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SNOMED CT Archives

Older versions of SNOMED CT International and US Edition release sources are still made available for research or historical purposes ONLY. To download deprecated or older versions of SNOMED CT release see the sections below.

To download the current US Edition of SNOMED CT please go here.

To download the current International release of SNOMED CT please go here.

US Edition of SNOMED CT Archive Files

NOTE: For the latest SNOMED CT SARS-CoV-2/COVID-19 content, see: http://snomed.org/covid-19

September 2023

Version: 20230901

Release Date: September 1, 2023

The September 2023 SNOMED CT United States (US) Edition release is now available for download. This release contains 163 new active concepts specific to the US Extension. The September 2023 US Edition of SNOMED CT is based on the content published in the June 2023 SNOMED CT International Edition and includes any SNOMED CT COVID-19 Related Content published in the June 2023 SNOMED CT International Edition. This latest version of the US Edition also includes the SNOMED CT to ICD-10-CM reference set, with over 126,000 SNOMED CT source concepts mapped to ICD-10-CM targets.

Please note - While the SNOMED CT International Edition has moved to monthly releases, the US Edition of SNOMED CT will remain on the current bi-annual release schedule of March and September.

Download Now!

MD5 hash: c52817c6b0d795b357e6522e37d0422a

Download | View Release Notes

Download Transitive Closure Resources

MD5 hash: 4397223266ce2d6518e833a94bb1a5ec

Download SNOMED CT to ICD-10-CM Mapping Resources

MD5 hash: 60345fb7c522ecd85a1b2e4c678a149f

View Release Notes

View Technical Specifications


Announcement - Changes in the September 2023 US Edition release

  1. Deprecation of the ICD10 Exemplar file

    Due to the perceived lack of audience for this file, the US have deprecated it by removing it from the ICD10CM Map Resources package from the September 2023 US Edition Release onwards.

  2. Deprecation of the Route of administration reference set from the US Edition release package

    The Route of Administration refset is being deprecated from the US Edition release package, as of the September 2023 US Edition release onwards.

    The concept "442311000124105 |Route of administration reference set (foundation metadata concept)|" + relates components (including the refsetDescriptor record) will remain active, however all 144 records that comprise this refset will be inactivated in the SimpleRefset file: der2_Refset_SimpleSnapshot_US1000124_20230901.txt

    In order to preserve the historical audit trail within the US Edition release package, the records will be inactivated (set the "active=0") rather than being deleted from the package completely.

    The Route of Administration reference set is still accessible as an intensional value set in the Value Set Authority Center (VSAC): https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1018.98/expansion


NOTE: For the latest SNOMED CT SARS-CoV-2/COVID-19 content, see: http://snomed.org/covid-19

March 2023

Version: 20230301

Release Date: March 1, 2023


The March 2023 SNOMED CT United States (US) Edition release is now available for download. This release contains 398 new active concepts specific to the US Extension. The March 2023 US Edition of SNOMED CT is based on the content published in the December 2022 SNOMED CT International Edition and includes any SNOMED CT COVID-19 Related Content published in the December 2022 SNOMED CT International Edition. This latest version of the US Edition also includes the SNOMED CT to ICD-10-CM reference set, with over 126,000 SNOMED CT source concepts mapped to ICD-10-CM targets.


Please note - Due to the move to monthly SNOMED CT International Edition releases, NLM will base the March US Edition of SNOMED CT on the December SNOMED CT International Edition and the September US Edition of SNOMED CT on the June SNOMED CT International Edition. Any changes to this plan will be announced via the NLM SNOMEDCT Announces listserv.

Please note - While the SNOMED CT International Edition has moved to monthly releases, the US Edition of SNOMED CT will remain on the current bi-annual release schedule of March and September.


Download Now!

MD5 hash: 6edcaa1e8851a2a0fb82dc3c88a2950c

Download | View Release Notes

Download Transitive Closure Resources

MD5 hash: a3608a23e8fab5e14aefec9fba94ec02

Download SNOMED CT to ICD-10-CM Mapping Resources

MD5 hash: b1e19b1a7c057ea498bdd2930ac1c4e0

View Release Notes

View Technical Specifications


Announcement - Changes in the March 2023 US Edition release

  1. Notice of changes to the US Edition Release package and Transitive Closure Resources package naming convention

    As of the March 2023 Release of the US Edition onwards, the RF2 package and the Transitive Closure Resources package naming convention will be changing from:

    • SnomedCT_USEditionRF2_PRODUCTION_[date]T[time]Z.zip

    • SnomedCT_TransitiveClosureResourcesRF2_PRODUCTION_[date]T[time]Z.zip

    ...to the following:

    • SnomedCT_ManagedServiceUS_PRODUCTION_US1000124_[date]T[time]Z.zip

    • SnomedCT_ManagedServiceUSTransitiveClosure_PRODUCTION_US1000124_[date]T[time]Z.zip

    For the March 2023 US Edition Release, for example, the RF2 package and the Transitive Closure Resources package will be called:

    • SnomedCT_ManagedServiceUS_PRODUCTION_US1000124_20230301T120000Z.zip

    • SnomedCT_ManagedServiceUSTransitiveClosure_PRODUCTION_US1000124_20230301T120000Z.zip

    Note: The change to the naming convention only effects the zip package name and the top two folders in the unzipped package. No other folder or file name contained in the release package will be impacted.


  2. Notice of changes to the US Edition Module Dependency Refset Specifications

    There has been discussion on the Module Dependency Refset Specifications (MDRS) records regarding dependencies not being transitive, meaning that they cannot be inferred from a chain of dependencies. For example, if module-A depends on module-B and module-B depends on module-C, the dependency of module-A on module-C must still be stated explicitly. This has not been resolved by SNOMED International, as their recent deliberations regarding the possibility of changing the specifications to make MDRS records transitive have concluded that so far, the business case for doing so is not strong enough. Therefore, the US Edition of SNOMED CT still, in theory, has missing MDRS records which should explicitly call out the dependency of the ICD-10CM map module on both Core International modules. As the new automated MDRS functionality also generates these records, it was decided to allow their introduction until SNOMED International decides to change the RF2 specifications. These records have been included in the September 2022 US Edition release by allowing the automated MDRS generation code to add 2 new records to the US Edition MDRS, explicitly calling out the dependency of the ICD-10CM map module on both Core International modules:

    • > e37cecd9-329a-4bf2-96eb-befefd9c45c3 20220901 1 5991000124107 900000000000534007 900000000000207008 20220901 20220630
    • > 5b163b38-a5e6-4430-aaaa-82663c4bca4a 20220901 1 5991000124107 900000000000534007 900000000000012004 20220901 20220630

NOTE: For the latest SNOMED CT SARS-CoV-2/COVID-19 content, see: http://snomed.org/covid-19

September 2022

Version: 20220901

Release Date: September 1, 2022


The September 2022 SNOMED CT United States (US) Edition release is now available for download. This release contains 662 new active concepts specific to the US Extension. The September 2022 US Edition of SNOMED CT is based on the content published in the June 2022 SNOMED CT International Edition and includes any SNOMED CT COVID-19 Related Content published in the June 2022 SNOMED CT International Edition. This latest version of the US Edition also includes the SNOMED CT to ICD-10-CM reference set, with over 126,000 SNOMED CT source concepts mapped to ICD-10-CM targets.


Please note - Due to the move to monthly SNOMED CT International Edition releases, NLM will base the March US Edition of SNOMED CT on the December SNOMED CT International Edition and the September US Edition of SNOMED CT on the June SNOMED CT International Edition. Any changes to this plan will be announced via the NLM SNOMEDCT Announces listserv.

Please note - While the SNOMED CT International Edition has moved to monthly releases, the US Edition of SNOMED CT will remain on the current bi-annual release schedule of March and September.


Download Now!

MD5 hash: 3bc8c62d57d400c3fa8ffd6c17a92e42

Download | View Release Notes

Download Transitive Closure Resources

MD5 hash: 5143b09fa9df47431b37c319787af489

Download SNOMED CT to ICD-10-CM Mapping Resources

MD5 hash: acb78ae77448539ed3d657f3843adf59

View Release Notes

View Technical Specifications


Announcement - Changes in the September 2022 US Edition release

  1. Advanced Notice of upcoming changes to the US Edition Release Package naming convention

    Starting with the March 2023 Release of the US Edition onwards, the RF2 package naming convention will be changing from:

    • SnomedCT_USEditionRF2_PRODUCTION_[date]T[time]Z.zip

    ...to the following:

    • SnomedCT_ManagedServiceUS_PRODUCTION_US1000124_[date]T[time]Z.zip


    For the March 2023 US Edition Release, for example, the RF2 package would have originally been called:

    • SnomedCT_USEditionRF2_PRODUCTION_20230301T120000Z.zip

    ...whereas from now on it will instead be named:

    • SnomedCT_ManagedServiceUS_PRODUCTION_US1000124_20230301T120000Z.zip

    Note: The change to the naming convention only effects the zip package name and the top two folders in the unzipped package. No other folder or file name contained in the release package will be impacted.

    NLM has provided a test March 2023 US Edition of SNOMED CT release package in the upcoming new folder name format for users to test their import process so that adjustments can be made prior to the official release of the March 2023 US Edition of SNOMED CT package.

    Please note: This package could contain critical issues and so should NOT be used in Production or Clinical systems under any circumstances.

    Download March 2023 US Edition TEST package

    Any feedback or questions regarding the test package or the upcoming new folder format should be submitted to NLM SNOMED CT Support via the NLM Support Center.


  2. Notice of changes to the US Edition Module Dependency Refset Specifications

    There has been discussion on the Module Dependency Refset Specifications (MDRS) records regarding dependencies not being transitive, meaning that they cannot be inferred from a chain of dependencies. For example, if module-A depends on module-B and module-B depends on module-C, the dependency of module-A on module-C must still be stated explicitly. This has not been resolved by SNOMED International, as their recent deliberations regarding the possibility of changing the specifications to make MDRS records transitive have concluded that so far, the business case for doing so is not strong enough. Therefore, the US Edition of SNOMED CT still, in theory, has missing MDRS records which should explicitly call out the dependency of the ICD-10CM map module on both Core International modules. As the new automated MDRS functionality also generates these records, it was decided to allow their introduction until SNOMED International decides to change the RF2 specifications. These records have been included in the September 2022 US Edition release by allowing the automated MDRS generation code to add 2 new records to the US Edition MDRS, explicitly calling out the dependency of the ICD-10CM map module on both Core International modules:

    • > e37cecd9-329a-4bf2-96eb-befefd9c45c3 20220901 1 5991000124107 900000000000534007 900000000000207008 20220901 20220630
    • > 5b163b38-a5e6-4430-aaaa-82663c4bca4a 20220901 1 5991000124107 900000000000534007 900000000000012004 20220901 20220630

NOTE: For the latest SNOMED CT SARS-CoV-2/COVID-19 content, see: http://snomed.org/covid-19

March 2022

Version: 20220301

Release Date: March 1, 2022


The March 2022 SNOMED CT United States (US) Edition release is now available for download. In addition to the 279 new active concepts specific to the US Extension, the March 2022 SNOMED CT US Edition also includes the SNOMED CT COVID-19 Related Content published in the January 2022 SNOMED CT International Edition. This latest version of the US Edition also includes the SNOMED CT to ICD-10-CM reference set, with over 126,000 SNOMED CT source concepts mapped to ICD-10-CM targets.


Please note - While the SNOMED CT International Edition is moving to monthly releases, the US Edition of SNOMED CT will remain on the current bi-annual release schedule of March and September.


Download Now!

MD5 hash: 44efd123f83d4a8a76d4da0d9239888b

Download | View Release Notes

Download Transitive Closure Resources

MD5 hash: 38464e63cb1c058282fc081d66080dbc

Download SNOMED CT to ICD-10-CM Mapping Resources

MD5 hash: f37d211a9c4f6349de47b179ef09c0f0

View Release Notes

View Technical Specifications


Announcement -

  1. Changes in the March 2022 US Edition release

    SNOMED International are transitioning to a monthly delivery schedule for the International Edition of SNOMED CT. This transition will necessarily involve a few changes to process/packages:

    • Delta files have been removed from both International and Managed Service release packages, including the US Edition. A Delta Generation service will be provided for those who need it. The Delta Generation Tool allows users to create their own Delta between two fixed release dates - you can find it here: https://github.com/IHTSDO/delta-generator-tool/releases
    • There is no longer any need to separate the Map files from the International Edition - the ICD-0/ICD-10 Maps will continue to be published in each Monthly International Edition release package (in line with that month's content) for the foreseeable future, unless we experience issues with the new process in Production, and they need to be removed at a later date.

    The first monthly Release of the SNOMED CT International Edition is currently planned for the 28th February 2022, however the Delta files have been removed from the International Edition from the January 2022 Release, and from the US Edition from the March 2022 Release onwards.

  2. Significant changes in the September 2021 US Edition release

    Concrete Domains launch

    Following on from the successful technical previews of the impending Concrete Domains changes, released in September 2020 and February 2021 respectively, SNOMED International implemented these changes in the July 2021 International Edition Production release. This constituted drug concept strengths and counts expressed as concrete values in a new Relationships file.

    These files have therefore been propagated through into the September 2021 US Edition release package.

    • Inferred Relationship file changes:
      • All relationships for values of strength and count for medical products inactivated
      • All relationships for attributes of strength and count for medicinal products inactivated
      • New relationships for new concept model data attributes of strength, count, product name, and supplier for medicinal products will be added
    • Stated OWL Axiom file changes:
      • Existing drug concept axioms updated to use concrete values
      • Existing strength and count attribute types will be inactivated, replaced with new ones using the same FSNs.
    • New Inferred "Relationship Concrete Values" files:
      • New concrete values relationship files added to the RF2 package structure, containing all new relationships for values of strength and count for medical products:
        • sct2_RelationshipConcreteValues_Delta_US1000124_20210901.txt
        • sct2_RelationshipConcreteValues_Full_US1000124_20210901.txt
        • sct2_RelationshipConcreteValues_Snapshot_US1000124_20210901.txt
    • MRCM file changes:
      • MRCM includes new rows to indicate that the new attribute types are expected to take a concrete domain - specifically numbers - as target values.

NOTE: For the latest SNOMED CT SARS-CoV-2/COVID-19 content, see: http://snomed.org/covid-19

September 2021

Version: 20210901

Release Date: September 1, 2021


The September 2021 SNOMED CT United States (US) Edition release is now available for download. In addition to the 501 new active concepts specific to the US Extension, the September 2021 SNOMED CT US Edition also includes the SNOMED CT COVID-19 Related Content published in the July 2021 SNOMED CT International Edition. This latest version of the US Edition also includes the SNOMED CT to ICD-10-CM reference set, with over 126,000 SNOMED CT source concepts mapped to ICD-10-CM targets.


Download Now!

MD5 hash: c18fdde890c51df2c32439c7647b60d4

Download | View Release Notes

MD5 hash: 45a2841a58b577539c6d75579f63a1d7

Download Transitive Closure Resources

MD5 hash: 8227862663fa412f7d26565848068bf2

Download SNOMED CT to ICD-10-CM Mapping Resources

MD5 hash: 9774ecc37adef83a67333a892f5dde7d

View Release Notes

View Technical Specifications


Announcement - Significant changes in the September 2021 US Edition release

Concrete Domains launch

Following on from the successful technical previews of the impending Concrete Domains changes, released in September 2020 and February 2021 respectively, SNOMED International implemented these changes in the July 2021 International Edition Production release. This constituted drug concept strengths and counts expressed as concrete values in a new Relationships file.

These files have therefore been propagated through into the September 2021 US Edition release package.

  • Inferred Relationship file changes:
    • All relationships for values of strength and count for medical products inactivated
    • All relationships for attributes of strength and count for medicinal products inactivated
    • New relationships for new concept model data attributes of strength, count, product name, and supplier for medicinal products will be added
  • Stated OWL Axiom file changes:
    • Existing drug concept axioms updated to use concrete values
    • Existing strength and count attribute types will be inactivated, replaced with new ones using the same FSNs.
  • New Inferred "Relationship Concrete Values" files:
    • New concrete values relationship files added to the RF2 package structure, containing all new relationships for values of strength and count for medical products:
      • sct2_RelationshipConcreteValues_Delta_US1000124_20210901.txt
      • sct2_RelationshipConcreteValues_Full_US1000124_20210901.txt
      • sct2_RelationshipConcreteValues_Snapshot_US1000124_20210901.txt
  • MRCM file changes:
    • MRCM includes new rows to indicate that the new attribute types are expected to take a concrete domain - specifically numbers - as target values.

NOTE: For the latest SNOMED CT SARS-CoV-2/COVID-19 content, see: http://snomed.org/covid-19

March 2021

Version: 20210301

Release Date: March 1, 2021


The March 2021 SNOMED CT United States (US) Edition release is now available for download. In addition to the 574 new active concepts specific to the US Extension, the March 2021 SNOMED CT US Edition also includes the SNOMED CT COVID-19 Related Content published in the January 2021 SNOMED CT International Edition. This latest version of the US Edition also includes the SNOMED CT to ICD-10-CM reference set, with over 126,000 SNOMED CT source concepts mapped to ICD-10-CM targets.


Download Now!

MD5 hash: 1bc98a40967dbf9be10d3295a6d2c2c8

Download | View Release Notes

MD5 hash: 21ebf6acf9f6bdffcbf5100b4556cf4b

Download Transitive Closure Resources

MD5 hash: 06b80a82a7d50a257a8f0da5a11b0bdf

Download SNOMED CT to ICD-10-CM Mapping Resources

MD5 hash: 1ea2751a484334499e1cf9077f2b8c2d

View Release Notes

View Technical Specifications


Announcement - New content added for 2019 novel coronavirus

As part of the ongoing global effort to tackle the Coronavirus outbreak and provide updated Coronavirus descriptions for Members and implementers, the March 2021 US Edition of SNOMED CT includes the SNOMED CT COVID-19 related content that was published in the SNOMED CT January 2021 International Edition. Please see section “2.2. COVID-19” in the SNOMED CT January 2021 International Edition - Release notes for more information.

