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Service Level Agreement for International CRS

• Content Request Service Documentation is here

• Early visibility for 2025 proposed content changes is here

• Customer Guidance for requesting content changes via CRS is here

• Submission dates for CRS are

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The International SNOMED CT Content Request Service (CRS) is located here: http://snomed.org/crs.

The US SNOMED CT Content Request Service (USCRS) guide is located in the last pages of this guide: https://github.com/SNOMED-Documents/snomed-crs-guide/blob/main/how-to.../broken-reference/README.md

System requirements for using CRS & USCRS

In order to use both CRS and USCRS, it is strongly recommended to use Google Chrome and a reliable internet connection. No other software needs to be installed on your computer in order to use CRS.

Who May Access International CRS?

An authorized requester to the International CRS is usually a named individual from a national release center, a user from a member country who does not have access to a national release center or individuals from international groups who have been identified as providing specialist content.

How to get into CRS & USCRS?

Both CRS & USCRS uses the Identity Management Service (IMS) to manage credentials. You can use your existing login name and password that you use for Confluence (if applicable). If you do not have account, please follow the instructions below.

If you already have an account to access SNOMED International's Confluence, you will be able to access CRS with your existing account credentials, although you will still need to request access to be able to log in to CRS.

If you do not have an account, or find that you do not have access, please fill in the following form to request access: Confluence User Accounts.

Should you still have any difficulty, please contact us by sending an email to .

Figure 1a. Once logged in through IMS, you are automatically logged in to the CRS. Choose the CRS from the list of IHTSDO tools and you will be redirected to your CRS dashboard.

Figure 1a

Audience

Applicable to users responsible for managing content requests. See also: for task status meaning

From CRS Dashboard , in Submitted Requests (1) , select a request which has status is New (2) to go to request details page.|

Figure 1: The Submitted Requests screen select Accept Request (1) button to accept a request, then you will be redirected to CRS Dashboard

From CRS Dashboard , in Submitted Requests

If there is any change which related to your submitted requests such as status changed, new comment added, batch importing completed, then CRS will inform you via its notification feature.

from any page of CRS you will see the icon

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CRS will only notify a user about new comments/feedback/questions/answers added if it provided in CRS. For comments which come from out side of CRS such as JIRA, theuser will not get any notification. Please note this is in addition to email notifications. The system will also send an email notification for new comments, feedback, and Q&A.

Provide Feedback

Please go to , where you will be asked to log in.

What mode should I use?

In Simple Mode , a user can create a request to perform a single action on one concept:

• create a new Concept

• Add a new Description to an existing concept

• Add a new Relationship to an existing concept

• Modify an existing Description of an existing concept

In Batch Mode , a user can create a request to perform a multiple (typically) related actions

In each of the Simple and Direct modes, there are certain fields which are mandatory and need to be completed on each request:

Summary| Provide a short summary which will help staff identify and triage the request| Y| Please note this field has a 255 character limit Proposed Use Case| Provide justification on why the content should be added or changed| Y|

Reference| Provide references which can be verified to confirm the need to add or change the content| Y|

Local SNOMED CT Code| Add the local valid SNOMED CT identifier of the content to be added if one exists| |

Local Code| Add any other local code identifiers for your own reference| |

Definition| Precise meaning of the requested content addition or change| |

Notes| Any extra notes which will help the triage of the request| |

Namespace| Add the namespace of the content, if applicable| |

UMLS CUI| Add the UMLS Concept Unique Identifier if one exists| |

Originating Organization| Choose the organization from the drop down that is requesting the change or addition| Y| International CRS only Collaboration Agreement| If relevant, select the collaboration agreement under which the request is being made| | International CRS only

Audience

Applicable to internal users responsible for managing content requests.

Assign Request to Authoring

• Assign request from the Accepted Requests

From CRS Dashboard, click on Accepted Requests (1) from the left panel, tick to select accepted request from the list (2) then click on Assign requests to Authoring button (3) to show assignment dialog |

Select a project from Project drop-down list, type assignee name in Assignee text box to get suggestions and pick one in list, provide summary for authoring task and click Assign Requests button to create task.|

From CRS Dashboard, click on Submitted Requests from the left panel, click on a Accepted request in list then click on Assign requests button (1) to show Assign Requests to Authoring Task (2) dialog Select a project from Project drop-down list, type assignee name in Assignee text box to get suggestions and pick one in list, provide summary for authoring task and click Assign Requests button to create task.|

• Assign request from the Accepted Requests

From CRS Dashboard, click on Accepted Requests (1) from the left panel, tick to select accepted request from the list (2) then click on Assign requests to Staff button (3) to show assignment dialog |

Type assignee name in Assignee text box to get suggestions and pick one in list, and then click Assign Requests button to create task.|

From CRS Dashboard, click on Submitted Requests (1) from the left panel, click on a accepted request from the list and then click on Assign to Staff button (1) to showAssign Requests to Staff (2) dialog Type assignee name in Assignee text box to get suggestions and pick one in list, and then click Assign Requests button to create task.|

What types of Content Requests are supported?

