• Home
  • Contact us
  • Create an account
  • Sign in
NHS TRUD
How to search

Technology Reference Update Distribution

Download technology reference files from the NHS and other trusted sources.

Follow these steps to get started:

  1. Create an account and sign in.
  2. Use the search box or browse the categories to find items.
  3. Subscribe to the items you need.
  4. Download the files for each subscription we've accepted.

Most subscriptions are accepted automatically. We manually check requests for some items.

You can also use our API to download files.

Email questions or feedback to information.standards@nhs.net.

News and release notices

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


5 November 2025 6:30am

SNOMED CT International Edition

A new release of item SNOMED CT International Edition is available.


4 November 2025 9:00am

NHSBSA dm+d

New releases are available:

  • NHSBSA dm+d
  • NHSBSA dm+d supplementary

3 November 2025 6:00am

ODS XML Organisation Data

A new release of item ODS XML Organisation Data is available.


31 October 2025 9:00am

NHS National Interim Clinical Imaging Procedures

A new release of item NHS National Interim Clinical Imaging Procedures is available.


29 October 2025 9:00am

SNOMED CT human-readable subset - UK Drug Extension

A new release of item SNOMED CT human-readable subset - UK Drug Extension is available.


29 October 2025 6:00am

SNOMED CT UK Query Table and History Substitution Table

A new release of item SNOMED CT UK Query Table and History Substitution Table is available.


29 October 2025 6:00am

UK Drug bonus files

A new release of item UK Drug bonus files is available.


29 October 2025 6:00am

SNOMED CT UK Monolith Edition, RF2: Snapshot

A new release of item SNOMED CT UK Monolith Edition, RF2: Snapshot is available.


29 October 2025 6:00am

SNOMED CT UK Drug Extension, RF2

New releases are available:

  • SNOMED CT UK Drug Extension, RF2: Full, Snapshot & Delta
  • SNOMED CT UK Drug Extension, RF2: Delta

29 October 2025 6:00am

Diagnostic Imaging Data Set XML Schema

A new release of item Diagnostic Imaging Data Set XML Schema is available.


28 October 2025 2:22pm

Diagnostic Imaging Data Set (DIDS) - CSV format

A new release of item Diagnostic Imaging Data Set (DIDS) - CSV format is available.


28 October 2025 2:22pm

NHSBSA dm+d

New releases are available:

  • NHSBSA dm+d
  • NHSBSA dm+d supplementary

27 October 2025 6:00am

NHSBSA dm+d

New releases are available:

  • NHSBSA dm+d
  • NHSBSA dm+d supplementary

20 October 2025 6:00am

NHSBSA dm+d

New releases are available:

  • NHSBSA dm+d
  • NHSBSA dm+d supplementary

13 October 2025 6:00am

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:

Blog: SNOMED International concludes community feedback period on proposed description character limit increase and finalizes next steps

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.


1 October 2025 9:00am

Read older news and release notices in the news archive.

Category filters

  • All categories
  • Classification products
  • NHS Data Model and Dictionary
  • Terminology products

Categories

  • All items
  • Clinical Imaging Procedures
  • Data Set Development Services extract XML Schemas
  • Data Set Development Services tools and resources
  • NHS Classifications ICD-10
  • NHS Classifications ICD-10 and OPCS-4 eVersion
  • NHS Classifications OPCS-4
  • NHS Data Model and Dictionary XML Schemas
  • NHS Logical Record Architecture
  • NHS UK Read Codes
  • NHSBSA dictionary of medicines and devices
  • Organisation Data Service
  • Pathology
  • SNOMED CT derivative products
  • SNOMED CT subset members in spreadsheet view
  • SNOMED CT subsets in development
  • SNOMED CT UK Edition
  • SNOMED International
  • Terminology browsers and tools
NHS Technology Reference Update Distribution (TRUD)
  • API
  • Cookies
  • Licences
  • Privacy policy
  • Terms and conditions