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Items (2)
SNOMED CT International General Dentistry Diagnostic refset
The General Dentistry set of diagnostic terms is 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. It does not attempt to meet the needs of dental sub-specialties, but may prove to do so for a significant amount of the care provided by these specialists.
Releases of this refset include content from the SNOMED CT International Edition.
If you are deploying SNOMED CT outside of the United Kingdom, contact your National Release Centre, or register and request releases from SNOMED International.
Organisation Reference Data (postcode data only)
In line with the modernisation of Organisation Reference Data distribution channels and formats, the content in releases of this item has changed. Releases from October 2025 are quarterly, and only contain postcode data.
Reference data for organisations and their sites across health and care are available via the ODS Data Search and Export (DSE) tool. This tool lets you build and save advanced searches, and provides predefined reports that replicate the CSV files included in previous releases of this item, covering practitioner, organisation and site data.
DSE includes an API endpoint that supports automated downloads of predefined reports in bundles. You can use this tool as an alternative to a TRUD item subscription, except for postcode data – which ODS are looking to include in a future version of DSE. For details, see the help and guidance available on the DSE pages.
Refer to the ODS Reference Data Catalogue for data definitions and report specifications.
Archived data is not currently available via DSE, but can still be obtained via the ODS website - see the Organisation Data Service: ODS archived or deleted records page.
Default codes are published on the ODS website: CSV downloads › Miscellaneous
Contact ODS if you have questions: ssd.nationalservicedesk@nhs.net or 0300 303 5035.
Releases (59)
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.
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.
July 2025
31 July 2025 SNOMED CT International Odontogram refset release.
The dependent version of SNOMED CT is the SNOMED CT July 2025 International Edition.
Read the release notes on the SNOMED International website.
Do not deploy the content into clinical systems until it has been incorporated into the SNOMED CT UK Edition releases.
July 2025
31 July 2025 SNOMED CT International General Dentistry Diagnostic refset release.
The dependent version of SNOMED CT is the SNOMED CT July 2025 International Edition.
Read the release notes on the SNOMED International website.
Do not deploy the content into clinical systems until it has been incorporated into the SNOMED CT UK Edition releases.
July 2023
31 July 2023 SNOMED CT International General Dentistry Diagnostic refset release.
The dependent version of SNOMED CT is the SNOMED CT July 2023 International Edition.
Read the release notes on the SNOMED International website.
Do not deploy the content into clinical systems until it has been incorporated into the SNOMED CT UK Edition releases.
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.
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.
February 2022
28 February 2022 SNOMED CT International Edition release.
This release is for information only. At the time of release the content differs from that in the SNOMED CT UK Edition releases.
Do not deploy the content into clinical systems until it has been incorporated into the SNOMED CT UK Edition releases.
Read the release notes on the SNOMED International website.
January 2022
31 January 2022 SNOMED CT International Edition release.
This release is for information only. At the time of release the content differs from that in the SNOMED CT UK Edition releases.
Do not deploy the content into clinical systems until it has been incorporated into the SNOMED CT UK Edition releases.
Read the release notes on the SNOMED International website.
April 2022
30 April 2022 SNOMED CT International Edition release.
This release is for information only. At the time of release the content differs from that in the SNOMED CT UK Edition releases.
Do not deploy the content into clinical systems until it has been incorporated into the SNOMED CT UK Edition releases.
Read the release notes on the SNOMED International website.
March 2022
31 March 2022 SNOMED CT International Edition release.
This release is for information only. At the time of release the content differs from that in the SNOMED CT UK Edition releases.
Do not deploy the content into clinical systems until it has been incorporated into the SNOMED CT UK Edition releases.
Read the release notes on the SNOMED International website.
June 2022
30 June 2022 SNOMED CT International Edition release.
This release is for information only. At the time of release the content differs from that in the SNOMED CT UK Edition releases.
Do not deploy the content into clinical systems until it has been incorporated into the SNOMED CT UK Edition releases.
Read the release notes on the SNOMED International website.
May 2022
31 May 2022 SNOMED CT International Edition release.
This release is for information only. At the time of release the content differs from that in the SNOMED CT UK Edition releases.
Do not deploy the content into clinical systems until it has been incorporated into the SNOMED CT UK Edition releases.
Read the release notes on the SNOMED International website.
July 2022
31 July 2022 SNOMED CT International Edition release.
This release is for information only. At the time of release the content differs from that in the SNOMED CT UK Edition releases.
Do not deploy the content into clinical systems until it has been incorporated into the SNOMED CT UK Edition releases.
