The IPS Terminology at SNOMED International The International Patient Summary Terminology SNOMED International has committed to extend the core of SNOMED CT to deliver an open, standalone IPS Terminology to support the scope of content within the IPS. Download The International Patient Summary The IPS is 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. It is a standardized set of basic clinical data that includes the most important health and care related facts required to ensure safe and secure healthcare. This minimal and non-exhaustive set of data elements have been defined by ISO/EN 17269 and delivered by HL7 in both CDA and FHIR using a curated set of SNOMED CT terms. Learn about the IPS What is the IPS Terminology? Unlike SNOMED International’s Global Patient Set which is a flat list of SNOMED CT codes and terms, the IPS Terminology will provide implementers with an open product that can be used in healthcare solutions using the power of SNOMED CT through its query language and hierarchies for the specified scope. Use of the IPS Terminology will allow for more effective use of clinical data analytics and decision support, and for Artificial Intelligence applications. Read the User Guide First name* Position* Email* Organization or Company* Country Which of the following best describes your organization?* Licensed Use This work is licensed under the Creative Commons Attribution 4.0 International License. General Data Protection Regulation (GDPR) Opt-In / Opt-Out We would like to keep you informed about updates or changes to the International Patient Set. If you would like to receive this information via email please indicate your preference below. You can change this preference in the future by using the unsubscribe, manage notifications or opt out options in the footer of our emails. We will only use your email address to send you information you have requested. We will never pass on your information to other companies for marketing or other purposes without your explicit permission. Choose an option I have reviewed and acknowledge SNOMED International's Privacy Policy Submit Download the IPS Terminology Please register your use of SNOMED International’s International Patient Summary Terminology Learn more JIC Collaboration for IPS Learn more about the SDOs progressing the IPS Learn more About the IPS Learn more about the International Patient Summary Subscribe to SNOMED International news Stay up to date on SNOMED news, features, developments and newsletters by subscribing to our news service. Subscribe Contact us Submit your questions to info@snomed.org and subscribe to remain up to date on developments regarding SNOMED International's IPS Terminology. The International Patient Summary What is the IPS Terminology? Download the IPS Terminology

SNOMED International is a “Members-First” organization and our Members play a critical governance role in the direction of the organization. Each Member is entitled to be represented by an individual on the General Assembly, the organization's highest authority. Governance and advisory SNOMED International is a “Members-First” organization and our Members play a critical governance role in the direction of the organization. Each Member is entitled to be represented by an individual on the General Assembly, the organization's highest authority. The Management Board has overall responsibility for the management and direction of SNOMED International. The Management Board, and each Director individually, has a duty to act in a manner which they reasonably believes is in the best interests of the Association. Though elected by the General Assembly, Management Board Directors do not represent their countries. Articles of association Arrangements for governance of the International Health Terminology Standards Development Organisation (trading as SNOMED International) and SNOMED CT are specified in the IHTSDO Articles of Association. Version 2.5 Version 2.4 General Assembly The General Assembly is SNOMED International's highest authority. The General Assembly ensures that the purpose, objects and principles of the Association are pursued and that the interests of the organization are safeguarded. The General Assembly makes binding decisions regarding all matters, including the organization's budget and strategy, subject to and in accordance with the provisions of the Articles. View all representatives Meeting minutes Management Board The Management Board has overall responsibility for the management and direction of SNOMED International. The Management Board, and each Director individually, has a duty to act in a manner which they reasonably believe is in the best interests of the organization and is consistent with the pursuit and the protection of our purpose, objects and principles. View all directors Records of discussion Member Forum The Member Forum acts as an advisory body to SNOMED International and optimizes collaboration and coordination among Member countries. It is co-chaired by an elected representative of the Member Forum along with a co-chair from SNOMED International. View all representatives Advisory Advisory Groups conduct specific activities that contribute to the fulfillment of the Management Team’s responsibilities and the organization’s mandate. The AGs are chaired by Management Team members and are agile in nature, given the changing needs and direction of the organization. More information SNOMED CT Expo 2026 The SNOMED CT Expo unites clinical terminology SMEs from around the world 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 Members Information on our coalition of global Members Learn more Subscribe to SNOMED International news Stay up to date on SNOMED news, features, developments and newsletters by subscribing to our news service. Subscribe Articles of association General Assembly Management Board Member Forum Advisory

