{ "id": "snomed-ct", "url": "/fr/snomed-ct/", "md_url": "/fr/snomed-ct.md", "json_url": "/fr/snomed-ct.json", "claims_url": "/fr/snomed-ct/beweringen/", "type": { "code": "Terminology", "label": "Terminologie ou classification" }, "schema_type": "DefinedTermSet", "lang": "fr", "translation": { "lang": "fr", "source_url": "/snomed-ct/", "date": "2026-10-22", "stale": true, "fields": [ "bewering:CLM-00e785e4", "bewering:CLM-01960a35", "bewering:CLM-0230d697", "bewering:CLM-028d6219", "bewering:CLM-03a9f2d5", "bewering:CLM-04eaebc3", "bewering:CLM-061e8074", "bewering:CLM-0664d695", "bewering:CLM-0a76fca3", "bewering:CLM-0a97580c", "bewering:CLM-0aeb42d5", "bewering:CLM-0c53e169", "bewering:CLM-0f5bacbd", "bewering:CLM-10145b47", "bewering:CLM-138d8d46", "bewering:CLM-139468d3", "bewering:CLM-1c10590a", "bewering:CLM-1d142fb1", "bewering:CLM-2508d0fa", "bewering:CLM-26b8b8b1", "bewering:CLM-28746658", "bewering:CLM-289508c6", "bewering:CLM-2c6e5073", "bewering:CLM-397309b9", "bewering:CLM-3ac8d69d", "bewering:CLM-3adb2662", "bewering:CLM-3d2da686", "bewering:CLM-3d5ce9cf", "bewering:CLM-3e5a91c7", "bewering:CLM-3f9df3aa", "bewering:CLM-44712f03", "bewering:CLM-49524589", "bewering:CLM-4a5fab4b", "bewering:CLM-530b635f", "bewering:CLM-5557647b", "bewering:CLM-5e7f7994", "bewering:CLM-602d4e28", "bewering:CLM-60eacfa1", "bewering:CLM-615b4d6f", "bewering:CLM-65ad62ef", "bewering:CLM-67957ac0", "bewering:CLM-68f41c58", "bewering:CLM-6b1dee6b", "bewering:CLM-6f71a170", "bewering:CLM-70a28beb", "bewering:CLM-7106cf11", "bewering:CLM-71dee7f9", "bewering:CLM-72b8544d", "bewering:CLM-7748a21e", "bewering:CLM-7790b4e6", "bewering:CLM-79863f1c", "bewering:CLM-7b5ba3be", "bewering:CLM-81381cb1", "bewering:CLM-81761500", "bewering:CLM-833e7c1c", "bewering:CLM-904510b5", "bewering:CLM-906038c8", "bewering:CLM-93c31d7f", "bewering:CLM-93cd37b7", "bewering:CLM-9a6466ce", "bewering:CLM-9b017242", "bewering:CLM-9d14efa5", "bewering:CLM-9dfd79d3", "bewering:CLM-a458d664", "bewering:CLM-a54443ea", "bewering:CLM-a6f9d60d", "bewering:CLM-ac10918d", "bewering:CLM-ac8d824b", "bewering:CLM-acf1af6d", "bewering:CLM-ad75dae3", "bewering:CLM-ae3d44e8", "bewering:CLM-b233125a", "bewering:CLM-b3752300", "bewering:CLM-b5334a4a", "bewering:CLM-b607c7b0", "bewering:CLM-ba56edca", "bewering:CLM-bac51e58", "bewering:CLM-bb4ce3cd", "bewering:CLM-bdb74501", "bewering:CLM-c0043393", "bewering:CLM-c0607026", "bewering:CLM-c1525ac5", "bewering:CLM-c3dfa0e0", "bewering:CLM-c620191e", "bewering:CLM-d8c07113", "bewering:CLM-da783405", "bewering:CLM-e46ebb08", "bewering:CLM-e540715e", "bewering:CLM-e8cc81af", "bewering:CLM-ef666d57", "bewering:CLM-f4d6a529", "bewering:CLM-fb2fd565", "bewering:CLM-fe3d5f46", "bewering:CLM-ffe24b5b", "in_het_kort", "lifecycle_note", "sectie:hoe-werkt-het", "sectie:onzekerheden-en-tegenstrijdige-informatie", "sectie:planning", "sectie:waar-staat-het-in-belgie", "sectie:wat-betekent-het-voor-een-ziekenhuis", "sectie:wat-is-het", "summary", "title", "version" ] }, "title": "SNOMED CT", "aliases": [ "SNOMED-CT", "Systematized Nomenclature of Medicine Clinical Terms", "SNOMED CT-implementatieroadmap", "SNOMED CT implementation roadmap", "SNOMED" ], "names": { "nl": "SNOMED CT", "fr": "SNOMED CT", "en": "SNOMED CT", "de": "SNOMED CT" }, "jurisdiction": [ { "code": "internationaal", "label": "International" }, { "code": "belgie", "label": "Belgique (fédéral/interfédéral)" } ], "themes": [ { "code": "terminologie", "label": "Terminologie et codage" } ], "lifecycle": { "code": "productie", "label": "en production" }, "lifecycle_note_html": "Édition belge en production depuis 2018, édition complète depuis novembre 2024 (la plus récente 20260915). L'implémentation dans les DPI est une planification du SPF jusqu'en 2029, aucune obligation trouvée. État 2026-10-07.", "version": "Belgian Edition 20260915 (septembre 2026, statut PRODUCTION) ; mensuellement selon la Release Policy (métadonnées juin 2025). Voir snomed-ct-belgische-editie.", "vendor": null, "sectors": [], "homologations": [], "links": [ { "kind": { "code": "website", "label": "Site web" }, "url": "https://www.snomed.org/", "label": "SNOMED International", "host": "www.snomed.org", "lang": "en" }, { "kind": { "code": "documentatie", "label": "Documentation" }, "url": "https://docs.snomed.org/", "label": "SNOMED CT Document Library", "host": "docs.snomed.org", "lang": "en" }, { "kind": { "code": "register", "label": "Registre" }, "url": "https://snomedbrowser.org/", "label": "SNOMED International Browser", "host": "snomedbrowser.org", "lang": "en" }, { "kind": { "code": "portaal", "label": "Portail" }, "url": "https://mlds.ihtsdotools.org/", "label": "Member Licensing and Distribution Service (MLDS)", "host": "mlds.ihtsdotools.org", "lang": "en" }, { "kind": { "code": "documentatie", "label": "Documentation" }, "url": "https://apps.health.belgium.be/terminology-portal/standards/terminology_standards/snomed_ct/nl", "label": "SNOMED CT op het Belgian Health Terminology Portal", "host": "apps.health.belgium.be", "lang": "nl" } ], "summary_text": "SNOMED CT est la terminologie clinique internationale qui code les diagnostics, les procédures, les constatations et les parties du corps comme des concepts cohérents, gérée par SNOMED International. La Belgique en est membre depuis 2013; le Centre de Terminologie du SPF Santé publique gère une édition belge mensuelle avec des traductions néerlandaise, française et allemande et est le seul point de contact pour les licences; l'utilisation est gratuite pour les détenteurs d'une licence. La Belgique a choisi SNOMED CT comme terminologie de référence: les profils FHIR fédéraux et les CareSets codent avec elle. Dans un hôpital, elle apparaît dans la liste de problèmes, l'enregistrement des vaccinations et le financement des hubs; aucune obligation légale de codage n'a été trouvée, mais bien une planification politique jusqu'en 2029.", "summary_html": "

SNOMED CT est la terminologie clinique internationale qui code les diagnostics, les procédures, les constatations et les parties du corps comme des concepts cohérents, gérée par SNOMED International. La Belgique en est membre depuis 2013 ; le Centre de Terminologie du SPF Santé publique gère une édition belge mensuelle avec des traductions néerlandaise, française et allemande et est le seul point de contact pour les licences ; l'utilisation est gratuite pour les détenteurs d'une licence. La Belgique a choisi SNOMED CT comme terminologie de référence : les profils FHIR fédéraux et les CareSets codent avec elle. Dans un hôpital, elle apparaît dans la liste de problèmes, l'enregistrement des vaccinations et le financement des hubs ; aucune obligation légale de codage n'a été trouvée, mais bien une planification politique jusqu'en 2029.

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SNOMED CT est une terminologie clinique : un ensemble de concepts (diagnostics, procédures, constatations, parties du corps, organismes) reliés entre eux, de sorte qu'un logiciel puisse traiter la signification d'un enregistrement. Cela diffère d'une classification statistique telle que ICD-10-BE, qui répartit les cas en groupes en vue du rapportage. SNOMED CT est gérée au niveau international par SNOMED International ; la Belgique en est membre depuis 2013[1]. Selon la roadmap du Centre de Terminologie (mars 2026), la Belgique a choisi SNOMED CT comme terminologie de référence à partir de laquelle tous les autres systèmes de codes, comme les classifications, peuvent être dérivés[2]. Selon la guidance accompagnant les profils FHIR fédéraux (Federal Core Profiles v2.1.1), SNOMED CT est le codage préférentiel dans le contexte belge, soutenu par le SPF Santé publique[5] ; c'est un principe de départ dans la guidance, pas une liaison normative par profil. Les noms de micro-organismes et de parties du corps dans les rapports de laboratoire sont mieux représentés dans SNOMED CT que dans LOINC[15] ; les deux terminologies se complètent.

" }, { "id": "hoe-is-het-opgebouwd", "title": "Hoe is het opgebouwd?", "kind": "tekst", "html": "

Beheer en licentie

\n

Het Terminologiecentrum van de FOD Volksgezondheid is het National Release Center (NRC) en het enige contactpunt voor licenties en ontwikkeling van SNOMED CT in België[1]. Het hoort bij de Standards Unit van het DG Gezondheidszorg[16], verdeelt en beheert SNOMED CT in België en maakt de Nederlandse en Franse vertalingen[16]. Externe partijen die inhoud aanleveren, dienen die uiterlijk op de laatste werkdag van de maand vóór de volgende release in[3]. Door het lidmaatschap kunnen ontwikkelaars, leveranciers, kopers en gebruikers van e-healthsoftware in België SNOMED CT gratis gebruiken, maar enkel als licentiehouder[1]; leveranciers die producten met SNOMED CT ontwikkelen of verdelen, moeten Affiliate van SNOMED International zijn[17]. Licentiehouders downloaden de release via de MLDS-dienst van SNOMED International[1], die ook een REST API voor de Belgische releases aanbiedt[18]. Voorwaarden, publieke weergave en copyrightvermelding staan op SNOMED CT-licentie en publieke weergave; voor delen zonder licentie bestaan de kosteloze deelverzamelingen op SNOMED CT IPS Terminology en Global Patient Set (GPS)[19][20].

\n

Editie en releases

\n

Kalender, inhoud en cijfers per release staan op SNOMED CT édition belge (releases, refsets, BE Maps). De eerste Belgische release dateert van 15 maart 2018[1]. Ze was een extensie met vooral Nederlandse en Franse beschrijvingen van bestaande internationale concepten, met taalrefsets die per taal de voorkeursterm en de aanvaarde synoniemen aanduiden[1]; ze moest altijd samen met de recentste International Edition gebruikt worden[1], en eigen Belgische concepten kwamen er enkel bij als dat nodig was[1]. Sinds november 2024 publiceert België een volledige editie in plaats van een extensie[21]. Volgens de Release Policy (metadata juni 2025) verschijnt ze elke maand op de 15de, behalve in januari en augustus[3]; oudere bronnen en de FAQ van het portaal beschrijven nog een halfjaarlijkse release[16][22]. De release van april 2025 werd door onvoorziene omstandigheden niet gepubliceerd, zodat die van mei 2025 rechtstreeks op die van maart volgde[23]. Sinds juni 2026 neemt de editie de Duitse vertalingen van het Duitse NRC over, telkens de maand na hun halfjaarlijkse publicatie[4].

\n

De International Edition verschijnt sinds september 2023 op de eerste dag van elke maand[24]; die van november 2026 (20261101) heeft status PRODUCTION[25], en de release notes voor december 2026 stonden op 9 november nog op PREPRODUCTION[26]. De release notes van de Belgische editie van november 2026 (datum 20261115) beschrijven een productierelease[27] met 861 nieuwe en 257 geïnactiveerde internationale concepten[27] en 24 nieuwe Belgische concepten[27]; 79,00% van de actieve concepten in de Nederlandse taalrefset is vertaald, tegen 75,29% in het Frans en 30,45% in het Duits[27]. Op 9 november 2026 verschilde de stand per kanaal:

\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
KanaalVersie op 9/11/2026Bewijs
Release notes Belgische editie20261115 (PRODUCTION)[27]
MLDS, package 'Belgian National Edition'20261015 (oktober 2026 v1.0)[28]
dte-tx.ehealth.fgov.be20260915[29]
FOD-Ontoserver, publieke metadata20251215 als standaard[30]
\n

Refsets

\n

Refsets (referentiesets) zijn deelverzamelingen voor een bepaald gebruik; ze worden uitgewerkt op Belgische SNOMED CT-referentiesets (refsets). De Belgische editie bevat refsets voor klinische registratie in EPD-software (onder meer medische problemen, cardiologie, hematologie, infectieziekten en intensieve zorg) en voor data-interoperabiliteit[4]. Voor de ziekenhuiscontext liet het Terminologiecentrum (stand maart 2025) een Problem List Reference Set en refsets per medisch specialisme ontwikkelen en onderhouden, samen met externe partijen[31]. De klinische refsets volgen een zesmaandelijkse cyclus met updates in mei en november, de interoperabiliteitsrefsets een maandelijkse, telkens enkel bij wijzigingen[27]. De validatie vond in september 2026 70 ongeldige records in de subset voor medische problemen en in oktober 89 in de huisartsen-subset, met een correctie aangekondigd vóór de release van november[4][32]. In de release notes van november staan beide subsets als bijgewerkt en worden nul openstaande problemen vermeld; dat het om die correctie gaat, zeggen ze niet uitdrukkelijk[27]. De huisartsen-subset zet de vroegere thesaurus 3BT (Belgische huisartsenthesaurus) voort[33].

\n

Terminologieserver

\n

Een terminologieserver stelt codes en relaties via een API ter beschikking. België heeft er twee, beschreven op Serveur national de terminologie (FHIR): de door de FOD gedocumenteerde nationale server op basis van Ontoserver[34], waarlangs gebruikers geautomatiseerde updates van de editie kunnen ontvangen[35], en dte-tx.ehealth.fgov.be, die bij de Belgische FHIR-gidsen dient[36]. Het Terminologiecentrum verspreidt de editie sinds 2025 ook via de nationale server, naast MLDS[21]. Volgens de roadmap is die server een verspreidingsbron en hebben EPD-pakketten en grote ziekenhuizen een eigen ingebouwde server nodig[37]. Het NRC stelt met het eHealth-platform een docker image met een lokale server ter beschikking, maar leveranciers mogen een eigen server gebruiken (stand november 2025)[35]; snowstorm-local (serveur de terminologie local de la plate-forme eHealth) laadt bij het opstarten de Belgische en internationale editie[38]. Hoe FHIR SNOMED CT-codes, versies en impliciete waardesets noteert, staat op SNOMED CT in FHIR (URI's, impliciete waardesets en operaties)[39].

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Mappings naar classificaties

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Een map vertaalt SNOMED CT-codes naar een classificatie. Een officiële Belgische map naar ICD-10-BE werd niet gevonden: de enige SNOMED CT-naar-ICD-map op dte-tx is een HL7-voorbeeld (ICD-10-CM, ulnafracturen)[40], en de BE Map vanuit de huisartsen-refset gaat naar 'ICD-10' zonder precisering[12]. Die BE Map is een apart MLDS-package waarvan de release notes een login vragen, zodat de doelversie niet publiek te controleren is[12]. Daarnaast bevat de Belgische editie zelf een map-refset 'Belgian addition to ICD-10 extended map reference set' (10861000172102)[13], die in de maandelijkse editie mee onderhouden wordt: in juli 2025 werden er vier inactieve lokale concepten vervangen door internationale concepten met dezelfde betekenis[13]. Dat nuanceert de eerdere lezing dat de BE Maps enkel als aparte MLDS-packages bestaan[4]. De internationale map waarop die aanvulling bouwt, is in de editie van november 2026 een volledige map naar ICD-10 WHO-versie 2016, met 436 nieuw gemapte concepten[25], en wordt bij elke release bijgewerkt[14]. De FOD noemde in 2014 mapping naar ICD-10-CM en ICD-10-PCS al als aandachtspunt[41]. Alternatieven, elk met beperkingen:

\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
AlternatiefWatBeperkingBron
Internationale map (SNOMED International)naar WHO-ICD-10 versie 2016, basis voor maps naar nationale ICD-10-modificatiesgeen ICD-10-BE; automatiseert codering niet volledig en optimaliseert niet voor facturatie; aanwezigheid in de Belgische editie vermoed, niet bevestigd[14][4]
NLM-map (VS)naar ICD-10-CM, semi-automatische afleiding voor terugbetaling en statistiek; bijgewerkt bij elke US Editionlicentie voor SNOMED CT én ICD-10-CM (UMLS); enkel diagnosen, geen ICD-10-PCS; Amerikaanse versies; geen Belgische goedkeuring gevonden[42]
\n

De BE Maps naar ICPC-2 en vanuit 3BT staan op SNOMED CT édition belge (releases, refsets, BE Maps) en 3BT (Belgische huisartsenthesaurus); de release notes van november 2026 melden nieuw gemapte concepten uit de 3BT-map, terwijl MLDS voor dat package nog november 2023 als recentste versie toont[27][43]. Maps naar ICHI, ICF, BelRAI en ICPC-3 waren in maart 2025 projecten[31]. Een map naar ICPC-3 staat niet in de publieke MLDS-lijst (7 oktober 2026)[44]; volgens het SNOClass-eindrapport (2026) vraagt een eerste substantiële map nog validatie[45]. De GP-refset voorziet mappings naar ICPC-2 en ICD-10, op termijn ICPC-3 en ICD-11[46]; ICD-11 zou via een mapping vanuit SNOMED CT geïmplementeerd worden, zonder datum[2]. Voor toestelgegevens voorziet RTMMS, het beheersysteem van IHE RTM, equivalentiemappings van de ISO/IEEE 11073-nomenclatuur naar onder meer SNOMED CT[47].

