Consolidated Health Informatics (CHI) Initiative; Health Care and Vocabulary Standards for Use in Federal Health Information Technology Systems, 76287-76288 [05-24289]
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Federal Register / Vol. 70, No. 246 / Friday, December 23, 2005 / Notices
Control Act (12 U.S.C. 1817(j)) and
§ 225.41 of the Board’s Regulation Y (12
CFR 225.41) to acquire a bank or bank
holding company. The factors that are
considered in acting on the notices are
set forth in paragraph 7 of the Act (12
U.S.C. 1817(j)(7)).
The notices are available for
immediate inspection at the Federal
Reserve Bank indicated. The notices
also will be available for inspection at
the office of the Board of Governors.
Interested persons may express their
views in writing to the Reserve Bank
indicated for that notice or to the offices
of the Board of Governors. Comments
must be received not later than January
10, 2006.
A. Federal Reserve Bank of Chicago
(Patrick M. Wilder, Assistant Vice
President) 230 South LaSalle Street,
Chicago, Illinois 60690-1414:
1. Jay Elliot Bell, Chicago, Illinois; to
acquire voting shares of Rochester State
Bankshares, Inc., Rochester, Illinois, and
thereby indirectly acquire voting shares
of Rochester State Bank, Rochester,
Illinois.
Board of Governors of the Federal Reserve
System, December 20, 2005.
Robert deV. Frierson,
Deputy Secretary of the Board.
[FR Doc. E5–7762 Filed 12–22–05; 8:45 am]
BILLING CODE 6210–01–S
FEDERAL RESERVE SYSTEM
wwhite on PROD1PC61 with NOTICES
Formations of, Acquisitions by, and
Mergers of Bank Holding Companies
The companies listed in this notice
have applied to the Board for approval,
pursuant to the Bank Holding Company
Act of 1956 (12 U.S.C. 1841 et seq.)
(BHC Act), Regulation Y (12 CFR Part
225), and all other applicable statutes
and regulations to become a bank
holding company and/or to acquire the
assets or the ownership of, control of, or
the power to vote shares of a bank or
bank holding company and all of the
banks and nonbanking companies
owned by the bank holding company,
including the companies listed below.
The applications listed below, as well
as other related filings required by the
Board, are available for immediate
inspection at the Federal Reserve Bank
indicated. The application also will be
available for inspection at the offices of
the Board of Governors. Interested
persons may express their views in
writing on the standards enumerated in
the BHC Act (12 U.S.C. 1842(c)). If the
proposal also involves the acquisition of
a nonbanking company, the review also
includes whether the acquisition of the
nonbanking company complies with the
VerDate Aug<31>2005
16:55 Dec 22, 2005
Jkt 208001
standards in section 4 of the BHC Act
(12 U.S.C. 1843). Unless otherwise
noted, nonbanking activities will be
conducted throughout the United States.
Additional information on all bank
holding companies may be obtained
from the National Information Center
Web site at www.ffiec.gov/nic/.
Unless otherwise noted, comments
regarding each of these applications
must be received at the Reserve Bank
indicated or the offices of the Board of
Governors not later than January 17,
2006.
A. Federal Reserve Bank of
Richmond (A. Linwood Gill, III, Vice
President) 701 East Byrd Street,
Richmond, Virginia 23261–4528:
1. Harbor Bank Group, Inc.,
Charleston, South Carolina; to become a
bank holding company by acquiring 100
percent of the voting shares of Harbor
National Bank, Charleston, South
Carolina (in organization).
B. Federal Reserve Bank of Kansas
City (Donna J. Ward, Assistant Vice
President) 925 Grand Avenue, Kansas
City, Missouri 64198-0001:
1. First Community Bancshares, Inc.,
Overland Park, Kansas; to acquire 100
percent of the voting shares of Corning
Investment Company, Inc., Centralia,
Kansas, and thereby indirectly acquire
The Farmers State Bank of Corning,
Corning, Kansas.
