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Items (2)
SNOMED CT UK Monolith Edition, RF2: Snapshot
Each release of this item contains an integrated, fully merged set of the SNOMED CT UK Clinical Extension, the UK Drug Extension, the UK Pathology Extension and the International Edition, as a single set of files in Release Format 2 (RF2).
The merged tables are post-processed to resolve duplicates and conflicts that can occur when separate snapshots are combined.
Status: Draft for Trial Use
SNOMED CT UK Query Table and History Substitution Table
Releases of this item contain 2 related derivatives of the SNOMED CT UK Edition to aid the processing of inactive content within systems and data repositories.
The History Substitution Table provides a single table identifying valid substitutions for concepts that are now inactive, along with metadata about that substitution; it is computed using the historical relationships within the main SNOMED CT release but presented as a simpler look-up table.
The Query Table is an extension to a normal SNOMED CT transitive closure table, taking into account the History Substitutions Table and other data. It provides a mechanism to achieve optimal data retrieval, regardless of inactive and active concept status in data or query definitions. The Query Table is recommended as a mechanism for ensuring inactive content is still returned in searches, and is specifically recommended by the Joint GP IT Committee for use in primary care systems.
Status: Supported
Releases (1)
SNOMED CT to OPCS-4.9 Mapping File Patch Release
An unscheduled interim 28.1.2 mapping patch release of the SNOMED CT to OPCS-4.9 map (single Snapshot file only) is now available for download.
This is intended as data substitution mapping file to enable NHS system suppliers to comply with Information Standards Notice (ISN) for DCB0084: OPCS Classification of Interventions and Procedures which is mandated for NHS implementation on 1 April 2020.
News articles (2)
Aligning the SNOMED CT UK Drug Extension model with SNOMED International
Following the phase 2 changes released in February 2026, NHS England is progressing with phases 3 and 4 of the SNOMED CT UK Drug Extension model update. These will be delivered as a single combined release.
Updated webpage content is available, including details of AMP and AMPP changes, with examples and diagrams.
Test files incorporating the phase 3 and 4 changes are available on Delen.
NHS England plans to go live with these changes in quarter 2 of 2026.
To prepare for go-live, NHS England is seeking your feedback via the drug extension model survey to understand potential impacts, and would greatly value your insights and feedback by 9am on Thursday 23 April 2026.
For more information, see NHS England's updating the SNOMED CT UK Drug Extension model page.
If you have any issues completing the survey, or would like to discuss this work further, email nhsdigital.ukmeds@nhs.net.
Aligning the SNOMED CT UK Drug Extension model with SNOMED International
NHS England posted an update on Delen in December 2025 about the planned phase 3 and phase 4 changes to the SNOMED CT UK Drug Extension. NHS England asked for feedback on its plan to publish the changes as a single, combined release. It did not receive any concerns by 15 January 2026, so it will proceed with this approach.
To help NHS England understand the impact of these changes, it plans to publish a survey in March 2026 with test files. This will let you review the phase 3 and phase 4 changes and provide feedback.
For more information, see NHS England's updating the SNOMED CT UK Drug Extension model page.
To discuss this work further, email nhsdigital.ukmeds@nhs.net.