Additional Consolidated Health Information (CHI) Health Information Technology Standards, 71413-71414 [07-6058]

Download as PDF Federal Register / Vol. 72, No. 241 / Monday, December 17, 2007 / Notices Dated: December 10, 2007. Jennifer Spaeth, Director, Office of Federal Advisory Committee Policy. [FR Doc. 07–6053 Filed 12–14–07; 8:45 am] DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health National Heart, Lung, and Blood Institute; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee Act, as amended (5 U.S.C. Appendix 2), notice is hereby given of the following meeting. The meeting will be closed to the public in accordance with the provisions set forth in sections 552b(c)(4) and 552b(c)(6), Title 5 U.S.C., as amended. The grant applications and the discussions could disclose confidential trade secrets or commercial property such as patentable material, and personal information concerning individuals associated with the grant applications, the disclosure of which would constitute a clearly unwarranted invasion of personal privacy. ebenthall on PROD1PC69 with NOTICES Name of Committee: National Heart, Lung, and Blood Institute Special Emphasis Panel, NHLBI Patient-Oriented Research and Career Enhancement Award for Stem Cell Research. Date: December 21, 2007. Time: 9 a.m. to 11 p.m. Agenda: To review and evaluate grant applications. Place: National Institutes of Health, 6701 Rockledge Drive, 7192, Bethesda, MD 20892, (Telephone Conference Call). Contact Person: Mark Roltsch, PhD, Scientific Review Administrator, Review Branch/DERA, National Heart, Lung, and Blood Institute, 6701 Rockledge Drive, Room 7192, Bethesda, MD 20892–7924, 301–435– 0287, roltschm@nhlbi.nih.gov. This notice is being published less than 15 days prior to meeting due to the timing limitations imposed by the review and funding cycle. Any interested person may file written comments with the committee by forwarding the statement to the Contact Person listed on this notice. The statement should include the name, address, telephone number and when applicable, the business or professional affiliation of the interested person. In the interest of security, NIH has instituted stringent procedures for entrance onto the NIH campus. All visitor vehicles, including taxicabs, hotel, and airport shuttles will be inspected before being allowed on campus. Visitors will be asked to show one form of identification (for example, a government-issued photo ID, driver’s license, or passport) and to state the purpose of their visit. (Catalogue of Federal Domestic Assistance Program Nos. 93.233, National Center for Sleep Disorders Research; 93.837, Heart and Vascular Diseases Research; 93.838, Lung Diseases Research; 93.839, Blood Diseases and Resources Research, National Institutes of Health, HHS) VerDate Aug<31>2005 15:28 Dec 14, 2007 Jkt 214001 71413 2. Allergy Messaging and Vocabulary Standard: • Health Level Seven (HL7) HL7 2.4 and higher messaging standard allergy information segments. • College of American Pathologists BILLING CODE 4140–01–M (CAP) Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT) for allergy type, severity and DEPARTMENT OF HEALTH AND reaction codes. HUMAN SERVICES • National Library of Medicine (NLM) RxNorm for brand name allergen code. Additional Consolidated Health • Food and Drug Administration Information (CHI) Health Information (FDA) Unique Ingredient Identifier Technology Standards (UNII) codes for ingredient name AGENCY: Federal Health Architecture allergen code. (FHA), Office of the National • Department of Veteran Affairs (VA) Coordinator for Health Information National Drug File-Reference Technology (ONC). Terminology (NDF-RT) for drug class ACTION: Notice: Additional Consolidated allergen code. • 3. Disability and Assessments: Health Informatics (CHI) Health • Regenstrief Institute, Inc LOINC Information Technology Standards. (Logical Observation Identifiers Names SUMMARY: This notice identifies three (3) and Codes) representation and codes additional Consolidated Health for questions and answers on federallyInformatics (CHI) messaging and required assessment