Read the release notes on the SNOMED International website.
August 2022
31 August 2022 SNOMED CT International Edition release.
This release is for information only. At the time of release the content differs from that in the SNOMED CT UK Edition releases.
Do not deploy the content into clinical systems until it has been incorporated into the SNOMED CT UK Edition releases.
Read the release notes on the SNOMED International website.
September 2022
30 September 2022 SNOMED CT International Edition release.
This release is for information only. At the time of release the content differs from that in the SNOMED CT UK Edition releases.
Do not deploy the content into clinical systems until it has been incorporated into the SNOMED CT UK Edition releases.
Read the release notes on the SNOMED International website.
October 2022
31 October 2022 SNOMED CT International Edition release.
This release is for information only. At the time of release the content differs from that in the SNOMED CT UK Edition releases.
Do not deploy the content into clinical systems until it has been incorporated into the SNOMED CT UK Edition releases.
Read the release notes on the SNOMED International website.
February 2023
28 February 2023 SNOMED CT International Edition release.
This release is for information only. At the time of release, the content differs from that in the SNOMED CT UK Edition releases.
Do not deploy the content into clinical systems until it has been incorporated into the SNOMED CT UK Edition releases.
Read the release notes on the SNOMED International website.
January 2023
31 January 2023 SNOMED CT International Edition release.
This release is for information only. At the time of release the content differs from that in the SNOMED CT UK Edition releases.
Do not deploy the content into clinical systems until it has been incorporated into the SNOMED CT UK Edition releases.
Read the release notes on the SNOMED International website.
December 2022
31 December 2022 SNOMED CT International Edition release.
This release is for information only. At the time of release the content differs from that in the SNOMED CT UK Edition releases.
Do not deploy the content into clinical systems until it has been incorporated into the SNOMED CT UK Edition releases.
Read the release notes on the SNOMED International website.
November 2022
30 November 2022 SNOMED CT International Edition release.
This release is for information only. At the time of release the content differs from that in the SNOMED CT UK Edition releases.
Do not deploy the content into clinical systems until it has been incorporated into the SNOMED CT UK Edition releases.
Read the release notes on the SNOMED International website.
July 2023
31 July 2023 SNOMED CT International Edition release.
This release is for information only. At the time of release, the content differs from that in the SNOMED CT UK Edition releases.
Do not deploy the content into clinical systems until it has been incorporated into the SNOMED CT UK Edition releases.
Read the release notes on the SNOMED International website.
September 2023
1 September 2023 SNOMED CT International Edition release.
This release is for information only. At the time of release, the content differs from that in the SNOMED CT UK Edition releases.
Do not deploy the content into clinical systems until it has been incorporated into the SNOMED CT UK Edition releases.
Read the release notes on the SNOMED International website.
March 2023
31 March 2023 SNOMED CT International Edition release.
This release is for information only. At the time of release, the content differs from that in the SNOMED CT UK Edition releases.
Do not deploy the content into clinical systems until it has been incorporated into the SNOMED CT UK Edition releases.
Read the release notes on the SNOMED International website.
April 2023
30 April 2023 SNOMED CT International Edition release.
This release is for information only. At the time of release, the content differs from that in the SNOMED CT UK Edition releases.
Do not deploy the content into clinical systems until it has been incorporated into the SNOMED CT UK Edition releases.
Read the release notes on the SNOMED International website.
May 2023
31 May 2023 SNOMED CT International Edition release.
This release is for information only. At the time of release, the content differs from that in the SNOMED CT UK Edition releases.
Do not deploy the content into clinical systems until it has been incorporated into the SNOMED CT UK Edition releases.
Read the release notes on the SNOMED International website.
June 2023
30 June 2023 SNOMED CT International Edition release.
This release is for information only. At the time of release, the content differs from that in the SNOMED CT UK Edition releases.
Do not deploy the content into clinical systems until it has been incorporated into the SNOMED CT UK Edition releases.
Read the release notes on the SNOMED International website.
November 2023
1 November 2023 SNOMED CT International Edition release.
This release is for information only. At the time of release, the content differs from that in the SNOMED CT UK Edition releases.
Do not deploy the content into clinical systems until it has been incorporated into the SNOMED CT UK Edition releases.
Read the release notes on the SNOMED International website.
October 2023
1 October 2023 SNOMED CT International Edition release.
This release is for information only. At the time of release, the content differs from that in the SNOMED CT UK Edition releases.
Do not deploy the content into clinical systems until it has been incorporated into the SNOMED CT UK Edition releases.
