ICD-10-CM/AIS Mapping Software, 49372-49374 [2014-19744]

Download as PDF 49372 Federal Register / Vol. 79, No. 161 / Wednesday, August 20, 2014 / Notices granted, it would be limited to a single procurement for the South Ferry Station Project and conditioned upon NYCT completing the safety testing for the U.S.-made pad and rubber boot within approximately three months of receipt of CPT’s test results, which is expected on or about September 15, 2014. In addition, once all of the testing is complete within the aforementioned timeframe and if the testing confirms that the U.S-made pad and rubber boot meet NYCT’s safety specifications, FTA expects NYCT to substitute the U.S.made pads and rubber boots for the foreign-made items to the extent possible. A full copy of the request has been placed in docket number FTA– 2014–0019. [FR Doc. 2014–19732 Filed 8–19–14; 8:45 am] BILLING CODE 4910–57–P DEPARTMENT OF TRANSPORTATION Maritime Administration [Docket No. MARAD–2014 0112] Requested Administrative Waiver of the Coastwise Trade Laws: Vessel TUNATAILS.COM; Invitation for Public Comments Maritime Administration, Department of Transportation. ACTION: Notice. AGENCY: As authorized by 46 U.S.C. 12121, the Secretary of Transportation, as represented by the Maritime Administration (MARAD), is authorized to grant waivers of the U.S.-build requirement of the coastwise laws under certain circumstances. A request for such a waiver has been received by MARAD. The vessel, and a brief description of the proposed service, is listed below. DATES: Submit comments on or before September 19, 2014. ADDRESSES: Comments should refer to docket number MARAD–2014–0112. Written comments may be submitted by hand or by mail to the Docket Clerk, U.S. Department of Transportation, Docket Operations, M–30, West Building Ground Floor, Room W12–140, 1200 New Jersey Avenue SE., Washington, DC 20590. You may also send comments electronically via the Internet at https://www.regulations.gov. All comments will become part of this docket and will be available for inspection and copying at the above address between 10 a.m. and 5 p.m., E.T., Monday through Friday, except emcdonald on DSK67QTVN1PROD with NOTICES VerDate Mar<15>2010 16:44 Aug 19, 2014 Jkt 232001 DEPARTMENT OF TRANSPORTATION FOR FURTHER INFORMATION CONTACT: ICD–10–CM/AIS Mapping Software Linda Williams, U.S. Department of Transportation, Maritime Administration, 1200 New Jersey Avenue SE., Room W23–453, Washington, DC 20590. Telephone 202– 366–0903, Email Linda.Williams@ dot.gov. As described by the applicant the intended service of the vessel TUNATAILS.COM is: SUPPLEMENTARY INFORMATION: Intended Commercial Use Of Vessel: Charter 6 pack fishing, Gulf of Mexico Geographic Region: Louisiana, Mississippi, Alabama, Florida Dana Nifosi, Acting Chief Counsel. SUMMARY: federal holidays. An electronic version of this document and all documents entered into this docket is available on the World Wide Web at https:// www.regulations.gov. The complete application is given in DOT docket MARAD–2014–0112 at https://www.regulations.gov. Interested parties may comment on the effect this action may have on U.S. vessel builders or businesses in the U.S. that use U.S.flag vessels. If MARAD determines, in accordance with 46 U.S.C. 12121 and MARAD’s regulations at 46 CFR Part 388, that the issuance of the waiver will have an unduly adverse effect on a U.S.vessel builder or a business that uses U.S.-flag vessels in that business, a waiver will not be granted. Comments should refer to the docket number of this notice and the vessel name in order for MARAD to properly consider the comments. Comments should also state the commenter’s interest in the waiver application, and address the waiver criteria given in § 388.4 of MARAD’s regulations at 46 CFR Part 388. Privacy Act Anyone is able to search the electronic form of all comments received into any of our dockets by the name of the individual submitting the comment (or signing the comment, if submitted on behalf of an association, business, labor union, etc.). You may review DOT’s complete Privacy Act Statement in the Federal Register published on April 11, 2000 (Volume 65, Number 70; Pages 19477–78). By Order of the Maritime Administrator. Dated: August 11, 2014. Julie P. Agarwal, Secretary, Maritime Administration. [FR Doc. 2014–19644 Filed 8–19–14; 8:45 am] BILLING CODE 4910–81–P PO 00000 Frm 00094 Fmt 4703 Sfmt 4703 National Highway Traffic Safety Administration [Docket No. NHTSA–2014–0062] National Highway Traffic Safety Administration (NHTSA), Department of Transportation (DOT). ACTION: Request for information; reopening of comment period. AGENCY: This document announces the reopening of the comment period on a Request for Information (RFI) regarding the potential development of a mapping software to translate the International Statistical Classification of Diseases and Related Health Problems, 10th Revision, Clinical Modification (ICD–10–CM) discharge diagnoses into Abbreviated Injury Scale (AIS) pre-dot codes, injury descriptors, and severity scores. The original RFI was issued on June 12, 2014, and had a 60-day comment period ending on August 11, 2014. In response to continued interest