The Joint Initiative Council: International Collaboration for Digital Health Standards Back 11 Apr 2019 Back It is widely accepted that the adoption of standards is a foundational element essential to effective digital health. Today’s health care demands extensive sharing of information amongst clinicians, across organizations and geographies, and also with the patient, all of which would be impossible without the use of standards. With the increasing globalization of digital health comes the equally increasing need to use internationally developed standards. International digital health standards are produced and supported by a relatively small number of international Standards Development Organizations (SDO’s). In the past, these SDO’s operated independently resulting in standards that often overlapped and competed for acceptance. In 2007 the Joint Initiative Council for Global Health Informatics Standardization (known as the JIC) was formed to provide a forum for dialogue and collaboration amongst an initial group of 3 of SDO’s. Having grown to include 9 SDOs representing the most prominent in the industry, current membership includes ISO/TC215, HL7 International, CEN/TC251, CDISC, IHE International, DICOM, SNOMED International, GS1, and the PCH Alliance. As stated in its Charter, the JIC is a council of equals, with each member SDO taking a turn to chair the JIC for a 2-year term. This Chair rotation is key to the JIC’s stability and sustainability over time. While the JIC undertakes a myriad of functions, the most important is as a forum for regular collaboration amongst the senior leadership of the member SDO’s. “This exchange of strategies, priorities and initiatives provides assurance to the digital health industry worldwide that SDO’s are committed to ongoing dialogue, and wherever possible, joint initiatives that reduce overlapping efforts and fill needed gaps”, said Michael Nusbaum, who represents IHE and is the current JIC Chair. “Users of our standards, including governments, health providers and vendors, welcome this collaboration as a signal of cooperation and stability at the international level”. In addition, the JIC has undertaken a number of specific joint initiatives that have led to a more harmonized approach to the development of standards. Examples of JIC successes include standards for harmonized data types, functional models for electronic and personal health records, a tool that collects and resolves standards definitions and terms, a standards set and associated guidance for implementing a patient summary record, and standards for the identification of medicinal products. Currently, the JIC is also helping to coordinate cross-SDO participation in the development of international genomics standards. While each of the member SDO’s have their particular strengths and capabilities, the JIC serves as an important vehicle to foster both the spirit of collaboration as well as cross-SDO development activities, leading to a stronger and more robust international standards community that supports digital health. To learn more about the JIC and how it serves and adds value to the global digital health community, visit the website at www.jointinitiativecouncil.org . Subscribe to SNOMED International news Stay up to date on SNOMED news, features, developments and newsletters by subscribing to our news service. Subscribe

RACSEL collaboration strengthens digital health transformation and interoperability across Latin America and the Caribbean Back 17 Oct 2024 Back SNOMED International and the Chile-based National Center for Health Information Systems ( Centro Nacional en Sistemas de Información en Salud - CENS ) have signed a Memorandum of Understanding (MOU) to strengthen and support digital health transformation and enable regional healthcare interoperability in Latin America and the Caribbean (LAC). CENS is the executing agency of RACSEL (Latin American and Caribbean Digital Health Network). The MOU positions SNOMED International as a strategic partner to RACSEL, a collaborative network across LAC. Collaboration goals The goal of the MOU is to support the implementation of regional projects to strengthen the capacity of LAC countries in health management by promoting digital transformation in health, focusing on developing a regional agreement for cross-border digital health services, and strengthening the health information exchange model implemented in the region through the adoption of standards, architectures, governance and protocols, and data exchange and interoperability protocols. SNOMED International’s role in the collaboration will include supporting health data interoperability and the implementation of SNOMED CT and other health data standards and providing education through webinars and other educational offerings. The organization