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• ** Why you should upgrade to full SNOMED instead (aka warnings of less content in subontology, and why we recommend using full SCT)Topics to include

Differences between the IPS Reference Set, the IPS Terminology, and the complete SNOMED CT Edition

The IPS Terminology is a subset of the complete SNOMED CT Edition, and it's designed to provide the minimum necessary functionalities for an IPS implementation, improving over the previously available IPS Reference Set, but using a complete edition provides advanced features that will improve any implementation.

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provides the basic terminology features needed to implement the International Patient Summary. However, it does not include the full set of features provided by a complete SNOMED CT edition - including the version history, historical associations, translations, mappings, and the more extensive clinical content.

Given that

Upgrading to a complete SNOMED CT Edition

As the IPS Terminology is a subset of a complete edition of SNOMED CT, and it shares the same distribution formats the full SNOMED CT international edition with a very similar distribution format and implementation mechanisms, the process of replacing upgrading the IPS Terminology with to a complete edition of SNOMED CT is straightforward. The terminology server would be updated to load the least SNOMED CT Edition Snapshot, and it can be updated to each new release, maintaining all references to historical content. The ECLs used for implementation or analytics don't need any changes, and will automatically Once a license for the chosen SNOMED CT edition has been obtained, and the associated release package has been downloaded, the terminology server can be updated by loading the Snapshot files from the new package. Any ECL queries that were used with the IPS Terminology will continue to work on the new SNOMED CT edition - however, these queries will be able to select a larger set of relevant concepts matching concepts from a complete edition. New ECL queries may also be developed to take advantage of the extra content available in the complete edition.

Additional tooling would may be required to support new extra features like , such as the creation of extensions, reference sets, mappings, translations, and post-coordination.

Access to a complete edition of SNOMED CT may be granted by being located in a country that is a member of SNOMED Internationalis available:

• To users living in a SNOMED International Member country or territory, from the local SNOMED CT National Release Center, or

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• To users from a non-Member country, from SNOMED International's Member Licensing and Distribution Service (MLDS).