2026 Early Visibility Release Notifications
This page provides information on planned changes to upcoming SNOMED International Release packages in three sections:
EARLY VISIBILITY OF PROPOSED CONTENT CHANGES (with provisional release date)
EARLY VISIBILITY OF PUBLISHED CHANGES (with confirmed release date)
GENERAL INFORMATION
Please submit any feedback relating to the items below to info@snomed.org
PLEASE NOTE, YOU MAY HAVE TO REGISTER FOR A USER ACCOUNT IN ORDER TO ACCESS THE LINKS TO DOCUMENTS REFERENCED BELOW PLEASE CONTACT info@snomed.org |
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2026 Proposed Content Changes
Items | Hierarchy/Topic | EARLY VISIBILITY OF PROPOSED CONTENT CHANGES | Planned Release timing (*this is provisional only and is subject to change) |
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1. | Clinical Finding | Inactivation of Complication Disorder Concepts The inactivation of concepts that reference “complication” without specifying the nature of the complication is ongoing. | 2026 International Releases
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2. | Procedure | Review 48537004 |Bypass graft (procedure)| A review of the 48537004 |Bypass graft (procedure)| hierarchy is in progress, the focus is on:
| Q3 2026 International Release
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3. | Procedure | Review of 129376004 |Construction - action (qualifier value)| 129376004 |Construction - action (qualifier value)| is a subtype of 257903006 |Repair - action (qualifier value) and sibling of 129377008 |Reconstruction - action (qualifier value)|. Because some concepts modeled with 129376004 |Construction - action (qualifier value)| as target value concept for 260686004 |Method (attribute)| may not be considered a reparative procedure, a review of the 129376004 |Construction - action (qualifier value) and 410614008 |Construction (procedure)| hierarchies is being undertaken. Expected outcomes may be the classification of 129376004 |Construction - action (qualifier value)| directly under 129284003 |Surgical action (qualifier value)| and the creation of new actions that better define the differences between reparative and construction procedures. | 2026 International Releases |
4. | Association Relationships File | Additional Relationships The new "additional relationships" take the same form as the inferred relationships and can be stored in the same format in the RF2 package. Modeling Advisory Group (MAG) recommends that extensions can use the existing relationship files or create new relationship files for them. By default, there is a single file for each component (1 concept file, 1 relationships file, 1 simple refset file, etc.). Edition and extension publishers can decide to split the content of any of those files for business reasons while following the naming convention. The new attributes should be placed under 1295449009 |Additional relationship attribute (attribute)|. The concept 900000000000227009 |Additional relationship (core metadata concept)| should be assigned to characteristicTypeId in the relationship files. | To be determined - 2026 International Releases |
5. | Description Update | Inactivation and Replacement of Concepts Using "Arm" and "Leg" in the FSN Concepts that use "arm" or "leg" without qualification are ambiguous, as the anatomical site may be misinterpreted. Work has commenced on updating Disorder content. Following this, Finding and Procedure content will be managed as resourcing permits. | 2026 International Releases
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6. | Clinical Finding Morphologic Abnormality Procedure Situation with Explicit Context | Remodel 128928004 |Neuroendocrine neoplasm (morphologic abnormality)| and Subtypes 128928004 |Neuroendocrine neoplasm (morphologic abnormality)| its subtypes and related concepts in other hierarchies will be revised to align with the 5th edition of the WHO Blue Book chapter on Endocrine and Neuroendocrine Tumours as well as to SNOMED CT editorial guidance as part of the Histology Content Quality Group Please see “Neuroendocrine neoplasms (NEN) - PART 2” here for more information about these changes. Please see the Histology Content Quality Group site here for more information about the groups’ mission. | Q3 2026 International Release |
7. | ICD-O | Planned Deprecation of the SNOMED CT - ICD-O version 3.1 Morphological and Topography Maps Please see briefing note here. | 2026 International Release |