will also participate in various activities to help promote health data interoperability initiatives across the LAC region. The organizations will work together to develop guidelines and protocols for the exchange of public health data and care information, including semantic and syntactic components, and to support participating countries in their adoption. They will also collaborate on developing architectural components and security frameworks for the exchange of healthcare, public health and telehealth data, and on identifying other areas where effective and practical cooperation may be possible. “The alliance with SNOMED International will allow us to consolidate our efforts in the exchange of health information,” said Alejandra Piermarini, the coordinator of the RACSEL network. “This will not only improve the quality of health services in the region, but also strengthen our capacity to respond to public health emergencies," she added. For Ms Piermarini, "interoperability and regional collaboration are essential to transform digital health in Latin America and the Caribbean.” Regarding the agreement with SNOMED, the executive director of CENS, May Chomali, stated that: “As CENS, we are committed to the continuous improvement of health systems in Latin America and the Caribbean. That is why we are pleased to establish this collaboration with SNOMED, because with its global experience and our regional initiatives we will more strongly promote innovation and interoperability in digital health in our region, which has major health challenges.” SNOMED International CEO Don Sweete describes the agreement as another step toward realizing the promise of digital health globally and a complementary addition to a number of projects in digitally maturing regions that the organization has participated in over the past few years, such as our work with the Bahmni Coalition . As a result of that initiative to integrate SNOMED CT into the Bahmni Electronic Medical Record , which is designed for use in low-resource, digitally maturing regions, clinicians, researchers and hospital administrators can use SNOMED CT in their health facilities to record diagnosis and other clinical data, as well as for reporting and Clinical Decision Support use-cases. “SNOMED International has much to contribute to the RACSEL and CENS collaboration,” Don Sweete said. “We look forward to harnessing our knowledge and expertise to support our efforts with CENS in RACSEL to enable health data interoperability throughout the Latin American and Caribbean regions.” SNOMED International offers a number of products and services for our Spanish-speaking Members and other users, including the Spanish language version of the SNOMED CT International Edition, which is released twice a year; educational offerings such as the Spanish Foundations in SNOMED CT course; and an online space where users can communicate with other Spanish speakers and share their knowledge and expertise. Additionally, the organization makes available at no cost a number of other open products and services, including the Global Patient Set , a managed collection of existing SNOMED CT reference sets; the International Patient Summary Terminology , an electronic health record extract containing essential healthcare information for use in the unscheduled, cross-border care scenario, as well as for local, regional and other care scenarios; educational resources and webinars ; numerous reference subsets and maps to and from SNOMED CT to other code systems, classifications or terminologies; and tools and software to support SNOMED CT adoption and use. About RACSEL The Latin American and Caribbean Digital Health Network (RACSEL) is a collaborative initiative that brings together countries from Latin America and the Caribbean. Its main objective is to promote digital transformation in the health sector. RACSEL aims to facilitate the sharing of digital health experiences and knowledge across the region. It also seeks to promote the use of standards, tools, technologies and best practices, focusing on cross-border interoperability. The network is made up of 15 countries. Visit racsel.org for more information. About CENS CENS aims to improve people's health care by promoting and adopting information technologies in the public and private sectors. To accomplish its mission, it promotes interoperability and the creation of an enabling environment by energizing the ecosystem of innovation and entrepreneurship in digital health, promoting the development of human capital, and certifying platforms and digital solutions to health needs. CENS has worked as the executive agency supporting RACSEL, leading the implementation of LACPASS , a regional project involving 16 countries to achieve cross-border interoperability that aims to reduce gaps in digital health, in the LAC region. CENS is currently implementing a second project with the goal of creating a secondary data space for use in epidemiological surveillance. Countries that are participating in the projects are also SNOMED International Member countries (Argentina , Chile , El Salvador , Jamaica and Uruguay ); SNOMED International collaboration partners HL7 International and the World Health Organization are also CENS strategic partners. Visit cens.cl for more information. Subscribe to SNOMED International news Stay up to date on SNOMED news, features, developments and newsletters by subscribing to our news service. Subscribe

