Meeting Information

Meeting ID: 912 9786 9819

Passcode: 594748



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Attendee type:

T - TSMG Member

O - observer

L - liaison


P - present

A - Apologies

X- Proxy



TX (Reuben)

Roel Barelds

Precipius b.v.

Sylvia ThunHL7 Germany
TXCarol MacumberClinical Architecture
TXReuben DanielsSaludax
Davera GabrielJohns Hopkins University BIDS
Suzy RoySNOMED International
Andrea MacLeanCanada Health Infoway
TXJessica BotaUTG/Apelon
Ted KleinKlein Consulting / HL7 UTG / Vocabulary WG CoChair
Rob HausamVocabulary WG CoChair
Mareike PrzysuchaHL7 Germany
Rob McClureUS Realm Liaison
Rory DavidsonSNOMED International
Diana WrightLantana Consulting Group
Joel SchneiderNMDP/CIBMTR
Joanie HarperCanada Health Infoway
Carl LeitnerWorld Health Organization (WHO)
Chris MeloPhilips Health Care
Martha JonesICHOM
Michael FaughnNIST
Kris Gray
Hope GrayU of Alabama - Birmingham - HL7 Intern
Peter JordanHL7 New Zealand
Umanga De SilvaICHOM
Greg RobinsonICHOM
Kevin PowerChildren's Mercy Hospital
Scott CaseyChildren's Mercy Hospital
Andrea GaedigkChildren's Mercy Hospital

Minutes of previous teleconference (2022-11-10)

Teleconference 2022-11-10

Agenda Topics

Agenda Outline

Agenda Item


Meeting Minutes from Discussion



TC Minutes Approval


  • Call has been moved to alternate Wednesdays at 3 PM EDT and remains bi-weekly
Topic 211LANewRob M
  • Removed hanging backslash from uri
  • Any update on this?

UTG/THO Update

ContinuousJess and Reuben

  • Handle external terminologies that were listed in R4, but are not in THO
    • DSM-V - No confluence page exists, thus no metadata record information was available, thus it is missing in THO. However, this is complicated by the fact that HTA has previously ruled that the related DSM-IV was not a proper code system as it contains no unique concepts, but rules on the utilization of ICD-10 codes. DSM-V has already be declared as a code system in FHIR, the existing process and agreement would be for HTA to create a metadata record for DSM-V.
    • Deferring to the next TSMG main call.

External SDO and Code System Issues

(review JIRA tickets

ContinuousCarol/ Reuben

JIRA Dashboard in progress

WHO SARS-CoV-2 Variants

HTA-113 - Getting issue details... STATUS


HTA-117 - Getting issue details... STATUS

  • Jess to implement as separate entries at THO, taking verbiage that applies to lineralizations and MMS to the MMS metadata record.

PharmVar (participants not on call, holding for next)

  • Reviewed PharmVar content via on 11/10
  • General agreement that this is a code system where concepts are unique
  • Agreed to add more information to the code system metadata record page: Pharmacogene Variation (PharmVar)
    • The following content should be placed in a "Using PharmVar with HL7 products" page, not the metadata record.
    • "In the context of the representation of PharmVar in HL7 standards: 

      • The concept identifier is the PharmVar ID
      • The concept display name is the Allele Name
      • There are several concept properties associated with PharmVar concepts (Legacy Label, Variants, etc.)
      • The code system is represented with an is-a hierarchy
  • Next Step: HTA awaiting copyright information

Medi-Span Electronic Drug File

HTA-116 - Getting issue details... STATUS

(Did not get to these items)

UDAP Capability Rest Security Service

HTA-93 - Getting issue details... STATUS

UICC TNM Staging

HTA-90 - Getting issue details... STATUS

  • Drafted page reviewed by requestor, ready to be approved by HTA
  • RM: Need clarification if those alternate oids are identifiers or version identifiers
    • Can move forward with current identifiers
    • Send note to Kai and Sylvia to show how we plan to represent UICC TNM and note that previous editions are not represented as alternate OIDs (last part of OID looks like it is being treated as version but confirmed it is not just for this code system so not a root we can tie to)
  • Will seek clarification prior to approving metadata for addition to THO

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
  • Asked Mary Kay to draft a page and HTA will review when ready


  • Joel to propose updated text for what should be used for the code and HTA will review and update the resources as necessary

GL String Code

HTA-84 - Getting issue details... STATUS

  • Joel will follow up to make progress on this one

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.
  • Will attend 11/10 HTA call


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


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




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


  • RD to discuss with Rob McClure.

Any Other Business

AdjournmentMeeting adjournedN/ARD

Call adjourned at 4:00PM

  • No labels

1 Comment

  1. Carol Graham Reuben Daniels 

    Regarding the PharmVar copyright information, the PharmVar owners are having a meeting to discuss late in November, so I hope we will have something for you by end of year.