forms; vocabulary standards (Multimedia, • CHI-endorsed semantic vocabulary Allergy, and Disability and matches linked with the LOINC Assessments) adopted for use in Federal assessment questions and answers; and government health information • HL7 v2.4 and higher messaging technology systems. This work standard and the HL7 CDA (Clinical supplements the work to further the Document Architecture (CDA)) for adoption of the first set of 5 standards exchanging standardized federallyadopted on March 21, 2003 and second required assessment content. set of 15 standards adopted on May 6, SUPPLEMENTARY INFORMATION: In 2006, 2004, as published in the December 23, the CHI initiative was transitioned to 2005 Federal Register (70 FR 76287). the Federal Health Architecture (FHA) The CHI initiative began in October under the Office of the National 2001 as one of 24 E-Government Coordinator for Health IT (ONC). initiatives included in the President’s Currently, the CHI standards are being Management Agenda (PMA). The CHI coordinated with the public/private collaborative worked to adopt Federal processes of Healthcare Information government-wide health information Technology Standards Panel (HITSP). interoperability standards to be HITSP serves as a cooperative implemented by Federal agencies in partnership between the public and order to enable the Fedral government private sectors for the purpose of to exchange electronic health achieving a widely accepted and useful information. By publication of this set of standards specifically to enable document, we are informing the public and support widespread interoperability of the adoption of three new CHI among healthcare software systems, as standards, Multimedia, Allergy and they will interact in a local, regional, Disability and Assessment (adoption and nationwide health information reports available at: https://www.hhs.gov/ network. healthit/chiinitiative.html). CHI endorsement has been identified as one of the HITSP standards adoption CHI Adopted Standards criteria employed to adopt standards for As a result of work completed in the HITSP Interoperability furtherance of CHI, the three new Specifications. The HITSP domain areas and associated clinical Interoperability Specifications are standards that have been adopted are developed to advance the national noted in the individual standards agenda for secure, interoperable health adoption reports found at https:// information systems. (Notice of www.hhs.gov/healthit/chiinitiative.html Availability, 72 FR. 9339 (March 1, and are summarized below: 2007). 1. Multimedia Messaging Standard: Collection of Information Requirements • National Electrical Manufacturer’s Association (NEMA) Digital Imaging This notice does not impose and Communications in Medicine information collection and (DICOMSM) 2004 Standard and higher. recordkeeping requirements subject to PO 00000 Frm 00069 Fmt 4703 Sfmt 4703 E:\FR\FM\17DEN1.SGM 17DEN1 71414 Federal Register / Vol. 72, No. 241 / Monday, December 17, 2007 / Notices review the paperwork Reduction Act of 1995 (44 U.S.C. 3501 et seq.) Impact Statement We foresee this notice having the following indirect effects upon the public: This notice will result in 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 federal health information acquisitions to be based on CHI standards when applicable and as permitted by law, whether system development occurs within the Agency or through use of contractor services. FOR FURTHER INFORMATION CONTACT: Vish Sankaran—(202) 205–2761. Authority: The E-Government Act of 2002 (Pub. L. 107–347) (H.R. 2458). Dated: December 7, 2007. Robert M. Kolodner, National Coordinator for Health Information Technology, Office of the National Coordinator for Health Information Technology. [FR Doc. 07–6058 Filed 12–14–07; 8:45 am] Occupational Illness Compensation Program Act of 2000. The initial proposed definition for the class being evaluated, subject to revision as warranted by the evaluation, is as follows: Facility: Pantex Plant. Location: Amarillo, Texas. Job Titles and/or Job Duties: Production workers, technicians, including