For purposes of this part:
The term "code set" means any set of codes used for encoding data elements, such as tables of terms, medical concepts, medical diagnostic codes, or medical procedure codes.
The term "health care clearinghouse" means a public or private entity that processes or facilitates the processing of nonstandard data elements of health information into standard data elements.
The term "health care provider" includes a provider of services (as defined in section person furnishing health care services or supplies.of this title), a provider of medical or other health services (as defined in section of this title), and any other
The term "health information" means any information, whether oral or recorded in any form or medium, that-
The term "health plan" means an individual or group plan that provides, or pays the cost of, medical care (as such term is defined in sectionof this title). Such term includes the following, and any combination thereof:
The term "individually identifiable health information" means any information, including demographic information collected from an individual, that-
The term "standard", when used with reference to a data element of health information or a transaction referred to in section Secretary with respect to the data element or transaction under sections through of this title.of this title, means any such data element or transaction that meets each of the standards and implementation specifications adopted or established by the
The term "standard setting organization" means a standard setting organization accredited by the American National Standards Institute, including the National Council for Prescription Drug Programs, that develops standards for information transactions, data elements, or any other standard that is necessary to, or will facilitate, the implementation of this part.
The term "operating rules" means the necessary business rules and guidelines for the electronic exchange of information that are not defined by a standard or its implementation specifications as adopted for purposes of this part.
1 So in original. Probably should be "Part".
42 U.S.C. § 1320d
REFERENCES IN TEXTThe Indian Health Care Improvement Act, referred to in par. (5)(L), is Pub. L. 94-437, Sept. 30, 1976, 90 Stat. 1400, which is classified principally to chapter 18 (§1601 et seq.) of Title 25, Indians. For complete classification of this Act to the Code, see Short Title note set out under sectionof Title 25 and Tables.
PRIOR PROVISIONSA prior section 1171 of act Aug. 14, 1935, was classified to sectionof this title prior to repeal by Pub. L. 97-35.
AMENDMENTS2010-Par. (9). Pub. L. 111-148 added par. (9). 2009-Par. (5)(D). Pub. L. 111-5 substituted "C, or D" for "or C". 2001-Par. (5)(D). Pub. L. 107-105 substituted "Parts A, B, or C" for "Part A or part B".
EFFECTIVE DATE OF 2010 AMENDMENT Pub. L. 111-148, title I, §11051105,, 124 Stat. 154, provided that: "This subtitle [subtitle B (§§1101-1105) of title I of Pub. L. 111-148 enacting subchapter I of chapter 157 of this title, amending this section and sectionsand of this title, enacting provisions set out as a note under section of this title, and amending provisions set out as a note under this section] shall take effect on the date of enactment of this Act [Mar. 23, 2010]."
PURPOSE Pub. L. 104-191, title II, §261, Aug. 21, 1996, 110 Stat. 2021, as amended by Pub. L. 111-148, title I, §1104(a), Mar. 23, 2010, 124 Stat. 146, provided that: "It is the purpose of this subtitle [subtitle F (§§261-264) of title II of Pub. L. 104-191 enacting this part, amending sectionsand of this title, and enacting provisions set out as a note under section of this title] to improve the Medicare program under title XVIII of the Social Security Act [ et seq.], the medicaid program under title XIX of such Act [ et seq.], and the efficiency and effectiveness of the health care system, by encouraging the development of a health information system through the establishment of uniform standards and requirements for the electronic transmission of certain health information and to reduce the clerical burden on patients, health care providers, and health plans."
- The term "Secretary" means the Secretary of Housing and Urban Development.1 See References in Text note below.
- The term "person" means an individual, a trust or estate, a partnership, or a corporation.