BT Clinical Computing (Europe) Back BT Clinical Computing (Europe) Vendor Overview BT Clinical Computing offers a structured SNOMED CT inside solution from existing data and on-line medical input. Subscribe to SNOMED International news Stay up to date on SNOMED news, features, developments and newsletters by subscribing to our news service. Subscribe SNOMED CT-enabled solutions BT Clinical Computing aims at structuring the existing data of medical and hospital information systems into a SNOMED CT repository from where the data can be reused for secondary coding (ICD10), data extraction for Patient Summary, Personal Health Record and clinical research. The intelligent SNOMED CT-repository can feed decision support systems and business intelligence. Structured and unstructured source data are normalised to postcoordinated SNOMED CT expressions and are converted from there to multiple targets (ICD, registries, clinical trials). Scope of services Clinical data warehouse, clinical coding, clinical research. Downloadable documents Office BT Clinical Computing SA Av. Paul Pastur 361 Mont-Sur-Marchienne Hainaut 6032 Belgium http://www.btclinicalcomputing.com/ Contact details Dr. Benny Van Bruwaene CMIO +32472990116 benny.vanbruwaene@btclinicalcomputing.com Regions where operational Europe

Poland adopts SNOMED CT as part of its digital health transformation Back 14 Jun 2023 Back SNOMED International and the Republic of Poland are pleased to announce that the Central European nation has rejoined SNOMED International, now a vibrant community of 46 Members globally. A country of almost 38 million, Poland has the sixth largest economy in the European Union by GDP. Poland will be represented at SNOMED International by the country’s Centrum e-Zdrowia (e-Health Centre), which implements IT projects that are key to the functioning of the healthcare system in Poland. The e-Health Centre is also responsible for carrying out tasks related to building an information society. It creates digital services and solutions that support the work of medical professionals and facilitate the management of health matters for citizens. Poland’s umbrella document Healthy Future Strategy framework for the development of the health system for 2021-2027 , with an outlook to 2030 highlights the strategy the country is employing to advance its healthcare system and sets new principles, objectives and priorities for the economic, social, health and spatial development of its citizens. One of those priorities is the development and dissemination of digital eHealth services, driven most recently by the COVID-19 pandemic, but also by the desire to improve patient lives and health outcomes more broadly. The renewed adoption of SNOMED CT in Poland will also support the realization of another key element of that strategy – ensuring that medical professionals are able to electronically document and easily share patient data. Ensuring semantic interoperability is crucial for further development of e-Health in Poland, including, for example, implementation of artificial intelligence solutions in healthcare. The implementation and use of SNOMED CT will enhance the decision support capabilities of medical professionals in real time and enable the suggestion of clinical decisions based on expert knowledge bases, including illness prevention and early prediction of patient health, which will result in a higher quality of medical services provided and more effective management of the healthcare system. SNOMED International CEO Don Sweete hails Poland’s membership as a significant commitment to Poland’s national health system, as well as interoperability across the European Union. “We are thrilled to have Poland on board again,” he says. “Poland’s long history and familiarity with SNOMED CT positions it well to implement the clinical terminology and encourage its adoption throughout the country by medical practitioners, healthcare delivery organizations, researchers, software vendors and other stakeholders, all of whom will have unrestricted access to the terminology.” Click here to visit Poland's SNOMED International Member page. Media Inquiries Centrum e-Zdrowia Email: media@cez.gov.pl Kelly Kuru SNOMED International Email: comms@snomed.org Subscribe to SNOMED International news Stay up to date on SNOMED news, features, developments and newsletters by subscribing to our news service. Subscribe