radiography, guards, physical plant, maintenance, administrative and support staff, contractors, and Atomic Energy Commission staff. Period of Employment: January 1, 1950 through December 31, 1991. FOR FURTHER INFORMATION CONTACT: Larry Elliott, Director, Office of Compensation Analysis and Support, National Institute for Occupational Safety and Health (NIOSH), 4676 Columbia Parkway, MS C–46, Cincinnati, OH 45226, Telephone 513– 533–6800 (this is not a toll-free number). Information requests can also be submitted by e-mail to OCAS@CDC.GOV. BILLING CODE 4150–45–M DEPARTMENT OF HEALTH AND HUMAN SERVICES Dated: December 10, 2007. John Howard, Director, National Institute for Occupational Safety and Health. [FR Doc. E7–24427 Filed 12–14–07; 8:45 am] BILLING CODE 4163–19–P National Institute for Occupational Safety and Health; Decision To Evaluate a Petition To Designate a Class of Employees at the Pantex Plant, Amarillo, TX, To Be Included in the Special Exposure Cohort DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention [30–Day–08–0338] National Institute for Occupational Safety and Health (NIOSH), Department of Health and Human Services (HHS). ACTION: Notice. AGENCY: Agency Forms Undergoing Paperwork Reduction Act Review SUMMARY: The Department of Health and Human Services (HHS) gives notice as required by 42 CFR 83.12(e) of a decision to evaluate a petition to designate a class of employees at the Pantex Plant, Amarillo, Texas, to be included in the Special Exposure Cohort under the Energy Employees The Centers for Disease Control and Prevention (CDC) publishes a list of information collection requests under review by the Office of Management and Budget (OMB) in compliance with the Paperwork Reduction Act (44 U.S.C. Chapter 35). To request a copy of these requests, call the CDC Reports Clearance Officer at (404) 639–4766 or send an email to omb@cdc.gov. Send written comments to CDC Desk Officer, Office of Management and Budget, Washington, DC or by fax to (202) 395–6974. Written comments should be received within 30 days of this notice. Proposed Project Annual Submission of the Ingredients Added to, and the Quantity of Nicotine Contained in, Smokeless Tobacco Manufactured, Imported, or Packaged in the U.S.—Reinstatement with Change— National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP), Centers for Disease Control and Prevention (CDC). Background and Brief Description The oral use of smokeless tobacco (SLT) products represents a significant health risk which can cause cancer and a number of non-cancerous oral conditions, and can lead to nicotine addiction and dependence. Furthermore, SLT use is not a safe substitute for cigarette smoking. The Comprehensive Smokeless Tobacco Health Education Act of 1986 (15 U.S.C. 4401 et seq., P. L. 99–252) requires each person who manufactures, packages, or imports smokeless tobacco (SLT) to provide the Secretary of Health and Human Services (HHS) with a list of ingredients added to tobacco in the manufacture of smokeless tobacco products. This legislation also authorizes HHS to undertake research, and submit an annual report to Congress (as deemed appropriate) discussing the health effects of these ingredients in smokeless tobacco products. HHS has delegated responsibility for the implementation of this Act to CDC’s Office on Smoking and Health (OSH). Respondents report the required information to CDC once per year according to Tobacco Ingredient and Nicotine Reporting instructions posted on the OSH Web site. Changes effective with this reinstatement relate to the redesign of the OSH Web site. There are no costs to respondents other than their time. The total estimated annualized burden hours are 18,843. ESTIMATED ANNUALIZED BURDEN HOURS ebenthall on PROD1PC69 with NOTICES Type of respondents Number of respondents Number of responses per respondent Average burden per response (in hours) Smokeless Tobacco Manufacturers, Packagers, and Importers ................................................ 11 1 1,713 VerDate Aug<31>2005 15:28 Dec 14, 2007 Jkt 214001 PO 00000 Frm 00070 Fmt 4703 Sfmt 4703 E:\FR\FM\17DEN1.SGM 17DEN1