Updates about content relating to COVID-19 can be found here SNOMED CT COVID-19 Related Content.

NOTE: For the latest SNOMED CT SARS-CoV-2/COVID-19 content, see: http://snomed.org/covid-19

September 2020

Version: 20200901

Release Date: September 1, 2020


The September 2020 SNOMED CT United States (US) Edition release is now available for download. This release includes an updated SNOMED CT to ICD-10-CM mapping reference with over 126,000 SNOMED CT source concepts mapped to ICD-10-CM targets.


Download Now!

MD5 hash: 60bcf345ba2a35916460727166b86985

Download | View Release Notes

Download Transitive Closure Resources

MD5 hash: 1f624bb09f40fc55862a46e72414fe28

Download SNOMED CT to ICD-10-CM Mapping Resources

MD5 hash: 9199023db451af855f074c97bffb1405

View Release Notes

View Technical Specifications


Announcements -

  1. New content added for 2019 novel coronavirus


    An Interim International Edition Release was produced in March 2020 as part of the ongoing global effort to tackle the Coronavirus outbreak and included the updated Coronavirus descriptions for Members and implementers. A further set of new concepts have been added for the July 2020 International Edition release. Please see section “2.3. COVID-19” in the SNOMED CT July 2020 International Edition - Release notes for more information.


    Updates about content relating to COVID-19 can be found here SNOMED CT COVID-19 Related Content.


    In the US Extension in the September 2020 US Edition release, the following concept has been added:

    • 462371000124108|Detected in pooled specimen (qualifier value)|

  2. File Changes in the March 2020 US Edition


    To continue to align with the SNOMED CT International Edition, the following changes were implemented starting with the March 2020 US Edition. These changes will allow for the continued efforts towards having a zip file including only data with additional supplemental documentation and artifacts available separately.

    • Deprecation of the Resources folder
      • This aligns with the SNOMED CT International Edition release package which no longer includes a Resources folder.
    • Removal of Transitive Closure resources from the US Edition release zip file
      • The Transitive Closure resources will be made available alongside the US Edition of SNOMED CT as a bundled zip download - SnomedCT_TransitiveClosureResourcesRF2_PRODUCTION_YYYYMMDDT120000Z.zip. The following resources will be updated and bundled together and made available with each new US Edition release:
        • res2_TransitiveClosure_US1000124_YYYYMMDD.txt
        • tls2_TransitiveClosure_US1000124_YYYYMMDD.pl

    Any questions or comments regarding these changes can be sent to NLM Customer Support https://support.nlm.nih.gov/.


NOTE: For the latest SNOMED CT SARS-CoV-2/COVID-19 content, see: http://snomed.org/covid-19

March 2020

Version: 20200301

Release Date: March 1, 2020


The March 2020 SNOMED CT United States (US) Edition release is now available for download. This release includes an updated SNOMED CT to ICD-10-CM mapping reference with over 123,000 SNOMED CT source concepts mapped to ICD-10-CM targets.


Download Now!

MD5 hash: 80cdf8746ed04e69abf9e0bfa5d42e37

Download | View Release Notes

Download Transitive Closure Resources

MD5 hash: 960bea2a7e519c180d3d0a8fe777bc78

Download SNOMED CT to ICD-10-CM Mapping Resources

MD5 hash: 212de6336688b28721f4d4ad50a8b781

View Release Notes

View Technical Specifications


Announcements -

  1. New content added for 2019 novel coronavirus


    A set of new concepts have been added for the January 2020 International release:

    • 840539006|Disease caused by 2019 novel coronavirus (disorder)|
    • 840534001|2019 novel coronavirus vaccination (procedure)|
    • 840544004|Suspected disease caused by 2019 novel coronavirus (situation)|
    • 840536004|Antigen of 2019 novel coronavirus (substance)|
    • 840535000|Antibody to 2019 novel coronavirus (substance)|
    • 840533007|2019 novel coronavirus (organism)|
    • 840546002|Exposure to 2019 novel coronavirus (event)|


    These concepts all have an additional synonym of 'Wuhan coronavirus' to aid searchability.

    In the US Extension in the March 2020 US Edition release, the following concept has been added:

    • 461911000124106|Swab specimen from oropharynx (specimen)|

  2. File Changes in the March 2020 US Edition


    To continue to align with the SNOMED CT International Edition, the following changes will be implemented starting with the March 2020 US Edition. These changes will allow for the continued efforts towards having a zip file including only data with additional supplemental documentation and artifacts available separately.

    • Deprecation of the Resources folder
      • This aligns with the SNOMED CT International Edition release package which no longer includes a Resources folder.
    • Removal of Transitive Closure resources from the US Edition release zip file
      • The Transitive Closure resources will be made available alongside the US Edition of SNOMED CT as a bundled zip download - SnomedCT_TransitiveClosureResourcesRF2_PRODUCTION_YYYYMMDDT120000Z.zip. The following resources will be updated and bundled together and made available with each new US Edition release:
        • res2_TransitiveClosure_US1000124_YYYYMMDD.txt
        • tls2_TransitiveClosure_US1000124_YYYYMMDD.pl

    Any questions or comments regarding these changes can be sent to NLM Customer Support https://support.nlm.nih.gov/.


Please Note - Previous Changes made in the September 2019 US Edition

  1. File changes in the September 2019 US Edition


    As reported in March 2019, to continue to align with the SNOMED CT International Edition, the following changes have been implemented in the September 2019 US Edition. These changes will allow for the continued efforts towards having a zip file including only data with additional supplemental documentation and artifacts available separately.

    • Deprecation of the Documentation folder
    • Deprecation of the doc_Icd10MapTechnicalGuideExemplars_[date].xlsx file
    • Removal of SNOMED CT to ICD-10-CM documentation and resources from the US Edition download and made available alongside the US Edition of SNOMED CT as a bundled download - SNOMED CT to ICD-10-CM Mapping Resources.


    Please see section "3.3.1 File Changes in the September 2019 US Edition" in the September 2019 SNOMED CT US Edition Release Notes for more information.

  2. Combination of two new refsets - OWLAxiom and OWLOntology


    The US Edition is following the International Edition with the changes to the Stated Relationships and two new OWL refsets.

    Please see section "3.3.2 Combination of two new refsets - OWLAxiom and OWLOntology" in the September 2019 SNOMED CT US Edition Release Notes for more information.

  3. Replacement of the Stated Relationship files with the new OWL Axiom refset files


    The International Edition and US Edition packages will include both inactive Stated Relationships plus a complete OWL file (combined) from July 2019 (International content) and September 2019 (US Extension content) effectiveTime onwards (ie) with NO history of OWL records that weren’t included in the January 2019 International Edition and March 2019 US Edition package (as opposed to the optional package).

    Please see section "3.3.3 Replacement of the Stated Relationship files with the new OWL Axiom refset files" in the September 2019 SNOMED CT US Edition Release Notes for more information.

  4. RF2 package format


    Similar to the International Edition, the US Edition will follow the technical specifications for RF2 packaging format.

    Please see section "3.3.4 RF2 package format" in the September 2019 SNOMED CT US Edition Release Notes for more information.

September 2019

Version: 20190901

Release Date: September 1, 2019


The September 2019 SNOMED CT United States (US) Edition release is now available for download. This release includes an updated SNOMED CT to ICD-10-CM mapping reference with over 123,000 SNOMED CT source concepts mapped to ICD-10-CM targets. Please note that no new US-specific concepts were added in this release.


Download Now!

MD5 hash: 5bb4db2a14ae1dd022722f775b6de9df

Download | View Release Notes

Download SNOMED CT to ICD-10-CM Mapping Resources

MD5 hash: 13d5a948881e9ba5992ca7482d7a801d

View Release Notes

View Technical Specifications


Announcement - File Changes Expected in the March 2020 US Edition

To continue to align with the SNOMED CT International Edition, the following changes will be implemented starting with the March 2020 US Edition. These changes will allow for the continued efforts towards having a zip file including only data with additional supplemental documentation and artifacts available separately.

  • Deprecation of the Resources folder
    • This aligns with the SNOMED CT International Edition release package which no longer includes a Resources folder.
  • Removal of Transitive Closure resources from the US Edition release zip file
    • The Transitive Closure resources will be made available alongside the US Edition of SNOMED CT as a bundled zip download. The following resources will be updated and bundled together and made available with each new US Edition release:
      • res2_TransitiveClosure_US1000124_YYYYMMDD.txt
      • tls2_TransitiveClosure_US1000124_YYYYMMDD.pl

Any questions or comments regarding these upcoming changes can be sent to NLM Customer Support https://support.nlm.nih.gov/.

Please Note - Important changes in the September 2019 US Edition

  1. File Changes in the September 2019 US Edition


    As reported in March 2019, to continue to align with the SNOMED CT International Edition, the the following changes have been implemented in this September 2019 US Edition. These changes will allow for the continued efforts towards having a zip file including only data with additional supplemental documentation and artifacts available separately.

    • Deprecation of the Documentation folder
    • Deprecation of the doc_Icd10MapTechnicalGuideExemplars_[date].xlsx file
    • Removal of SNOMED CT to ICD-10-CM documentation and resources from the US Edition download and made available alongside the US Edition of SNOMED CT as a bundled download - SNOMED CT to ICD-10-CM Mapping Resources.


    Please see section "3.3.1 File Changes in the September 2019 US Edition" in the September 2019 SNOMED CT US Edition Release Notes for more information.

  2. Combination of two new refsets - OWLAxiom and OWLOntology


    The US Edition is following the International Edition with the changes to the Stated Relationships and two new OWL refsets.

    Please see section "3.3.2 Combination of two new refsets - OWLAxiom and OWLOntology" in the September 2019 SNOMED CT US Edition Release Notes for more information.

  3. Replacement of the Stated Relationship files with the new OWL Axiom refset files


    The International Edition and US Edition packages will include both inactive Stated Relationships plus a complete OWL file (combined) from July 2019 (International content) and September 2019 (US Extension content) effectiveTime onwards (ie) with NO history of OWL records that weren’t included in the January 2019 International Edition and March 2019 US Edition package (as opposed to the optional package).

    Please see section "3.3.3 Replacement of the Stated Relationship files with the new OWL Axiom refset files" in the September 2019 SNOMED CT US Edition Release Notes for more information.

  4. RF2 package format


    Similar to the International Edition, the US Edition will follow the technical specifications for RF2 packaging format.

    Please see section "3.3.4 RF2 package format" in the September 2019 SNOMED CT US Edition Release Notes for more information.


March 2019

Version: 20190301

Release Date: March 1, 2019


The March 2019 SNOMED CT United States (US) Edition release is now available for download. In addition to 410 new concepts specific for the US, the March 2019 SNOMED CT US Edition also contains all of the content from the January 2019 SNOMED CT International Edition. This release includes and updated SNOMED CT to ICD-10-CM mapping reference with over 123,000 SNOMED CT source concepts mapped to ICD-10-CM targets.


Download Now!

Download Release Notes

View Release Notes

Download Mapping Refset Release Notes

MD5 hash:

RF2 package: af160d6f03bdbc8cb245ac50ab0041d1


Additional Resources

View Mapping Refset Release Notes

Download Mapping Refset Exemplar File (xlsx)

Download Mapping Refset Technical Specifications (PDF)

Download ICD10CM Human Readable Map


Announcement - To continue to align with the SNOMED CT International Edition, the US Edition will implement the following file changes starting with the September 2019 US Edition. These changes will allow for the continued efforts towards having a zip file including only data with additional supplemental documentation and artifacts available separately.

  • Deprecation of the Documentation folder
    • This aligns with the SNOMED CT International Edition release package which no longer includes a Documentation file.
  • Deprecation of the doc_Icd10MapTechnicalGuideExemplars_[date].xlsx file
  • Removal of SNOMED CT to ICD-10-CM documentation and resources from the US Edition download
    • The SNOMED CT to ICD-10-CM documentation and resources will be made available alongside the US Edition of SNOMED CT as a bundled download - SNOMED_CT_to_ICD-10-CM_Resources_YYYYMMDD.zip. The following resources will be updated for each release and bundled together and made available with each new US Edition release:
      • doc_Icd10cmMapReleaseNotes_Current-en-US_US1000124_YYYYMMDD.pdf (will be available as an online resource and in the download)
      • doc_Icd10cmMapTechnicalGuideExemplars_Current-en-US_US1000124_YYYYMMDD.xlsx
      • doc_Icd10cmMapTechnicalSpecifications_Current-en-US_US1000124_YYYYMMDD.pdf (will be available as an online resource and in the download)
      • tls_Icd10cmHumanReadableMap_US1000124_YYYYMMDD.tsv

Any questions or comments regarding these upcoming changes can be sent to NLM Customer Support https://support.nlm.nih.gov/.

Version: September 2018

The September 2018 SNOMED CT United States (US) Edition release is now available for download. In addition to 623 new concepts specific for the US, the September 2018 SNOMED CT US Edition also contains all of the content from the July 2018 SNOMED CT International Edition. Approximately 543 requests for terminology additions and updates were submitted via the US Content Request System (US CRS) to support US clinical health information data exchange. This latest version of the US Edition also includes the SNOMED CT to ICD-10-CM reference set, with over 123,000 SNOMED CT source concepts mapped to ICD-10-CM targets.

Download Now!

Download Release Notes

View Release Notes

Download Mapping Refset Release Notes

Additional Resources

View Mapping Refset Release Notes

Download Mapping Refset Exemplar File (xlsx)

Download Mapping Refset Technical Specifications (PDF)

Version: March 2018

The March 2018 SNOMED CT United States (US) Edition release is now available for download. In addition to 363 new concepts specific for the US, the March 2018 SNOMED CT US Edition also contains all of the content from the January 2018 SNOMED CT International Edition. Approximately 200 requests for terminology additions and updates were submitted via the US Content Request System (US CRS) to support US clinical health information data exchange. This latest version of the US Edition also includes the SNOMED CT to ICD-10-CM mapping reference set, with over 122,000 SNOMED CT source concepts mapped to ICD-10-CM targets. The mapping refset is also released as a standalone download.

Download Now View Release Notes Download Release Notes

Version: September 2017

The September 2017 SNOMED CT United States (US) Edition release is now available for download. In addition to 514 new concepts specific for the US, the September 2017 SNOMED CT US Edition also contains all of the content from the July 2017 International Release of SNOMED CT. Over 1000 requests for terminology inclusions and changes were submitted via USCRS. Additionally, this latest version of the US Edition includes new CMT content in the musculoskeletal, ophthalmology, cardiology, neurology and emergency department areas.

Download Now!

View Release Notes

Download Release Notes

Version: March 2017

The March 2017 SNOMED CT United States (US) Edition release is now available for download. In addition to 490 new concepts specific to the US, the March 2017 SNOMED CT US Edition also contains all of the content from the January 2017 International Release of SNOMED CT. The release also includes the updated SNOMED CT to ICD-10-CM map (version 20170301).

Please note: The September 2016 US Edition of SNOMED CT had marked the last RF1 release. The International Health Terminology Standards Development Organisation (IHTSDO) and NLM now only produce SNOMED CT International and US Editions in RF2 release file format. This is as per the IHTSDO deprecation and withdrawal of support for SNOMED CT RF1.

Release Notes and Stats

Download Now!

Version: September 2016

In addition to 565 new concepts specific to the US, the September 2016 US Edition of SNOMED CT also contains all of the content from the July 2016 International Release of SNOMED CT. The release also includes the SNOMED CT to ICD-10-CM map (version 20160301) released by NLM in July 2016.

Please note: This September 2016 US Edition of SNOMED CT marks the last RF1 release. Going forward the International Health Terminology Standards Development Organisation (IHTSDO) and NLM will only produce the RF2 release files for SNOMED CT. This includes the International and US Editions of SNOMED CT. This is as per the IHTSDO deprecation and withdrawal of support for SNOMED CT RF1.


Release Notes and Stats

Download RF2 Files Now!

Download RF1 Files Now!

Version: March 2016

Release Notes for March Release: In addition to 722 new concepts specific to the US, the March 2016 US Edition of SNOMED CT also contains all of the content from the January 2016 International Release of SNOMED CT. New content includes CMT content in the specialization areas of ophthalmology, pediatric medicine, musculoskeletal, skin and respiratory, endocrine and hematology/oncology. Additional areas also include emergency medical services and content for US Meaningful Use.

Please note: The IHTSDO has announced the deprecation and withdrawal of support for RF1 format. The plan and timeline can be reviewed here. NLM will align with the deprecation timeline for the US Edition RF1 release.


Release Notes and Stats

Download RF2 Files Now!

Download RF1 Files Now!

Version: September 2015

Release Notes for September Release: In addition to 991 new concepts specific to the US, the September 2015 US Edition of SNOMED CT also contains all of the content from the July 2015 International Release of SNOMED CT. The US Edition of SNOMED CT is the official source of SNOMED CT for use in US healthcare systems. Please note, that similar to the International release, the US Edition RF1 and RF2 release files are now available as two separate downloads. The IHTSDO has announced the deprecation and withdrawal of support for RF1 format. The plan and timeline can be reviewed on the IHTSDO News page. NLM will align with the deprecation timeline for the US Edition RF1 release.

March 23, 2016 Update: Due to an error found in the RF1 Relationships file, the RF1 September 2015 US Edition of SNOMED CT download has been temporarily removed. We recommend the March 2016 US Edition of SNOMED CT is used instead.

