Chair:  @ Julie

Scribe: @ Julie


Attendee type:

H - HTA Member

O - observer

L - liaison


P - present

A - Apologies



HPJulie JamesBlue Wave Informatics LLP

Roel Barelds

Precipius b.v.

HPSusan MatneyIntermountain Health
HPSylvia ThunHL7 Germany
HPCarol MacumberClinical Architecture
HPReuben DanielsSaludax
HPDavera GabrielJohns Hopkins University Institute for Clinical and Translational Research

Wayne Kubick


LPSuzy RoySNOMED International
OPAndrea MacLeanCanada Health Infoway
Soraya AssarMathematica
OPTed KleinKlein Consulting / HL7 UTG / Vocabulary WG CoChair
Jessica BotaApelon
OPRob HausamVocabulary WG CoChair
OPFrank McKinneyPoint of Care Partners
OPRob McClureVocabulary WG CoChair

Minutes of Teleconference 2020-05-13

Motion to accept proposed and accepted.

Agenda Topics

Agenda Outline

Agenda Item


Meeting Minutes from Discussion



Minutes Approval


Quorum is met

Motion to approve Minutes proposed

SM moves, RB seconds: Motion 6:0:0

TopicReport from Joint Meeting with VocabReportCarol/Reuben

May 2020 - HL7 WGM - Wednesday 3pm Minutes

The initial implement of canonical URIs (resolution 2 from the meeting with Vocab) is being demonstrated using NANDA at 

Review we need to "publish" these as HTA?

Roel: would like the "HL7 Guidelines" for what really is a "canonical URL".  Vocab does have draft guidance on that Proposed Vocabulary WG Policy on Creation of Canonical URLs for Code Systems in THO

UTG = HL7 in this context, but policy is primarily focused on HL7-created URLs.

Put a link in to Vocab from our policy pages rather than republish.

HTA also needs to find a time to meet more with Vocab....currently Vocab is 3.30-5pm (EST) alt Thursdays; would prefer to hold a joint during HTA maybe every 3rd HTA call, HTA will invite Vocab as long as there are agenda items.  Reuben/Carol to confirm with Vocab.  Likely first in schedule will be the end of June meeting.

TopicHTA External Terminologies PagesIn progressJulie

"Need a value set for NDC-11" - need "an artefact" that can be used to reference the NDC-11 in FHIR implementations.  There has had a long standing Zulip thread; FDA creates the NDC code system but it is implemented by the pharma manufacturers and re-labellers

There are 3 different formats in 3 segments with dashes - NDC-9, NDC-10, NDC-11 etc.  MPD suppliers (FDB, Multum) make their own normalised format (11 format).  RxNorm also publishes the 11 digit format - but it may not be a full list.

In UTG: - this is the FDA registered NDC code system - which does not represent the NDC-11 codes as used by the MPD providers.

There is an OID for NDC treating it as a code system, but in many ways acts more like a GTIN

There can be multiple identifiers for a single concept.  NDC-9, NDC-11 could/can be treated as separate code systems.  

Policy question:
The HTA does not believe that NDC-11 is a separate code system from the FDA's registered NDC code system

Frank: in use they are referred to differently (but is this any different from 2 letter and 3 letter country codes?)

Therefore - the implementation question for the value set moves to Vocab.

Update on work done


ISO 3166 (Roel)

Utilization of ISO codes for Preferred Language: BCP 47 in USCDI FHIR IG eMail thread is here

 The current ask within BCP47 is

  • Davera Gabriel will look up more information about BCP-47 (a document authored by the IETF trust) for language codes in the US Core FHIR IG.  Davera will check if this is actually a "nested reference" and is actually a syntax using ISO
TopicHTA Membership

Checking with Sylvie and Susan that they have communicated with Wayne as CTO

Not discussed

TopicDiscussion with FHIR - Managing change in code system identification

Also FHIR Vocabulary Binding for Authors

Not discussed

Topic HTA JIRA queue to manage requests and workflowIn ProgressReuben 

Transition of existing tickets - transfer from FHIR and UTG projects?

FHIR Tracker Items

Not discussed

TopicExternal SDO Issues or additional topicsContinuous

Carol and Suzy Roy 

and Sara Armson

Suzy had to leave before we got to this item

TopicCo-chair handbook and FHIR Accelerator Information

In progress

Not discussed


Response from the FHIR Accelerator was somewhat negative - FHIR Accelerators have too much to worry about already.  Responded that we are hearing from Accelerators and also that our process will encourage direct contact; re-iterated the "one contact per Accelerator" as per SNOMED too.  Awaiting further response

Nothing yet from PIC re: the Co-Chair handbook.

Not discussed

TopicUMLS Discussion



We need to get the disclaimer in the FHIR pages for UMLS - who is leading on this?

Not discussed

TopicUTG UpdateContinuousCarol/Jess

Not discussed

AdjournmentMeeting adjournedN/AJulie

Call adjourned at 21.04 BST

Action Items

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