SNOMED International and the International Diet Dysphagia Standardisation Initiative join forces Back 15 Nov 2022 Back London, United Kingdom, and British Columbia, Canada SNOMED International and the International Diet Dysphagia Standardisation Initiative (IDDSI) have signed an agreement to incorporate IDDSI Framework v2.0 content into SNOMED CT to enable use in electronic health records globally. SNOMED International is a not-for-profit organization charged with setting global standards for health terminology, a critical element of safe and effective healthcare. SNOMED CT is a comprehensive, multilingual healthcare terminology created for use by healthcare professionals to capture the care of individuals in an electronic health record and facilitate sharing, decision support and analytics, to support safe and effective health information exchange. IDDSI is an international not-for-profit organization that has developed an international framework for dysphagia diets with standardised terminology, descriptions and testing methods for texture-modified foods and thickened drinks. IDDSI is currently supporting global adoption and implementation of IDDSI standards. Peter Lam, IDDSI Chair, expressed that, “The agreement with SNOMED is another exciting and positive step to meeting IDDSI's goal of improving the safety of people of all ages, all cultures, and in all care settings, who are living with dysphagia.” In effect since mid-September 2022, the agreement has been driven by community requests as well as by the need identified by the SNOMED International Nutrition Care Process Terminology (NCPT) Clinical Project Group to include IDDSI Framework v2.0 content in order to facilitate the inclusion of NCPT in SNOMED CT. Content will be created for each framework level consistent with the IDDSI standard terminology and definitions subject to SNOMED CT editorial guidance, while additional content will be added to facilitate recording the use of the framework and diet scale together with related findings and interventions. The content will be included in SNOMED CT International Edition monthly releases as the IDDSI Framework v2.0 related content is incorporated into the clinical terminology. “Dysphagia is a condition that becomes more prevalent with aging, and since there is an increasing percentage of people over the age of 65 globally, it is a condition that will require more attention,” says SNOMED International CEO Don Sweete. “This agreement helps address that challenge by making it easier to share patient data in electronic health records among organizations treating or supporting patients with dysphagia.” Both organizations will develop a communications plan to ensure stakeholders are kept up-to-date as the work progresses. Subscribe to SNOMED International news Stay up to date on SNOMED news, features, developments and newsletters by subscribing to our news service. Subscribe

Bart de Witte Opening Keynote Speaker Bart de Witte Keynote Speaker October 27, 2023 (09:00-10:00 EDT/ 13:00-14:00 UTC) (Sponsored by Clinical Architecture ) Dr. Campbell is the program director of the US Food and Drug Administration’s (FDA) Systemic Harmonization and Interoperability Enhancement for Laboratory Data (SHIELD) program – a public- private collaboration that was assembled in 2015 with a focus: improving the interoperability and utility of diagnostic data by “Describing the same test the same way anywhere in the Healthcare ecosystem”. Before joining FDA full-time, Dr. Campbell worked as Assistant National Director of Informatics for Kaiser Permanente, and as Director of Informatics Architecture for the US Department of Veterans Affairs (VA). With nearly 30-years of experience working in medical informatics and terminologies for encoding clinical data, Dr. Campbell has dedicated his career to improving clinical data representation and patient safety outcomes through the engineering of safer healthcare systems. Dr. Campbell’s dissertation work at Stanford University created the modern architecture for SNOMED, where he worked in collaboration with Kaiser Permanente and the College of American Pathologists to develop SNOMED RT. SNOMED RT was subsequently merged with the NHS Clinical Terms to form SNOMED CT in 2002. Dr. Campbell continued his involvement with SNOMED for over two decades in various roles, including as chair of the technical committee, and as a member of other editorial committees and groups. Dr. Campbell holds an MD from the University of Southern California and while completing his residency in Internal Medicine, obtained his PhD in Computer Science & Medical Informatics from Stanford University. Dr. Campbell’s work has received industry-wide recognition, including three FedHealthIT Innovation Awards, a FedHealthIT VA Hero of the week award, and the 2018 Open-Source Electronic Health Record Alliance (OSEHRA) Lifetime Achievement Award. Twitter handle: @kec4saferhealth Back Subscribe to SNOMED International news Stay up to date on SNOMED news, features, developments and newsletters by subscribing to our news service. Subscribe