Global Patient Set The GPS supports health information interoperability across care settings, systems, organizations and national borders. Download GPS What is the GPS? The GPS is an open, and freely accessible collection of SNOMED CT terms that represent the breadth of the content in the SNOMED CT International Edition to better support core health data exchange, public health reporting, research, and more. GPS offers global access to all SNOMED CT unique identifiers, fully specified names (FSNs), preferred terms in international English, and active/inactive indicators — made available at no cost to users. The GPS does not include SNOMED CT’s relationships, hierarchies and remaining descriptions. GPS resources GPS Implementation Guide The GPS Implementation Guide provides practical implementation guidance for organizations adopting the GPS. It describes how systems can receive SNOMED CT identifiers (for example through HL7 FHIR data structures), treat them as opaque codes, store them alongside the relevant GPS version, and perform basic validation checks. It also outlines governance and operational considerations, including release management, handling inactive concepts, and maintaining locally defined value sets where limited data entry is required. Access the GPS Implementation Guide here. Tooling GPS tooling enables users to refine the GPS for use in systems or implementations, creating smaller, implementer-friendly lists, simplifying access to GPS content. Access the tool Users may learn more about using this tool from the GPS Tools section of the linked Implementation Guide. Licensing The GPS is produced by SNOMED International under the terms of the Creative Commons Attribution-NoDerivatives 4.0 International License. Additional information about this license specific to SNOMED International’s release of the GPS: NoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material without prior approval from SNOMED International. SNOMED CT is © and ® SNOMED International. The right to maintain the GPS remains vested exclusively in SNOMED International. SNOMED CT® was originally created by the College of American Pathologists. Please review all terms and conditions of use here. Commonly asked questions Access the most commonly asked questions about the GPS here. Topics include: What is the GPS? What it includes and excludes compared to the SNOMED CT International Edition How to access and license it How it may be shared, translated, or modified Typical use cases for implementers GPS in the news March 11, 2026 SNOMED International significantly expands the scope of the Global Patient Set September 30, 2021 Third annual GPS release offers more content and greater utility than ever December 18, 2020 SNOMED International's GPS broadens its global reach September 30, 2020 Broadening patient care and interoperablity with the second release of the GPS March 12, 2020 SNOMED CT content added to the Global Patient Set September 3, 2019 A view into SNOMED CT’s globally recognized clinical terminology with the release of SNOMED International’s Global Patient Set April 19, 2019 Navigating International Patient Care and Interoperability Contact us Submit your questions to gps@snomed.org About the GPS The GPS is an initiative from SNOMED International designed to support the global exchange and use of clinical information encoded with SNOMED CT identifiers. The GPS enables healthcare systems in both SNOMED CT Member and non-Member countries to share, store, and display SNOMED CT–coded data without requiring access to the full SNOMED CT terminology or a licensing agreement. Its primary goal is to improve international interoperability and continuity of care, particularly in cross-border healthcare, global health programmes, and environments where SNOMED CT licensing is not available. GPS Implementation Guide First & last name* Position* Email* Organization or Company* Country Which of the following best describes your organization?* If you plan to translate the GPS, please specify into which language* Licensed Use The GPS is produced by SNOMED International under the terms of the Creative Commons Attribution-NoDerivatives 4.0 International License . General Data Protection Regulation (GDPR) Opt-In / Opt-Out We would like to keep you informed about updates or changes to the International Patient Set. If you would like to receive this information via email please indicate your preference below. You can change this preference in the future by using the unsubscribe, manage notifications or opt out options in the footer of our emails. We will only use your email address to send you information you have requested. We will never pass on your information to other companies for marketing or other purposes without your explicit permission. I have reviewed and acknowledge SNOMED International's Privacy Policy Submit Download the GPS Please register your use of SNOMED International's Global Patient Set. Learn more Get SNOMED CT Information about our license and fee structure Learn more Subscribe Subscribe to SNOMED International news Subscribe to SNOMED International news Stay up to date on SNOMED news, features, developments and newsletters by subscribing to our news service. Subscribe What is the GPS? Download the GPS GPS Resources

India's national telemedicine service is globally the largest one with hub-and-spoke model of implementation. traditionally while hubs used SNOMED CT for diagnoses, spokes relied on error-prone free-text entries for symptoms. Despite the large-scale collection of patient data, the lack of standardization hindered its effective use for clinical decision-making and AI-driven solutions. To address this, a multilingual symptom repository was developed, translating 300 common symptoms and local synonyms into 12 Indian languages, each one mapped to appropriate SNOMED CT codes. The repository integrated SNOMED-linked multiple-choice questions (MCQs) for every symptom, capturing attributes like duration, location, and aggravating factors. Over 3000 terms‚symptoms, synonyms, questions, and answers‚were encoded using the SNOMED CT browser and validated by clinicians and public health experts, creating an intuitive, multilingual interface for health providers. Embedded in the telemedicine platform, this tool democratizes SNOMED CT: spoke providers now input data in local languages via dropdown menus populated with SNOMED-standardized terms, simplifying data entry. Patients benefit from precise documentation in their native language, reducing misinterpretations. Hub clinicians receive structured summaries to enhance diagnostic accuracy and treatment plans. Program managers leverage standardized datasets for real-time disease surveillance. Innovators gain machine-readable data to train AI-driven clinical support tools. This initiative breaks adoption barriers in low-resource settings by aligning SNOMED CT with linguistic diversity, fostering equity in digital health. Key outcomes include improved data quality, interoperability, and scalability for AI solutions. The project underscores the importance of collaborative validation, clinician engagement, and localized terminology mapping for SNOMED CT adoption. Back View Map Wadhwani AI (Lords Education And Health Society) Global Standards, Local Impact: Democratization of SNOMED CT Standards in the world's largest democracy (India) by encouraging the adoption of standards among health providers of the national telemedicine service through an intuitive multilingual interface. Read More Country / Region APAC Tags Artificial intelligence, Clinical Practice, Data quality, Mapping, Translation India's national telemedicine service is globally the largest one with hub-and-spoke model of implementation. traditionally while hubs used SNOMED CT for diagnoses, spokes relied on error-prone free-text entries for symptoms. Despite the large-scale collection of patient data, the lack of