86256-5  Patient history and diagnoses - transfer or discharge from agency [CMS Assessment]Patient history and diagnoses - transfer or discharge from agency [CMS Assessment]Patient history and diagnoses - transfer or discharge from agency: -: Pt: ^Patient: -: CMS Assessment  

PANEL HIERARCHY

  LOINC#   LOINC Name R/O/C  Cardinality  Ex. UCUM Units 
  86256-5   PATIENT HISTORY AND DIAGNOSIS    
       85915-7   InfluenzaVaccine Data Collection Period: Does this episode of care (SOC/ROC to Transfer/Discharge) include any dates on or between October 1 and March 31?    
       57208-1   Influenza Vaccine Received: Did the patient receive the influenza vaccine for this year’s flu season    
       85916-5   Pneumococcal Vaccine: Has the patient ever received the pneumococcal vaccination (for example, Pneumovax)?    
       45956-0   Reason Pneumococcal Vaccine not received: If patient has never received the pneumococcal vaccination (for example, pneumovax), state reason    
 

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Patient history and diagnoses - transfer or discharge from agency  Pt  ^Patient  CMS Assessment
  Override Display Name for Form:  PATIENT HISTORY AND DIAGNOSIS
  Long Common Name:  Patient history and diagnoses - transfer or discharge from agency [CMS Assessment]

BASIC ATTRIBUTES
  Class/Type: PANEL.SURVEY.CMS/Survey
  Panel Type: Organizer
  First Released in Version: 2.63
  Last Updated in Version: 2.63
  Order vs. Obs.: Subset
  Status: Active

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  86259-9 Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment]
  86264-9 Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
  88367-8 Outcome and assessment information set (OASIS) form - version D - Transfer to inpatient facility - patient discharged or not discharged [CMS Assessment]
  88371-0 Outcome and assessment information set (OASIS) form - version D - Discharged from agency [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP250644-4  Patient history and diagnoses - transfer or discharge from agency 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7747-1 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 
Fragments for synonyms   LP21059-8  Panel 
Fragments for synonyms   LP100598-4  Discharge 
Fragments for synonyms   LP91302-7  History 

RELATED NAMES
  Centers for Medicare and Medicaid Assessment PANEL.SURVEY.CMS Random
  Disch Panl Survey
  Hx Patient Hx  
  Pan Pnl  
  Panel Point in time  

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:38:16 PM
  Long Common Name: Patient history and diagnoses - transfer or discharge from agency [CMS Assessment]
  Fully Specified Name: Patient history and diagnoses - transfer or discharge from agency: -: Pt: ^Patient: -: CMS Assessment
     
  Component Word Count: 9
  ID: 91797
  # of Panel Elements: 5
  Status (Raw): ACTIVE



Selected information about each LOINC that is part of this panel



85915-7   Episode of care includes influenza vaccination season [CMS Assessment]Episode of care includes influenza vaccination season [CMS Assessment]Episode of care includes influenza vaccination season: Find: Pt: ^Patient: Ord: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Episode of care includes influenza vaccination season  Find  Pt  ^Patient  Ord  CMS Assessment
  Override Display Name for Form:  InfluenzaVaccine Data Collection Period: Does this episode of care (SOC/ROC to Transfer/Discharge) include any dates on or between October 1 and March 31?
  Long Common Name:  Episode of care includes influenza vaccination season [CMS Assessment]

TERM DEFINITION/DESCRIPTION(S)
  Episode of care (defined as SOC/ROC to Transfer/Discharge) includes any dates on or between October 1 and March 31
 
 

OBSERVATION ID IN FORM
M1041

SKIP LOGIC
If 0, go to M1051

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.63
  Last Updated in Version: 2.63
  Order vs. Obs.: Observation
  Status: Active

NORMATIVE ANSWER LIST    (LL4256-5)  
 
Source: National Institutes of Health Toolbox
  SEQ#        Answer        Score        Answer ID    
  1       No
http://snomed.info/sct ©: 373067005 No (qualifier value)    
  0       LA32-8  
  2       Yes
http://snomed.info/sct ©: 373066001 Yes (qualifier value)    
  1       LA33-6  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  86259-9 Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment]
  86264-9 Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
  88367-8 Outcome and assessment information set (OASIS) form - version D - Transfer to inpatient facility - patient discharged or not discharged [CMS Assessment]
  88371-0 Outcome and assessment information set (OASIS) form - version D - Discharged from agency [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP249825-3  Episode of care includes influenza vaccination season 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 