C. Federal Reserve Bank of San
Francisco (Tracy Basinger, Director,
Regional and Community Bank Group)
101 Market Street, San Francisco,
California 94105-1579:
1. Wells Fargo and Company, San
Francisco, California; to acquire 100
percent of the voting shares of Martinius
Corporation, Rogers, Minnesota, and
thereby indirectly acquire State Bank of
Rogers, Rogers, Minnesota.
Board of Governors of the Federal Reserve
System, December 19, 2005.
Robert deV. Frierson,
Deputy Secretary of the Board.
[FR Doc. E5–7730 Filed 12–22–05; 8:45 am]
76287
companies listed below, that engages
either directly or through a subsidiary or
other company, in a nonbanking activity
that is listed in § 225.28 of Regulation Y
(12 CFR 225.28) or that the Board has
determined by Order to be closely
related to banking and permissible for
bank holding companies. Unless
otherwise noted, these activities will be
conducted throughout the United States.
Each notice is available for inspection
at the Federal Reserve Bank indicated.
The notice also will be available for
inspection at the offices of the Board of
Governors. Interested persons may
express their views in writing on the
question whether the proposal complies
with the standards of section 4 of the
BHC Act. Additional information on all
bank holding companies may be
obtained from the National Information
Center Web site at www.ffiec.gov/nic/.
Unless otherwise noted, comments
regarding the applications must be
received at the Reserve Bank indicated
or the offices of the Board of Governors
not later than January 16, 2006.
A. Federal Reserve Bank of Chicago
(Patrick M. Wilder, Assistant Vice
President) 230 South LaSalle Street,
Chicago, Illinois 60690-1414:
1. Iowa State Bank Holding Company,
Des Moines, Iowa; for prior approval to
hold real estate for the purpose of
economic development pursuant to
Section 225.28(b)(12)(i)of Regulation Y.
Board of Governors of the Federal Reserve
System, December 19, 2005.
Robert deV. Frierson,
Deputy Secretary of the Board.
[FR Doc. E5–7731 Filed 12–22–05; 8:45 am]
BILLING CODE 6210–01–S
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Office of the Secretary
[CMS–0015–N]
RIN 0938–ZA62
BILLING CODE 6210–01–S
FEDERAL RESERVE SYSTEM
Notice of Proposals to Engage in
Permissible Nonbanking Activities or
To Acquire Companies That Are
Engaged in Permissible Nonbanking
Activities
The companies listed in this notice
have given notice under section 4 of the
Bank Holding Company Act (12 U.S.C.
1843) (BHC Act) and Regulation Y (12
CFR Part 225) to engage de novo, or to
acquire or control voting securities or
assets of a company, including the
PO 00000
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Consolidated Health Informatics (CHI)
Initiative; Health Care and Vocabulary
Standards for Use in Federal Health
Information Technology Systems
AGENCY:
Office of the Secretary (OS),
HHS.
ACTION:
Notice.
SUMMARY: This notice identifies the 20
messaging and vocabulary standards
adopted for use in Federal government
health information technology systems.
The first set of 5 standards was adopted
on March 21, 2003. The second set of 15
standards was adopted on May 6, 2004,
thus completing the initial portfolio of
E:\FR\FM\23DEN1.SGM
23DEN1
76288
Federal Register / Vol. 70, No. 246 / Friday, December 23, 2005 / Notices
the Consolidated Health Informatics
(CHI) initiative.
FOR FURTHER INFORMATION CONTACT:
Cheryl Ford, (410) 786–7415.
SUPPLEMENTARY INFORMATION:
wwhite on PROD1PC61 with NOTICES
I. Background
The Consolidated Health Informatics
(CHI) initiative began in October 2001 as
one of 24 E-Government initiatives
included in the President’s Management
Agenda (PMA). The CHI initiative is a
collaborative effort to adopt Federal
government-wide health information
interoperability standards to be
implemented by Federal agencies in
order to enable the Federal government
to exchange electronic health
information.