Release Notes and Stats

RF2 September 2015 US Edition

Version: March 2015

Release Notes for March Release: In addition to 839 new concepts specific to the US, the March US Edition of SNOMED CT also contains all of the content from the January 2015 International Release of SNOMED CT. The US Edition is the official source of SNOMED CT for use in US healthcare systems. Please note, that this release file was updated July 22, 2015.

RF2 March 2015 US Edition

RF1 March 2015 US Edition

SNOMED CT International Archive Files

Version: September 2023 SNOMED CT Spanish Edition

Versión Septiembre 2023 de la Edición en Español de SNOMED CT

Release Date: 2023-09-30

Download Spanish Edition Files Now (version 20230930)

Download Release NotesView Starter Guide

Online version of Release Notes

MD5 hash for RF2 package:

a8fc30a504960ce9e5adc956368f49ce


NOTE: For the latest SNOMED CT SARS-CoV-2/COVID-19 content, see: http://snomed.org/covid-19

Version: December 2023

Release Date: December 1, 2023

SNOMED CT terminology provides a common language that enables a consistent way of indexing, storing, retrieving, and aggregating clinical data across specialties and sites of care. The release notes provide a summarized description of the content changes included in the December 2023 release.

Download RF2 Files Now!Download Release Notes

Online version of Release Notes

MD5 hash for RF2 package:

aad4a087a61e49d950c4c6d3386eeedf


Version: November 2023

Release Date: November 1, 2023

SNOMED CT terminology provides a common language that enables a consistent way of indexing, storing, retrieving, and aggregating clinical data across specialties and sites of care. The release notes provide a summarized description of the content changes included in the November 2023 release.

Download RF2 Files Now!Download Release Notes

Online version of Release Notes

MD5 hash for RF2 package:

47dfe66e4c4e7c987afbc66dbf8eb587


Version: October 2023

Release Date: October 1, 2023

SNOMED CT terminology provides a common language that enables a consistent way of indexing, storing, retrieving, and aggregating clinical data across specialties and sites of care. The release notes provide a summarized description of the content changes included in the October 2023 release.

Download RF2 Files Now!Download Release Notes

Online version of Release Notes

MD5 hash for RF2 package:

e9b47b0441b088677f53eb32859bd8d0


Version: September 2023

Release Date: September 1, 2023

SNOMED CT terminology provides a common language that enables a consistent way of indexing, storing, retrieving, and aggregating clinical data across specialties and sites of care. The release notes provide a summarized description of the content changes included in the September 2023 release.

Download RF2 Files Now!Download Release Notes

Online version of Release Notes

MD5 hash for RF2 package:

7653a55837d46c19cc409e03bd177ee6


Version: July 2023

Release Date: July 31, 2023

SNOMED CT terminology provides a common language that enables a consistent way of indexing, storing, retrieving, and aggregating clinical data across specialties and sites of care. The release notes provide a summarized description of the content changes included in the July 2023 release.

Download RF2 Files Now!Download Release Notes

Online version of Release Notes

MD5 hash for RF2 package:

40b41592849fab3f2b06be4c1265c746


Version: June 2023

Release Date: June 30, 2023

SNOMED CT terminology provides a common language that enables a consistent way of indexing, storing, retrieving, and aggregating clinical data across specialties and sites of care. The release notes provide a summarized description of the content changes included in the June 2023 release.

Download RF2 Files Now!Download Release Notes

Online version of Release Notes

MD5 hash for RF2 package:

7d7182f0704d31f205eca2295995864e


Version: May 2023

Release Date: May 26, 2023

SNOMED CT terminology provides a common language that enables a consistent way of indexing, storing, retrieving, and aggregating clinical data across specialties and sites of care. The release notes provide a summarized description of the content changes included in the May 2023 release.

Download RF2 Files Now!Download Release Notes

Online version of Release Notes

MD5 hash for RF2 package:

05a841b9480958e11f8cbe2c72ade951


Version: April 2023

Release Date: April 28, 2023

SNOMED CT terminology provides a common language that enables a consistent way of indexing, storing, retrieving, and aggregating clinical data across specialties and sites of care. The release notes provide a summarized description of the content changes included in the April 2023 release.

Download RF2 Files Now!Download Release Notes

Online version of Release Notes

MD5 hash for RF2 package:

0290ad7f6e431063166afd91cd2b8c37


Version: March 2023

Release Date: March 31, 2023

SNOMED CT terminology provides a common language that enables a consistent way of indexing, storing, retrieving, and aggregating clinical data across specialties and sites of care. The release notes provide a summarized description of the content changes included in the March 2023 release.

Download RF2 Files Now!Download Release Notes

Online version of Release Notes

MD5 hash for RF2 package:

539d2389dfd3da43b26b244d3cdc666d


Version: February 2023

Release Date: February 28, 2023

SNOMED CT terminology provides a common language that enables a consistent way of indexing, storing, retrieving, and aggregating clinical data across specialties and sites of care. The release notes provide a summarized description of the content changes included in the February 2023 release.

Download RF2 Files Now!Download Release Notes

Online version of Release Notes

MD5 hash for RF2 package:

21613f1efa32c2d8a04c873b95d908c0


Version: January 2023

Release Date: January 31, 2023

SNOMED CT terminology provides a common language that enables a consistent way of indexing, storing, retrieving, and aggregating clinical data across specialties and sites of care. The release notes provide a summarized description of the content changes included in the January 2023 release.

Download RF2 Files Now!Download Release Notes

Online version of Release Notes

MD5 hash for RF2 package:

2e231dc0a03c0444a195191e72296b98


Version: April 2023 SNOMED CT Spanish Edition

Versión Abril 2023 de la Edición en Español de SNOMED CT

Release Date: 2023-04-28

Download Spanish Edition Files Now (version 20230430)

Download Release NotesView Starter Guide

Online version of Release Notes

MD5 hash for RF2 package:

9d9ec5be435a29eb91b2b71da21e71b

Please Note: The IHTSDO may be notified of users who download SNOMED CT from non-Member countries.

July 2022 SNOMED CT Odontogram Refset Package

Version: July 2022 v1.0

Release Date: 2022-11-09


This package contains the SNOMED CT Odontogram refset, which includes a set of SNOMED CT content from the International Release - primarily terms from four of the SNOMED CT hierarchies:

  1. Procedures
  2. Body Structures
  3. Findings
  4. Disorders

For those who are starting to implement SNOMED CT in Dentistry, you should be aware that SNOMED CT contains a large amount of content relevant to the profession. An additional related product is the SNOMED CT General Dentistry Diagnostic refset package.

This is the Production release of the July 2022 SNOMED CT Odontogram refset package.

This package is provided in Release Format 2 (RF2) format only. It is dependent upon the SNOMED CT July 2022 International Edition, and so should be consumed and analysed accordingly.

For more information please refer to the release notes, which can either be downloaded from this repository, or accessed online here: SNOMED CT Odontogram refset package Release Notes - July 2022


Download SNOMED CT Odontogram Refset (Version 20221130)

Download SNOMED CT Odontogram Release NotesView Release Notes

MD5 hash for RF2 package:

e057ed2f6902188ad4ed12d1aa7feaa5


July 2022 SNOMED CT General Dentistry Diagnostic Refset Package

Version: July 2022 v1.0

Release Date: 2022-11-09


The SNOMED CT General Dentistry Diagnostic refset package contains the SNOMED CT General Dentistry refset of diagnostic terms, designed to provide dentistry with an easy to implement set of terms that covers the vast majority of care provided in the dental field.

This is the Production release of the July 2022 SNOMED CT General Dentistry Diagnostic refset package.

This package is provided in Release Format 2 (RF2) format only. It is dependent upon the SNOMED CT July 2022 International Edition, and so should be consumed and analysed accordingly.

For more information please refer to the release notes, which can either be downloaded from this repository, or accessed online here: SNOMED CT General Dentistry Diagnostic refset package Release Notes - July 2022


Download SNOMED CT General Dentistry Diagnostic Refset (Version 20211031)

Download SNOMED CT General Dentistry Diagnostic Release NotesView Release Notes

MD5 hash for RF2 package:

177b7d300c2f8e5f07a4bf572b8e1879


July 2022 SNOMED CT International Patient Set (IPS) Refset

Version: July 2022 v1.0

Release Date: 2022-11-08

This is the Production release of the July 2022 SNOMED CT International Patient Set (IPS) Refset.

This package is provided in Release Format 2 (RF2) format only. It is dependent upon the SNOMED CT July 2022 International Edition, and so should be consumed and analysed accordingly.

For more information please refer to the release notes, which can either be downloaded from this repository, or accessed online here: SNOMED CT International Patient Set (IPS) Release Notes - July 2022

Download SNOMED CT International Patient Set (IPS) RefsetDownload Release Notes

MD5 hash for RF2 package:

003ecf02b49b5ec9c775eb90818803f3


July 2022 SNOMED CT Orphanet Map package

Version: July 2022

Release Date: 2022-11-02

This is the Production release of the July 2022 SNOMED CT Orphanet Map package.

This package is provided in Release Format 2 (RF2) format only. It is dependent upon the SNOMED CT July 2022 International Edition, and so should be consumed and analysed accordingly.

For more information please refer to the release notes, which can either be downloaded from this repository, or accessed online here: SNOMED CT Orphanet Map package Release Notes - July 2022

Download SNOMED CT Orphanet Map package

Download Release NotesView Release Notes

MD5 hash for RF2 package:

ef3feaadbdef6db16d188173d20e81c6


May 2022 SNOMED CT MedDRA Simple Map Package

Version: May 2022

Release Date: 2022-05-11

This is the Production release of the May 2022 SNOMED CT MedDRA Simple Map package.

This package is provided in Release Format 2 (RF2) format only. It is dependent upon the SNOMED CT January 2022 International Edition, and so should be consumed and analysed accordingly.

For more information please refer to the release notes, which can either be downloaded from this repository, or accessed online here: SNOMED CT MedDRA Simple Map Release Notes - May 2022

Download SNOMED CT MedDRA Simple Map Package

Download Release NotesView Release Notes

MD5 hash for RF2 package:

9e18fcb3048f1554f79457626b82aa0c


Version: October 2022 SNOMED CT Spanish Edition

Versión Octubre 2022 de la Edición en Español de SNOMED CT

Release Date: 2022-10-31

Download Spanish Edition Files Now (version 20221031)

Download Release NotesView Starter Guide

Online version of Release Notes

MD5 hash for RF2 package:

ab100cf50d292cdb62801baf9159ba15

Please Note: The IHTSDO may be notified of users who download SNOMED CT from non-Member countries.

NOTE: For the latest SNOMED CT SARS-CoV-2/COVID-19 content, see: http://snomed.org/covid-19

Version: December 2022

Release Date: December 31, 2022

SNOMED CT terminology provides a common language that enables a consistent way of indexing, storing, retrieving, and aggregating clinical data across specialties and sites of care. The release notes provide a summarized description of the content changes included in the December 2022 release.

Download RF2 Files Now!Download Release Notes

Online version of Release Notes

MD5 hash for RF2 package:

1cae1052df3246b111e08ea1405f4898


Version: November 2022

Release Date: November 30, 2022

SNOMED CT terminology provides a common language that enables a consistent way of indexing, storing, retrieving, and aggregating clinical data across specialties and sites of care. The release notes provide a summarized description of the content changes included in the November 2022 release.

Download RF2 Files Now!Download Release Notes

Online version of Release Notes

MD5 hash for RF2 package:

99145b977042939fe11b04325a6e6937


Version: October 2022

Release Date: October 31, 2022

SNOMED CT terminology provides a common language that enables a consistent way of indexing, storing, retrieving, and aggregating clinical data across specialties and sites of care. The release notes provide a summarized description of the content changes included in the October 2022 release.

Download RF2 Files Now!Download Release Notes

Online version of Release Notes

MD5 hash for RF2 package:

02203698c8834021dadffd7bac4fb00f


Version: September 2022

Release Date: September 30, 2022

SNOMED CT terminology provides a common language that enables a consistent way of indexing, storing, retrieving, and aggregating clinical data across specialties and sites of care. The release notes provide a summarized description of the content changes included in the September 2022 release.

Download RF2 Files Now!Download Release Notes

Online version of Release Notes

MD5 hash for RF2 package:

902ec61f6ada329bfd6bc487fe7adab0


Version: August 2022

Release Date: August 31, 2022

SNOMED CT terminology provides a common language that enables a consistent way of indexing, storing, retrieving, and aggregating clinical data across specialties and sites of care. The release notes provide a summarized description of the content changes included in the August 2022 release.

Download RF2 Files Now!Download Release Notes

Online version of Release Notes

MD5 hash for RF2 package:

9897ac9df956f07d5dcc0c28d9a640b9


Version: July 2022

Release Date: July 31, 2022

SNOMED CT terminology provides a common language that enables a consistent way of indexing, storing, retrieving, and aggregating clinical data across specialties and sites of care. The release notes provide a summarized description of the content changes included in the July 2022 release.

Download RF2 Files Now!Download Release Notes

Online version of Release Notes

MD5 hash for RF2 package:

bd184fd914ca7ce88233cff484b3ab21


Version: June 2022

Release Date: June 30, 2022

SNOMED CT terminology provides a common language that enables a consistent way of indexing, storing, retrieving, and aggregating clinical data across specialties and sites of care. The release notes provide a summarized description of the content changes included in the June 2022 release.

Download RF2 Files Now!Download Release Notes

Online version of Release Notes

MD5 hash for RF2 package:

4eaada7751934b1b48f5d02a02842c89


Version: May 2022

Release Date: May 31, 2022

SNOMED CT terminology provides a common language that enables a consistent way of indexing, storing, retrieving, and aggregating clinical data across specialties and sites of care. The release notes provide a summarized description of the content changes included in the May 2022 release.

Download RF2 Files Now!Download Release Notes

Online version of Release Notes

MD5 hash for RF2 package:

5e4e7b8907abcb61e2d6142068ca0efe


Version: April 2022

Release Date: April 29, 2022

SNOMED CT terminology provides a common language that enables a consistent way of indexing, storing, retrieving, and aggregating clinical data across specialties and sites of care. The release notes provide a summarized description of the content changes included in the April 2022 release.

Download RF2 Files Now!Download Release Notes

Online version of Release Notes

MD5 hash for RF2 package:

07ad1a49526aacd3f688440715c1ce42


Version: March 2022

Release Date: March 31, 2022

SNOMED CT terminology provides a common language that enables a consistent way of indexing, storing, retrieving, and aggregating clinical data across specialties and sites of care. The release notes provide a summarized description of the content changes included in the March 2022 release.

Download RF2 Files Now!Download Release Notes

Online version of Release Notes

MD5 hash for RF2 package:

cec4778f72f565c1e570e27dc529ec30


Version: February 2022

Release Date: February 28, 2022

SNOMED CT terminology provides a common language that enables a consistent way of indexing, storing, retrieving, and aggregating clinical data across specialties and sites of care. The release notes provide a summarized description of the content changes included in the February 2022 release.

Download RF2 Files Now!Download Release Notes

Online version of Release Notes

MD5 hash for RF2 package:

6822bf15976f1dccf10386db8e2cc1a6


Version: January 2022

Release Date: January 31, 2022

SNOMED CT terminology provides a common language that enables a consistent way of indexing, storing, retrieving, and aggregating clinical data across specialties and sites of care. The release notes provide a summarized description of the content changes included in the January 2022 release.

Download RF2 Files Now!Download Release Notes

Online version of Release Notes

MD5 hash for RF2 package:

e6105424dca4e87514ca9a034057ec99


Version: April 2022 SNOMED CT Spanish Edition

Versión Abril 2022 de la Edición en Español de SNOMED CT

Release Date: 2022-04-29

Download Spanish Edition Files Now (version 20220430)

Download Release NotesView Starter Guide

Online version of Release Notes

MD5 hash for RF2 package:

27060d5522e403fd76807a3ac9963240

Please Note: The IHTSDO may be notified of users who download SNOMED CT from non-Member countries.

July 2021 SNOMED CT Odontogram Refset Package

Version: July 2021 v1.0

Release Date: 2021-10-27


This package contains the SNOMED CT Odontogram refset, which includes a set of SNOMED CT content from the International Release - primarily terms from four of the SNOMED CT hierarchies:

  1. Procedures
  2. Body Structures
  3. Findings
  4. Disorders

For those who are starting to implement SNOMED CT in Dentistry, you should be aware that SNOMED CT contains a large amount of content relevant to the profession. An additional related product is the SNOMED CT General Dentistry Diagnostic refset package.

This is the Production release of the July 2021 SNOMED CT Odontogram refset package.

This package is provided in Release Format 2 (RF2) format only. It is dependent upon the SNOMED CT July 2021 International Edition, and so should be consumed and analysed accordingly.

For more information please refer to the release notes, which can either be downloaded from this repository, or accessed online here: SNOMED CT Odontogram refset package Release Notes - July 2021


Download SNOMED CT Odontogram Refset (Version 20211031)

Download SNOMED CT Odontogram Release NotesView Release Notes

MD5 hash for RF2 package:

69af950c41e75d9939ff5718502a8616


July 2021 SNOMED CT General Dentistry Diagnostic Refset Package

Version: July 2021 v1.0

Release Date: 2021-10-27


The SNOMED CT General Dentistry Diagnostic refset package contains the SNOMED CT General Dentistry refset of diagnostic terms, designed to provide dentistry with an easy to implement set of terms that covers the vast majority of care provided in the dental field.

This is the Production release of the July 2021 SNOMED CT General Dentistry Diagnostic refset package.

This package is provided in Release Format 2 (RF2) format only. It is dependent upon the SNOMED CT July 2021 International Edition, and so should be consumed and analysed accordingly.