RELATED NAMES
  Centers for Medicare and Medicaid Assessment Point in time Screen
  EOC QL Survey
  Finding Qual  
  Findings Qualitative  
  Ordinal Random  

RELATED CODES
Code System Code Code Text Code Version
   CMS OASIS   M1041     D 
   CMS OASIS   M1041     C2 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:38:16 PM
  Long Common Name: Episode of care includes influenza vaccination season [CMS Assessment]
  Fully Specified Name: Episode of care includes influenza vaccination season: Find: Pt: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 7
  ID: 91454
  Status (Raw): ACTIVE


57208-1   Influenza vaccination received in Reporting Period [CMS Assessment]Influenza vaccination received in Reporting Period [CMS Assessment]Influenza virus vaccination received: Find: RptPeriod: ^Patient: Ord: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Influenza virus vaccination received  Find  RptPeriod  ^Patient  Ord  CMS Assessment
  Override Display Name for Form:  Influenza Vaccine Received: Did the patient receive the influenza vaccine for this year’s flu season
  Long Common Name:  Influenza vaccination received in Reporting Period [CMS Assessment]

TERM DEFINITION/DESCRIPTION(S)
  Identifies whether the patient received an influenza vaccine for this year’s flu season
 
 

OBSERVATION ID IN FORM
M1046

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.29
  Last Updated in Version: 2.64
  Order vs. Obs.: Observation
  Status: Active.
Change Reason: Updated METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Moved Survey Question text to Override Display Name for consistent modeling across CMS forms; Added "vaccination received" to the Component for consistent modeling across LOINC vaccination terms.; Added "virus" to Component to be consistent with other "Influenza virus" terms.

NORMATIVE ANSWER LIST    (LL4495-9)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Yes; received from your agency during this episode of care (SOC/ROC to Transfer/Discharge)       1       LA27623-0  
  2       Yes; received from your agency during a prior episode of care (SOC/ROC to Transfer/Discharge)       2       LA27624-8  
  3       Yes; received from another health care provider (for example, physician, pharmacist)       3       LA27625-5  
  4       No; patient offered and declined       4       LA27626-3  
  5       No; patient assessed and determined to have medical contraindication(s)       5       LA27627-1  
  6       No; not indicated - patient does not meet age/condition guidelines for influenza vaccine       6       LA27628-9  
  7       No; inability to obtain vaccine due to declared shortage       7       LA27629-7  
  8       No; patient did not receive the vaccine due to reasons other than those listed in responses 4-7.       8       LA27630-5  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code and, if applicable, override LOINC answer lists that are associated with this LOINC term in the context of that panel. Override lists are used when the panel requires a different answer list and/or answer list link type than the default answer list associated with this LOINC.
  LOINC   Long Common Name   Answer List Id Answer List Type   # of answers
  57039-0 Outcome and assessment information set (OASIS) form - version C LL780-8 NORMATIVE 3
  57193-5 Outcome and assessment information set (OASIS) form - version C - Transfer to facility LL780-8 NORMATIVE 3
  57194-3 Outcome and assessment information set (OASIS) form - version C - Discharge from agency LL780-8 NORMATIVE 3
  86259-9 Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment] LL4495-9 NORMATIVE 8
  86264-9 Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment] LL4495-9 NORMATIVE 8
  88367-8 Outcome and assessment information set (OASIS) form - version D - Transfer to inpatient facility - patient discharged or not discharged [CMS Assessment] LL4495-9 NORMATIVE 8
  88371-0 Outcome and assessment information set (OASIS) form - version D - Discharged from agency [CMS Assessment] LL4495-9 NORMATIVE 8
  

MEMBER OF THESE EQUIVALENCE GROUPS
  LG32757-3  Influenza virus

PARTS

Part Type    Part No.  Part Name   
Component   LP156336-2  Influenza virus vaccination received 
Property   LP6813-2  Find   [Finding] 
Time   LP190654-6  RptPeriod   [Reporting Period] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 

