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Items (15)
ICD-10 eVersion Book
Releases of this item contain the ICD-10 5th Edition eVersion book, which is an electronic copy of ICD-10 5th Edition for adding to the eViewer.
Install the latest release of the eViewer application item before downloading releases of this item.
Instructions for adding the eVersion Book to the eViewer can be found in the installation guide included in the eViewer releases.
Following implementation of the ICD-10 5th Edition on 1 April 2016, a number of errors were discovered in the printed ICD-10 5th Edition volumes published by the World Health Organisation. Some of these errors are replicated in the ICD-10 5th Edition eVersion.
We've produced a set of shared errata notes which can be imported into the eVersion.
There are now codes within ICD-10 5th Edition categories U06 and U07 that have been designated for emergency use. The descriptions of codes within categories U06 and U07 in the ICD-10 eVersion remain as ‘Emergency use of’.
We've produced a set of shared notes for the codes for emergency use which can be imported into the eVersion.
The shared errata notes and the shared notes for the codes for emergency use are available on Delen, along with instructions on how to import them into the eViewer.
NHS UK Read Codes Clinical Terms Version 3
The final release of this item was on 19 March 2018. Basic maintenance support will be provided until April 2020.
Read important information on the retirement of Read Version 2 and Clinical Terms Version 3.
Status: Deprecated
NHS UK Read Codes Clinical Terms Version 3, Cross Maps
The final release of this item was on 19 March 2018. Basic maintenance support will be provided until April 2020.
Read important information on the retirement of Read Version 2 and Clinical Terms Version 3.
Status: Deprecated
NHS ICD-10 5th Edition XML data files
A set of XML release files containing the Codes and Titles and Metadata, Tables of Coding Equivalences (comprising forward and backward maps with/without code descriptions) in XML format to support ICD-10 5th Edition implementation on 1 April 2016.
Associated specifications are available in releases of the ‘NHS ICD-10 5th Edition data files’ item in this category.
The Information Standards Notice describes the mandate for NHS and NHS supplier implementation.
This item is designed for NHS information departments and/or NHS system suppliers to upload into PAS systems, and to assist data analysts with the comparison of data collected according to ICD-10 5th Edition with that collected according to the ICD-10 4th Edition. These data files are neither designed nor intended for training purposes.
NHS ICD-10 5th Edition data files
A set of release files containing the Codes and Titles and Metadata and specification, Tables of Coding Equivalences and specification (comprising forward and backward maps with/without code descriptions) and a summary of changes report, to support ICD-10 5th Edition implementation on 1 April 2016.
The Information Standards Notice describes the mandate for NHS and NHS supplier implementation.
This item is designed for NHS information departments and/or NHS system suppliers to upload into PAS systems, and to assist data analysts with the comparison of data collected according to ICD-10 5th Edition with that collected according to the ICD-10 4th Edition. These data files are neither designed nor intended for training purposes.
NHS ICD-10 4th Edition XML data files
A set of release files containing the Codes and Titles and Metadata, Tables of Coding Equivalences (comprising forward and backward maps with/without code descriptions) in XML format to support ICD-10 4th Edition implementation on 1 April 2012.
Associated specifications are available in releases of the ‘NHS ICD-10 4th Edition data files’ item in this category.
This item is designed for NHS information departments and/or NHS system suppliers to upload into PAS systems. These data files are neither designed nor intended for training purposes.
NHS ICD-10 Reprinted (with corrections and updates) 2000
Files in releases of this item contain data equivalent to the icd10met.txt and terms10.txt files (pre-April 2012) in the newer Delimiter Separated Values format.
Implementations of ICD-10 must not use this release - it is provided for the purposes of aiding migration between releases.
NHS ICD-10 4th Edition data files
A set of release files containing the Codes and Titles and Metadata and specification, Tables of Coding Equivalences and specification (comprising forward and backward maps with/without code descriptions) and a summary of changes report, to support ICD-10 4th Edition implementation on 1 April 2012.
