{ "id": "snomed-international", "url": "/snomed-international/", "md_url": "/snomed-international.md", "json_url": "/snomed-international.json", "claims_url": "/snomed-international/beweringen/", "type": { "code": "Organization", "label": "Organisatie" }, "schema_type": "Organization", "lang": "nl", "translation": null, "title": "SNOMED International", "aliases": [ "IHTSDO", "International Health Terminology Standards Development Organisation", "SNOMED Int." ], "names": { "nl": "SNOMED International", "fr": "SNOMED International", "en": "SNOMED International", "de": "SNOMED International" }, "jurisdiction": [ { "code": "internationaal", "label": "Internationaal" } ], "themes": [ { "code": "terminologie", "label": "Terminologie en codering" }, { "code": "standaardisatie-en-governance", "label": "Standaardisatie en governance" } ], "lifecycle": { "code": "productie", "label": "in productie" }, "lifecycle_note_html": "Actieve ledenorganisatie, opgericht in 2007 en sinds 2017 SNOMED International geheten; België is lid sinds 2013. Recentste International Edition november 2026 (20261101), nagekeken op 2026-11-09.", "version": null, "vendor": null, "sectors": [], "homologations": [], "links": [ { "kind": { "code": "website", "label": "Website" }, "url": "https://www.snomed.org/", "label": "SNOMED International", "host": "www.snomed.org", "lang": "en" }, { "kind": { "code": "documentatie", "label": "Documentatie" }, "url": "https://docs.snomed.org/", "label": "SNOMED CT Document Library", "host": "docs.snomed.org", "lang": "en" } ], "summary_text": "SNOMED International is de not-for-profitorganisatie die de klinische terminologie SNOMED CT bezit en beheert. Het is een vereniging van landen: elk lid betaalt een bijdrage naar nationale welvaart en heeft een zetel in de Algemene Vergadering, die over begroting en strategie beslist. Licentiehouders in een lidstaat gebruiken de internationale editie daardoor kosteloos, al blijft een Affiliate-licentie vereist. Elk land heeft een National Release Centre; voor België, lid sinds 2013, is dat het Terminologiecentrum van de FOD Volksgezondheid. Voor ziekenhuizen bepaalt de organisatie het releaseritme en de licentievoorwaarden van SNOMED CT.", "summary_html": "

SNOMED International is de not-for-profitorganisatie die de klinische terminologie SNOMED CT bezit en beheert. Het is een vereniging van landen: elk lid betaalt een bijdrage naar nationale welvaart en heeft een zetel in de Algemene Vergadering, die over begroting en strategie beslist. Licentiehouders in een lidstaat gebruiken de internationale editie daardoor kosteloos, al blijft een Affiliate-licentie vereist. Elk land heeft een National Release Centre; voor België, lid sinds 2013, is dat het Terminologiecentrum van de FOD Volksgezondheid. Voor ziekenhuizen bepaalt de organisatie het releaseritme en de licentievoorwaarden van SNOMED CT.

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SNOMED International is de not-for-profitorganisatie die SNOMED CT bezit en beheert, en die de rechten bezit op SNOMED CT en verwante terminologiestandaarden[1]. De organisatie werd in 2007 opgericht als International Health Terminology Standards Development Organisation (IHTSDO)[9]. Sinds januari 2017 is SNOMED International de handelsnaam van die IHTSDO, juridisch een private company limited by guarantee[2]. Het jaarverslag 2017 vermeldt een adres in Londen als contactadres[2].

\n

De negen stichtende leden ('charter members') waren Australië, Canada, Denemarken, Litouwen, Zweden, Nederland, Nieuw-Zeeland, het Verenigd Koninkrijk en de Verenigde Staten; België hoort daar niet bij[9]. Een lid is een agentschap van een nationale overheid, of een ander orgaan (bijvoorbeeld een bedrijf of een regionaal overheidsagentschap) dat de bevoegde nationale overheid daartoe aanwijst[9]. In elk lidland coördineert een National Release Centre (NRC) de distributie en ondersteuning van SNOMED CT; het NRC is het enige aanspreekpunt voor SNOMED International en de andere leden[1].

" }, { "id": "rol-in-het-ehealth-landschap", "title": "Rol in het eHealth-landschap", "kind": "tekst", "html": "

Bestuur

\n

SNOMED International is een vereniging die bestuurd wordt door een Algemene Vergadering (General Assembly) met één vertegenwoordiger per nationaal lid[1]. Die vergadering neemt bindende beslissingen over alle aangelegenheden, waaronder begroting en strategie, binnen de statuten[3]. Ze benoemt de Management Board, die de vereniging leidt en de belangrijkste zakelijke beslissingen neemt[1]; die Board benoemt op haar beurt de CEO, die de dagelijkse leiding heeft[1]. Leden betalen een bijdrage die afhangt van de nationale welvaart en die hen een zetel in de Algemene Vergadering geeft[1].

