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SNOMED CT International Edition

Download SNOMED CT International Edition releases and related international files from this page. Click on the file name to see more information and to download the release file. NLM distributes the SNOMED CT International Edition and derivatives to licensed individuals via the UMLS Terminology Services. Please see the Licensing page to learn more about licensing and how to register to obtain an Affiliate License.

Please note - The US Edition provides a single source of SNOMED CT content for use in the United States. The SNOMED CT US Edition is a standalone release that contains the content of both the US Extension and the International Editions of SNOMED CT.

For older versions of all SNOMED CT Releases see the Archives page.

For the latest planned changes to upcoming SNOMED CT International Release packages, see the Early Visibility Release Notice page.

Current International Edition Release

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

Version: December 2024

Release Date: December 2, 2024

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 2024 release.

Download RF2 Files Now!Download Release Notes

Online version of Release Notes

MD5 hash for RF2 package: 9a61483fd837dc7c9afd94ae3f5c23f6

Announcement - SNOMED International seeks community feedback on proposed description character limit increase

SNOMED International, owners of SNOMED CT, propose to increase the maximum length of Fully Specified Name (FSN) and Synonym descriptions from 255 characters to 4096 characters. The requirement for this change has come from the Pharmaceutical / biologic product hierarchy, where the terming guidance for FSNs causes the current limit to be exceeded where there is a large number of ingredients in a medicinal product, which is particularly common in multivalent vaccines.

There is some likelihood that implementers will have hardcoded database schemas to 255 characters, so a significant lead time is proposed before this change would take effect. The current proposal would be for the changes to be implemented in late 2025.

It is important to note that there is absolutely no intention to increase the length of a multitude of the International Descriptions. The proposal is simply to increase the maximum possible size to 4096, in order to allow a small number of necessarily longer terms to be consumed. However, most Descriptions will remain at their current length, well below 255 characters.

Please see the latest Q&A blog post by SNOMED International Technical Specialist Peter Groves Williams, who explains the proposed change, its potential benefits, the feedback process and timelines, and the issues that may need to be considered in such an update. You can also find the full proposal here.

Feedback Form

SNOMED International request that SNOMED CT users provide feedback on this proposal via this form. SNOMED International will respond to feedback received until the end of this consultation exercise on December 31, 2024. NLM strongly encourages users to provide feedback directly to SNOMED International via the provided online form.

Questions regarding the proposal can be sent to info@snomed.org or can be posted on the proposal page here.




Version: September 2024 SNOMED CT Spanish Edition

Versión Septiembre 2024 de la Edición en Español de SNOMED CT

Release Date: 2024-09-30

Download Spanish Edition Files Now

Download Release NotesView Starter Guide

Online version of Release Notes

MD5 hash for RF2 package:

53171be7f9706d5cb4b072b054bb5a9f

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

Previous SNOMED CT International Monthly Release Files

Version: November 2024

Release Date: November 1, 2024

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 2024 release.

Download RF2 Files Now!Download Release Notes

Online version of Release Notes

MD5 hash for RF2 package: 56a440a4d7b1c3b4899a73d0c8d4a63f

Version: October 2024

Release Date: October 1, 2024

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 2024 release.

Download RF2 Files Now!Download Release Notes

Online version of Release Notes

MD5 hash for RF2 package: e450988dc740d8f9c7abef1eff2c7711

Version: September 2024

Release Date: August 30, 2024

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 2024 release.

Download RF2 Files Now!Download Release Notes

Online version of Release Notes

MD5 hash for RF2 package: 4fec5e01af774cb4869eb71bff240eb5

Version: August 2024

Release Date: August 1, 2024

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 2024 release.

Download RF2 Files Now!Download Release Notes

Online version of Release Notes

MD5 hash for RF2 package: e61fe841a8fb67e1a985c560d6ab6d93

Version: July 2024

Release Date: July 1, 2024

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 2024 release.