Before making any request, please read the guidance on submitting content -

Version 15.0 Customer Guidance for Requesting Changes to SNOMED CT 20240723.pdf

The new CRS tool features a variety of templates and two request entry modes to appeal to most users. These Include:

• Create a new Concept(s)

A request for a new concept must take into account existing content and align with the existing Editorial Guidance

• Add New Synonym(s)

A new synonym may be added to an existing concept if the request aligns with existing Editorial Guidance and has a clear justification.

• Add or Modify Parent(s)

A new parent may be added to an existing concept (or changed) if the request aligns with existing Editorial Guidance and has a clear justification.

• Add or Modify Description(s)

A new description may be added to an existing concept (or changed) if the request aligns with existing Editorial Guidance and has a clear justification.

• Inactivate Concept(s), Description(s), or Relationship(s)

Concepts or their components may be inactivated if the request aligns with existing Editorial Guidance and has a clear justification.

• Modify and Create New Relationship(s)

New relationships or modification to existing concepts may be made if the request aligns with existing Editorial Guidance and has a clear justification.

What are My Requests?

These are the requests that the current user has submitted. From this dashboard as user may view their own requests and track their progress through evaluation and, if accepted, eventual inclusion into SNOMED CT.|

What are My Assigned Requests?

These are the requests that the current user has been assigned. From this dashboard as user can view their assigned requests and update request in to CRS and SNOMED CT.|

What are Submitted Requests ?

Users may search requests from other users to identify similar or identical requests.|

What are Accepted Requests? :

Following initial review, each request is assigned a manager who is a member of the IHTSDO Content Team. A change to a status of “Accepted in scope” does not mean that the request will be approved for inclusion in SNOMED CT.|

What are My Batch Requests?

Refers to Content Requests for a large scale addition of new content/ and or large scale modifications to existing content.|

Allows a user to create a Content Request in simple or direct mode|

Allows a user to create a request for large numbers of new content adaptations or modifications by uploading content.|

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Summary

The batch Import function allow to create many requests of all request types through importing file from PC. The imported file will be checked validation before it added into system. All requests in batch is set status to 'Draft' as default.

The information below will give you more details on the operation of this function. Also you can refer and download batch template at link below.

Where is the Batch Import template located?

The template can be downloaded by selecting the Download batch template link from the Batch Import screen. The template can also be found here. The template is identical to the template you may have previously used on SIRS in order to make transition between the systems as smooth as possible, so you will be able to use any batch requests you have already prepared.

Importing a New Batch

From CRS Dashboard, select the New Batch Import from the left panel to navigate to the Batch Import screen.

Files may be uploaded one of two ways:

1. By dragging a file on top of the Drop Batch File Here area (Figure 2)

2. Click on area 'Select or Drop Batch File Here ' (1) tobrowsing batch file(2) from PC. Then click on button 'Open' (3) in dialog to adding the selected file into Uploaded Files list (Figure 3)

The file will be uploaded to the server (1) and notify user once it completed (2) (3) , you can select on each tab (4) to review your uploaded requests. once you are happy with the file. Move scrollbar (5) to the right to view more information of batchSelect Import Request (6) button to show import statistic (figure 5), and then select on Import button to import it to the system. Otherwise, you can delete it if you want.| _

_Figure 4 - Review Batch File and Import &#xNAN;Deleting Batch If a batch has been uploaded to CRS but not yet imported, users can delete it in batch uploading screen by following the below instructions:From the Batch Import page, select item in the Uploaded Files list (1) and click on button 'Remove Request' (2). Then a dialog with confirmation message(3) is populated at the top page, click on button 'OK' in dialog to delete batch.| _

_Figure 6: Deleting batch

From CRS Dashboard, select on My Batch Requests (1) from the left panel to navigate to the My batches page (2).Click on button 'Import Batch' (3) to navigate to Batch Import page (Figure 1).|

|--- Select on a batch row to go to batch request details, with Batch Details (1), Statistics (2), Batch Requests (3), Searching batch (4) and Number of requests (5) in batch as shown in the screenshot below.|

Figure 8 - Batch Details page

From My Batches page, select a New Batch in list to navigate to batch details. The batch status set to 'New' (1) when all requests in batch is in Draft status (2)| From Batch Details page, try to submit a request in list. And then refresh this page, Submitted request is changed to 'New' status (1) and the batch status is changed from 'New' to 'In Progress'(2). Status 'In Progress' is displayed only when a request in list is submitted.| From Batch Details page, change status all requests in list to Completed or Withdrawn or Reject or all three (1). And then refresh this page , thebatch status is changed from 'In-Progress' to 'Completed' (2).|\

_Figure 11.2 - Batch in status 'Completed'\

_Figure 11.3 - Batch in status 'Completed'\

Batch Statistics

From Batch Details page, Submitted Requests number (1) is updated after requests are changed status to 'New' (2). .