\n

Licenties

\n

Elk gebruik van SNOMED CT is onderworpen aan de aanvaarding van de SNOMED CT Affiliate License; ook in een lidstaat is een licentie dus vereist, al is ze daar kosteloos[1]. Wat dat per situatie betekent:

\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
SituatieWat geldtBron
Gebruiker in een lidstaatgeen vergoeding aan SNOMED International voor de International Edition[1]
Gebruiker in een lidstaat, nationale voorwaardenhet lid mag bijkomende voorwaarden opleggen, bijvoorbeeld dat licentiehouders de nationale extensie ondersteunen en opnemen[1]
Armste landen, goedgekeurde publieke-belangtoepassingengratis licentie[1]
Niet-lidgebiedenlage vergoeding per instelling voor gebruik in operationele systemen die gegevens aanmaken of analyseren[1]
Niet-lidgebieden, tarieftabel (eigen lezing)jaarlijks per systeem, van 0 USD in lage-inkomenslanden tot 1.954 USD voor een ziekenhuis in een hoge-inkomensgebied; webtoepassingen en browsers vragen aparte toestemming[10]
\n

Daarnaast stelt SNOMED International een SNOMED CT Browser ter beschikking als naslagwerk; de interface en de REST-API's daarvan mogen niet in productiesystemen worden gebruikt[11].

\n

Releases

\n

Sinds februari 2022 is het internationale releasepakket elke maand beschikbaar in plaats van enkel eind januari en eind juli; gebruikers mogen wel halfjaarlijks (januari en juli) blijven afnemen[12]. Sinds 1 september 2023 verschijnt de International Edition op de eerste dag van elke maand in MLDS (het distributieportaal van SNOMED International) in plaats van op de laatste; augustus 2023 had geen release[5]. Oudere documentatie spreekt dat nog tegen (zie Onzekerheden). De\nInternational Edition van november 2026 heeft releasedatum 20261101 en status PRODUCTION[6]; de release\nnotes voor december 2026 (20261201) staan op 9 november 2026 nog op PREPRODUCTION[13].

\n

Recente wijzigingen aan de inhoud gaan langs de leden: na een consultatie aanvaardden de leden die reageerden 1 juli 2026 als overgangsdatum om de maximumlengte van beschrijvingen te verhogen[14], en sinds de International Edition van juli 2026 mogen die tot 4096 tekens lang zijn[15]. De Concept Non Current-indicatoren zijn vanaf de editie van januari 2026 afgeschaft[15]; vanaf de editie\nvan januari 2027 worden ook de bestaande (inactieve) indicatoren uit de Full- en Snapshotbestanden verwijderd (planning)\n[6]. Hoe concepten, beschrijvingen en relaties zijn opgebouwd, staat op SNOMED CT-conceptmodel en logica; de zoektaal ECL op SNOMED CT Expression Constraint Language (ECL).

\n

Strategie en samenwerking met de WHO

\n

SNOMED International legde in een consultatieproces van een jaar met zijn Community of Practice de strategie 2025-2030 vast[16]. Volgens de strategiepagina kan de organisatie, voortbouwend op de vorige strategie, een model ontwikkelen om SNOMED CT te koppelen aan andere terminologieën en classificaties[16]. Het jaarverslag over 2025 verscheen op 11 mei 2026[17].

\n

Met de WHO bestaat sinds 2010 een formele samenwerking, met als eerste doel een map van SNOMED CT naar ICD-10[18]. Die internationale map steunt op de recentste maandrelease en wordt bij elke nieuwe release bijgewerkt[19]; ze gebruikt WHO-ICD-10 versie 2016 als doel, als basis voor maps naar nationale modificaties zoals ICD-10-BE[19]. De map in de editie van november\n2026 is een volledige map naar ICD-10 WHO-versie 2016[6] en kreeg 436 nieuw gemapte concepten\n[6]. Voor ICD-11 verkenden de WHO en SNOMED International in oktober 2024 een gezamenlijk kader, wat een verkenning is en geen akkoord[20]. SNOMED International maakte een eerste automatische map naar ICD-11 MMS die ter review beschikbaar is, geen productierelease[18]; verdere informatie volgt pas na een formeel herzien samenwerkingsakkoord, dat niet gevonden werd[18].