" }, { "id": "waar-wordt-het-gebruikt", "title": "Waar wordt het gebruikt?", "kind": "tekst", "html": "" }, { "id": "planning", "title": "Planning", "kind": "tekst", "html": "

Lors du BIHR/eHealth Interoperability Day du 24 mars 2026, le Centre de Terminologie a présenté une « SNOMED CT-implementation Roadmap », comme partie de la roadmap EHDS ; il s'agit d'une présentation, pas d'une réglementation[2]. L'objectif final est l'échange structuré et codé du Patient Summary, de la prescription électronique et de la délivrance électronique d'ici mars 2029[2]. Selon la roadmap, un enregistrement à la source codé, échangeable en FHIR, est une condition pour l'architecture de données fédérée pour l'utilisation primaire (BIHR (Belgian Integrated Health Record)) et secondaire[2].

\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
Étape (timeline mars 2026, lue visuellement)CibleSource
Requirements DPI publiésvers 2026 Q3[2]
Étape 1 : serveur de terminologie local, connecté au serveur nationalvers fin 2026[2]
Étape 2a : liste de problèmes codéevers 2027 Q3[2]
Étape 2b : procédures, observations, allergie, vaccinationvers 2028 Q3[2]
Étape 3 : SNOMED CT dans le workflow cliniquevers 2029 Q1[2]
Échange EHDS du Patient Summaryobjectif final mars 2029[2]
Enregistrement/certificationde 2026 Q3 à 2028 Q3[2]
\n

Une présentation antérieure pour Agoria (5 novembre 2025) planifiait l'étape 1 en 2026 Q3 avec un enregistrement en 2026 Q4[58], l'étape 2 en 2026 Q4 avec un enregistrement en 2027 Q1[58] et l'étape 3 en 2027 Q4 avec un enregistrement en 2028 Q1[58] ; la timeline de mars 2026 décale donc la liste de problèmes et le codage ultérieur d'environ un an, et la version la plus récente a la priorité[2].

\n

Exécution. Avant le kick-off, une enquête a sondé l'intégration de SNOMED CT dans les logiciels DPI[2]. Un kick-off avec les fournisseurs de DPI était prévu le 27 avril 2026, avec à l'ordre du jour l'intégration du serveur de terminologie et le terminology binding ; la roadmap ne se limite pas aux logiciels de médecine générale[2]. L'enregistrement des logiciels DPI adaptés figurait aussi à l'ordre du jour, sans dire quel cadre s'applique à quel type de DPI[2]. Après le FHIR-A-THON des 2-3 juin 2026, le Centre de Terminologie a encore annoncé des moments de concertation avec les grands fournisseurs de DPI afin de parcourir les « implementation requirements » et de recueillir du feedback ; les exigences n'étaient donc pas encore définitives à ce moment-là, et une publication n'a pas été trouvée jusqu'au 7 octobre 2026[59]. Selon le Centre de Terminologie (juillet 2026), le programme soutient les prestataires de soins tant de la première que de la deuxième ligne[9].

\n

Réseau de soutien. Selon un récit de pratique sur le site de SNOMED International, le SPF Santé publique a chargé Ziekenhuis aan de Stroom (ZAS) de coordonner le Belgian SNOMED CT Implementation Support Network, axé sur les CMIO et les fournisseurs de DPI ; parmi les livrables centraux figurent les « EHR and vendor requirements »[60]. Un de ces livrables est un « EHR Vendor Requirements Guide » comportant des exigences fonctionnelles et d'interopérabilité dans une perspective clinique : un document du réseau, pas un cadre d'enregistrement ou d'homologation des autorités[60].

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Le calendrier des releases, la BE Drug Extension et les mappings par refset sont développés sur SNOMED CT édition belge (releases, refsets, BE Maps)[21][31]. « Non trouvé » n'est pas une preuve d'absence.

