# Difference B/W Continuity of Care Document (CCD) vs Clinical Summary of Care document (CCD)

**URL:** <https://community.open-emr.org/t/difference-b-w-continuity-of-care-document-ccd-vs-clinical-summary-of-care-document-ccd/19947>\
**Category:** Inpatient Development\
**Tags:** question\
**Created:** [February 7, 2023, 12:24pm UTC](https://community.open-emr.org/t/difference-b-w-continuity-of-care-document-ccd-vs-clinical-summary-of-care-document-ccd/19947 "2023-02-07T12:24:00Z")\
**Posts on this page:** 3\
**Page:** 1

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**Author:** ![partner.Sunil.Kumar](https://community.open-emr.org/letter_avatar_proxy/v4/letter/p/4af34b/32.png) [@partner.Sunil.Kumar](https://community.open-emr.org/u/partner.Sunil.Kumar)\
**Post date:** [February 7, 2023, 12:24pm UTC](https://community.open-emr.org/t/difference-b-w-continuity-of-care-document-ccd-vs-clinical-summary-of-care-document-ccd/19947/1 "2023-02-07T12:24:00Z")

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Hi Team,  
Can any one please let me know what all difference B/W Continuity of Care Document (CCD) vs Clinical Summary of Care document (CCD)?

Thanks in advanced,

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**Author:** ![htuck](https://community.open-emr.org/user_avatar/community.open-emr.org/htuck/32/15185_2.png) [@htuck](https://community.open-emr.org/u/htuck)\
**Post date:** [February 7, 2023, 7:34pm UTC](https://community.open-emr.org/t/difference-b-w-continuity-of-care-document-ccd-vs-clinical-summary-of-care-document-ccd/19947/2 "2023-02-07T19:34:14Z")

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Hello @partner.Sunil.Kumar

The 2 reports represent similar efforts to meet the same need for transferring pt treatment data between systems.

The CCD meets MU1 requirements, and generates a document containing one patient’s information to be sent to the other party.  
Generally it’s output as a printed document or a pdf which is physically transferred to the recipient.  
You can get an idea of the data included by going to one of the OpenEMR public demos that have demo data and generating one. Open a pt record, click ‘Reports’ (oval in 1st pic) which reveals the CCR/ CCD reporting interfaces (arrow).

![image](https://discourse-uploads-openemr.s3.dualstack.us-east-1.amazonaws.com/original/3X/0/6/06134df31089aa978c76fe1a720dfa19f702a96b.png)

The C-CDA is an evolved version of the CCD which satisfies the requirements of MU2.  
It contains more extensive data and allows packaging multiple patients’ data in one report to be exchanged electronically between compatible systems, particularly, HIE’s (Health Information Exchanges). It can also be downloaded in different formats.  
As handled by OpenEMR, it’s a module that needs to be installed, which will then be found in the main menu item ‘Modules’.

![carecoord](https://discourse-uploads-openemr.s3.dualstack.us-east-1.amazonaws.com/original/3X/b/d/bd4fcfa7d13561b0b2a2c9c96cd2421eba4461b2.png)

Wikipedia has a well- sourced reference comparing the two:

> **[Continuity of Care Document](https://en.wikipedia.org/wiki/Continuity_of_Care_Document)**
>
> The Continuity of Care Document (CCD) specification is an XML-based markup standard intended to specify the encoding, structure, and semantics of a patient summary clinical document for exchange.
> The CCD specification is a constraint on the HL7 Clinical Document Architecture (CDA) standard. The CDA specifies that the content of the document consists of a mandatory textual part (which ensures human interpretation of the document contents) and optional structured parts (for software processing). T...

Best- Harley

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<div class="post-metadata">

**Author:** ![partner.Sunil.Kumar](https://community.open-emr.org/letter_avatar_proxy/v4/letter/p/4af34b/32.png) [@partner.Sunil.Kumar](https://community.open-emr.org/u/partner.Sunil.Kumar)\
**Post date:** [February 8, 2023, 12:28am UTC](https://community.open-emr.org/t/difference-b-w-continuity-of-care-document-ccd-vs-clinical-summary-of-care-document-ccd/19947/3 "2023-02-08T00:28:08Z")

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Thank you for your reply,  
@htuck @sjpadgett @adunsulag  
if both are different,. Then we can see rest api for Clinical Summary of Care document (CCD)

 ![CCD Doc ref](https://discourse-uploads-openemr.s3.dualstack.us-east-1.amazonaws.com/original/3X/5/2/522e278334e6e80388e796004dce396acf5ea310.png)  
can any one help me rest api for Continuity of Care Document (CCD) in fhir resource???  
And can we have fhir resource rest Api for Appointment. I m trying to do apis/default/fhir/Appointment . its getting error 401 Unauthorized.

Thank you in Advanced…