Meeting Information

https://hl7-org.zoom.us/j/91297869819?pwd=cm81Yk1CQW9uUkQ1Y2FucEI2RU01UT09

Meeting ID: 912 9786 9819

Passcode: 594748

Chair:  Carol

Scribe: Carol

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Attendees

Attendee type:

T - TSMG Member

O - observer

L - liaison

Present

P - present

A - Apologies

X- Proxy

Name

Affiliation

O
Julie JamesBlue Wave Informatics LLP
TP

Roel Barelds

Precipius b.v.

T
Sylvia ThunHL7 Germany
T
Carol MacumberClinical Architecture
TPReuben DanielsSaludax
T
Davera GabrielJohns Hopkins University BIDS
L

Wayne Kubick

HL7 (CTO)

L
Suzy RoySNOMED International
O
Andrea MacLeanCanada Health Infoway
TPJessica BotaUTG/Apelon
O
Ted KleinKlein Consulting / HL7 UTG / Vocabulary WG CoChair
L
Rob HausamVocabulary WG CoChair
O
Mareike PrzysuchaHL7 Germany
T
Rob McClureUS Realm Liaison
O
Rory DavidsonSNOMED International
O
Diana WrightLantana Consulting Group
OPJoel SchneiderNMDP/CIBMTR
OPJoanie HarperCanada Health Infoway
O
Carl LeitnerWorld Health Organization (WHO)
O
Chris MeloPhilips Health Care
O
Martha JonesICHOM
O
Alex Goel
O
Kris Gray
O
Hope GrayU of Alabama - Birmingham - HL7 Intern

Minutes of previous teleconference (2022-07-28)

Agenda Topics


Agenda Outline

Agenda Item

StatusLead

Meeting Minutes from Discussion

Management

Quorum

TC Minutes Approval

Announcements



N/AReuben

Quorum has been met

Motion to approve minutes from 07-28-2022: Roel moves, Jess seconds: Motion Passes 2-0-0.

TopicAlignment of Code System Identifiers (URIs and OIDs) in HTA External Terminology Confluence pages and associated THO records with those from the core FHIR specification. 
Reuben
  • Background
  • Decisions:
    • VA — National Drug File — Reference Terminology (NDF-RT)
      • Neither an HTA Confluence page, neither THO records exist.
      • Proposal:
        • Adopt newly drafted NDF-RT HTA Page with the following endorsed code system identifiers:
          • OID: 2.16.840.1.113883.6.209
          • URI: http://hl7.org/fhir/ndfrt
        • Create corresponding Code System Metadata and Code System Identifier records in THO.
        • RD to discuss not migrating the Using NDF-RT With FHIR page to THO.
      • Vote: Jess moves, Roel seconds: Motion passes 2-0-0 (TBC at 8/15/2022 TSMG Meeting)
    • FDA — Unique Ingredient Identifiers (UNII)
      • Neither an HTA Confluence page, neither THO records exist.
      • Proposal:
        • Adopt newly drafted UNII HTA Page with the following endorsed code system identifiers:
          • OID: 2.16.840.1.113883.4.9
          • URI: http://fdasis.nlm.nih.gov
        • Create corresponding Code System Metadata and Code System Identifier records in THO.
      • Vote: Jess moves, Roel seconds: Motion passes 2-0-0 (TBC at 8/15/2022 TSMG Meeting)
    • ISO — ISO 3166 Country Codes
      • HTA Confluence page requires URI and OID updates to align with core FHIR spec; and new THO Code System Metadata and Code System Identifier Records should be created and older ones removed.
      • Proposal:
        • Remove ISO 3166 COUNTRY CODES HTA page and add the following three new pages as follows:
          • Codes for the representation of names of countries and their subdivisions Part 1, Country code (ISO 3166-1)
            • OID: TBD
            • URI: urn:iso:std:iso:3166
          • Codes for the representation of names of countries and their subdivisions Part 2, Country subdivision code (ISO 3166-2)
            • OID: TBD
            • URI: urn:iso:std:iso:3166:-2
          • Codes for the representation of names of countries and their subdivisions Part 3, Code for formerly used names of countries (ISO 3166-3)
            • OID: TBD
            • URI: urn:iso:std:iso:3166:-3
        • Retire the following existing Code System Metadata and Code System Identifier records in THO
          • Iso31661edition2
          • Iso31661edition2alpha2
          • Iso31661edition2alpha3
          • Iso3166_2
        • Create 3 pairs of Code System Metadata and Code System Identifier records corresponding to the above three HTA pages.
        • Vote: Jess moves, Roel seconds: Motion passes 2-0-0 (TBC at 8/15/2022 TSMG Meeting)
    • ISO — ISO/IEEE 11073-10101:2020 Health informatics — Device interoperability — Part 10101: Point-of-care medical device communication — Nomenclature (MDC)
      • HTA Confluence page requires URI and OID updates to align with core FHIR spec; and new THO Code System Metadata and Code System Identifier Records should be created and older ones removed.
      • Proposal:
        • Update ISO/IEEE 11073 Nomenclature for Personal Medical Device Communication HTA page as follows
          • Change canonical URI from https://rtmms.nist.gov/rtmms/index.htm#!rosetta to urn:iso:std:iso:11073:10101
          • Add canonical OID: 2.16.840.1.113883.6.24
        • Update corresponding Code System Metadata and Code System Identifier records in THO to align with other metadata fields in the updated HTA pages.
        • Vote: Jess moves, Roel seconds: Motion passes 2-0-0 (TBC at 8/15/2022 TSMG Meeting)
Topic