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BMUC) of registratiecriteria, en vanaf wanneer geldt ze voor ziekenhuis-EPD's?", "text": "Wordt de registratie van de 'snomedisering' van EPD's volgens de vereisten v1.0 verankerd in regelgeving, financieringsvoorwaarden (bv. BMUC) of registratiecriteria, en vanaf wanneer geldt ze voor ziekenhuis-EPD's?" }, { "id": "oq-33da0c", "html": "Naar welke ICD-10-variant (WHO-ICD-10 of ICD-10-BE) verwijst de Belgische ICD-10-extended map (refset 10861000172102), en komt er een officiële Belgische map naar ICD-10-BE?", "text": "Naar welke ICD-10-variant (WHO-ICD-10 of ICD-10-BE) verwijst de Belgische ICD-10-extended map (refset 10861000172102), en komt er een officiële Belgische map naar ICD-10-BE?" }, { "id": "oq-d6ed95", "html": "SAM v2 kent SNOMED CT als standaard bij vorm, toedieningsweg en substantie en als veld bij standaarddoseringen; hoe verhoudt de BE Drug Extension zich daartoe, en wordt ze ergens als aparte module gepubliceerd?", "text": "SAM v2 kent SNOMED CT als standaard bij vorm, toedieningsweg en substantie en als veld bij standaarddoseringen; hoe verhoudt de BE Drug Extension zich daartoe, en wordt ze ergens als aparte module gepubliceerd?" }, { "id": "oq-a9bafe", "html": "Waarom toont de publieke metadata van de FOD-Ontoserver op 9/11/2026 nog 20251215 als standaardversie en dte-tx 20260915, terwijl de editie maandelijks verschijnt?", "text": "Waarom toont de publieke metadata van de FOD-Ontoserver op 9/11/2026 nog 20251215 als standaardversie en dte-tx 20260915, terwijl de editie maandelijks verschijnt?" }, { "id": "oq-65a177", "html": "Moet een ziekenhuis zelf een Affiliate-licentie hebben, of volstaat die van de EPD-leverancier?", "text": "Moet een ziekenhuis zelf een Affiliate-licentie hebben, of volstaat die van de EPD-leverancier?" }, { "id": "oq-d1d550", "html": "Krijgt de beslisboom voor hoofdstuk IV-geneesmiddelen uit het akkoord artsen-ziekenfondsen 2026-2027 een concrete koppeling met SNOMED CT, en met welke timing?", "text": "Krijgt de beslisboom voor hoofdstuk IV-geneesmiddelen uit het akkoord artsen-ziekenfondsen 2026-2027 een concrete koppeling met SNOMED CT, en met welke timing?" } ], "exchanges": [ "ziekenhuis-vitalink-vaccinnet-schrijven", "telemonitoring-resultaten-tmp-epd", "patient-summary-kluizen-ncpeh", "ha-mult-emediatt", "ziekenhuis-uhmep-thuisverpleging", "tc-snomed-editie-naar-epd-leveranciers", "shift-ziekenhuis-cozo-fhir-allergie-probleem", "e17-ziekenhuis-netwerk-fhir-benchmark", "be-patient-problemlist-zh-zh" ], "sources": [ { "n": 1, "id": "SRC-513c026a56", "title": "SNOMED CT | FOD Volksgezondheid (archiefkopie 24/06/2025)", "publisher": "FOD Volksgezondheid, Veiligheid van de Voedselketen en Leefmilieu", "url": "https://web.archive.org/web/20250624014721/https://www.health.belgium.be/nl/gezondheid/organisatie-van-de-gezondheidszorg/delen-van-gezondheidsgegevens/terminologiecentrum/terminologiestelstels/snomedct", "published": null, "first_retrieved": "2026-09-25T20:19:44+00:00", "last_checked": "2026-09-26T05:58:29+00:00", "content_sha256": "f6ed1b72261fc554851442788902b549dc5b836c0b498b1c75b23f2602d371bd", "link_unreachable_since": null }, { "n": 2, "id": "SRC-6fb3cdc0b1", "title": "Belgian BIHR/eHealth Interoperability Day – 24 March 2026 – Part II", "publisher": "Agoria / HL7 Belgium; bijdragen onder meer RIZIV en FOD Volksgezondheid", "url": "https://drive.usercontent.google.com/download?id=1QS9pqtJRaSD5jwG3UhYiC2g6vjbjawEA&export=download", "published": "2026-03-24", "first_retrieved": "2026-09-26T16:08:56+00:00", "last_checked": "2026-09-26T16:08:56+00:00", "content_sha256": "7248b5b2570248d18005b49c2523250e959d25158b45fbe0739ff331db2e865f", "link_unreachable_since": null }, { "n": 3, "id": "SRC-25b52cb979", "title": "Release policy (SNOMED CT Belgian Edition)", "publisher": "FOD Volksgezondheid - 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eHealth Platform Federal Core Profiles v2.1.1", "publisher": "eHealth-platform", "url": "https://www.ehealth.fgov.be/standards/fhir/core/2.1.1/guidance.html", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-0c53e169", "statement": "Les CareSets utilisent des ValueSets codés en SNOMED CT partout où SNOMED CT peut apporter une valeur ajoutée.", "kind": "fact", "kind_label": "fait", "locator": "sectie CareSets, kenmerk 'Gecodeerd'", "as_of": "2026-09-25", "source": { "id": "SRC-284dc675fc", "title": "BeSafeShare: multidisciplinaire elektronische gegevensuitwisseling tussen zorgverleners en patiënten", "publisher": "RIZIV", "url": "https://www.riziv.fgov.be/nl/thema-s/egezondheid/besafeshare-multidisciplinaire-elektronische-gegevensuitwisseling-tussen-zorgverleners-en-patienten", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-92ad2e3a", "statement": "L'environnement Vitalink FHIR a été mis en production (message du 22 mars 2024) et se trouve à côté de l'environnement KMEHR existant.", "kind": "fact", "kind_label": "fait", "locator": "nieuwsbericht", "as_of": "2026-09-25", "source": { "id": "SRC-a7e3a494e9", "title": "Nieuwe FHIR-omgeving van Vitalink in productie!", "publisher": "Vitalink (Departement Zorg)", "url": "https://www.vitalink.be/nieuwe-fhir-omgeving-van-vitalink-in-productie", "published": "2024-03-22" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-e224f647", "statement": "Chaque enregistrement d'immunisation dans Vaccinnet 2.0 exige un code SNOMED valide comme VaccineCode (BR-13).", "kind": "fact", "kind_label": "fait", "locator": "p. 9, BR-13", "as_of": "2026-09-25", "source": { "id": "SRC-d0c027f1b1", "title": "Overzicht van de Vaccinnet 2.0 Business Rules t.a.v. de software-integratoren", "publisher": "Departement Zorg, Afdeling Communicatie en IT, Team eGezondheid", "url": "https://www.vitalink.be/sites/default/files/2025-10/20251023-Vaccinnet-2.0-Business-Rules-Softwareintegratoren-Versie-1.2.2.pdf", "published": "2025-10-23" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-0230d697", "statement": "Interprétation (lecture visuelle de la figure de la timeline, mars 2026): requirements DPI publiés vers 2026 Q3; étape 1 « Term server » (serveur de terminologie local installé, connexion au serveur national de terminologie) vers fin 2026; étape 2a « SCT coded Patient Problems » vers 2027 Q3; étape 2b (procédures, observations, allergie, vaccination) vers 2028 Q3; étape 3 « SCT in use » dans le workflow clinique vers 2029 Q1; échange EHDS du Patient Summary en 2029. L'enregistrement/certification court de 2026 Q3 à 2028 Q3.", "kind": "interpretation", "kind_label": "interprétation", "locator": "p. 21 ('Timeline SNOMED CT implementation roadmap', figuur)", "as_of": "2026-09-29", "source": { "id": "SRC-6fb3cdc0b1", "title": "Belgian BIHR/eHealth Interoperability Day – 24 March 2026 – Part II", "publisher": "Agoria / HL7 Belgium; bijdragen onder meer RIZIV en FOD Volksgezondheid", "url": "https://drive.usercontent.google.com/download?id=1QS9pqtJRaSD5jwG3UhYiC2g6vjbjawEA&export=download", "published": "2026-03-24" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-289508c6", "statement": "Objectif final de la roadmap (mars 2026): d'ici mars 2029, un échange structuré et codé du Patient Summary, de la prescription électronique et de la délivrance électronique.", "kind": "fact", "kind_label": "fait", "locator": "p. 19", "as_of": "2026-09-29", "source": { "id": "SRC-6fb3cdc0b1", "title": "Belgian BIHR/eHealth Interoperability Day – 24 March 2026 – Part II", "publisher": "Agoria / HL7 Belgium; bijdragen onder meer RIZIV en FOD Volksgezondheid", "url": "https://drive.usercontent.google.com/download?id=1QS9pqtJRaSD5jwG3UhYiC2g6vjbjawEA&export=download", "published": "2026-03-24" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-71dee7f9", "statement": "Selon le Centre de Terminologie (juillet 2026), le programme d'implémentation vise à soutenir les prestataires de soins tant de la première que de la deuxième ligne, avec des applications qui simplifient l'enregistrement clinique.", "kind": "fact", "kind_label": "fait", "locator": "eerste alinea", "as_of": "2026-09-29", "source": { "id": "SRC-023f0534fb", "title": "SNOMED CT implementatieprogramma in België: aanpak en doelstelling", "publisher": "FOD Volksgezondheid – Terminologiecentrum (Belgian Health Terminology Portal)", "url": "https://apps.health.belgium.be/terminology-portal/information/news/snomed-ct-implementatieprogramma/nl", "published": "2026-07-01" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-a7dfce08", "statement": "Condition d): d'autres données de santé électroniques sont partagées par l'intermédiaire du système hubs-metahub sous une forme permettant leur réutilisation (CareSets, FHIR, SNOMED CT).", "kind": "fact", "kind_label": "fait", "locator": "art. 17 (art. 61 § 2, 2°, d)", "as_of": "2026-09-25", "source": { "id": "SRC-c2bc38d00b", "title": "Koninklijk besluit van 10 april 2025 tot wijziging van het koninklijk besluit van 25 april 2002 betreffende de vaststelling en de vereffening van het budget van financiële middelen van de ziekenhuizen", "publisher": "Belgisch Staatsblad (spiegel etaamb.openjustice.be)", "url": "https://etaamb.openjustice.be/nl/koninklijk-besluit-van-10-april-2025_n2025003147.html", "published": "2025-04-23" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-55db5032", "statement": "La condition d) du forfait BMUC demande que les informations soient échangées sous une forme permettant leur réutilisation, avec CareSets, FHIR et SNOMED CT comme exemples entre parenthèses; le texte ne mentionne aucune date, aucune obligation de coder les diagnostics et pas 2029.", "kind": "fact", "kind_label": "fait", "locator": "art. 17 (art. 61 § 2, 2°, d)", "as_of": "2026-10-01", "source": { "id": "SRC-929399ed0e", "title": "10 april 2025. - Koninklijk besluit tot wijziging van het koninklijk besluit van 25 april 2002 betreffende de vaststelling en de vereffening van het budget van financiële middelen van de ziekenhuizen (Belgisch Staatsblad 23/04/2025, numac 2025003147)", "publisher": "FOD Volksgezondheid, Veiligheid van de Voedselketen en Leefmilieu (Belgisch Staatsblad)", "url": "https://www.ejustice.just.fgov.be/cgi/article.pl?language=nl&pd_search=2025-04-23&numac_search=2025003147&lg_txt=N&caller=list&page=1", "published": "2025-04-23" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-bac51e58", "statement": "MLDS contient une extended map de la SNOMED CT BE GP refset vers ICD-10, avec une seule version, de novembre 2023; la source parle d'« ICD-10 » sans préciser s'il s'agit de WHO-ICD-10 ou d'ICD-10-BE.", "kind": "fact", "kind_label": "fait", "locator": "releaseVersions[0].name (publishedAt 2023-11-14)", "as_of": "2026-09-28", "source": { "id": "SRC-3e691bad67", "title": "MLDS release package: SNOMED CT BE GP Refset - ICD-10 Extended Map package", "publisher": "SNOMED International (MLDS) / Belgisch NRC", "url": "https://mlds.ihtsdotools.org/api/releasePackages/1106332", "published": "2023-11-14" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-79863f1c", "statement": "L'édition belge de SNOMED CT contient elle-même un refset de map « Belgian addition to ICD-10 extended map reference set » (10861000172102), un complément belge à la map ICD-10 extended; cela est indépendant du package MLDS distinct « BE GP Refset - ICD-10 Extended Map » (novembre 2023).", "kind": "fact", "kind_label": "fait", "locator": "sectie 'New translated content', kop 'Update to 10861000172102'", "as_of": "2026-10-07", "source": { "id": "SRC-464a9f4a63", "title": "SNOMED CT Managed Service - Belgium Extension Release Notes - July 2025", "publisher": "SNOMED International (Belgian NRC, Terminologiecentrum FOD VVVL)", "url": "https://conf.spaces.snomed.org/wiki/rest/api/content/131958846?expand=body.view,version", "published": "2025-07-15" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-d8c07113", "statement": "La map internationale de SNOMED CT vers ICD-10 de SNOMED International utilise la version 2016 d'ICD-10 (OMS) et est conçue comme base permettant de dériver des maps vers les modifications d'ICD-10 que les États membres développent et gèrent eux-mêmes.", "kind": "fact", "kind_label": "fait", "locator": "secties 'Purpose' en 'Audience for the Map'", "as_of": "2026-09-29", "source": { "id": "SRC-8e3a55a391", "title": "ICD-10 Map Overview (SNOMED CT to ICD-10 Map Specification)", "publisher": "SNOMED International", "url": "https://docs.snomed.org/snomed-ct-specifications/snomed-ct-to-icd-10-map-specification/introduction/2-icd-10-map-overview", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-1feda974", "statement": "Les noms des micro-organismes et des parties du corps dans les rapports de laboratoire sont mieux représentés dans SNOMED CT que dans LOINC.", "kind": "fact", "kind_label": "fait", "locator": "tweede paragraaf", "as_of": "2026-09-25", "source": { "id": "SRC-8d0af25927", "title": "LOINC in België | FOD Volksgezondheid (archiefkopie 07/09/2025)", "publisher": "FOD Volksgezondheid", "url": "https://web.archive.org/web/20250907091910/https://www.health.belgium.be/nl/loinc-belgie", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-2523b8ff", "statement": "L'équipe multidisciplinaire du Centre de Terminologie fait partie de la Standards Unit au sein du service Data en Beleidsinformatie de la DG Gezondheidszorg.", "kind": "fact", "kind_label": "fait", "locator": "ledenpagina Belgium", "as_of": "2026-09-25", "source": { "id": "SRC-930e18b29c", "title": "Belgium (SNOMED International member page)", "publisher": "SNOMED International", "url": "https://www.snomed.org/members/belgium", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-ef666d57", "statement": "Selon SNOMED International, le Centre de Terminologie, en tant que NRC, distribue et gère SNOMED CT en Belgique et réalise les traductions néerlandaises et françaises; une nouvelle release paraît tous les six mois via MLDS.", "kind": "fact", "kind_label": "fait", "locator": "ledenpagina Belgium, beschrijving Terminology Centre", "as_of": "2026-09-25", "source": { "id": "SRC-930e18b29c", "title": "Belgium (SNOMED International member page)", "publisher": "SNOMED International", "url": "https://www.snomed.org/members/belgium", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-2508d0fa", "statement": "Les contributions externes doivent parvenir au National Release Centre (NRC) au plus tard le dernier jour ouvrable du mois précédant la release planifiée.", "kind": "fact", "kind_label": "fait", "locator": "p. 1, 'Monthly releases'", "as_of": "2026-09-26", "source": { "id": "SRC-25b52cb979", "title": "Release policy (SNOMED CT Belgian Edition)", "publisher": "FOD Volksgezondheid - Terminologiecentrum (National Release Centre)", "url": "https://apps.health.belgium.be/portal-admin-api-rs/public/documents/download/89", "published": "2025-06-25" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-09d75d4d", "statement": "Leveranciers en andere organisaties die producten of diensten ontwikkelen of verdelen die SNOMED CT bevatten of er toegang toe geven, moeten Affiliate van SNOMED International zijn.", "kind": "fact", "kind_label": "fait", "locator": "sectie Affiliate licenses", "as_of": "2026-11-05", "source": { "id": "SRC-8b56ea677e", "title": "Licensing (Vendor Introduction to SNOMED CT)", "publisher": "SNOMED International", "url": "https://docs.snomed.org/snomed-ct-practical-guides/vendor-introduction-to-snomed-ct/7-licensing", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-28746658", "statement": "Les détenteurs d'une licence peuvent télécharger la release belge via le service MLDS de SNOMED International.", "kind": "fact", "kind_label": "fait", "locator": "sectie download", "as_of": "2026-09-25", "source": { "id": "SRC-513c026a56", "title": "SNOMED CT | FOD Volksgezondheid (archiefkopie 24/06/2025)", "publisher": "FOD Volksgezondheid, Veiligheid van de Voedselketen en Leefmilieu", "url": "https://web.archive.org/web/20250624014721/https://www.health.belgium.be/nl/gezondheid/organisatie-van-de-gezondheidszorg/delen-van-gezondheidsgegevens/terminologiecentrum/terminologiestelstels/snomedct", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-68f41c58", "statement": "Outre le serveur de terminologie, le Terminology Portal renvoie à l'API REST de MLDS (SNOMED International) pour l'accès aux releases belges et pour l'intégration avec d'autres systèmes.", "kind": "fact", "kind_label": "fait", "locator": "sectie 'MLDS'", "as_of": "2026-09-29", "source": { "id": "SRC-06d8efd97a", "title": "Terminology Services", "publisher": "FOD Volksgezondheid – Terminologiecentrum", "url": "https://apps.health.belgium.be/terminology-portal/solutions/terminology-services/nl", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-a2d7f30f", "statement": "SNOMED International bracht de Global Patient Set (GPS) uit om met SNOMED CT gecodeerde patiëntgegevens te delen zonder SNOMED CT Affiliate-licentie.", "kind": "fact", "kind_label": "fait", "locator": "sectie 1 'Introduction'", "as_of": "2026-11-05", "source": { "id": "SRC-db34827871", "title": "SNOMED International Global Patient Set (GPS) package Implementation Guide - 2024", "publisher": "SNOMED International", "url": "https://conf.spaces.snomed.org/wiki/spaces/RMT/pages/131958392", "published": "2024-12-20" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-f056f208", "statement": "SNOMED International bracht de IPS Terminology uit om met SNOMED CT gecodeerde gegevens te delen zonder SNOMED International-licentie; de productierelease dateert van december 2024.", "kind": "fact", "kind_label": "fait", "locator": "sectie 'Introduction'", "as_of": "2026-11-05", "source": { "id": "SRC-c8e738de41", "title": "SNOMED International IPS Terminology Production Release Notes - December 2024", "publisher": "SNOMED International", "url": "https://snomed.atlassian.net/wiki/spaces/RMT/pages/131958732/SNOMED+International+IPS+Terminology+Production+Release+Notes+-+December+2024", "published": "2024-12-16" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-1d142fb1", "statement": "La première release belge de SNOMED CT date du 15 mars 2018 et était un projet pilote autour du refset Kaiser Permanente « Hospital Core ».", "kind": "fact", "kind_label": "fait", "locator": "sectie Belgische extensie - releases", "as_of": "2026-09-25", "source": { "id": "SRC-513c026a56", "title": "SNOMED CT | FOD Volksgezondheid (archiefkopie 24/06/2025)", "publisher": "FOD Volksgezondheid, Veiligheid van de Voedselketen en Leefmilieu", "url": "https://web.archive.org/web/20250624014721/https://www.health.belgium.be/nl/gezondheid/organisatie-van-de-gezondheidszorg/delen-van-gezondheidsgegevens/terminologiecentrum/terminologiestelstels/snomedct", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-5093790d", "statement": "De Belgische extensie bevat vooral Nederlandse en Franse descriptions van bestaande internationale concepten, met de language refsets die per taal de Preferred Term en Acceptable Synonyms aanduiden.", "kind": "fact", "kind_label": "fait", "locator": "sectie De Belgische extensie van SNOMED CT", "as_of": "2026-11-09", "source": { "id": "SRC-513c026a56", "title": "SNOMED CT | FOD Volksgezondheid (archiefkopie 24/06/2025)", "publisher": "FOD Volksgezondheid, Veiligheid van de Voedselketen en Leefmilieu", "url": "https://web.archive.org/web/20250624014721/https://www.health.belgium.be/nl/gezondheid/organisatie-van-de-gezondheidszorg/delen-van-gezondheidsgegevens/terminologiecentrum/terminologiestelstels/snomedct", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-5be872f2", "statement": "De Belgische extensie moet steeds samen met de meest recente SNOMED CT International Edition gebruikt worden.", "kind": "fact", "kind_label": "fait", "locator": "sectie De Belgische extensie van SNOMED CT", "as_of": "2026-11-09", "source": { "id": "SRC-513c026a56", "title": "SNOMED CT | FOD Volksgezondheid (archiefkopie 24/06/2025)", "publisher": "FOD Volksgezondheid, Veiligheid van de Voedselketen en