For more information please refer to the release notes, which can either be downloaded from this repository, or accessed online here: SNOMED CT General Dentistry Diagnostic refset package Release Notes - July 2021


Download SNOMED CT General Dentistry Diagnostic Refset (Version 20211031)

Download SNOMED CT General Dentistry Diagnostic Release NotesView Release Notes

MD5 hash for RF2 package:

4a3b9d61b4d252277fcf9823fc12c356


July 2021 General Practitioner/Family Practice Reference Set

Version: July 2021 v1.0

Release Date: 2021-10-28


This is the Production release of the July 2021 SNOMED CT International General/Family Practice subset (GP/FP Subset). This release is resulting work from the harmonization agreement between the IHTSDO and WONCA.

The version of SNOMED CT used is the July 2021 International Edition release.


Please note: SNOMED International and WONCA have decided to deprecate the SNOMED CT to ICPC-2 map. SNOMED International have therefore inactivated all ICPC-2 map records in the current release package, ceased publishing the ICPC-2 release notes, and removed references to ICPC-2 in package naming conventions. Please contact info@snomed.org with any questions, comments, or concerns.


Download GP/FP Release

Download GP/FP-SNOMED CT Release NotesView GP/FP-SNOMED CT Release Notes

MD5 hash for RF2 package:

1a169b11d7c19aaa3f4645bf27f48340


July 2021 SNOMED CT International Patient Set (IPS) Refset

Version: July 2021 v1.0

Release Date: 2021-10-27

This is the Production release of the July 2021 SNOMED CT International Patient Set (IPS) Refset.

This package is provided in Release Format 2 (RF2) format only. It is dependent upon the SNOMED CT July 2021 International Edition, and so should be consumed and analysed accordingly.

For more information please refer to the release notes, which can either be downloaded from this repository, or accessed online here: SNOMED CT International Patient Set (IPS) Release Notes - July 2021

Download SNOMED CT International Patient Set (IPS) RefsetDownload Release Notes

MD5 hash for RF2 package:

ec4663aebbc42c359547b338a40c07fb


July 2021 SNOMED CT ICNP Nursing Practice Refset

Version: July 2021

Release Date: 2021-10-21

This is the Production release of the July 2021 ICNP SNOMED CT Nursing Practice Refset package.

It also contains the one off release of the SNOMED CT to ICNP 2019 equivalence table, which will be published only once, and will not be maintained/updated in future ICNP Releases.

This package is provided in Release Format 2 (RF2) format only. It is dependent upon the SNOMED CT July 2021 International Edition, and so should be consumed and analysed accordingly.

For more information please refer to the release notes, which can either be downloaded from this repository, or accessed online here: SNOMED CT ICNP Nursing Practice Refset Release Notes - July 2021

Download SNOMED CT ICNP Nursing Practice Refset

Download Release NotesView Release Notes

MD5 hash for RF2 package:

c2fd58663a8689db4793daecfcf02752


July 2021 SNOMED CT Orphanet Map package

Version: July 2021

Release Date: 2021-10-28

This is the first Production release of the July 2021 SNOMED CT Orphanet Map package.

This package is provided in Release Format 2 (RF2) format only. It is dependent upon the SNOMED CT July 2021 International Edition, and so should be consumed and analysed accordingly.

For more information please refer to the release notes, which can either be downloaded from this repository, or accessed online here: SNOMED CT Orphanet Map package Release Notes - July 2021

Download SNOMED CT Orphanet Map package

Download Release NotesView Release Notes

MD5 hash for RF2 package:

10a6478b8667ade949c2192860f3c651


January 2021 SNOMED CT MedDRA Simple Map Package

Version: January 2021

Release Date: 2021-04-30

This is the Production release of the January 2021 SNOMED CT MedDRA Simple Map package.

This package is provided in Release Format 2 (RF2) format only. It is dependent upon the SNOMED CT January 2021 International Edition, and so should be consumed and analysed accordingly.

For more information please refer to the release notes, which can either be downloaded from this repository, or accessed online here: SNOMED CT MedDRA Simple Map Release Notes - January 2021

Download SNOMED CT MedDRA Simple Map Package

Download Release NotesView Release Notes

MD5 hash for RF2 package:

6993661ae397893750f525c189fa14f8


Version: October 2021 SNOMED CT Spanish Edition

Versión Octubre 2021 de la Edición en Español de SNOMED CT

Release Date: 2021-10-29

Download Spanish Edition Files Now (version 20211031)

Download Release NotesView Release NotesView Starter Guide

MD5 hash for RF2 package:

d5ce24052df5b3d6d46fbde696252d65

Please Note: The IHTSDO may be notified of users who download SNOMED CT from non-Member countries.

NOTE: For the latest SNOMED CT SARS-CoV-2/COVID-19 content, see: http://snomed.org/covid-19

Version: July 2021

Release Date: July 30, 2021

SNOMED CT terminology provides a common language that enables a consistent way of indexing, storing, retrieving, and aggregating clinical data across specialties and sites of care. The release notes provide a summarized description of the content changes included in the July 2021 release.

Download RF2 Files Now!

Download Release Notes

Online version of Release Notes

MD5 hashes:

RF2 package: b936e4df4b1b67a74f04b98c786a28ea

Release Notes: e365c00be755e4bc53a75ec5fd8d6162


Reminder: In 2015, SNOMED International (IHTSDO), announced the deprecation and withdrawal of support for Release Format 1 (RF1). The plan and timeline can be reviewed on the IHTSDO News page. This package is provided in RF2 only. Additionally, the Release Notes and OWL Resource file have been separated from the International Edition release package and are available as standalone downloads.


Version: April 2021 SNOMED CT Spanish Edition

Versión Abril 2021 de la Edición en Español de SNOMED CT

Release Date: 2021-04-30

Download Spanish Edition Files Now (version 20210430)

Download Release Notes

View Release Notes


MD5 hashes:

RF2 package: 652b3983b3eeeff53ee2770d8aa31418

Release Notes: 69b16b623579c819cd955280d31fbca2


Please Note: The IHTSDO may be notified of users who download SNOMED CT from non-Member countries.

NOTE: For the latest SNOMED CT SARS-CoV-2/COVID-19 content, see: http://snomed.org/covid-19

Version: January 2021

Release Date: January 31, 2021

SNOMED CT terminology provides a common language that enables a consistent way of indexing, storing, retrieving, and aggregating clinical data across specialties and sites of care. The release notes provide a summarized description of the content changes included in the January 2021 release.

Download RF2 Files Now!

Download Release Notes

Online version of Release Notes

MD5 hashes:

RF2 package: d06be1ff4de704d626915e44c9555f3a

Release Notes: dc0ae9dc7059a8d8b74f1438aa00f968


Reminder: In 2015, SNOMED International (IHTSDO), announced the deprecation and withdrawal of support for Release Format 1 (RF1). The plan and timeline can be reviewed on the IHTSDO News page. This package is provided in RF2 only. Additionally, the Release Notes and OWL Resource file have been separated from the International Edition release package and are available as standalone downloads.

July 2020 SNOMED CT Nursing Activities Refset Package

Version: July 2020 v1.0

Release Date: 2020-10-07


This is the Production release of the July 2020 SNOMED CT Nursing Activities refset package.

This package is provided in Release Format 2 (RF2) format only. It is dependent upon the SNOMED CT July 2020 International Edition, and so should be consumed and analysed accordingly.

For more information please refer to the release notes, which can either be downloaded from this repository, or accessed online here: SNOMED CT Nursing Activities Reference Set Release Notes - July 2020


Download SNOMED CT Nursing Activities Refset

Download Release Notes

View Release Notes

File checksum (MD5):

RF2 package: c994d2a3a68e67c4cc3f232b0666dfe2

Release Notes: 42972563497c5e7a621139f0e03ae8b5


July 2020 SNOMED CT Nursing Health Issues Refset Package

Version: July 2020 v1.0

Release Date: 2020-10-07


This is the Production release of the July 2020 SNOMED CT Nursing Health Issues refset package.

This package is provided in Release Format 2 (RF2) format only. It is dependent upon the SNOMED CT July 2020 International Edition, and so should be consumed and analysed accordingly.

For more information please refer to the release notes, which can either be downloaded from this repository, or accessed online here: SNOMED CT Nursing Health Issues Reference Set Release Notes - July 2020


Download SNOMED CT Nursing Health Issues Refset

Download Release Notes

View Release Notes

File checksum (MD5):

RF2 package: 18edec1e5c555727fc8e207eb197d083

Release Notes: 8e6863419f613f8583cc94bd3e5bd26c


July 2020 General Practitioner/Family Practice Reference Set

Version: July 2020 v1.0

Release Date: 2020-10-12


This is the Production release of the July 2020 SNOMED CT International General/Family Practice subset (GP/FP Subset). This release is resulting work from the harmonization agreement between the IHTSDO and WONCA.

The version of SNOMED CT used is the July 2020 International Edition release.


Please note: SNOMED International and WONCA have decided to deprecate the SNOMED CT to ICPC-2 map. SNOMED International have therefore inactivated all ICPC-2 map records in the current release package, ceased publishing the ICPC-2 release notes, and removed references to ICPC-2 in package naming conventions. Please contact info@snomed.org with any questions, comments, or concerns.


Download GP/FP Release

Download GP/FP-SNOMED CT Release Notes

View GP/FP-SNOMED CT Release Notes

File checksum (MD5):

RF2 package: 64d313cdbaa10c58e07a05cd30bbd537

GP/FP Release Notes: 1fd322a2c8789af3527508fe120bc80a


July 2020 SNOMED CT General Dentistry Diagnostic Refset Package

Version: July 2020 v1.0

Release Date: 2020-09-18


The SNOMED CT General Dentistry Diagnostic refset package contains the SNOMED CT General Dentistry refset of diagnostic terms, designed to provide dentistry with an easy to implement set of terms that covers the vast majority of care provided in the dental field.

This is the Production release of the July 2020 SNOMED CT General Dentistry Diagnostic refset package.

This package is provided in Release Format 2 (RF2) format only. It is dependent upon the SNOMED CT July 2020 International Edition, and so should be consumed and analysed accordingly.

For more information please refer to the release notes, which can either be downloaded from this repository, or accessed online here: SNOMED CT General Dentistry Diagnostic refset package Release Notes - July 2020


Download SNOMED CT General Dentistry Diagnostic Refset (Version 20200924)

Download SNOMED CT General Dentistry Diagnostic Release Notes

View Release Notes

File checksum (MD5):

RF2 package: 6c9a6b17514a503b20a27cbbee64a3aa

Release Notes: 587bfb0034dd92ae7de87f28d03bc39c


July 2020 SNOMED CT Odontogram Refset Package

Version: July 2020 v1.0

Release Date: 2020-10-07


This package contains the SNOMED CT Odontogram refset, which includes a set of SNOMED CT content from the International Release - primarily terms from four of the SNOMED CT hierarchies:

  1. Procedures
  2. Body Structures
  3. Findings
  4. Disorders

For those who are starting to implement SNOMED CT in Dentistry, you should be aware that SNOMED CT contains a large amount of content relevant to the profession. An additional related product is the SNOMED CT General Dentistry Diagnostic refset package.

This is the Production release of the July 2020 SNOMED CT Odontogram refset package.

This package is provided in Release Format 2 (RF2) format only. It is dependent upon the SNOMED CT July 2020 International Edition, and so should be consumed and analysed accordingly.

For more information please refer to the release notes, which can either be downloaded from this repository, or accessed online here: SNOMED CT Odontogram refset package Release Notes - July 2020


Download SNOMED CT Odontogram Refset (Version 20201031)

Download SNOMED CT Odontogram Release Notes

View Release Notes

File checksum (MD5):

RF2 package: 27501c08e89140693d8dea98edec9874

Release Notes: 99cd05e2cb8b8e84ea1015f73b4719f0


July 2020 SNOMED CT International Patient Set (IPS) Refset

Version: July 2020 v1.0

Release Date: 2020-09-30


This is the Production release of the July 2020 SNOMED CT International Patient Set (IPS) Refset.

This package is provided in Release Format 2 (RF2) format only. It is dependent upon the SNOMED CT July 2020 International Edition, and so should be consumed and analysed accordingly.

For more information please refer to the release notes, which can either be downloaded from this repository, or accessed online here: SNOMED CT International Patient Set (IPS) Release Notes - July 2020


Download SNOMED CT International Patient Set (IPS) Refset

Download Release Notes

View Release Notes

File checksum (MD5):

RF2 package: e8d4eb4a0e951faffcd32123bd053849

Release Notes: 30204d8c27b49150cb37bbbfa0a80b72


Version: October 2020 SNOMED CT Spanish Edition

Versión Octubre 2020 de la Edición en Español de SNOMED CT

Release Date: 2020-10-31

Download Spanish Edition Files Now (version 20201031)

Download Release Notes

View Release Notes


MD5 hashes:

RF2 package: 34448097c5304fa68218eb3a8231ef28

Release Notes: cda96f5f3ec02981012360a33f1448c8


Please Note: The IHTSDO may be notified of users who download SNOMED CT from non-Member countries.

NOTE: For the latest SNOMED CT SARS-CoV-2/COVID-19 content, see: http://snomed.org/covid-19

Version: July 2020

Release Date: July 31, 2020

SNOMED CT terminology provides a common language that enables a consistent way of indexing, storing, retrieving, and aggregating clinical data across specialties and sites of care. The release notes provide a summarized description of the content changes included in the July 2020 release.

This release includes an optional July 2020 Additional Rollup Delta release package that is meant only for users who have NOT already incorporated the March 2020 Interim International Edition release in their systems. This Rollup Delta package will allow these users to update their systems to the latest content.

Please see the July 2020 Additional Rollup Delta release Package section for the required files.

Download RF2 Files Now!

Download Release Notes

Online version of Release Notes

MD5 hashes:

RF2 package: b9bcf1666b65650e9917087894a8edb4


July 2020 Additional Rollup Delta Release Package

Please Note: Users who have downloaded and used the March 2020 Interim International Edition in their systems do not need to use this additional Rollup Delta package as this may cause duplication issues.

Download RF2 Files Now!

Download Release Notes

Online version of Release Notes

MD5 hashes:

RF2 package: 46464c4a24000ed039f4960089f98e7d


Reminder: In 2015, SNOMED International (IHTSDO), announced the deprecation and withdrawal of support for Release Format 1 (RF1). The plan and timeline can be reviewed on the IHTSDO News page. This package is provided in RF2 only. Additionally, the Release Notes and OWL Resource file have been separated from the International Edition release package and are available as standalone downloads.


Version: April 2020 SNOMED CT Spanish Edition

Versión Abril 2020 de la Edición en Español de SNOMED CT

Release Date: 2020-04-30

Download Spanish Edition Files Now (version 20200430)

Download Release Notes

View Release Notes


MD5 hashes:

RF2 package: 97f0681229885bc2c37e98d440206031

Release Notes: 29d3192ce869b0651258935ee1db418d


Please Note: The IHTSDO may be notified of users who download SNOMED CT from non-Member countries.

NOTE: For the latest SNOMED CT SARS-CoV-2/COVID-19 content, see: http://snomed.org/covid-19

Version: March 2020 Interim

Release Date: March 9, 2020

This INTERIM International Edition Release has been created as part of the ongoing global effort to tackle the Coronavirus outbreak, and as such includes the updated Coronavirus descriptions for Members and implementers.

Please Note:This is a full International Edition Release package containing changes to the content detailed in the news item under the following conditions:

  • Following SNOMED International's critical incident policy, there will NOT be a recall of the January release, simply an update in response to international renaming, to ensure that SNOMED CT is current when assisting with the global Coronavirus effort.
  • Implementers are encouraged to update to the new edition, however, they are NOT obliged to do so as the concept modelling and identifiers are not being modified.
  • The entirety of these changes will also be incorporated into the upcoming July 2020 International Edition Release.

Download RF2 Files Now!

Download Release Notes

Online version of Release Notes

MD5 hashes:

RF2 package: d7ed47d7cbf8ae03160a3536ba2c55df


Version: January 2020

Release Date: January 31, 2020

SNOMED CT terminology provides a common language that enables a consistent way of indexing, storing, retrieving, and aggregating clinical data across specialties and sites of care. The release notes provide a summarized description of the content changes included in the January 2020 release.

Download RF2 Files Now!

Download Release Notes

Online version of Release Notes

MD5 hashes:

RF2 package: 2fc066c200a68a199f0c9a1510ec0e29


Reminder: In 2015, SNOMED International (IHTSDO), announced the deprecation and withdrawal of support for Release Format 1 (RF1). The plan and timeline can be reviewed on the IHTSDO News page. This package is provided in RF2 only. Additionally, the Release Notes and OWL Resource file have been separated from the International Edition release package and are available as standalone downloads.


Version: October 2019 SNOMED CT Spanish Edition

Versión Octubre 2019 de la Edición en Español de SNOMED CT

Release Date: 2019-10-31

Download Spanish Edition Files Now (version 20191031)

Download Release Notes

View Release Notes


MD5 hashes:

RF2 package: a4e25c6fc2faf7f1d45db97f2d49671c

Release Notes: 5864dc7e90fb888e22d86a4791ceb655


Please Note: The IHTSDO may be notified of users who download SNOMED CT from non-Member countries.

General Practitioner/Family Practice Reference Set

Version: July 2019 v1.0

Release Date: 2019-10-30


This is the Production release of the July 2019 SNOMED CT International General/Family Practice subset (GP/FP Subset). This release is resulting work from the harmonization agreement between the IHTSDO and WONCA.

The version of SNOMED CT used is the July 2019 International Edition release.


Please note: SNOMED International and WONCA have decided to deprecate the SNOMED CT to ICPC-2 map. SNOMED International have therefore inactivated all ICPC-2 map records in the current release package, ceased publishing the ICPC-2 release notes, and removed references to ICPC-2 in package naming conventions. Please contact info@snomed.org with any questions, comments, or concerns.