in this issue, NHTSA is reopening the comment period for this RFI until September 30, 2014. DATES: The comment period for the RFI published on June 12, 2014 (79 FR 33799) is extended. Comments must be received no later than September 30, 2014. SUMMARY: ADDRESSES: Comments: You may submit comments [identified by Docket Number NHTSA–2014–0062] by any of the following methods: • Internet: To submit comments electronically, go to the U.S. Government regulations Web site at https://www.regulations.gov. Follow the online instructions for submitting comments. • Fax: Written comments may be faxed to 202–493–2251. • Mail: Send comments to Docket Management Facility, U.S. Department of Transportation, 1200 New Jersey Avenue SE., West Building Ground Floor, Room W12–140, Washington, DC 20590. • Hand Delivery: If you plan to submit written comments by hand or courier, please do so at 1200 New Jersey Avenue SE., West Building Ground Floor, Room W12–140, Washington, DC between 9 a.m. and 5 p.m. Eastern Time, Monday through Friday, except federal holidays • You may call Docket Management at 1–800–647–5527. Instructions: For detailed instructions on submitting comments and additional E:\FR\FM\20AUN1.SGM 20AUN1 emcdonald on DSK67QTVN1PROD with NOTICES Federal Register / Vol. 79, No. 161 / Wednesday, August 20, 2014 / Notices information see the Comments heading of the Supplementary Information section of this document. Note that all comments received will be posted without change to https:// www.regulations.gov, including any personal information provided. Please see the Privacy Act heading in the SUPPLEMENTARY INFORMATION. FOR FURTHER INFORMATION CONTACT: For questions about the program discussed herein, contact John Kindelberger, Chief of the Evaluation Division, Office of Regulatory Analysis and Evaluation, Room W53–312, 1200 New Jersey Avenue SE., Washington, DC 20590. Telephone: 202–366–4696. Email: john.kindelberger@dot.gov. SUPPLEMENTARY INFORMATION: On June 12, 2014, NHTSA published a notice (79 FR 33799) requesting comment and information the potential development of a mapping software to translate the International Statistical Classification of Diseases and Related Health Problems, 10th Revision, Clinical Modification (ICD–10–CM) discharge diagnoses into Abbreviated Injury Scale (AIS) pre-dot codes, injury descriptors, and severity scores. On January 16, 2009, the U.S. Department of Health and Human Services (HHS) published a final rule adopting ICD–10–CM to replace ICD–9– CM in transactions covered by the Health Insurance Portability Accountability Act (HIPAA). The deadline for adopting ICD–10–CM has been postponed several times but is currently scheduled to take place at some point after October 1, 2015 (https://www.cms.gov/Medicare/Coding/ ICD10/?redirect=/icd10). The ‘‘Moving Ahead for Progress in the 21st Century’’ Act (MAP–21), signed into law on July 6, 2012, requires the FHWA to establish measures for State departments of transportation to assess and report numbers and rates per vehicle mile traveled of roadway fatalities and serious injuries. [§ 1203; 23 USC 150(c).] In Notice of Proposed Rulemaking 79 FR 13845 (Mar. 11, 2014), which can be found at https:// www.regulation.gov, the FHWA recommends that States prepare themselves so that no later than January 1, 2020, all States use a medical record injury outcome reporting system that links injury outcomes from medical records to crash reports. The DOT seeks comments and information from the public sector, private sector, and academic communities concerning the potential development of ICD–10–CM/AIS mapping software that would address the issues described in this RFI. While VerDate Mar<15>2010 16:44 Aug 19, 2014 Jkt 232001 comments are welcome on any area of the RFI, the DOT is particularly interested in responses to the questions listed below. Responders are reminded that feedback or comments on any aspect of this notice are welcome from all interested public, private, and academic entities. While all feedback is welcome, the DOT is particularly interested in feedback on the following questions. Respondents may respond, to some, all, or none of these specific questions: 1. Is there a need for a mapping tool that translates ICD–10–CM codes to the AIS standard? 2. Is there a need for an updated mapping tool that translates ICD–9–CM codes to the AIS standard? 3. Are any steps currently being taken to develop a mapping tool? 4. What capabilities should such a mapping tool possess? 