Leefmilieu", "url": "https://web.archive.org/web/20250624014721/https://www.health.belgium.be/nl/gezondheid/organisatie-van-de-gezondheidszorg/delen-van-gezondheidsgegevens/terminologiecentrum/terminologiestelstels/snomedct", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-36c9bfc8", "statement": "Indien nodig worden aan de Belgische extensie ook eigen Belgische concepten toegevoegd.", "kind": "fact", "kind_label": "fait", "locator": "sectie De Belgische extensie van SNOMED CT", "as_of": "2026-11-09", "source": { "id": "SRC-513c026a56", "title": "SNOMED CT | FOD Volksgezondheid (archiefkopie 24/06/2025)", "publisher": "FOD Volksgezondheid, Veiligheid van de Voedselketen en Leefmilieu", "url": "https://web.archive.org/web/20250624014721/https://www.health.belgium.be/nl/gezondheid/organisatie-van-de-gezondheidszorg/delen-van-gezondheidsgegevens/terminologiecentrum/terminologiestelstels/snomedct", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-e8cc81af", "statement": "Depuis novembre 2024, la Belgique publie une édition SNOMED CT (instantané complet comprenant du contenu international et belge) au lieu d'une extension.", "kind": "fact", "kind_label": "fait", "locator": "alinea over editie versus extensie", "as_of": "2026-09-28", "source": { "id": "SRC-0aab60285d", "title": "Nieuwe release policy SNOMED CT", "publisher": "FOD Volksgezondheid - Terminologiecentrum", "url": "https://apps.health.belgium.be/terminology-portal/information/news/new-release-policy-snomed-ct/nl", "published": "2024-11-15" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-10145b47", "statement": "Tous les six mois, une nouvelle release belge est publiée et mise à disposition via MLDS.", "kind": "fact", "kind_label": "fait", "locator": "ledenpagina Belgium", "as_of": "2026-09-25", "source": { "id": "SRC-930e18b29c", "title": "Belgium (SNOMED International member page)", "publisher": "SNOMED International", "url": "https://www.snomed.org/members/belgium", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-40c78013", "statement": "De FAQ van het Terminology Portal beschrijft nog een halfjaarlijkse Belgische extensie die op 15 november en 15 mei verschijnt; dat strookt niet met de maandelijkse editie uit de Release Policy en de release notes.", "kind": "fact", "kind_label": "fait", "locator": "FAQ, vraag over de Belgische extensie", "as_of": "2026-11-05", "source": { "id": "SRC-082eeeef43", "title": "FAQ - Belgian Health Terminology Portal", "publisher": "FOD Volksgezondheid – Terminologiecentrum", "url": "https://apps.health.belgium.be/terminology-portal/information/faq/nl", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-518be0b2", "statement": "De Belgische release van april 2025 (gepland op 15 april 2025) werd door onvoorziene omstandigheden niet gepubliceerd; de release van mei 2025 volgde rechtstreeks op die van maart 2025.", "kind": "fact", "kind_label": "fait", "locator": "kop 'unplanned change in the release schedule of the SNOMED CT Belgium Edition'", "as_of": "2026-11-09", "source": { "id": "SRC-fc05aa7807", "title": "SNOMED CT Managed Service - Belgium Extension Release Notes - May 2025", "publisher": "SNOMED International", "url": "https://conf.spaces.snomed.org/wiki/rest/api/content/131958822?expand=body.view,version", "published": "2025-05-13" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-874ecf1a", "statement": "De release van mei 2025 is volgens haar release notes de release die onmiddellijk volgt op die van maart 2025.", "kind": "fact", "kind_label": "fait", "locator": "kop 'unplanned change in the release schedule of the SNOMED CT Belgium Edition'", "as_of": "2026-11-09", "source": { "id": "SRC-fc05aa7807", "title": "SNOMED CT Managed Service - Belgium Extension Release Notes - May 2025", "publisher": "SNOMED International", "url": "https://conf.spaces.snomed.org/wiki/rest/api/content/131958822?expand=body.view,version", "published": "2025-05-13" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-00e785e4", "statement": "Depuis la release de juin 2026, l'édition belge reprend les traductions allemandes du NRC allemand, chaque fois le mois suivant leur publication semestrielle.", "kind": "fact", "kind_label": "fait", "locator": "sectie 'New translated content'", "as_of": "2026-09-28", "source": { "id": "SRC-107b9f2171", "title": "SNOMED CT Managed Service - Belgium Edition Release Notes - September 2026", "publisher": "SNOMED International / Belgisch National Release Centre", "url": "https://conf.spaces.snomed.org/wiki/rest/api/content/1255866407?expand=body.view,version", "published": "2026-09-15" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-fee8ca00", "statement": "Sinds 1 september 2023 verschijnt de International Edition op de eerste dag van elke maand in MLDS, in plaats van op de laatste dag; augustus 2023 had geen release.", "kind": "fact", "kind_label": "fait", "locator": "vraag 'What change will users see as of September 2023?'", "as_of": "2026-11-05", "source": { "id": "SRC-210a415638", "title": "Blog: The SNOMED CT International Edition to be published on first day of each month", "publisher": "SNOMED International", "url": "https://www.snomed.org/news/blog:-the-snomed-ct-international-edition-to-be-published-on-first-day-of-each-month", "published": "2023-05-19" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-ead64f80", "statement": "De International Edition van november 2026 heeft releasedatum 20261101 en status PRODUCTION.", "kind": "fact", "kind_label": "fait", "locator": "kopblok (Release Date 20261101, Release Status PRODUCTION) en sectie Purpose", "as_of": "2026-11-09", "source": { "id": "SRC-37eb2189e2", "title": "SNOMED CT November 2026 International Edition - SNOMED International Release notes", "publisher": "SNOMED International", "url": "https://conf.spaces.snomed.org/wiki/rest/api/content/1334280193?expand=body.view,version", "published": "2026-10-28" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-60e62125", "statement": "De release notes van de International Edition van december 2026 (releasedatum 20261201) staan op 9/11/2026 nog op status PREPRODUCTION.", "kind": "fact", "kind_label": "fait", "locator": "kopblok (Release Date 20261201, Release Status)", "as_of": "2026-11-09", "source": { "id": "SRC-351b20ee21", "title": "SNOMED CT December 2026 International Edition - SNOMED International Release notes", "publisher": "SNOMED International", "url": "https://conf.spaces.snomed.org/wiki/rest/api/content/1450934326?expand=body.view,version", "published": "2026-10-30" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-3524ef34", "statement": "De release notes van de Belgische SNOMED CT-editie van november 2026 (datum 20261115, documentversie 1.0) beschrijven een productierelease.", "kind": "fact", "kind_label": "fait", "locator": "kopblok (Date 20261115, Document Version 1.0, Release Status PRODUCTION) en Introduction; versie.when 2026-11-09", "as_of": "2026-11-09", "source": { "id": "SRC-81218b2c44", "title": "SNOMED CT Managed Service - Belgium Edition Release Notes - November 2026", "publisher": "SNOMED International", "url": "https://conf.spaces.snomed.org/wiki/rest/api/content/1468334117?expand=body.view,version", "published": "2026-11-09" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-8a2a07cd", "statement": "De Belgische release van november 2026 bevat 861 nieuwe en 257 geïnactiveerde concepten uit de recentste International Edition.", "kind": "fact", "kind_label": "fait", "locator": "sectie 'International content in this release'", "as_of": "2026-11-09", "source": { "id": "SRC-81218b2c44", "title": "SNOMED CT Managed Service - Belgium Edition Release Notes - November 2026", "publisher": "SNOMED International", "url": "https://conf.spaces.snomed.org/wiki/rest/api/content/1468334117?expand=body.view,version", "published": "2026-11-09" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-fed55e5d", "statement": "In de Belgische release van november 2026 werden 24 nieuwe Belgische concepten aangemaakt.", "kind": "fact", "kind_label": "fait", "locator": "sectie 'Belgian content in this release'", "as_of": "2026-11-09", "source": { "id": "SRC-81218b2c44", "title": "SNOMED CT Managed Service - Belgium Edition Release Notes - November 2026", "publisher": "SNOMED International", "url": "https://conf.spaces.snomed.org/wiki/rest/api/content/1468334117?expand=body.view,version", "published": "2026-11-09" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-84ebd41b", "statement": "Volgens de release notes van november 2026 is 79,00% van de actieve concepten in de Nederlandse language refset vertaald (Frans 75,29%, Duits 30,45%).", "kind": "fact", "kind_label": "fait", "locator": "sectie 'New translated content', tabel National Language Reference Sets, rij '% translated', kolom DUTCH", "as_of": "2026-11-09", "source": { "id": "SRC-81218b2c44", "title": "SNOMED CT Managed Service - Belgium Edition Release Notes - November 2026", "publisher": "SNOMED International", "url": "https://conf.spaces.snomed.org/wiki/rest/api/content/1468334117?expand=body.view,version", "published": "2026-11-09" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-02aba164", "statement": "Op 9/11/2026 toont het MLDS-package 'Belgian National Edition' oktober 2026 v1.0 (versie-URI http://snomed.info/sct/11000172109/version/20261015) als recentste versie.", "kind": "fact", "kind_label": "fait", "locator": "releaseVersions, item 'October 2026 v1.0' (publishedAt 2026-10-15)", "as_of": "2026-11-09", "source": { "id": "SRC-2182528427", "title": "MLDS release package: Belgian National Edition", "publisher": "SNOMED International (MLDS) / Terminology Center Belgium", "url": "https://mlds.ihtsdotools.org/api/releasePackages/190440", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-548c73c2", "statement": "Op 9/11/2026 geeft een CodeSystem-zoekopdracht naar http://snomed.info/sct op dte-tx/r4 als Belgische editie versie 20260915 ('SCT BE').", "kind": "fact", "kind_label": "fait", "locator": "Bundle.entry[1].resource (id x-SCT-11000172109-20260915)", "as_of": "2026-11-09", "source": { "id": "SRC-bc2782daea", "title": "dte-tx R4 - CodeSystem-zoekopdracht url=http://snomed.info/sct (JSON)", "publisher": "eHealth-platform", "url": "https://dte-tx.ehealth.fgov.be/r4/CodeSystem?url=http://snomed.info/sct&_format=json", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-9f3dabc7", "statement": "Op 9/11/2026 noemt de publieke TerminologyCapabilities van de FOD-Ontoserver als standaardversie van de Belgische SNOMED CT-editie nog steeds 20251215.", "kind": "fact", "kind_label": "fait", "locator": "codeSystem[uri=http://snomed.info/sct].version", "as_of": "2026-11-09", "source": { "id": "SRC-201d46ea3a", "title": "FOD-Ontoserver - TerminologyCapabilities (JSON)", "publisher": "FOD Volksgezondheid, Veiligheid van de Voedselketen en Leefmilieu", "url": "https://apps.health.belgium.be/ontoserver/fhir/metadata?mode=terminology&_format=json", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-5557647b", "statement": "L'aperçu des refsets dans les release notes de septembre 2026 cite, pour l'enregistrement clinique dans les logiciels DPI, des sous-ensembles pour les problèmes médicaux, les soins infirmiers, la néonatologie, la pneumologie, la rhumatologie, la néphrologie, la cardiologie, l'hématologie, les maladies infectieuses et les soins intensifs, ainsi que la Belgian GP subset.", "kind": "fact", "kind_label": "fait", "locator": "tabel 'Overview of our reference sets' (Clinical data entry), rij intensive care", "as_of": "2026-09-29", "source": { "id": "SRC-107b9f2171", "title": "SNOMED CT Managed Service - Belgium Edition Release Notes - September 2026", "publisher": "SNOMED International / Belgisch National Release Centre", "url": "https://conf.spaces.snomed.org/wiki/rest/api/content/1255866407?expand=body.view,version", "published": "2026-09-15" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-4a5fab4b", "statement": "L'édition belge contient deux sortes de refsets: pour l'enregistrement clinique dans les logiciels DPI (semestriels, mai et novembre) et pour l'interopérabilité des données, surtout des sous-ensembles qui représentent des value sets issus de profils FHIR belges (mensuels en cas de modifications).", "kind": "fact", "kind_label": "fait", "locator": "sectie 'Reference sets'", "as_of": "2026-09-28", "source": { "id": "SRC-107b9f2171", "title": "SNOMED CT Managed Service - Belgium Edition Release Notes - September 2026", "publisher": "SNOMED International / Belgisch National Release Centre", "url": "https://conf.spaces.snomed.org/wiki/rest/api/content/1255866407?expand=body.view,version", "published": "2026-09-15" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-3d2da686", "statement": "Pour le contexte hospitalier, le Centre de Terminologie fait développer et maintenir (état de mars 2025), en collaboration avec des parties externes, un SNOMED CT Problem List Reference Set et des Medical Speciality Reference Sets pour le dossier du patient.", "kind": "fact", "kind_label": "fait", "locator": "SNOMED CT – Belgische editie, Reference sets, Subsets voor vastleggen van informatie in EPD", "as_of": "2026-09-29", "source": { "id": "SRC-1ff0c95514", "title": "Samenwerkingsprojecten op vlak van terminologie-inhoud", "publisher": "FOD Volksgezondheid – Terminologiecentrum (Belgian Health Terminology Portal)", "url": "https://apps.health.belgium.be/terminology-portal/information/news/terminology-projects/nl", "published": "2025-03-15" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-bfee793a", "statement": "Volgens de release notes van november 2026 hebben de refsets voor klinische invoer in EPD-software een zesmaandelijkse cyclus met updates in mei en november, en volgen de refsets voor data-interoperabiliteit een maandelijkse cyclus, telkens enkel bij wijzigingen.", "kind": "fact", "kind_label": "fait", "locator": "sectie 'Reference sets'", "as_of": "2026-11-09", "source": { "id": "SRC-81218b2c44", "title": "SNOMED CT Managed Service - Belgium Edition Release Notes - November 2026", "publisher": "SNOMED International", "url": "https://conf.spaces.snomed.org/wiki/rest/api/content/1468334117?expand=body.view,version", "published": "2026-11-09" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-44712f03", "statement": "Problème connu dans la release de septembre 2026: la validation RVF a trouvé 70 enregistrements invalides dans le sous-ensemble belge pour les problèmes médicaux (40811000172108); le NRC les corrige avant la release de novembre, parce que les refsets cliniques suivent un cycle semestriel.", "kind": "fact", "kind_label": "fait", "locator": "sectie 'Known Issues', ISRS-7703", "as_of": "2026-09-29", "source": { "id": "SRC-107b9f2171", "title": "SNOMED CT Managed Service - Belgium Edition Release Notes - September 2026", "publisher": "SNOMED International / Belgisch National Release Centre", "url": "https://conf.spaces.snomed.org/wiki/rest/api/content/1255866407?expand=body.view,version", "published": "2026-09-15" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-efd31368", "statement": "Bekend probleem in de release van oktober 2026: de RVF-validatie meldt 89 fouten waarbij leden van de Belgian GP subset (refset 721000172106) geen geldige component zijn; het NRC corrigeert ze vóór de release van november, omdat klinische refsets een halfjaarlijkse cyclus volgen.", "kind": "fact", "kind_label": "fait", "locator": "Technical notes, Known Issues, ISRS-7741", "as_of": "2026-11-05", "source": { "id": "SRC-9abf81d0c0", "title": "SNOMED CT Managed Service - Belgium Edition Release Notes - October 2026", "publisher": "SNOMED International (Managed Service) voor het Belgische NRC", "url": "https://conf.spaces.snomed.org/wiki/rest/api/content/1360298025?expand=body.view,version", "published": "2026-10-09" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-ec982fda", "statement": "De Belgian GP subset (721000172106) werd in de release van november 2026 bijgewerkt.", "kind": "fact", "kind_label": "fait", "locator": "sectie 'Updated Reference sets', eerste item", "as_of": "2026-11-09", "source": { "id": "SRC-81218b2c44", "title": "SNOMED CT Managed Service - Belgium Edition Release Notes - November 2026", "publisher": "SNOMED International", "url": "https://conf.spaces.snomed.org/wiki/rest/api/content/1468334117?expand=body.view,version", "published": "2026-11-09" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-49407229", "statement": "De subset voor medische problemen in patiëntendossiers (40811000172108) werd in de release van november 2026 bijgewerkt.", "kind": "fact", "kind_label": "fait", "locator": "sectie 'Updated Reference sets' (acht items)", "as_of": "2026-11-09", "source": { "id": "SRC-81218b2c44", "title": "SNOMED CT Managed Service - Belgium Edition Release Notes - November 2026", "publisher": "SNOMED International", "url": "https://conf.spaces.snomed.org/wiki/rest/api/content/1468334117?expand=body.view,version", "published": "2026-11-09" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-fefc1eca", "statement": "De release notes van november 2026 vermelden onder Known Issues nul openstaande problemen.", "kind": "fact", "kind_label": "fait", "locator": "sectie 'Technical notes' > 'Known Issues' (Jira-teller)", "as_of": "2026-11-09", "source": { "id": "SRC-81218b2c44", "title": "SNOMED CT Managed Service - Belgium Edition Release Notes - November 2026", "publisher": "SNOMED International", "url": "https://conf.spaces.snomed.org/wiki/rest/api/content/1468334117?expand=body.view,version", "published": "2026-11-09" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-47445dfb", "statement": "De uniforme 3BT is een eenmalige versie die niet verder evolueert; de huisartsenthesaurus werd als General Practitioner Reference Set in de Belgische SNOMED CT-extensie geïntegreerd en wordt daar verder onderhouden (stand FOD-pagina, archief 2022).", "kind": "fact", "kind_label": "fait", "locator": "pagina 3BT, laatste alinea's", "as_of": "2026-09-26", "source": { "id": "SRC-197f45b1a4", "title": "Terminologiecentrum : Terminologiestelsels : 3BT (Bilingual Biclassified Belgian) thesaurus (archiefkopie 18/01/2022)", "publisher": "FOD Volksgezondheid, Veiligheid van de Voedselketen en Leefmilieu", "url": "https://web.archive.org/web/20220118130531/https://www.health.belgium.be/nl/terminologiecentrum-terminologiestelsels-de-3bt-bilingual-biclassified-belgian-thesaurus", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-5671d0fb", "statement": "De FOD Volksgezondheid documenteert een \"Belgian National Terminology Server\" op basis van Ontoserver met FHIR-endpoint https://apps.health.belgium.be/ontoserver/fhir (Quick Start Guide versie 1.2).", "kind": "fact", "kind_label": "fait", "locator": "sectie 'Connecting to Ontoserver' - Base URL", "as_of": "2026-09-26", "source": { "id": "SRC-cbf30a6992", "title": "Belgian National Terminology Server - Quick Start Guide (Document Version 1.2)", "publisher": "FOD Volksgezondheid, Veiligheid van de Voedselketen en Leefmilieu (Terminologiecentrum)", "url": "https://apps.health.belgium.be/portal-admin-api-rs/public/documents/download/259", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-34b011ca", "statement": "Via une connexion avec le Serveur national de terminologie (Ontoserver), les utilisateurs peuvent recevoir des mises à jour automatisées de l'édition belge de SNOMED CT, sous-ensembles inclus.", "kind": "fact", "kind_label": "fait", "locator": "voorwaarde 2 Toegang tot de terminologie", "as_of": "2026-09-26", "source": { "id": "SRC-df67b7edc6", "title": "SNOMED CT in België: klaar voor implementatie", "publisher": "FOD Volksgezondheid – Terminologiecentrum (Belgian Health Terminology Portal)", "url": "https://apps.health.belgium.be/terminology-portal/information/news/snomed%20ct%20in%20belgi%C3%AB/nl", "published": "2025-11-04" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-a6f9d60d", "statement": "Le ValueSet Body Site du guide d'implémentation