8. | Clinical Finding | Changes to Hierarchy 198609003|Complication of pregnancy, childbirth and/or puerperium (disorder)| A briefing note documenting the proposed changes for the hierarchy 198609003|Complication of pregnancy, childbirth and/or puerperium (disorder)| and descendants was shared with key stakeholders in May 2025. Feedback was received from a wide range of stakeholders. The model for 198609003|Complication of pregnancy, childbirth and/or puerperium (disorder)| and subtypes will be updated in the international edition of SNOMED CT. The model will employ the attribute 246454002 |Occurrence (attribute)| with a value of 307159006|Pregnancy time period (qualifier value)| or a subtype. This work will aim to clarify the meaning of existing content by modeling concepts with either a maternal or fetal temporal period (and rarely both maternal and fetal). The work will also inactivate a small number of supertype concepts such as 198609003|Complication of pregnancy, childbirth and/or puerperium (disorder)| and 362972006 |Disorder of labor / delivery (disorder)|) and utilize semantically clearer alternatives for example 1269083008 |Fetal intrapartum disorder and/or maternal disorder during intrapartum period| and 1269075002 |Maternal disorder during intrapartum period|. | Q3 2026 International Release |
9. | Clinical Finding and Procedure | Planned Inactivation of Subtypes of 367570001|Fetal part (body structure) The concept model for fetal procedures and findings has been updated in the international edition of SNOMED CT. The model employs the attribute 246454002 |Occurrence (attribute)| with the value 303112003 |Fetal period (qualifier value)| and its subconcepts for modeling purposes. Finding and procedure sites have been revised to utilize canonical or morphological structures (excluding unique fetal structures) such as persistent or malformed structures. For example, concepts modeled with site 'fetal head structure' have had site replaced by 'head structure' in combination with 'fetal period' occurrence. The 106 descendants of 367570001|Fetal part (body structure)| are currently under review. Non-unique fetal parts, such as ‘fetal head’, will be inactivated from the anatomy hierarchy. A briefing note will be published before the inactivation of anatomy content. National extensions should update the model for fetal findings and procedures to ensure consistent classification. If any subconcepts of 367570001|Fetal part (body structure)| are required for other use cases, please submit this information to info@snomed.org | 2026 International Releases |
10. | Organism | Review of 409793007|Antimicrobial resistant bacteria (organism)| and Descendants 409793007|Antimicrobial resistant bacteria (organism)| and descendants will be reviewed and content corrections made as appropriate. The review will focus on:
| 2026 International Releases |
11. | Disorder | Mental Health Project Group to Review Disorder Content For further information please see here. | 2026 International Releases |
12. | New Attribute | Proposal to Create New Attribute to Link Substance Hierarchy to Organism Hierarchy Feedback is required on the level of support from the SNOMED community for the launch of a project – for further details please see this briefing note. |
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13. | Physical Object | Proposed Changes to 706437002 |Container (physical object)| and MRCM Please see this briefing note. | 2026 International Releases |
14. | Disorder | Proposed Update for 91302008 |Sepsis (disorder)| and Descendants A review of “sepsis caused by organism” concepts is underway. Please see this updated briefing note. The proposed changes include:
These changes are expected to improve subtype classification consistency, particularly for bacterial and viral sepsis concepts, while aligning terminology content with current clinical guidance. | Q3 - Q4 2026 International Release |
15. | Morphologic Abnormality Disorder | Use of ‘Tumor’ in Morphology and Disorder Concepts Work is underway to review and address inconsistencies in the use of the term ‘tumor’ in SNOMED CT disorder concepts. | Q3 2026 International Release |
16. | Clinical Finding | Revision of Requested, Done, Received, Planned Concepts Work is underway to address inconsistent modelling of request- and workflow-related content currently represented under Clinical finding. Concepts representing requested procedures (e.g. domiciliary visit requested) are valid but will be aligned to the Situation with explicit context hierarchy. In contrast, concepts representing event status (e.g. done, received) reflect outdated naming patterns that are no longer accepted, and along with report status concepts represent administrative workflow rather than clinical meaning and will be inactivated.