Read the release notes on the SNOMED International website.
December 2023
1 December 2023 SNOMED CT International Edition release.
This release is for information only. At the time of release, the content differs from that in the SNOMED CT UK Edition releases.
Do not deploy the content into clinical systems until it has been incorporated into the SNOMED CT UK Edition releases.
Read the release notes on the SNOMED International website.
January 2024
1 January 2024 SNOMED CT International Edition release.
This release is for information only. At the time of release, the content differs from that in the SNOMED CT UK Edition releases.
Do not deploy the content into clinical systems until it has been incorporated into the SNOMED CT UK Edition releases.
Read the release notes on the SNOMED International website.
February 2024
1 February 2024 SNOMED CT International Edition release.
This release is for information only. At the time of release, the content differs from that in the SNOMED CT UK Edition releases.
Do not deploy the content into clinical systems until it has been incorporated into the SNOMED CT UK Edition releases.
Read the release notes on the SNOMED International website.
March 2024
1 March 2024 SNOMED CT International Edition release.
This release is for information only. At the time of release, the content differs from that in the SNOMED CT UK Edition releases.
Do not deploy the content into clinical systems until it has been incorporated into the SNOMED CT UK Edition releases.
Read the release notes on the SNOMED International website.
January 2025
1 January 2025 SNOMED CT International Edition release.
This release is for information only. At the time of release, the content differs from that in the SNOMED CT UK Edition releases.
Do not deploy the content into clinical systems until it has been incorporated into the SNOMED CT UK Edition releases.
Read the release notes on the SNOMED International website.
May 2025
1 May 2025 SNOMED CT International Edition release.
This release is for information only. At the time of release, the content differs from that in the SNOMED CT UK Edition releases.
Do not deploy the content into clinical systems until it has been incorporated into the SNOMED CT UK Edition releases.
Read the release notes on the SNOMED International website.
November 2025
1 November 2025 SNOMED CT International Edition release.
This release is for information only. At the time of release, the content differs from that in the SNOMED CT UK Edition releases.
Do not deploy the content into clinical systems until it has been incorporated into the SNOMED CT UK Edition releases.
Read the release notes on the SNOMED International website.
November 2024
1 November 2024 SNOMED CT International Edition release.
This release is for information only. At the time of release, the content differs from that in the SNOMED CT UK Edition releases.
Do not deploy the content into clinical systems until it has been incorporated into the SNOMED CT UK Edition releases.
Read the release notes on the SNOMED International website.
October 2024
1 October 2024 SNOMED CT International Edition release.
This release is for information only. At the time of release, the content differs from that in the SNOMED CT UK Edition releases.
Do not deploy the content into clinical systems until it has been incorporated into the SNOMED CT UK Edition releases.
Read the release notes on the SNOMED International website.
January 2026
1 January 2026 SNOMED CT International Edition release.
This release is for information only. At the time of release, the content differs from that in the SNOMED CT UK Edition releases.
Do not deploy the content into clinical systems until it has been incorporated into the SNOMED CT UK Edition releases.
Read the release notes on the SNOMED International website.
March 2026
1 March 2026 SNOMED CT International Edition release.
This release is for information only. At the time of release, the content differs from that in the SNOMED CT UK Edition releases.
Do not deploy the content into clinical systems until it has been incorporated into the SNOMED CT UK Edition releases.
Read the release notes on the SNOMED International website.
August 2025
1 August 2025 SNOMED CT International Edition release.
This release is for information only. At the time of release, the content differs from that in the SNOMED CT UK Edition releases.
Do not deploy the content into clinical systems until it has been incorporated into the SNOMED CT UK Edition releases.
Read the release notes on the SNOMED International website.
May 2024
1 May 2024 SNOMED CT International Edition release.
This release is for information only. At the time of release, the content differs from that in the SNOMED CT UK Edition releases.
Do not deploy the content into clinical systems until it has been incorporated into the SNOMED CT UK Edition releases.
Read the release notes on the SNOMED International website.
April 2025
1 April 2025 SNOMED CT International Edition release.
This release is for information only. At the time of release, the content differs from that in the SNOMED CT UK Edition releases.
Do not deploy the content into clinical systems until it has been incorporated into the SNOMED CT UK Edition releases.
Read the release notes on the SNOMED International website.
June 2025
1 June 2025 SNOMED CT International Edition release.
This release is for information only. At the time of release, the content differs from that in the SNOMED CT UK Edition releases.
Do not deploy the content into clinical systems until it has been incorporated into the SNOMED CT UK Edition releases.
