A commitment to grow social determinants of health content within SNOMED CT Back 9 Sept 2020 Back Achieving health equity is a priority item for health systems globally. Collective international interest has heightened awareness and recognition of the pressing need for action. Health inequity is the difference in health that results from the living and working conditions people experience, particularly relevant among vulnerable populations. A serious and growing public health issue locally, nationally and globally, social determinants of health contribute to health inequity, with these factors ranging from early child development and education to working conditions, food security and income, gender, race and housing, etc. On average, no fewer than 17 social determinants have been identified as capable of impacting an individual’s health. SNOMED International is committed to supporting the reduction of health inequity through developing and managing social determinants of health content within SNOMED CT’s clinical terminology. To maximize accessibility of this content, SNOMED International plans to include all social determinants of health content within the organization’s Global Patient Set , a managed list of existing SNOMED CT unique identifiers, fully specified names, preferred terms in international English, and status flags, made openly available for global use. Social Determinants of Health and SNOMED CT’s Clinical Terminology A strategic direction for the ongoing evolution of SNOMED CT over the next 5 years is facilitating improvements in patient outcomes and meeting the needs of integrated health and social care systems in a sustainable fashion. Defined as part of our strategic plan for 2020-2025, SNOMED International has initiated a project to gather requirements from stakeholders to enhance social determinants of health content coverage within SNOMED CT, while assessing its structure and placement within the SNOMED CT hierarchy. Core to this approach is addressing existing gaps in SNOMED CT content to meet user requirements for electronic health records. What is the practical use of this expanded content? Once complete, SNOMED CT enabled systems will be equipped with the ability to record a person’s social and environmental status as factors to be considered in care planning and provision of related services. Once captured using SNOMED CT, clinicians, researchers and policy makers can benefit from leveraging encoded health records for numerous avenues of analysis and for development of evidence-based practice, clinical guidelines and policies. What has this project yielded so far? Early analysis of SNOMED CT’s 350,000+ concepts indicates good coverage of concepts related to aspects of social determinants of health arranged across various hierarchies in no particular order for the content area. Early phases of the project indicate that SNOMED CT is already representative of ~4,700 items of relevant content. This analysis is encouraging as SNOMED CT has a significant head start in building out social content to support this globally prevalent issue through SNOMED CT and the openly accessible Global Patient Set. In terms of what remains within the scope of the project slated to continue into 2022, outlining and confirming how social determinants of health content is used within the clinical record is critical to determining its structure and placement within the SNOMED CT hierarchy, and where gaps persist. Collaborating Globally: The Gravity Project The Gravity Project was initiated in November 2018 by The Social Interventions Research & Evaluation Network (SIREN) and is a direct response to calls to action around creating national standards for representing social determinant of health data in electronic health records in the United States. Taking a consensus-building community approach, the Gravity Project has convened broad stakeholder groups, including SNOMED International, to identify and harmonize social risk factor data for interoperable electronic health information exchange. The project seeks to identify coded data elements and associated value sets to represent social determinants of health data documented in EHRs across four clinical activities: screening, diagnosis, planning and interventions across three specific social risk domains: food insecurity, housing instability and quality, and transportation access. Continuing beyond 2020, the outcomes of the Gravity Project will serve to inform the continued development and placement of this content within SNOMED CT, along with other sources of analysis and contribution. Approaching Social Determinants of Health Content: Next Steps This project represents SNOMED International’s commitment to advancing this area and is our first step in determining broad representative social care content for our global audience. The organization is currently engaged in requirements gathering; and content development and hierarchy restructuring will be ongoing into 2022.