This work improves alignment with editorial policy and ensures appropriate separation of clinical meaning from administrative processes. | Q3 2026 International Release |
17. | Observable Entity | LOINC Observable Entity Content Promotion Observable entity concepts from the LOINC Ontology will be promoted to the International Release of SNOMED CT when needed to define clinical findings or when meeting the guidelines outlined in “Appendix C: Process for Addition of Observable Entity Content” of the Customer Guidance for Requesting Changes to SNOMED CT.
| Beginning June 2026 International Release |
18. | Cell Structure | Addition of Human Gene Content Human genes and their associated chromosome bands are being added to the International release of SNOMED CT in accordance with the specifications outlined in the briefing note circulated to the SNOMED Community. HGNC-approved names and symbols — along with previously used and alias symbols — are also being incorporated into gene concepts. Gene additions will be prioritized based on known use cases, beginning with those required to support the ongoing development of the LOINC extension. Future use cases include support for molecular diagnostic findings and genetic disease modeling. Given the large number of genes involved, additions will be phased across multiple releases.
| 2026 International Releases |
19. | Project Group | Formation of Radiology Project Group Please see announcement here. | 2026 - 2027 International Releases |
20. | Deprecation Notice | Notice of Deprecation - Concept Non Current Indicators International Edition 20270101 All existing (inactive) Concept Non Current Indicators will be removed from both Full and Snapshot files in the International release package, from the January 2027 release onwards. A new package will be created and added to the “Deprecated” folder in MLDS, containing the final state of all Concept Non Current Indicator records. For further information please see here. | January 2027 International Release |
21. | Qualifer Value | Promotion of 685451010000100 |Measurement property (qualifier value) 685451010000100 |Measurement property (qualifier value)| is planned for promotion from the LOINC Extension to the International Release (IR). The subtype-supertype relationships of this concept in the LOINC Extension will also be promoted to the IR, e.g., 118594004 |Quantity concentration (property) (qualifier value)| Is a 685451010000100 |Measurement property (qualifier value)|. Some updates to the modeling of observable entity content is expected. | August 2026 International Release |
22. | Observable Entity | Improvements in Laboratory Content Incremental improvements in the laboratory content in the observable entity hierarchy will be made starting with the June 2026 release, including:
This will support the correct classification of current content as well as content being promoted from the LOINC Extension, and assist in modeling the measurement findings being added for the HPO Collaborative Project. | Beginning June 2026 and continuing in future International Releases |
23. | Procedure | Review 423827005 |Endoscopy (procedure)| A review of the 423827005 |Endoscopy (procedure)| hierarchy is ongoing. Changes will reflect the agreements made within the Editorial Advisory Group:
| Q4 2026 International Release |
24. | Qualifier Value | Inactivation of 118582008 |Percent (property) (qualifier value)| 118582008 |Percent (property) (qualifier value)| will be inactivated because percent is a unit rather than a property. Thirteen observable entity concepts in the International Edition modeled with Property (attribute) and value 118582008 |Percent (property) (qualifier value)| will be remodeled to include Property (attribute) with value <<118596002 |Quantity fraction (property) (qualifier value)| and Units (attribute) with value 415067009 |Percentage unit (qualifier value)|. | September 2026 International Release |
25. | Clinical Finding | Revision of Nursing Findings Modeling and Descriptions A review of approximately 300 nursing-related clinical finding concepts is underway to improve consistency of descriptions, synonym usage, and modeling for concepts containing terms such as “disability”, “reduced”, “limited”, and “limitation”. This work is part of this content tracker. The proposed changes include:
The work aims to improve semantic clarity, support consistent terminology modeling, and better align disability concepts with international definitions and clinical usage. | Q3 - Q4 2026 International Release