UTG/THO Update


ContinuousJess and Reuben

  • Content created but not yet approved by HTA
    • UP-332 - Getting issue details... STATUS
  • Need to add to THO: Human Phenotype Ontology
    • Will move forward 
    • IGPublisher issue with links.
  • Update on making HL7 Terminology (THO) the Single Source of Truth for External Code System information
    • FHIR core specification Defined Externally table
    • FHIR Jira tickets related to the Using X with FHIR pages
    • Moving HTA Confluence Page data to THO
TopicCoordination of content publication between Publisher and THO
Jess
  • Terminology review expectations and process or IG Developers
      • Terminology Expectations for IG Developers (Working)
        • Paths will be reworked (if possibe)
      • RM: For internals, base could always be terminology.hl7.org? Currently, it may be that publisher will look in THO and if it can't find in THO, looks internally, then it builds a local reference. Otherwise, it's harder to identify what is intended to be moved vs. what is intended to stay local in the IG. 
      • Pro Forma vs CR - Only issue that may come up, URL copied and pasted will 404 - though that's not a violation of the URL as a URI -  we need to know if the publisher can work anyway both before and after the move of content from local packages to THO.
TopicNew PSS ReviewContinuousCarolNone
Topic

External SDO and Code System Issues

(review JIRA tickets https://jira.hl7.org/projects/HTA/summary

ContinuousCarol/ Reuben

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

HGNC

HTA-71 - Getting issue details... STATUS

    • Content has Gene Groups and Gene Symbols, used to be only a numerical ID.
      • For Gene Symbols - Because of historical reasons, and we don't want to have everyone change URLs and IDs, the URL will allow people to remove HGNC:, from the official HGNC:(integer) for Gene Symbols
      • For Gene Groups - For this, we could do HGNCG:(integer) so it works the same way for Gene Groups.
      • Concern is where cases that same numeric value in both places
        • 1625 in Gene Symbols means XCR1 where as 1625, Gene Groups has different meaning. The number alone is not unique. 
      • Gene Groups - http://www.genenames.org/geneId - retain original OID
      • Gene Symbols - http://www.genenames.org/genegroup

X12 Insurance Type

CDA-1513 - Getting issue details... STATUS

  • Pending review by someone who knows the X12 content to determine what is the definitive source


CAPeCC

Stub requires approval: College of American Pathologists (CAP) eCC (electronic Cancer Checklists)

ICF and ICF-nl

HTA-89 - Getting issue details... STATUS

FHIR-37402 - Getting issue details... STATUS

https://confluence.hl7.org/pages/viewpage.action?pageId=131046173
https://confluence.hl7.org/display/TA/International+Classification+of+Functioning%2C+Disability+and+Health+%28ICF%29+-+Dutch

Reviewed the ticket and marked as In Progress pending additional information from implementers

GL String Code

HTA-84 - Getting issue details... STATUS

Reviewed the ticket and marked as In Progress pending additional information from implementers

Pharmacogenomic Star Alleles (PharmVar Pharmacogene Variation Consortium)

HTA-85 - Getting issue details... STATUS

Initial review complete. Invited submitter to an HTA call for further information.

CLIA

Created stub: Clinical Laboratory Improvement Amendments (CLIA)
FHIR-36926 - Getting issue details... STATUS

PGKB-ClinAnnLevels

  • HTA-70 - Getting issue details... STATUS

2022-04-21:

  • RD to discuss with Carol about creation of a Confluence page.

ICPC, ICPC-DAN

Discussion:

ISO-21089


TopicContinued from previousReuben
  • The OID 2.16.840.1.113883.6.42 is stated in
  • 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 Vocabulary 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 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

2022-04-21:

  • RD to discuss with Rob McClure.
Topic

Any Other Business


ContinuousRD
AdjournmentMeeting adjournedN/ARD

Call adjourned at 10:00AM

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