The Dutch representative to SNOMED International is the Ministry of Health, Welfare and Sport. Netherlands The Dutch representative to SNOMED International is the Ministry of Health, Welfare and Sport. Contact Details National IT Institute for Healthcare in the Netherlands (Nicitz) Visiting address: Oude Middenweg 55 2491 AC Den Haag Postal address: P.O. Box 19121 2500 CC Den Haag The Netherlands Telephone: +31 (0) 70 317 34 50 Website: http://www.nictiz.nl Email: info@snomed.nl Appointed Representatives General Assembly: Herko Coomans (Vice-Chair) Member Forum: Cynthia Yang and Elze de Groot News articles The Ministry of Health, Welfare and Sport has assigned the responsibility to Nictiz – the National IT Institute for Healthcare in the Netherlands - to act as the point of contact for SNOMED CT developments and licenses, thus demonstrating the National Release Centre. Nictiz is the centre of expertise for eHealth. It conducts research and interprets trends in eHealth to assist with the establishment of Netherlands national policies for various parties, such as the Ministry of Health, Welfare and Sport, nation-wide umbrella organizations and the Informatieberaad Zorg (national healthcare consultation). Nictiz also develops and manages information standards. These standards are required to enable exchanging information in healthcare. In addition, Nictiz provides healthcare institutions and software specialists with advice on standards implementation and optimization of data exchange. Nictiz coordinates the Netherlands’ participation in and contribution to SNOMED International activities. Nictiz furthermore coordinates a national program aimed at increasing and stimulating the awareness, knowledge, practices and use of SNOMED CT. For healthcare organizations and companies inside the Netherlands Nictiz acts as the National Release Centre for SNOMED CT (sub-) licenses. As the SNOMED National Release Centre of the Netherlands, Nictiz is responsible for distributing and managing SNOMED CT in the Netherlands, and develops and maintains content specific to the Netherlands. Nictiz is also translating to the Netherlands relevant parts of SNOMED CT. More information about SNOMED CT in the Netherlands can be accessed here: www.snomed.nl Affiliated licenses can be obtained at https://mlds.ihtsdotools.org/#/landing/NL?lang=en Back Learn more Global Patient Set Built from the globally recognized SNOMED CT terminology standard at no cost to users Learn more Get SNOMED CT Information about our license and fee structure Learn more Software and tools We develop and operate applications platforms to support our products and services Learn more Document library Access overviews, guides and specifications

International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use Back International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use Standards Partner In 2021, SNOMED International and the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) announced the release of important new maps between global medical terminologies SNOMED CT and MedDRA. This collaborative effort was the first deliverable of a new agreement entered into between SNOMED International and ICH. Additional information This joint effort has produced two independent maps (MedDRA to SNOMED CT and SNOMED CT to MedDRA) of a priority set of MedDRA content which have been derived from frequently used and key pharmacovigilance MedDRA terms identified from the European Medicines Agency and the UK’s Medicines & Healthcare products Regulatory Agency. In addition, a set of COVID-19 related terms are also included in the first production release of the maps to capture important aspects of the pandemic. The two maps were created as part of a project involving SNOMED International and ICH entitled WEB-RADR 2 . Funded by the Innovative Medicines Initiative (IMI), a large-scale public-private partnership between the EU and the pharmaceutical industry association, EFPIA, IMI aims to boost biopharmaceutical innovation in Europe and to speed up the development of better and safer medicines for patients. With the creation of the maps from the WEB-RADR 2 project, both SNOMED International and ICH have committed to their ongoing use and maintenance extending past the conclusion of the project. The 2 maps were first released in April 2021 - in RF2 format by SNOMED International and human readable format by MedDRA MSSO (acting on behalf of ICH). The maps are maintained, updated and released annually with a change request mechanism available through MedDRA MSSO. Press Release: April 2021: A new collaboration between SNOMED International and ICH promotes seamless data exchange in support of public health