Download GP/FP Release

Download GP/FP-SNOMED CT Release Notes

View GP/FP-SNOMED CT Release Notes

File checksum (MD5):

RF2 package: 40449beacb75b1c86f3fbe79c1f9ee4b

GP/FP Release Notes: c4e300b3b6e8955b957dabe7afdcdd93


SNOMED CT Nursing Activities Refset Package

Version: July 2019 v1.0

Release Date: 2019-10-30


This is the Production release of the July 2019 SNOMED CT Nursing Activities refset package.

This package is provided in Release Format 2 (RF2) format only. It is dependent upon the SNOMED CT July 2019 International Edition, and so should be consumed and analysed accordingly.

For more information please refer to the release notes, which can either be downloaded from this repository, or accessed online here: SNOMED CT Nursing Activities Reference Set Release Notes - July 2019


Download SNOMED CT Nursing Activities Refset

Download Release Notes

View Release Notes

File checksum (MD5):

RF2 package: a4d55f6d08ff54e8543a08d8e2e15a13

Release Notes: d67e536751c6ef279626abd496fd78f1


SNOMED CT Nursing Health Issues Refset Package

Version: July 2019 v1.0

Release Date: 2019-10-30


This is the Production release of the July 2019 SNOMED CT Nursing Health Issues refset package.

This package is provided in Release Format 2 (RF2) format only. It is dependent upon the SNOMED CT July 2019 International Edition, and so should be consumed and analysed accordingly.

For more information please refer to the release notes, which can either be downloaded from this repository, or accessed online here: SNOMED CT Nursing Health Issues Reference Set Release Notes - July 2019


Download SNOMED CT Nursing Health Issues Refset

Download Release Notes

View Release Notes

File checksum (MD5):

RF2 package: f9fd79ec9ad6c518a28ccb41a3a09f22

Release Notes: ad84c3e81984e63e8e07ffeb1236dc9a


July 2019 SNOMED CT Odontogram refset package

Version: July 2019 v1.0

Release Date: 2019-10-30


This package contains the SNOMED CT Odontogram refset, which includes a set of SNOMED CT content from the International Release - primarily terms from four of the SNOMED CT hierarchies:

  1. Procedures
  2. Body Structures
  3. Findings
  4. Disorders

For those who are starting to implement SNOMED CT in Dentistry, you should be aware that SNOMED CT contains a large amount of content relevant to the profession. An additional related product is the SNOMED CT General Dentistry Diagnostic refset package.

This is the Production release of the July 2019 SNOMED CT Odontogram refset package.

This package is provided in Release Format 2 (RF2) format only. It is dependent upon the SNOMED CT July 2019 International Edition, and so should be consumed and analysed accordingly.

For more information please refer to the release notes, which can either be downloaded from this repository, or accessed online here: SNOMED CT Odontogram refset package Release Notes - July 2019


Download SNOMED CT Odontogram Refset (Version 20191030)

Download SNOMED CT Odontogram Release Notes

View Release Notes

File checksum (MD5):

RF2 package: af74ce3ad16d9cdd51f2c1e8470b88c7

Release Notes: b2f64c6ebdfb3054ee3c774dfb66239b


July 2019 SNOMED CT General Dentistry Diagnostic refset package

Version: July 2019 v1.0

Release Date: 2019-10-30


The SNOMED CT General Dentistry Diagnostic refset package contains the SNOMED CT General Dentistry refset of diagnostic terms, designed to provide dentistry with an easy to implement set of terms that covers the vast majority of care provided in the dental field.

This is the Production release of the July 2019 SNOMED CT General Dentistry Diagnostic refset package.

This package is provided in Release Format 2 (RF2) format only. It is dependent upon the SNOMED CT July 2019 International Edition, and so should be consumed and analysed accordingly.

For more information please refer to the release notes, which can either be downloaded from this repository, or accessed online here: SNOMED CT General Dentistry Diagnostic refset package Release Notes - July 2019


Download SNOMED CT General Dentistry Diagnostic Refset (Version 20191030)

Download SNOMED CT General Dentistry Diagnostic Release Notes

View Release Notes

File checksum (MD5):

RF2 package: 2a6fd2009158a517131e3dbde51a6dcb

Release Notes: 113f8c4c030c9c4868d351be71220e47


Version: July 2019

Release Date: July 31, 2019

SNOMED CT terminology provides a common language that enables a consistent way of indexing, storing, retrieving, and aggregating clinical data across specialties and sites of care. The release notes provide a summarized description of the content changes included in the July 2019 release.

Download RF2 Files Now!

Download Release Notes

Online version of Release Notes

MD5 hashes:

RF2 package: 589fa8066ebc00eeca04bd21f5bddf4b

Release Notes: 564f8b21052e72128a89ce2dd1ce6f19


Reminder: In 2015, SNOMED International (IHTSDO), announced the deprecation and withdrawal of support for Release Format 1 (RF1). The plan and timeline can be reviewed on the IHTSDO News page. This package is provided in RF2 only. Additionally, the Release Notes and OWL Resource file have been separated from the International Edition release package and are available as standalone downloads.


Version: April 2019 SNOMED CT Spanish Edition

Versión Abril 2019 de la Edición en Español de SNOMED CT

Release Date: 2019-04-30

Download Spanish Edition Files Now (version 20190430)

Download Release Notes

View Release Notes


MD5 hashes:

RF2 package: b283e413c2556f4456f5acd54a35bc82

Release Notes: c79d17e936f60f11caa4bf544b540308


Please Note: The IHTSDO may be notified of users who download SNOMED CT from non-Member countries.


General Practitioner/Family Practice Reference Sets and SNOMED CT to ICPC2 Map

Version: January 2019

Release Date: 2019-04-12


The SNOMED CT International General/Family Practice subset (GP/FP Subset) and map from the GP/FP Subset to the International Classification of Primary Care (ICPC-2). This release is resulting work from the harmonization agreement between the IHTSDO and WONCA. Access to the SNOMED CT to ICPC-2 map is provided through a collaboration agreement between WONCA and IHTSDO. Users of the map must comply with the licensing agreements of both ICPC-2 and SNOMED CT.

The version of SNOMED CT used is the January 2019 International Edition release.

The map is based on ICPC-2e-v.4.2 May 2012.


NOTICE: SNOMED International and WONCA have put forth a proposal to deprecate the SNOMED CT to ICPC-2 map after this January 2019 release. SNOMED International will soon be pushing this through the formal deprecation process. Please contact info@snomed.org with any questions, comments, or concerns.


Download GP/FP and ICPC2 Release

Download SNOMED CT to ICPC2 Release Notes

Download GP/FP-SNOMED CT Release Notes

File checksum (MD5):

RF2 package: 1eca1d3ffb74c2bf88a94e623e5ce652

GP/FP Release Notes: 00d1722ea91c0ac50c968e86ddecdcaa

ICPC2 Release Notes: a21cfae15fef365762106214169d11a7


Version: January 2019

Release Date: January 31, 2019

SNOMED CT terminology provides a common language that enables a consistent way of indexing, storing, retrieving, and aggregating clinical data across specialties and sites of care. The release notes provide a summarized description of the content changes included in the January 2019 release.

Download RF2 Files Now!

Download Release Notes

Online version of Release Notes

MD5 hashes:

RF2 package: 7daf368c88bf8da84b230c24307cdb04

Release Notes: d7afffde56b722864e187aa29106d312


Reminder: In 2015, SNOMED International (IHTSDO), announced the deprecation and withdrawal of support for Release Format 1 (RF1). The plan and timeline can be reviewed on the IHTSDO News page. This package is provided in RF2 only. Additionally, the Release Notes and OWL Resource file have been separated from the International Edition release package and are available as standalone downloads.


Version: October 2018 SNOMED CT Spanish Edition

Release Date: October 2018

Download Spanish Edition Files Now (version 20181031)

Download Release Notes

View Release Notes

Please Note: The IHTSDO may be notified of users who download SNOMED CT from non-Member countries.


ICNP to SNOMED CT Diagnoses Release

Version: July 2018 v1.0

Release Date: 2018-09-26

This is the Production release of the July 2018 ICNP to SNOMED CT (Diagnoses) package.

This package is provided in Release Format 2 (RF2) format only. It is dependent upon the SNOMED CT July 2018 International Edition, and so should be consumed and analysed accordingly.

For more information please refer to the release notes, which can either be downloaded from this repository, or accessed online here: ICNP to SNOMED CT (Diagnoses) Equivalency Table Release Notes - July 2018

Download ICNP to SNOMED CT (Diagnoses) Equivalency Table

Download Release Notes

View Release Notes

File checksum (MD5):

RF2 package: 545269a9baa335abc4e9ed3d200b037b

Release Notes: 7a6f6cb3586d30ac5fd1d1a23d35b90e


ICNP to SNOMED CT Interventions Release

Version: July 2018 v1.0

Release Date: 2018-09-26


This is the Production release of the July 2018 ICNP to SNOMED CT (Interventions) package.

This package is provided in Release Format 2 (RF2) format only. It is dependent upon the SNOMED CT July 2018 International Edition, and so should be consumed and analysed accordingly.

For more information please refer to the release notes, which can either be downloaded from this repository, or accessed online here: ICNP to SNOMED CT (Interventions) Equivalency Table Release Notes - July 2018

Download ICNP to SNOMED CT (Interventions) Equivalency Table

Download Release Notes

View Release Notes

File checksum (MD5):

RF2 package: c99463977bdf4102275ba22ba2c6834a

Release Notes: e4e544930f5e053b598cb709861a9886


General Practitioner/Family Practice Reference Sets and SNOMED CT to ICPC2 Map

Version: July 2018

Release Date: 2018-09-27


The SNOMED CT International General/Family Practice subset (GP/FP Subset) and map from the GP/FP Subset to the International Classification of Primary Care (ICPC-2). This release is resulting work from the harmonization agreement between the IHTSDO and WONCA. Access to the SNOMED CT to ICPC-2 map is provided through a collaboration agreement between WONCA and IHTSDO. Users of the map must comply with the licensing agreements of both ICPC-2 and SNOMED CT.

The version of SNOMED CT used is the July 2018 International Edition release.

The map is based on ICPC-2e-v.4.2 May 2012.


Download GP/FP and ICPC2 Release

Download SNOMED CT to ICPC2 Release Notes

Download GP/FP-SNOMED CT Release Notes

File checksum (MD5):

RF2 package: e7659c11f3210426bdebce0c9d1abd60

GP/FP Release Notes: cda5c487791bf05b2f2dc5d576318900

ICPC2 Release Notes: 51f90a2055d9bbed8e73720a5ec14d6e


SNOMED CT Nursing Activities Refset Package

Version: July 2018 v1.0

Release Date: 2018-09-19


This is the Production release of the July 2018 SNOMED CT Nursing Activities refset package.

This package is provided in Release Format 2 (RF2) format only. It is dependent upon the SNOMED CT July 2018 International Edition, and so should be consumed and analysed accordingly.

For more information please refer to the release notes, which can either be downloaded from this repository, or accessed online here: SNOMED CT Nursing Activities Reference Set Release Notes - July 2018


Download SNOMED CT Nursing Activities Refset

Download Release Notes

View Release Notes

File checksum (MD5):

RF2 package: 71077a9ac5ecc692010719597516e2ad

Release Notes: 33d1c8b7bc95500e79942bd9cf2a3c90


SNOMED CT Nursing Health Issues Refset Package

Version: July 2018 v1.0

Release Date: 2018-09-19


This is the Production release of the July 2018 SNOMED CT Nursing Health Issues refset package.

This package is provided in Release Format 2 (RF2) format only. It is dependent upon the SNOMED CT July 2018 International Edition, and so should be consumed and analysed accordingly.

For more information please refer to the release notes, which can either be downloaded from this repository, or accessed online here: SNOMED CT Nursing Health Issues Reference Set Release Notes - July 2018


Download SNOMED CT Nursing Activities Refset

Download Release Notes

View Release Notes

File checksum (MD5):

RF2 package: 4e975265efde70342f2baaf102c1c16d

Release Notes: f226c7ce21517c9c4b9940f91ee5cb98


July 2018 SNOMED CT Odontogram refset package

Version: July 2018 v1.0

Release Date: 2018-09-25


This package contains the SNOMED CT Odontogram refset, which includes a set of SNOMED CT content from the International Release - primarily terms from four of the SNOMED CT hierarchies:

  1. Procedures
  2. Body Structures
  3. Findings
  4. Disorders

For those who are starting to implement SNOMED CT in Dentistry, you should be aware that SNOMED CT contains a large amount of content relevant to the profession. An additional related product is the SNOMED CT General Dentistry Diagnostic refset package.

This is the Production release of the July 2018 SNOMED CT Odontogram refset package.

This package is provided in Release Format 2 (RF2) format only. It is dependent upon the SNOMED CT July 2018 International Edition, and so should be consumed and analysed accordingly.

For more information please refer to the release notes, which can either be downloaded from this repository, or accessed online here: SNOMED CT Odontogram refset package Release Notes - July 2018


Download SNOMED CT Odontogram Refset (Version 20180331)

Download SNOMED CT Odontogram Release Notes

View Release Notes

File checksum (MD5):

RF2 package: bf3f36724a44d5511806db39cf9f3d18

Release Notes: b33a9a17ba7bbcca615325a225c3770b


July 2018 SNOMED CT General Dentistry Diagnostic refset package

Version: July 2018 v1.0

Release Date: 2018-09-24


The SNOMED CT General Dentistry Diagnostic refset package contains the SNOMED CT General Dentistry refset of diagnostic terms, designed to provide dentistry with an easy to implement set of terms that covers the vast majority of care provided in the dental field.

This is the Production release of the July 2018 SNOMED CT General Dentistry Diagnostic refset package.

This package is provided in Release Format 2 (RF2) format only. It is dependent upon the SNOMED CT July 2018 International Edition, and so should be consumed and analysed accordingly.

For more information please refer to the release notes, which can either be downloaded from this repository, or accessed online here: SNOMED CT General Dentistry Diagnostic refset package Release Notes - July 2018


Download SNOMED CT Odontogram Refset (Version 20180331)

Download SNOMED CT Odontogram Release Notes

View Release Notes

File checksum (MD5):

RF2 package: 8abb0f29c7e086d5ef73c6a44158f6ae

Release Notes: 7c31c5a04e7b3a2ec3142b91829ae230


July 2018 International Edition

Version: July 2018

Release Date: July 31, 2018

SNOMED CT terminology provides a common language that enables a consistent way of indexing, storing, retrieving, and aggregating clinical data across specialties and sites of care. The release notes provide a summarized description of the content changes included in the July 2018 release.

Download RF2 Files Now!

Download Release Notes

View Release Notes

MD5 hashes:

RF2 package: 273fa8b09f73e081e2750b28b23dd7b7

Release Notes: 4b53661e688e28d3ceb8fa02b7ee341f

Reminder: In 2015, SNOMED International (IHTSDO), announced the deprecation and withdrawal of support for Release Format 1 (RF1). The plan and timeline can be reviewed on the IHTSDO News page. This package is provided in RF2 only. Additionally, the Release Notes and OWL Resource file have been separated from the International Edition release package and are available as standalone downloads.

Version: April 2018 Spanish Edition

Release Date: May 2018


Download Spanish Edition Files Now (version 20180430)

Download Release Notes

View Release Notes

Please Note: The IHTSDO may be notified of users who download SNOMED CT from non-Member countries.

ICNP to SNOMED CT Diagnoses Release

Version: January 2018

Release Date: 2018-04-20


The International Classification of Nursing Practice (ICNP) to SNOMED CT nursing diagnoses (problems) equivalency table covers just one semantic type – nursing diagnoses (problems) – with equivalent ICNP and SNOMED CT concepts for each problem. The table comprises 529 active equivalencies, representing a subset of ICNP and a subset of SNOMED CT – equivalencies have not been identified for all ICNP diagnoses, or for all SNOMED CT Clinical Findings.

Please Note: Users of the table should comply with licensing arrangements for both ICN and SNOMED International.

The version of ICNP used is the May 2017 release.

The version of SNOMED CT used is the January 2018 International Edition release.

Download ICNP to SNOMED CT (Diagnoses) Equivalency Table

Download Release Notes

View Release Notes

File checksum (MD5):

RF2 package: a2026824139f73e1a83584f12aab35a4

Release Notes: ee94d1e90c71d88d5fae4c8d6d876db2


ICNP to SNOMED CT Interventions Release

Version: January 2018

Release Date: 2018-04-20


The International Classification of Nursing Practice (ICNP) to SNOMED CT nursing interventions equivalency table covers just one semantic type – nursing interventions – with equivalent ICNP and SNOMED CT concepts for each intervention. The table comprises 992 equivalents, representing a subset of ICNP and a subset of SNOMED CT – equivalents have not been identified for all ICNP interventions, or for all SNOMED CT Procedures.

Please Note: Users of the table should comply with licensing arrangements for both ICN and SNOMED International.

The version of ICNP used is the May 2017 release.

The version of SNOMED CT used is the January 2018 International Edition release.

Download ICNP to SNOMED CT (Interventions) Equivalency Table

Download Release Notes

View Release Notes

File checksum (MD5):

RF2 package: e9263b8cc6c22962f4384eb61a38509e

Release Notes: 54015768788dbaab31762bd0b20535c5


General Practitioner/Family Practice Reference Sets and SNOMED CT to ICPC2 Map

Version: January 2018

Release Date: 2018-04-16


The SNOMED CT International General/Family Practice subset (GP/FP Subset) and map from the GP/FP Subset to the International Classification of Primary Care (ICPC-2). This release is resulting work from the harmonization agreement between the IHTSDO and WONCA. Access to the SNOMED CT to ICPC-2 map is provided through a collaboration agreement between WONCA and IHTSDO. Users of the map must comply with the licensing agreements of both ICPC-2 and SNOMED CT.

The version of SNOMED CT used is the January 2018 International Edition release.

The map is based on ICPC-2e-v.4.2 May 2012.