IMO - Intelligent Medical Objects Back IMO - Intelligent Medical Objects Vendor Overview Intelligent Medical Objects is a healthcare data enablement company that ensures clinical data integrity and quality — making patient information fit-for-purpose across the healthcare ecosystem, from hospitals to health information exchanges to payers, and beyond. IMO’s vast footprint in electronic health records (EHRs) powers our ability to capture and preserve clinical intent at the highest level of specificity. Our secure technology platform and evolving portfolio of products are grounded in our industry leading medical terminologies, which are clinically vetted and always current, capturing data at the highest level of specificity. This allows our clients to transform and extract the greatest value from their data. In short, IMO is the catalyst that enables accurate documentation, precise population cohorting, optimized reimbursements, robust analytics, and better care decisions to optimize patient outcomes. Subscribe to SNOMED International news Stay up to date on SNOMED news, features, developments and newsletters by subscribing to our news service. Subscribe SNOMED CT-enabled solutions IMO solutions help capture precise clinical data at the point of care and standardize it across settings and sources to power more informed decisions. IMO Core simplifies diagnosis and condition documentation and helps make problem lists more meaningful, allowing clinicians to document in their own words, while prompting for specificity and secondary codes that map to SNOMED CT and many different ICD systems including ICD-10, ICD-10-AM, ICD-10-CA, and ICD-10-CM--effectively bridging the clinical and administrative standards. IMO Precision Normalize standardizes and enriches disparate clinical data by comprehensively mapping it to standard codes. IMO Precision Sets extends the EHR grouping capability with customized tooling for value sets. In addition to the below listed scope of services, IMO also offers EHR Workflow, problem list management, data normalization, and value set management. Specific regions where IMO operates includes the United Kingdom, Ireland, Australia, Singapore, the Middle East, Africa, and North America. Scope of services Clinical coding, Clinical documentation, EHR Downloadable documents Office 9600 West Bryn Mawr Avenue, Suite 100 Rosemont, IL 60018 USA www.imohealth.com Contact details Steven Rube, MD Chief Clinical Officer Srube@imohealth.com Regions where operational Africa, Asia, Europe, Global, Middle East, North America

Royal Philips Back Royal Philips Vendor Overview Royal Philips (NYSE: PHG, AEX: PHIA) is a leading health technology company focused on improving people's health and enabling better outcomes across the health continuum from healthy living and prevention, to diagnosis, treatment and home care. Philips leverages advanced technology and deep clinical and consumer insights to deliver integrated solutions. The company is a leader in diagnostic imaging, image-guided therapy, patient monitoring and health informatics, as well as in consumer health and home care. Philips' health technology portfolio has sales and services in more than 100 countries. News about Philips can be found at www.philips.com/newscenter. Subscribe to SNOMED International news Stay up to date on SNOMED news, features, developments and newsletters by subscribing to our news service. Subscribe SNOMED CT-enabled solutions At Philips, we believe an enterprise-wide approach to interoperability can ensure that insight-rich data is put to meaningful and appropriate use, helping to transform the delivery of healthcare for everyone, remaining strongly committed to open platforms. We recognize the importance and need for SNOMED CT in that commitment. In addition, multiple products in Philips Healthcare have adopted SNOMED CT as an integrated component. Scope of services Analytics, Chronic disease, Clinical coding, Clinical documentation, Diagnostic imaging, EHR, EMR, Middleware, Oncology, Order sets, Telehealth Downloadable documents Office Amstelplein 2 Amsterdam North Holland 1096 BC Netherlands www.philips.com Contact details Marty Gordon Vice President of Business Development 1-310-888-2203 marty.gordon@philips.com Regions where operational Africa, Asia, Europe, Global, North America, Oceania, South America

