Date | 20260215 |
Document Version | 1.0 |
Release Status | production |
Release Dependency | February 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 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 February 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 493 new and 69 inactivated concepts from the latest international edition.
Belgian content in this release
Concepts
28 New Belgian concepts were created and 3 were inactivated.
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 available in the present version of the Belgian language reference sets:
Preferred | Acceptable | Total | |
DUTCH | 313840 | 336890 | 650730 |
FRENCH | 271950 | 165613 | 437563 |
GERMAN | 41838 | 13432 | 55270 |
TOTAL | 627628 | 515935 | 1143563 |
General Practitioner language reference sets: the following table contains the total number of translations included in the GP language reference set:
Preferred | Acceptable | Total | |
DUTCH | 11676 | 6154 | 17830 |
FRENCH | 10715 | 5138 | 15853 |
TOTAL | 22391 | 11292 | 33683 |
SNOMED CT derived products
Reference sets
The release currently contains reference sets that serve one of the following 2 purposes :
- Reference sets to support the implementation of SNOMED CT in eHR software for clinical data entry/capture. These reference sets have a six-monthly release cycle.
- Reference sets to support data interoperability (mainly subsets representing value lists of BE FHIR profiles required by the Care Sets). These reference sets have a monthly release cycle.
New Reference sets
The following reference sets were added for this release:
Belgian Transversal FHIR HL7 subset for Body Laterality (foundation metadata concept) | 211271000172108 |
Belgian Transversal FHIR HL7 subset for Body Location (foundation metadata concept) | 211231000172105 |
Belgian Transversal FHIR HL7 subset for Body Topography (foundation metadata concept) | 211201000172100 |
Belgian subset for Nursing Digital Referral Prescription Annex 81 Medical Problem (foundation metadata concept) | 211211000172102 |
Belgian subset for Nursing Digital Referral Prescription Annex 81 Nursing Diagnosis (foundation metadata concept) | 211261000172104 |
Belgian subset for Nursing Digital Referral Prescription Annex 81 Requested (foundation metadata concept) | 211171000172104 |
Belgian subset for Nursing Digital Referral Prescription Categories of Care (foundation metadata concept) | 211241000172103 |
Belgian subset for Nursing Digital Referral Prescription Diabetes Education Identifier (foundation metadata concept) | 211221000172107 |
Belgian subset for Nursing Digital Referral Prescription Educator Type (foundation metadata concept) | 211181000172101 |
Belgian subset for Nursing Digital Referral Prescription Nursing Care Requested (foundation metadata concept) | 211281000172106 |
Belgian subset for Nursing Digital Referral Prescription Nursing Prescription Technical Type (foundation metadata concept) | 211291000172109 |
Belgian subset for Nursing Digital Referral Prescription Parameter Type (foundation metadata concept) | 211191000172103 |
Belgian subset for Nursing Digital Referral Prescription Sample Substance Type (foundation metadata concept) | 211251000172101 |
Updated Reference sets
The following reference sets were updated (inactive concepts were removed and replacements added if not already present):
50831000172102 Belgian subset for Vaccination (foundation metadata concept)
50841000172109 Belgian subset for AllergyIntolerance, causative agent, drug (foundation metadata concept)
A new version of a reference set is only published when there is a change compared to the previous version. Reference sets that do not require an update (meaning having no delta) are not republished despite their release cycle.
Summary of the different existing refsets and their purpose:
Purpose | Subset | SCTID | Content |
Clinical data entry | Belgian subset for medical problems in patient health records refset | 40811000172108 | Common disorders, findings and procedures found in general patient records. |
Clinical data entry | Subset For Nursing In Patient Health Records Simple Refset | 100941000172101 | Common disorders, findings and procedures registered by nurses. |
Clinical data entry | Subset For Neonatology In Patient Health Records Simple Refset | 100971000172106 | Common disorders and findings found in newborns. |
Clinical data entry | Subset For Pulmonology In Patient Health Records Simple Refset | 100961000172102 | Common respiratory disorders and findings. |
Clinical data entry | Subset For Rheumatology In Patient Health Records Simple Refset | 100981000172109 | Common rheumatic disorders and findings. |
Clinical data entry | Subset For Nephrology In Patient Health Records Simple Refset | 100951000172104 | Common kidney-related disorders and findings. |
Clinical data entry | Subset For Cardiology In Patient Health Records Simple Refset | 131001000172104 | Common cardiovascular disorders and findings. |
Clinical data entry | Subset For Hematology In Patient Health Records Simple Refset | 130991000172100 | Common blood disorders and symptoms. |
Clinical data entry | Subset For Infectious Diseases In Patient Health Records Simple Refset | 130981000172103 | Common infectious diseases caused by different pathogens. |
Clinical data entry | Subset For Intensive Care In Patient Health Records Simple Refset | 130971000172101 | Common disorders and findings diagnosed in patients in intensive care. |
Clinical data entry | Belgian GP Subset | 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 Allergy Intolerance Causative Agent Non-Drug Simple Refset | 50851000172106 | Common non-drug substances that cause allergies or intolerances. |
Data interoperability (FHIR ValueSet) | Belgian subset for Allergy Intolerance Manifestation Simple Refset files | 50861000172108 | Common manifestations of allergies or intolerances. Monthly release cycle. |
Data interoperability (FHIR ValueSet) | Belgian subset for Vaccination Simple Refset | 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 Allergy Intolerance Exposure Route Simple Refset | 181051000172108 | Exposure routes involved in allergy or intolerance |
Data interoperability (FHIR ValueSet) | Belgian subset for Allergy Intolerance No Allergy Simple Refset | 181061000172105 | To indicate absence of allergy or intolerance |
Data interoperability (FHIR ValueSet) | Belgian subset for Allergy Intolerance Type Simple Refset | 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) | 211231000172105 | 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 |
Technical notes
Request Management Platform
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. Please note that this is a new URL and it is different from the old one (rmp.snomedtools.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, please contact us immediately on terminologie@health.fgov.be.
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.
Technical notes
Notice of changes to the BE Edition Release package
In line with the refined implementation of Annotations, we are updating all Extensions in order to align them with the updated version of the refsets in the International Edition Release package (which were first published in June 2024).
The languageCode field was specified as the two characters of ISO-639-1 code for the language of the annotation text. The change includes support for specifying dialect when it is applicable by adhering to RFC 5646, which allows the combination of two characters of ISO 639-1 code and two uppercase letters of country code (ISO 3166) separated by a hyphen. The changes apply to both the Member Annotations String Value Reference Set + Component Annotation String Value reference set:
The column "languageCode" has therefore been changed to "languageDialectCode".
Component Annotations (1292992004)
OLD: id effectiveTime active moduleId refsetId referencedComponentId languageCode typeId value
NEW: id effectiveTime active moduleId refsetId referencedComponentId languageDialectCode typeId value
Member Annotations (1292995002)
OLD: id effectiveTime active moduleId refsetId referencedComponentId referencedMemberId languageCode typeId value
NEW: id effectiveTime active moduleId refsetId referencedComponentId referencedMemberId languageDialectCode typeId value