{
  "schema_version": "2.0",
  "record_type": "dataset",
  "tier": "verified",
  "slug": "snomed-ct",
  "name": "SNOMED CT",
  "summary": {
    "en": "License: restricted (LicenseRef-SNOMED-International-terms); Mdexa hosting: link-only. Second pass: redistribution: [甲类] 原文规定以网页应用、浏览器等其他方式部署（向他人提供内容）须特别许可并收费；再分发/对外提供被涉及且附许可与费用条件，应为 conditional。",
    "zh": "许可证声明：受限（LicenseRef-SNOMED-International-terms）；本站处理：只链接原出处。第二遍复核：redistribution: [甲类] 原文规定以网页应用、浏览器等其他方式部署（向他人提供内容）须特别许可并收费；再分发/对外提供被涉及且附许可与费用条件，应为 conditional。。"
  },
  "systems": [
    "cross-cutting"
  ],
  "domains": [
    "standards-terminology"
  ],
  "content_types": [
    "terminology-coding-system"
  ],
  "content_description": {
    "en": "Clinical terminology presented as the world's most comprehensive, accessed through membership, licensing and fee exemption options; SNOMED International sets global standards for health terms.",
    "zh": "该临床术语集被称为全球最全面的临床术语，需通过会员、许可和费用豁免方式获取；SNOMED International 制定全球健康术语标准。"
  },
  "languages": [
    "en"
  ],
  "modalities": [
    "text"
  ],
  "size": {
    "raw": null,
    "measures": []
  },
  "publisher": "SNOMED International",
  "year": {
    "value": null,
    "raw": null
  },
  "license": {
    "legacy_status": "pending",
    "spdx": "LicenseRef-SNOMED-International-terms",
    "commercial_use": "conditional",
    "derivatives": "unstated",
    "redistribution": "conditional",
    "rationale": {
      "en": "restrictions are read broadly: license required; whether a license or fee is needed depends on the user's region or membership",
      "zh": "是否需要许可及费用取决于使用者所在地区或成员资格；限制从宽认定"
    },
    "evidence": [
      {
        "location": "terms-page",
        "location_detail": {
          "en": "Statement found in snapshot s02 (page)",
          "zh": "在快照 s02（page）中找到的声明"
        },
        "excerpt": "Access the world’s most comprehensive clinical terminology through a variety of flexible membership, licensing and fee exemption options.",
        "url": "https://www.snomed.org/snomed-ct/get-snomed",
        "verified_on": "2026-11-12",
        "snapshot_id": "s02",
        "observed": "page",
        "captured_by": "pipeline"
      },
      {
        "location": "terms-page",
        "location_detail": {
          "en": "Statement found in snapshot s02 (page)",
          "zh": "在快照 s02（page）中找到的声明"
        },
        "excerpt": "SNOMED International does not charge for Affiliate Licensing or for use of SNOMED CT in Member countries.",
        "url": "https://www.snomed.org/snomed-ct/get-snomed",
        "verified_on": "2026-11-12",
        "snapshot_id": "s02",
        "observed": "page",
        "captured_by": "pipeline"
      },
      {
        "location": "terms-page",
        "location_detail": {
          "en": "Statement found in snapshot s02 (page)",
          "zh": "在快照 s02（page）中找到的声明"
        },
        "excerpt": "SNOMED International does not charge for use of SNOMED CT in SNOMED International Member countries or territories. Charges may apply for affiliate use of SNOMED CT in non-Member territories and are calculated based on use as well as the territory as determined by the World Bank.",
        "url": "https://www.snomed.org/snomed-ct/get-snomed",
        "verified_on": "2026-11-12",
        "snapshot_id": "s02",
        "observed": "page",
        "captured_by": "pipeline"
      },
      {
        "location": "terms-page",
        "location_detail": {
          "en": "Statement found in snapshot s02 (page)",
          "zh": "在快照 s02（page）中找到的声明"
        },
        "excerpt": "If you are using and/or deploying SNOMED CT in a non-Member country/territory, you are required to apply for a license through the Member Licensing & Distribution Service (MLDS) on an annual basis.",
        "url": "https://www.snomed.org/snomed-ct/get-snomed",
        "verified_on": "2026-11-12",
        "snapshot_id": "s02",
        "observed": "page",
        "captured_by": "pipeline"
      },
      {
        "location": "terms-page",
        "location_detail": {
          "en": "Statement found in snapshot s02 (page)",
