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Date

20261115

Document Version

1.0

Release Status

PRODUCTION

Packaged With

November 2026 International Edition

© 2026 International Health Terminology Standards Development Organisation.  All rights reserved.  SNOMED CT® was originally created by the College of American Pathologists.

This document forms part of the SNOMED CT® Belgium Extension release distributed by International Health Terminology Standards Development Organisation, trading as SNOMED International, and is subject to the SNOMED CT® Affiliate License, details of which may be found at https://www.snomed.org/get-snomed

No part of this document may be reproduced or transmitted in any form or by any means, or stored in any kind of retrieval system, except by an Affiliate of SNOMED International in accordance with the SNOMED CT® Affiliate License. Any modification of this document (including without limitation the removal or modification of this notice) is prohibited without the express written permission of SNOMED International.

Any copy of this document that is not obtained directly from SNOMED International [or a Member of SNOMED International] is not controlled by SNOMED International, and may have been modified and may be out of date. Any recipient of this document who has received it by other means is encouraged to obtain a copy directly from SNOMED International [or a Member of SNOMED International. Details of the Members of SNOMED International may be found at http://www.snomed.org/members/].

Table Of Contents

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Introduction

SNOMED CT terminology provides a common language that enables a consistent way of indexing, storing, retrieving, and aggregating clinical data across specialties and sites of care.

The International Health Terminology Standards Development organization (IHTSDO®), trading as SNOMED International, maintains the SNOMED CT technical design, the content architecture, the SNOMED CT content (includes the concepts table, the descriptions table, the relationships table, a history table, and ICD mappings), and related technical documentation.

We kindly encourage all Belgian users to submit their feedback on the content of the Belgian Edition through the new Request Management Portal (see Technical Notes below for more details).  

This document provides a summarized description of the content changes included in the November 2026 Production release of the SNOMED Clinical Terms® Managed Service Belgium Edition package. It also includes technical notes detailing the potential known issues.

Content Changes Summary

This extension contains concepts, relationships and reference sets with Dutch, French and German translations.

New and Updated Content

International content in this release

This release contains 861 new and 257 inactivated concepts from the latest International Edition.

Belgian content in this release

24 new Belgian concepts were created in this release.

New translated content

  • National Language Reference Sets:

New translations have been introduced to the national language reference sets, both for concepts that had not been yet translated and for concepts that already contained translations. Some existing translations were inactivated or updated. The following table contains the total number of currently active translations for active concepts available in the current release of the three Belgian language reference sets.

FRENCH

DUTCH

GERMAN

Preferred

292,415

306,827

118,272

Acceptable

192,408

331,835

76,934

Total

484,823

638,662

195,206

% translated

75.29%

79.00%

30.45%

  • General Practitioner language reference sets: the following table contains the total number of translations included in the two Belgian GP language reference set.

FRENCH

DUTCH

Preferred

10,518

11,446

Acceptable

6,038

7,512

Total

16,556

18,958

SNOMED CT derived products  

Reference sets

The release currently contains reference sets of two types:

- Reference sets to support the implementation of SNOMED CT in electronic health record (eHR) software for clinical data entry and capture. These reference sets have a six-monthly release cycle, with updates due in May and November, in case of changes.
- Reference sets to support data interoperability (mainly subsets representing value sets stemming from Belgian FHIR profiles and represented in implementation guides). These reference sets have a monthly release cycle, in case of changes.

Please note that reference sets will not be republished unless there are changes compared to the previous version.

Updated Reference sets

The following reference sets were updated (inactive concepts were removed and replacements added if not already present OR members were added or removed):

721000172106 |Belgian GP subset (foundation metadata concept)|

130991000172100 |Belgian subset for hematology in patient health records (foundation metadata concept)|

130981000172103 |Belgian subset for infectious diseases in patient health records (foundation metadata concept)|

130971000172101 |Belgian subset for intensive care in patient health records (foundation metadata concept)|

40811000172108 |Belgian subset for medical problems in patient health records (foundation metadata concept)|

100971000172106 |Belgian subset for neonatology in patient health records (foundation metadata concept)|

100951000172104 |Belgian subset for nephrology in patient health records (foundation metadata concept)|

100941000172101 |Belgian subset for nursing in patient health records (foundation metadata concept)|

The GP Subset has been updated to include newly mapped concepts in the 3BT - SNOMED CT Simple Map package

Overview of our reference sets

Purpose

Subset

SCTID

Content

Clinical data entry

Belgian subset for medical problems in patient health records (foundation metadata concept)

40811000172108

Common disorders, findings and procedures found in general patient records.

Clinical data entry

Belgian subset for nursing in patient health records (foundation metadata concept)

100941000172101

Common disorders, findings and procedures registered by nurses.