SNOMED International maintains and distributes a range of other products to its Members, licensees and stakeholders. Products include extensions and derivative SNOMED CT products, while others are products available outside of the SNOMED CT licensing model, such as GPS and IPS Terminology. Other SNOMED products SNOMED International maintains and distributes a range of other products to its Members, licensees and other users. These products include extensions and derivative SNOMED CT products, while others are global products available outside of the traditional SNOMED CT licensing model. The International Patient Summary Terminology SNOMED International is committed to extending the core of SNOMED CT’s structured clinical terminology to deliver an open, standalone sub-ontology to support the scope of content within the International Patient Summary . Learn more Global Patient Set The Global Patient Set will support the cross-border movement of information, and ultimately health system interoperability. A managed list of existing unique identifiers, fully specified names (FSN), preferred terms in international English, and status flag, the Global Patient Set will be available at no cost to users. Learn more Global Patient Set Bahmni + SNOMED CT MLDS is a service provided by SNOMED International for organizations and individuals to request use and access to the International Release of SNOMED CT for use in non-Member countries. Learn more SNOMED CT Spanish Edition Contains the Spanish language version of the SNOMED CT® International Edition and is released in April and October following the SNOMED CT® International Edition release. Learn more Learn more Events Annual Business Meetings, Expo, and SNOMED CT Web Series Learn more Learn more Explore the wide range of resources available to our community of practice Member extensions A benefit of SNOMED International membership is the ability to create a SNOMED CT national extension to reflect local policy and priorities through structured terminology. Browse member extensions Derivative products These products are derived from SNOMED CT® International Edition content, and which SNOMED International maintains and distributes to its Members and licensees. Review derivative product releases Free sets Free sets, a specific type of Derivative product, contain only the SNOMED CT identifier (SCTID) and fully specified name (FSN) for each record in the refset, and so can be distributed to anyone with or without a license. Review free set releases IPS GPS Bahmni + SNOMED Spanish Edition Extensions Derivative products Free sets

The Kingdom of Saudi Arabia joins the SNOMED CT Community Back 24 Jun 2019 Back London, United Kingdom, June 24, 2019 (GLOBE NEWSWIRE) -- SNOMED International and the National Health Information Center (NHIC) are pleased to announce that the Kingdom of Saudi Arabia has recently joined as the organization’s thirty-ninth Member. The NHIC has been established pursuant to the Saudi royal decree no. 333 to be linked with health services and connected to an electronic network of health information with the Ministry of Health, medical services in the military bodies, university hospitals and other relevant government agencies. It is the vision of the Center to serve as the core axis of smart, safe and reliable digital information and healthcare services in the Kingdom and in doing so will provide, organize and exchange health information electronically among bodies of health sectors and other relevant bodies. Through Membership in SNOMED International, the Kingdom and NHIC have committed support for structured terminology to address national tasks to standardize clinical terminology, names and definitions used in all health information systems and methods of collection. With the Kingdom’s strategic aims to support transformation of electronic healthcare services along with facilitating the circulation of health data and information electronically safely, SNOMED CT is a valuable tool to be used throughout the country. SNOMED CT is the world’s most comprehensive health terminology. Founded in 2007 by nine charter nations, SNOMED International is a not-for-profit, member-owned and driven international organization. The addition of the Kingdom of Saudi Arabia has grown the organization’s Membership to thirty-nine countries and territories across five continents and enables management and use SNOMED CT and other related products. Membership also extends to participation on the General Assembly, a critical governance role which includes responsibility for approval of the organization's budget and strategy. “The Kingdom’s Membership in SNOMED International will extend the footprint of clinical terminology in place in hospital and health information systems within Saudi Arabia. In line with the launch of the Kingdom’s healthcare transformation strategy and Saudi’s 2030 Vision, investment in digital health infrastructure such as clinical terminology standards will contribute to accomplishing these goals” says SNOMED International CEO, Don Sweete. “SNOMED CT is internationally recognized as a powerful terminology for healthcare. Through our Membership in SNOMED International we are certain we can increase patient safety in the kingdom by eliminating errors occurring due to misinterpreted data, while fulfilling our National E- Health Strategy aligned with the Kingdom’s healthcare transformation strategy and 2030 Vision” says the NHIC’s General Director. The Kingdom of Saudi Arabia becomes the third country within the Middle East region to join SNOMED International, further extending the SNOMED CT use, implementation experience and collaboration opportunities for the area. To learn more about the National Health Information Center visit https://nhic.gov.sa/en/Pages/default.aspx .