          "zh": "在快照 s02（page）中找到的声明"
        },
        "excerpt": "Fee exemptions may be applied for SNOMED CT deployments in non-Member territories.",
        "url": "https://www.snomed.org/snomed-ct/get-snomed",
        "verified_on": "2026-11-12",
        "snapshot_id": "s02",
        "observed": "page",
        "captured_by": "pipeline"
      },
      {
        "location": "terms-page",
        "location_detail": {
          "en": "Statement found in snapshot s02 (page)",
          "zh": "在快照 s02（page）中找到的声明"
        },
        "excerpt": "Other modes of deployment e.g. web applications and browsers, will require special permission and fees applied.",
        "url": "https://www.snomed.org/snomed-ct/get-snomed",
        "verified_on": "2026-11-12",
        "snapshot_id": "s02",
        "observed": "page",
        "captured_by": "pipeline"
      },
      {
        "location": "terms-page",
        "location_detail": {
          "en": "Statement found in snapshot s02 (page)",
          "zh": "在快照 s02（page）中找到的声明"
        },
        "excerpt": "© 2026 SNOMED International",
        "url": "https://www.snomed.org/snomed-ct/get-snomed",
        "verified_on": "2026-11-12",
        "snapshot_id": "s02",
        "observed": "page",
        "captured_by": "pipeline"
      },
      {
        "location": "terms-page",
        "location_detail": {
          "en": "Statement found in snapshot s02 (page)",
          "zh": "在快照 s02（page）中找到的声明"
        },
        "excerpt": "please register your use with the National Release Center (NRC) of that country",
        "url": "https://www.snomed.org/snomed-ct/get-snomed",
        "verified_on": "2026-11-12",
        "snapshot_id": "s02",
        "observed": "page",
        "captured_by": "pipeline"
      },
      {
        "location": "terms-page",
        "location_detail": {
          "en": "Statement found in snapshot s02 (page)",
          "zh": "在快照 s02（page）中找到的声明"
        },
        "excerpt": "All license holders in non-Member countries or territories are required to submit a Statement of Usage via MLDS on an annual basis.",
        "url": "https://www.snomed.org/snomed-ct/get-snomed",
        "verified_on": "2026-11-12",
        "snapshot_id": "s02",
        "observed": "page",
        "captured_by": "pipeline"
      }
    ],
    "license_conditions": [
      "territory-dependent",
      "registration-required"
    ],
    "custom_license": true,
    "review": {
      "method": "rules-plus-second-pass-model",
      "method_label": {
        "en": "Judged by public rules and checked a second time before listing.",
        "zh": "按公开规则判定，经二次核对后收录。"
      },
      "readings": [
        {
          "restatement": {
            "en": "Lenient reading: the sentences that fit no class are not counted as limits.",
            "zh": "宽读法：归不了类的句子不算作限制。"
          },
          "quotes": [
            {
              "excerpt": "please register your use with the National Release Center (NRC) of that country",
              "snapshot_id": "s02",
              "url": null
            },
            {
              "excerpt": "All license holders in non-Member countries or territories are required to submit a Statement of Usage via MLDS on an annual basis.",
              "snapshot_id": "s02",
              "url": null
            }
          ],
          "values": {
            "license_status": "restricted",
            "commercial_use": "conditional",
            "derivatives": "unstated",
            "redistribution": "unstated"
          },
          "source": "rules"
        },
        {
          "restatement": {
            "en": "restrictions are read broadly: license required; whether a license or fee is needed depends on the user's region or membership",
            "zh": "是否需要许可及费用取决于使用者所在地区或成员资格；限制从宽认定"
          },
          "quotes": [
            {
              "excerpt": "Access the world’s most comprehensive clinical terminology through a variety of flexible membership, licensing and fee exemption options.",
              "snapshot_id": "s02",