On May 6, 2004, the Secretary of the
Department of Health and Human
Services (HHS) announced the adoption
by HHS, the Department of Defense, the
Department of Veterans Affairs, the
Office of Management and Budget, and
other participating Federal partners of
15 healthcare messaging and vocabulary
standards recommended by the CHI
initiative (https://www.hhs.gov/news/
press/2004pres/20040506.html). The
adoption of these standards
supplemented the first 5 standards
adopted on March 21, 2003 (https://
www.hhs.gov/news/press/2003pres/
20030321a.html), thereby completing
the initial CHI portfolio.
The portfolio of 20 adopted standards
will be used by all Federal agencies in
implementing new, and to the extent
possible, in modifying existing health
information technology systems, as well
as related business processes.
II. CHI Adopted Standards
As a result of work completed in
furtherance of CHI, the 20 clinical
standards that have been adopted for
use by all Federal agencies as they
develop and implement new
information technology systems are as
follows:
1. Laboratory Results Names.
Standard: Logical Observation
Identifiers Names and Codes (LOINC).
2. Messaging Standards. Includes:
Scheduling, medical record/image
management, patient administration,
observation reporting, financial
management, public health notification,
and patient care. Standard: Health Level
Seven (HL7) Version 2.3 and greater.
3. Messaging Standards. Includes:
Retail pharmacy transactions. Standard:
National Council for Prescription Drug
Programs (NCPDP) SCRIPT.
4. Messaging Standards. Includes:
Device-device connectivity. Standard:
Institute of Electrical and Electronics
Engineers, Inc. TM 1073.
VerDate Aug<31>2005
16:55 Dec 22, 2005
Jkt 208001
5. Messaging Standards. Includes:
Image information to workstations.
Standard: Digital Imaging and
Communications in Medicine
(DICOM).
6. Demographics. Standard: HL7
Version 2.4 and greater.
7. Lab Result Contents. Standard:
Systematized Nomenclature of Medicine
Clinical Terms (SNOMED CT).
8. Units of Measure. Standard: HL7
Version 2.X+.
9. Immunizations. Standard: HL7
Version 2.3.1, specifically the Vaccines
Administered (CVX) and Manufacturers
of Vaccines (MVX) external code sets
maintained by the Centers for Disease
Control and Prevention’s (CDC) National
Immunization Program (NIP).
10. Medications. Standards: Federal
Drug Terminologies: (Sub-domain:
Standard Adopted):
• Active Ingredient: FDA Established
Names & Unique Ingredient Identifier
(UNII) codes.
• Manufactured Dosage Form: FDA/
CDER Data Standards Manual.
• Drug Product: FDA’s National Drug
Codes (NDC).
• Medication Package: FDA
Standards Manual.
• Label Section Headers: LOINC
Clinical Structured Product Labeling
(SPL).
• Special Populations: HL7 Version
2.4 and greater.
• Drug Classifications: The
Department of Veterans Affairs’
National Drug File Reference
Terminology (NDF–RT) for mechanism
of action and physiologic effect.
• Clinical Drug: the National Library
of Medicine’s RxNorm.
11. Interventions/Procedures (Part A):
Lab Test Order Names. Standard:
LOINC.
12. Interventions/Procedures (Part B):
Non-laboratory. Standard: SNOMED
CT.
13. Anatomy. Standards: SNOMED
CT and the National Cancer Institute’s
(NCI) Thesaurus.
14. Diagnosis/Problem Lists.
Standard: SNOMED CT.
15. Nursing. Standard: SNOMED CT.
16. Financial/Payment. Standard:
HIPAA Transactions and Code Sets.
17. Genes. Standard: Human Genome
Nomenclature.
18. Clinical Encounters. Standard:
HL7 Version 2.4 and greater.
19. Text-Based Reports. Standards:
HL7 and Clinical Document
Architecture (CDA) Version 1.0–2000
Chemicals.
20. Chemicals. Standard:
Environmental Protection Agency’s
Substance Registry System.
Specific details of these CHI standards
can be obtained from the domain-
PO 00000
Frm 00059
Fmt 4703
Sfmt 4703
specific full reports available for
download at: https://www.hhs.gov/
healthit/chi.html.