This item is designed for NHS information departments and/or NHS system suppliers to upload into PAS systems. These data files are neither designed nor intended for training purposes.
NHS Read Browser
NHS UK Read Codes release data (all versions) in browsable form. This includes English and Scottish variations of the Tri set browser. One directional cross maps from all versions of Read to ICD-10 and OPCS-4 can be viewed on an individual basis in the browser.
The last scheduled release of Read Version 2 and Clinical Terms Version 3 was April 2018. In line with the retirement of Read Version 2 and Clinical Terms Version 3, we no longer support or maintain this product.
Status: Deprecated
NHS Data Migration
Releases of this item contain products intended to support the GP Summary Care Record, Systems of Choice and Data Migration programmes. Specifically:
- many:one ‘forward’ crossmaps from the England and Scotland releases of Read Version 2 to Clinical Terms Version 3, from Read Version 2 to SNOMED CT, and from Clinical Terms Version 3 to SNOMED CT
- many:one ‘backward’ crossmaps from Clinical Terms Version 3 to Read Version 2
- tables assigning NHS Care Record Elements to all Read Version 2, Clinical Terms Version 3 and SNOMED CT codes - these mapping tables are distributed in a non-standard file format, together with supporting documentation
Releases also include experimental SNOMED CT Navigational Subsets by which simulacra of the Read Version 2 and Clinical Terms Version 3 taxonomies may be recreated as views on the full SNOMED CT content.
Read important information on the retirement of Read Version 2 and Clinical Terms Version 3.
Following consultation, the final release of the Read Version 2 to SNOMED CT mapping tables was April 2020. Releases of this item are now unmaintained static data.
Unscheduled releases may occur until April 2023, but only in order to resolve critical clinical safety issues.
Status: Deprecated
NHS UK Read Codes Version 2
The final release of this item was on 1 April 2016.
Read important information on the retirement of Read Version 2 and Clinical Terms Version 3.
Status: Deprecated
National Clinical Coding Standards reference books for eViewer
Releases of this item contain PDF versions of the ICD-10 and OPCS-4 National Clinical Coding Standards reference books for adding to the eViewer application.
Install the latest release of the ‘eViewer application’ item before downloading releases of this item.
Instructions for adding the eVersion Book to the eViewer can be found in the installation guide included in the eViewer releases.
SNOMED CT UK Data Migration Workbench
Releases of this item contain the SNOMED CT UK Data Migration Workbench application, which includes its database files pre-loaded with the latest versions of SNOMED CT, CTV3, READ, OPCS-4, ICD-10 and the crossmaps between them.
Releases also include an installation guide, a user guide and a "Read Me.txt" file. Read the "Read Me.txt" file before installing the application.
Status: In Development
eViewer application
Releases of this item contain the application used to view the ICD-10 and OPCS-4 eVersion books and the National Clinical Coding Standards reference books.
Follow the steps in the installation guide included in the releases to install the application.
You may need administrator rights to install the application. Contact your IT department for help before contacting NHS Digital, as administrator rights are managed locally.
NHS UK Read Pathology Bounded Code List
The Pathology Bounded Code List (PBCL) was developed to provide a defined or bounded subset of Read codes for use in laboratory to GP messaging. Use of the PBCL ensures that there is common understanding by both sending and receiving clinicians of the laboratory investigations and results.
The PBCL continues to be supported following the final release of Read CTV3 in April 2018 but will only be updated on an ad hoc basis where there is an identified national need. Subscribers will be notified in advance of any changes.
Read important information on the retirement of Read Version 2 and Clinical Terms Version 3.
Releases (76)
Release 1.3.0
Week 3.
SNOMEDCT2_28.6.0_20200303000001
3 March 2020 minor release.
SNOMEDCT2_28.6.0_20200303000001
3 March 2020 minor release.
UKHRS_31.1.0_20201125000001
Release 31.1.0, 3 December 2020.
SNOMEDCT2_32.6.0_20211027000001
3 November 2021 minor release.
UKDRUGBONUS_32.6.0_20211027000001
Release 32.6.0, 3 November 2021.
uk_sctqths_32.6.0_20211027000001
Release 32.6.0, 3 November 2021.