INSERM Back INSERM Clinical Partner A relationship initially forged in 2015, the objective of the agreement is to improve the visibility of rare diseases in terminologies and promote interoperability among different codification and terminology systems, such as SNOMED CT for the benefit of their shared users globally. In February 2020, the Institut national de la santé et de la recherche médicale (Inserm) and SNOMED International took steps to renew their relationship governing the rare disease content included in SNOMED CT. Orphanet, the Inserm unit dedicated to knowledge on rare diseases, maintains the Orphanet nomenclature of rare diseases (ORPHA codes) and provides a multilingual database of information related to rare diseases and orphan drugs. Additional information The focus of the collaborative work was to incorporate an initial set of Orphanet into SNOMED CT and create a map between SNOMED CT and the corresponding Orphanet content. This facilitates the movement of rare disease information from EHRs to research and other uses of Orphanet data in a consistent and standardized way. The organizations worked together to initially align a priority set (3500) of Orphanet Rare Diseases in SNOMED CT and in October 2021 produced a map between SNOMED CT and Orphanet for implementation. Work has continued to complete the alignment of all Rare Disease content in Orphanet with SNOMED CT and additional maps have been included in the 2022 map release (based on Member requirements) and the work will be completed for the 2023 release of the map, after which both organisations are committed to maintenance and updating annually. Content added to SNOMED CT using definitions agreed by Orphanet's rare disease experts as part of developing Orphanet. This work is a key component of the SNOMED International Genomics strategy. Press release: October 2021: INSERM and SNOMED International release SNOMED CT to Orphanet map supporting representation and use May 2020: Inserm and SNOMED International renew their collabborative agreement guiding the representation of Orphanet rare disease content into SNOMED CT's clinical terminology

Vendor registration form. Marketplace To join our marketplace, please register with us. The information that you provide will be used to create a profile on your business, and this will appear on our website for buyers to access. How to register Provide us with information about your business, and explain how you provide SNOMED CT enabled solutions Upload a company logo (up to a maximum of 1MB, provided as a JPEG, PNG or GIF) Upload up to three documents to support your overview, illustrating your expertise, products and services (up to a maximum of 5 MB each, provided as a PDF) Read our terms and conditions and confirm that you agree with them, then submit your details We will review your submission and publish your profile. Thank you for your interest! Register as a vendor Name of organization Company address Address line 2 City State / Province / Region Country Choose an option Postal / Zip code Company overview This text will appear as your overview statement and also in your full profile (maximum 2,000 characters). Company overview SNOMED CT enabled solutions This text will appear as part of your full profile (maximum 2,000 characters). SNOMED CT enabled solutions File uploads The maximum file size is 5MB for each field. The company logotype field is required. The document fields are optional. Your company logotype file formats: JPG, PNG or GIF * Upload document 1 file format: PDF Upload document 2 file format: PDF Upload document 3 file format: PDF I agree to the terms & conditions View terms of use I consent to my data being used to support this profile Submit Thanks for submitting! Terms agreement Contact name Contact number Job title Contact email Region * Required Africa Asia Oceania North America Europe Global South America Middle East Service scope Please tick at least one box. Scope * Required Analytics Artificial Intelligence Chronic disease Clinical coding Clinical documentation Diagnostic imaging Drug EHR EMR Lab Mapping Middleware Oncology Order sets Pharmacy Telehealth Terminology Management