Squire Health BV Back Squire Health BV Vendor Overview Squire is the AI platform for healthcare software. Their SDK enables end-to-end workflows: from automatic patient intakes and notes with structured data to voice search. More information: www.squire.eu Subscribe to SNOMED International news Stay up to date on SNOMED news, features, developments and newsletters by subscribing to our news service. Subscribe SNOMED CT-enabled solutions Squire automatically extracts SNOMED CT concepts from AI patient intakes, listening along with the consultation or dictations. This data can be extracted in batch (automated or via interface) from the Squire platform. Scope of services Artificial Intelligence, Clinical coding, Clinical documentation Downloadable documents Office Squire Health BV Sint-Pietersnieuwstraat 11 Gent Oost-Vlaanderen 9000 Belgium Contact details Stan Callewaert CEO ph: +32497587887 e: stan@squire.eu Regions where operational Europe

The Netherlands Cancer Registry (NCR) currently uses internally developed coding with Dutch labels for diagnostic and therapeutic procedures, which limits the international use and comparability of its data. SNOMED-CT was investigated as a replacement of the internally developed coding system. The latter was mapped to SNOMED-CT and the results of the mapping were discussed with internal stakeholders. A report was created and shared with the management team of IKNL, the organization that manages the NCR, who will decide on which standard to adopt for procedure in the NCR. Back View Map IKNL (2 of 2) Using SNOMED-CT for registration of procedures in the Netherlands Cancer Registry Read More Country / Region EMEA Tags Data analytics, Data quality, Mapping The Netherlands Cancer Registry (NCR) currently uses internally developed coding with Dutch labels for diagnostic and therapeutic procedures, which limits the international use and comparability of its data. SNOMED-CT was investigated as a replacement of the internally developed coding system. The latter was mapped to SNOMED-CT and the results of the mapping were discussed with internal stakeholders. A report was created and shared with the management team of IKNL, the organization that manages the NCR, who will decide on which standard to adopt for procedure in the NCR. Description The project limits itself to procedures in the NCR. The goal of the project was to advice the management team of IKNL, the organization that manages the NCR, about adoption of SNOMED-CT as the standard for registration of procedures in the NCR. Scope Several standards for procedures were considered. One interesting candidate was WHO's ICHI and it was the subject of a first investigation. Due to several shortcomings in ICHI, and the decision by the Dutch government that SNOMED-CT will be used as a standard in healthcare, a decision was made to investigate SNOMED-CT as well. How SNOMED CT will be used Procedures in the NCR are mapped to SNOMED-CT. Why SNOMED CT will be used Contact More information Learn more Get SNOMED CT Information about our license and fee structure Learn more Learn more Explore the wide range of resources available to our community of practice Subscribe to SNOMED International news Stay up to date on SNOMED news, features, developments and newsletters by subscribing to our news service. Subscribe

American Medical Association Back American Medical Association Clinical Partner The American Medical Association (AMA) and SNOMED International have a collaborative agreement to coordinate on the design and development of their respective coding and terminology products. The AMA works collaboratively alongside other leading standards-development organizations (SDOs) like SNOMED International to advance our mutual missions to seek the clear and timely exchange of clinical information across health systems as part of our pursuit of safe, effective and patient-driven health care. Additional information AMA and SNOMED International have been collaborating since 2016 on strengthening our global relationship and developing our respective coding and terminology solutions, SNOMED CT and the Current Procedural Terminology (CPT®) code set. Both organizations believe that an increasingly common medical language elevates the potential for more research and better health outcomes throughout the globe. Working in tandem, the collaboration allows for the continued improvement of content to better support existing and emerging uses of health data globally. Press releases: March 2022: AMA and SNOMED International announce the validation of new SNOMED CT and Current Procedural Terminology cross maps August 2020: The AMA and SNOMED launch joint demonstration project to enable better outcomes and enhanced resource utilization October 2016: AMA and IHTSDO announce collaborative health terminology agreement Visit AMA for more information. Subscribe to SNOMED International news Stay up to date on SNOMED news, features, developments and newsletters by subscribing to our news service. Subscribe