Download GP/FP and ICPC2 Release

Download SNOMED CT to ICPC2 Release Notes

Download GP/FP-SNOMED CT Release Notes

File checksum (MD5):

RF2 package: 58b3554906f3fd7e56b02995935d7b4f

GP/FP Release Notes: d0b6851cee58410978604cac22861d32

ICPC2 Release Notes: b973a290ffe78f623a9496825928ecd4


SNOMED CT Nursing Activities Refset Package

Version: January 2018

Release Date: 2018-04-08


The SNOMED CT Nursing Activities Reference Set is intended to support nursing care and enable effective decision-making, and to provide information for nursing education and health policy. The purpose of this refset is to provide a subset of frequently used SNOMED CT concepts for use in nursing practice within the Nursing Activities data field. Nursing Activities has been defined as activity intended directly or indirectly to improve or maintain a health state.

The version of SNOMED CT used is the January 2018 International Edition release.

Download SNOMED CT Nursing Activities Refset

Download Release Notes

View Release Notes

File checksum (MD5):

RF2 package: dcbbc2fe26c07d1500abc3f631a163e6

Release Notes: abff816a9efbf1ffdb272234ef1423af


SNOMED CT Nursing Health Issues Refset Package

Version: January 2018

Release Date: 2018-04-08


The SNOMED CT Nursing Health Issues Reference Set is intended to support nursing care and enable effective decision-making, and provide information for nursing education and health policy. The purpose of this refset is to provide a subset of frequently used SNOMED CT concepts for use in nursing practice within the Nursing Health Issues data field. Nursing Health Issues has been defined as representation of an issue related to the health of a subject of care as identified by one or more healthcare actors

The version of SNOMED CT used is the January 2018 International Edition release.

Download SNOMED CT Nursing Activities Refset

Download Release Notes

View Release Notes

File checksum (MD5):

RF2 package: 534ba5fd97d452ee7696832029b5c54d

Release Notes: d56661eb577ff334d936c7692f61a182


January 2018 SNOMED CT Odontogram refset package

Version: 20180331

Release Date: April 3, 2018


The SNOMED CT Odontogram release is a reference set (refset) developed from 2015-2017 as a tool to exchange basic oral health status information between dental clinicians using a standardized format and to support gathering of research and quality data based on the most common visualizations for clinicians worldwide. The purpose of the refset is twofold: 1) it is designed to identify a set of core content that can realistically be exchanged for an odontogram and 2) a small set may allow Electronic Dental Record (EDR) vendors and the dental payer community to move quickly and inexpensively implement tools that will allow for their use. The odontogram refset contains primarily terms from four of the SNOMED CT hierarchies: The most common one is Procedures, but it also includes several Body Structures and some Findings and Disorders.

Please Note: This map is based on the January 2018 International Edition.

Download SNOMED CT Odontogram Refset (Version 20180331)

Download SNOMED CT Odontogram Release Notes

View Release Notes

File checksum (MD5):

RF2 package: 2e20fd2eacbc682f92ca37c25d807ff9

Release Notes: 1e155f534fc1767276278ad211db9655


January 2018 SNOMED CT General Dentistry Diagnostic refset package

Version: 20180331

Release Date: April 3, 2018


The SNOMED CT General Dentistry (GD) Diagnostic release is a reference set (refset) of diagnostic terms designed to provide dentistry with a relatively easy to implement set of terms that covers the vast majority of care provided in the dental field. The GD refset primarily contains SNOMED CT findings. Most of these findings are disorders, but some of the terms are other types of findings dental clinicians may document as the rationale for providing a specific treatment or sequence of care. The set also includes a few attributes that allow clinicians to better define the extent of disease for the most common dental disease, cavities.

Please Note: This map is based on the January 2018 International Edition.

Download SNOMED CT Odontogram Refset (Version 20180331)

Download SNOMED CT Odontogram Release Notes

View Release Notes

File checksum (MD5):

RF2 package: adb2af7ec862d77b1bc380e8e16ddd3c

Release Notes: a205bada7bd656ba668317c3941fe970


January 2018 International Edition

Release Date: January 31, 2018

Version: 20180131

Release Notes: SNOMED CT terminology provides a common language that enables a consistent way of indexing, storing, retrieving, and aggregating clinical data across specialties and sites of care. The release notes provide a summarized description of the content changes included in the January 2018 release.

Reminder: In 2015 IHTSDO announced the deprecation and withdrawal of support for Release Format 1 (RF1). The plan and timeline can be reviewed on the IHTSDO News page. This package is provided in RF2 only. Additionally, the Release Notes and OWL Resource file have been separated from the International Edition release package and are available as standalone downloads.

Download RF2 Files Now!

Download Stated Relationship to OWL Resource File

Download Release Notes


October 2017 SNOMED CT Spanish Edition

Release Date: October 2017

Version: October 2017

Please Note: The IHTSDO may be notified of users who download SNOMED CT from non-Member countries.

Download Spanish Edition Files(Version 20171031)

Download Release Notes


ICNP to SNOMED CT Diagnoses Release

Release Date: December 2017

Version: July 2017

Release Notes: The International Classification of Nursing Practice (ICNP) to SNOMED CT nursing diagnoses (problems) equivalency table covers just one semantic type – nursing diagnoses (problems) – with equivalent ICNP and SNOMED CT concepts for each problem. The table comprises 531 active equivalencies, representing a subset of ICNP and a subset of SNOMED CT – equivalencies have not been identified for all ICNP diagnoses, or for all SNOMED CT Clinical Findings.

Please Note: Users of the table should comply with licensing arrangements for both ICN and SNOMED International.

Download ICNP to SNOMED CT (Diagnoses) Equivalency Table (Version 20170731)

Download Release Notes


ICNP to SNOMED CT Interventions Release

Release Date: December 2017

Version: July 2017

Release Notes: The International Classification of Nursing Practice (ICNP) to SNOMED CT nursing interventions equivalency table covers just one semantic type – nursing interventions – with equivalent ICNP and SNOMED CT concepts for each intervention. The table comprises 993 equivalents, representing a subset of ICNP and a subset of SNOMED CT – equivalents have not been identified for all ICNP interventions, or for all SNOMED CT Procedures.

Please Note: Users of the table should comply with licensing arrangements for both ICN and SNOMED International.

Download ICNP to SNOMED CT (Interventions) Equivalency Table (Version 20170731)

Download Release Notes


SNOMED CT Nursing Activities Refset Package

Release Date: October 2017

Version: July 2017

Release Notes:The SNOMED CT Nursing Activities Reference Set is intended to support nursing care and enable effective decision-making, and to provide information to inform nursing education and health policy. The purpose of this reference set is to provide a subset of frequently used SNOMED CT concepts for use in nursing practice within the Nursing Activities data field. Nursing Activities has been defined as activity intended directly or indirectly to improve or maintain a health state.

Please Note: This map is based on the July 2017 release.

Download SNOMED CT Nursing Activities Refset (Version 20170731)

Download SNOMED CT Nursing Activities Release Notes


SNOMED CT Nursing Health Issues Refset Package

Release Date: October 2017

Version: July 2017

Release Notes:The SNOMED CT Nursing Activities Reference Set is intended to support nursing care and enable effective decision-making, and provide information to inform nursing education and health policy. The purpose of this reference set is to provide a subset of frequently used SNOMED CT concepts for use in nursing practice within the Nursing Health Issues data field. Nursing Health Issues has been defined as representation of an issue related to the health of a subject of care as identified by one or more healthcare actors.

Please Note: This map is based on the July 2017 release.

Download SNOMED CT Nursing Health Issues Refset (Version 20170731)

Download SNOMED CT Nursing Health Issues Release Notes


General Practitioner/Family Practice Reference Sets and SNOMED CT to ICPC2 Map

Release Date: October 2017

Version: July 2017

The SNOMED CT International General/Family Practice subset (GP/FP Subset) and map from the GP/FP Subset to the International Classification of Primary Care (ICPC-2). This release is resulting work from the harmonization agreement between the IHTSDO and WONCA. Access to the SNOMED CT to ICPC-2 map is provided through a collaboration agreement between WONCA and IHTSDO. Users of the map must comply with the licensing agreements of both ICPC-2 and SNOMED CT.

Please Note: This map is based on the July 2017 release.

Download GP/FP and ICPC2 Release (Version 20170131)

Download SNOMED CT - GP/FP Release Release Notes

Download SNOMED CT - ICPC2 Release Release Notes


SNOMED CT Odontogram Refset Package

Release Date: October 2017

Version: July 2017

Release Notes: The SNOMED CT Odontogram release is a reference set (refset) developed from 2015-2017 as a tool to exchange basic oral health status information between dental clinicians using a standardized format and to support gathering of research and quality data based on the most common visualizations for clinicians worldwide. The purpose of the refset is twofold: 1)it is designed to identify a set of core content that can realistically be exchanged for an odontogram and 2)a small set may allow Electronic Dental Record (EDR) vendors and the dental payer community to move quickly and inexpensively implement tools that will allow for their use. The odontogram refset contains primarily terms from four of the SNOMED CT hierarchies: The most common one is Procedures, but it also includes several Body Structures and some Findings and Disorders.

Download SNOMED CT Odontogram Refset (Version 20170731)

Download SNOMED CT Odontogram Release Notes


SNOMED CT General Dentistry Refset

Release Date: October 2017

Version: July 2017

The SNOMED CT General Dentistry (GD) Diagnostic release is a reference set (refset) of diagnostic terms designed to provide dentistry with a relatively easy to implement set of terms that covers the vast majority of care provided in the dental field. The GD refset primarily contains SNOMED CT findings. Most of these findings are disorders, but some of the terms are other types of findings dental clinicians may document as the rationale for providing a specific treatment or sequence of care. The set also includes a few attributes that allow clinicians to better define the extent of disease for the most common dental disease, cavities.

Please Note: This map is based on the July 2017 release.

Download SNOMED CT General Dentistry Diagnostic refset

Download Release Notes


July 2017 International Edition

Release Date: July 31, 2017

Version: 20180731

Release Notes: SNOMED CT terminology provides a common language that enables a consistent way of indexing, storing, retrieving, and aggregating clinical data across specialties and sites of care. The release notes provide a summarized description of the content changes included in the July 2017 release of SNOMED Clinical Terms (SCT) International Release. Reminder: In 2015 IHTSDO announced the deprecation and withdrawal of support for RF1 format. The plan and timeline can be reviewed on the IHTSDO News page.

Download RF2 Files Now!

Download Stated Relationship to OWL Resource File

Download Release Notes


ICNP to SNOMED CT Interventions Release

Release Date: March 2017

Version: January 2017

Release Notes: The International Classification of Nursing Practice (ICNP) to SNOMED CT International Release Nursing Interventions equivalency table is a product of an ongoing program of work carried out under a pre-existing collaboration agreement between the International Council of Nurses (ICN) and the SNOMED CT International (SI). The initial effort centered on nursing diagnoses, specifically problems. The focus of this release document is on the identification of SNOMED CT equivalencies for ICNP nursing interventions. The table of equivalence provides a vehicle for transforming ICNP-encoded data into SNOMED CT (e.g. an ICNP concept in a local system can be transformed via the table to the equivalent SNOMED CT concept for use in a multidisciplinary record). By providing a robust pathway from ICNP to SNOMED CT, the table of equivalence helps to ensure that users of ICNP can continue to use their preferred terminology while remaining a central part of the bigger picture and wider implementation of SNOMED CT globally.

Please Note: Users of the table should comply with licensing arrangements for both ICN and SNOMED International.

Download ICNP Cooperative Project Release

Download Release Notes


April 2017 SNOMED CT International Spanish Edition

Download Spanish Edition Files Now!

Download Release Notes


General Practitioner/Family Practice Reference Sets and SNOMED CT to ICPC2 Map

Release Date: April 2017

Version: January 2017

Release Notes: The SNOMED CT International General/Family Practice subset (GP/FP Subset) and map from the GP/FP Subset to the International Classification of Primary Care (ICPC-2). This release is resulting work from the harmonization agreement between the IHTSDO and WONCA. Access to the SNOMED CT to ICPC-2 map is provided through a collaboration agreement between WONCA and IHTSDO. Users of the map must comply with the licensing agreements of both ICPC-2 and SNOMED CT.

Download GP/FP and ICPC2 Release (Version 20170131)

Download SNOMED CT - GP/FP Release Release Notes

Download SNOMED CT - ICPC2 Release Release Notes


General Dentistry Diagnostic Reference Set Package

Release Date: March 2017

Version: 20170131

Release Notes:The SNOMED CT General Dentistry (GD) Diagnostic release is a reference set (refset) of diagnostic terms designed to provide dentistry with a relatively easy to implement set of terms that covers the vast majority of care provided in the dental field. The GD refset primarily contains SNOMED CT findings. Most of these findings are disorders, but some of the terms are other types of findings dental clinicians may document as the rationale for providing a specific treatment or sequence of care. The set also includes a few attributes that allow clinicians to better define the extent of disease for the most common dental disease, cavities.

Download SNOMED CT General Dentistry Diagnostic refset

Download Release Notes


January 2017 International Release

Reminder: In 2015 IHTSDO announced the deprecation and withdrawal of support for RF1 format. The plan and timeline can be reviewed on the IHTSDO News page.

Download Stated Relationship to OWL Resource File

Download Release Notes


LOINC-SNOMED CT Cooperative Project - BETA Release

Release Date: April 2017

Release Notes: This release contains two content files: a LOINC Term to SNOMED CT Expression Reference Set and a LOINC Part to SNOMED CT Reference Set. The Beta content is release under the 715515008 | LOINC - SNOMED CT Cooperation Project module with concept identifiers from the 20170131 version of the International Edition of SNOMED CT and Version 2.58 of LOINC released in December 2016.

Please Note: This release is distributed for evaluation purposes only and should not be used in production clinical systems or in the clinical setting.

Download SNOMED CT - LOINC Beta Release (Version 20170131)

Download SNOMED CT - LOINC Release Release Notes

Release Notes for July 2016: Reminder: In 2015 IHTSDO announced the deprecation and withdrawal of support for RF1 format. The plan and timeline can be reviewed on the IHTSDO News page.

Download RF2 Files Now!

Download RF1 Files Now!

Download RF1 Compatibility Package


Release Notes for Spanish October 2016: Please note, that similar to the International release, the RF1 and RF2 release files are now available as two separate downloads. The IHTSDO has announced the deprecation and withdrawal of support for RF1 format. The plan and timeline can be reviewed on the IHTSDO News page.

Download Now!


Release Notes for January 2016: The IHTSDO has announced the deprecation and withdrawal of support for RF1 format. The plan and timeline can be reviewed on the IHTSDO News page.

RF2 International Release January 2016

RF1 International Release January 2016

RF1 Compatibility Package


Release Notes for Spanish April 2016: Please note, that similar to the International release, the RF1 and RF2 release files are now available as two separate downloads. The IHTSDO has announced the deprecation and withdrawal of support for RF1 format. The plan and timeline can be reviewed on the IHTSDO News page.

Download Now!


ICNP to SNOMED CT (Interventions) Release

Release Date: April 14, 2016: The International Classification of Nursing Practice (ICNP) to SNOMED CT International Release Nursing Interventions equivalency table is the product of an on-going collaborative agreement between the International Council of Nurses (ICN) and the IHTSDO. This release contains ICNP to SNOMED CT nursing interventions from the July 2015 release of the ICNP and January 2016 International Release of SNOMED CT.

Access to the equivalence table is provided both by ICNP and IHTSDO. Users of the table must comply with the licensing agreements of both ICNP and SNOMED CT. Please contact NLM (or any IHTSDO Member) directly for access to the equivalency table.


This is an updated file made available on May 3, 2016.

Download ICNP to SNOMED CT (Interventions) Release (Version 20160131)


General Practitioner/Family Practice Reference Sets and SNOMED CT to ICPC2 Map

Release Date: April 14, 2016:The SNOMED CT International General/Family Practice subset (GP/FP Subset) and map from the GP/FP Subset to the International Classification of Primary Care (ICPC-2). This release is resulting work from the harmonization agreement between the IHTSDO and WONCA. Access to the SNOMED CT to ICPC-2 map is provided through a collaboration agreement between WONCA and IHTSDO. Users of the map must comply with the licensing agreements of both ICPC-2 and SNOMED CT.

This is an updated file made available on May 3, 2016.

Download GP/FP and ICPC2 Release (Version 20160131)

Release Notes for July 2015 International Release: The RF1 and RF2 release files are now two separate download files.

RF2 International Release July 2015

RF1 International Release July 2015


Release Notes for July 2015 SNOMED CT RF1 Compatibility Package: The SNOMED CT RF2 to RF1 Conversion files and additional RF1 files can be found on the SNOMED CT Permanent Packages page.

RF1 Compatibility Package July 2015


Release Notes for May 2015 Candidate Baseline of the SNOMED CT to ICNP Cooperative Project: A Candidate Baseline of the International Classification for Nursing Practice (ICNP) and SNOMED CT Cooperative Project is now available. The release contains a bi-directional ICNP -- SNOMED CT nursing diagnoses (problems) equivalency table. This release should be evaluated in the context of the January 2015 SNOMED CT International Edition. Released on July 31, 2015.

Currently the Candidate Baseline is distributed for evaluation purposes only and should not be used in production clinical systems or in the clinical setting.

Candidate Baseline of the SNOMED CT to ICNP Cooperative Project May 2015


Release Notes for April 2015 SNOMED CT Edición en Español: Spanish translations of SNOMED CT International Release January 2015 descriptions and documentation in both RF1 and RF2 versions.

Edición en Español April 2015


Release Notes for January 2015 Human Readable Version of LOINC-SNOMED CT Cooperative Project Technology Preview: A new human readable version of Technology Preview release is now available and the IHTSDO is requesting feedback on the LOINC-SNOMED CT Cooperative Project Technology Preview.