standardization hindered its effective use for clinical decision-making and AI-driven solutions. To address this, a multilingual symptom repository was developed, translating 300 common symptoms and local synonyms into 12 Indian languages, each one mapped to appropriate SNOMED CT codes. The repository integrated SNOMED-linked multiple-choice questions (MCQs) for every symptom, capturing attributes like duration, location, and aggravating factors. Over 3000 terms‚symptoms, synonyms, questions, and answers‚were encoded using the SNOMED CT browser and validated by clinicians and public health experts, creating an intuitive, multilingual interface for health providers. Embedded in the telemedicine platform, this tool democratizes SNOMED CT: spoke providers now input data in local languages via dropdown menus populated with SNOMED-standardized terms, simplifying data entry. Patients benefit from precise documentation in their native language, reducing misinterpretations. Hub clinicians receive structured summaries to enhance diagnostic accuracy and treatment plans. Program managers leverage standardized datasets for real-time disease surveillance. Innovators gain machine-readable data to train AI-driven clinical support tools. This initiative breaks adoption barriers in low-resource settings by aligning SNOMED CT with linguistic diversity, fostering equity in digital health. Key outcomes include improved data quality, interoperability, and scalability for AI solutions. The project underscores the importance of collaborative validation, clinician engagement, and localized terminology mapping for SNOMED CT adoption. Description The project is geographically limited to India and precisely related to only the "chief complaint section" of case preparation under national telemedicine services. overall scope includes : * Multilingual Support: Translating 300 common symptoms and local synonyms into 12 Indian languages, mapped to SNOMED CT codes, to address linguistic diversity. * Structured Data Capture: Integrating SNOMED-linked multiple-choice questions (MCQs) to capture symptom attributes (e.g., duration, location) and reduce ambiguity. * Clinician & Patient Empowerment: Providing spoke providers with intuitive, multilingual dropdown interfaces and enabling patients to receive care in their native language. * Public Health & AI Readiness: Enabling real-time disease surveillance for program managers and generating AI-ready datasets for innovators. * Scalability in Low-Resource Settings: Demonstrating SNOMED CT adoption in resource-constrained environments through collaborative validation and localized mapping. Scope The following are key reasons why we selected SNOMED CT for this intuitive multilingual interface. 1. Clinical Granularity SNOMED Ensures precise symptom documentation to avoid misinterpretation between providers. Captures "burning chest pain" (a subtype of "chest pain") vs. vague free-text entries. 2. Simplified Data Entry for Mid-Level Providers SNOMED CT Minimizes training needs with intuitive, multilingual interfaces. Example: Local terms like "‡§ñ‡§æ‡§Ç‡§∏‡•Ä" (Hindi for "cough") are easy to map to SNOMED codes via dropdowns. 3. Multilingual & Local Terminology Support Mapping of SNOMED Codes to closely related local language terms bridges language barriers while maintaining standardization. Example: 12 Indian languages mapped to SNOMED CT for seamless regional adoption. 4. AI-Ready Structure for Predictive Analytics SNOMED CT Logic-based ontology enables symptom-pattern analysis. Example: Attributes like "Cough duration: more than 15 days" train AI to infer conditions like Tuberculosis. 5. SNOMED CT was preferred over other standards because: ICD-11 is designed for billing/statistics, not real-time care. Lacks symptom granularity (e.g., no "cough with bloody sputum"). LOINC focuses on lab tests (e.g., "hemoglobin test"), not clinical narratives or symptoms, both standards provide limited multilingual flexibility and flat structures hinder AI training and frontline usability. How SNOMED CT will be used SNOMED CT Browser International Edition was extensively used at every step while ensuring global-level standardization for local terminologies. 1. Symptom-to-Code Mapping: 300 symptoms and English synonyms were translated into 12 local indic languages and mapped to SNOMED CT codes of standard symptoms using the SNOMED CT browser. Ex: " Fever" is a standard symptom while local words for it in India are 1) Bukhaar 2) Jwaram etc. so all these terms were mapped to (Fever- finding, CTID: 386661006) 2. Structured Data Integration: SNOMED-linked MCQs captured symptom attributes (e.g., "duration"or "aggravating factors") as structured data, replacing free-text entries. Ex: Local language question " Fever since how many days" was mapped to the SNOMED CT term "Duration (property) (qualifier value)SCTID: 762636008 3. Validation & Clinician Engagement: Over 3,000 terms (symptoms, questions, answers) were validated by clinicians and public health experts to ensure clinical accuracy. 4. Multilingual Interface Development: Dropdown menus in local languages were populated with SNOMED-standardized terms, enabling spokes to input data without coding expertise. 5. Hub-Spoke Workflow Enhancement:Structured summaries with SNOMED codes improved hub clinicians' diagnostic accuracy, while standardized datasets empowered program managers in surveillance. 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

SNOMED International's twice-annual business meetings support discussion, knowledge exchange and planning of the organization's governance and advisory bodies. Business meetings SNOMED International's twice-annual business meetings support discussion, knowledge exchange and planning of the organization's governance and advisory bodies. Next meeting: October 18-21, 2026 (Hybrid event) InterContinental Sydney Sydney, Australia (and online) Register now View schedule Meet. Advise. Engage. SNOMED International's twice-annual Business Meetings are hybrid events in April and October for our governance, advisory, working, project and clinical reference groups, providing the organization and Community of Practice both in-person and online opportunities to participate. The next in-person conference will be held from October 18-21, 2026 at the InterContinental Sydney hotel in Australia, alongside some online-only sessions. It will be followed by SNOMED CT Expo 2026 from October 21-23, 2026. Learn more about the Expo here . All in-person meetings will be supported with the necessary audio and video tools to support high quality online participation via Zoom. Links to join meetings online are shared on the organization's What's on this Week calendar - pre-registration is not required. For any additional information pertaining to the Business Meetings, please contact events@snomed.org . More information Schedule and registration The