5. What platforms should the mapping tool run on? 6. Should the mapping tool be nonproprietary? Injury data enables epidemiologists, researchers, and policymakers to better identify the severity of injuries in addition to where, when, and why they occur. This data is, however, frequently spread among discrete databases that are difficult to link to each other or to injury causation data. The ability to link these datasets together is thus critical to efforts to understand injury trends, set injury prevention priorities, identify high risk populations and geographic areas, and develop targeted injury prevention strategies. The DOT, however, is particularly interested in forging and maintaining links among vehicle crash and injury datasets as such links can provide more complete information and better understanding of crash outcomes. State trauma registry and hospital discharge databases are two of the more significant sources of injury data. Trauma registries are designed to collect large amounts of information about the most seriously injured patients and are not typically used for injury surveillance purposes on their own. Hospital discharge datasets are designed primarily to monitor hospital census, utilization, and financial information but record enough information—like diagnosis codes and external cause/Ecodes—to make them useful injury surveillance tools. In addition, the prehospital emergency medical services (EMS) patient care reports, compliant with the National EMS Information System (NEMSIS) Standard, may be helpful, as they can serve as good link between the crash data and hospital data. NEMSIS data is submitted to the PO 00000 Frm 00095 Fmt 4703 Sfmt 4703 49373 state level by local EMS agencies, and the collective statewide data is submitted to the National EMS Database. The most effective linkage point at this time is at the State level. These datasets are generally coded using different methodologies. Trauma registries use the Abbreviated Injury Scale while hospitals and emergency departments use the International Statistical Classification of Diseases and Related Health Problems for diagnosis, reporting, and billing. The Abbreviated Injury Scale (AIS), developed by the Association for the Advancement of Automotive Medicine (AAAM), is an anatomically based, consensus derived, global severity scoring system that classifies each injury by body region according to its relative importance on a 6-point ordinal scale (1 = minor and 6 = maximal). The AIS is the basis for the Injury Severity Score (ISS) calculation of the multiply injured patient. The AIS is protected by copyright, and both individual use and site licenses can be purchased from AAAM (https://www.aaam.org/aboutais.html). The maximum AIS (MAIS) severity level is a recognized person-level injury severity indicator. For example, the Organization for Economic CoOperation and Development’s International Traffic Safety Data and Analysis Group (IRTAD) has recommended that MAIS of level three or higher be used as the standard for a seriously injured person in a motor vehicle crash (https:// www.internationaltransportforum.org/ irtadpublic/pdf/Road-CasualtiesWeb.pdf). Maintained by the World Health Organization (WHO), the International Statistical Classification of Diseases and Related Health Problems (ICD) is the international standard diagnostic tool for epidemiology, health management, and clinical purposes. While a version of the ninth revision, ICD–9–CM, is currently still widely used in the US, a replacement based on the tenth revision, ICD–10–CM, has been developed by a National Center for Health Statistics (NCHS) Technical Advisory Panel following extensive consultation with physician groups, clinical coders, and others to assure clinical accuracy and utility (https://www.cdc.gov/nchs/icd/ icd10cm.htm). In the early 90’s researchers at Johns Hopkins University developed a software tool (ICDMAP) that allowed analysts to generate a Maximum AIS (MAIS) or an Injury Severity Score (ISS) for each injured patient in the hospital discharge database using the ICD–9–CM diagnosis codes of each patient’s record. E:\FR\FM\20AUN1.SGM 20AUN1 49374 Federal Register / Vol. 79, No. 161 / Wednesday, August 20, 2014 / Notices The ICDMAP enabled statewide performance measurement by MAIS and allowed analysts to associate the severity outcomes to with crash, vehicle, and roadway circumstances for planning and/or evaluation of countermeasures. While the ICDMAP-generated results are not as precise as those derived by clinicians in trauma registries, this approach has been validated and yields good sensitivity in estimating severity for studying the larger universe of injury hospitalizations. Translating ICD codes to AIS allows all crash-involved injuries to be compiled and analyzed in terms of AIS and MAIS severity. When linked to causal information—State crash databases, for example—ICD codes can be used to improve measurement of crash-related injury severity. There is not, however, currently any known software or service capable of translating between ICD–10–CM and AIS. Once hospitals transition to the ICD–10–CM, combining these two sets of injury data will no longer be possible, and analyses will be less complete and less useful. Significant effort is needed to develop a mapping tool that will enable mapping of ICD–10–CM diagnosis codes with the corresponding AIS severity codes. RFI Guidelines Responses to this notice are not offers and cannot be accepted by the Government to form a binding contract or issue a grant. Information obtained as a result of this RFI may be used by the Government for program planning on a non-attribution basis. This RFI notice is NOT a solicitation for proposals, applications, proposal abstracts, or quotations. This RFI notice is not to be construed as a commitment on the part of the Government to award a contract or grant, nor does the Government intend to directly pay