RELATED NAMES
  Centers for Medicare and Medicaid Assessment Influenza vacc received Screen
  Finding Ordinal Survey
  Findings QL  
  FLUV Qual  
  Influ Qualitative  

RELATED CODES
Code System Code Code Text Code Version
   CMS OASIS   M1046     D 
   CMS OASIS   M1046     C2 

CHANGE HISTORY
  Change Type: NAM

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:38:17 PM
  Attachment Units Required: N
  Long Common Name: Influenza vaccination received in Reporting Period [CMS Assessment]
  Fully Specified Name: Influenza virus vaccination received: Find: RptPeriod: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 4
  ID: 51839
  Status (Raw): ACTIVE


85916-5   Pneumococcal vaccination received [CMS Assessment]Pneumococcal vaccination received [CMS Assessment]Pneumococcal vaccination received: Find: Lifetime: ^Patient: Ord: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Pneumococcal vaccination received  Find  Lifetime  ^Patient  Ord  CMS Assessment
  Override Display Name for Form:  Pneumococcal Vaccine: Has the patient ever received the pneumococcal vaccination (for example, Pneumovax)?
  Long Common Name:  Pneumococcal vaccination received [CMS Assessment]

OBSERVATION ID IN FORM
M1051

SKIP LOGIC
If Yes, Go to M1501 at TRN; Go to M1230 at DC

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.63
  Last Updated in Version: 2.63
  Order vs. Obs.: Observation
  Status: Active

NORMATIVE ANSWER LIST    (LL4256-5)  
 
Source: National Institutes of Health Toolbox
  SEQ#        Answer        Score        Answer ID    
  1       No
http://snomed.info/sct ©: 373067005 No (qualifier value)    
  0       LA32-8  
  2       Yes
http://snomed.info/sct ©: 373066001 Yes (qualifier value)    
  1       LA33-6  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  86259-9 Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment]
  86264-9 Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment]
  88367-8 Outcome and assessment information set (OASIS) form - version D - Transfer to inpatient facility - patient discharged or not discharged [CMS Assessment]
  88371-0 Outcome and assessment information set (OASIS) form - version D - Discharged from agency [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP249826-1  Pneumococcal vaccination received 
Property   LP6813-2  Find   [Finding] 
Time   LP203024-7  Lifetime 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 

RELATED NAMES
  Centers for Medicare and Medicaid Assessment Ordinal Qualitative
  Finding Ql Screen
  Findings Qual Survey

RELATED CODES
Code System Code Code Text Code Version
   CMS OASIS   M1051     D 
   CMS OASIS   M1051     C2 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:38:17 PM
  Long Common Name: Pneumococcal vaccination received [CMS Assessment]
  Fully Specified Name: Pneumococcal vaccination received: Find: Lifetime: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 3
  ID: 91455
  Status (Raw): ACTIVE


45956-0   Reason pneumococcal vaccine not received [CMS Assessment]Reason pneumococcal vaccine not received [CMS Assessment]Reason pneumococcal vaccine not received: Find: Pt: ^Patient: Nom: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Reason pneumococcal vaccine not received  Find  Pt  ^Patient  Nom  CMS Assessment
  Override Display Name for Form:  Reason Pneumococcal Vaccine not received: If patient has never received the pneumococcal vaccination (for example, pneumovax), state reason
  Long Common Name:  Reason pneumococcal vaccine not received [CMS Assessment]

OBSERVATION ID IN FORM
M1056

BASIC ATTRIBUTES
  Class/Type: SURVEY.CMS/Survey
  First Released in Version: 2.17
  Last Updated in Version: 2.61
  Order vs. Obs.: Observation
  Status: Active.
Change Reason: Updated METHOD from MDS to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee.