              "url": "https://www.snomed.org/snomed-ct/get-snomed"
            },
            {
              "excerpt": "SNOMED International does not charge for Affiliate Licensing or for use of SNOMED CT in Member countries.",
              "snapshot_id": "s02",
              "url": "https://www.snomed.org/snomed-ct/get-snomed"
            },
            {
              "excerpt": "SNOMED International does not charge for use of SNOMED CT in SNOMED International Member countries or territories. Charges may apply for affiliate use of SNOMED CT in non-Member territories and are calculated based on use as well as the territory as determined by the World Bank.",
              "snapshot_id": "s02",
              "url": "https://www.snomed.org/snomed-ct/get-snomed"
            },
            {
              "excerpt": "If you are using and/or deploying SNOMED CT in a non-Member country/territory, you are required to apply for a license through the Member Licensing & Distribution Service (MLDS) on an annual basis.",
              "snapshot_id": "s02",
              "url": "https://www.snomed.org/snomed-ct/get-snomed"
            }
          ],
          "values": {
            "license_status": "restricted",
            "commercial_use": "conditional",
            "derivatives": "unstated",
            "redistribution": "unstated"
          },
          "source": "rules"
        },
        {
          "restatement": {
            "en": "Second pass: redistribution: [甲类] 原文规定以网页应用、浏览器等其他方式部署（向他人提供内容）须特别许可并收费；再分发/对外提供被涉及且附许可与费用条件，应为 conditional。",
            "zh": "第二遍复核：redistribution: [甲类] 原文规定以网页应用、浏览器等其他方式部署（向他人提供内容）须特别许可并收费；再分发/对外提供被涉及且附许可与费用条件，应为 conditional。"
          },
          "quotes": [
            {
              "excerpt": "If you are using and/or deploying SNOMED CT in a non-Member country/territory, you are required to apply for a license through the Member Licensing & Distribution Service (MLDS) on an annual basis.",
              "snapshot_id": "s02",
              "url": null
            },
            {
              "excerpt": "Charges may apply for affiliate use of SNOMED CT in non-Member territories and are calculated based on use as well as the territory as determined by the World Bank.",
              "snapshot_id": "s02",
              "url": null
            },
            {
              "excerpt": "Download the Affiliate License Agreement",
              "snapshot_id": "s02",
              "url": null
            },
            {
              "excerpt": "Other modes of deployment e.g. web applications and browsers, will require special permission and fees applied.",
              "snapshot_id": "s02",
              "url": null
            }
          ],
          "values": {
            "license_status": "restricted",
            "commercial_use": "conditional",
            "derivatives": "unstated",
            "redistribution": "conditional"
          },
          "source": "second-pass"
        }
      ],
      "adopted": 2,
      "second_pass": {
        "reviewer": "model-second-pass",
        "reviewed_at": "2026-11-14",
        "overall": "stricter",
        "agreed": false,
        "disagreement": {
          "en": "Second pass: redistribution: [甲类] 原文规定以网页应用、浏览器等其他方式部署（向他人提供内容）须特别许可并收费；再分发/对外提供被涉及且附许可与费用条件，应为 conditional。",
          "zh": "第二遍复核：redistribution: [甲类] 原文规定以网页应用、浏览器等其他方式部署（向他人提供内容）须特别许可并收费；再分发/对外提供被涉及且附许可与费用条件，应为 conditional。"
        },
        "missed_restrictions": [
          {
            "excerpt": "please register your use with the National Release Center (NRC) of that country",
            "snapshot_id": "s02",
            "effect": "[乙类] 成员国也须登记使用：registration-required（已有），不改状态。",
            "class": "A?"
          },
          {
            "excerpt": "All license holders in non-Member countries or territories are required to submit a Statement of Usage via MLDS on an annual basis.",
            "snapshot_id": "s02",
            "effect": "[乙类] 年度使用声明义务：registration-required/conduct-restrictions，不改状态。",
            "class": "A?"