HL7 Belgium core-clinical (v1.3.0, STU1) est expansé via le serveur de terminologie dte-tx.ehealth.fgov.be sur la base de l'édition belge de SNOMED CT.", "kind": "fact", "kind_label": "fait", "locator": "sectie Expansion", "as_of": "2026-09-25", "source": { "id": "SRC-1d6ff5faba", "title": "Body Site ValueSet - HL7 Belgium core-clinical profiles", "publisher": "eHealth-platform / HL7 Belgium", "url": "https://www.ehealth.fgov.be/standards/fhir/core-clinical/en/ValueSet-be-vs-bodysite.html", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-221a4311", "statement": "Het Terminologiecentrum kondigde aan dat de Belgische SNOMED CT-editie en aanverwante producten vanaf 2025, naast MLDS, ook via de Nationale Terminologieserver (Ontoserver) verspreid worden.", "kind": "fact", "kind_label": "fait", "locator": "laatste alinea", "as_of": "2026-09-28", "source": { "id": "SRC-0aab60285d", "title": "Nieuwe release policy SNOMED CT", "publisher": "FOD Volksgezondheid - Terminologiecentrum", "url": "https://apps.health.belgium.be/terminology-portal/information/news/new-release-policy-snomed-ct/nl", "published": "2024-11-15" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-51b56347", "statement": "Volgens de roadmap van het Terminologiecentrum is de nationale server een verspreidingsbron; EPD-pakketten en grote ziekenhuizen hebben zelf een eigen ingebouwde terminologieserver nodig om codes op te zoeken en te valideren.", "kind": "fact", "kind_label": "fait", "locator": "sectie 'Technische pijler'", "as_of": "2026-09-28", "source": { "id": "SRC-4bea610354", "title": "Roadmap (nieuwsbericht Terminologiecentrum)", "publisher": "FOD Volksgezondheid – Terminologiecentrum (Belgian Health Terminology Portal)", "url": "https://apps.health.belgium.be/terminology-portal/information/news/roadmap/nl", "published": "2025-03-15" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-fed26db6", "statement": "En collaboration avec la Plate-forme eHealth, le NRC met à disposition un paquet à télécharger (docker image) comportant un serveur de terminologie local, en vue de l'intégration dans les logiciels DPI; les fournisseurs de DPI peuvent aussi utiliser leur propre serveur de terminologie (état novembre 2025).", "kind": "fact", "kind_label": "fait", "locator": "voorwaarde 3 Tooling", "as_of": "2026-09-26", "source": { "id": "SRC-df67b7edc6", "title": "SNOMED CT in België: klaar voor implementatie", "publisher": "FOD Volksgezondheid – Terminologiecentrum (Belgian Health Terminology Portal)", "url": "https://apps.health.belgium.be/terminology-portal/information/news/snomed%20ct%20in%20belgi%C3%AB/nl", "published": "2025-11-04" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-b431f4e2", "statement": "Bij het opstarten downloadt en importeert snowstorm-local de recentste versies van LOINC, HL7-terminologie en SNOMED CT (Belgische en internationale editie); daarvoor zijn eigen MLDS- en LOINC-accounts nodig.", "kind": "fact", "kind_label": "fait", "locator": "README, 'Quick Launch Overview' en 'Step 1'", "as_of": "2026-09-28", "source": { "id": "SRC-effab8767d", "title": "ehealthplatformstandards/snowstorm-local (Snowstorm-Local Setup Guide)", "publisher": "eHealth-platform (GitHub-organisatie ehealthplatformstandards)", "url": "https://github.com/ehealthplatformstandards/snowstorm-local", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-129b6aec", "statement": "De SNOMED CT URI-specificatie gebruikt http://snomed.info/sct als systeem-URI voor de codesysteem en http://snomed.info/id voor individuele concepten (RDF-vorm).", "kind": "fact", "kind_label": "fait", "locator": "sectie over URI's en RDF", "as_of": "2026-11-05", "source": { "id": "SRC-e9e963ce7b", "title": "Using SNOMED CT with HL7 Standards (FHIR R4)", "publisher": "HL7 International", "url": "https://hl7.org/fhir/R4/snomedct.html", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-ae83c296", "statement": "Interpretatie van een metadata-zoekopdracht (29/09/2026): de 94 ConceptMaps op dte-tx.ehealth.fgov.be/r4 komen uit HL7-pakketten. De enige SNOMED CT-naar-ICD-map daarbij is een HL7-voorbeeld (ICD-10-CM, ulnafracturen); een Belgische map naar ICD-10-BE staat er niet.", "kind": "interpretation", "kind_label": "interprétation", "locator": "Bundle.entry (url, title)", "as_of": "2026-09-29", "source": { "id": "SRC-a79e7c4277", "title": "dte-tx.ehealth.fgov.be – ConceptMap-zoekopdracht (metadata)", "publisher": "eHealth-platform (dte-tx)", "url": "https://dte-tx.ehealth.fgov.be/r4/ConceptMap?_elements=url,title,name,sourceUri,targetUri,sourceCanonical,targetCanonical&_count=200", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-ae3d44e8", "statement": "Le package MLDS « SNOMED CT BE GP Refset - ICD-10 Extended Map » contient un zip RF2 et un document de release notes distinct (docx); la version de release elle-même n'a pas de description dans MLDS, et le téléchargement des release notes exige un login MLDS (HTTP 401 le 07/10/2026), de sorte que la variante d'ICD-10 n'est pas vérifiable publiquement.", "kind": "fact", "kind_label": "fait", "locator": "releaseVersions[0].releaseFiles[].label", "as_of": "2026-10-07", "source": { "id": "SRC-3e691bad67", "title": "MLDS release package: SNOMED CT BE GP Refset - ICD-10 Extended Map package", "publisher": "SNOMED International (MLDS) / Belgisch NRC", "url": "https://mlds.ihtsdotools.org/api/releasePackages/1106332", "published": "2023-11-14" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-7790b4e6", "statement": "Dans la release de production de juillet 2025 de l'édition belge, quatre concepts locaux inactifs ont été remplacés dans cette map belge ICD-10 extended par de nouveaux concepts internationaux de même signification; la map est donc elle aussi maintenue dans l'édition mensuelle.", "kind": "fact", "kind_label": "fait", "locator": "kop 'Update to 10861000172102 |Belgian addition to ICD-10 extended map reference set|'", "as_of": "2026-10-07", "source": { "id": "SRC-464a9f4a63", "title": "SNOMED CT Managed Service - Belgium Extension Release Notes - July 2025", "publisher": "SNOMED International (Belgian NRC, Terminologiecentrum FOD VVVL)", "url": "https://conf.spaces.snomed.org/wiki/rest/api/content/131958846?expand=body.view,version", "published": "2025-07-15" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-bdb74501", "statement": "Interprétation: l'aperçu des refsets des release notes (septembre 2026) ne connaît que deux sortes de refsets (enregistrement clinique et interopérabilité des données) et ne mentionne ni refsets de map ni BE Drug Extension. Les BE Maps (du 3BT vers SNOMED CT et de la GP refset vers ICD-10 et la CISP-2) figurent dans MLDS comme packages distincts, avec novembre 2023 comme version la plus récente, et non comme partie de l'édition mensuelle. Le GP subset lui-même fait bien partie de l'édition.", "kind": "interpretation", "kind_label": "interprétation", "locator": "sectie 'Reference sets' en tabel 'Overview of our reference sets'", "as_of": "2026-09-29", "source": { "id": "SRC-107b9f2171", "title": "SNOMED CT Managed Service - Belgium Edition Release Notes - September 2026", "publisher": "SNOMED International / Belgisch National Release Centre", "url": "https://conf.spaces.snomed.org/wiki/rest/api/content/1255866407?expand=body.view,version", "published": "2026-09-15" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-530a4d93", "statement": "De SNOMED CT-naar-ICD-10-map in de International Edition van november 2026 is een volledige map naar ICD-10 WHO-versie 2016.", "kind": "fact", "kind_label": "fait", "locator": "sectie 'SNOMED CT - ICD-10 map'", "as_of": "2026-11-09", "source": { "id": "SRC-37eb2189e2", "title": "SNOMED CT November 2026 International Edition - SNOMED International Release notes", "publisher": "SNOMED International", "url": "https://conf.spaces.snomed.org/wiki/rest/api/content/1334280193?expand=body.view,version", "published": "2026-10-28" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-3be725e8", "statement": "In de ICD-10-map van november 2026 kwamen 436 nieuw gemapte concepten bij.", "kind": "fact", "kind_label": "fait", "locator": "sectie 'SNOMED CT - ICD-10 map', opsomming", "as_of": "2026-11-09", "source": { "id": "SRC-37eb2189e2", "title": "SNOMED CT November 2026 International Edition - SNOMED International Release notes", "publisher": "SNOMED International", "url": "https://conf.spaces.snomed.org/wiki/rest/api/content/1334280193?expand=body.view,version", "published": "2026-10-28" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-37234d8e", "statement": "De internationale SNOMED CT-naar-ICD-10-map steunt op de recentste maandrelease van de International Edition en wordt bij elke nieuwe SNOMED CT-release bijgewerkt.", "kind": "fact", "kind_label": "fait", "locator": "sectie 'Authoritative Resources'", "as_of": "2026-11-05", "source": { "id": "SRC-8e3a55a391", "title": "ICD-10 Map Overview (SNOMED CT to ICD-10 Map Specification)", "publisher": "SNOMED International", "url": "https://docs.snomed.org/snomed-ct-specifications/snomed-ct-to-icd-10-map-specification/introduction/2-icd-10-map-overview", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-92892446", "statement": "La présentation du SPF (2014) cite le mapping de SNOMED CT vers ICD-10-CM et vers ICD-10-PCS comme « related interests ».", "kind": "fact", "kind_label": "fait", "locator": "p. 26, slide Situating within major current themes", "as_of": "2026-09-25", "source": { "id": "SRC-e93fdb6617", "title": "The ICD-10-BE implementation project in Belgium 2009-2015 (presentatie FOD Volksgezondheid)", "publisher": "FOD Volksgezondheid (gehost door Ministerio de Sanidad, Spanje)", "url": "https://www.sanidad.gob.es/estadEstudios/estadisticas/sisInfSanSNS/IIJornadaCIE10/CIE10ES_Belgica_ENG.pdf", "published": "2014-05-30" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-72b8544d", "statement": "Selon SNOMED International, la map ICD-10 n'automatise pas entièrement le codage ICD-10 et n'optimise pas les codes pour la facturation ou le remboursement.", "kind": "fact", "kind_label": "fait", "locator": "sectie 'What the Map is Not'", "as_of": "2026-09-29", "source": { "id": "SRC-8e3a55a391", "title": "ICD-10 Map Overview (SNOMED CT to ICD-10 Map Specification)", "publisher": "SNOMED International", "url": "https://docs.snomed.org/snomed-ct-specifications/snomed-ct-to-icd-10-map-specification/introduction/2-icd-10-map-overview", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-b3752300", "statement": "Interprétation: selon les release notes, SNOMED International maintient le contenu international, y compris les mappings vers ICD. Comme l'édition belge contient l'International Edition, la map internationale de SNOMED CT vers ICD-10 (WHO-ICD-10) se trouve vraisemblablement dans l'édition. Cela n'est pas expressément confirmé pour le package belge, et il ne s'agit pas d'une map vers ICD-10-BE.", "kind": "interpretation", "kind_label": "interprétation", "locator": "sectie 'Introduction'", "as_of": "2026-09-29", "source": { "id": "SRC-107b9f2171", "title": "SNOMED CT Managed Service - Belgium Edition Release Notes - September 2026", "publisher": "SNOMED International / Belgisch National Release Centre", "url": "https://conf.spaces.snomed.org/wiki/rest/api/content/1255866407?expand=body.view,version", "published": "2026-09-15" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-d7b62476", "statement": "La NLM (États-Unis) publie une map SNOMED CT vers ICD-10-CM destinée à la dérivation semi-automatique de codes ICD-10-CM à partir de données cliniques codées en SNOMED CT, pour le remboursement et la statistique.", "kind": "fact", "kind_label": "fait", "locator": "inleiding", "as_of": "2026-09-29", "source": { "id": "SRC-495539a711", "title": "SNOMED CT to ICD-10-CM Map", "publisher": "U.S. National Library of Medicine", "url": "https://www.nlm.nih.gov/research/umls/mapping_projects/snomedct_to_icd10cm.html", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-b10f2898", "statement": "Cette map de la NLM est mise à jour à chaque release de la SNOMED CT US Edition (mars et septembre), contient la mise à jour annuelle d'ICD-10-CM et est distribuée comme partie de l'US Edition.", "kind": "fact", "kind_label": "fait", "locator": "secties 'Release Schedule' en inleiding", "as_of": "2026-09-29", "source": { "id": "SRC-495539a711", "title": "SNOMED CT to ICD-10-CM Map", "publisher": "U.S. National Library of Medicine", "url": "https://www.nlm.nih.gov/research/umls/mapping_projects/snomedct_to_icd10cm.html", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-bb01ffd8", "statement": "Quiconque utilise la map de la NLM doit disposer d'une licence tant pour SNOMED CT que pour ICD-10-CM; la NLM distribue la map sous la licence UMLS.", "kind": "fact", "kind_label": "fait", "locator": "sectie 'License Requirements'", "as_of": "2026-09-29", "source": { "id": "SRC-495539a711", "title": "SNOMED CT to ICD-10-CM Map", "publisher": "U.S. National Library of Medicine", "url": "https://www.nlm.nih.gov/research/umls/mapping_projects/snomedct_to_icd10cm.html", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-1fcf31dc", "statement": "Interprétation: ICD-10-BE se compose d'ICD-10-CM et d'ICD-10-PCS, de sorte que la map de la NLM couvre techniquement la partie diagnostics (ICD-10-CM) et non les procédures (ICD-10-PCS). Il s'agit d'un produit américain de l'US Edition, avec des versions américaines d'ICD-10-CM qui ne coïncident pas avec la version d'ICD-10-BE dans le Résumé Hospitalier Minimum. Aucune approbation belge ni aucune distribution belge de celle-ci n'a été trouvée.", "kind": "interpretation", "kind_label": "interprétation", "locator": "inleiding en 'License Requirements', gelezen samen met CLM-fdf6768a (ICD-10-BE = ICD-10-CM + ICD-10-PCS)", "as_of": "2026-09-29", "source": { "id": "SRC-495539a711", "title": "SNOMED CT to ICD-10-CM Map", "publisher": "U.S. National Library of Medicine", "url": "https://www.nlm.nih.gov/research/umls/mapping_projects/snomedct_to_icd10cm.html", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-e264c7cd", "statement": "In de release van november 2026 werd de GP subset bijgewerkt met nieuw gemapte concepten uit het package '3BT - SNOMED CT Simple Map'.", "kind": "fact", "kind_label": "fait", "locator": "sectie 'Updated Reference sets', slotzin", "as_of": "2026-11-09", "source": { "id": "SRC-81218b2c44", "title": "SNOMED CT Managed Service - Belgium Edition Release Notes - November 2026", "publisher": "SNOMED International", "url": "https://conf.spaces.snomed.org/wiki/rest/api/content/1468334117?expand=body.view,version", "published": "2026-11-09" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-1dbcca36", "statement": "Op 9/11/2026 toont MLDS voor het package '3BT - SNOMED CT Simple Map' als recentste versie die van november 2023.", "kind": "fact", "kind_label": "fait", "locator": "releaseVersions (zeven versies, september 2020 t/m november 2023)", "as_of": "2026-11-09", "source": { "id": "SRC-6e4d89bf44", "title": "MLDS release package: 3BT - SNOMED CT Simple Map package", "publisher": "SNOMED International (MLDS) / Belgisch NRC", "url": "https://mlds.ihtsdotools.org/api/releasePackages/493656", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-93c31d7f", "statement": "État de mars 2025: des projets de mapping étaient en cours de SNOMED CT vers l'ICHI, l'ICF, BelRAI et la CISP-3 (à côté des maps existantes autour du 3BT et de la GP subset); il s'agit de projets, et non de maps publiées.", "kind": "fact", "kind_label": "fait", "locator": "Reference sets, Maps", "as_of": "2026-09-29", "source": { "id": "SRC-1ff0c95514", "title": "Samenwerkingsprojecten op vlak van terminologie-inhoud", "publisher": "FOD Volksgezondheid – Terminologiecentrum (Belgian Health Terminology Portal)", "url": "https://apps.health.belgium.be/terminology-portal/information/news/terminology-projects/nl", "published": "2025-03-15" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-4094b42c", "statement": "De publieke MLDS-packagelijst (07/10/2026) bevat voor België als enige ICPC-map het package 'SNOMED CT BE GP Refset - ICPC2 Extended Map' (één versie, november 2023); een package met een SNOMED CT–ICPC-3-map staat er niet in, ook niet bij SNOMED International (de enige andere ICPC-map in MLDS is een Nederlandse NHG-ICPC-map).", "kind": "interpretation", "kind_label": "interprétation", "locator": "packages met 'ICPC' in naam of beschrijving (filtering op de volledige JSON-lijst)", "as_of": "2026-10-07", "source": { "id": "SRC-fbd9632b9f", "title": "MLDS: publieke lijst van release packages (alle leden)", "publisher": "SNOMED International (MLDS)", "url": "https://mlds.ihtsdotools.org/api/releasePackages", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-68af34fe", "statement": "Volgens het SNOClass-eindrapport (2026) is er nog geen volledige SNOMED CT–ICPC-3-map: de volgende stap is de validatie van de 3BT-steekproef en van de kandidaat-matches uit de zoekmachine afronden, wat een eerste substantiële map moet opleveren (stand: onderzoeksresultaat, geen gepubliceerde release).", "kind": "research-finding", "kind_label": "résultat de recherche", "locator": "p. 34 (sectie 8)", "as_of": "2026-10-07", "source": { "id": "SRC-63a5404b28", "title": "Mapping SNOMED-CT to ICPC-3: report (SNOClass-eindrapport 2026)", "publisher": "SNOClass-project, Universiteit Gent (Vakgroep Volksgezondheid en Eerstelijnszorg)", "url": "https://snoclass.be/wp-content/uploads/2026/03/2026-snoclass-sct-icpc3-endreport.pdf", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-6b1dee6b", "statement": "Une General Practitioner RefSet est en cours d'élaboration: les 10.000 termes les plus enregistrés par les médecins généralistes reçoivent un couplage un-à-un avec SNOMED CT, des mappings vers la CISP-2 et ICD-10 (à terme vers la CISP-3 et la CIM-11) et des synonymes NL/FR.", "kind": "fact", "kind_label": "fait", "locator": "sectie over omschakeling naar SNOMED-CT", "as_of": "2026-09-25", "source": { "id": "SRC-f193564291", "title": "Eénheid van taal & standaardisatie | Domus Medica", "publisher": "Domus Medica", "url": "https://www.domusmedica.be/expertisedomein/ict/eenheid-van-taal-standaardisatie", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-da783405", "statement": "Selon la même roadmap, la CIM-11 est mise en œuvre et utilisée via un mapping à partir de SNOMED CT (intention politique, sans date).", "kind": "fact", "kind_label": "fait", "locator": "p. 20", "as_of": "2026-09-29", "source": { "id": "SRC-6fb3cdc0b1", "title": "Belgian BIHR/eHealth Interoperability Day – 24 March 2026 – Part II", "publisher": "Agoria / HL7 Belgium; bijdragen onder meer RIZIV en FOD Volksgezondheid", "url": "https://drive.usercontent.google.com/download?id=1QS9pqtJRaSD5jwG3UhYiC2g6vjbjawEA&export=download", "published": "2026-03-24" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-22b6d569", "statement": "RTMMS voorziet het vastleggen van equivalentiemappings van toestelterminologie naar andere vocabularia, waaronder LOINC en SNOMED CT.", "kind": "fact", "kind_label": "fait", "locator": "opsomming vocabulairediensten", "as_of": "2026-11-09", "source": { "id": "SRC-dd54d25908", "title": "Medical Device Communication: RTMMS", "publisher": "NIST", "url": "https://www.nist.gov/itl/medical-device-communication-rtmms", "published": "2017-01-10" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-6bf0a26a", "statement": "BeSafeShare (RIZIV) ontwikkelt CareSets: gestructureerde, gestandaardiseerde (HL7 FHIR) en gecodeerde (SNOMED CT) informatiesets per use case, die via de regionale kluizen (Vitalink voor Vlaanderen) worden uitgewisseld.", "kind": "fact", "kind_label": "fait", "locator": "sectie CareSets", "as_of": "2026-09-25", "source": { "id": "SRC-284dc675fc", "title": "BeSafeShare: multidisciplinaire elektronische gegevensuitwisseling tussen zorgverleners en