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26. | Disorder | Review 46742003 |Skin ulcer (disorder) and Descendants Based on a member inquiry and a subsequent review of subtypes of 46742003 |Skin ulcer (disorder)|, modeling inconsistency has been identified in the assignment of finding sites to ulcer concepts on external body surfaces i.e.. skin-bearing parts of the body. This affects over 800 concepts and requires a coordinated editorial decision before remediation can proceed. The work item addressed inconsistencies in modeling ulcer finding sites, particularly whether ulcers on skin-bearing regions should be classified as "Ulcer of X" or "Ulcer of skin of X," focusing on standardizing terminology and structure. | 2026 International Releases |
27. | Procedure, Observable entity, Clinical Finding | Revision of Content with “Serologic” or “Serology” in FSN Content that includes “serologic” or “serology” in the FSN will be revised and/or inactivated as this is out of alignment with the editorial guidelines. This work will be carried out for this content tracker. For further information please see this briefing note. | Q3 2026 International Release |
2026 Published Content Changes With Confirmed Release Date
Item | Hierarchy | MOVED FROM PROPOSED CHANGES TO PUBLISHED CHANGES | Confirmed Release Date |
|---|---|---|---|
1. | Deprecation | Notice of Deprecation - Concept Non Current Indicators Concept Non Current (CNC) indicators will be deprecated in the January 2026 International Edition of SNOMED CT. The plan is to stop adding these indicators to active descriptions when the concept they are attached to is made inactive. Additionally, all currently active CNC indicators will be made inactive. They will be left in place as inactive components. This deprecation is not expected to have any impact on existing SNOMED CT implementations but will instead simplify the product and reduce associated maintenance costs. | January 2026 International Release |
| Deprecation | Notice of Deprecation - Concept Non Current Indicators Following on from the first stage of the Deprecation plan in January 2026 (please see above), the next phase will be implemented in January 2027. The plan will be to completely remove the CNC indicators from the January 2027 International Edition release package. They will then be stored in an archived package in MLDS. | January 2027 International Release |
2. | Situation with Explicit Context | Proposed Inactivation of <<443938003|Procedure carried out on subject (situation)| Please see here Update 30 October 2025 After consultation and review of the feedback received, these concepts will not be inactivated but instead remodeled to define them with their procedure hierarchy counterparts. | January 2026 International Release |
3. | Clinical Finding | Remodeling of Cirrhosis Disorder Concepts (~60 concepts) The cirrhosis disorder concepts (~60) are currently modeled with two role groups:
A new concept "Cirrhosis (morphologic abnormality)" will be created as a subtype of 64770007 |Nodular regeneration (morphologic abnormality) and 57977008 |Chronic fibrosis (morphologic abnormality)|. This new concept will be used to remodel these disorder concepts, resulting in only one role group: 363698007 |Finding site (attribute)| with value 10200004 |Liver structure (body structure)| and 116676008 |Associated morphology (attribute)| with value new concept|Cirrhosis (morphologic abnormality). | January 2026 International Release |
4. | Qualifier Value | Rationalization of Units of Measure Concepts A proposal originated from a DEUSG member (UK) and was presented and discussed at DEUSG between July and September 2025. Support was expressed by DEUSG members for rationalization of two overlapping sub-hierarchies:
The current drug model only uses Unit of presentation to model Clinical Drug concepts. Please see this informational briefing note. | January 2026 International Release |
5. | Procedure | Change to Angiography Procedure Hierarchy As part of ongoing quality improvement work within the angiography procedure hierarchy, the concept 446030004 | Angiography using contrast (procedure) |has been reviewed and will be corrected. The FSN of this concept does not specify arterial or venous angiography. However, the concept includes the synonym “Arteriography”, and procedure site 51114001 | Arterial structure (body structure) which is incorrect. The modeling of 446030004 | Angiography using contrast (procedure) | will be updated to the more general 59820001 | Blood vessel structure (body structure) | to accurately reflect the FSN. The synonym “Arteriography” will be inactivated from this concept. A new arterial-specific concept will be added - Angiography of artery using contrast (procedure), to provide an explicit parent for arterial angiography procedures. As a result of these changes, 446030004 | Angiography using contrast (procedure) | will subsumes a broader set of angiography procedures (increase from 599 to 1065 descendants). The new concept - Angiography of artery using contrast (procedure) | will subsume 599 arterial angiography procedures previously inferred under the general concept. This change clarifies the distinction between angiography and arterial-specific angiography and supports more accurate querying and analytics. | January 2026 International Release |
