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Tuesday |
Information
technology & electronic communications |
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Welcome to the AVINews Monthly. We'd love your feedback on our ongoing efforts to improve the newsletter and its format, so email us your comments: martinmkm@mminformatics.com |
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In
This Issue: |
Call for Talbot Speakers |
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Your officers for 2005-2006 are: President - Dr. Michael K. Martin Feedback Please let us know if you have any suggestions or comments about AVI. |
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The deadline for submission of paper topics for the 2007 Talbot is here. If you have not already submitted your topics, please do so immediately. We need to comply with AVMA's submission schedule so that they will continue to support our ability to coordinate our own speakers and make the Talbot all that we want it to be. I know that the summer of 2007 seems a long way off, especially in computer technology time but use your imagination and think about what the work you are doing now may look like by then and give us a general proposal for your topics. The notes won't be due until spring 2007, and by then you'll have a more precise idea of where the work will be. I hope to see you, and hear you speak, in Washington. Veterinary Informatics is a diverse field. Our members range from practitioners who want to learn a little more about how to effectively use computers in their practices all the way to full-time academic informaticists. We try to keep the content of this newsletter as varied as our membership. We want it to be an enjoyable read, once a month. This month is a little different. This is reading you need to do. Many of us don't find time to read the Federal Register cover-to-cover every day. So, in case you were too busy with Christmas plans to catch the December 23, 2005 issue, we have reproduced two pages here. This is an important announcement that makes the informatics standards we have been preaching at AVI official U.S. government policy. Healthcare standards are important. And now they are required--at least for government work. Dr. Michael K. Martin |
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Consolidated
Health Informatics (CHI) Initiative; [Federal Register: December 23, 2005 (Volume 70, Number 246)]
[Notices]
[Page 76287-76288]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr23de05-78]
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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.
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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
(http://www.hhs.gov/news/press/2004pres/20040506.html). The adoption of
these standards supplemented the first 5 standards adopted on March 21,
2003 (http://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.
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-specific full reports available for download at: http://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-PA PDF formatted copy is available at: http://edocket.access.gpo.gov/2005/pdf/05-24289.pdf |
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The Official Call for Papers for the 2007 Talbot Symposium is available. The deadline for submission is February 2, 2006. The response to last year's call for papers was outstanding. We hope to repeat that success for 2007. There will again be 8 tracks of information available to us for programming (Sun-Wed, AM & PM) and we have assigned broad topics to those sessions. Of course, if you have a submission that is definitely worthy, yet doesn't fit neatly into the broad topics, we will still consider it! Last year the submission process moved to the web to make it easier to collect the submissions. This year, we have an on-line web form that goes through an advertising supported form emailer. If you'd rather, the forms are on the web, and you can fill them in (Word, Open Document, or Text) and email them directly to me. The forms are posted at: http://www.avinformatics.org/symposia/symposia.htm. I'll try to send you a confirmation email that I have received your entry within 72 hours of submission. Dr. Robertson and I will begin to review the submissions and coordinate with our AVMA section chief regarding the 2007 Talbot Symposium near the end of February. The schedule will be finalized by AVMA and announcements back to speakers by sometime in the fall. |
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USDA Considering New Animal ID Approach, Costs Remain Industry Concern The days are numbered when you can still expect to develop a critical mass of either technical or political support in one "place" to run national programs as large as the animal tracking part of NAIS. The New York Times columnist Thomas Friedman writes about the world being flat. What he means is that technology now lets companies send their work in pieces to whomever can best do each piece whether that is in Ames IA or Bangalore India. Besides the network infrastructure which we inherited from the Internet bubble, the important piece is the informatics knowledge to build the information and messaging standards to tie everything together. From the article below, it looks like USDA may be rethinking trying to build one monolithic animal tracking system and instead looking to "hook up" a bunch of specialized systems. To do this right, they are going to need an informaticist or two. The Agriculture Department is considering a new approach for a
national animal identification system that would allow the
department to link to a network of private and state-operated
animal tracking databases, Dr. John Clifford, USDA’s chief
veterinarian, said at an American Farm Bureau Federation annual
meeting conference. The system would allow USDA to tap into a
portal of various animal identification and tracking systems run
by commodity groups or other organizations, as well as into 20
existing state databases. http://www.fb.org/news/nr/nr2006/nr0108m.html The National Library of Medicine has issued a Request for Information regarding the major informatics research challenges This Request for Information is addressed to all with interest in the application of computation to biomedical research, healthcare, and the education of health professionals (biomedical informatics, bioinformatics and computational biology.) Information Requested The National Library of Medicine (NLM) intends to issue a call for proposals that address a highly selective set of informatics problems of fundamental importance to biomedicine. To inform planning for such a program NLM solicits responses from the informatics, computer science, information science and engineering communities to the question: What are the major informatics research challenges in biomedicine today? All biomedical domains that can benefit from informatics, including those relevant to health care delivery, clinical research, basic biological research, public health and health education are included in this RFI. NLM is particularly interested in research challenges that are:
http://grants1.nih.gov/grants/guide/notice-files/NOT-LM-06-001.html Call for Papers - Journal of Biomedical Informatics (Special Issue on Public Health Informatics) As Dr. Case and Dr. Martin attend HL7 working group meetings we are becoming increasingly aware of how much overlap exists between Veterinary Informatics and Public Health Informatics. Any members with publishable material seeking a publication ought to consider Public Health Informatics journals or special editions like this one. Guest Editors: Rita Kukafka, DrPH, MA and William Yasnoff, MD,
PhD http://www.elsevier.com/locate/yjbin
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