patiënten", "publisher": "RIZIV", "url": "https://www.riziv.fgov.be/nl/thema-s/egezondheid/besafeshare-multidisciplinaire-elektronische-gegevensuitwisseling-tussen-zorgverleners-en-patienten", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-397309b9", "statement": "Selon l'INAMI, les CareSets seront échangés via les coffres-forts régionaux (temps futur).", "kind": "fact", "kind_label": "fait", "locator": "sectie CareSets", "as_of": "2026-09-25", "source": { "id": "SRC-284dc675fc", "title": "BeSafeShare: multidisciplinaire elektronische gegevensuitwisseling tussen zorgverleners en patiënten", "publisher": "RIZIV", "url": "https://www.riziv.fgov.be/nl/thema-s/egezondheid/besafeshare-multidisciplinaire-elektronische-gegevensuitwisseling-tussen-zorgverleners-en-patienten", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-997a673f", "statement": "Het belangrijkste datatype dat momenteel via Vitalink FHIR wordt gedeeld, is immunisaties (consulteren en registreren); ook de kankerscreenings van het CVKO lopen via FHIR.", "kind": "fact", "kind_label": "fait", "locator": "inleiding", "as_of": "2026-09-25", "source": { "id": "SRC-e5af37d898", "title": "Is mijn pakket klaar voor Vitalink FHIR?", "publisher": "Vitalink (Departement Zorg)", "url": "https://www.vitalink.be/is-mijn-pakket-klaar-voor-vaccinnet-2026", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-24a60bef", "statement": "La note de concept B-IHR vise l'interopérabilité via des standards internationaux et un codage selon SNOMED CT, CISP-3, CIM-11, ATC, LOINC et ICF.", "kind": "fact", "kind_label": "fait", "locator": "p. 21, doelstelling 3.1", "as_of": "2026-09-25", "source": { "id": "SRC-e621b20578", "title": "B-IHR Belgian Integrated Health Record (conceptnota)", "publisher": "Persoonlijke website van de administrateur-generaal van het eHealth-platform", "url": "https://www.frankrobben.be/wp-content/uploads/2023/03/B-IHR.pdf", "published": "2023-03-01" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-59070a8e", "statement": "Pendant toute la transition de KMEHR vers FHIR, la cohérence sémantique est garantie par des terminologies partagées, en particulier SNOMED CT.", "kind": "fact", "kind_label": "fait", "locator": "p. 9", "as_of": "2026-09-26", "source": { "id": "SRC-c1669f1de8", "title": "BIHR: A general introduction", "publisher": "RIZIV/INAMI", "url": "https://www.riziv.fgov.be/SiteCollectionDocuments/BIHR%20-%20A%20general%20introduction.pdf", "published": "2026-03-01" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-7dc6351d", "statement": "Selon le BIHR (INAMI), les systèmes ne peuvent bien collaborer que s'ils utilisent les mêmes standards et accords nationaux; satisfaire uniquement aux normes FHIR internationales est insuffisant.", "kind": "fact", "kind_label": "fait", "locator": "sectie 'Semantiek wordt van cruciaal belang'", "as_of": "2026-09-25", "source": { "id": "SRC-bedb8ce40f", "title": "Het BIHR (Belgian Integrated Health Record)", "publisher": "RIZIV", "url": "https://www.riziv.fgov.be/nl/thema-s/egezondheid/het-bihr-belgian-integrated-health-record", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-c4d3685b", "statement": "In het logische model van SAM v2 (PIM 5.1.1) levert het BCFI voor de standaardvormen en standaardtoedieningswegen gegevens uit andere standaarden dan EDQM, momenteel SNOMED CT en DM+D.", "kind": "fact", "kind_label": "fait", "locator": "entiteiten Standard Form en Standard Route, Notes", "as_of": "2026-11-09", "source": { "id": "SRC-97d1ee498c", "title": "SAM v2 - PIM - Logical Model", "publisher": "SAM portal (RIZIV-INAMI / Smals)", "url": "https://www.samportal.be/sam/SAM%20v2%20-%20PIM%205.1.1.docx", "published": "2026-02-05" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-17233ec7", "statement": "In SAM v2 hebben de door het BCFI aangeleverde referentietabellen voor standaarddoseringen (Indication, Dosage Parameter, Administration Unit) een optioneel attribuut SnomedCT voor een SNOMED CT-code.", "kind": "fact", "kind_label": "fait", "locator": "entiteiten IND, DOSPARAM en ADMUNIT (Related concept: Standard Dosages), attributentabel", "as_of": "2026-11-09", "source": { "id": "SRC-97d1ee498c", "title": "SAM v2 - PIM - Logical Model", "publisher": "SAM portal (RIZIV-INAMI / Smals)", "url": "https://www.samportal.be/sam/SAM%20v2%20-%20PIM%205.1.1.docx", "published": "2026-02-05" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-5e35d00a", "statement": "Het nationaal akkoord artsen-ziekenfondsen 2026-2027 voorziet voor hoofdstuk IV-geneesmiddelen in een tweede fase een beslisboom die op termijn een koppeling met SNOMED CT mogelijk moet maken (voornemen, geen datum).", "kind": "fact", "kind_label": "fait", "locator": "deel administratieve vereenvoudiging, punt 1° Hoofdstuk IV-geneesmiddelen", "as_of": "2026-11-09", "source": { "id": "SRC-54e1cd23a8", "title": "Nationaal akkoord artsen-ziekenfondsen 2026-2027 (Ministerraad 30/01/2026, notificatie punt 12; Belgisch Staatsblad 10/02/2026)", "publisher": "FOD Sociale Zekerheid", "url": "https://www.ejustice.just.fgov.be/cgi/article.pl?language=nl&pd_search=2026-02-10&numac_search=2026001072&lg_txt=N&caller=list&page=1", "published": "2026-02-10" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-25b56417", "statement": "De Franse tekst van hetzelfde akkoord zegt dat de tweede fase een beslisboom invoert om op termijn een link met SNOMED CT mogelijk te maken.", "kind": "fact", "kind_label": "fait", "locator": "point 1° Médicaments du chapitre IV", "as_of": "2026-11-09", "source": { "id": "SRC-55f2283c62", "title": "Accord national médico-mutualiste 2026-2027 (Conseil des Ministres 30/01/2026, notification point 12; Moniteur belge 10/02/2026, numac 2026001072)", "publisher": "SPF Sécurité sociale / INAMI (Moniteur belge)", "url": "https://www.ejustice.just.fgov.be/cgi/article.pl?language=nl&pd_search=2026-02-10&numac_search=2026001072&lg_txt=F&caller=list&page=1", "published": "2026-02-10" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-0d8e13be", "statement": "Volgens een nieuwsbericht (Le Spécialiste, 4 juni 2026) moet tegen eind 2026 een SNOMED CT-terminologieserver geïntegreerd zijn in alle huisartsensoftware; welke server bedoeld wordt, staat er niet.", "kind": "fact", "kind_label": "fait", "locator": "alinea over care sets en FHIR", "as_of": "2026-09-26", "source": { "id": "SRC-a50208bf13", "title": "E-santé: le plan se déploie sans attendre son adoption formelle", "publisher": "Le Spécialiste", "url": "https://www.lespecialiste.be/fr/actualites/e-health/e-sante-le-plan-se-deploie-sans-attendre-son-adoption-formelle.html", "published": "2026-06-04" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-a458d664", "statement": "La directive d'utiliser SNOMED CT pour le codage de l'information médicale figurait déjà dans le plan d'action eSanté 2013-2018; healthdata.be reprend SNOMED CT au maximum dans ses collectes de données.", "kind": "fact", "kind_label": "fait", "locator": "paragraaf terminologie", "as_of": "2026-09-25", "source": { "id": "SRC-4c1040a0cb", "title": "Informatiemodellering en terminologie | healthdata.be", "publisher": "Sciensano / healthdata.be", "url": "https://healthdata.sciensano.be/nl/informatiemodellering-en-terminologie", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-76b21d77", "statement": "La Belgique demande, par champ pertinent, un ensemble unique de valeurs structurées au niveau européen, de préférence sur\nla base de SNOMED CT (avec mappage vers notamment CISP-3, CIM-11, ICF et ICHI), LOINC, DICOM et ISO.", "kind": "fact", "kind_label": "fait", "locator": "sectie 'Organisatie in België' (opsomming standaarden)", "as_of": "2026-09-25", "source": { "id": "SRC-41ee539e0b", "title": "EHDS (European Health Data Space) - De Europese Verordening betreffende de Europese ruimte voor gezondheidsgegevens", "publisher": "eHealth-platform", "url": "https://www.ehealth.fgov.be/nl/page/ehds-european-health-data-space-de-europese-verordening-betreffende-de-europese-ruimte-voor-gezondheidsgegevens", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-04eaebc3", "statement": "Le Centre de Terminologie du SPF a présenté, lors du BIHR/eHealth Interoperability Day du 24 mars 2026, une « SNOMED CT-implementation Roadmap », comme partie de la roadmap EHDS (présentation, pas de réglementation).", "kind": "fact", "kind_label": "fait", "locator": "p. 17", "as_of": "2026-09-29", "source": { "id": "SRC-6fb3cdc0b1", "title": "Belgian BIHR/eHealth Interoperability Day – 24 March 2026 – Part II", "publisher": "Agoria / HL7 Belgium; bijdragen onder meer RIZIV en FOD Volksgezondheid", "url": "https://drive.usercontent.google.com/download?id=1QS9pqtJRaSD5jwG3UhYiC2g6vjbjawEA&export=download", "published": "2026-03-24" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-acf1af6d", "statement": "La roadmap cite un enregistrement à la source structuré et codé, échangeable en FHIR, comme condition de l'architecture de données fédérée, tant pour l'utilisation primaire (BIHR) que pour l'utilisation secondaire (nouvelle politique des registres).", "kind": "fact", "kind_label": "fait", "locator": "p. 20 ('Building block of a federated data architecture')", "as_of": "2026-09-29", "source": { "id": "SRC-6fb3cdc0b1", "title": "Belgian BIHR/eHealth Interoperability Day – 24 March 2026 – Part II", "publisher": "Agoria / HL7 Belgium; bijdragen onder meer RIZIV en FOD Volksgezondheid", "url": "https://drive.usercontent.google.com/download?id=1QS9pqtJRaSD5jwG3UhYiC2g6vjbjawEA&export=download", "published": "2026-03-24" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-028d6219", "statement": "Selon une présentation de l'administrateur général de la Plate-forme eHealth devant Agoria (5 novembre 2025), la mise en œuvre de SNOMED CT dans le DPI belge se déroule en trois étapes échelonnées. L'étape 1, « Fundering » (BE SNOMED CT dans le DPI au moyen d'un serveur de terminologie), a pour objectif de mise en œuvre 2026 Q3 et pour enregistrement/homologation 2026 Q4.", "kind": "fact", "kind_label": "fait", "locator": "dia 6 ('Planning/timing')", "as_of": "2026-09-26", "source": { "id": "SRC-08c73f9a17", "title": "Implementatie SNOMED CT in het EPD (Elektronisch PatiëntenDossier)", "publisher": "eHealth-platform (Agoria)", "url": "https://www.frankrobben.be/wp-content/uploads/2025/11/20251105.pptx", "published": "2025-11-05" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-0a76fca3", "statement": "L'étape 2 (codage SNOMED CT des « patient problems »/de la liste de problèmes) a pour objectif de mise en œuvre 2026 Q4 et pour enregistrement/homologation 2027 Q1.", "kind": "fact", "kind_label": "fait", "locator": "dia 6", "as_of": "2026-09-26", "source": { "id": "SRC-08c73f9a17", "title": "Implementatie SNOMED CT in het EPD (Elektronisch PatiëntenDossier)", "publisher": "eHealth-platform (Agoria)", "url": "https://www.frankrobben.be/wp-content/uploads/2025/11/20251105.pptx", "published": "2025-11-05" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-c620191e", "statement": "L'étape 3 (codage SNOMED CT pour le patient summary, la prescription électronique et la délivrance électronique, PS-eP-eD) a pour objectif de mise en œuvre 2027 Q4 et pour enregistrement/homologation 2028 Q1 — cela rejoint le délai EHDS du 26 mars 2029 figurant dans la base de connaissances, tout en le précisant davantage.", "kind": "fact", "kind_label": "fait", "locator": "dia 6", "as_of": "2026-09-26", "source": { "id": "SRC-08c73f9a17", "title": "Implementatie SNOMED CT in het EPD (Elektronisch PatiëntenDossier)", "publisher": "eHealth-platform (Agoria)", "url": "https://www.frankrobben.be/wp-content/uploads/2025/11/20251105.pptx", "published": "2025-11-05" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-3ac8d69d", "statement": "Interprétation: par rapport à la planification de novembre 2025 (patient problems: mise en œuvre 2026 Q4 et enregistrement 2027 Q1; PS-eP-eD: 2027 Q4 et 2028 Q1), la timeline de mars 2026 décale la liste de problèmes codée vers environ 2027 Q3 et le codage ultérieur (procédures, observations, allergie, vaccination) vers environ 2028 Q3. L'étape 1 (serveur de terminologie) reste dans la seconde moitié de 2026. La version la plus récente (mars 2026) a la priorité.", "kind": "interpretation", "kind_label": "interprétation", "locator": "p. 21 vergeleken met de presentatie van 5/11/2025 (dia 6)", "as_of": "2026-09-29", "source": { "id": "SRC-6fb3cdc0b1", "title": "Belgian BIHR/eHealth Interoperability Day – 24 March 2026 – Part II", "publisher": "Agoria / HL7 Belgium; bijdragen onder meer RIZIV en FOD Volksgezondheid", "url": "https://drive.usercontent.google.com/download?id=1QS9pqtJRaSD5jwG3UhYiC2g6vjbjawEA&export=download", "published": "2026-03-24" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-061e8074", "statement": "Avant le kick-off, une enquête a sondé l'intégration de SNOMED CT dans les logiciels et les applications DPI (portée, fourniture et maintenance de la terminologie, facilité d'utilisation, interopérabilité, aide à la décision et analyse).", "kind": "fact", "kind_label": "fait", "locator": "p. 22", "as_of": "2026-09-29", "source": { "id": "SRC-6fb3cdc0b1", "title": "Belgian BIHR/eHealth Interoperability Day – 24 March 2026 – Part II", "publisher": "Agoria / HL7 Belgium; bijdragen onder meer RIZIV en FOD Volksgezondheid", "url": "https://drive.usercontent.google.com/download?id=1QS9pqtJRaSD5jwG3UhYiC2g6vjbjawEA&export=download", "published": "2026-03-24" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-9a6466ce", "statement": "Un kick-off avec les fournisseurs de DPI était prévu le 27 avril 2026, avec notamment l'intégration du serveur de terminologie, le terminology binding et l'enregistrement des logiciels DPI adaptés comme points à l'ordre du jour. La roadmap parle de manière générale des fournisseurs de DPI, sans limitation aux logiciels de médecine générale.", "kind": "fact", "kind_label": "fait", "locator": "p. 23 ('Next steps')", "as_of": "2026-09-29", "source": { "id": "SRC-6fb3cdc0b1", "title": "Belgian BIHR/eHealth Interoperability Day – 24 March 2026 – Part II", "publisher": "Agoria / HL7 Belgium; bijdragen onder meer RIZIV en FOD Volksgezondheid", "url": "https://drive.usercontent.google.com/download?id=1QS9pqtJRaSD5jwG3UhYiC2g6vjbjawEA&export=download", "published": "2026-03-24" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-60eacfa1", "statement": "L'enregistrement des logiciels DPI adaptés figure aussi parmi les points à l'ordre du jour du kick-off. Il n'est pas précisé quel cadre d'enregistrement ou d'homologation s'applique à quel type de DPI.", "kind": "fact", "kind_label": "fait", "locator": "p. 23", "as_of": "2026-09-29", "source": { "id": "SRC-6fb3cdc0b1", "title": "Belgian BIHR/eHealth Interoperability Day – 24 March 2026 – Part II", "publisher": "Agoria / HL7 Belgium; bijdragen onder meer RIZIV en FOD Volksgezondheid", "url": "https://drive.usercontent.google.com/download?id=1QS9pqtJRaSD5jwG3UhYiC2g6vjbjawEA&export=download", "published": "2026-03-24" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-1c10590a", "statement": "Après le FHIR-A-THON des 2-3 juin 2026, le Centre de Terminologie a encore annoncé des moments de concertation avec les grands fournisseurs de DPI afin de parcourir les « implementation requirements » de SNOMED CT et de recueillir du feedback; les exigences n'étaient donc pas encore définitives en juin 2026 (annonce, pas de publication).", "kind": "fact", "kind_label": "fait", "locator": "alinea 'Praktijkgerichte samenwerking en testing', laatste zinnen", "as_of": "2026-10-07", "source": { "id": "SRC-6736bc9618", "title": "FHIR-A-THON 2026: Waar data begint te spreken", "publisher": "FOD Volksgezondheid - Terminologiecentrum", "url": "https://apps.health.belgium.be/terminology-portal/information/news/fhir-a-thon-juni-2026/nl", "published": "2026-06-04" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-67957ac0", "statement": "Selon un récit de pratique sur le site de SNOMED International, le SPF Santé publique a chargé Ziekenhuis aan de Stroom (ZAS) de coordonner le Belgian SNOMED CT Implementation Support Network, axé sur les CMIO et les fournisseurs de DPI; les « EHR and vendor requirements » font partie des livrables centraux.", "kind": "fact", "kind_label": "fait", "locator": "sectie over het Implementation Support Network", "as_of": "2026-10-07", "source": { "id": "SRC-02c1770406", "title": "SNOMED in action - Belgian SNOMED CT implementation support network (deel 1)", "publisher": "SNOMED International", "url": "https://www.snomed.org/snomed-in-action/ziekenhuis-aan-de-stroom-1-of-2", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-0664d695", "statement": "Un de ces livrables est un « EHR Vendor Requirements Guide »: une spécification d'exigences fonctionnelles et d'interopérabilité dans une perspective clinique. Il s'agit d'un document du réseau de soutien (perspective hospitalière), et non d'un cadre d'enregistrement ou d'homologation des autorités.", "kind": "fact", "kind_label": "fait", "locator": "genummerde lijst van opleveringen, punt 4", "as_of": "2026-10-07", "source": { "id": "SRC-02c1770406", "title": "SNOMED in action - Belgian SNOMED CT implementation support network (deel 1)", "publisher": "SNOMED International", "url": "https://www.snomed.org/snomed-in-action/ziekenhuis-aan-de-stroom-1-of-2", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-72b103fb", "statement": "La condition d) de l'art. 61 § 2, 2° (arrêté royal du 10 avril 2025) cite CareSets, FHIR et SNOMED CT comme exemples d'une forme permettant la réutilisation; la poursuite du forfait DPI dépend des conditions de ce paragraphe.", "kind": "fact", "kind_label": "fait", "locator": "art. 17 (art. 61 § 2, 2°, d, KB 25/04/2002)", "as_of": "2026-10-01", "source": { "id": "SRC-929399ed0e", "title": "10 april 2025. - Koninklijk besluit tot wijziging van het koninklijk besluit van 25 april 2002 betreffende de vaststelling en de vereffening van het budget van financiële middelen van de ziekenhuizen (Belgisch Staatsblad 23/04/2025, numac 2025003147)", "publisher": "FOD Volksgezondheid, Veiligheid van de Voedselketen en Leefmilieu (Belgisch Staatsblad)", "url": "https://www.ejustice.just.fgov.be/cgi/article.pl?language=nl&pd_search=2025-04-23&numac_search=2025003147&lg_txt=N&caller=list&page=1", "published": "2025-04-23" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-906038c8", "statement": "La roadmap d'implémentation de SNOMED CT du SPF Santé publique (Summer Day, août 2026) est une planification: publication des exigences eHR en 2026, enregistrement/certification de 2026 à 2028, liste de problèmes codée en SNOMED CT aux alentours du Q3 2027, codage des procédures, des observations, de l'allergie et de la vaccination aux alentours du Q3 2028 et usage dans le workflow clinique pour le Q1 2029 (lecture d'un graphique de timeline).", "kind": "interpretation", "kind_label": "interprétation", "locator": "p. 46 (David Op de Beeck, FOD VVVL; tijdlijn)", "as_of": "2026-10-01", "source": { "id": "SRC-37a851f110", "title": "BIHR Summer Day August 2026 - Inspiration Speakers (slides)", "publisher": "BIHR Summer Day (slides gelinkt vanuit de hl7-be-wiki; PDF-auteur genoemd in de bron)", "url": "https://drive.usercontent.google.com/download?id=1EMDU2iAjnVBzlRo0yi3VZwH1orxN4s1A&export=download", "published": "2026-08-26" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-f4d6a529", "statement": "L'accord national médico-mutualiste 2026-2027 prévoit, pour les médicaments du chapitre IV, une deuxième phase avec un arbre décisionnel destiné à permettre « à terme » un lien avec SNOMED CT (planification, pas d'obligation).", "kind": "fact", "kind_label": "fait", "locator": "punt 1.6 'Simplifier l'administration', 1° Médicaments du chapitre IV", "as_of": "2026-10-01", "source": { "id": "SRC-55f2283c62", "title": "Accord national médico-mutualiste 2026-2027 (Conseil des Ministres 30/01/2026, notification point 12; Moniteur belge 10/02/2026, numac 2026001072)", "publisher": "SPF Sécurité sociale / INAMI (Moniteur belge)", "url": "https://www.ejustice.just.fgov.be/cgi/article.pl?language=nl&pd_search=2026-02-10&numac_search=2026001072&lg_txt=F&caller=list&page=1", "published": "2026-02-10" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-fe3d5f46", "statement": "Comme fondement, cette étude de cas ne cite pas une loi ou un arrêté, mais des documents de politique: le plan d'action eHealth national, la déclaration de politique 2025-2028 et un position paper du ministre de la Santé publique.", "kind": "fact", "kind_label": "fait", "locator": "sectie 'Scope'", "as_of": "2026-10-01", "source": { "id": "SRC-a4ce7febcd", "title": "SNOMED in action - SNOMED CT-coded problem list (case study, deel 2)", "publisher": "SNOMED International", "url": "https://www.snomed.org/snomed-in-action/ziekenhuis-aan-de-stroom-2-of-2", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-5e7f7994", "statement": "La partie 1 de la même série parle d'une politique nationale (« national policy ») visant à implémenter SNOMED CT dans tous les hôpitaux pour janvier 2029, donc d'un choix politique et non d'une règle de droit.", "kind": "fact", "kind_label": "fait", "locator": "inleiding", "as_of": "2026-10-01", "source": { "id": "SRC-02c1770406", "title": "SNOMED in action - Belgian SNOMED CT implementation support network (deel 1)", "publisher": "SNOMED International", "url": "https://www.snomed.org/snomed-in-action/ziekenhuis-aan-de-stroom-1-of-2", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-8fde5a04", "statement": "Objectif central du programme d'implémentation de SNOMED CT (juillet 2026): SNOMED CT comme norme sémantique pour les éléments de données du Patient Summary, afin que ceux-ci puissent être échangés de manière structurée et codée d'ici mars 2029, conformément aux exigences de l'EHDS.", "kind": "fact", "kind_label": "fait", "locator": "tweede alinea", "as_of": "2026-09-26", "source": { "id": "SRC-023f0534fb", "title": "SNOMED CT implementatieprogramma in België: aanpak en doelstelling", "publisher": "FOD Volksgezondheid – Terminologiecentrum (Belgian Health Terminology Portal)", "url": "https://apps.health.belgium.be/terminology-portal/information/news/snomed-ct-implementatieprogramma/nl", "published": "2026-07-01" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-c8835c2c", "statement": "La fonctionnalité de base BMUC « Liste des problèmes » (annexe 19) mesure la proportion de patients sortis d'hospitalisation ayant au moins un diagnostic, un traitement ou une procédure de diagnostic validé, sans exiger de codage en SNOMED CT.", "kind": "fact", "kind_label": "fait", "locator": "bijlage 19, deel 3 'Teller en Noemer Kernfunctionaliteiten', nr. 2", "as_of": "2026-10-01", "source": { "id": "SRC-929399ed0e", "title": "10 april 2025. - Koninklijk besluit tot wijziging van het koninklijk besluit van 25 april 2002 betreffende de vaststelling en de vereffening van het budget van financiële middelen van de ziekenhuizen (Belgisch Staatsblad 23/04/2025, numac 2025003147)", "publisher": "FOD Volksgezondheid, Veiligheid van de Voedselketen en Leefmilieu (Belgisch Staatsblad)", "url": "https://www.ejustice.just.fgov.be/cgi/article.pl?language=nl&pd_search=2025-04-23&numac_search=2025003147&lg_txt=N&caller=list&page=1", "published": "2025-04-23" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-fe70dcb6", "statement": "BE_Patient_Problemlist is een project uit het FOD-programma Data Capabilities & Innovation dat de weg wil effenen voor een ziekenhuisbrede, klinisch bruikbare probleemlijst in SNOMED CT die op eHealth-niveau via FHIR uitgewisseld kan worden.", "kind": "fact", "kind_label": "fait", "locator": "repositorybeschrijving", "as_of": "2026-10-01", "source": { "id": "SRC-be5bf91db1", "title": "dci/BE_Patient_Problemlist (projectrepository Data Capabilities & Innovation)", "publisher": "FOD Volksgezondheid (git.health.belgium.be)", "url": "https://git.health.belgium.be/dci/BE_Patient_Problemlist", "published": "2025-11-24" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-ac8d824b", "statement": "Les implémenteurs des spécifications FHIR core-clinical belges doivent disposer d'une licence SNOMED CT Affiliate.", "kind": "fact", "kind_label": "fait", "locator": "sectie IP statements", "as_of": "2026-09-25", "source": { "id": "SRC-854e8cb270", "title": "HL7 Belgium FHIR IG - core-clinical profiles: Home", "publisher": "eHealth-platform / HL7 Belgium", "url": "https://www.ehealth.fgov.be/standards/fhir/core-clinical/en/index.html", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-c3dfa0e0", "statement": "Interprétation: comme la map belge est expressément une « addition » à la map ICD-10 extended et que la map internationale de SNOMED CT vers ICD-10 a pour cible WHO-ICD-10 (version 2016), le complément belge vise vraisemblablement WHO-ICD-10 et non ICD-10-BE (qui s'appuie sur ICD-10-CM/PCS). Aucune des sources consultées (release notes de juillet 2025 à octobre 2026, métadonnées des packages MLDS) ne nomme expressément la variante d'ICD-10.", "kind": "interpretation", "kind_label": "interprétation", "locator": "kop 'Update to 10861000172102'; vergelijk de bestaande claim over de internationale map (ICD-10 2016)", "as_of": "2026-10-07", "source": { "id": "SRC-464a9f4a63", "title": "SNOMED CT Managed Service - Belgium Extension Release Notes - July 2025", "publisher": "SNOMED International (Belgian NRC, Terminologiecentrum FOD VVVL)", "url": "https://conf.spaces.snomed.org/wiki/rest/api/content/131958846?expand=body.view,version", "published": "2025-07-15" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-615b4d6f", "statement": "Une étude de cas de SNOMED International affirme que tous les hôpitaux belges devront, à partir de janvier 2029, enregistrer de manière structurée en SNOMED CT les diagnostics, des éléments des antécédents et les procédures; la source ne cite aucune base légale (source secondaire).", "kind": "fact", "kind_label": "fait", "locator": "case study, beleidscontext", "as_of": "2026-10-01", "source": { "id": "SRC-02c1770406", "title": "SNOMED in action - Belgian SNOMED CT implementation support network (deel 1)", "publisher": "SNOMED International", "url": "https://www.snomed.org/snomed-in-action/ziekenhuis-aan-de-stroom-1-of-2", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-e46ebb08", "statement": "Une deuxième étude de cas sur snomed.org (un projet de liste de problèmes décrit par un hôpital) répète que les hôpitaux belges doivent enregistrer, à partir du 1er janvier 2029, les diagnostics, les antécédents et les procédures de manière structurée en SNOMED CT.", "kind": "fact", "kind_label": "fait", "locator": "sectie 'Scope'", "as_of": "2026-10-01", "source": { "id": "SRC-a4ce7febcd", "title": "SNOMED in action - SNOMED CT-coded problem list (case study, deel 2)", "publisher": "SNOMED International", "url": "https://www.snomed.org/snomed-in-action/ziekenhuis-aan-de-stroom-2-of-2", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-90e8be35", "statement": "De B-IHR-conceptnota (2023) vraagt aandacht voor internationale terminologieën en classificaties zoals SNOMED CT, ICD-11, ICPC, ICF en ATC.", "kind": "fact", "kind_label": "fait", "locator": "p. 11", "as_of": "2026-09-25", "source": { "id": "SRC-e621b20578", "title": "B-IHR Belgian Integrated Health Record (conceptnota)", "publisher": "Persoonlijke website van de administrateur-generaal van het eHealth-platform", "url": "https://www.frankrobben.be/wp-content/uploads/2023/03/B-IHR.pdf", "published": "2023-03-01" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-0f5bacbd", "statement": "Selon la politique de release de novembre 2024, les refsets cliniques de l'édition belge de SNOMED CT paraissent semestriellement et les mappings annuellement; les concepts, les traductions et les value sets paraissent mensuellement.", "kind": "fact", "kind_label": "fait", "locator": "derde alinea", "as_of": "2026-09-28", "source": { "id": "SRC-0aab60285d", "title": "Nieuwe release policy SNOMED CT", "publisher": "FOD Volksgezondheid - Terminologiecentrum", "url": "https://apps.health.belgium.be/terminology-portal/information/news/new-release-policy-snomed-ct/nl", "published": "2024-11-15" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-49524589", "statement": "Le Centre de Terminologie travaille (état de mars 2025) à l'intégration des codes SNOMED CT de l'extension belge des médicaments dans SAM v2, sur la base d'un mapping de concepts SAM v2; il s'agit d'un projet en cours, et non d'un produit publié.", "kind": "fact", "kind_label": "fait", "locator": "SNOMED CT – Belgische editie, BE Drug Extension", "as_of": "2026-09-29", "source": { "id": "SRC-1ff0c95514", "title": "Samenwerkingsprojecten op vlak van terminologie-inhoud", "publisher": "FOD Volksgezondheid – Terminologiecentrum (Belgian Health Terminology Portal)", "url": "https://apps.health.belgium.be/terminology-portal/information/news/terminology-projects/nl", "published": "2025-03-15" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-01960a35", "statement": "Depuis la release de mars 2026, les chiffres de traduction ne comptent que les descriptions actives au sein de concepts actifs; les descriptions de concepts inactifs ne sont plus comptabilisées. Les chiffres plus anciens ne sont donc pas directement comparables.", "kind": "fact", "kind_label": "fait", "locator": "sectie 'New translated content'", "as_of": "2026-09-29", "source": { "id": "SRC-107b9f2171", "title": "SNOMED CT Managed Service - Belgium Edition Release Notes - September 2026", "publisher": "SNOMED International / Belgisch National Release Centre", "url": "https://conf.spaces.snomed.org/wiki/rest/api/content/1255866407?expand=body.view,version", "published": "2026-09-15" }, "citaat": null, "figuur": null, "in_text": false, "on_page": false }, { "id": "CLM-03a9f2d5", "statement": "La note de politique générale Santé publique (DOC 56 1282/009) parle de la poursuite des efforts visant à introduire SNOMED CT comme norme de codification des termes médicaux, et non d'une obligation existante.", "kind": "fact", "kind_label": "fait", "locator": "p. 29", "as_of": "2026-10-01", "source": { "id": "SRC-d928d9d484", "title": "Algemene beleidsnota Volksgezondheid (DOC 56 1282/009)", "publisher": "Belgische Kamer van volksvertegenwoordigers (minister van Sociale Zaken en Volksgezondheid)", "url": "https://www.dekamer.be/FLWB/PDF/56/1282/56K1282009.pdf", "published": "2026-01-23" }, "citaat": null, "figuur": null, "in_text": false, "on_page": false }, { "id": "CLM-0a97580c", "statement": "Dans la release de septembre 2026, un seul refset a été mis à jour, à savoir la Belgian Transversal FHIR HL7 subset for Body Location; les refsets ne sont republiés que s'ils ont été modifiés.", "kind": "fact", "kind_label": "fait", "locator": "sectie 'Updated Reference sets'", "as_of": "2026-09-29", "source": { "id": "SRC-107b9f2171", "title": "SNOMED CT Managed Service - Belgium Edition Release Notes - September 2026", "publisher": "SNOMED International / Belgisch National Release Centre", "url": "https://conf.spaces.snomed.org/wiki/rest/api/content/1255866407?expand=body.view,version", "published": "2026-09-15" }, "citaat": null, "figuur": null, "in_text": false, "on_page": false }, { "id": "CLM-0aeb42d5", "statement": "Interprétation de l'API publique du portail (29/09/2026): la bibliothèque de documents contient neuf documents (dont la Release Policy, des directives de traduction, le Quick Start Guide du serveur de terminologie, un modèle de batch et le thésaurus 3BT), mais aucune liste des releases ni aucun aperçu des refsets. Le seul aperçu actuel des refsets qui ait été trouvé figure dans les release notes sur le Confluence de SNOMED International.", "kind": "interpretation", "kind_label": "interprétation", "locator": "JSON-lijst (titleNl, creationDate)", "as_of": "2026-09-29", "source": { "id": "SRC-4c04926aea", "title": "Belgian Health Terminology Portal – publieke API, gepubliceerde documenten (JSON)", "publisher": "FOD Volksgezondheid – Terminologiecentrum", "url": "https://apps.health.belgium.be/portal-admin-api-rs/public/documents/published/", "published": null }, "citaat": null, "figuur": null, "in_text": false, "on_page": false }, { "id": "CLM-138d8d46", "statement": "Selon la lettre d'information 2024-01, la General Practitioner Reference Set (GP RefSet) comptait, dans sa sixième version, 17.776 termes néerlandais et 16.141 termes français.", "kind": "fact", "kind_label": "fait", "locator": "p. 4, 'Update/zesde versie van de GP RefSet'", "as_of": "2026-09-26", "source": { "id": "SRC-852dbf1163", "title": "Newsletter terminologie 2024-01 (NL)", "publisher": "FOD Volksgezondheid - Terminologiecentrum", "url": "https://apps.health.belgium.be/portal-admin-api-rs/public/documents/download/16", "published": "2024-06-28" }, "citaat": null, "figuur": null, "in_text": false, "on_page": false }, { "id": "CLM-139468d3", "statement": "Le DPI doit fonctionner avec une édition belge récente de SNOMED CT, qui ne peut pas avoir plus de deux versions (n-2) de retard sur la version la plus récente.", "kind": "fact", "kind_label": "fait", "locator": "dia 7", "as_of": "2026-09-26", "source": { "id": "SRC-08c73f9a17", "title": "Implementatie SNOMED CT in het EPD (Elektronisch PatiëntenDossier)", "publisher": "eHealth-platform (Agoria)", "url": "https://www.frankrobben.be/wp-content/uploads/2025/11/20251105.pptx", "published": "2025-11-05" }, "citaat": null, "figuur": null, "in_text": false, "on_page": true }, { "id": "CLM-26b8b8b1", "statement": "Les BE Maps dans MLDS comprennent une simple map du thésaurus 3BT des médecins généralistes (termes avec code IBUI) vers leur équivalent sémantique dans SNOMED CT.", "kind": "fact", "kind_label": "fait", "locator": "package 'description'", "as_of": "2026-09-28", "source": { "id": "SRC-6e4d89bf44", "title": "MLDS release package: 3BT - SNOMED CT Simple Map package", "publisher": "SNOMED International (MLDS) / Belgisch NRC", "url": "https://mlds.ihtsdotools.org/api/releasePackages/493656", "published": null }, "citaat": null, "figuur": null, "in_text": false, "on_page": true }, { "id": "CLM-2c6e5073", "statement": "L'extension belge suit le rythme semestriel de la release internationale, avec une publication les 15 mars et 15 septembre (état de la page d'archive de juin 2025).", "kind": "fact", "kind_label": "fait", "locator": "sectie Belgische extensie", "as_of": "2026-09-25", "source": { "id": "SRC-513c026a56", "title": "SNOMED CT | FOD Volksgezondheid (archiefkopie 24/06/2025)", "publisher": "FOD Volksgezondheid, Veiligheid van de Voedselketen en Leefmilieu", "url": "https://web.archive.org/web/20250624014721/https://www.health.belgium.be/nl/gezondheid/organisatie-van-de-gezondheidszorg/delen-van-gezondheidsgegevens/terminologiecentrum/terminologiestelstels/snomedct", "published": null }, "citaat": null, "figuur": null, "in_text": false, "on_page": false }, { "id": "CLM-3adb2662", "statement": "Un des projets de mapping en cours (mars 2025) relie SNOMED CT à BelRAI, l'ensemble des instruments d'évaluation du fonctionnement et des besoins en soins.", "kind": "fact", "kind_label": "fait", "locator": "Reference sets, Maps", "as_of": "2026-09-29", "source": { "id": "SRC-1ff0c95514", "title": "Samenwerkingsprojecten op vlak van terminologie-inhoud", "publisher": "FOD Volksgezondheid – Terminologiecentrum (Belgian Health Terminology Portal)", "url": "https://apps.health.belgium.be/terminology-portal/information/news/terminology-projects/nl", "published": "2025-03-15" }, "citaat": null, "figuur": null, "in_text": false, "on_page": false }, { "id": "CLM-3d5ce9cf", "statement": "La release belge de mars 2020 (BEMARC20) contenait des traductions SAMv2 supplémentaires et un refset sur l'allergie.", "kind": "fact", "kind_label": "fait", "locator": "sectie Belgische extensie - releases", "as_of": "2026-09-25", "source": { "id": "SRC-513c026a56", "title": "SNOMED CT | FOD Volksgezondheid (archiefkopie 24/06/2025)", "publisher": "FOD Volksgezondheid, Veiligheid van de Voedselketen en Leefmilieu", "url": "https://web.archive.org/web/20250624014721/https://www.health.belgium.be/nl/gezondheid/organisatie-van-de-gezondheidszorg/delen-van-gezondheidsgegevens/terminologiecentrum/terminologiestelstels/snomedct", "published": null }, "citaat": null, "figuur": null, "in_text": false, "on_page": true }, { "id": "CLM-3f9df3aa", "statement": "État de mars 2025: la roadmap du Centre de Terminologie mentionnait déjà des sous-ensembles pour la cardiologie, les soins intensifs, l'hématologie et les maladies infectieuses, à côté des sous-ensembles de spécialités antérieurs; c'est plus récent que l'aperçu de mai 2024.", "kind": "fact", "kind_label": "fait", "locator": "Inhoudelijke pijler, lijst Subsets", "as_of": "2026-09-29", "source": { "id": "SRC-4bea610354", "title": "Roadmap (nieuwsbericht Terminologiecentrum)", "publisher": "FOD Volksgezondheid – Terminologiecentrum (Belgian Health Terminology Portal)", "url": "https://apps.health.belgium.be/terminology-portal/information/news/roadmap/nl", "published": "2025-03-15" }, "citaat": null, "figuur": null, "in_text": false, "on_page": false }, { "id": "CLM-602d4e28", "statement": "L'édition belge de septembre 2026 (20260915) contient 269 concepts nouveaux et 75 concepts inactivés issus de l'International Edition la plus récente.", "kind": "fact", "kind_label": "fait", "locator": "sectie 'International content in this release'", "as_of": "2026-09-29", "source": { "id": "SRC-107b9f2171", "title": "SNOMED CT Managed Service - Belgium Edition Release Notes - September 2026", "publisher": "SNOMED International / Belgisch National Release Centre", "url": "https://conf.spaces.snomed.org/wiki/rest/api/content/1255866407?expand=body.view,version", "published": "2026-09-15" }, "citaat": null, "figuur": null, "in_text": false, "on_page": false }, { "id": "CLM-64c68af1", "statement": "Volgens het vereistendocument (v1.0) werd SNOMED CT bij beleid aangewezen als referentieterminologie voor de zorgsector; andere codesystemen worden niet als gelijkwaardige alternatieven onderhouden maar via mapping uit SNOMED CT afgeleid.", "kind": "fact", "kind_label": "fait", "locator": "p. 6, 1.3 Why SNOMED CT", "as_of": "2026-11-05", "source": { "id": "SRC-744176ff92", "title": "Requirements Specification Document - SNOMED_CT Implementation (Version 1.0, 25.09.2026)", "publisher": "FOD Volksgezondheid – Terminologiecentrum (NRC)", "url": "https://apps.health.belgium.be/portal-admin-api-rs/public/documents/download/278", "published": "2026-09-25" }, "citaat": null, "figuur": null, "in_text": false, "on_page": false }, { "id": "CLM-6f71a170", "statement": "La dernière release que décrit la page du SPF (archivée en juin 2025) est BESEPT20 (septembre 2020), avec des traductions supplémentaires pour le système respiratoire, les substances et GMDN.", "kind": "fact", "kind_label": "fait", "locator": "sectie Belgische extensie - releases, kop BESEPT20", "as_of": "2026-09-25", "source": { "id": "SRC-513c026a56", "title": "SNOMED CT | FOD Volksgezondheid (archiefkopie 24/06/2025)", "publisher": "FOD Volksgezondheid, Veiligheid van de Voedselketen en Leefmilieu", "url": "https://web.archive.org/web/20250624014721/https://www.health.belgium.be/nl/gezondheid/organisatie-van-de-gezondheidszorg/delen-van-gezondheidsgegevens/terminologiecentrum/terminologiestelstels/snomedct", "published": null }, "citaat": null, "figuur": null, "in_text": false, "on_page": false }, { "id": "CLM-70a28beb", "statement": "Pour la deuxième release belge, ce sont surtout des traductions existantes issues de SAMv2 (source authentique des médicaments) qui ont été réutilisées.", "kind": "fact", "kind_label": "fait", "locator": "sectie Belgische extensie - releases", "as_of": "2026-09-25", "source": { "id": "SRC-513c026a56", "title": "SNOMED CT | FOD Volksgezondheid (archiefkopie 24/06/2025)", "publisher": "FOD Volksgezondheid, Veiligheid van de Voedselketen en