III. Collection of Information
Requirements
This notice does not impose
information collection and
recordkeeping requirements regulated
by the Paperwork Reduction Act of
1995; that is, it does not require
obtaining facts or opinions or answers to
questions by or for a Federal agency.
Consequently, it need not be reviewed
by the Office of Management and
Budget under 44 U.S.C. 35.
IV. Impact Statement
We have chosen to explain the impact
we foresee this notice having on the
public as follows: There are indirect
impacts for Federal contractors or
potential contractors who may be
involved in health information
technology design, development, or
evaluation. The Federal government
will require all future health
information technology system
acquisitions to be based on CHI
standards when applicable, whether
system development occurs within the
Agency or through the use of contractor
services.
Authority: The E-Government Act of 2002
(Pub. L. 107–347) (H.R. 2458)
Dated: September 13, 2005.
Mark B. McClellan,
Administrator, Centers for Medicare &
Medicaid Services.
Approved: August 25, 2005.
Michael O. Leavitt,
Secretary.
[FR Doc. 05–24289 Filed 12–22–05; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10170]
Agency Information Collection
Activities: Proposed Collection;
Comment Request
Centers for Medicare &
Medicaid Services, HHS.
In compliance with the requirement
of section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the
Centers for Medicare & Medicaid
Services (CMS) is publishing the
following summary of proposed
collections for public comment.
Interested persons are invited to send
comments regarding this burden
AGENCY:
E:\FR\FM\23DEN1.SGM
23DEN1
]]>Agencies
[Federal Register Volume 70, Number 246 (Friday, December 23, 2005)]
[Notices]
[Pages 76287-76288]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 05-24289]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Office of the Secretary
[CMS-0015-N]
RIN 0938-ZA62
Consolidated Health Informatics (CHI) Initiative; Health Care and
Vocabulary Standards for Use in Federal Health Information Technology
Systems
AGENCY: Office of the Secretary (OS), HHS.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: This notice identifies the 20 messaging and vocabulary
standards adopted for use in Federal government health information
technology systems. The first set of 5 standards was adopted on March
21, 2003. The second set of 15 standards was adopted on May 6, 2004,
thus completing the initial portfolio of
[[Page 76288]]
the Consolidated Health Informatics (CHI) initiative.
FOR FURTHER INFORMATION CONTACT: Cheryl Ford, (410) 786-7415.
SUPPLEMENTARY INFORMATION:
I. Background
The Consolidated Health Informatics (CHI) initiative began in
October 2001 as one of 24 E-Government initiatives included in the
President's Management Agenda (PMA). The CHI initiative is a
collaborative effort to adopt Federal government-wide health
information interoperability standards to be implemented by Federal
agencies in order to enable the Federal government to exchange
electronic health information.
On May 6, 2004, the Secretary of the Department of Health and Human
Services (HHS) announced the adoption by HHS, the Department of
Defense, the Department of Veterans Affairs, the Office of Management
and Budget, and other participating Federal partners of 15 healthcare
messaging and vocabulary standards recommended by the CHI initiative
(https://www.hhs.gov/news/press/2004pres/20040506.html). The adoption of
these standards supplemented the first 5 standards adopted on March 21,
2003 (https://www.hhs.gov/news/press/2003pres/20030321a.html), thereby
completing the initial CHI portfolio.
The portfolio of 20 adopted standards will be used by all Federal
agencies in implementing new, and to the extent possible, in modifying
existing health information technology systems, as well as related
business processes.
II. CHI Adopted Standards
As a result of work completed in furtherance of CHI, the 20
clinical standards that have been adopted for use by all Federal
agencies as they develop and implement new information technology
systems are as follows:
1. Laboratory Results Names. Standard: Logical Observation
Identifiers Names and Codes (LOINC[supreg]).
2. Messaging Standards. Includes: Scheduling, medical record/image
management, patient administration, observation reporting, financial
management, public health notification, and patient care. Standard:
Health Level Seven[supreg] (HL7[supreg]) Version 2.3 and greater.
