SNOMED CT Managed Service - Ireland Extension PRODUCTION Release Notes - February 2026

Date

20260221

Document Version

1.0

Release Status

PRODUCTION

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 April and October, 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 February 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® January 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® February 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 15th SNOMED CT Irish Edition Production release.

IE National 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)

399

0

1

20282

362981000

Qualifier value (qualifier value)

76

0

0

5412

105590001

Substance (substance)

0

0

0

11

260787004

Physical object (physical object)

0

0

0

4156

IE Clinical Content

New and updated content

Concept statistics

The SNOMED Irish National Release Centre published 0 new concepts and 0 new reference sets for February 2026

New Reference sets

No new Reference sets for February 2026

 

Reference Set changes

Table 2.0. Reference set changes

Reference Set Name

Number of New additional concepts (existing + newly authored)

Number of Inactivations 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

Breast Check screening service reference set

0

0

Children's health Ireland (CHI) Procedures Reference set Ireland

0

6

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

0

0

National ambulance service reference set

0

0

National Death Register refset Ireland

0

0

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

January 2026

Table 2.1 Content Sent from Irish NRC to SNOMED International for promotion

Concepts sent from Irish NRC to SNOMED International for promotion

0

Table 2.2 Content sent from Irish NRC to SNOMED International for authoring

Concepts sent from Irish NRC to SNOMED International for authoring

0

Reactivations

Hierarchy

Number

N/A

0

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”


Approvals

Final Version

Date

Approver

Comments

1.0

Feb 18, 2026

Theresa Barry

Approved


Draft Amendment History

Version

Date

Editor

Comments

0.1

Jan 23, 2026

Andrew Atkinson

Initial draft created

0.2

Feb 16, 2026

Andrew Atkinson

Draft updates

0.3

Feb 18, 2026

Shane Doyle

Update to stats in Table 1 Summary of Drug Content since last release.

0.9

Feb 18, 2026

Theresa Barry

Final draft

1.0

Feb 18, 2026

Theresa Barry

Final fixes to stats etc