Date | 20260621 |
Document Version | 1.0 |
Release Status | PRODUCTION |
Release Dependency | June 2026 International Edition |
Table Of Contents
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 organisation (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.
The SNOMED CT Irish Extension - packages these components for release every month since November 2025 to be used with the latest SNOMED CT International Edition release.
The same content can be viewed online using the SNOMED CT browser, and eHealth Ireland website
Background
This document provides a summarized description of the content changes included in the June 2026 Production release of the SNOMED Clinical Terms® Managed Service Ireland Extension package.
It will also include technical notes detailing the known issues which have been identified (should any of these exist). These are content or technical issues where the root cause is understood, and the fix has been discussed and agreed, but has yet to be implemented.
This Ireland Extension package is dependent upon, and should therefore be consumed in conjunction with the SNOMED CT® June 2026 International Edition release.
Scope
This document is written for the purpose described above and is not intended to provide details of the technical specifications for SNOMED CT or encompass every change made during the release.
Content Development Activity
Summary
Content from the SNOMED CT® June 2026 International Edition release has been included, alongside additional components for use in Ireland.
This extension contains concepts, relationships and reference sets for healthcare professionals.
New and Updated Content
This is the 18th SNOMED CT Irish Edition Production release.
IE Drug Extension
Medicinal product content includes development across the SNOMED International Drug Model and the Irish Drug Extension Model. The National Drug Extension continues to be developed.
Due to the volume of content, this will occur across several releases and release notes will be updated when this work reaches stability/maintenance levels. Ahead of this, please note that content in the Irish drug extension should be considered partial against the range of medicinal products available to be used in clinical care in Ireland.
Table 1: Summary of Drug Content since last release.
Sctid | Hierarchy | New | Changed | Inactivated | Total |
373873005 | Pharmaceutical / biologic product (product) | 698 | 0 | 2 | 23614 |
362981000 | Qualifier value (qualifier value) | 69 | 0 | 0 | 5828 |
105590001 | Substance (substance) | 0 | 0 | 0 | 3 |
260787004 | Physical object (physical object) | 0 | 0 | 0 | 4158 |
IE Drug Extension Reference sets
16 IE Drug Extension refsets are included in the June release package
Refsets members carry various effectiveTimes
Corresponding refset descriptor records are added to define the refsets above
Descriptors carry the latest effectiveTime (2026-05-21)
Table 2: Summary of Reference sets for IE Drug Extension
Reference Set Name | Sctid |
|---|---|
VTM reference set | 660351000220100 |
ATM reference set | 660361000220103 |
VMP reference set | 660371000220109 |
AMP reference set | 660381000220107 |
VMPP reference set | 660391000220105 |
AMPP reference set | 660401000220107 |
Parallel Import Indicator | 679941000220100 |
EMA Medicines Under Additional Monitoring Indicator | 679961000220101 |
Non prescribable indicator | 679971000220107 |
ULM Indicator | 680761000220104 |
Discontinuation Notification Indicator | 681101000220108 |
NMPC simple map from SNOMED CT to GTIN type reference set | 680431000220102 |
NMPC simple map from SNOMED CT to ATC type reference set | 680441000220106 |
NMPC simple map from SNOMED CT to PCRS type reference set | 680461000220105 |
NMPC simple map from SNOMED CT to CE | 681031000220102 |
NMPC simple map from SNOMED CT to HPRA id type reference set | 690021000220108 |
IE Clinical Content
New and updated content
Concept statistics
The SNOMED Irish National Release Centre published 4 new concepts and 1 new reference sets for June 2026
New Reference sets
One new reference set was added to the June 2026 Irish Edition
Amyotrophic Lateral Sclerosis Ireland refset EN (PT)
Reference Set changes