schedule for the October 2026 Business Meetings is available here. Click here to register your attendance. Contribute your knowledge and connect with peers in the SNOMED CT Community of Practice - all free of charge! Please note that pre-registration to attend the Business Meetings online is not required. Venue and accommodation The October 2026 Business Meetings will be held at the following venue: InterContinental Sydney 16 Phillip St Sydney NSW 2000 Australia SNOMED International has negotiated the following delegate rate at the venue: Single occupancy - $390 AUD per room, per night* Please use the booking link below to reserve your room: 2026 October SNOMED IBM & CT Expo Please note: *This is a special early-bird rate (with an additional discount, down from our group rate of $419 AUD). It is subject to availability. The above rate is quoted in Australian dollars (AUD) and inclusive of Wi-Fi and 10% Goods & Services Tax (GST). Breakfast is not included Room rate will be made available 3 days pre/post event, subject to availability. The deadline for booking is Friday 25th September, 2026 If you experience any issues with your booking please contact the SNOMED Events Team (events@snomed.org). Billing Instructions: Room & Tax: Payable on arrival (POA) by each individual guest. Incidentals: Payable on own expense (POE) by each individual guest. Cancellation Policy: InterContinental Sydney agrees to allow complimentary cancellation up to 14 days prior to arrival (Friday, 2 October, 2026). From 13 days prior to arrival (on or after Saturday, 3 October, 2026), any cancelled rooms will be non-refundable (unless in the case of Force Majeure), and individual attendees will be financially responsible for the applicable charges. Host country As the Australian representative Member to SNOMED International, the Australian Digital Health Agency will serve as hosting Members for this event. Entry visas SNOMED International encourages each attendee to confirm the entry and exit requirements* to Australia with your home department of international affairs or passport issuing body as soon as possible. Please email events@snomed.org to request an official letter of invitation for the event. *SNOMED International does not assume liability for entry and exit decisions made by foreign governments. Attend online Links to join all open Business Meetings are shared on the organization's What's on this Week calendar and pre-registration is not required. Subscribe for event updates Keep up to date with details as they develop for SNOMED International's events. Subscribe to the SNOMED events mailing list Data privacy and event terms & conditions SNOMED International will protect and manage your data for this event in accordance with our event data privacy agreement. Detailed 'Terms & Conditions' governing SNOMED International events are available here. For more information please contact privacy@snomed.org. Future business meeting dates April 2027: April 11-15, 2027 (Hybrid event, including 'SNOMED CT in Spain' day) Madrid, Spain October 2027: October 17-20, 2027 (Hybrid event, followed by SNOMED CT Expo 2027) St Julian's, Malta SNOMED CT in Austria (April 2026) The April 2026 Business Meetings included a special Member day on Thursday April 16, 2026. Hosted by ELGA, the SNOMED CT in Austria event was delivered in English and showcased the country's achievements in advancing digital health, as well as key international experiences. View the event's program here. Content is still available to catch-up online - click here to access the Zoom Event. The event was supported by Meeting Destination Vienna. April 2026 Business Meeting Summary Report The April 2026 Business Meetings convened in Vienna over five days, bringing together 318 participants from 26 Member countries and 6 non-Member nations across 24 group sessions. Austria's ELGA GmbH served as strategic host, culminating the week with a national conference that drew delegates from approximately 30 countries to hear Austria's SNOMED CT implementation story firsthand. Click here to read the full April 2026 Business Meetings Summary Report. SNOMED CT Expo 2026 The SNOMED CT Expo unites clinical terminology SMEs from around the world Learn more Get involved Find out how you can get involved Learn more 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 and Covid-19 SNOMED CT and COVID-19 Our actions to support our Community of Practice during the global Coronavirus (COVID-19) pandemic. Read about the challenge COVID-19 content in SNOMED CT In cases where a global emergency persists and warrants action, SNOMED International has taken steps to issue an interim release of the SNOMED CT International Edition to serve a public good. Here you can review the current SNOMED CT content applicable to COVID-19, including an updated SNOMED CT to ICD-10 map. Please refer to your local National Release Center (NRC) for updates to local extensions. SNOMED CT COVID-19 & Related Content The SNOMED CT International Edition contains all relevant COVID-19 concepts including any applicable changes to descriptions. Access SNOMED CT COVID -19 content SNOMED CT and COVID-19 news updates Review recent news items about how SNOMED International is equipping our Members, affiliates and users globally to manage the current pandemic with SNOMED CT terminology. See latest news Support Our help desk team is located across several time zones. We respond to each inquiry quickly and efficiently, passing them to specialists as required. You will receive a notification that your question has been logged. This will be followed by a reply, made at the earliest opportunity. Submit inquiry Learn more Learn more Explore the wide range of resources available to our community of practice Learn more COVID-19 and the GPS Coronavirus content added to the Global Patient Set Learn more COVID-19 Interoperability Alliance SNOMED CT joins the Alliance Learn more Coronavirus descriptions Changes to concept descriptions related to COVID-19 (Feb 2020) Subscribe to SNOMED International news Stay up to date on SNOMED news, features, developments and newsletters by subscribing to our news service. Subscribe

