nz/pubmed/20135082](http://www.ncbi.nlm.nih.gov.ezproxy.auckland.ac.nz/pubmed/20135082)
I will soon put these and some other relevant stuff into the Zotero openEHR group: [http://www.zotero.org/groups/openehr/items](http://www.zotero.org/groups/openehr/items) Cheers, -koray --- ## Post #6 by @ian.mcnicoll Hi Koray, Thanks for the links. The "HL7 CDA Personal Healthcare Monitoring Report Draft" is the standard to which we are working. CKM now contains a CLUSTER.device archetype which is compatible with the draft standard. Other aspects of the various device readings will be handled within 'normal' CKM archetpye e.g. Heart rate-Pulse, Blood pressure and Oximetry. There is also now a CLUSTER.waveform archetype to hande this form pf device output. Ian Dr Ian McNicoll office / fax +44(0)141 560 4657 mobile +44 (0)775 209 7859 skype ianmcnicoll [ian.mcnicoll@oceaninformatics.com](mailto:ian.mcnicoll@oceaninformatics.com) [ian@mcmi.co.uk](mailto:ian@mcmi.co.uk) Clinical Analyst Ocean Informatics openEHR Archetype Editorial Group Member BCS Primary Health Care SG Group [www.phcsg.org](http://www.phcsg.org) / BCS Health Scotland --- ## Post #7 by @Alberto_Moreno_Conde Hi Ian, I think that this is a very good idea. Do you think that a Google wave would be a good place to work? Regards 2010/2/24 Ian McNicoll <[Ian.McNicoll@oceaninformatics.com](mailto:Ian.McNicoll@oceaninformatics.com)> --- ## Post #8 by @ian.mcnicoll Good idea, I have made a start here [https://wave.google.com/wave/#restored:wave:googlewave.com!w%252Bg4cP4uwwA](https://wave.google.com/wave/#restored:wave:googlewave.com!w%252Bg4cP4uwwA) More to follow.. Ian PS If anyone wants to participate but has no access to Google Wave, just let us know. When this last arose, there were plenty of offers to give out Wave invitations from community members. Dr Ian McNicoll office / fax +44(0)141 560 4657 mobile +44 (0)775 209 7859 skype ianmcnicoll [ian.mcnicoll@oceaninformatics.com](mailto:ian.mcnicoll@oceaninformatics.com) [ian@mcmi.co.uk](mailto:ian@mcmi.co.uk) Clinical Analyst Ocean Informatics openEHR Archetype Editorial Group Member BCS Primary Health Care SG Group [www.phcsg.org](http://www.phcsg.org) / BCS Health Scotland --- ## Post #9 by @system Followed the link Ian but no can see. Sam --- **Canonical:** https://discourse.openehr.org/t/template-and-schema-for-the-astm-continuity-of-care-record-ccr-and-hl7-ccd/14967 **Original content:** https://discourse.openehr.org/t/template-and-schema-for-the-astm-continuity-of-care-record-ccr-and-hl7-ccd/14967