This Technology Preview does not represent a set of data ready for clinical use within a system and has been made available at this time for review and evaluation purposes only. Thus, this release should not be used in production clinical systems or in clinical settings.

LOINC-SNOMED CT Technology Preview January 2015


Release Notes for January 2015 SNOMED CT International Release: The release was updated July 20, 2015 with a corrected SimpleMap file.

RF2 International Release January 2015

RF1 International Release January 2015


RF1 Compatibility Package January 2015


SNOMED CT to ICNP Cooperative Project

Release Date: September 2015 In addition to 722 new concepts specific to the US, the March 2016 US Edition of SNOMED CT also contains all of the content from the January 2016 International Release of SNOMED CT. New content includes CMT content in the specialization areas of ophthalmology, pediatric medicine, musculoskeletal, skin and respiratory, endocrine and hematology/oncology. Additional areas also include emergency medical services and content for US Meaningful Use.

Please note: The IHTSDO has announced the deprecation and withdrawal of support for RF1 format. The plan and timeline can be reviewed here. NLM will align with the deprecation timeline for the US Edition RF1 release.


The International Classification of Nursing Practice (ICNP) to SNOMED CT nursing diagnoses (problems) equivalency table is a product of an ongoing work carried out under a preexisting collaboration agreement between the International Council of Nurses (ICN) and the International Health Terminology Standards Organization (IHTSDO). The release is a baseline release, and aligned to the July 2015 SNOMED CT International release. For those interested in the equivalency table, please contact the IHTSDO.

Please Note: The Release Baseline is distributed for evaluation purposes only and should not be used in production clinical systems or in the clinical setting.

Question and comments on this release should be directed to the IHTSDO with “SNOMED CT to ICNP Cooperative Project Baseline” in the subject line.

Download ICNP Cooperative Project Release


LOINC-SNOMED CT Cooperative Project - Alpha (Phase 3)

Release Date: March 31, 2015


This is the third release of the LOINC-SNOMED CT Cooperative Project, which includes both the LOINC Term to SNOMED CT Expression reference set and the LOINC Part to SNOMED CT Map reference set. This Alpha release is dependent upon, and should be evaluated in the context of the January 2016 SNOMED CT International Release and Version 2.54 of LOINC, released December 2015. The IHTSDO would like to recieve feedback on these releases.

Two additional file formats are available for review of content in the Alpha Release:

  • OWL file: for reviewing and classifying the content with an ontology reasoner using an ontology viewing/editing software.

  • Human Readable file: an excel spreadsheet for reviewing the map of LOINC Terms to SNOMED CT expressions in a human-readable tabular format.

Please Note: This release is distributed for evaluation purposes only and should not be used in production clinical systems or in the clinical setting.

These updated files were made available on May 3, 2016.

Download the LOINC-SNOMED Cooperative Project Alpha (Phase 3 Edition) Release

Download the LOINC-SNOMED Cooperative Project Alpha (Phase 3 Edition) Human Readable Release

Download the LOINC-SNOMED Cooperative Project Alpha (Phase 3 Edition) OWL Technology Preview

Release Notes for October 2014 Candidate Baseline of GP/FP Reference Sets and SNOMED CT to ICPC2 Maps: The SNOMED CT International General/Family Practice subset (GP/FP Subset) and map from the GP/FP Subset to the International Classification of Primary Care (ICPC-2). This is the baseline work release resulting from the harmonization agreement between the IHTSDO and WONCA.

Please note that use within clinical systems cannot be supported at this time. This Candidate Baseline is distributed for evaluation purposes only and should not be used in production clinical systems or in clinical settings.

This is an updated file, made available November 25, 2014.

Candidate Baseline of GP/FP Reference Sets and SNOMED CT to ICPC2 Maps October 2014


Release Notes for October 2014 SNOMED CT International Edición en Español: The Spanish Edition of the International Release is updated each year in April and October.

Spanish translations of SNOMED CT International Release July 2014 descriptions and documentation in both RF1 and RF2 (Candidate Baseline Release) versions.

Edición en Español October 2014


Release Notes for September 2014 LOINC - SNOMED CT Cooperation Project Technology Preview: The LOINC – SNOMED Cooperation Project Technology Preview release is the baseline work release resulting from a cooperative agreement between the Regenstrief Institute and the IHTSDO.

This Technology Preview does not represent a set of data ready for clinical use within a system and has been made available at this time for review and evaluation purposes only. Thus, this release should not be used in production clinical systems or in clinical settings.

LOINC-SNOMED CT Technology Preview September 2014


International Release July 2014


RF2 to RF1 Conversion July 2014


RF1 Compatibility Package July 2014


Edición en Español April 2014


International Release January 2014


RF2 to RF1 Version Compatibility Tools January 2014


Supporting Data Files for RF2 to RF1 Conversion January 2014

Edición en Español October 2013


International Release July 2013


RF2 to RF1 Version Compatibility Tools July 2013


Supporting Data Files for RF2 to RF1 Conversion July 2013


Edición en Español April 2013


ICD-10 Cross Map February 2013


International Release January 2013


RF2 to RF1 Version Compatibility Tools January 2013


Supporting Data Files for RF2 to RF1 Conversion January 2013


Release Notes for July 2013 Medical Devices Technology Preview: These files are for evaluation purposes only. They are not part of the January 2013 International Release and are not recommended for use in clinical systems.

Medical Devices Technology Preview January 2013


Kaiser Permanente Starter Reference Set Technology Preview

Release Date: October 2014 This Technology Preview release should not be used in production clinical systems or in clinical settings. This Technology Preview is for evaluation by interested participants in the IHTSDO Community of Practice and feedback on the Technology Preview can be submitted directly to the IHTSDO with ‘Kaiser Permanente Starter Reference Sets’ in the subject line.

Download KP Starter Reference Set Preview Release (Version 20141031)

ICD-9-CM Cross Map Revision October 2010


Edición en Español October 2010


International Release July 2010


Developer Preview Release July 2010


Edición en Español April 2010


International Release January 2010


Release Notes for January 2010 Technology Preview: Released on March 24, 2010. The January 2010 Technology Preview consists of a State Valid version of the January 2010 International Release. It is to assist in the preparation for the enhanced Release Format 2 (RF2) file format, which will bethe file format future SNOMED CT releases.

Technology Preview January 2010

Edición en Español October 2007


Release Notes for July 2007 International Release Essential Resources: Includes SNOMED CT terminology, cross maps, subsets, documentation, and other resources.

International Release Essential Resources July 2007


Release Notes for July 2007 ICD-9-CM Cross Map and US Drug Extension: This Optional file has been updated to include the October 2007 revision SNOMED CT ICD-9-CM Cross Map.

ICD-9-CM Cross Map and US Drug Extension July 2007


SNOMED CT-ICD-9-CM Cross Map July 2007


Edición en Español April 2007


SNOMED CT Files in English January 2007

Other SNOMED CT Archive Files

SNOMED CT to ICD-10-CM Map Data Files

Version: March 2018

Release Date: March 1, 2018

Derived from SNOMED CT version: March 2018 US Edition

Derived from ICD-10-CM version: 2018

Number of SNOMED CT Concepts: 122,156

Download Release


Download Exemplar File


Release Documentation: Release Notes (PDF)

Technical Specifications: Technical Specifications (PDF)

Version: September 2017

Release Date: September 28, 2017

Derived from SNOMED CT version: September 2017 US Edition

Derived from ICD-10-CM version: 2018

Number of SNOMED CT Concepts: 119,270

Download Release


Download Exemplar File


Release Documentation: Release Notes (PDF)

Technical Specifications: Technical Specifications (PDF)

Version: March 2017

Release Date: March 1, 2017

Derived from SNOMED CT version: March 2017 US Edition

Derived from ICD-10-CM version: 2017

Number of SNOMED CT Concepts: 100,185

Download Release


Download Exemplar File


Release Documentation: Release Notes (PDF)

Technical Specifications: Technical Specifications (PDF)

Note: As of September 2014, the mapping file is also available through the US Edition of SNOMED CT.

Version: February 2017

Release Date: February 2017

Derived from SNOMED CT version: September 2016 US Edition

Derived from ICD-10-CM version: 2017

Number of SNOMED CT Concepts: 100,340

Download Release


Download Exemplar File


Release Documentation: Release Notes (PDF)

Technical Specifications: Technical Specifications (PDF)

Version: September 2016

Release Date: October 2016

Derived from SNOMED CT version: September 2016 US Edition

Derived from ICD-10-CM version: 2016

Number of SNOMED CT Concepts: 84,238

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Release Documentation: Release Notes (PDF)

Technical Specifications: Technical Specifications (PDF)


Version: March 2016

Release Date: July 2016

Derived from SNOMED CT version: March 2016 US Edition

Derived from ICD-10-CM version: 2016

Number of SNOMED CT Concepts: 84,299

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Release Documentation: Release Notes (PDF)

Technical Specifications: Technical Specifications (PDF)

Version: September 2015

Derived from ICD-10-CM version: 2015

Release Documentation: Release Notes (PDF)

Number of SNOMED CT Concepts: 66,257

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Version: September 2014

Derived from SNOMED CT version: March 2014 US Edition

Derived from ICD-10-CM version: 2014

Number of SNOMED CT Concepts: 54,262

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Version: June 2012

Derived from SNOMED CT version: July 2011 International Release

Derived from ICD-10-CM version: 2011

Number of SNOMED CT Concepts: 15,613

Download Release - Final Release


Version: February 2012

Derived from SNOMED CT version: July 2011 International Release

Derived from ICD-10-CM version: 2011

Number of SNOMED CT Concepts: 7,277

Download Release - Preview Publication

Version: June 2012

Derived from SNOMED CT version: July 2011 International Release

Derived from ICD-10-CM version: 2011

Number of SNOMED CT Concepts: 15,613

Download Release - Final Release


Version: February 2012

Derived from SNOMED CT version: July 2011 International Release

Derived from ICD-10-CM version: 2011

Number of SNOMED CT Concepts: 7,277

Download Release - Preview Publication

SNOMED CT Route of Administration Subset Data Files

Version: September 2015

Derived from SNOMED CT version: September 2015 US Edition

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VSAC OID: 2.16.840.1.113762.1.4.1018.98


Version: March 2015

Derived from SNOMED CT version: March 2015 US Edition

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Version: September 2014

Derived from SNOMED CT version: September 2014 US Edition

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Version: March 2014

Derived from SNOMED CT version: March 2014 US Edition

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Version: March 2013

Derived from SNOMED CT version: March 2013 US Edition

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Version: July 2012

Derived from SNOMED CT version: July 2012 International Release

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Version: January 2012

Derived from SNOMED CT version: January 2012 International Release

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Version: July 2011

Derived from SNOMED CT version: July 2011 International Release

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Version: July 2010

Derived from SNOMED CT version: July 2010 International Release

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Nursing Problem List Subset of SNOMED CT

Version: August 2017

Derived from US Edition SNOMED CT version: March 2017

Derived from UMLS Metathesaurus version: 2017AA

Number of Concepts: 673

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Version: November 2014

Derived from US Edition SNOMED CT version: March 2014

Derived from UMLS Metathesaurus version: 2014AA

Number of Concepts: 506

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Version: June 2012

Derived from US Edition SNOMED CT version: January 2012

Derived from UMLS Metathesaurus version: 2012AA

Number of Concepts: 417

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Version: April 2011

Derived from US Edition SNOMED CT version: July 2010

Derived from UMLS Metathesaurus version: 2010AB

Number of Concepts: 368

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SNOMED CT Mapping Files

Version: June 2009

Release Date: July 2009

Derived from SNOMED CT version: July 2008 International Release

Derived from ICD-9-CM version: 2008

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Convergent Medical Terminology (CMT) Release Files

CMT US Edition Map Set

Release Date: September 29, 2023

This diagnosis list set consists of KP concepts used in the EHR that are mapped to the US Edition of SNOMED CT. This CMT release is based on the September 2023 US Edition of SNOMED CT and contains 27,725 concepts. This file also includes mappings to ICD-10-CM. SNOMED CT concepts are based on the September 2023 US Edition, which includes the June 2023 International Release.

CMT US Edition Map Set

CMT US Edition Map Set Read Me


CMT US Edition Map Set

Release Date: May 15, 2023

This diagnosis list set consists of KP concepts used in the EHR that are mapped to the US Edition of SNOMED CT. This CMT release is based on the March 2023 US Edition of SNOMED CT and contains 27,170 concepts. This file also includes mappings to ICD-10-CM. SNOMED CT concepts are based on the March 2023 US Edition, which includes the December 2022 International Release.

CMT US Edition Map Set

CMT US Edition Map Set Read Me

CMT US Edition Map Set

Release Date: October 17, 2022

This diagnosis list set consists of KP concepts used in the EHR that are mapped to the US Edition of SNOMED CT. This CMT release is based on the September 2022 US Edition of SNOMED CT and contains 26,887 concepts. This file also includes mappings to ICD-10-CM. SNOMED CT concepts are based on the September 2022 US Edition, which includes the June 2022 International Release.

CMT US Edition Map Set

CMT US Edition Map Set Read Me

CMT US Edition Map Set

Release Date: March 1, 2022

This diagnosis list set consists of KP concepts used in the EHR that are mapped to the US Edition of SNOMED CT. There are 25,971 concepts in this file. This file also includes mappings to ICD-10-CM. SNOMED CT concepts are based on the March 2022 US Edition, which includes the January 2022 International Release.

CMT US Edition Map Set

CMT US Edition Map Set Read Me

CMT US Edition Map Set

Release Date: December 21, 2021

This diagnosis list set consists of KP concepts used in the EHR that are mapped to the US Edition of SNOMED CT. There are 25,604 concepts in this file. This file also includes mappings to ICD-10-CM. SNOMED CT concepts are based on the September 2021 US Edition, which includes the July 2021 International Release.

CMT US Edition Map Set

CMT US Edition Map Set Read Me

CMT US Edition Map Set

Release Date: March 30, 2021

This diagnosis list set consists of KP concepts used in the EHR that are mapped to the US Edition of SNOMED CT. There are 23,416 concepts in this file. This file also includes mappings to ICD-10-CM. SNOMED CT concepts are based on the March 2021 US Edition, which includes the January 2021 International Release.

CMT US Edition Map Set

CMT US Edition Map Set Read Me

CMT US Edition Map Set

Release Date: April 2, 2020

This diagnosis list set consists of KP concepts used in the EHR that are mapped to the US Edition of SNOMED CT. There are 23,527 concepts in this file. This file also includes mappings to ICD-10-CM. SNOMED CT concepts are based on the March 2020 US Edition, which includes the January 2020 International Release.

CMT US Edition Map Set

CMT US Edition Map Set Read Me

CMT US Edition Map Set

Release Date: January 15, 2020

This diagnosis list set consists of KP concepts used in the EHR that are mapped to the US Edition of SNOMED CT. There are 22,796 concepts in this file. This file also includes mappings to ICD-10-CM. SNOMED CT concepts are based on the September 2019 US Edition, which includes the July 2019 International Release.

CMT US Edition Map Set

CMT US Edition Map Set Read Me

CMT US Edition Map Set

Release Date: June 7, 2019

This diagnosis list set consists of KP concepts used in the EHR that are mapped to the US Edition of SNOMED CT. There are 22,164 concepts in this file. This file also includes mappings to ICD-10-CM. SNOMED CT concepts are based on the March 2019 US Edition, which includes the January 2019 International Release.

CMT US Edition Map Set

CMT US Edition Map Set Read Me

Vascular Procedures List

Release Date: June 1, 2017

This procedure list subset inlcudes 80 concepts that Kaiser Permanente uses within the KP electronic medical record. This file also includes mappings to CPT. SNOMED CT concepts are based on the March 2017 United States Edition, which includes the January 2017 International Release.

Vascular Procedures List

Miscellaneous Problem List Update

Release Date: November 22, 2016

This updated miscellaneous problem list subset includes 737 concepts that Kaiser Permanente uses within the KP electronic medical record. This file also includes mappings to ICD-9-CM and ICD-10-CM. SNOMED CT concepts are based on the September 2016 United States Edition, which includes the July 2016 International Release.

Miscellaneous Problem List Subset Update


Musculoskeletal Problem List Update

Release Date: September 30, 2016

This updated musculoskeletal problem list subset includes 5,008 concepts that Kaiser Permanente uses within the KP electronic medical record. This file also includes mappings to ICD-9-CM and ICD-10-CM. SNOMED CT concepts are based on the July 2016 International Release.

Musculoskeletal Problem List Subset Update


Radiology 3 Problem List Update

Release Date: September 7, 2016

This updated radiology problem list subset includes 268 concepts that Kaiser Permanente uses within the KP electronic medical record for radiology orders. This file also includes mappings to CPT. SNOMED CT concepts are based on the January 2016 International Release.

Radiology 3 Problem List Subset Update


Top 2500 Concepts Problem List Update

Release Date: July 26, 2016

This updated problem list subset includes the top 2501 concepts that Kaiser Permanente uses within the KP electronic medical record. This file also includes mappings to ICD-9-CM and ICD-10-CM. SNOMED CT concepts are based on the January 2016 International Release.

Top 2500 Problem List Subset Update


Cardiology Problem List Update

Release Date: July 18, 2016

This updated problem list subset includes concepts that Kaiser Permanente uses within the Cardiology problem list. There are 1,426 SNOMED CT concepts in the file and includes mappings to ICD-9-CM and ICD-10-CM. SNOMED CT concepts are based on the January 2016 International Release.

Cardiology Problem List Subset Update


Ophthalmology Problem List Subset Update

Release Date: March 5, 2016

This updated problem list subset includes concepts that Kaiser Permanente uses within the Ophthalmology problem list. There are 3,284 SNOMED CT concepts in the file and includes mappings to ICD-9-CM and ICD-10-CM. SNOMED CT concepts are based on the January 2014 International Release.