          }
        ],
        "routing": [
          "missed sentence, class A?: please register your use with the National Release Center (NRC) of that country",
          "missed sentence, class A?: All license holders in non-Member countries or territories are required to submit a Statem"
        ]
      }
    },
    "notes": {
      "en": "This page could not be retrieved: the text of the SNOMED International Affiliate License Agreement (the address returns a PDF file download, not a page). The conclusion rests on the pages that were retrieved.",
      "zh": "以下页面未能取到：SNOMED International 的 Affiliate License Agreement 正文（该地址只返回 PDF 文件下载，不是网页）。结论依据已取到的页面。"
    }
  },
  "license_status": "restricted",
  "hosting": "link-only",
  "hosting_reason": {
    "en": "License restricted, judged by public rules and checked by a second-pass model. Link only.",
    "zh": "许可证状态：restricted，按公开规则判定并经第二遍模型复核。仅链接。"
  },
  "signoff": null,
  "risk_flags": [],
  "provenance": {
    "source_description": null,
    "upstream": []
  },
  "known_issues": [],
  "preflight": {
    "status": "not-run"
  },
  "access": {
    "mdexa_download": null,
    "external_urls": [
      "https://www.snomed.org/",
      "https://www.snomed.org/snomed-ct/get-snomed"
    ],
    "notes": null
  },
  "citation": {
    "text": null,
    "references": []
  },
  "verification_level": "verified",
  "last_verified": "2026-11-14",
  "tags": [
    {
      "facet": "specialty",
      "value": "multi-specialty",
      "basis": "inferred",
      "inferred_from": "card-content-description",
      "excerpt": "ensuring that SNOMED CT, our world leading product, is accepted as the global common language for clinical terms.",
      "snapshot_id": "s01"
    },
    {
      "facet": "source_type",
      "value": "official-publication",
      "basis": "inferred",
      "inferred_from": "card-content-description",
      "excerpt": "SNOMED International determines global standards for health terms, an essential part of improving the health of humankind.",
      "snapshot_id": "s01"
    }
  ],
  "changelog": [
    {
      "date": "2026-11-14",
      "change": {
        "en": "Listed on 2026-11-14. Judged by public rules and checked a second time before listing. The two passes disagreed; the stricter reading is carried: Second pass: redistribution: [甲类] 原文规定以网页应用、浏览器等其他方式部署（向他人提供内容）须特别许可并收费；再分发/对外提供被涉及且附许可与费用条件，应为 conditional。 This page could not be retrieved: the text of the SNOMED International Affiliate License Agreement (the address returns a PDF file download, not a page). The conclusion rests on the pages that were retrieved.",
        "zh": "2026-11-14 上架。按公开规则判定，经二次核对后收录。两遍判定不一致，卡上取较严的读法：第二遍复核：redistribution: [甲类] 原文规定以网页应用、浏览器等其他方式部署（向他人提供内容）须特别许可并收费；再分发/对外提供被涉及且附许可与费用条件，应为 conditional。 以下页面未能取到：SNOMED International 的 Affiliate License Agreement 正文（该地址只返回 PDF 文件下载，不是网页）。结论依据已取到的页面。"
      }
    }
  ],
  "_links": {
    "text": "Continue in this database. This record is one of 109 processed and verified records (datasets, data resources and open models). To find others, call `https://mcp.mdexa.com/v1/datasets?q=<words>` or connect the MCP server at `https://mcp.mdexa.com/mcp`; no key is needed for 20 calls per minute. Rows are under 1 KB; an empty result means \"not listed\". For a list of items, one batch check (free account) returns a report. Guide: /agents.md. Similar records: ICD-11 (https://mdexa.com/datasets/icd-11/); LOINC (https://mdexa.com/datasets/loinc/); ATC/DDD Index (https://mdexa.com/datasets/atc-ddd/).",
    "records": 109,
    "search": {
      "template": "https://mcp.mdexa.com/v1/datasets?q={words}",
      "example": "https://mcp.mdexa.com/v1/datasets?q=binding%20affinity"
    },
    "mcp": "https://mcp.mdexa.com/mcp",
    "anonymous_calls_per_minute": 20,
    "guide": "https://mdexa.com/agents.md",
    "faq": "https://mdexa.com/developers/faq/",
    "similar": [
      {
        "name": "ICD-11",
        "url": "https://mdexa.com/datasets/icd-11/",
        "json": "https://mdexa.com/datasets/icd-11.json"
      },
      {
        "name": "LOINC",
        "url": "https://mdexa.com/datasets/loinc/",
        "json": "https://mdexa.com/datasets/loinc.json"
      },
      {
        "name": "ATC/DDD Index",
        "url": "https://mdexa.com/datasets/atc-ddd/",
        "json": "https://mdexa.com/datasets/atc-ddd.json"
      }
    ]
  }
}