What’s All the Fuss About?

• Though the CCD takes its conceptual framework and content definitions from the CCR, it is fundamentally a CDA document; this has implications

  • Augmentation of the model will happen by HL7, not ASTM

  • The CDA templates and clinical statements will be fodder for augmentations

  • Since the public has latched onto the “CCD” moniker, the nuance of the CDA base is lost, and endorsements of CDA templates not labeled “CCD” seem like a equivocation or bait-and-switch

• Some smaller organizations resist CCD in favor of CCR

  • They complain that they do not have the resources to make their voices heard in HITSP on this issue

  • Some say that the CCD (and CDA more generally) is more complicated to implement than CCR, and switching costs for the CCR installed base is more significant since they tend to be smaller organizations