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- Patient-friendly terms would only be included in the International release as US or GB English, thus not supporting International consumer terminology
- The potential set of patient-friendly terms is relatively unbounded and may include abbreviations and acronyms that would be in conflict with SNOMED Ct editorial policy
- The SNOMED CT extension and refset mechanisms were originally created to support multi-lingual and context dependent dialect use cases for linkage to the International content.
- The International release of SNOMED T CT does not currently have a way of assigning a description as "equivalent to" or "broader than" the concept that it is related to
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