for any information or responses submitted as a result of this RFI notice. emcdonald on DSK67QTVN1PROD with NOTICES Comments How do I prepare and submit comments? Your comments must be written and in English. To ensure that your comments are correctly filed in the Docket, please include the Docket number of this document (NHTSA– 2014–0062) in your comments. Your primary comments must not be more than 15 pages long (49 CFR 553.21). However, you may attach additional documents to your primary comments. There is no limit on the length of the attachments. Please submit one copy of your comments, including the attachments, VerDate Mar<15>2010 16:44 Aug 19, 2014 Jkt 232001 to Docket Management at the address given above under ADDRESSES. Please note that pursuant to the Data Quality Act, in order for substantive data to be relied upon and used by the agency, it must meet the information quality standards set forth in the OMB and DOT Data Quality Act guidelines. Accordingly, we encourage you to consult the guidelines in preparing your comments. OMB’s guidelines may be accessed at https://www.whitehouse.gov/ omb/fedreg_reproducible. DOT’s guidelines may be accessed at https:// www.rita.dot.gov/bts/sites/ rita.dot.gov.bts/files/subject_areas/ statistical_policy_and_research/data_ quality_guidelines/. Privacy Act: Anyone is able to search the electronic form of all comments received into any of our dockets by the name of the individual submitting the comment (or signing the comment, if submitted on behalf of an association, business, labor union, etc.). You may review DOT’s complete Privacy Act Statement in the Federal Register published on April 11, 2000 (65 FR 19477–78) or you may visit https:// www.regulations.gov. How can I be sure that my comments were received? If you wish Docket Management to notify you upon its receipt of your comments, enclose a self-addressed, stamped postcard in the envelope containing your comments. Upon receiving your comments, Docket Management will return the postcard by mail. You may also periodically access https://www.regulations.gov and enter the number for this docket (NHTSA– 2014–0062) to see if your comments are on line. How do I submit confidential business information? If you wish to submit any information under a claim of confidentiality, you should submit three copies of your complete submission, including the information you claim to be confidential business information, to the Chief Counsel, NHTSA, U.S. Department of Transportation, 1200 New Jersey Avenue SE., Washington, DC, 20590. In addition, you should submit a copy, from which you have deleted the claimed confidential business information, to Docket Management at the address given above under ADDRESSES. When you send a comment containing information claimed to be confidential business information, you should include a cover letter setting forth the information specified in our confidential business information regulation (49 CFR Part 512). PO 00000 Frm 00096 Fmt 4703 Sfmt 9990 Will the agency consider late comments? In our response, we will consider all comments that Docket Management receives before the close of business on the comment closing date indicated above under DATES. To the extent possible, we will also consider comments that Docket Management receives after that date. How can I read the comments submitted by other people? You may read the comments received by Docket Management at the address given above under ADDRESSES. The hours of the Docket are indicated above in the same location. You may also see the comments on the Internet. To read the comments on the Internet, take the following steps: (1) Go to the Federal Docket Management System (FDMS) at https:// www.regulations.gov. (2) FDMS provides two basic methods of searching to retrieve dockets and docket materials that are available in the system: (a) ‘‘Quick Search’’ to search using a full-text search engine, or (b) ‘‘Advanced Search,’’ which displays various indexed fields such as the docket name, docket identification number, phase of the action, initiating office, date of issuance, document title, document identification number, type of document, Federal Register reference, CFR citation, etc. Each data field in the advanced search may be searched independently or in combination with other fields, as desired. Each search yields a simultaneous display of all available information found in FDMS that is relevant to the requested subject or topic. (3) You may download the comments. However, since the comments are imaged documents, instead of word processing documents, the ‘‘pdf’’ versions of the documents are word searchable. Please note that even after the comment closing date, we will continue to file relevant information in the Docket as it becomes available. Further, some people may submit late comments. Accordingly, we recommend that you periodically check the Docket for new material. Authority: 49 U.S.C. 30111, 30181–83 delegation of authority at 49 CFR 1.95 and 501.8. Issued in Washington, DC. Terry Shelton, Associate Administrator for the National Center for Statistics and Analysis. [FR Doc. 2014–19744 Filed 8–19–14; 8:45 am] BILLING CODE 4910–59–P E:\FR\FM\20AUN1.SGM 20AUN1