6. | Procedure | Add Procedure Approach to Model when Specified in the FSN Concepts in the procedure hierarchy that could be modeled by 116688005 |Procedure approach (attribute)| will be updated to include the attribute with an appropriate value. | February 2026 International Release |
7. | Content Improvement | Updates to the Inactivation Reason and Historical Association for 'On Examination' and 'Complaining of' Inactive Content Many of the 'on examination' and 'complaining of' concepts were previously inactivated with the inactivation reason of |Moved elsewhere| with a historical association value |Extension Namespace 1000000|. This content will be updated with an inactivation reason of |Non-conformance to editorial policy| and a historical association of |Alternative| to a suitable international concept. | March 2026 International Release |
8. | Clinical Finding | Review 408574004|Imaging result abnormal (finding)| and 408573005|Imaging result normal (finding)| and Descendants These concepts are clinical findings and align with the editorial guide i.e. normal/abnormal observations, judgments, or assessments of patients. A finding site will be added to the concepts where appropriate (and not currently stated) so that the concepts classify as a subtype of the ‘finding of X anatomic structure’ concept where published. For example
This will improve consistency and subsumption of the content as each concept will classify under the appropriate ‘Finding of body structure X’ parent where one is published. This work is being undertaken to complete content tracker IHTSDO-101. | March 2026 International Release |
9. | Disorder | Review of 43275000 |Otitis (disorder)| and Descendants (298 concepts) Work is being undertaken to complete content tracker IHTSDO-773. Planned updates include:
| March 2026 International Release |
10. | Clinical finding | Inactivation of 86569001 |Postpartum state (finding)| and Subtypes Concepts representing postpartum days lack a universally accepted definition that applies across all jurisdictions. 86569001|Postpartum state (finding)| and subtypes referring to days (e.g. 30118000|Postpartum period, 1 day (finding)|) will be inactivated and will be replaced with concepts that specify the time in hours. The following concepts will also be inactivated: 16538005|Early postpartum state (finding)| 42814007|Mid postpartum state (finding)| 56026007|Late postpartum state (finding)| The meaning of these concepts varies based on the jurisdiction and context, often depending on whether a calendar-day or an elapsed-time convention is employed. For instance, "Day one" is subject to different interpretations; while the most common clinical understanding is the first 24 hours after birth, some settings or jurisdictions use "Postpartum Day 0" when the birth occurs later in the calendar day. | March 2026 International Release |
11. | Product | Update of Case Significance of Descriptions for Drug Related Content Please see this informational briefing note for further details. | April 2026 International Release |
12. | Procedure | Inactivation of Attention to <device> (procedure) Concepts Approximately 80 procedure concepts with 'attention to' in the descriptions will be inactivated with reason ‘Nonconformance to editorial policy’ because they do not comply with the precoordination pattern here. 360147003 |Attention - action (qualifier value)| will also be inactivated. | April 2026 International Release |
13. | Procedure | Stoma/Ostomy Care Procedures Improvement in a small area of content related to stoma/ostomy care procedures. These changes include inactivation of << 1287775006 |Attention to stoma (procedure)| with reason ambiguous together with a review of <<385712009 |Ostomy care (regime/therapy)| and << 225194008 |Stoma care procedure (regime/therapy)| as the terms stoma and ostomy are used interchangeably when relating to care procedures. | April 2026 International Release |
14. | Historical Association | Update Inactive Concepts – WAS_A 224 concepts inactivated using the WAS_A inactivation reason are under review. The inactivation reason will be updated to one of the current allowed reasons, and the historical association value will also be updated where needed. | May 2026 International Release |
15. | Organism Clinical Finding |