Inaugural SNOMED CT education delivery agreement signed with Hospital Italiano Back 19 Jun 2019 Back London, June 19, 2019 (GLOBE NEWSWIRE) -- SNOMED International is excited to announce a groundbreaking milestone in the organization’s approach to SNOMED CT education delivery. This past May, SNOMED International signed an agreement with Sociedad Italiana de Beneficencia en Buenos Aires, commonly referred to as Hospital Italiano, to deliver SNOMED CT education on its behalf in Spanish within select Latin America countries. Hospital Italiano has been engaged by SNOMED International to deliver mutually agreed upon SNOMED CT educational content to participants. As part of this agreement, Hospital Italiano will serve as an extension of the SNOMED International Education Program within Latin America and be empowered to issue course completion certificates and certifications as applicable. Prior to the signing of this agreement, Hospital Italiano has provided terminology services to several healthcare organizations in Argentina, Chile, and Uruguay using SNOMED CT as the foundation to build an interface terminology. Services have also included provision of a thesaurus tailored to the local needs of professionals interacting with the EHR, SNOMED CT cross maps to related classifications and standards as well as creation of various refsets according to the needs of an organization. SNOMED International began delivery of education programming to support understanding, use and implementation of SNOMED CT in 2015. Since that time, and with demonstrated growth of the organization’s Member base and affiliates, SNOMED International has been exploring ways to broaden its ability to educate audiences interested in clinical terminology. “Given the international nature of our organization and diverse Member make-up, we have been exploring different ways in which to share SNOMED CT’s education program with a wider audience, and where possible, in the first language of their choosing,” stated SNOMED International CEO, Don Sweete. Sweete went on to say, “As a Member focused organization, I hope that this is the first of many agreements of this nature.” Dr Daniel Luna, CIO at Hospital Italiano de Buenos Aires says, “We have trusted in SNOMED CT as a reference terminology since the beginning of the development of our health information system, and work in the dissemination of the standard. Now, that we have SNOMED CT in our country and in the region, it is a great honor to be part of this education alliance, working together to further spread the benefits of this terminology." This arrangement is in effect as of 19th May 2019. Contact info@snomed.org with any additional inquiries.

IHTSDO releases Vendor Introduction to SNOMED CT Back 30 Apr 2015 Back IHTSDO is launching an extensive programme of vendor engagement underpinned by a comprehensive Vendor Engagement Strategy. As part of that, IHTSDO is pleased to publish its Vendor Introduction to SNOMED CT. The guide is targeted at people engaged in the development of electronic health record (EHR) systems and other related services and applications in healthcare information technology. It will also be of interest to a broader audience including anyone engaged in designing, developing, procuring, deploying, configuring or managing EHR systems and services. The Vendor Introduction to SNOMED CT provides an informative practical introduction to SNOMED CT focused primarily on the needs of vendors and developers of EHRs. It identifies key benefits for vendors arising from implementing SNOMED CT; provides a brief description of the key characteristics of SNOMED CT; acknowledges that the diverse nature of EHR systems, as well as the wide scope of SNOMED CT, means that there can be no universal approach for implementing SNOMED CT in systems; introduces ten ways in which SNOMED CT can be used in EHR systems; discusses potential SNOMED CT implementation strategies; covers a number of considerations that arise out of embedding SNOMED CT into an EHR system; describes the three types of license that govern use of SNOMED CT; provides links to many of the key resources for further learning about SNOMED CT, and offers high-level guidance on ways to deliver a positive user experience of SNOMED CT as part of an EHR system. The Vendor Introduction to SNOMED CT provides an authoritative introduction and points readers to other SNOMED CT documentation for detailed information. Basic information about SNOMED CT including its benefits can be found in the SNOMED CT Starter Guide. In-depth technical information can be found in the Technical Implementation Guide and other guides. All these and others are available from the SNOMED CT Document Library. The link to the Vendor Introduction to SNOMED CT, other SNOMED CT documentation and the SNOMED CT Document Library are below: Vendor Introduction Starter Guide

Change or add to SNOMED CT SNOMED CT is a growing, evolving product. Here you can learn about how you can help contribute to making it even stronger. SNOMED CT Content Request Service SNOMED International coordinates requests for additions or changes to SNOMED CT through its Members' National Release Centers (NRCs). For more information about the processes in each country/territory, please access the relevant Member page. Members' NRCs and other authorized users submit requests for additions or changes via the SNOMED CT Content Request Service (CRS). Requests that meet inclusion criteria for the International Release are addressed by SNOMED International staff. If a request is declined, a reason and explanation is provided to the requester, who may choose to appeal the decision to the Head of Terminology. More about the Content Request Service Guidance information for requesting changes to SNOMED CT This E-Learning presentation covers the processes, criteria and considerations for creating good quality request submissions Customer Guidance PRESENTATION: Making a request submission Navigating SNOMED International Support: Freshdesk vs. CRS Request submission dates SNOMED International is now accepting request submissions to be considered for inclusion by the January 2027 SNOMED CT International Edition release. Request submissions received between 16 April 2026 and 13 October 2026 inclusive will be reviewed for inclusion in a monthly release in or before the January 2027 International Edition release. Namespace identifiers If you are interested in creating your own content or extension, you will need a Namespace Identifier so your content can be associated with you. Namespace application form To get a Namespace Identifier, please fill out a Namespace Identifier Application Form and email it to info@snomed.org . Access the Allocation Policy Access the registry Learn more Events Annual Business Meetings, Expo, and SNOMED CT Web Series Learn more Learn more Explore the wide range of resources available to our community of practice Learn more Get involved Find out how you can get involved Learn more Resources Explore our many resources for SNOMED CT stakeholders Content Request Service Submission Guidance Request submission dates Namespace identifiers

