Continuity of Care Record

Continuity of Care Record (CCR) is a health record standard specification developed jointly by ASTM International, the Massachusetts Medical Society (MMS), the Healthcare Information and Management Systems Society (HIMSS), the American Academy of Family Physicians (AAFP), the American Academy of Pediatrics (AAP), and other health informatics vendors.

Although there is no official "death" of the CCR standard announced anywhere, the CCR is effectively dead in any major industry use, with most organizations now transmitting documents and information with HL7 standards (V2, CDA/C-CDA, or FHIR). Another indication of its death is that the ASTM standard specification for CCR has not been updated since 2010.