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Chair:  Reuben Daniels 

Scribe: Jessica Bota  


Tuesday 9:00-10:00PM UTC

Tuesday 4:00-5:00PM USA ET

Wednesday 7:00-8:00AM AEST

Wednesday10:00-11:00AM 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)PSaludax


Apelon, Inc.
MPNational Institute of Standards and Technology (NIST)
M (CSDO)PHL7 International
OPHL7 Germany


Klein Consulting
OPHL7 International
OPCanada Health Infoway

Antitrust statement

Professional Associations, such as HL7, which bring together competing entities are subject to strict scrutiny under applicable antitrust laws. HL7 recognizes that the antitrust laws were enacted to promote fairness in competition and, as such, supports laws against monopoly and restraints of trade and their enforcement. Each individual participating in HL7 meetings and conferences, regardless of venue, is responsible for knowing the contents of and adhering to the HL7 Antitrust Policy as stated in §05.01 of the Governance and Operations Manual (GOM).

Minutes Approved as Presented 


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 Allocation


Agenda Item
  • Welcome to members and guests
  • Rollcall & Proxies
  • Note that meetings are recorded


  • Announcements
    • UTG project call replaced with this TSMG subcommittee call
  • Jan 2022 WGM
    • Discussion on UTG and transfer to TSMG on Wednesday Q3
    • Vocab hosting TSMG Thursday Q3
  • Started page for collection of existing material related to this subcommittee, open to suggestions on organization
  • Question: Would it be helpful to have a session dedicated to walking through the UTG process? 
    • Group feels that it would be best to have a dedicated session, separate from this call
    • MD: We should also have it as a session that is required for IG authors (Davera Gabriel - this may be a good thing to involve the Outreach subcommittee in)
  • UTG is fully operational and being used by the community
    • There are known challenges
      • Process is complex for some users 
      • Issues with keeping documentation and training materials up to date
      • Many areas can benefit from automation
      • Tooling to edit THO resources
  • THO is on release v3.0.0 with v3.1.0 planned for late February
  • Sprint 2 of UTG Jira development items is in progress, focusing on release tracking
Subcommittee Responsibilities5JB
  • UTG Tooling
    • Joanie has been leaving negative comments on ballots that do not have the URL of terminology artifacts anchored in THO and Corey Spears (involved in many IG projects) is looking for insight on how to efficiently address this issue
      • Joanie drafted a response but realized that there are issues with the documentation
      • How should we respond to such inquiry?
    • Discovered that the FHIR Toolkit has been updated and is throwing exceptions when trying to create new code system or value set
    • Vocab server (for expanding value sets) is no longer available
    • Mac installers not available
    • Suggest removing all mention of the tools from the documentation
    • Larger issue tracked by HSCR-418 - Getting issue details... STATUS
    • TK: Gave some background on previous ballot process (Word docs) and how we intended to make it easy for those who do not understand terminology but it did not work out
    • TK: We may need to set expectations for submitters (must be able to edit XML, must understand terminology)
    • Group agrees to remove all traces of FHIR toolkit and Vocab server from the documentation
  • Task force recommendation review and implementation (voting, quorums, WG health, etc.): UTG Task Force Recommendations to TSC
    • Tracked by HSCR-155 - Getting issue details... STATUS and its subtasks
    • TK: Concern with removing the International OSG, e.g. v2 change with translations, such as German in v2
    • How do we get the right folks to vote on Realm-based proposals? You cannot ensure that someone from the Realm-based OSG is from the relevant realm in this recommendation.
    • DV: Would be difficult to go down the rabbit hole of realm-based requests and getting the right people to review it.
    • RD: Could we have different affiliates have on option to be included as a reviewer?
      • JB: Testing of these complex voting configurations has been difficult
      • RD: The affiliates may be able to provide testers
      • TK: We wanted to have a way to specify an ad hoc tester, but was very tricky to implement and was ultimately abandoned
  • HL7 code systems: "All" systems navigation page
    • Tracked via HSCR-416 - Getting issue details... STATUS
    • RD:  will inquire with the IG Publisher team as to whether internal / external systems can be automatically identified
    • Dis not discuss
  • Formalize Workflow process for use of internal code system identifiers in FHIR and beyond & make part of UTG documentation set
    • Tracked via HSCR-417 - Getting issue details... STATUS
    • Did not discuss
 Adjournment0 JBCall adjourned at 5:00PM EST. Next call in two weeks at 4:00PM EST January 25, 2022.

Supporting Documents

Outline Reference

Supporting Document

Minute Approval