The AMA and SNOMED International Launch Joint Demonstration Project Back 12 Aug 2020 Back Since the date of issue, this information is now out of date and has been archived. It has been made available for reference. CHICAGO, August 12, 2020 -- The American Medical Association (AMA) and SNOMED International announced a concrete demonstration of how Current Procedural Terminology (CPT®) and SNOMED CT work together to enable better outcomes and enhanced resource utilization throughout the health ecosystem. The AMA-SNOMED International demonstration project underscores the power of the two terminologies together – providing a clear path from clinical documentation to resource utilization insights. The demonstration tool will highlight how health care administrators can leverage both code sets to align resources to population needs in complex clinical areas such as breast cancer diagnosis and treatment. Both serving a specific purpose, the AMA’s CPT codes are vital to health care administration and classification in the United States, while SNOMED CT serves as the global standard for clinical terminology. At a broad level, the AMA-SNOMED International collaboration aims to improve integration between the CPT and SNOMED CT terminologies, by producing tools for physician practices, hospitals, payers, and other stakeholders to better organize healthcare data. The goal of this joint initiative is to provide opportunities for health care stakeholders to explore additional scenarios, capture new insights, and evaluate how the combined terminologies can be used to strengthen care in their health care systems. To this end, the AMA and SNOMED International have engaged in this joint initiative to explore creating a demonstration space, or sandbox, where clinical analytics scenarios can be demonstrated and, in the future, run securely. “The AMA is focused on improving access to data for solutions to the challenges of an aging population that is growing, a rise in chronic conditions and co-morbidities, and an increasingly burdened healthcare workforce,” said AMA Executive Vice President and CEO James Madara, M.D. “The AMA’s collaboration with SNOMED International supports the shift to digitization and will help the health care industry optimize resources and increase efficiencies as it works towards achieving better patient outcomes, improved access and lower costs.” “The American Medical Association is a valued partner and I am pleased that we have continued to evolve our relationship since our first collaboration was signed in 2016” offered SNOMED CT CEO, Don Sweete. “Our next chapter will focus on demonstrating the clinical analytics benefit from using data coded with SNOMED CT, as well as how integration between SNOMED CT and CPT provide key information to support the efficient and cost-effective management of healthcare organizations.” A committed supporter and participant of the SNOMED CT Expo , the AMA continues to bring its focus on data driven solutions through thought leadership at the conference. Over the course of this year’s Expo, taking place October 8-9, the AMA will share how to leverage SNOMED CT Encoded Data to Design, Implement and Track Remote Monitoring Programs through a CPT Code Set Use Case as well as the approach to Aligning Clinician Priorities with Terminology and Standards Development . Matt Menning, director of engagement for the AMA’s Integrated Health Model Initiative, along with other key AMA ambassadors will lead the community through these sessions. Both organizations are dedicated to the pursuit of unambiguous exchange of clinical information. Together they seek to address the health system’s emerging need for greater integration in support of interoperability as well as health and resource data analytics.

JIC: Setting the stage for the future Back 7 Jul 2020 Back Since 2007, the Joint Initiative Council (JIC) has been committed to transforming the global healthcare system into one that is digital. The goal is precise, targeting the real-time exchange of information based on full interoperability enabled by global standards. Download our white paper and learn how nine global standards development organisations serving collectively as the JIC are proudly working together to build and continuously refine coordinated global standards that make high-quality data available to the right people, at the right place and time, supporting high-quality healthcare decisions. Stay up to date with JIC updates on Twitter and LinkedIn