Agencies

[Federal Register Volume 79, Number 161 (Wednesday, August 20, 2014)]
[Notices]
[Pages 49372-49374]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-19744]


-----------------------------------------------------------------------

DEPARTMENT OF TRANSPORTATION

National Highway Traffic Safety Administration

[Docket No. NHTSA-2014-0062]


ICD-10-CM/AIS Mapping Software

AGENCY: National Highway Traffic Safety Administration (NHTSA), 
Department of Transportation (DOT).

ACTION: Request for information; reopening of comment period.

-----------------------------------------------------------------------

SUMMARY: This document announces the reopening of the comment period on 
a Request for Information (RFI) regarding the potential development of 
a mapping software to translate the International Statistical 
Classification of Diseases and Related Health Problems, 10th Revision, 
Clinical Modification (ICD-10-CM) discharge diagnoses into Abbreviated 
Injury Scale (AIS) pre-dot codes, injury descriptors, and severity 
scores. The original RFI was issued on June 12, 2014, and had a 60-day 
comment period ending on August 11, 2014. In response to continued 
interest in this issue, NHTSA is reopening the comment period for this 
RFI until September 30, 2014.

DATES: The comment period for the RFI published on June 12, 2014 (79 FR 
33799) is extended. Comments must be received no later than September 
30, 2014.

ADDRESSES:
    Comments: You may submit comments [identified by Docket Number 
NHTSA-2014-0062] by any of the following methods:
     Internet: To submit comments electronically, go to the 
U.S. Government regulations Web site at https://www.regulations.gov. 
Follow the online instructions for submitting comments.
     Fax: Written comments may be faxed to 202-493-2251.
     Mail: Send comments to Docket Management Facility, U.S. 
Department of Transportation, 1200 New Jersey Avenue SE., West Building 
Ground Floor, Room W12-140, Washington, DC 20590.
     Hand Delivery: If you plan to submit written comments by 
hand or courier, please do so at 1200 New Jersey Avenue SE., West 
Building Ground Floor, Room W12-140, Washington, DC between 9 a.m. and 
5 p.m. Eastern Time, Monday through Friday, except federal holidays
     You may call Docket Management at 1-800-647-5527.
    Instructions: For detailed instructions on submitting comments and 
additional

[[Page 49373]]

information see the Comments heading of the Supplementary Information 
section of this document. Note that all comments received will be 
posted without change to https://www.regulations.gov, including any 
personal information provided. Please see the Privacy Act heading in 
the SUPPLEMENTARY INFORMATION.