UKHRS_32.6.0_20211027000001Z
Release 32.6.0, 3 November 2021.
SNOMEDCT2_32.6.0_20211027000001
3 November 2021 minor release.
SNOMEDCT2_32.6.0_20211027000001
3 November 2021 minor release.
SNOMEDCT2_32.6.0_20211027000001
3 November 2021 minor release.
UKHRS_32.6.0_20211027000001Z
Release 32.6.0, 3 November 2021.
DATAMIGRATION_32.6.0_20211027000001
Release 32.6.0, 3 November 2021.
uk_sctqths_40.5.0_20250827000001
Release 40.5.0, 3 September 2025.
UKHRS_40.5.0_20250827000001Z
Release 40.5.0, 3 September 2025.
UKDRUGBONUS_40.5.0_20250827000001
Release 40.5.0, 3 September 2025.
Release 3.1.0
Week 10.
SNOMEDCT2_27.2.0_20190710000001
10 July 2019 minor release.
SNOMEDCT2_27.2.0_20190710000001
10 July 2019 minor release.
SNOMEDCT2_34.1.0_20220803000001
10 August 2022 minor release.
UKDRUGBONUS_34.1.0_20220803000001
Release 34.1.0, 10 August 2022.
SNOMEDCT2_34.1.0_20220803000001
10 August 2022 minor release.
SNOMEDCT2_34.1.0_20220803000001
10 August 2022 minor release.
Release 34.1.0
10 August 2022 minor release.
UKHRS_34.1.0_20220803000001Z
Release 34.1.0, 10 August 2022.
SNOMEDCT2_34.1.0_20220803000001
10 August 2022 minor release.
uk_sctqths_34.1.0_20220803000001
Release 34.1.0, 10 August 2022.
UKHRS_34.1.0_20220803000001Z
Release 34.1.0, 10 August 2022.
DATAMIGRATION_34.1.0_20220803000001
Release 34.1.0, 10 August 2022.
UKHRS_42.2.0_20260603000001Z
Release 42.2.0, 10 June 2026.
UKHRS_42.2.0_20260603000001Z
Release 42.2.0, 10 June 2026.
DATAMIGRATION_42.2.0_20260603000001
Release 42.2.0, 10 June 2026.
UKHRS_38.3.0_20240703000001Z
Release 38.3.0, 10 July 2024.
UKDRUGBONUS_38.3.0_20240703000001
Release 38.3.0, 10 July 2024.
UKDRUGBONUS_42.2.0_20260603000001
Release 42.2.0, 10 June 2026.
uk_sctqths_42.2.0_20260603000001
Release 42.2.0, 10 June 2026.
Release 62.0.0
This release is based on the 3 June 2026 SNOMED CT Monolith release.
Release 63.0.0
This release is based on the 3 June 2026 SNOMED CT Monolith release.
SNOMEDCT2_2.0.0_20181001000001
Retired ICD-10 4th Edition Extended Map.
SNOMEDCT2_1.0.0_20181001000001
Retired ICD-10 4th Edition 5 Character Extended Map.
SNOMEDCT2_37.0.0_20230927000001
4 October 2023 major release.
Delayed release of SNOMED CT to ICD-10/OPCS-4 classification mapping files
Around 22,000 active SNOMED CT concepts had their ICD-10 map inactivated in release 36.0.0 (19 April 2023). As a result, there are no updated ICD-10/OPCS-4 map files in this release.
Read more about this issue in the release notes.
Work is in progress to reinstate these ICD-10 maps for release 37.2.0, scheduled for 29 November 2023.
Release 37.0.0
4 October 2023 major release.
Delayed release of SNOMED CT to ICD-10/OPCS-4 classification mapping files
Around 22,000 active SNOMED CT concepts had their ICD-10 map inactivated in release 36.0.0 (19 April 2023). As a result, there are no updated ICD-10/OPCS-4 map files in this release.