Download RF2 Files Now!Download Release Notes

Online version of Release Notes

MD5 hash for RF2 package: 5ccb7b28c52a18105ecd63a154b00894


Version: June 2024

Release Date: May 31, 2024

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 2024 release.

Download RF2 Files Now!Download Release Notes

Online version of Release Notes

MD5 hash for RF2 package:

2a0ef2d484d48f7b5e89328ee1ecc521


Version: May 2024

Release Date: May 1, 2024

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 2024 release.

Download RF2 Files Now!Download Release Notes

Online version of Release Notes

MD5 hash for RF2 package:

b2a6c4999b219ef8bb5480c34124b4ac


Version: April 2024

Release Date: March 28, 2024

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 2024 release.

Download RF2 Files Now!Download Release Notes

Online version of Release Notes

MD5 hash for RF2 package:

b7c9e458fc83fbc5bdb4e560c784e64e


Version: March 2024

Release Date: March 1, 2024

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 2024 release.

Download RF2 Files Now!Download Release Notes

Online version of Release Notes

MD5 hash for RF2 package:

e79e80c87a0c9943902d3ccb9e8a00a5


Version: February 2024

Release Date: February 1, 2024

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 2024 release.

Download RF2 Files Now!Download Release Notes

Online version of Release Notes

MD5 hash for RF2 package:

090de1fa55c4b7da621a9d742265006a


Version: January 2024

Release Date: January 1, 2024

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 2024 release.

Download RF2 Files Now!Download Release Notes

Online version of Release Notes

MD5 hash for RF2 package:

011d4c0735bd37a67739887c71deec7e


Additional SNOMED CT International Release Files

Version: April 2024

Release Date: 2024-04-12

This is the Production release of the April 2024 SNOMED CT International Nutrition Care Process Terminology (NCPT) Reference Set package.

This package is provided in Release Format 2 (RF2) format only. It is dependent upon the SNOMED CT January 2024 International Edition, and so should be consumed and analyzed accordingly.

For more information please refer to the release notes, which can either be downloaded from this repository, or accessed online here: SNOMED CT NCPT Refset Release Notes � April 2024

Download SNOMED CT Nutrition Care Process Terminology (NCPT) Refset Package

Download Release NotesView Release Notes

MD5 hash for RF2 package:

72e32f7218b8c91e3d84a9393d342fc8

Version: November 2024

Release Date: 2024-11-08

This is the Production release of the November 2024 EDQM Dose Forms to SNOMED CT Map package.

This package is provided in Release Format 2 (RF2) format only. It is dependent upon the SNOMED CT July 2024 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: EDQM Dose Forms to SNOMED CT Map package PRODUCTION Release Notes - November 2024

Download EDQM Dose Forms to SNOMED CT Map package

Download Release NotesView Release Notes

MD5 hash for RF2 package:

3c4199e2b58202c11a402550dca50e4a

Version: April 2024

Release Date: 2024-04-30

This is the Production release of the April 2024 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 2024 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 - April 2024

Download SNOMED CT MedDRA Simple Map Package

Download Release NotesView Release Notes

MD5 hash for RF2 package:

03b29b0761f0b0f9fa14b4a4eeb68629

Version: July 2024

Release Date: 2024-10-14

This is the Production release of the July 2024 SNOMED CT Orphanet Map package.

This package is provided in Release Format 2 (RF2) format only. It is dependent upon the SNOMED CT July 2024 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 2024

Download SNOMED CT Orphanet Map package

Download Release NotesView Release Notes

MD5 hash for RF2 package:

5b5311147a853f2289fb02e2f0b9e8ef

Version: January 2024

Release Date: 2024-05-31

This is the Production release of the January 2024 ICNP SNOMED CT Nursing Practice Refset package.