" }, { "id": "waar-staat-het-per-programma", "title": "Waar staat het, per programma?", "kind": "tekst", "html": "

Volgens de ledenpagina telt SNOMED International 54 leden en gaf het meer dan 50.000 Affiliate-licenties uit, zonder peildatum op de pagina[9]. Hongarije trad toe als 49e lid en was het vijfde land dat lid werd na de aankondiging van de EU-financiering[21]. Letland trad in januari 2026 toe[22], en in juli 2026 werd Costa Rica als recentste lid verwelkomd[23].

\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
Programma of landRol van SNOMED InternationalBron
Belgiëlid sinds 2013; het Terminologiecentrum van de FOD Volksgezondheid is NRC en enig contactpunt voor licenties en ontwikkeling; de Belgische editie staat op SNOMED CT Belgische editie (releases, vertalingen, BE Maps)[4]
Europese Uniede EU financiert via HaDEA tot 2027 60 procent van het lidmaatschap van haar lidstaten (aankondiging eind 2021)[8]
Europese Unie, doel van de steunvolgens het Duitse NRC (BfArM) om SNOMED CT beschikbaar te maken voor ziekenhuizen, zorgverleners, onderzoeksinstellingen en zorg-IT-leveranciers[7]
EHDSde verordening noemt SNOMED CT nergens bij naam; de keuze van codesystemen loopt via uitvoeringshandelingen (eigen lezing van de tekst)[24]
EEHRxF (consultatie Xt-EHR)voor diagnoses in het ontslagverslag worden 'SNOMED CT GPS' en ICD-10 voorgesteld, nog in consultatie[25]
WHOformele samenwerking sinds 2010, map naar ICD-10, verkenning rond ICD-11[18][20]
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Niet gevonden is geen bewijs van afwezigheid.

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orgaan (bijvoorbeeld een bedrijf of regionaal overheidsagentschap) dat door de bevoegde nationale overheid is aangewezen.", "kind": "fact", "kind_label": "feit", "locator": "sectie 'Members'", "as_of": "2026-11-05", "source": { "id": "SRC-2c2ccbfe2e", "title": "Members", "publisher": "SNOMED International", "url": "https://www.snomed.org/members", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-a1340342", "statement": "Het National Release Centre (NRC) is de organisatie die in een lidstaat de distributie en ondersteuning van SNOMED CT coördineert en het enige aanspreekpunt is voor SNOMED International en andere leden.", "kind": "fact", "kind_label": "feit", "locator": "sectie 'National release centers'", "as_of": "2026-11-05", "source": { "id": "SRC-400c6a7454", "title": "SNOMED CT Starter Guide - The Organization Behind SNOMED CT", "publisher": "SNOMED International", "url": 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International Edition van januari 2027 worden de (inactieve) Concept Non Current Indicators uit de Full- en Snapshotbestanden van het releasepakket verwijderd (planning).", "kind": "fact", "kind_label": "feit", "locator": "Technical notes, 'International Edition 20270101'", "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-3b375b2d", "statement": "SNOMED International legde in een jaar durend consultatieproces met zijn Community of Practice de strategie 2025-2030 vast.", "kind": "fact", "kind_label": "feit", "locator": "sectie 'Strategic direction'", "as_of": "2026-11-05", "source": { "id": "SRC-044988b958", "title": "Strategy, objectives and 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"source": { "id": "SRC-a4efaf9954", "title": "2025 Annual Report captures key activities and achievements over 2025", "publisher": "SNOMED International", "url": "https://www.snomed.org/news/2025-annual-report-captures-key-activities-and-achievements-over-2025", "published": "2026-05-11" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-ce4ad4a6", "statement": "SNOMED International en de WHO hebben sinds 2010 een formele samenwerkingsrelatie, met als eerste doel een map van SNOMED CT naar ICD-10.", "kind": "fact", "kind_label": "feit", "locator": "sectie 'World Health Organization'", "as_of": "2026-11-05", "source": { "id": "SRC-d287a54ad8", "title": "Our partnerships - World Health Organization", "publisher": "SNOMED International", "url": "https://www.snomed.org/our-partnerships/world-health-organization", "published": null }, "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": "feit", "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-d8c07113", "statement": "De internationale SNOMED CT-naar-ICD-10-map van SNOMED International gebruikt ICD-10 versie 2016 (WHO) en is bedoeld als basis om maps af te leiden naar de ICD-10-modificaties die lidstaten zelf ontwikkelen en beheren.", "kind": "fact", "kind_label": "feit", "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-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": "feit", "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 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