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The logical design of a SNOMED CT extension is technically consistent with that of the International Edition. Both represent and version SNOMED CT components and reference sets in release files that conform to the

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 specification. This makes it easier for consumers of the International Edition to implement extensions.
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  illustrates the logical design of a typical SNOMED CT local edition and its relationship to the associated local extension, National Edition and International Edition.

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CapIdeditions-and-extensions
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Logical design of a SNOMED CT local edition

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