Clinical data entry

Belgian subset for neonatology in patient health records (foundation metadata concept)

100971000172106

Common disorders and findings found in newborns.

Clinical data entry

Belgian subset for pulmonology in patient health records (foundation metadata concept)

100961000172102

Common respiratory disorders and findings.

Clinical data entry

Belgian subset for rheumatology in patient health records (foundation metadata concept)

100981000172109

Common rheumatic disorders and findings.

Clinical data entry

Belgian subset for nephrology in patient health records (foundation metadata concept)

100951000172104

Common kidney-related disorders and findings.

Clinical data entry

Belgian subset for cardiology in patient health records (foundation metadata concept)

131001000172104

Common cardiovascular disorders and findings.

Clinical data entry

Belgian subset for hematology in patient health records (foundation metadata concept)

130991000172100

Common blood disorders and symptoms.

Clinical data entry

Belgian subset for infectious diseases in patient health records (foundation metadata concept)

130981000172103

Common infectious diseases caused by different pathogens.

Clinical data entry

Belgian subset for intensive care in patient health records (foundation metadata concept)

130971000172101

Common disorders and findings diagnosed in patients in intensive care.

Clinical data entry

Belgian GP subset (foundation metadata concept)

721000172106

Common disorders, findings and procedures encountered by general practitioners in Belgium. This refset originated from a map between 3BT (Bilingual Biclassified Belgian Thesaurus) and SNOMED CT and has been enhanced thereafter.

Data interoperability (FHIR ValueSet)

Belgian subset for AllergyIntolerance, causative agent, non-drug (foundation metadata concept)

50851000172106

Common non-drug substances that cause allergies or intolerances.

Data interoperability (FHIR ValueSet)

Belgian subset for AllergyIntolerance, manifestation (foundation metadata concept)

50861000172108

Common manifestations of allergies or intolerances. Monthly release cycle.

Data interoperability (FHIR ValueSet)

Belgian subset for Vaccination (foundation metadata concept)

50831000172102

Common vaccine products used in Belgium. Monthly release cycle.

Data interoperability (FHIR ValueSet)

Belgian subset for Allergy Intolerance Causative Agent Drug Simple Refset

50841000172109

Common drugs that cause allergies or intolerances. Monthly release cycle.

Data interoperability (FHIR ValueSet)

Belgian subset for AllergyIntolerance, causative agent, drug (foundation metadata concept)

181051000172108

Exposure routes involved in allergy or intolerance

Data interoperability (FHIR ValueSet)

Belgian subset for AllergyIntoleranceNoAllergy (foundation metadata concept)

181061000172105

To indicate absence of allergy or intolerance

Data interoperability (FHIR ValueSet)

Belgian subset for AllergyIntoleranceType (foundation metadata concept)

181041000172106

Type of allergy or intolerance

Data interoperability (FHIR ValueSet)

Belgian simple reference set for translated plant materials (foundation metadata concept)

551000172106

To group plant material concepts that have been translated.

Data interoperability (FHIR ValueSet)

Belgian simple reference set for translated animal materials (foundation metadata concept)

561000172108

To group animal material concepts that have been translated.

Data interoperability (FHIR ValueSet)

Belgian simple reference set for translated edible substances (foundation metadata concept)

541000172109

To group edible substance concepts that have been translated.

Data interoperability (FHIR ValueSet)

Belgian Transversal FHIR HL7 subset for Body Laterality (foundation metadata concept)

211271000172108

Transversal subset of body laterality concepts.

Data interoperability (FHIR ValueSet)

Belgian Transversal FHIR HL7 subset for Body Location (foundation metadata concept)

211411000172101

Transversal subset of body structure concepts.

Data interoperability (FHIR ValueSet)

Belgian Transversal FHIR HL7 subset for Body Topography (foundation metadata concept)

211201000172100

Transversal subset of body topography concepts.

Data interoperability (FHIR ValueSet)

Belgian subset for Nursing Digital Referral Prescription Annex 81 Medical Problem (foundation metadata concept)

211211000172102

See Digital Referral Prescription Implementation Guide

Data interoperability (FHIR ValueSet)

Belgian subset for Nursing Digital Referral Prescription Annex 81 Nursing Diagnosis (foundation metadata concept)

211261000172104

See Digital Referral Prescription Implementation Guide

Data interoperability (FHIR ValueSet)

Belgian subset for Nursing Digital Referral Prescription Annex 81 Requested (foundation metadata concept)

211171000172104

See Digital Referral Prescription Implementation Guide

Data interoperability (FHIR ValueSet)

Belgian subset for Nursing Digital Referral Prescription Categories of Care (foundation metadata concept)