Leefmilieu", "url": "https://web.archive.org/web/20250624014721/https://www.health.belgium.be/nl/gezondheid/organisatie-van-de-gezondheidszorg/delen-van-gezondheidsgegevens/terminologiecentrum/terminologiestelstels/snomedct", "published": null }, "citaat": null, "figuur": null, "in_text": false, "on_page": true }, { "id": "CLM-7106cf11", "statement": "Les refsets pour l'interopérabilité des données dans la release de septembre 2026 comprennent aussi des sous-ensembles pour la prescription de renvoi numérique pour infirmiers (annexe 81) — ces sous-ensembles renvoient au Digital Referral Prescription Implementation Guide — et des sous-ensembles FHIR transversaux pour la localisation corporelle, la latéralité et la topographie.", "kind": "fact", "kind_label": "fait", "locator": "tabel 'Overview of our reference sets' (Data interoperability)", "as_of": "2026-09-29", "source": { "id": "SRC-107b9f2171", "title": "SNOMED CT Managed Service - Belgium Edition Release Notes - September 2026", "publisher": "SNOMED International / Belgisch National Release Centre", "url": "https://conf.spaces.snomed.org/wiki/rest/api/content/1255866407?expand=body.view,version", "published": "2026-09-15" }, "citaat": null, "figuur": null, "in_text": false, "on_page": false }, { "id": "CLM-7748a21e", "statement": "Selon Domus Medica, SNOMED CT a été mappée avec d'autres systèmes de codage (ICPC, ICD, LOINC, etc.) afin que chaque prestataire de soins puisse utiliser son propre vocabulaire familier.", "kind": "fact", "kind_label": "fait", "locator": "paragraaf over SNOMED-CT", "as_of": "2026-09-25", "source": { "id": "SRC-f193564291", "title": "Eénheid van taal & standaardisatie | Domus Medica", "publisher": "Domus Medica", "url": "https://www.domusmedica.be/expertisedomein/ict/eenheid-van-taal-standaardisatie", "published": null }, "citaat": null, "figuur": null, "in_text": false, "on_page": false }, { "id": "CLM-7b5ba3be", "statement": "Pour l'interface utilisateur, le DPI donne la priorité aux concepts et aux descriptions SNOMED CT qui sont pertinents pour les médecins généralistes, au moyen de la « BE GP refset ».", "kind": "fact", "kind_label": "fait", "locator": "dia 9 ('Specificaties SNOMED CT binding (stap 2-3)')", "as_of": "2026-09-26", "source": { "id": "SRC-08c73f9a17", "title": "Implementatie SNOMED CT in het EPD (Elektronisch PatiëntenDossier)", "publisher": "eHealth-platform (Agoria)", "url": "https://www.frankrobben.be/wp-content/uploads/2025/11/20251105.pptx", "published": "2025-11-05" }, "citaat": null, "figuur": null, "in_text": false, "on_page": false }, { "id": "CLM-81381cb1", "statement": "L'extension belge contient surtout des descriptions néerlandaises et françaises de concepts internationaux ainsi que des language refsets, et doit toujours être utilisée avec l'International Edition la plus récente; des concepts belges propres peuvent être ajoutés si nécessaire.", "kind": "fact", "kind_label": "fait", "locator": "sectie Belgische extensie", "as_of": "2026-09-25", "source": { "id": "SRC-513c026a56", "title": "SNOMED CT | FOD Volksgezondheid (archiefkopie 24/06/2025)", "publisher": "FOD Volksgezondheid, Veiligheid van de Voedselketen en Leefmilieu", "url": "https://web.archive.org/web/20250624014721/https://www.health.belgium.be/nl/gezondheid/organisatie-van-de-gezondheidszorg/delen-van-gezondheidsgegevens/terminologiecentrum/terminologiestelstels/snomedct", "published": null }, "citaat": null, "figuur": null, "in_text": false, "on_page": false }, { "id": "CLM-81761500", "statement": "Les deux GP language refsets belges (médecins généralistes) contiennent, dans la release 20260915, au total 17.193 traductions néerlandaises et 15.238 traductions françaises (tableau). Le GP RefSet est donc publié dans le cadre de l'édition mensuelle.", "kind": "fact", "kind_label": "fait", "locator": "sectie 'New translated content', tabel General Practitioner language reference sets (Total)", "as_of": "2026-09-29", "source": { "id": "SRC-107b9f2171", "title": "SNOMED CT Managed Service - Belgium Edition Release Notes - September 2026", "publisher": "SNOMED International / Belgisch National Release Centre", "url": "https://conf.spaces.snomed.org/wiki/rest/api/content/1255866407?expand=body.view,version", "published": "2026-09-15" }, "citaat": null, "figuur": null, "in_text": false, "on_page": false }, { "id": "CLM-833e7c1c", "statement": "État de mai 2024: l'extension belge contenait notamment un ensemble de référence pour les soins infirmiers, un sous-ensemble belge pour les problèmes médicaux dans les DPI, des sous-ensembles pour la néonatologie, la néphrologie, la pneumologie et la rhumatologie, trois refsets pour les matériaux et les substances comestibles, et quatre refsets avec les concepts des value sets des CareSets Allergy Intolerance et Vaccination.", "kind": "fact", "kind_label": "fait", "locator": "p. 5, 'Overige RefSets'", "as_of": "2026-09-26", "source": { "id": "SRC-852dbf1163", "title": "Newsletter terminologie 2024-01 (NL)", "publisher": "FOD Volksgezondheid - Terminologiecentrum", "url": "https://apps.health.belgium.be/portal-admin-api-rs/public/documents/download/16", "published": "2024-06-28" }, "citaat": null, "figuur": null, "in_text": false, "on_page": false }, { "id": "CLM-904510b5", "statement": "MLDS contient une extended map de la SNOMED CT BE GP refset vers la CISP-2, avec une seule version, de novembre 2023.", "kind": "fact", "kind_label": "fait", "locator": "releaseVersions[0].name (publishedAt 2023-11-15)", "as_of": "2026-09-28", "source": { "id": "SRC-53fa8a4f21", "title": "MLDS release package: SNOMED CT BE GP Refset - ICPC2 Extended Map package", "publisher": "SNOMED International (MLDS) / Belgisch NRC", "url": "https://mlds.ihtsdotools.org/api/releasePackages/1106334", "published": null }, "citaat": null, "figuur": null, "in_text": false, "on_page": true }, { "id": "CLM-93cd37b7", "statement": "La Plate-forme eHealth développe un « serveur de terminologie » sous forme d'un conteneur docker facilement déployable par les fournisseurs de logiciels, en soutien au déploiement de SNOMED CT (projet du SPF Santé publique); son amélioration et sa maintenance sont prévues pour 2026.", "kind": "fact", "kind_label": "fait", "locator": "dia's 82 en 84 ('Standards')", "as_of": "2026-09-26", "source": { "id": "SRC-88e226b672", "title": "Réalisations 2025 – Perspectives 2026 (Plate-forme eHealth)", "publisher": "eHealth-platform (publieke presentatie op de persoonlijke website van de administrateur-generaal)", "url": "https://www.frankrobben.be/wp-content/uploads/2026/01/20260130a.pptx", "published": "2026-01-30" }, "citaat": null, "figuur": null, "in_text": false, "on_page": false }, { "id": "CLM-98f99a9d", "statement": "Een hybride model met per domein een ander primair codesysteem werd volgens hetzelfde document overwogen en verworpen.", "kind": "fact", "kind_label": "fait", "locator": "p. 6, 1.3 Why SNOMED CT", "as_of": "2026-11-05", "source": { "id": "SRC-744176ff92", "title": "Requirements Specification Document - SNOMED_CT Implementation (Version 1.0, 25.09.2026)", "publisher": "FOD Volksgezondheid – Terminologiecentrum (NRC)", "url": "https://apps.health.belgium.be/portal-admin-api-rs/public/documents/download/278", "published": "2026-09-25" }, "citaat": null, "figuur": null, "in_text": false, "on_page": false }, { "id": "CLM-9b017242", "statement": "L'extension belge de SNOMED CT contient des concepts, des relations et des ensembles de référence comportant des traductions néerlandaises, françaises et allemandes.", "kind": "fact", "kind_label": "fait", "locator": "sectie 'Content Changes Summary'", "as_of": "2026-09-28", "source": { "id": "SRC-107b9f2171", "title": "SNOMED CT Managed Service - Belgium Edition Release Notes - September 2026", "publisher": "SNOMED International / Belgisch National Release Centre", "url": "https://conf.spaces.snomed.org/wiki/rest/api/content/1255866407?expand=body.view,version", "published": "2026-09-15" }, "citaat": null, "figuur": null, "in_text": false, "on_page": true }, { "id": "CLM-9d14efa5", "statement": "La spécification pour SNOMED CT dans le DPI prévoit qu'un serveur de terminologie local (par exemple basé sur Docker et Snowstorm) se connecte au « be-nationale-terminologieserver » central.", "kind": "fact", "kind_label": "fait", "locator": "dia 7 ('Specificaties BE SCT in EPD (stap 1)')", "as_of": "2026-09-26", "source": { "id": "SRC-08c73f9a17", "title": "Implementatie SNOMED CT in het EPD (Elektronisch PatiëntenDossier)", "publisher": "eHealth-platform (Agoria)", "url": "https://www.frankrobben.be/wp-content/uploads/2025/11/20251105.pptx", "published": "2025-11-05" }, "citaat": null, "figuur": null, "in_text": false, "on_page": false }, { "id": "CLM-9dfd79d3", "statement": "État 2024: 295.776 concepts avaient une traduction néerlandaise validée, 189.642 une traduction française et 41.794 une traduction allemande (des chiffres plus élevés que ceux de l'ancienne page du SPF).", "kind": "fact", "kind_label": "fait", "locator": "p. 4", "as_of": "2026-09-26", "source": { "id": "SRC-852dbf1163", "title": "Newsletter terminologie 2024-01 (NL)", "publisher": "FOD Volksgezondheid - Terminologiecentrum", "url": "https://apps.health.belgium.be/portal-admin-api-rs/public/documents/download/16", "published": "2024-06-28" }, "citaat": null, "figuur": null, "in_text": false, "on_page": false }, { "id": "CLM-a2de1a3c", "statement": "De algemene beleidsnota Volksgezondheid (DOC 56 1282/009) spreekt van het voortzetten van de inspanningen om SNOMED CT als standaard voor de codering van medische termen in te voeren, niet van een bestaande verplichting.", "kind": "fact", "kind_label": "fait", "locator": "p. 29", "as_of": "2026-11-09", "source": { "id": "SRC-d928d9d484", "title": "Algemene beleidsnota Volksgezondheid (DOC 56 1282/009)", "publisher": "Belgische Kamer van volksvertegenwoordigers (minister van Sociale Zaken en Volksgezondheid)", "url": "https://www.dekamer.be/FLWB/PDF/56/1282/56K1282009.pdf", "published": "2026-01-23" }, "citaat": null, "figuur": null, "in_text": false, "on_page": false }, { "id": "CLM-a54443ea", "statement": "La BE Drug Extension contient les noms de médicaments, les ingrédients, la voie d'administration, le dosage et les noms de marque locaux.", "kind": "fact", "kind_label": "fait", "locator": "p. 1, punt 4 'BE Drug Extension'", "as_of": "2026-09-26", "source": { "id": "SRC-25b52cb979", "title": "Release policy (SNOMED CT Belgian Edition)", "publisher": "FOD Volksgezondheid - Terminologiecentrum (National Release Centre)", "url": "https://apps.health.belgium.be/portal-admin-api-rs/public/documents/download/89", "published": "2025-06-25" }, "citaat": null, "figuur": null, "in_text": false, "on_page": false }, { "id": "CLM-ad75dae3", "statement": "Selon la Release Policy, chaque release belge contient des termes et des traductions (français, néerlandais et allemand), des sous-ensembles, des « BE Maps » (couplages vers notamment ICD) et une BE Drug Extension pour l'information belge sur les médicaments.", "kind": "fact", "kind_label": "fait", "locator": "p. 1, 'What is included in each release?'", "as_of": "2026-09-26", "source": { "id": "SRC-25b52cb979", "title": "Release policy (SNOMED CT Belgian Edition)", "publisher": "FOD Volksgezondheid - Terminologiecentrum (National Release Centre)", "url": "https://apps.health.belgium.be/portal-admin-api-rs/public/documents/download/89", "published": "2025-06-25" }, "citaat": null, "figuur": null, "in_text": false, "on_page": false }, { "id": "CLM-b233125a", "statement": "Dans la release belge de septembre 2026, aucun nouveau concept belge n'a été créé.", "kind": "fact", "kind_label": "fait", "locator": "sectie 'Belgian content in this release'", "as_of": "2026-09-29", "source": { "id": "SRC-107b9f2171", "title": "SNOMED CT Managed Service - Belgium Edition Release Notes - September 2026", "publisher": "SNOMED International / Belgisch National Release Centre", "url": "https://conf.spaces.snomed.org/wiki/rest/api/content/1255866407?expand=body.view,version", "published": "2026-09-15" }, "citaat": null, "figuur": null, "in_text": false, "on_page": false }, { "id": "CLM-b5334a4a", "statement": "Une autre étude de cas sur snomed.org qualifie SNOMED CT de « the mandated national standard » en Belgique, en renvoyant à des orientations stratégiques d'organes nationaux comme la Plate-forme eHealth, sans mentionner de base légale (source secondaire).", "kind": "fact", "kind_label": "fait", "locator": "sectie 'Scope'", "as_of": "2026-10-01", "source": { "id": "SRC-325e62e14f", "title": "SNOMED in action - case study (deel 3)", "publisher": "SNOMED International", "url": "https://www.snomed.org/snomed-in-action/uz-leuven-3-of-3", "published": null }, "citaat": null, "figuur": null, "in_text": false, "on_page": false }, { "id": "CLM-b607c7b0", "statement": "Le GP subset belge est né de la map entre le thésaurus 3BT et SNOMED CT, puis a été étendu.", "kind": "fact", "kind_label": "fait", "locator": "overzicht referentiesets, 'Belgian GP subset'", "as_of": "2026-09-28", "source": { "id": "SRC-107b9f2171", "title": "SNOMED CT Managed Service - Belgium Edition Release Notes - September 2026", "publisher": "SNOMED International / Belgisch National Release Centre", "url": "https://conf.spaces.snomed.org/wiki/rest/api/content/1255866407?expand=body.view,version", "published": "2026-09-15" }, "citaat": null, "figuur": null, "in_text": false, "on_page": false }, { "id": "CLM-bb4ce3cd", "statement": "Les trois language refsets nationaux de la release 20260915 comptent ensemble 634.074 descriptions néerlandaises actives (terme préféré et synonyme acceptable) pour des concepts actifs; pour le français, il y en a 481.175 et pour l'allemand 195.868 (tableau).", "kind": "fact", "kind_label": "fait", "locator": "sectie 'New translated content', tabel National Language Reference Sets (Total)", "as_of": "2026-09-29", "source": { "id": "SRC-107b9f2171", "title": "SNOMED CT Managed Service - Belgium Edition Release Notes - September 2026", "publisher": "SNOMED International / Belgisch National Release Centre", "url": "https://conf.spaces.snomed.org/wiki/rest/api/content/1255866407?expand=body.view,version", "published": "2026-09-15" }, "citaat": null, "figuur": null, "in_text": false, "on_page": false }, { "id": "CLM-c0607026", "statement": "La language refset belge contient près de 580.000 traductions validées en néerlandais et 250.000 en français; l'extension couvre près de 280.000 concepts en néerlandais et près de 170.000 en français.", "kind": "fact", "kind_label": "fait", "locator": "ledenpagina Belgium, beschrijving Terminology Centre", "as_of": "2026-09-25", "source": { "id": "SRC-930e18b29c", "title": "Belgium (SNOMED International member page)", "publisher": "SNOMED International", "url": "https://www.snomed.org/members/belgium", "published": null }, "citaat": null, "figuur": null, "in_text": false, "on_page": false }, { "id": "CLM-c1525ac5", "statement": "Seuls les ensembles composés exclusivement de concepts SNOMED CT peuvent être publiés comme jeu de références de SNOMED CT Belgique (page du portail, modifiée le 03/03/2026).", "kind": "fact", "kind_label": "fait", "locator": "pagina 'Referentiesets toevoegen of wijzigen'", "as_of": "2026-09-29", "source": { "id": "SRC-2d17c4127d", "title": "Referentiesets toevoegen of wijzigen", "publisher": "FOD Volksgezondheid – Terminologiecentrum", "url": "https://apps.health.belgium.be/terminology-portal/snomed_ct_requests/add-snomed-ct-reference-set/nl", "published": null }, "citaat": null, "figuur": null, "in_text": false, "on_page": false }, { "id": "CLM-e540715e", "statement": "Interprétation de la liste des packages MLDS (29/09/2026): le package « Belgian National Edition » compte 29 versions, de mars 2019 à septembre 2026 (septembre 2026 v1.0 comme version la plus récente); depuis novembre 2024, une version paraît presque chaque mois, mais pour avril 2025 aucune version ne figure dans la liste, alors que la Release Policy mentionne des releases mensuelles sauf en janvier et en août.", "kind": "interpretation", "kind_label": "interprétation", "locator": "JSON-veld releaseVersions (name, publishedAt)", "as_of": "2026-09-29", "source": { "id": "SRC-2182528427", "title": "MLDS release package: Belgian National Edition", "publisher": "SNOMED International (MLDS) / Terminology Center Belgium", "url": "https://mlds.ihtsdotools.org/api/releasePackages/190440", "published": null }, "citaat": null, "figuur": null, "in_text": false, "on_page": false }, { "id": "CLM-eaffc389", "statement": "Interpretatie van de standaardenpagina van het Terminology Portal: onder deze inleidende zin volgen als terminologiestandaarden SNOMED CT en LOINC; ICD, ICPC, ICHI en ICF staan onder classificatiestandaarden.", "kind": "interpretation", "kind_label": "interprétation", "locator": "secties Terminologiestandaarden en Classificatiestandaarden", "as_of": "2026-11-05", "source": { "id": "SRC-c6baf25361", "title": "Standaarden - Belgian Health Terminology Portal", "publisher": "FOD Volksgezondheid – Terminologiecentrum", "url": "https://apps.health.belgium.be/terminology-portal/standards/nl", "published": null }, "citaat": null, "figuur": null, "in_text": false, "on_page": false }, { "id": "CLM-fb2fd565", "statement": "Interprétation: la présentation de novembre 2025 était axée sur les logiciels de médecine générale (BE GP refset, langue du médecin généraliste). La roadmap de mars 2026 parle de manière générale d'« eHR » et de fournisseurs de DPI, et le programme (juillet 2026) mentionne explicitement la deuxième ligne. Les objectifs d'implémentation s'appliquent donc aussi aux DPI hospitaliers, en tant que planification politique. Il n'a été trouvé, pour les DPI hospitaliers, aucune obligation juridique ni aucun cadre d'enregistrement ou d'homologation qui reprennent ces jalons.", "kind": "interpretation", "kind_label": "interprétation", "locator": "p. 21-23, samen gelezen met het portaalbericht van juli 2026", "as_of": "2026-09-29", "source": { "id": "SRC-6fb3cdc0b1", "title": "Belgian BIHR/eHealth Interoperability Day – 24 March 2026 – Part II", "publisher": "Agoria / HL7 Belgium; bijdragen onder meer RIZIV en FOD Volksgezondheid", "url": "https://drive.usercontent.google.com/download?id=1QS9pqtJRaSD5jwG3UhYiC2g6vjbjawEA&export=download", "published": "2026-03-24" }, "citaat": null, "figuur": null, "in_text": false, "on_page": false }, { "id": "CLM-ffe24b5b", "statement": "La map du 3BT vers SNOMED CT est conçue comme un projet intermédiaire, uniquement pour conserver ou convertir des données 3BT existantes; MLDS en contient sept versions (de septembre 2020 à novembre 2023).", "kind": "fact", "kind_label": "fait", "locator": "package 'description'; releaseVersions (7, laatste 2023-11-15)", "as_of": "2026-09-28", "source": { "id": "SRC-6e4d89bf44", "title": "MLDS release package: 3BT - SNOMED CT Simple Map package", "publisher": "SNOMED International (MLDS) / Belgisch NRC", "url": "https://mlds.ihtsdotools.org/api/releasePackages/493656", "published": null }, "citaat": null, "figuur": null, "in_text": false, "on_page": true } ], "diagrams": [], "facets": { "type": [ "Terminology" ], "jurisdiction": [ "internationaal", "belgie" ], "theme": [ "terminologie" ], "lifecycle": [ "productie" ], "section": [ "terminologie", "europa" ] }, "search_terms": [ "SNOMED CT", "SNOMED-CT", "Systematized Nomenclature of Medicine Clinical Terms", "SNOMED CT-implementatieroadmap", "SNOMED CT implementation roadmap", "SNOMED", "SCT", "SNOMED CT Belgian Edition", "Belgische extensie SNOMED CT", "Belgische editie", "édition belge de SNOMED CT", "Belgian Edition of SNOMED CT", "Belgian Edition", "Belgian Extension", "BE Maps", "BE Maps (SNOMED CT Belgian Edition)", "BE Drug Extension", "BE Drug Extension (SNOMED CT Belgian Edition)", "GP RefSet", "General Practitioner Reference Set", "referentieset voor huisartsen" ], "release_id": "2026.11.12-3", "license": "CC BY 4.0" }