Ophthalmology Problem List Subset Update


Radiology 2 Procedure Subset

Release Date: March 17, 2016

This updated problem list subset includes concepts that Kaiser Permanente uses to place Radiology order. There are 232 SNOMED CT concepts in the file and includes mappings to CPT. SNOMED CT concepts are based on the January 2014 International Release.

Radiology 2 Procedure Subset


Mental Health Subset Update

Release Date: February 26, 2016

This updated problem list subset includes concepts that Kaiser Permanente uses within the Mental Health Problem Lists. There are 1,162 SNOMED CT concepts in the file and includes mappings to ICD-9-CM and ICD-10-CM. SNOMED CT concepts are based on the January 2014 International Release.

Mental Health Subset Update

Hematology and Oncology

Release Date: November 18, 2015

This updated problem list subset includes concepts that Kaiser Permanente uses within Hematology and Onoclogy Problem Lists. There are 4,085 SNOMED CT concepts in the file and includes mappings to ICD-9-CM and ICD-10-CM. SNOMED CT concepts are based on the January 2014 International Release.

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History and Family History

Release Date: October 15, 2015

This updated problem list subset includes concepts that Kaiser Permanente uses for documenting History and Family History. There are 1,466 SNOMED CT concepts in the file and includes mappings to ICD-9-CM and ICD-10-CM. SNOMED CT concepts are based on the January 2014 International Release.

Download History and Family History Subset


Radiology 1 Procedure Subset

Release Date: September 16, 2015

This problem list subset update includes concepts that Kaiser Permanente use to place Radiology orders. There are 408 SNOMED CT concepts in the file and includes mappings to CPT. SNOMED CT concepts are based on the January 2014 International Release.

Download Radiology 1 Procedure Subset


Endocrine, Nephrology, and Urology

Release Date: August 12, 2015

This problem list subset update includes concepts that Kaiser Permanente uses within the Endocrine, Nephrology, and Urology Problem Lists. There are 1,752 SNOMED CT concepts in the file and includes mappings to ICD-9-CM and ICD-10-CM. SNOMED CT concepts are based on the January 2014 International Release.

Download Endocrine, Nephrology, and Urology Subset


Vaccinations

Release Date: August 10, 2015

This procedure list subset includes concepts that Kaiser Permanente clinicians use to place Vaccination orders. There are 92 SNOMED CT concepts in the file and includes mappings to CPT. SNOMED CT concepts are based on the January 2014 International Release.

Download Vaccinations Subset


Obstetrics and Gynecology

Release Date: July 16, 2015

This problem list subset update includes concepts that Kaiser Permanente uses within the Obstetrics and Gynecology Problem Lists. There are 1823 SNOMED CT concepts in the file and includes mappings to ICD-9-CM and ICD-10-CM. SNOMED CT concepts are based on the January 2014 International Release.

Download Obstetrics and Gynecology Subset


ENT, Gastroenterology, and Infectious Diseases

Release Date: June 16, 2015

This problem list subset update includes concepts that Kaiser Permanente uses within the ENT, Gastroenterology, and Infectious Diseases Problem Lists. There are 3,766 SNOMED CT concepts in the file and includes mappings to ICD-9-CM and ICD-10-CM. SNOMED CT concepts are based on the January 2014 International Release.

Download ENT, Gastroenterology, and Infectious Diseases Subset


Neurology

Release Date: May 11, 2015

This problem list subset update includes concepts that Kaiser Permanente uses within Neurology Problem Lists. There are 1791 SNOMED CT concepts in the file and includes mappings to ICD-9-CM and ICD-10-CM. SNOMED CT concepts are based on the January 2014 International Release.

Download Neurology Subset


Skin/Dermatology and Respiratory

Release Date: April 22, 2015

This problem list subset update includes concepts that Kaiser Permanente uses within the Skin/Dermatology and Respiratory Problem Lists. There are 2756 SNOMED CT concepts in the file. SNOMED CT concepts are based on the January 2014 International Release.

Download Skin/Dermatology and Respiratory Subset


Specimen Source and Specimen Type

Release Date: February 4, 2015

This release contains two problem list subsets used in Kaiser Permanente electronic medical records to describe Specimen Source and Specimen Type. There are 556 SNOMED CT concepts in the Specimen Source file and 621 concepts in the Specimen Type file. SNOMED CT concepts are based on the January 2014 International Release.

Download Specimen Source and Specimen Type Subset

Common Lab Procedures

Release Date: December 9, 2014

This problem list subset includes the most common lab procedure concepts in use at Kaiser Permanente that are mapped to both CPT and LOINC. There are 347 concepts in this file. SNOMED CT concepts are based on the 1/31/2014 version of the International Release.

Download Common Lab Procedures Subset


Emergency Department

Release Date: November 3, 2014

This problem list subset includes concepts that KP uses within the ED Problem List.There are 2189 concepts in this file. SNOMED Concepts are based on the 1/31/2012 version of the International Release.

Download Emergency Department Subset


Pediatrics

Release Date: October 9, 2014

This problem list subset includes concepts that KP uses within the Pediatrics Problem List.There are 3792 concepts in this file. SNOMED Concepts are based on the 1/31/2012 version of the International Release.

Download Pediatrics Subset


Cardiology

Release Date: August 18, 2014

This problem list subset includes concepts that KP uses as Problem Lists for Cardiology. There are 879 concepts in this file.

Download Cardiology Subset


Musculoskeletal

Release Date: August 18, 2014

Total of 3710 concepts that Kaiser Permanente uses for Musculoskeletal problem lists.

Download Musculoskeletal Subset


Ophthalmology

Release Date: August 18, 2014

This problem list subset includes concepts that KP uses as Problem Lists for Ophthalmology. There are 2505 concepts in this file.

Download Ophthalmology Subset


Orthopedics

Release Date: July 31, 2014

This problem list subset includes concepts that KP uses as Problem Lists for Orthopedics. There are 1088 concepts in this file.

Download Orthopedics Subset


Top 2500

Release Date: July 31, 2014

This problem list subset includes the Top 2500 most frequently used problem list concepts. There are 2584 concepts in this file.

Download Top 2500 Subset


Injuries

Release Date: July 31, 2014

This problem list subset includes concepts that KP uses as Problem Lists for Injuries. There are 5825 concepts in this file.

Download Injuries Subset


Injury Total (Problem List Subsets Parts 1, 2 and 3)

Release Date: January 15, 2014

This problem list subset includes all concepts that KP uses as Problem Lists for Non-fracture Injury domain. There are total of 6144 concepts in this file.

Download Injury Total (Problem List Subsets Parts 1, 2 and 3) Subset


Injury Part 3

Release Date: January 15, 2014

Total of 1,691 concepts that Kaiser Permanente uses for Injuries (part 3) problem lists.

Download Injury Part 3 Subset

Primary Care

Release Date: December 2, 2013

Total of 2830 concepts that Kaiser Permanente uses for problems lists for Primary Care.

Download Primary Care Subset


Orthopedics (non-extremity fractures)

Release Date: August 26, 2013

Total of 385 concepts that Kaiser Permanente uses for Orthopedics (non-extremity fractures) problem lists.

Download Orthopedics (non-extremity fractures) Subset


History of and Family History of

Release Date: July 15, 2013

Total of 1,058 concepts that Kaiser Permanente uses for Hx of and FHx of problem lists.

Download History of and Family History of Subset


Injury (Part 1)

Release Date: June 13, 2013

Total of 2,150 concepts that Kaiser Permanente uses for Injuries (part 1) problem lists.

Download Injury (Part 1) Subset


Orthopedics (extremity fractures)

Release Date: May 01, 2013

Total of 708 concepts that Kaiser Permanente uses for Orthopedics (extremity fractures) problem lists.

Download Orthopedics (extremity fractures) Subset


Obstetrics and Gynecology

Release Date: April 01, 2013

Total of 1,306 concepts that Kaiser Permanente uses for Obstetrics and Gynecology problem lists.

Download Obstetrics and Gynecology Subset

Skin/Respiratory

Release Date: November 14, 2012

Total of 2,856 concepts that Kaiser Permanente uses for Skin/Respiratory problem lists.

Download Skin/Respiratory Subset


ENT, Gastrointestinal, Infectious Diseases

Release Date: November 2, 2012

Total of 3,584 concepts that Kaiser Permanente uses for ENT, Gastrointestinal, Infectious Diseases problem lists.

Download ENT, Gastrointestinal, Infectious Diseases Subset


Endocrinology Urology & Nephrology

Release Date: June 11, 2012

Total of 1,638 concepts that Kaiser Permanente uses for endocrinology, urology, nephrology problem lists.

Download Endocrinology Urology & Nephrology Subset

Kaiser Permanente CMT Enterprise Terminology Tool (ETT)

Release Date: November 2, 2012

Kaiser Permanente uses the ETT for the creation, management and quality assurance of its terminology products such as the CMT subsets. The ETT is an installation of the IHTSDO Workbench. Note: NLM does not provide technical support for the ETT.

Download Kaiser Permanente CMT ETT

Hematology/Oncology

Release Date: November 1, 2011

Total of 2,846 concepts that Kaiser Permanente uses for hematology/oncology problem lists.

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Cardiology

Release Date: November 1, 2011

Total of 949 concepts that Kaiser Permanente uses for cardiology problem lists.

Download Cardiology Subset


Ophthalmology

Release Date: November 1, 2011

Total of 2,950 concepts that Kaiser Permanente uses for ophthalmology problem lists.

Download Ophthalmology Subset


Musculoskeletal

Release Date: September 1, 2011

Total of 4,534 concepts consisting of all concepts that Kaiser Permanente uses as problem lists for non-injury musculoskeletal problems.

Download Musculoskeletal Subset


Neurology

Release Date: August 9, 2011

Total of 1,497 concepts consisting of all concepts Kaiser Permanente uses as problem lists in neurology specialty.

Download Neurology Subset


Mental Health

Release Date: July 1, 2011

Total of 1,203 concepts consisting of all concepts Kaiser Permanente uses as problem lists in mental health specialty.

Download Mental Health Subset


KP Problem List

Release Date: February 25, 2011

Total of 2,613 concepts consisting of the top 2,500 most frequently used problem list concepts used by Kaiser Permanente plus a few related concepts.

Download KP Problem List Subset


CORE Problem List Subset Data Files

Version: May 2023

Derived from SNOMED CT version: March 2023 US Edition of SNOMED CT

Derived from UMLS Metathesaurus version: 2023AA

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Version: November 2022

Derived from SNOMED CT version: September 2022 US Edition of SNOMED CT

Derived from UMLS Metathesaurus version: 2022AB

Download Release


Version: May 2022

Derived from SNOMED CT version: March 2022 US Edition of SNOMED CT

Derived from UMLS Metathesaurus version: 2022AA

Download Release

Version: November 2021

Derived from SNOMED CT version: July 2021 International Release

Derived from UMLS Metathesaurus version: 2021AB

Download Release


Version: May 2021

Derived from SNOMED CT version: January 2021 International Release

Derived from UMLS Metathesaurus version: 2021AA

Download Release


Version: February 2021

Derived from SNOMED CT version: January 2021 International Release

Derived from UMLS Metathesaurus version: 2020AB

Download Release

Version: November 2020

Derived from SNOMED CT version: July 2020 International Release

Derived from UMLS Metathesaurus version: 2020AB

Download Release

Version: August 2020

Derived from SNOMED CT version: July 2020 International Release

Derived from UMLS Metathesaurus version: 2020AA

Download Release

Version: May 2020

Derived from SNOMED CT version: January 2020 International Release

Derived from UMLS Metathesaurus version: 2020AA

Download Release

Version: February 2020

Derived from SNOMED CT version: January 2020 International Release

Derived from UMLS Metathesaurus version: 2019AB

Download Release

Version: November 2019

Derived from SNOMED CT version: July 2019 International Release

Derived from UMLS Metathesaurus version: 2019AB

Download Release

Version: August 2019

Derived from SNOMED CT version: July 2019 International Release

Derived from UMLS Metathesaurus version: 2019AA

Download Release

Version: May 2019

Derived from SNOMED CT version: January 2019 International Release

Derived from UMLS Metathesaurus version: 2019AA

Download Release

Version: February 2019

Derived from SNOMED CT version: January 2019 International Release

Derived from UMLS Metathesaurus version: 2018AB

Download Release

Version: November 2018

Derived from SNOMED CT version: July 2018 International Release

Derived from UMLS Metathesaurus version: 2018AB

Download Release

Version: August 2018

Derived from SNOMED CT version: July 2018 International Release

Derived from UMLS Metathesaurus version: 2018AA

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Version: May 2018

Derived from SNOMED CT version: January 2018 International Release

Derived from UMLS Metathesaurus version: 2018AA

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Version: February 2018

Derived from SNOMED CT version: January 2018 International Release

Derived from UMLS Metathesaurus version: 2017AB

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Version: November 2017

Derived from SNOMED CT version: July 2017 International Release

Derived from UMLS Metathesaurus version: 2017AB

Download Release

Version: August 2017

Derived from SNOMED CT version: July 2017 International Release

Derived from UMLS Metathesaurus version: 2017AA

Download Release

Version: May 2017

Derived from SNOMED CT version: January 2017 International Release

Derived from UMLS Metathesaurus version: 2017AA

Download Release

Version: February 2017

Derived from SNOMED CT version: January 2017 International Release

Derived from UMLS Metathesaurus version: 2016AB

Download Release

Version: November 2016

Derived from SNOMED CT version: July 2016 International Release

Derived from UMLS Metathesaurus version: 2016AB

Download Release

Version: August 2016

Derived from SNOMED CT version: July 2016 International Release

Derived from UMLS Metathesaurus version: 2016AA

Download Release

Version: May 2016

Derived from SNOMED CT version: January 2016 International Release

Derived from UMLS Metathesaurus version: 2016AA

Download Release

Version: February 2016

Derived from SNOMED CT version: January 2016 International Release

Derived from UMLS Metathesaurus version: 2015AB

Download Release

Version: November 2015

Derived from SNOMED CT version: July 2015 International Release

Derived from UMLS Metathesaurus version: 2015AB

Download Release


Version: August 2015

Derived from SNOMED CT version: July 2015 International Release

Derived from UMLS Metathesaurus version: 2015AA

Download Release


Version: May 2015

Derived from SNOMED CT version: January 2015 International Release

Derived from UMLS Metathesaurus version: 2015AA

Download Release


Version: February 2015

Derived from SNOMED CT version: January 2015 International Release

Derived from UMLS Metathesaurus version: 2014AB

Download Release

Version: November 2014

Derived from SNOMED CT version: July 2014 International Release

Derived from UMLS Metathesaurus version: 2014AB

Download Release


Version: August 2014

Derived from SNOMED CT version: July 2014 International Release

Derived from UMLS Metathesaurus version: 2014AA

Download Release


Version: May 2014

Derived from SNOMED CT version: January 2014 International Release

Derived from UMLS Metathesaurus version: 2014AA

Download Release


Version: February 2014

Derived from SNOMED CT version: January 2014 International Release

Derived from UMLS Metathesaurus version: 2013AB

Download Release

Version: November 2013

Derived from SNOMED CT version: July 2013 International Release

Derived from UMLS Metathesaurus version: 2013AB

Download Release


Version: May 2013

Derived from SNOMED CT version: January 2013 International Release

Derived from UMLS Metathesaurus version: 2013AA

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Version: February 2013

Derived from SNOMED CT version: January 2013 International Release

Derived from UMLS Metathesaurus version: 2012AB

Download Release

Version: November 2012

Derived from SNOMED CT version: July 2012 International Release

Derived from UMLS Metathesaurus version: 2012AB

Download Release


Version: August 2012

Derived from SNOMED CT version: July 2012 International Release

Derived from UMLS Metathesaurus version: 2012AA

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Version: May 2012

Derived from SNOMED CT version: January 2012 International Release

Derived from UMLS Metathesaurus version: 2012AA

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Version: February 2012

Derived from SNOMED CT version: January 2012 International Release

Derived from UMLS Metathesaurus version: 2011AB

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Version: November 2011

Derived from SNOMED CT version: July 2011 International Release

Derived from UMLS Metathesaurus version: 2011AB

Download Release


Version: August 2011

Derived from SNOMED CT version: July 2011 International Release

Derived from UMLS Metathesaurus version: 2011AA

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Version: May 2011

Derived from SNOMED CT version: January 2011 International Release

Derived from UMLS Metathesaurus version: 2011AA

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Version: February 2011

Derived from SNOMED CT version: January 2011 International Release

Derived from UMLS Metathesaurus version: 2010AB

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Version: November 2010

Derived from SNOMED CT version: July 2010 International Release

Derived from UMLS Metathesaurus version: 2010AB

Download Release


Version: August 2010

Derived from SNOMED CT version: July 2010 International Release

Derived from UMLS Metathesaurus version: 2010AA

Download Release


Version: May 2010

Derived from SNOMED CT version: January 2010 International Release

Derived from UMLS Metathesaurus version: 2010AA

Download Release


Version: February 2010

Derived from SNOMED CT version: January 2010 International Release

Derived from UMLS Metathesaurus version: 2009AB

Download Release

Version: November 2009

Derived from SNOMED CT version: July 2009 International Release

Derived from UMLS Metathesaurus version: 2009AB

Download Release


Version: August 2009

Derived from SNOMED CT version: July 2009 International Release

Derived from UMLS Metathesaurus version: 2009AA

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Version: July 2009

Derived from SNOMED CT version: January 2009 International Release

Derived from UMLS Metathesaurus version: 2009AA

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Terms of use for SNOMED CT are contained in Appendix 2, SNOMED CT Affiliate License Agreement, of the License for Use of the UMLS Metathesaurus. Please see the Licensing SNOMED CT page for more information.

Please Note: The IHTSDO may be notified of users who download SNOMED CT from non-Member countries.

Last Reviewed: January 31, 2020