FOR FURTHER INFORMATION CONTACT: For questions about the program 
discussed herein, contact John Kindelberger, Chief of the Evaluation 
Division, Office of Regulatory Analysis and Evaluation, Room W53-312, 
1200 New Jersey Avenue SE., Washington, DC 20590. Telephone: 202-366-
4696. Email: john.kindelberger@dot.gov.

SUPPLEMENTARY INFORMATION: On June 12, 2014, NHTSA published a notice 
(79 FR 33799) requesting comment and information the potential 
development of a mapping software to translate the International 
Statistical Classification of Diseases and Related Health Problems, 
10th Revision, Clinical Modification (ICD-10-CM) discharge diagnoses 
into Abbreviated Injury Scale (AIS) pre-dot codes, injury descriptors, 
and severity scores.
    On January 16, 2009, the U.S. Department of Health and Human 
Services (HHS) published a final rule adopting ICD-10-CM to replace 
ICD-9-CM in transactions covered by the Health Insurance Portability 
Accountability Act (HIPAA). The deadline for adopting ICD-10-CM has 
been postponed several times but is currently scheduled to take place 
at some point after October 1, 2015 (https://www.cms.gov/Medicare/Coding/ICD10/?redirect=/icd10).
    The ``Moving Ahead for Progress in the 21st Century'' Act (MAP-21), 
signed into law on July 6, 2012, requires the FHWA to establish 
measures for State departments of transportation to assess and report 
numbers and rates per vehicle mile traveled of roadway fatalities and 
serious injuries. [Sec.  1203; 23 USC 150(c).] In Notice of Proposed 
Rulemaking 79 FR 13845 (Mar. 11, 2014), which can be found at https://www.regulation.gov, the FHWA recommends that States prepare themselves 
so that no later than January 1, 2020, all States use a medical record 
injury outcome reporting system that links injury outcomes from medical 
records to crash reports.
    The DOT seeks comments and information from the public sector, 
private sector, and academic communities concerning the potential 
development of ICD-10-CM/AIS mapping software that would address the 
issues described in this RFI. While comments are welcome on any area of 
the RFI, the DOT is particularly interested in responses to the 
questions listed below. Responders are reminded that feedback or 
comments on any aspect of this notice are welcome from all interested 
public, private, and academic entities. While all feedback is welcome, 
the DOT is particularly interested in feedback on the following 
questions. Respondents may respond, to some, all, or none of these 
specific questions:
    1. Is there a need for a mapping tool that translates ICD-10-CM 
codes to the AIS standard?
    2. Is there a need for an updated mapping tool that translates ICD-
9-CM codes to the AIS standard?
    3. Are any steps currently being taken to develop a mapping tool?
    4. What capabilities should such a mapping tool possess?
    5. What platforms should the mapping tool run on?
    6. Should the mapping tool be non-proprietary?
    Injury data enables epidemiologists, researchers, and policymakers 
to better identify the severity of injuries in addition to where, when, 
and why they occur. This data is, however, frequently spread among 
discrete databases that are difficult to link to each other or to 
injury causation data. The ability to link these datasets together is 
thus critical to efforts to understand injury trends, set injury 
prevention priorities, identify high risk populations and geographic 
areas, and develop targeted injury prevention strategies. The DOT, 
however, is particularly interested in forging and maintaining links 
among vehicle crash and injury datasets as such links can provide more 
complete information and better understanding of crash outcomes.
    State trauma registry and hospital discharge databases are two of 
the more significant sources of injury data. Trauma registries are 
designed to collect large amounts of information about the most 
seriously injured patients and are not typically used for injury 
surveillance purposes on their own. Hospital discharge datasets are 
designed primarily to monitor hospital census, utilization, and 
financial information but record enough information--like diagnosis 
codes and external cause/E-codes--to make them useful injury 
surveillance tools. In addition, the pre-hospital emergency medical 
services (EMS) patient care reports, compliant with the National EMS 
Information System (NEMSIS) Standard, may be helpful, as they can serve 
as good link between the crash data and hospital data. NEMSIS data is 
submitted to the state level by local EMS agencies, and the collective 
statewide data is submitted to the National EMS Database. The most 
effective linkage point at this time is at the State level.
    These datasets are generally coded using different methodologies. 
Trauma registries use the Abbreviated Injury Scale while hospitals and 
emergency departments use the International Statistical Classification 
of Diseases and Related Health Problems for diagnosis, reporting, and 
billing.
    The Abbreviated Injury Scale (AIS), developed by the Association 
for the Advancement of Automotive Medicine (AAAM), is an anatomically 
based, consensus derived, global severity scoring system that 
classifies each injury by body region according to its relative 
importance on a 6-point ordinal scale (1 = minor and 6 = maximal). The 
AIS is the basis for the Injury Severity Score (ISS) calculation of the 
multiply injured patient. The AIS is protected by copyright, and both 
individual use and site licenses can be purchased from AAAM (https://www.aaam.org/about-ais.html).
    The maximum AIS (MAIS) severity level is a recognized person-level 
injury severity indicator. For example, the Organization for Economic 
Co-Operation and Development's International Traffic Safety Data and 
Analysis Group (IRTAD) has recommended that MAIS of level three or 
higher be used as the standard for a seriously injured person in a 
motor vehicle crash (https://www.internationaltransportforum.org/irtadpublic/pdf/Road-Casualties-Web.pdf).
    Maintained by the World Health Organization (WHO), the 
International Statistical Classification of Diseases and Related Health 
Problems (ICD) is the international standard diagnostic tool for 
epidemiology, health management, and clinical purposes. While a version 
of the ninth revision, ICD-9-CM, is currently still widely used in the 
US, a replacement based on the tenth revision, ICD-10-CM, has been 
developed by a National Center for Health Statistics (NCHS) Technical 
Advisory Panel following extensive consultation with physician groups, 
clinical coders, and others to assure clinical accuracy and utility 
(https://www.cdc.gov/nchs/icd/icd10cm.htm).
    In the early 90's researchers at Johns Hopkins University developed 
a software tool (ICDMAP) that allowed analysts to generate a Maximum 
AIS (MAIS) or an Injury Severity Score (ISS) for each injured patient 
in the hospital discharge database using the ICD-9-CM diagnosis codes 
of each patient's record.