This package is provided in Release Format 2 (RF2) format only. It is dependent upon the SNOMED CT January 2024 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 - January 2024

Download SNOMED CT ICNP Nursing Practice Refset

Download Release NotesView Release Notes

MD5 hash for RF2 package:

b7a91aba3817c8a0ad5906fb0874e4eb

Version: July 2023 v1.0

Release Date: 2023-10-26

This is the Production release of the July 2023 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 2023 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 2023

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

MD5 hash for RF2 package:

adbbdc2bf4d2863c7e2fc8fcde474fca

Version: July 2023 v1.0

Release Date: 2023-11-06


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 2023 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 2023 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 2023


Download SNOMED CT General Dentistry Diagnostic Refset (Version 20231031)

Download SNOMED CT General Dentistry Diagnostic Release NotesView Release Notes

MD5 hash for RF2 package:

b594ed03809d3ff6bb670f96fa109fd0

Version: July 2023 v1.0

Release Date: 2023-11-10


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 2023 SNOMED CT Odontogram refset package.

This package is provided in Release Format 2 (RF2) format only. It is dependent upon the SNOMED CT July 2023 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 2023


Download SNOMED CT Odontogram Refset (Version 20231031)

Download SNOMED CT Odontogram Release NotesView Release Notes

MD5 hash for RF2 package:

dd0cf4b65e5bd622c3bfe63b07c87530

Version: January 2024 v1.0

Release Date: 2024-05-31


This is the Production release of the January 2024 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 January 2024 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:

d7e80ee2570c534fc4bf8218085119b9

Version: July 2021 v1.0

Release Date: 2021-10-29


This is the Production release of the July 2021 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 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 Nursing Activities Reference Set Release Notes - July 2021


Download SNOMED CT Nursing Activities Refset

Download Release NotesView Release Notes

MD5 hash for RF2 package:

e6960ad63731c4572b9ef629039a0687

Version: July 2021 v1.0

Release Date: 2021-10-29


This is the Production release of the July 2021 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 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 Nursing Health Issues Reference Set Release Notes - July 2021


Download SNOMED CT Nursing Health Issues Refset

Download Release NotesView Release Notes

MD5 hash for RF2 package:

663af6a48874670c2d3f2afb129dcc95

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 NotesView Release Notes

MD5 hash for RF2 package:

c99463977bdf4102275ba22ba2c6834a

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 NotesView Release Notes

MD5 hash for RF2 package:

545269a9baa335abc4e9ed3d200b037b

Release Date: August 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 220170731 version of the International release of SNOMED CT and Version 2.58 of LOINC released 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 20170831)

Download SNOMED CT - LOINC Release Release Notes

Release Date: February 2017

This package contains the SNOMED CT International Edition concept model represented using RF2 reference sets. In addition to the four new MRCM refsets, the Beta release package also contains various files (Concept, Description, etc) containing supporting content from the prospective July 2017 SNOMED CT International Edition. These are provided in order to aid the consumption and analysis of the MRCM refsets, and should not be used for any other purpose.

Please Note: This supporting content is provisional, and can not be considered final until July 31st 2017. It should therefore not be used in any Production systems and should be used only in test systems to aid the evaluation of the MRCM refsets.

Download MRCM RefsetDownload Release Notes

Permanent Packages were previously included in the SNOMED CT International Edition Release Format 1 (RF1) distribution. Because the files do not change from one release to the next, as of January 2015, the files have been made permanently available to IHTSDO Member National Release Centers and Affiliate Licensees via Internet download. They are no longer included in the International Edition.

Go to the SNOMED CT Release Permanent Packages page

Older versions of SNOMED CT International and US Edition release sources are still made available for research or historical purposes. To obtain deprecated or older versions of SNOMED CT releases, please visit NLM SNOMED CT Archives page:

Go to the Archives page

Additional Information

Terms of use for SNOMED CT are contained in Appendix 2, SNOMED CT Affiliate Licence Agreement, of the License for Use of the UMLS Metathesaurus.

NLM also distributes SNOMED CT through the UMLS Metathesaurus.

See the SNOMED CT main page for more information about SNOMED CT activities at NLM.

Last Reviewed: June 30, 2023