3. Messaging Standards. Includes: Retail pharmacy transactions.
Standard: National Council for Prescription Drug Programs (NCPDP)
SCRIPT[supreg].
4. Messaging Standards. Includes: Device-device connectivity.
Standard: Institute of Electrical and Electronics Engineers, Inc.
TM 1073.
5. Messaging Standards. Includes: Image information to
workstations. Standard: Digital Imaging and Communications in
Medicine[supreg] (DICOM[supreg]).
6. Demographics. Standard: HL7[supreg] Version 2.4 and greater.
7. Lab Result Contents. Standard: Systematized Nomenclature of
Medicine Clinical Terms[supreg] (SNOMED CT[supreg]).
8. Units of Measure. Standard: HL7[supreg] Version 2.X+.
9. Immunizations. Standard: HL7[supreg] Version 2.3.1, specifically
the Vaccines Administered (CVX) and Manufacturers of Vaccines (MVX)
external code sets maintained by the Centers for Disease Control and
Prevention's (CDC) National Immunization Program (NIP).
10. Medications. Standards: Federal Drug Terminologies: (Sub-
domain: Standard Adopted):
Active Ingredient: FDA Established Names & Unique
Ingredient Identifier (UNII) codes.
Manufactured Dosage Form: FDA/CDER Data Standards Manual.
Drug Product: FDA's National Drug Codes (NDC).
Medication Package: FDA Standards Manual.
Label Section Headers: LOINC[supreg] Clinical Structured
Product Labeling (SPL).
Special Populations: HL7 Version 2.4 and greater.
Drug Classifications: The Department of Veterans Affairs'
National Drug File Reference Terminology (NDF-RT) for mechanism of
action and physiologic effect.
Clinical Drug: the National Library of Medicine's RxNorm.
11. Interventions/Procedures (Part A): Lab Test Order Names.
Standard: LOINC[supreg].
12. Interventions/Procedures (Part B): Non-laboratory. Standard:
SNOMED CT[supreg].
13. Anatomy. Standards: SNOMED CT[supreg] and the National Cancer
Institute's (NCI) Thesaurus.
14. Diagnosis/Problem Lists. Standard: SNOMED CT[supreg].
15. Nursing. Standard: SNOMED CT[supreg].
16. Financial/Payment. Standard: HIPAA Transactions and Code Sets.
17. Genes. Standard: Human Genome Nomenclature.
18. Clinical Encounters. Standard: HL7[supreg] Version 2.4 and
greater.
19. Text-Based Reports. Standards: HL7[supreg] and Clinical
Document Architecture (CDA) Version 1.0-2000 Chemicals.
20. Chemicals. Standard: Environmental Protection Agency's
Substance Registry System.
Specific details of these CHI standards can be obtained from the
domain-specific full reports available for download at: https://
www.hhs.gov/healthit/chi.html.
III. Collection of Information Requirements
This notice does not impose information collection and
recordkeeping requirements regulated by the Paperwork Reduction Act of
1995; that is, it does not require obtaining facts or opinions or
answers to questions by or for a Federal agency. Consequently, it need
not be reviewed by the Office of Management and Budget under 44 U.S.C.
35.
IV. Impact Statement
We have chosen to explain the impact we foresee this notice having
on the public as follows: There are indirect impacts for Federal
contractors or potential contractors who may be involved in health
information technology design, development, or evaluation. The Federal
government will require all future health information technology system
acquisitions to be based on CHI standards when applicable, whether
system development occurs within the Agency or through the use of
contractor services.
Authority: The E-Government Act of 2002 (Pub. L. 107-347) (H.R.
2458)
Dated: September 13, 2005.
Mark B. McClellan,
Administrator, Centers for Medicare & Medicaid Services.
Approved: August 25, 2005.
Michael O. Leavitt,
Secretary.
[FR Doc. 05-24289 Filed 12-22-05; 8:45 am]
BILLING CODE 4120-01-P