[[Page 49374]]

The ICDMAP enabled statewide performance measurement by MAIS and 
allowed analysts to associate the severity outcomes to with crash, 
vehicle, and roadway circumstances for planning and/or evaluation of 
countermeasures.
    While the ICDMAP-generated results are not as precise as those 
derived by clinicians in trauma registries, this approach has been 
validated and yields good sensitivity in estimating severity for 
studying the larger universe of injury hospitalizations. Translating 
ICD codes to AIS allows all crash-involved injuries to be compiled and 
analyzed in terms of AIS and MAIS severity. When linked to causal 
information--State crash databases, for example--ICD codes can be used 
to improve measurement of crash-related injury severity.
    There is not, however, currently any known software or service 
capable of translating between ICD-10-CM and AIS. Once hospitals 
transition to the ICD-10-CM, combining these two sets of injury data 
will no longer be possible, and analyses will be less complete and less 
useful. Significant effort is needed to develop a mapping tool that 
will enable mapping of ICD-10-CM diagnosis codes with the corresponding 
AIS severity codes.

RFI Guidelines

    Responses to this notice are not offers and cannot be accepted by 
the Government to form a binding contract or issue a grant. Information 
obtained as a result of this RFI may be used by the Government for 
program planning on a non-attribution basis. This RFI notice is NOT a 
solicitation for proposals, applications, proposal abstracts, or 
quotations. This RFI notice is not to be construed as a commitment on 
the part of the Government to award a contract or grant, nor does the 
Government intend to directly pay for any information or responses 
submitted as a result of this RFI notice.

Comments

How do I prepare and submit comments?