Read more about this issue in the release notes.
Work is in progress to reinstate these ICD-10 maps for release 37.2.0, scheduled for 29 November 2023.
Release 53.0.0
This release is based on the 10 April 2024 SNOMED CT UK Clinical release.
Cancer Outcomes and Services Data Set XML Schema release 10-2-0
This release is useable from 1 April 2024.
Release 10-2-0 replaces release 10-1-0 and contains the following changes:
- move HA8450 to the end of Haematological Care Plan Choice four i.e DLBCL
- move HA9510 into a new Haematological Care Plan Choice seven i.e MantleCellLymphoma
- leave behind HA9500 in Haematological Care Plan Choice six
- rename Haematological Care Plan Choice six to Nodal T Cell Lymphoma
- create a new Bronchoscopy Not Performed section for Lung ONLY
- repoint CR9010 to the XmlType INT_NHS_3_LIMIT_100
-
Some upper limits where wrongly restricted for decimal values:
- CR6430 ⇒ min_length: 0.0, max_length: 9.99
- CR6440 ⇒ min_length: 0.0, max_length: 999.999
- CR6450 ⇒ min_length: 0.0, max_length: 99.9
- CT7800 ⇒ min_length: 0.0, max_length: 999.9
- HA9000 ⇒ min_length: 0.0, max_length: 99.9
- HA9000 ⇒ min_length: 0.0, max_length: 99.9
- LU10050 ⇒ min_length: 0.1, max_length: 9.99
- UR15070 ⇒ min_length: 0.0, max_length: 99999.9
The Information Standard was approved by the Data Allowance Partnership Board (DAPB) as DAPB1521: Cancer Outcomes and Services Data Set.
The XML Schemas were produced by the National Disease Registration Service, NHS England. Email questions or feedback to nhsdigital.cosdenquiries@nhs.net.
Release 2.0.0
This release contains the updated ICD-10 5th Edition Codes and Titles and Metadata File Specification. All other files are identical to those published in the first release on 2 November 2015.
The ICD-10 5th Edition Codes and Titles and Metadata File GENDER_MASK metadata field has been changed from an absolute check to a scrutiny check in the updated ICD-10 5th Edition Codes and Titles and Metadata File Specification document. This change is explained in the Addendum (Amd 10/2014) on the NHS England website.
You can also access the updated ICD-10 5th Edition Codes and Titles and Metadata File Specification document at SCCI0021: International Statistical Classification of Diseases and Health Related Problems (ICD-10) 5th Edition on the NHS England website.
2023 reference book release 4.0.0
The ICD-10 and OPCS-4 reference books for the eViewer for use from 1 April 2023.
2024 national standards release 5.0.0
The ICD-10 and OPCS-4 National Clinical Coding Standards for the eViewer for use from 1 April 2024.
SNOMEDCT2_40.5.0_20250827000001
3 September 2025 minor release.
Read the release notes and see the full release schedule, including dates for the International Edition, on the 2025-2026 Release Schedule: SNOMED CT UK Edition page on Delen.
Release 40.5.0
3 September 2025 minor release.
Read the release notes and see the full release schedule, including dates for the International Edition, on the 2025-2026 Release Schedule: SNOMED CT UK Edition page on Delen.
SNOMEDCT2_40.5.0_20250827000001
3 September 2025 minor release.
Read the release notes and see the full release schedule, including dates for the International Edition, on the 2025-2026 Release Schedule: SNOMED CT UK Edition page on Delen.
Release 6.0
This release is provided to support the ISB 1572 Sensitive Data standard and for no other purpose.
This release includes clinical code lists for In Vitro Fertilisation and Sexually Transmitted Diseases across the following terminologies and classifications:
- SNOMED CT
- 5-byte Read Version 2
- Clinical Terms Version 3
- ICD-10
- OPCS-4
ISB 1572 is subject to review by the Standardisation Committee for Care Information.
The supporting codes are provided as a Technology Preview product. This means that this release is subject to change and potential deprecation. See the release documentation for more information.