Agencies

DEPARTMENT OF HEALTH AND HUMAN SERVICES

[Federal Register Volume 72, Number 241 (Monday, December 17, 2007)]
[Notices]
[Pages 71413-71414]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 07-6058]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES


Additional Consolidated Health Information (CHI) Health 
Information Technology Standards

AGENCY: Federal Health Architecture (FHA), Office of the National 
Coordinator for Health Information Technology (ONC).

ACTION: Notice: Additional Consolidated Health Informatics (CHI) Health 
Information Technology Standards.

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SUMMARY: This notice identifies three (3) additional Consolidated 
Health Informatics (CHI) messaging and vocabulary standards 
(Multimedia, Allergy, and Disability and Assessments) adopted for use 
in Federal government health information technology systems. This work 
supplements the work to further the adoption of the first set of 5 
standards adopted on March 21, 2003 and second set of 15 standards 
adopted on May 6, 2004, as published in the December 23, 2005 Federal 
Register (70 FR 76287).
    The CHI initiative began in October 2001 as one of 24 E-Government 
initiatives included in the President's Management Agenda (PMA). The 
CHI collaborative worked to adopt Federal government-wide health 
information interoperability standards to be implemented by Federal 
agencies in order to enable the Fedral government to exchange 
electronic health information. By publication of this document, we are 
informing the public of the adoption of three new CHI standards, 
Multimedia, Allergy and Disability and Assessment (adoption reports 
available at: https://www.hhs.gov/healthit/chiinitiative.html).

CHI Adopted Standards

    As a result of work completed in furtherance of CHI, the three new 
domain areas and associated clinical standards that have been adopted 
are noted in the individual standards adoption reports found at https://
www.hhs.gov/healthit/chiinitiative.html and are summarized below:
    1. Multimedia Messaging Standard:
     National Electrical Manufacturer's Association (NEMA) 
Digital Imaging and Communications in Medicine (DICOM^SM) 
2004 Standard and higher.
    2. Allergy Messaging and Vocabulary Standard:
     Health Level Seven (HL7[supreg]) HL7[supreg] 2.4 and 
higher messaging standard allergy information segments.
     College of American Pathologists (CAP) Systematized 
Nomenclature of Medicine Clinical Terms (SNOMED CT[supreg]) for allergy 
type, severity and reaction codes.
     National Library of Medicine (NLM) RxNorm for brand name 
allergen code.
     Food and Drug Administration (FDA) Unique Ingredient 
Identifier (UNII) codes for ingredient name allergen code.
     Department of Veteran Affairs (VA) National Drug File-
Reference Terminology (NDF-RT) for drug class allergen code.
     3. Disability and Assessments:
     Regenstrief Institute, Inc LOINC[supreg] (Logical 
Observation Identifiers Names and Codes[supreg]) representation and 
codes for questions and answers on federally-required assessment forms;
     CHI-endorsed semantic vocabulary matches linked with the 
LOINC[supreg] assessment questions and answers; and
     HL7[supreg] v2.4 and higher messaging standard and the 
HL7[supreg] CDA (Clinical Document Architecture (CDA)) for exchanging 
standardized federally-required assessment content.

SUPPLEMENTARY INFORMATION: In 2006, the CHI initiative was transitioned 
to the Federal Health Architecture (FHA) under the Office of the 
National Coordinator for Health IT (ONC). Currently, the CHI standards 
are being coordinated with the public/private processes of Healthcare 
Information Technology Standards Panel (HITSP).
    HITSP serves as a cooperative partnership between the public and 
private sectors for the purpose of achieving a widely accepted and 
useful set of standards specifically to enable and support widespread 
interoperability among healthcare software systems, as they will 
interact in a local, regional, and nationwide health information 
network.
    CHI endorsement has been identified as one of the HITSP standards 
adoption criteria employed to adopt standards for the HITSP 
Interoperability Specifications. The HITSP Interoperability 
Specifications are developed to advance the national agenda for secure, 
interoperable health information systems. (Notice of Availability, 72 
FR. 9339 (March 1, 2007).

Collection of Information Requirements

    This notice does not impose information collection and 
recordkeeping requirements subject to

[[Page 71414]]

review the paperwork Reduction Act of 1995 (44 U.S.C. 3501 et seq.)

Impact Statement

    We foresee this notice having the following indirect effects upon 
the public: This notice will result in 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 federal health information 
acquisitions to be based on CHI standards when applicable and as 
permitted by law, whether system development occurs within the Agency 
or through use of contractor services.

FOR FURTHER INFORMATION CONTACT: Vish Sankaran--(202) 205-2761.

    Authority: The E-Government Act of 2002 (Pub. L. 107-347) (H.R. 
2458).

    Dated: December 7, 2007.
Robert M. Kolodner,
National Coordinator for Health Information Technology, Office of the 
National Coordinator for Health Information Technology.
[FR Doc. 07-6058 Filed 12-14-07; 8:45 am]
BILLING CODE 4150-45-M

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