Read the release notes on the SNOMED International website.
September 2025
1 September 2025 SNOMED CT International Edition release.
This release is for information only. At the time of release, the content differs from that in the SNOMED CT UK Edition releases.
Do not deploy the content into clinical systems until it has been incorporated into the SNOMED CT UK Edition releases.
Read the release notes on the SNOMED International website.
April 2024
1 April 2024 SNOMED CT International Edition release.
This release is for information only. At the time of release, the content differs from that in the SNOMED CT UK Edition releases.
Do not deploy the content into clinical systems until it has been incorporated into the SNOMED CT UK Edition releases.
Read the release notes on the SNOMED International website.
December 2025
1 December 2025 SNOMED CT International Edition release.
This release is for information only. At the time of release, the content differs from that in the SNOMED CT UK Edition releases.
Do not deploy the content into clinical systems until it has been incorporated into the SNOMED CT UK Edition releases.
Read the release notes on the SNOMED International website.
March 2025
1 March 2025 SNOMED CT International Edition release.
This release is for information only. At the time of release, the content differs from that in the SNOMED CT UK Edition releases.
Do not deploy the content into clinical systems until it has been incorporated into the SNOMED CT UK Edition releases.
Read the release notes on the SNOMED International website.
August 2024
1 August 2024 SNOMED CT International Edition release.
This release is for information only. At the time of release, the content differs from that in the SNOMED CT UK Edition releases.
Do not deploy the content into clinical systems until it has been incorporated into the SNOMED CT UK Edition releases.
Read the release notes on the SNOMED International website.
April 2026
1 April 2026 SNOMED CT International Edition release.
This release is for information only. At the time of release, the content differs from that in the SNOMED CT UK Edition releases.
Do not deploy the content into clinical systems until it has been incorporated into the SNOMED CT UK Edition releases.
Read the release notes on the SNOMED International website.
July 2025
1 July 2025 SNOMED CT International Edition release.
This release is for information only. At the time of release, the content differs from that in the SNOMED CT UK Edition releases.
Do not deploy the content into clinical systems until it has been incorporated into the SNOMED CT UK Edition releases.
Read the release notes on the SNOMED International website.
February 2025
1 February 2025 SNOMED CT International Edition release.
This release is for information only. At the time of release, the content differs from that in the SNOMED CT UK Edition releases.
Do not deploy the content into clinical systems until it has been incorporated into the SNOMED CT UK Edition releases.
Read the release notes on the SNOMED International website.
February 2026
1 February 2026 SNOMED CT International Edition release.
This release is for information only. At the time of release, the content differs from that in the SNOMED CT UK Edition releases.
Do not deploy the content into clinical systems until it has been incorporated into the SNOMED CT UK Edition releases.
Read the release notes on the SNOMED International website.
September 2024
1 September 2024 SNOMED CT International Edition release.
This release is for information only. At the time of release, the content differs from that in the SNOMED CT UK Edition releases.
Do not deploy the content into clinical systems until it has been incorporated into the SNOMED CT UK Edition releases.
Read the release notes on the SNOMED International website.
October 2025
1 October 2025 SNOMED CT International Edition release.
This release is for information only. At the time of release, the content differs from that in the SNOMED CT UK Edition releases.
Do not deploy the content into clinical systems until it has been incorporated into the SNOMED CT UK Edition releases.
Read the release notes on the SNOMED International website.
June 2024
1 June 2024 SNOMED CT International Edition release.
This release is for information only. At the time of release, the content differs from that in the SNOMED CT UK Edition releases.
Do not deploy the content into clinical systems until it has been incorporated into the SNOMED CT UK Edition releases.
Read the release notes on the SNOMED International website.
July 2024
1 July 2024 SNOMED CT International Edition release.
This release is for information only. At the time of release, the content differs from that in the SNOMED CT UK Edition releases.
Do not deploy the content into clinical systems until it has been incorporated into the SNOMED CT UK Edition releases.
Read the release notes on the SNOMED International website.
December 2024
1 December 2024 SNOMED CT International Edition release.
This release is for information only. At the time of release, the content differs from that in the SNOMED CT UK Edition releases.
Do not deploy the content into clinical systems until it has been incorporated into the SNOMED CT UK Edition releases.
Read the release notes on the SNOMED International website.
Release 7.0.1
This release is a minor technical update to the previous version 4.8 release of 2016.
The Product Status remains TECHNOLOGY PREVIEW.
