Date: Monday 25 January 2021


Q1: 9:00 am - 10:30 am PST 17.00-18.30 UTC

Q2: 11:00 am - 12:30 pm PST 19.00-20.30 UTC

All Participants: Make sure you are registered with WHOVA and join the session through that.

Please note that HTA members are requested to join the joint meeting with Vocab WG on Wednesday 27th January Q2 and Q3

Attendee type:

H - HTA Member

O - observer

L - liaison


P - present

A - Apologies



HPJulie JamesBlue Wave Informatics LLP

Roel Barelds


HPSusan MatneyIntermountain Health
HPSylvia ThunHL7 Germany
HPCarol MacumberApelon Inc.
HPReuben DanielsSaludax
HPDavera GabrielJohns Hopkins University Institute for Clinical and Translational Research

Wayne Kubick


Suzy RoySNOMED International
Swapna AbhyankarLOINC
Rob McClureMD Partners
OPAndrea MacLeanInfoway
Joan HarperInfoway
Jessica BotaApelon
OPMarc DuteauMD Partners
OPEric SchmittHL7
OPLori Fourquet
OPGenny LuensmanCDC NIOSH
OPStan RankinsTelligen
OPLenel JamesBCBSA
OPLi-Hui LeeHL7 Taiwan
OPBecky GradlAcademy of Nutrition and Dietetics
OPCharles GabrialFEHRM

Minutes Approved as Presented 

Minutes of the last WGM Meeting were approved on the HTA Teleconference 

Discussion items

Please note: order of items may change due to availability/practicality

ManagementAgenda approvalJulie

Agenda approved with the addition of the ODH topic

Susan moves, Roel seconds - motion passes 6-0-0

ManagementMinutes approvalJulie

Carol Moves, Roel Seconds - motion passes 6-0-0

PHIN VADs (repository maintained by CDC). ODH is owned and maintained by various centers with CDC.

TopicExternal Code SystemJulie, Lori Genny

Occupational Data for Health (ODH) code system and value sets. NIOSH is responsible for the ODH and is one of the centres of the CDC.

HTA is to engage the code system owners to capture metadata/information about an external code system to ensure correct and consistent referencing of the code system - in particular the URL/URI to be used in FHIR specifications.  The single source of truth will "THO" -

Will create an HTA page for CDC ODH with NIOSH on the HTA External Terminologies pages and then take this forward to THO

TopicTerminology Product FamilyJulie

HTA Role discussion  - how we would like to see the HTA functionality/responsibilities continue in any new world order

Julie Jamesslides here

Principal notion - terminology is a utility. In context for this discussion, am essential utility produced as a service for it to record as aspects of healthcare. This notion is agreed upon amongst HTA.

LJ - slides look like they capture the concepts of Terminology Governance accurately. Suggested perhaps identification of work groups, and individual members, via TSC to aid in work that needs to be done.

JJ in response to SM question on Direction through prioritization - Governance sets the priority of how resources are spent. With our (HTA and HL7) limited resources, we need to prioritize based on the requirements and need of the enterprise (e.g., code system identification prior to value set definition).

DG - In the abstract, Julie is proposing an abstract framework describing the terminology methodology and governance tasks that need to be done. Further, then HL7 reviews the document (mission and charter) about how to operationalize that framework.


  • Governance - setting direction, prioritization, monitoring and enforcement of policy
  • Management - organization of activities
  • Methodology - how the tasks get done accurately and consistently 

RD and CM

Current state is not going to suffice. Not convinced concerns can be separated. Lack of volunteers alone means a single individual or group ends up with all three areas of concern. Fewer concerns separated or a fundamental change is required. 

TopicTerminology Product FamilyDaveraDraft "mission and charter" discussion - to go forward to the meeting with Vocab 
TopicExternal code system deprecation policyCarolTo go forward to the meeting with Vocab

National Cancer Institute - Thesaurus

Carmela A. Couderc

Julie James Hi Julie. The canonical url for this code system on THO is  Should I enter a UTG ticket to update THO to the value on this page.  

I realize Julie created this page, however do any other HTA members have information about this code system that could help resolve the issue? Caroline Macumber Reuben Daniels Davera Gabriel Susan Matney Sylvia Thun Roel Barelds Will be solved and further discussed in the normal HTA meetings

Action items