    Your comments must be written and in English. To ensure that your 
comments are correctly filed in the Docket, please include the Docket 
number of this document (NHTSA-2014-0062) in your comments.
    Your primary comments must not be more than 15 pages long (49 CFR 
553.21). However, you may attach additional documents to your primary 
comments. There is no limit on the length of the attachments.
    Please submit one copy of your comments, including the attachments, 
to Docket Management at the address given above under ADDRESSES.
    Please note that pursuant to the Data Quality Act, in order for 
substantive data to be relied upon and used by the agency, it must meet 
the information quality standards set forth in the OMB and DOT Data 
Quality Act guidelines. Accordingly, we encourage you to consult the 
guidelines in preparing your comments. OMB's guidelines may be accessed 
at https://www.whitehouse.gov/omb/fedreg_reproducible. DOT's guidelines 
may be accessed at https://www.rita.dot.gov/bts/sites/rita.dot.gov.bts/files/subject_areas/statistical_policy_and_research/data_quality_guidelines/.
    Privacy Act: Anyone is able to search the electronic form of all 
comments received into any of our dockets by the name of the individual 
submitting the comment (or signing the comment, if submitted on behalf 
of an association, business, labor union, etc.). You may review DOT's 
complete Privacy Act Statement in the Federal Register published on 
April 11, 2000 (65 FR 19477-78) or you may visit https://www.regulations.gov.

How can I be sure that my comments were received?

    If you wish Docket Management to notify you upon its receipt of 
your comments, enclose a self-addressed, stamped postcard in the 
envelope containing your comments. Upon receiving your comments, Docket 
Management will return the postcard by mail. You may also periodically 
access https://www.regulations.gov and enter the number for this docket 
(NHTSA-2014-0062) to see if your comments are on line.

How do I submit confidential business information?

    If you wish to submit any information under a claim of 
confidentiality, you should submit three copies of your complete 
submission, including the information you claim to be confidential 
business information, to the Chief Counsel, NHTSA, U.S. Department of 
Transportation, 1200 New Jersey Avenue SE., Washington, DC, 20590. In 
addition, you should submit a copy, from which you have deleted the 
claimed confidential business information, to Docket Management at the 
address given above under ADDRESSES. When you send a comment containing 
information claimed to be confidential business information, you should 
include a cover letter setting forth the information specified in our 
confidential business information regulation (49 CFR Part 512).

Will the agency consider late comments?

    In our response, we will consider all comments that Docket 
Management receives before the close of business on the comment closing 
date indicated above under DATES. To the extent possible, we will also 
consider comments that Docket Management receives after that date.

How can I read the comments submitted by other people?

    You may read the comments received by Docket Management at the 
address given above under ADDRESSES. The hours of the Docket are 
indicated above in the same location.
    You may also see the comments on the Internet. To read the comments 
on the Internet, take the following steps:
    (1) Go to the Federal Docket Management System (FDMS) at https://www.regulations.gov.
    (2) FDMS provides two basic methods of searching to retrieve 
dockets and docket materials that are available in the system: (a) 
``Quick Search'' to search using a full-text search engine, or (b) 
``Advanced Search,'' which displays various indexed fields such as the 
docket name, docket identification number, phase of the action, 
initiating office, date of issuance, document title, document 
identification number, type of document, Federal Register reference, 
CFR citation, etc. Each data field in the advanced search may be 
searched independently or in combination with other fields, as desired. 
Each search yields a simultaneous display of all available information 
found in FDMS that is relevant to the requested subject or topic.
    (3) You may download the comments. However, since the comments are 
imaged documents, instead of word processing documents, the ``pdf'' 
versions of the documents are word searchable.
    Please note that even after the comment closing date, we will 
continue to file relevant information in the Docket as it becomes 
available. Further, some people may submit late comments. Accordingly, 
we recommend that you periodically check the Docket for new material.

    Authority: 49 U.S.C. 30111, 30181-83 delegation of authority at 
49 CFR 1.95 and 501.8.

    Issued in Washington, DC.
Terry Shelton,
Associate Administrator for the National Center for Statistics and 
Analysis.
[FR Doc. 2014-19744 Filed 8-19-14; 8:45 am]
BILLING CODE 4910-59-P
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.