The CCR or continuity of care record is a XML document that is used to transport face information on a patient between different EMR systems. It is a clinical snapshot that includes demographics, insurance, medications, some tests, allergies etc. Unfortunately, the use of XML to define this standard results in a very verbose document, and this does require significant resources to translate into an internal format that EMRs can understand. We have seen estimates that it needs something like 45,000 to 1,000,000 lines of programming code to parse the CCR and to then insert into the EMR. Since 45,000 lines of code is similar to the entire code base for Synapse EMR, this is not a task that we will prioritize highly. Nevertheless, we expect shortly to have a version of Synapse EMR that will read the CCR, and extract the important information.
Build 199 includes an alpha parser that displays parts of the CCR record. This includes Patient Demographics Insurance Alerts Medications Diagnoses Health Care Providers The ones to be done include Advance Directives Support Functional Status Family History Social History Procedures Encounters Plan of Care Once the parser is completed, we will look at actually importing the data into Synapse EMR. Currently the parser just dumps the data to a console for testing. Currently it seems the CCR is more for show purposes and does not seem to be in clinical use yet.
Rather then import the data, why not just treat the CCR as an attachment or document, much like an x-ray image... Mike
Isn't the main goal to get the data *INTO* the EMR so it doesn't have to be re-typed and is usable in the EMR ?