Information models define the logical structure of data, information, and knowledge, and include explicit bindings of standard codes to nodes in the data structure. Experience has shown that both the logical structure and the codes are necessary to allow unambiguous and computable representation of real world data. Because information models are logical models, they are independent of any specific data exchange syntax, and they can be used to automatically generate exchange formats like HL7 V2.X, HL7 C-CDA, and HL7 FHIR. Standard codes are bound to nodes in the data structure, and the meaning of a given code inherits context from its containing model. For instance, if a code for serum glucose concentration is used in an order model it means that a glucose measurement is requested, whereas, if the same code is used in a result model, it is the name of the result of the measurement. Using information models can dramatically reduce the number of codes in a terminology system because it prevents the creation of highly pre coordinated codes; post coordination of more generic codes can be used instead. This session will provide the basics of information modeling, explain its benefits, and provide an introduction to information modeling activities like openEHR, the HL7 Clinical Information Modeling Initiative, and the Graphite S2 approach. Back View Map Regenstrief - LOINC Information Models and Terminology: Two Essential Elements of Semantic Interoperability Read More Country / Region Americas Tags Implementation, Innovation, Mapping, Pre/postcoordination, Research Information models define the logical structure of data, information, and knowledge, and include explicit bindings of standard codes to nodes in the data structure. Experience has shown that both the logical structure and the codes are necessary to allow unambiguous and computable representation of real world data. Because information models are logical models, they are independent of any specific data exchange syntax, and they can be used to automatically generate exchange formats like HL7 V2.X, HL7 C-CDA, and HL7 FHIR. Standard codes are bound to nodes in the data structure, and the meaning of a given code inherits context from its containing model. For instance, if a code for serum glucose concentration is used in an order model it means that a glucose measurement is requested, whereas, if the same code is used in a result model, it is the name of the result of the measurement. Using information models can dramatically reduce the number of codes in a terminology system because it prevents the creation of highly pre coordinated codes; post coordination of more generic codes can be used instead. This session will provide the basics of information modeling, explain its benefits, and provide an introduction to information modeling activities like openEHR, the HL7 Clinical Information Modeling Initiative, and the Graphite S2 approach. Description The scope is all information modeling activities related to the representation of health and biomedical data, information, and knowledge. Scope SNOMED CT is the best source of codes for conditions, diagnoses, body parts, specimen types, substances, health interventions, etc. How SNOMED CT will be used Elements and nodes in the information model are explicitly bound to SNOMED CT concepts, or to value sets of SNOMED CT concepts. 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

The department of neurosurgery at University Hospitals Leuven, in collaboration with a terminologist, established a standardized complication registration system through an iterative consensus process. Following rigorous clinical review, 102 complications were selected, resulting in a final list of 100 concepts (91 unique SNOMED CT identifiers). Complications were categorized as: intraoperative, postoperative surgical, postoperative medical. To enable tracking the absence of complications and the proportion of completed registrations, a 'no complication' category was also included. Our standardized complication registry has been clinically operational since February 1, 2023. It documents all neurosurgical procedures (N=3501) with SNOMED CT-coded complications (or their absence) linked to surgical procedures (using local codes) in the electronic patient record (EPR) problem list and covers the period from surgery through 6 weeks of postoperative follow-up. Analysis through April 21, 2025 shows 92% coverage. Our datawarehouse integrates these procedures and complications with laboratory results, imaging reports, medications, readmissions, and survival data - providing clinicians with comprehensive patient overviews and enabling the identification of clinically relevant patterns over time Key features 1. Clinical utility: Surgeons register the complications directly in workflow using EPR templates 2. Terminology flexibility: Light version of post-coordination when needed (MRCM-compliant) 3. Future-ready: * Architecture permits eventual Clavien-Dindo integration (Grade I-V severity scoring) * Technical foundations exist for SNOMED CT procedural coding (requiring future IT development) This implementation demonstrates how SNOMED CT can support surgical outcome monitoring while pragmatically accommodating existing systems. The multidimensional linkage will enable both quality benchmarking and research applications in the future. Back View Map University Hospitals Leuven Implementation and outcomes of SNOMED CT-based complication registration in the electronic patient record: an experience at the department of neurosurgery, University Hospitals Leuven Read More Country / Region EMEA Tags Clinical Practice, Data quality, Implementation, Innovation, Pre/postcoordination The department of neurosurgery at University Hospitals Leuven, in collaboration with a terminologist, established a standardized complication registration system through an iterative consensus process. Following rigorous clinical review, 102 complications were selected, resulting in a final list of 100 concepts (91 unique SNOMED CT identifiers). Complications were categorized as: intraoperative, postoperative surgical, postoperative medical. To enable tracking the absence of complications and the proportion of completed registrations, a 'no complication' category was also included. Our standardized complication registry has been clinically operational since February 1, 2023. It documents all neurosurgical procedures (N=3501) with SNOMED CT-coded complications (or their absence) linked to surgical procedures (using local codes) in the electronic patient record (EPR) problem list and covers the period from surgery through 6 weeks of postoperative follow-up. Analysis through April 21, 2025 shows 92% coverage. Our datawarehouse integrates these procedures and complications with laboratory results, imaging reports, medications, readmissions, and survival data - providing clinicians with comprehensive patient overviews and enabling the identification of clinically relevant patterns over time Key features 1. Clinical utility: Surgeons register the complications directly in workflow using EPR templates 2. Terminology flexibility: Light version of post-coordination when needed (MRCM-compliant) 3. Future-ready: * Architecture permits eventual Clavien-Dindo integration (Grade I-V severity scoring) * Technical foundations exist for SNOMED CT procedural coding (requiring future IT development) This implementation demonstrates how SNOMED CT can support surgical outcome monitoring while pragmatically accommodating existing systems. The multidimensional linkage will enable both quality benchmarking and research applications in