211241000172103

See Digital Referral Prescription Implementation Guide

Data interoperability (FHIR ValueSet)

Belgian subset for Nursing Digital Referral Prescription Diabetes Education Identifier (foundation metadata concept)

211221000172107

See Digital Referral Prescription Implementation Guide

Data interoperability (FHIR ValueSet)

Belgian subset for Nursing Digital Referral Prescription Educator Type (foundation metadata concept)

211181000172101

See Digital Referral Prescription Implementation Guide

Data interoperability (FHIR ValueSet)

Belgian subset for Nursing Digital Referral Prescription Nursing Care Requested (foundation metadata concept)

211281000172106

See Digital Referral Prescription Implementation Guide

Data interoperability (FHIR ValueSet)

Belgian subset for Nursing Digital Referral Prescription Nursing Prescription Technical Type (foundation metadata concept)

211291000172109

See Digital Referral Prescription Implementation Guide

Data interoperability (FHIR ValueSet)

Belgian subset for Nursing Digital Referral Prescription Parameter Type (foundation metadata concept)

211191000172103

See Digital Referral Prescription Implementation Guide

Data interoperability (FHIR ValueSet)

Belgian subset for Nursing Digital Referral Prescription Sample Substance Type (foundation metadata concept)

211251000172101

See Digital Referral Prescription Implementation Guide

Data interoperability (FHIR ValueSet)

Belgian subset for Nursing Digital Referral Prescription Body Location (foundation metadata concept)

211231000172105

See Digital Referral Prescription Implementation Guide

Content requests and submissions

Please submit all your feedback about content on SNOMED CT Belgium and all requests about new concepts and translations via our Request Management Portal through https://rmp.ihtsdotools.org.

The new site utilizes Single Sign-On (SSO). This means that once a user is logged into their SNOMED Account, they will be automatically logged into the Request Management Portal and will no longer need to sign in for each request.

If you encounter any issues logging in or using the platform, or for any other requests, please email us at terminologie@health.fgov.be or visit the Belgian Health Terminology Portal.

Via our Belgian Health Terminology Portal you can also submit batch requests using template files that you can find under Help & Contact.

Technical notes

Known Issues

Known Issues are content or technical issues where the root cause is understood, and the resolution has been discussed and agreed but has yet to be implemented.  This can be due to a number of reasons, from lack of capacity within the current editing cycle, to the risk of impact to the stability of SNOMED CT if the fix were to be deployed at that stage in the Product lifecycle.  

For the SNOMED CT Managed Service - Belgium Extension Release, the following Known Issues were identified, and agreed to be resolved in the next editing cycle.

KeyDescription
ISRS-7752

Two active descriptions in the same hierarchy should not share the same term, unless the language is different.
\nTotal number of failures: 1376
\nReport URL: https://prod-rvf.ihtsdotools.org/api/result/1793979236644?storageLocation=be/snomed_ct_be_releases/2026-11-06T15:16:10/1793979236644
\nFirst 10 failures:

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    \n\t
  • {
    \n\t\"conceptId\": \"440695003\",
    \n\t\"conceptFsn\": \"Plain X-ray of midfoot (procedure)\",
    \n\t\"detail\": \"Term already exists within this hierarchy on concept 241079008. Two descriptions in the same hierarchy may only have the same term if they have different language codes or if one description or concept is inactive.\",
    \n\t\"componentId\": \"15235051000172118\",
    \n\t\"fullComponent\": \"1,11000172109,440695003,nl,900000000000013009,röntgenfoto van metatarsus,900000000000448009...\"
    \n}
    • \n\t
  • {
    \n\t\"conceptId\": \"17173007\",
    \n\t\"conceptFsn\": \"Excessive thirst (finding)\",
    \n\t\"detail\": \"Term already exists within this hierarchy on concept 249480002. Two descriptions in the same hierarchy may only have the same term if they have different language codes or if one description or concept is inactive.\",
    \n\t\"componentId\": \"8545481000172119\",
    \n\t\"fullComponent\": \"1,11000172109,17173007,fr,900000000000013009,polydipsie,900000000000448009...\"
    \n}
    • \n\t
  • {
    \n\t\"conceptId\": \"24630008\",
    \n\t\"conceptFsn\": \"Listeria meningoencephalitis (disorder)\",
    \n\t\"detail\": \"Term already exists within this hierarchy on concept 240393003. Two descriptions in the same hierarchy may only have the same term if they have different language codes or if one description or concept is inactive.\",
    \n\t\"componentId\": \"14056801000172116\",
    \n\t\"fullComponent\": \"1,11000172109,24630008,fr,900000000000013009,encéphalite au cours d'une listériose,900000000000448009...\"
    \n}
    • \n\t
  • {
    \n\t\"conceptId\": \"260030003\",
    \n\t\"conceptFsn\": \"Daltonism (disorder)\",
    \n\t\"detail\": \"Term already exists within this hierarchy on concept 193683001. Two descriptions in the same hierarchy may only have the same term if they have different language codes or if one description or concept is inactive.\",
    \n\t\"componentId\": \"1903211000172115\",
    \n\t\"fullComponent\": \"1,11000172109,260030003,nl,900000000000013009,daltonisme,900000000000448009...\"
    \n}
    • \n\t
  • {
    \n\t\"conceptId\": \"112401000119106\",
    \n\t\"conceptFsn\": \"Lesion of conjunctiva (disorder)\",
    \n\t\"detail\": \"Term already exists within this hierarchy on concept 231863008. Two descriptions in the same hierarchy may only have the same term if they have different language codes or if one description or concept is inactive.\",
    \n\t\"componentId\": \"11313611000172111\",
    \n\t\"fullComponent\": \"1,11000172109,112401000119106,fr,900000000000013009,lésion de la conjonctive,900000000000448009...\"
    \n}
    • \n\t
  • {
    \n\t\"conceptId\": \"300935003\",
    \n\t\"conceptFsn\": \"Excoriation of anal skin (disorder)\",
    \n\t\"detail\": \"Term already exists within this hierarchy on concept 1287517005. Two descriptions in the same hierarchy may only have the same term if they have different language codes or if one description or concept is inactive.\",
    \n\t\"componentId\": \"4696341000172114\",
    \n\t\"fullComponent\": \"1,11000172109,300935003,nl,900000000000013009,schaafwond van huid van anus,900000000000448009...\"
    \n}
    • \n\t
  • {
    \n\t\"conceptId\": \"1290088001\",
    \n\t\"conceptFsn\": \"Neuroendocrine neoplasm of large intestine (disorder)\",
    \n\t\"detail\": \"Term already exists within this hierarchy on concept 1290083005. Two descriptions in the same hierarchy may only have the same term if they have different language codes or if one description or concept is inactive.\",
    \n\t\"componentId\": \"17660041000172118\",
    \n\t\"fullComponent\": \"1,11000172109,1290088001,nl,900000000000013009,neuro-endocrien neoplasma van ileum,900000000000448009...\"
    \n}
    • \n\t
  • {
    \n\t\"conceptId\": \"367423000\",
    \n\t\"conceptFsn\": \"Contusion of eye (disorder)\",
    \n\t\"detail\": \"Term already exists within this hierarchy on concept 7927006. Two descriptions in the same hierarchy may only have the same term if they have different language codes or if one description or concept is inactive.\",
    \n\t\"componentId\": \"1890201000172118\",
    \n\t\"fullComponent\": \"1,11000172109,367423000,nl,900000000000013009,brilhematoom,900000000000448009...\"
    \n}
    • \n\t
  • {
    \n\t\"conceptId\": \"162068007\",
    \n\t\"conceptFsn\": \"Abdominal distension symptom (finding)\",
    \n\t\"detail\": \"Term already exists within this hierarchy on concept 116289008. Two descriptions in the same hierarchy may only have the same term if they have different language codes or if one description or concept is inactive.\",
    \n\t\"componentId\": \"6043451000172119\",
    \n\t\"fullComponent\": \"1,11000172109,162068007,fr,900000000000013009,ballonnement abdominal,900000000000448009...\"
    \n}
    • \n\t
  • {
    \n\t\"conceptId\": \"17818006\",
    \n\t\"conceptFsn\": \"Leri-Weill dyschondrosteosis (disorder)\",
    \n\t\"detail\": \"Term already exists within this hierarchy on concept 38494008. Two descriptions in the same hierarchy may only have the same term if they have different language codes or if one description or concept is inactive.\",
    \n\t\"componentId\": \"931391000172113\",
    \n\t\"fullComponent\": \"1,11000172109,17818006,nl,900000000000013009,Léri-Weill-dyschondrosteose,900000000000017005...\"
    \n}
    • \n
\n\n\n

KNOWN ISSUE: The BE NRC confirmed that these duplicate terms (translations) have been identified and will be resolved in future releases. Some duplicate terms are caused by ambiguous concepts and will require upstream content changes and further discussion with the Translation User Group.

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Approvals

Final Version

Date

Approver

Comments

1.0

Beau De Clercq

Approved

1.0

9 nov 2026

David Op de Beeck

Approved

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Draft Amendment History

Version

Date

Editor

Comments

0.1

Andrew Atkinson

Initial draft created

0.2

Leong Hui Wong

Draft updates

1.0

Beau De Clercq

Final updates

1.0

David Op de Beeck

Approved

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