NHS ICD-10 5th Edition XML data files
ICD-10 5th Edition (eVersion) Book release 1.0.0
2022 reference book release 3.0.5
The ICD-10 and OPCS-4 reference books for the eViewer for use from 1 April 2022.
This release contains minor updates issued in June 2022.
SNOMEDCT2_41.2.1_20260114000001
21 January 2026 minor release.
NHS England identified an issue in the SNOMED CT to ICD-10 mapping file included in the SNOMED CT UK Edition 41.2.0 release. The file:
der2_iisssciRefset_ExtendedMapUKCLFull_GB1000000.txt
contained duplicate map entries.
This release contains the corrected SNOMED CT to ICD-10 mapping file. For more information, see the SNOMED CT Releases: Important Notices and Known Issues page on Delen.
SNOMEDCT2_41.2.1_20260114000001
21 January 2026 minor release.
NHS England identified an issue in the SNOMED CT to ICD-10 mapping file included in the SNOMED CT UK Edition 41.2.0 release. The file:
der2_iisssciRefset_ExtendedMapUKCLFull_GB1000000.txt
contained duplicate map entries.
This release contains the corrected SNOMED CT to ICD-10 mapping file. For more information, see the SNOMED CT Releases: Important Notices and Known Issues page on Delen.
2023 reference book release 4.0.1
The ICD-10 and OPCS-4 reference books for the eViewer for use from 1 April 2023.
This release contains the updates to the OPCS-4 reference book issued in March 2023.
SNOMEDCT2_42.2.0_20260603000001
10 June 2026 minor release.
Read the release notes and see the full release schedule, including dates for the International Edition, on the 2026-2027 Release Schedule: SNOMED CT UK Edition page on Delen.
SNOMEDCT2_42.2.0_20260603000001
10 June 2026 minor release.
Read the release notes and see the full release schedule, including dates for the International Edition, on the 2026-2027 Release Schedule: SNOMED CT UK Edition page on Delen.
SNOMEDCT2_42.2.0_20260603000001
10 June 2026 minor release.
Read the release notes and see the full release schedule, including dates for the International Edition, on the 2026-2027 Release Schedule: SNOMED CT UK Edition page on Delen.
SNOMEDCT2_42.2.0_20260603000001
10 June 2026 minor release.
Read the release notes and see the full release schedule, including dates for the International Edition, on the 2026-2027 Release Schedule: SNOMED CT UK Edition page on Delen.
Release 42.2.0
10 June 2026 minor release.
Read the release notes and see the full release schedule, including dates for the International Edition, on the 2026-2027 Release Schedule: SNOMED CT UK Edition page on Delen.
Release 7.0
This release is provided to support the ISB 1572 Sensitive Data standard and for no other purpose.
This release includes clinical code lists for In Vitro Fertilisation and Sexually Transmitted Diseases across the following terminologies and classifications:
- SNOMED CT
- 5-byte Read Version 2
- Clinical Terms Version 3
- ICD-10
- OPCS-4
ISB 1572 is subject to review by the Standardisation Committee for Care Information.
The supporting codes are provided as a Technology Preview product. This means that this release is subject to change and potential deprecation. See the release documentation for more information.
This release is no longer consistent with NHS regulation since the Health and Social Care Act 2012 and is subject to review by the HSCIC. The review may indicate withdrawal of the product prior to October 2016. Further announcements can be expected following this review.
SNOMEDCT2_38.3.0_20240703000001
10 July 2024 minor release.
Read the release notes and documentation on the SNOMED CT UK Drug Extension Release Documents page on Delen.
See the upcoming release schedule, including the dates of the International Edition releases, on the 2024-2025 Release Schedule: SNOMED CT UK Edition page on Delen.
SNOMEDCT2_38.3.0_20240703000001
10 July 2024 minor release.
Read the release notes and documentation on the SNOMED CT UK Drug Extension Release Documents page on Delen.