NORMATIVE ANSWER LIST    (LL4497-5)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Offered and declined       1       LA186-9  
  2       Assessed and determined to have medical contraindication(s)       2       LA12154-3  
  3       Not indicated; patient does not meet age/condition guidelines for Pneumococcal Vaccine       3       LA27632-1  
  4       None of the above       4       LA9-3  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code and, if applicable, override LOINC answer lists that are associated with this LOINC term in the context of that panel. Override lists are used when the panel requires a different answer list and/or answer list link type than the default answer list associated with this LOINC.
  LOINC   Long Common Name   Answer List Id Answer List Type   # of answers
  45981-8 MDS full assessment form - version 2.0 LL49-8 NORMATIVE 3
  46076-6 Minimum Data Set (MDS) supplemental items section - version 2.0 LL49-8 NORMATIVE 3
  46104-6 MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update LL49-8 NORMATIVE 3
  52743-2 Continuity Assessment Record and Evaluation (CARE) tool - Acute Care LL677-6 NORMATIVE 3
  52744-0 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission LL677-6 NORMATIVE 3
  52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge LL677-6 NORMATIVE 3
  52746-5 Continuity Assessment Record and Evaluation (CARE) tool - Interim LL677-6 NORMATIVE 3
  52748-1 Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission LL677-6 NORMATIVE 3
  54580-6 Minimum Data Set - version 3.0 LL677-6 NORMATIVE 3
  86259-9 Outcome and assessment information set (OASIS) form - version C2 - Transfer To inpatient facility - patient discharged or not discharged [CMS Assessment] LL4497-5 NORMATIVE 4
  86264-9 Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment] LL4497-5 NORMATIVE 4
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL677-6 NORMATIVE 3
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment] LL677-6 NORMATIVE 3
  86871-1 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment] LL677-6 NORMATIVE 3
  86872-9 MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] LL677-6 NORMATIVE 3
  86873-7 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] LL677-6 NORMATIVE 3
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment] LL677-6 NORMATIVE 3
  88282-9 MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL677-6 NORMATIVE 3
  88283-7 MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] LL677-6 NORMATIVE 3
  88284-5 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment] LL677-6 NORMATIVE 3
  88285-2 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] LL677-6 NORMATIVE 3
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment] LL677-6 NORMATIVE 3
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment] LL677-6 NORMATIVE 3
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL677-6 NORMATIVE 3
  88367-8 Outcome and assessment information set (OASIS) form - version D - Transfer to inpatient facility - patient discharged or not discharged [CMS Assessment] LL4497-5 NORMATIVE 4
  88371-0 Outcome and assessment information set (OASIS) form - version D - Discharged from agency [CMS Assessment] LL4497-5 NORMATIVE 4
  88945-1 MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] LL677-6 NORMATIVE 3
  88946-9 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment] LL677-6 NORMATIVE 3
  88947-7 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] LL677-6 NORMATIVE 3
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment] LL677-6 NORMATIVE 3
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment] LL677-6 NORMATIVE 3
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL677-6 NORMATIVE 3
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL677-6 NORMATIVE 3
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL677-6 NORMATIVE 3
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment] LL677-6 NORMATIVE 3
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL677-6 NORMATIVE 3
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment] LL677-6 NORMATIVE 3
  90477-1 MDS v3.0 - RAI v1.17.1 - Nursing home discharge (ND) item set [CMS Assessment] LL677-6 NORMATIVE 3
  91552-0 MDS v3.0 - RAI v1.17.1 - Swing bed discharge (SD) item set [CMS Assessment] LL677-6 NORMATIVE 3
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75498-3  Reason pneumococcal vaccine not received 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 

RELATED NAMES
  Centers for Medicare and Medicaid Assessment Nominal Survey
  Finding Point in time  
  Findings Random  

RELATED CODES
Code System Code Code Text Code Version
   CMS MDS   O0300B     1.16.1 
   CMS MDS   O0300B     1.15.1 
   CMS MDS   O0300B     1.14.1 
   CMS MDS   O0300B     1.17.1 
   CMS OASIS   M1056     D 
   CMS OASIS   M1056     C2 

CHANGE HISTORY
  Change Type: MAJ

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 1:38:17 PM
  Attachment Units Required: N
  Long Common Name: Reason pneumococcal vaccine not received [CMS Assessment]
  Fully Specified Name: Reason pneumococcal vaccine not received: Find: Pt: ^Patient: Nom: CMS Assessment
     
  Component Word Count: 5
  ID: 39352
  Status (Raw): ACTIVE

3rd PARTY COPYRIGHT
  Code System: http://snomed.info/sct
  This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org. This may incur a fee in SNOMED International non-Member countries.