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SIRS is IHTSDO's online request submission system, which allows Member countries' NRCs and other authorized users to submit requests for change or addition of new content to the International Edition of SNOMED CT. Hence, all user requests for the International Edition of SNOMED CT should go via the NRC, and each NRC should have access to SIRS. Concepts of only national relevance should not be submitted to IHTSDO. It is the responsibility of the NRC to determine which request is specific to its country and which are of international relevance. NRCs should be aware of the editorial principles for SNOMED CT and only submit requests that meet those principles.
Requests submitted to SIRS are reviewed by IHTSDO Authors, and requests that meet the SNOMED CT International Edition inclusion criteria are added to the International Edition. SIRS is an online tool, which enables users to view the current status of all requests that have been made through the system, see Figure 11.

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Figure 11 Screenshot from SIRS. Example of overview of requests submitted to the system.
Users are notified by email when a request changes status (accepted, not accepted, in process, or clarification requested). If a request is not accepted, a reason is provided to the requestor. A requestor who is unhappy with the reason for not non-acceptance can appeal using a formal appeals process.
For up-to-date information about current arrangements and for access to SIRS see http://snomed.org/sirs.

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