See the upcoming release schedule, including the dates of the International Edition releases, on the 2024-2025 Release Schedule: SNOMED CT UK Edition page on Delen.
Release 1.0
This release is useable from 1 April 2012 and is to be used for the submission of activity that takes place before 1 April 2026.
Use release 2.0 to submit activity that takes place from 1 April 2026.
The Information Standard was approved as ISB 1577 Amd 10/2011 Initial Standard.
Release 6.3.1
This release is useable from 8 July 2022.
This is an update of the previous 12 April 2022 release (now withdrawn). It corrects errors that incorrectly mandated structures in CDS V6-3 Types 150 and 160. See the release notes for details.
The Information Standard was approved by the Data Alliance Partnership Board as DAPB0092: Commissioning Data Sets.
Email questions or feedback regarding this release to information.standards@nhs.net.
Release 38.3.0
10 July 2024 minor release.
Read the release notes and documentation on the SNOMED CT UK Clinical Extension Release Documents and SNOMED CT UK Drug Extension Release Documents pages on Delen.
See the upcoming release schedule, including the dates of the International Edition releases, on the 2024-2025 Release Schedule: SNOMED CT UK Edition page on Delen.
VMP core SNOMED codes uplifted to a UK extension code - test file
Several VMP core to UK extension code changes took place on 26 to 27 May 2021.
This set of dm+d files are from 3 May 2021 (before the changes) to allow you to use these files along with a new set of dm+d files (after the changes, so from June 2021 onwards) to test for the upcoming changes planned for 2023 for all VMPs to change from a core SNOMED code to a UK extension code.
Email questions or feedback to nhsdigital.ukmeds@nhs.net.
Release 1.6
Although this release was made available to download on 10 January 2022, the content is only useable from 1 January 2023.
The Community Services Data Set XML Schema does not contain validation.
The Information Standard was approved by the Data Alliance Partnership Board as DAPB1069: Community Services Data Set.
Updated 25 March 2022 to include improved sample XML files. The XML Schema itself is unchanged.
Email questions or feedback to enquiries@nhsdigital.nhs.uk.
MSDS_PMid_and_PostE_XMLSchema-v2-0-28_Rev_A.zip
File structure of the provider mid-window and post-deadline extract for MSDS version 2.0.
This Schema will be used for both the mid-window and final post-deadline extracts. Note - The mid-window extract will be available from June 2023.
This release provides compatibility between version 2.0.28 of the post-deadline extract XML Schema and all later versions of the MSDS Technical Output Specification.
The maximum length of UniqSubmissionID elements is increased to 10 digits.
The Schema does not restrict element lengths so check the production log for increased storage requirements.
Release 5.0 FINAL
This release is useable from 1 October 2021 for portal submissions from 1 December 2021.
An internal IDB technical issue that was padding entered text with spaces to the maximum field length has been resolved.
The format of field SMHEPCCharge in table MHS517SMHExceptionalPackOfCare has been changed from number (Decimal 9 Precision 2) to string (Length 10) for easier population.
Table names, field names, field types (with the exception of field SMHEPCCharge) and sizes are identical to the previous release.
All Provider/Supplier processes and systems that have been developed to populate the IDB should not be affected and will work with this release.
MSDS_PPostE_XMLSchema-v2-0-28.zip
File structure of the provider post-deadline extract for MSDS version 2.0.
This extract XML Schema aligns with version 2.0.28 of the MSDS Technical Output Specification and includes new derived data items to reflect Integrated Care Boards (ICBs).
All extracts from July 2022 reporting period onwards will be re-run and will contain the populated ICB and Sub-ICB fields.
The 2.0.28 Schema should be used for any extracts from the re-run July 2022 reporting period onwards.
UPDATE 2 March 2023
The maximum length of UniqSubmissionID elements is increased to 10 digits.
The Schema does not restrict element lengths so check the production log of the later release "MSDS_PMid_and_PostE_XMLSchema-v2-0-28_Rev_A.zip" for increased storage requirements.
