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Chair: Caroline Macumber or Reuben Daniels 

Scribe: Davera Gabriel 


Wednesday, January 12, 8:00-9:30PM UTC

Wednesday, January 12, 3:00-4:30PM USA ET

Thursday, January 13, 6:00-7:30AM AEST

Thursday, January 13, 9:00-10:30AM NZDT   

Zoom link -

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Attendee type:

M - TSMG Member

O -Observer / Guest


P - present

A - Apologies

X - (Apologies with Proxy)



M (Co-Chair)PClinical Architecture
M (Co-Chair)PThe Johns Hopkins University
M (Co-Chair)PSaludax
M (CSDO)PHL7 International
M (TSMG Rep to the TSC)PMD Partners, Inc.
MP (first 60 minutes only)Alphora
MPApelon, Inc.
M(conflict w first 30 minutes)MaxMD
MPNational Institute of Standards and Technology (NIST)
MPHL7 New Zealand
MPPrecipius b.v.
MPHL7 Germany
Health Intersections
OPCanada Health Infoway
OPNational Library of Medicine
Hausam Consulting LLC
OPSNOMED International
OPJoe FlackJohns Hopkins BIDS

Antitrust statement

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Minutes Approved as Presented 

2022-01-05 TSMG Agenda and Minutes

This is to approve minutes via general consent. "You have received the minutes. Are there any corrections to the minutes? (pause) Hearing none, if there are no objections, the minutes are approved as printed."

Agenda Topics 

Meeting was recorded

Agenda Outline

Time allocationLead

Agenda Item

  • Note that meetings are recorded
  • Welcome to members and observers
  • Thank you to Wayne Kubick
  • Welcome to new member, Dan Vreeman.
  • Rollcall & Proxies
    • RM: Proxies are among the approvals that must be vetted through the TSC approval process
    • RM:  there are other practices that need this process correction
  • The TSMG Main Call on 19 January 2022 has been cancelled due to the WGM.


  • Announcements 
    • WGM Joint session with Vocab planning
      • Extensible Binding Discussion
      • Management vs Methodology 
        • eg: between Vocab WG & TSMG (v3 content ownership)
      • Sub-group report outs
    • Requirement to attend Product Management Council meeting at WGM - Q0 Thursday, Jan 20
  • Policy & Process Documentation Repository
    • Requirements
    • Disposition - library approach
    • Each TSMG Subgroup should have their own pages
    • Goals
      • Inventory of current assets
      • identify conflicts, gaps in terminology documentation & guidance
  • TSMG Jira Tickets
TSMG Standing Subcommittee Updates
          HL7 Terminology Authority10


  • HTA meeting again on Thursday, 13 January 2022
  • Update from Rob & Bryn re: OIDs
    • New Zealand, Canada, Germany, the Netherlands and Australia do not charge for OIDs within their affiliates when requests come from members.
  • The HTA will be working on the GOM changes to formalise HTA as a subcommittee of TSMG (rather than a standalone governance body) e.g. board appointment, standalone confluence space, etc.
  • Tomorrow's meeting - UICC / AJCC ticket reopened & other tickets
  • Connectathon 29 Track
  • OMOP-FHIR Terminologies Subgroup New Meeting times
    • Europe / Eastern US:  Wednesdays noon (EASTERN) starting 26Jan22 
    • Western US / So. Pacific: Thursdays 6pm (EASTERN) starting 3Feb22
    • Quality Measures subgroup proposal
      • CDC COVID19 Comorbid conditions VSAC content for Connectathon / demonstration
      • Concept set / cohort validation against N3C data store
       HL7 Terminology / Unified Terminology Governance (THO/UTG)10JB, RD
  • Update from first dedicated THO & UTG Subcommittee meeting
  • Inquiry from Corey Spears about rooting IG artifacts in THO  
    • AI: RD/ RM will provide TSMG commentary at the Product Management meeting at the WGM next week on this topic
    • AI: JB / DG Communication opportunity next week at WGM in "rolling powerpoint" re: UTG proposals participation
      • Contact Anne re: method to achieve this
      • Check to be sure that the TSMG co-chairs are members of the co-chair listserv, lists etc
    • This is related to around 200 negative ballot comments entered by Joan Harper: see list of tickets
  • Progress made on sprint 2 of UTG Jira development items with a focus on release tracking
    • Reviewed current implementation of release tracking on Jira Dev
    • Testing of release tracking to occur prior to pushing to Prod
  • (Deferred) Main priority for UTG/THO subcommittee should be to review and approve implementation of the UTG Task Force Recommendations to TSC
    • TSMG input required to define Oversight Group (OSG) voters for each OSG (i.e. V2, Vocab, Realm-based, etc.)
    • TSC approved, membership of oversight group must be determined
    • Wayne is requesting the TSMG schedule the next release in the February timeframe
    • THO / HTA:  FHIR R5 is coming up in May 2022 - many changes coming as a result of this activity
Technical Steering Committee (TSC) matters10RM
  • Publisher-impacting Change Process
  • Decision Making Practices
    • Confirm bearing of new Implementation Division on decision-making process
    • AI: RM will review the TSMG-authored DMPs and check for alignment with recent discussions under TSC, & bring back to TSMG for action
    • AI: PM council meeting agenda next week at the WGM
      • use of  UTG 
Extensible Binding strength in FHIR10RD
  • Summary of issue (FHIR-29968)
  • Progress to date.
  • Potential need for involvement from FMG and TSMG.

Publishing terminology to the FHIR Ecosystem

  • Publishing terminology to the FHIR Ecosystem
    • Feedback from members
    • Action item for everyone:  please review this document / proposal & provide feedback by 5Jan22
    • not a request from the TSC
    • Wayne:  will impact the Implementation Division and there will be more feedback then
    • Bryn:  made some suggestions as informed by the Quality Measures work,
    • PJ: there was a good deal of feedback from the terminology service providers / technical community
      • Terminology capabilities resource 
Additional Test Cases for Terminology Services5
  • Terminology Services test case bank development
  • TSMG subgroup members?
    • Suggestions for invitees, in addition to TSMG members
      • Dan, Viet, Diego invite, please
      • Bring this up in meeting between TSMG & Vocab WG community
Implementation Division


Supporting Documents

Outline Reference

Supporting Document

Minute Approval2022-01-05 TSMG Agenda and Minutes