The German Oncological Core Dataset (named "Onkologischer Basisdatensatz" in German or short: oBDS) is used across Germany 15 regional cancer registries to collect structured data. However, no health IT standards‚ neither syntactic nor semantic‚is used in the oBDS. We present lessons learned from a feasibility study aiming to standardize the oBDS using SNOMED CT, a globally recognized, polyhierarchical medical terminology. An interdisciplinary team mapped independently 554 oBDS elements organized in 19 modules to SNOMED CT and assessed the consistency and quality of these mappings using statistical measures such as Krippendorff's Alpha and ISO scores, while also documenting concepts that could not be represented. The findings indicate that SNOMED CT is fundamentally suitable for the semantic standardization of oBDS, though certain context-specific challenges persist. The study underscores the need for further harmonization, especially through targeted expansion of SNOMED CT to better support oncological registry data and highlights that standardized terminologies can enhance data quality and interoperability in cancer registration and research. Back View Map Charité Berlin / Berlin Institute Of Health (2 of 2) Standardizing Germany's Oncological Core Dataset with SNOMED CT:Lessons learned from a feasibility study Read More Country / Region EMEA Tags Implementation, Mapping, Research The German Oncological Core Dataset (named "Onkologischer Basisdatensatz" in German or short: oBDS) is used across Germany 15 regional cancer registries to collect structured data. However, no health IT standards‚ neither syntactic nor semantic‚is used in the oBDS. We present lessons learned from a feasibility study aiming to standardize the oBDS using SNOMED CT, a globally recognized, polyhierarchical medical terminology. An interdisciplinary team mapped independently 554 oBDS elements organized in 19 modules to SNOMED CT and assessed the consistency and quality of these mappings using statistical measures such as Krippendorff's Alpha and ISO scores, while also documenting concepts that could not be represented. The findings indicate that SNOMED CT is fundamentally suitable for the semantic standardization of oBDS, though certain context-specific challenges persist. The study underscores the need for further harmonization, especially through targeted expansion of SNOMED CT to better support oncological registry data and highlights that standardized terminologies can enhance data quality and interoperability in cancer registration and research. Description The German Oncological Core Dataset (‚ÄúOnkologischer Basisdatensatz‚Äù short: oBDS) is used in Germany for the structured collection of cancer registry data across all regional cancer registries. This feasibility study analyzes the overall coverage of SNOMED concepts and evaluates current state of SNOMED CT precoordinated concepts as a potential candidate for international and interoperability, as well as providing the German National Release Center with specific suggestions for needed concepts and translations. Scope SNOMED CT is a polyhierarchy covering a large spectrum of clinical concepts such as diagnoses, procedures, side effect symptoms, body structures etc. As there are already many national translations available and used among the European countries, it is likely a candidate for an overarching terminology to be used in the European Health data space. A future exchange of health data will likely be realized via the HL7 FHIR Exchange Standard. However, SNOMED CT concepts can be used for semantic annotation of clinical ressources or for defining specific ValueSets. How SNOMED CT will be used Data elements of the oBDS data responses were mapped to SNOMED CT by four individual mappers using only precoordinated concepts; Mapping with post-coordinated concepts is planned in future iterations. Individual mapping quality was assessed using ISO Scoring. In addition, mapping heterogenity was assessed via intercoder agreement, comparing a classical Krippendorff's alpha approach with a semantically weighted Krippendorff's alpha, using a similarity matrix of SNOMED CT graph distances of two concepts as foundation for a similarity analysis. Why SNOMED CT will be used Contact More information Learn more Get SNOMED CT Information about our license and fee structure Learn more Learn more Explore the wide range of resources available to our community of practice Subscribe to SNOMED International news Stay up to date on SNOMED news, features, developments and newsletters by subscribing to our news service. Subscribe