SNOMEDCT2_41.2.0_20251119000001 (updated)
26 November 2025 minor release.
The 41.2.0 Clinical Edition and Monolith Edition releases have been updated to correct a minor technical build error.
To enable implementation of the DAPB4101: Pathology and Laboratory Medicine Reporting Information Standard, the releases include the first population of an entirely new refset pattern. This new refset data ships as a new standalone filetype within the release zip files.
The releases incorrectly contained NULL values in the final column for this refset. All other data and files are unaffected.
The 41.2.0 release zip files of the following items were updated on 1 December 2025 at 10:49am to correct the error:
- SNOMED CT UK Clinical Edition, RF2: Delta
- SNOMED CT UK Clinical Edition, RF2: Full, Snapshot & Delta
- SNOMED CT UK Monolith Edition, RF2: Snapshot
Read the release notes and see the full release schedule, including dates for the International Edition, on the 2025-2026 Release Schedule: SNOMED CT UK Edition page on Delen.
SNOMEDCT2_41.2.0_20251119000001 (updated)
26 November 2025 minor release.
The 41.2.0 Clinical Edition and Monolith Edition releases have been updated to correct a minor technical build error.
To enable implementation of the DAPB4101: Pathology and Laboratory Medicine Reporting Information Standard, the releases include the first population of an entirely new refset pattern. This new refset data ships as a new standalone filetype within the release zip files.
The releases incorrectly contained NULL values in the final column for this refset. All other data and files are unaffected.
The 41.2.0 release zip files of the following items were updated on 1 December 2025 at 10:49am to correct the error:
- SNOMED CT UK Clinical Edition, RF2: Delta
- SNOMED CT UK Clinical Edition, RF2: Full, Snapshot & Delta
- SNOMED CT UK Monolith Edition, RF2: Snapshot
Read the release notes and see the full release schedule, including dates for the International Edition, on the 2025-2026 Release Schedule: SNOMED CT UK Edition page on Delen.
Release 41.2.0 (updated)
26 November 2025 minor release.
The 41.2.0 Clinical Edition and Monolith Edition releases have been updated to correct a minor technical build error.
To enable implementation of the DAPB4101: Pathology and Laboratory Medicine Reporting Information Standard, the releases include the first population of an entirely new refset pattern. This new refset data ships as a new standalone filetype within the release zip files.
The releases incorrectly contained NULL values in the final column for this refset. All other data and files are unaffected.
The 41.2.0 release zip files of the following items were updated on 1 December 2025 at 10:49am to correct the error:
- SNOMED CT UK Clinical Edition, RF2: Delta
- SNOMED CT UK Clinical Edition, RF2: Full, Snapshot & Delta
- SNOMED CT UK Monolith Edition, RF2: Snapshot
Read the release notes and see the full release schedule, including dates for the International Edition, on the 2025-2026 Release Schedule: SNOMED CT UK Edition page on Delen.
News articles (10)
Share your views in the dm+d annual user survey
NHS Business Services Authority (NHSBSA) and NHS England are running the first annual user survey for the dictionary of medicines and devices (dm+d). They want to hear from people and organisations who use dm+d.
Your feedback will shape future dm+d services and content by showing:
- how and where dm+d is used across organisations and systems
- what dm+d users need and prioritise
- where dm+d content, guidance and support need to improve
If you give your role, organisation or email address, it will only be used to understand who is responding, clarify your answers and, where appropriate, contact you about future engagement. Your information will not be shared outside the survey team, and all reporting will be anonymised.
The deadline for responses is Friday 2 October 2026. The survey takes about 5 to 10 minutes.
Complete the dm+d annual user survey
If you have problems completing the survey or want to discuss it further, email support.digitalservices@nhs.net.
Proposed changes to SNOMED CT to ICD-10 and OPCS-4 maps
NHS England would like your feedback on proposed changes to the SNOMED CT to ICD-10 and OPCS-4 cross maps.
The deadline for feedback is 8 September 2026. Give your feedback using the survey on proposed changes to SNOMED CT to ICD-10 / OPCS-4 maps.