Changes are restricted to the SNOMED code lists only, to bring these lists back in line with their primary design requirement that they should not contain inactive SNOMED codes.
All SNOMED codes listed in the previous version 4.8 of this product but that have since become inactive are therefore removed and replaced with semantically equivalent but still active codes (where possible).
You should continue to identify all inactive SNOMED codes subject to the same legal restrictions by inference from the supplied list of active-only codes, using SNOMED’s history mechanisms as per their usual practice when processing any other similar code list specification.
Active codes relating to either Assisted Conception or to Sexually Transmitted Diseases will not be included if they were only released as new SNOMED codes after 2016.
For example:
838317007 Bursitis caused by late syphilis
was only released as a SNOMED code in 2020, and so is still not listed within the LRPCD_STD_v4.8.1_ClusterMembers_SCT_20220801000000 product.
Further LRPCD product major releases will include this kind of more comprehensive content review and update.
News articles (6)
Increasing SNOMED International description length limits
Following the Delen news article on the proposal to increase description length limits, SNOMED International has published a briefing note, available on Delen:
MF Briefing Note - Transition plan for Description Type length limits
A blog post with more information is available on the SNOMED International website:
Email support.digitalservices@nhs.net with any questions.
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
Following the phase 1 changes implemented in October 2025, NHS England is now progressing with the phase 2 changes.
The NHS England web page on aligning dm+d VMPP class medicinal products to the SNOMED International drug model has been updated with information about the changes, including examples and diagrams to help explain them.
Test files with the phase 2 changes to the SNOMED CT UK Drug Extension are available on Delen.
The changes are planned to be implemented in the first quarter of 2026.
In preparation, NHS England is asking SNOMED CT UK Drug Extension users to complete a survey so they can understand the effect the changes may have. Your feedback will help NHS England work with you to implement these changes.
Please submit your survey response by 5pm Friday 28 November 2025.
If you have any issues completing the survey or would like to discuss this work further, contact: nhsdigital.ukmeds@nhs.net
Increasing SNOMED International description length limits
Following the Delen news article on the proposal to increase description length limits, SNOMED International has published a briefing note, available on Delen:
MF Briefing Note - Conclusion on Increasing Description Type length limits
A blog post with further information is also available on the SNOMED International website:
As SNOMED International has outlined, the change to the description length limits will be implemented in the 1 July 2026 International Edition release. It will take effect in the October 2026 SNOMED CT UK release.
If you have any questions or concerns, email information.standards@nhs.net.
SNOMED International proposal to increase description length limits
This is an update to the post on Delen in January 2025 about a proposal from SNOMED International. The proposal is to increase the maximum length of Fully Specified Name (FSN) and Synonym descriptions from 255 to 4,096 characters.
SNOMED International has published more details about the proposal. You can read these in their PDF document: March 2025 date approval MF BN 20250326 v1.00.pdf.
They've also written a blog post, which is available on the SNOMED International website.
This change will affect UK users who use content from the Medicinal Product Hierarchy in either the SNOMED CT International Edition or the SNOMED CT UK Edition.
It will also affect FSNs created in the SNOMED CT UK Drug Extension.
The proposal will not affect Preferred Terms (PTs) in the SNOMED CT UK Drug Extension or the NHS Dictionary of Medicines and Devices (dm+d). We're not planning any changes to the dm+d as a result of this proposal.
SNOMED International has postponed the proposed implementation date to July 2026. This gives users more time to prepare. The change will take effect in the October 2026 UK release.
If you need more time to prepare or have questions, email information.standards@nhs.net by 29 April 2025.
Share your views on SNOMED International's proposal to increase description lengths
We want to update you on SNOMED International's proposal to increase the maximum length of Fully Specified Name (FSN) and Synonym descriptions from 255 to 4,096 characters. More information about this proposal is available in the Delen news article.
The change will affect UK users of content from SNOMED International’s Medicinal Product Hierarchy, whether taken from the SNOMED CT International Edition or the SNOMED CT UK Edition. However, it will not affect the NHS dictionary of medicines and devices (dm+d), and we do not plan to make any dm+d changes in response to this proposal.
We are reviewing how this change might affect FSNs in the SNOMED CT UK Drug Extension, but we do not expect it to affect Preferred Terms (PTs) in the UK Drug Extension.
SNOMED International currently plan to implement this change in January 2026, with it taking effect in April 2026 UK releases.
If UK stakeholders need more time to implement this change or have any questions or concerns, contact SNOMED International directly at:
We also request that UK stakeholders copy:
so NHS England can stay informed of any feedback.