Table 2.0. Reference set changes
Reference Set Name | Number of New additional concepts (existing + newly authored) | Number of Inactivation's in reference set |
|---|---|---|
Acute Floor refset Ireland: Allergies | 0 | 0 |
Acute Floor refset Ireland: Diagnosis | 0 | 0 |
Acute Floor Refset Nursing Interventions Ireland | 0 | 0 |
Acute Floor Refset Presenting Complaint | 0 | 0 |
Adult oncology daycare nursing discharge reference set Ireland | 0 | 0 |
Antimicrobial stewardship Performance Indicator Measurement System (APIMS) Data | 0 | 0 |
Amyotrophic Lateral Sclerosis Ireland refset | 286 | 0 |
Breast Check screening service reference set | 0 | 1 |
Children's health Ireland (CHI) Procedures Reference set Ireland | 1 | 18 |
Children's Health Ireland SNOMED Map To The National Institute For Cardiovascular Outcomes Research Refset Ireland | 0 | 0 |
Chronic Disease Management reference set Ireland | 0 | 0 |
Cork Kerry Community healthcare Speech Therapy Ireland | 0 | 0 |
Coronavirus reference set Ireland | 0 | 0 |
Dentistry refset Ireland | 0 | 0 |
Endoscopy Reference set Ireland | 0 | 0 |
Epilepsy reference set Ireland | 0 | 0 |
eServices Ireland Refset | 0 | 0 |
EuroHeart data Standards for ACS and PCI | 0 | 0 |
Gynaecology Discharge Summary reference set Ireland | 0 | 0 |
Health Status Questionnaire Ireland | 0 | 0 |
Ireland Nursing and Midwifery Quality Care- Metrics Dataset | 0 | 0 |
Irish National Early warning Score reference set | 0 | 0 |
Irish National Transfer Document: Residential Facilities for Older People reference set | 0 | 0 |
Lymphoedema reference set Ireland | 0 | 0 |
Make Every Contact Count Ireland Refset | 0 | 0 |
Mental State Exam Refset Ireland | 45 | 0 |
National ambulance service reference set | 0 | 0 |
National Death Register refset Ireland | 1 | 1 |
National Rehabilitation Hospital Ireland allergy nature of reaction reference set | 0 | 0 |
National Sepsis Programme Refset Ireland | 0 | 0 |
Notifiable Infectious Disease Causative Organism Register refset Ireland | 0 | 0 |
Notifiable Infectious Disease Register refset Ireland | 0 | 0 |
Patient Flow Dataset Ireland | 0 | 0 |
Public health nurse clinical caseload dataset Ireland | 0 | 0 |
Safeguarding Ireland Refset | 0 | 0 |
Table 2.1 Content Sent from Irish NRC to SNOMED International for promotion
Concepts sent from Irish NRC to SNOMED International for promotion |
7 |
Table 2.2 Content sent from Irish NRC to SNOMED International for authoring
Concepts sent from Irish NRC to SNOMED International for authoring |
4 |
Reactivations
Hierarchy | Number |
|---|---|
Ethnicity | 1 |
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.
The following known issues were identified:
Resolved Issues
Resolved Issues are those where the resolution has been discussed and agreed, and has been implemented in time for this release.
Changes since October 2025
Refset File Naming conventions
The new naming conventions for additional reference sets files have been applied to the Ireland Extension release package from the October 2025 IE Managed Service Release onwards. The new convention updates the file names to use RefsetID prefixes instead of the old human readable format, in order to improve maintainability and allow for machine reading of the file names. However, this convention will ONLY be applied to additional refsets, and not core refsets such as Language refset, Association refset, MRCM refset files, etc. (as these were considered to incur too high an impact on end users if the naming conventions were to be changed)
So, for example, in the October 2025 IE Managed Service Release the additional refset file names have changed from:
“der2_Refset_AntimicrobialStewardshipPerformanceIndicatorMeasurementSystemApimsDataSetSimpleRefsetFull_IE1000220_20250421.txt”
to:
“der2_Refset_74921000220101SimpleRefsetFull_IE1000220_20250421.txt”
The file name of the Association reference set has been aligned with the naming convention used in the International Edition. Please refer to the Terminology Release Advisory Group discussion page for details: Association Reference naming convention
“der2_cRefset_AssociationReferenceFull_IE1000220_20250421.txt”
to:
“der2_cRefset_AssociationFull_IE1000220_20250421.txt”