Proposed changes to SNOMED CT to ICD-10 and OPCS-4 maps
NHS England is seeking feedback on proposed changes to SNOMED CT to ICD-10 and OPCS-4 maps.
Find out more in the document Proposed changes to SNOMED CT to ICD-10 / OPCS-4 alternative target codes and map block assignment (DOCX).
To leave feedback, complete the Microsoft Form Survey on Proposed changes to SNOMED CT to ICD-10 / OPCS-4 maps by Friday 7 August 2026.
Aligning the SNOMED CT UK Drug Extension model with SNOMED International
Following the Delen news article on the phase 3 and 4 changes to the SNOMED CT UK Drug Extension, NHS England will go live with the phase 3 and 4 changes as a joint release in 42.1.0, due for publication on Wednesday 13 May 2026.
For more information, see NHS England's updating the SNOMED CT UK Drug Extension model page.
Email nhsdigital.ukmeds@nhs.net to discuss this work.
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.
Aligning the SNOMED CT UK Drug Extension model with SNOMED International
Further to the news posted on Delen regarding the planned phase 2 changes to the SNOMED CT UK Drug Extension, NHS England will go live with the phase 2 changes in release 41.5.0, due 18 February 2026.
NHS England will release a user survey and accompanying test files for the phase 3 (AMP) and phase 4 (AMPP) changes to understand user impacts. They plan to go live with the phase 3 and phase 4 changes together in a joint release.
If you anticipate any issues with this approach, contact them by 15 January 2026: nhsdigital.ukmeds@nhs.net
For further information about this work, see NHS England's updating the SNOMED CT UK Drug Extension model page.
Duplicate map entries in SNOMED CT to ICD-10 mapping file 41.2.0
NHS England has identified an issue in the SNOMED CT to ICD-10 mapping file included in the SNOMED CT UK Edition 41.2.0 release. The file der2_iisssciRefset_ExtendedMapUKCLFull_GB1000000.txt contains duplicate map entries.
A corrected SNOMED CT to ICD-10 mapping file will be released on 24 December 2025 as part of the 41.3.0 release.
For questions or support, contact: support.digitalservices@nhs.net
Increasing SNOMED International description length limits
SNOMED International has confirmed the planned change to increase the maximum length of Fully Specified Name (FSN) and Synonym descriptions from 255 characters to 4,096 characters.
This change will be implemented in the 1 July 2026 International Edition release and will come into effect in the October 2026 UK Edition release.
See the news article on Delen for more information.
NHS England is seeking views from SNOMED CT users in the UK through a survey to help identify if additional information or support may be needed to prepare for the change, and to understand the most effective ways to communicate and share that information.
Your feedback will help NHS England decide whether further guidance or engagement is required to support users beyond that which SNOMED International is providing.
Please complete the survey by 5pm on Wednesday 10 December 2025.
If you have any issues completing the survey, contact: information.standards@nhs.net
Draft changes from OPCS-4.10 to OPCS-4.11 open for feedback
The next update to the OPCS-4 Classification of Interventions and Procedures – version 4.11 – will be implemented across the NHS on 1 April 2026.
OPCS-4 is an information standard published under the Health and Social Care Act 2012. It is updated every 3 years to reflect current NHS clinical practice. The classification supports aggregate data for statistics and reimbursement.
The Terminology and Classifications Service at NHS England has produced a draft summary of the core changes between OPCS-4.10 and OPCS-4.11. Users of the classification are invited to review the changes and submit feedback.
The draft summary of core changes and the feedback form are available on the OPCS-4.10 to OPCS-4.11 feedback page on Delen, the Terminology and Classifications Service's collaboration workspace.
If the changes are approved by the Data Alliance Partnership Board (find out more about the governance of information standards), the OPCS-4.11 Information Standard Notice will be published in November 2025. This is to prepare for implementation in the NHS from 1 April 2026.
More information about OPCS-4 and provisional release dates for OPCS-4.11 products is available on the OPCS-4 page on Delen.
Please submit feedback by 1 August 2025.