Non-HTA managed code systems retired in continuous build of THO:  http://build.fhir.org/ig/HL7/UTG/external_terminologies.html

THO changes have been implemented and is a first big step to using THO as the single source of truth.

Next step is to clean up the records and align with new template from HTA confluence pages. 

TSMG has referred a question to TSC around the OID request process, awaiting Rob M's return to act as liaison to TSC.

Two PSS's for review

• PSS-1884 - Getting issue details... STATUS - Approved
• PSS-1903 - Getting issue details... STATUS - Approved

UTG/THO tickets:

JIRA Dashboard in progress https://jira.hl7.org/secure/Dashboard.jspa?selectPageId=13701

DSM V

•   HTA-8 - Getting issue details... STATUS
• NIH/NLM provides a "metathesaurus representation" of DSM-V, which states "DSM-V is is a set of diagnostic criteria for ICD9CM and/or ICD10CM codes.  There are no native DSM-5 codes, it is not a standalone terminology." 
• The APA provides guidance and criteria by which the ICD10CM (or legacy ICD9CM) should be utilized for diagnosis. Initial research shows that there are no DSM V codes 
• Changes to the DSM can be found here https://www.psychiatry.org/psychiatrists/practice/dsm/updates-to-dsm-5 and are characterized in two ways
  • Updates to DSM criteria and text https://www.psychiatry.org/psychiatrists/practice/dsm/updates-to-dsm-5
  • Changes to ICD-10-CM Codes for DSM-5 Diagnoses
• Related FHIR ticket that added the URI: FHIR-13998 - Getting issue details... STATUS

Discussion: How should DSM-V be represented? One Supplement to ICD10CM, One Supplement to ICD9CM then a value set including ICD10CM and ICD9CM codes as defined by DSM-V

HTA Resolution: 

HTA agrees that DSM-V is not a stand alone code system. 

The DSM-V code system URI, rooted in hl7.org/FHIR was created in 2017 and is being used at an HL7 affiliate (Netherlands, for sure). Thus, it is not possible to remove the URI from FHIR R4. However, the HTA does not agree that the DSM-V meets the criteria for a code system (no concepts with identifiers, see above for more information). HTA will open a THO ticket to add verbiage about DSM in a "Using DSM-V with FHIR" page and thus, in R5, users will be provided additional information on it's use. 

Deeper Missive: Perhaps HL7 can approach the APA about how to represent the DSM-V criteria (nay classification) in a consistent way across version. 

DID NOT GET TO THESE ITEMS DURING CALL, any independent progress made on these items are noted below and/or on the tickets themselves. Will be added to next HTA call agenda for review and/or approval.

ISO RGB 

• HTA-66 - Getting issue details... STATUS
• Assigned to: Carol
• Page started here: IEC Colour Measurement and Management

ISCN

• HTA-65 - Getting issue details... STATUS
• Assigned to:

OrphaCode

• HTA-64 - Getting issue details... STATUS
• Page (old format) exists without identifiers here ORPHANET

ICPC

• See discussion here: https://chat.fhir.org/#narrow/stream/179166-implementers/topic/icpc.20term

Discussion:

• Roel Barelds  to pick up and investigate

ISO-21089

• • https://chat.fhir.org/#narrow/stream/179202-terminology/topic/Term.20of.20use.20for.20core.20CS.20with.20ISO.2021089.20Lifecycle.20Event.20codes 
  •  https://terminology.hl7.org/2.1.0/CodeSystem-iso-21089-lifecycle.html
    
    • Morten has opened a ticket HTA-49 - Getting issue details... STATUS
    • Roel Barelds will reach out to ISO and create an external terminologies page.
    • Reuben Daniels will review RB's comment and follow-up.
    • No update from last meeting
    • Reuben suggests a review of ISO pages is needed to determine how to update / maintain them
    • Potential source of fragments to go into tx.fhir.org

ICD-10-GM

• • ST raised that the ICD-10-GM page has disappeared from the HTA's External Terminologies Information Pages. Reuben Daniels will investigate.
  • No update

FHIR Tracker: OID specified on page for ICD-9CM is registered for ICD-9

• The OID 2.16.840.1.113883.6.42 is stated in
  • the ICD-9-CM HTA Confluence Page as the OID for ICD-9-CM
  • the FHIR core specification's Using ICD-[X] Codes with FHIR Page as the OID for either ICD-9 or ICD-9-CM
  • the HL7 OID Registry as the OID for ICD-9 
• The OID 2.16.840.1.113883.6.2 is stated in
  • THO/UTG's ICD-9-CM Code System Metadata Record as the OID for ICD-9-CM
  • the HL7 OID Registry as a retired OID for ICD-9CM with the following note: Note that this has been retired in favor of an explicit split between the diagnosis codes and the procedures codes as per the Vocablary TC decision on Wednesday Q4, January 21, 2004.  Replaced by 2.16.840.1.113883.6.103 and 2.16.840.1.113883.6.104 as voted by committee.  -T. Klein
• The OID 2.16.840.1.113883.6.103 is stated in
  • the HL7 OID Registry as the OID for ICD-9CM (diagnosis codes)
• The OID 2.16.840.1.113883.6.104 is stated in
  • the HL7 OID Registry as the OID for ICD-9CM (procedure codes)
• Requirement:
  • What are the correct OIDs for
    • ICD-9; and
    • ICD-9-CM 
• Rob McClure to provide an update after checking in with the US Realm group.  No Update