the future. Description This implementation project has dual clinical and research objectives with direct patient care impact: Primary: Clinical Quality Improvement * Real-time monitoring of postoperative complications through standardized SNOMED CT documentation * Supports clinical decision support: triggered alerts for abnormal values (lab/imaging) Secondary: Research Enablement Provides structured outcome data for: * Service-level quality benchmarking * Postoperative recovery trajectory analysis Scalable Architecture: Designed for future expansion to: * Ranking the severity of the complication (Clavien-Dindo) * Procedure coding standardization * Multidisciplinary complication management This scope reflects our "quality-first" approach where research benefits emerge from clinically relevant, caregiver-driven data collection. Scope SNOMED CT was selected for this initiative based on both clinical-technical merits and alignment with Belgian healthcare policy: * Mandated National Standard * Implements the Belgian government's strategic choice for SNOMED CT as the preferred clinical terminology * Complies with recommendations from Belgian healthcare agencies (e.g., eHealth Platform) * Clinical Precision for Neurosurgery * Provides granular concepts tailored to neurosurgical complications * Enables accurate distinction between similar conditions (e.g., different locations of nerve injury’s) * Future-Proof Infrastructure * Allows integration with other SNOMED CT-coded data across the healthcare continuum * Facilitates compliance with evolving Belgian digital health regulations How SNOMED CT will be used Clinical Registration Process: * Neurosurgeons directly record complications (or their absence) as SNOMED CT-coded diagnoses/findings in the patient's problem list using drop-down menus or a grid of tiles (EPR) * Critical implementation detail: * The surgical procedures remain coded using the hospital's local procedure coding system (non-SNOMED) * The association between complication and procedure is established through the EPR's native relationship mechanism (non-SNOMED link) * This hybrid approach ensures clinical workflow compatibility while maintaining semantic precision for complications Post-Coordination Approach: * When required concepts aren't available as precoordinated terms, we employ a light post-coordination method using EPR templates * Methodology: * Start with the most specific available parent concept * Add clinical meaning through attribute relationships * Strictly follow MRCM (Reference Set Member) rules for valid concept composition * Example: If a specific complication isn't available, we might: * Select the broader SNOMED concept (e.g., "Complication associated with nervous system implant") * Add attributes like: * Associations with devices (e.g., "Intrathecal implantable infusion pump") * Temporal context (e.g., "intraoperative during surgery") 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. 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Care providers, administrators, policy makers, knowledge producers and patients and citizens complete the SNOMED CT stakeholder landscape. Other stakeholders Care providers, administrators, policy makers, knowledge producers and patients and citizens complete the SNOMED CT stakeholder landscape. Learn more at value.snomed.org Care providers SNOMED CT makes it easier for data to be portable from one system to another. Designed by clinicians for clinicians, it enables a unique partnership with technologies. SNOMED international partners with other standards development bodes to create and maintain products to support the implementation of SNOMED CT with other standards supporting interoperability. Learn more Health care administrators SNOMED CT enables accurate and targeted access to relevant information, reducing costly duplications and errors. It enhances audits of care delivery by enabling detailed analysis of clinical records by leveraging the structure of SNOMED CT. Learn more Policy makers SNOMED CT enables links between clinical records and existing clinical guidelines or protocols. It supports the development of adequate evidence for use in the development of clinical guidelines. Learn more Knowledge producers SNOMED CT allows knowledge producers to effectively develop and maintain knowledge products by providing a standard way to encode and connect clinical information contained within patient charts, decision support tools and knowledge resources. It provides a standard way to encode clinical criteria for reuse across a range of clinical, knowledge management and monitoring tools. Learn more Patients and citizens SNOMED CT decreases the need to repeat health history. The detail provided within SNOMED CT allows clinicians to accurately record the specific details relating to a patient across all information fields with an EHR. It plays an important part in medication reconciliation, the awareness of which is critical to patient knowledge. Learn more Learn more Get involved Find out how you can get involved Learn more Education Our education program is designed to enable users to maximize their knowledge of SNOMED CT Subscribe to SNOMED International news Stay up to date on SNOMED news, features, developments and newsletters by subscribing to our news service. Subscribe Care providers Health care administrators Policy makers Knowledge producers Patients

SNOMED CT in Europe 22-23 May 2024 | Brussels | Onsite and online SNOMED CT in Europe calls attention to the innovative approaches our European Members and implementers are pursuing nationally and regionally, highlighting how SNOMED CT supports digital health initiatives across Europe. View Program Be a part of the future of semantic interoperability in Europe at this special two day conference. Host: Supported by: The SNOMED CT in Europe conference was held from May 22-23, 2024 at the Pullman Brussels Centre Midi hotel in Belgium. This inaugural event featured speakers and stakeholders from across Europe. SNOMED CT was the core topic of this event - attendees learned more about the latest projects at the European and national levels, as well as innovative ways countries are implementing and using SNOMED CT. This conference was an official event of the Belgian Presidency of the Council of the European Union . It was held with the support of the European Commission and driven by the interests and participation of our European Members. More information Watch recordings Registrants for the event can currently watch recordings of sessions via the Zoom Events platform the conference was delivered on. Session recordings will be made available on the SNOMED International YouTube channel as soon as possible. Program Please click here to view the program. A high-level overview of the event's program is available below: Data privacy and event terms & conditions SNOMED International will protect and manage your data for this event in accordance with our event data privacy agreement. Detailed 'Terms & Conditions' governing SNOMED International events are available here. For more information please contact privacy@snomed.org. Subscribe for event updates Keep up to date with details as they develop for SNOMED International's events. Subscribe to the SNOMED events mailing list Bahmni + SNOMED CT features Search and save diagnosis in Bahmni ● Clinicians can search for SNOMED terms for diagnosis or conditions ● Bahmni returns SNOMED terms in search result ● Clinician can select a term and save the same in Bahmni ● Clinicians can view the saved diagnosis in patient dashboard Clinical Decision Support System ● Clinicians are notified with an alert when Drug-Diagnosis interaction is contraindicated ● Clinicians can accept the alert and make changes to medication or ●Clinicians can choose to dismiss the alert by providing reason for dismissal (only in case of critical alerts) Diagnosis reports ● Clinicians can generate diagnosis count reports based on SNOMED terms ● Report feature can be accessed under the report module in Bahmni ● Clinicians need to select the duration for the report and mode of display ● Bahmni displays the patient count report based on gender ● Advantage of using SNOMED Terms? The hierarchical structure of clinical terms in SNOMED helps Bahmni to identify and display the descendants of the diagnosis along with the diagnosis itself. Form Builder ● Users can customize sets of questions according to their requirements to record patient’s responses ● SNOMED CT is leveraged to provide the list of responses to a given question ● Once saved and published, forms are used by clinicians to record patient responses ● Clinicians can also generate a report on the patients’ responses under reports module ● Advantage of using SNOMED Terms? Using SNOMED terms helps in standardizing the responses from the patient, so that it can be easily exchanged with other EHR systems, hence improving patient healthcare Learn about the initiative Learn more about the Bahmni and SNOMED CT project. For more detailed technical information, click here to learn more about the project objectives, scope, phases, technical architecture and status of the Bahmni + SNOMED CT integration. Local deployment guide Click here to access the steps to setup up SNOMED-enabled integration of Bahmni with SNOMED Terminology Server over FHIR in a local machine. Demonstration videos Recording diagnosis and displaying reports CDSS alert notifications for drug-diagnosis interaction with SNOMED CT COVID-19 form deisgning and recording data using SNOMED CT terms Procedure setup in Bahmni using SNOMED CT value set Explore the test environment Follow the below links to access the test environment: Development environment User Guidance: Go to CLINICAL section. Default credentials: superman/Admin123 Contact us Please submit your questions to info@snomed.org. SNOMED CT Expo 2026 The SNOMED CT Expo unites clinical terminology SMEs from around the world Learn more Get involved Find out how you can get involved Learn more Subscribe to SNOMED International news Stay up to date on SNOMED news, features, developments and newsletters by subscribing to our news service. Subscribe

The Spanish National Reference Center has developed a Reference Implementation for Databases (IRBD in its Spanish acronym),which is regularly updated and made available to all national licensees. This initiative aims to promote the adoption of SNOMED CT as the standard for clinical normalization and interoperability within the Spanish National Health System by facilitating the integration and deployment of the terminology and its national extensions across multiple relational database platforms. The IRBD is distributed in three database formats‚ MySQL, PostgreSQL, and Oracle‚ allowing broad adaptability and integration with existing information systems. In parallel, the team is leveraging SNOMED International's Neo4j tools to implement graph-based models of the Spanish extensions, enabling advanced semantic querying and reasoning Back View Map Spanish Ministry of Health Reference Database Implementation for National Extensions and International Editions: A Multi-Platform Approach for SNOMED CT Quick Implementation in Spain Read More Country / Region EMEA Tags Data quality, Implementation, Innovation, Research The Spanish National Reference Center has developed a Reference Implementation for Databases (IRBD in its Spanish acronym),which is regularly updated and made available to all national licensees. This initiative aims to promote the adoption of SNOMED CT as the standard for clinical normalization and interoperability within the Spanish National Health System by facilitating the integration and deployment of the terminology and its national extensions across multiple relational database platforms. The IRBD is distributed in three database formats‚ MySQL, PostgreSQL, and Oracle‚ allowing broad adaptability and integration with existing information systems. In parallel, the team is leveraging SNOMED International's Neo4j tools to implement graph-based models of the Spanish extensions, enabling advanced semantic querying and reasoning Description The Reference Database Implementation (IRBD) is a core component of Spain's strategy for SNOMED CT distribution as a database. Developed and maintained by the Spanish National Reference Center, IRBD provides a ready-to-use, easy to implement and pre-configured database with the full structure of SNOMED CT and its National Extensions. The project addresses multiple strategic goals: 1.MultiplatformDi stribution: IRBD is released in three database systems (MySQL, PostgreSQL, and Oracle), ensuring compatibility with a wide variety of local systems used by health organizations and research institutions. 2. Semantic Consistency: The databases follow the RF2 standard and include regularly updated reference sets and logical definitions, ensuring terminological coherence across implementations and the appropriate dependency of national extensions on the International Editions. Both Snapshot and Full RF2 files are used in the implementation, allowing flexibility for different use cases‚ such as point-in-time loading or full version tracking‚ depending on the organization's needs. 3. Advanced Use Cases: The IRBD supports complex queries and terminology services, enabling its use in clinical decision support systems, data analytics, and AI applications. 4. Graph-Based Extension:Within the framework of this project, national extensions are implemented in Neo4j using the official SNOMED Database Loader from SNOMED International. This allows exploration of semantic relationships in a graph-based environment, ideal for research and advanced analytics. 5. Support and Customization: IRBD is accompanied by documentation, which supports implementation across diverse database systems. Furthermore, with the aim of ensuring the quality and usefulness of this SNOMED CT database implementation, as part of Spanish NRC a Technical Unit composed of experts and users has been created. Together, these implementations empower organizations to integrate SNOMED CT and national terminologies directly into their workflows while ensuring long-term maintainability and adaptability. Scope In the Spanish context, SNOMED CT represents the essential foundation for harmonizing clinical documentation across autonomous communities, enabling cross-institutional data exchange and normalization. The IRBD initiative simplifies the use of SNOMED CT by offering preloaded, structurally validated databases, removing barriers to adoption and accelerating integration. The inclusion of SNOMED CT in graph databases such as Neo4j would introduce a new paradigm of semantic access and inference, which is critical for research, AI, and decision support systems. Furthermore, SNOMED CT's ongoing development and community support ensure its scalability and sustainability, making it the ideal candidate for national-level terminology deployment. How SNOMED CT will be used SNOMED CT serves as the foundational terminology embedded within the IRBD. The implementation is structured following the RF2 standard and includes the international edition, Spanish national extension, besides the national extensions. Each database version (MySQL, PostgreSQL, Oracle) includes: - Core components (Concepts, Descriptions, Relationships) - Reference sets from both the international release and national extensions -Full and snapshot versions of SOMED CT content - Extended fields for enhanced querying In addition to the official editions, the implementation includes an aggregated global database that consolidates content from the International Edition, the Spanish Edition, the National Extension for Spain, and the National Medicines Extension. Although these supplementary tables are not part of the officially released content, they are provided to facilitate integrated queries requiring access to combined and complementary information from all four versions. In addition, through the Neo4j implementation, the SNOMED CT data would be transformed into a graph structure. This structure would enhance the efficiency of semantic queries and clinical reasoning by supporting intuitive navigation across hierarchical and associative relationships. 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

In 2025, the National Release Centre of the Belgian Health Terminology Centre launched 3 coordinated terminology projects aiming to map relevant SNOMED CT concepts to classifications supporting documentation of interventions, functionality and general practice. For each of the 3 domains, top experts cooperated in selecting a relevant sample of SNOMED CT concepts, either based on frequency of use in clinical practice of lexical entries or core sets of SNOMED CT. Experienced coders selected exact matches between SNOMED CT, on the one hand, and stem codes (classes) or inclusion terms of the different classifications, on the other hand, considering the level of aggregation in the upper and lower hierarchy of SNOMED CT. This mapping was supported by a thorough examination of the alignment of SNOMED CT domains, hierarchy(semantic) tags and attributes with the axes, used to build the different classifications. The existing ontological representation of concept relationships in SNOMED CT and in the Foundational Component of the WHO Family of International Classifications is intensely used to support the mapping process. The objective of the 3 projects is to develop the methodology for mapping, to map a relevant sample of SNOMED CT codes in one-to-one exact maps to stem codes and inclusion terms, and to estimate the effort to complete a full map. Moreover, some recommendations will be formulated to integrate these mappings into man-machine interface at the point of care for data entry once and multiple use. Back View Map University of Ghent (2 of 2) SNOClass: a Belgian terminology project for mapping relevant SNOMED CT concepts to WHO Family of Classifications in 3 domains: ICHI for Procedures and interventions; ICF for functionality and disability; and ICPC-3 for Family Medicine/Primary Care Read More Country / Region EMEA Tags Data quality, EHDS (European Health Data Space), Mapping, Research, Tooling In 2025, the National Release Centre of the Belgian Health Terminology Centre launched 3 coordinated terminology projects aiming to map relevant SNOMED CT concepts to classifications supporting documentation of interventions, functionality and general practice. For each of the 3 domains, top experts cooperated in selecting a relevant sample of SNOMED CT concepts, either based on frequency of use in clinical practice of lexical entries or core sets of SNOMED CT. Experienced coders selected exact matches between SNOMED CT, on the one hand, and stem codes (classes) or inclusion terms of the different classifications, on the other hand, considering the level of aggregation in the upper and lower hierarchy of SNOMED CT. This mapping was supported by a thorough examination of the alignment of SNOMED CT domains, hierarchy(semantic) tags and attributes with the axes, used to build the different classifications. The existing ontological representation of concept relationships in SNOMED CT and in the Foundational Component of the WHO Family of International Classifications is intensely used to support the mapping process. The objective of the 3 projects is to develop the methodology for mapping, to map a relevant sample of SNOMED CT codes in one-to-one exact maps to stem codes and inclusion terms, and to estimate the effort to complete a full map. Moreover, some recommendations will be formulated to integrate these mappings into man-machine interface at the point of care for data entry once and multiple use. Description The scope of this Belgian terminology project is mapping relevant SNOMED CT concepts to WHO Family of Classifications in 3 domains: ICHI for Procedures and interventions; ICF for functionality and disability; and ICPC-3 for Family Medicine/Primary Care. Hence the focus is on mapping between conceptual systems, such as reference terminologies and aggregation terminologies. Scope SNOMED CT was selected with the role of reference terminology, covering all concepts needed for clinical care. The Ontological structure of the resource and the complex and the possibility to use the constraint language to explore volume and hierarchy in domains, semantic tags, and attributes. It was chosen because the Belgian Government gives a central role to SNOMED CT in the road to digital transformation in e-Health. How SNOMED CT will be used We focused on samples of SNOMED CT concepts, relevant for each the domains. 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