Figure 12 - Submitted Requests Number From Batch Details page, Accepted Requests number (1) is updated after requests are changed status to 'Accepted' (2).

Figure 13 - Accepted Requests Number From Batch Details page, Rejected Requests number (1) is updated after requests are changed status to 'Rejected' (2).

Figure 13 - Rejected Requests Number

From My Batches page, select a New Batch in list to navigate to batch details. And click on button 'Delete Batch' (1) button, the confirmation dialog (2) is populated at the top, then click on button 'OK' to confirm deleting batch.

Provide Feedback

In many cases you will want to search for one or more concepts for the purposes of editing or reference. The search tab allows you to search SNOMED by typing text in the search field. After pressed Enter key, it will lists all concepts that match your query. The search tab contains a number of features:

• View search results by matching terms or grouped by concept

• Distinguish between primitive and fully defined concepts in a set of search results

What is the SNOMED CT Content Request Service (CRS)?

This tool allows users to request modify or make additions to SNOMED CT.

How do I get to CRS?

Please go to https://request.ihtsdotools.org or http://snomed.org/crs, where you will be asked to log in.

How do I obtain a CRS Account?

Please see, Accessing CRS.

Is there any quick introduction?

Yes. (and the screen is purposefully blank for a few minutes..)

What type of content requests can I make?

Before making any request, please read the guidance on submitting content -

Version 15.0 Customer Guidance for Requesting Changes to SNOMED CT 20240723.pdf

Users are able to create requests to add, modify or retire information in SNOMED CT, including:

• Creating a new Concept(s)

• New Synonym(s)

• Add Parent(s)

• Modify Description(s)

• Modify Parent(s)

• Modify Relationship(s)

• New Relationship(s)

• Retire Concept(s)

• Retire Description(s)

• Retire Relationship(s)

• Other:

  • Request for new attributes to be introduced

  • Request for existing attributes to be removed

All requests are treated as normal priority with the exception of data errors. Where a request points towards a possible error in SNOMED CT, the request will be prioritized for investigation.

There are two methods of creating requests for SNOMED Content: and . To learn more about these modes and help choosing the correct one see: .

Users may exit the system for later completion, validation, and submission.

As an requester you can do a number of things on each request - .

In Simple mode , user can create more types request as 'New Concept' , 'New Description' , 'New Relationship' , 'Change Description' , 'Change Relationship' , 'Retire Description' , 'Retire Relationship' , 'Change or Retire Concept' or 'Other' . In this mode, user is provided an easy user interface to use. As well as Direct mode, new request will be added into the My Request list in status Draft orNew after user saved or submitted request.

From CRS Dashboard (Figure 1), click on Create New Request (1), select Simple (2) from Input Mode|

Figure 2 - Select Simple Mode

Please refer to PDF document .

This can also be accessed through .

Using Type Ahead to Locate Concepts or Relationships

Provide Feedback

This tool allows users to request, modify, or make additions to SNOMED CT. The USCRS is the SNOMED International content request system specific for user content requests for the US Edition of SNOMED CT.

The USCRS tool is important in the effort to support the development, enhancement, and distribution of clinically specific vocabularies to facilitate the exchange of clinical data and improve retrieval of health information. SNOMED CT is one of a suite of designated standards for use in U.S. Federal Government systems for the electronic exchange of clinical health information and is also a required standard in interoperability specifications of the U.S. Healthcare Information Technology Standards Panel.

How do I get to USCRS?

Please go to US Edition SNOMED CT Content Request System (https://us-request.ihtsdotools.org/), which will then open the Welcome to SNOMED International page to enable log in. Once your login details are authenticated, the login process will automatically open your USCRS dashboard at the original address.

Please Note: The application is optimized for the Google Chrome browser - please do NOT use another browser (such as IE).

How do I obtain a USCRS Account?

A SNOMED International account is needed to access CRS.

If you do not have an account, or find that your existing account does not have access to USCRS, please follow the instructions on our . The form on this page can be used to request a new account for USCRS access, and also to (including USCRS) if not yet granted to an existing account.

To request USCRS access, check (tick) the "US Content Request Service (USCRS)" option in the form section entitled "(Optional) In addition to a SNOMED International account, you may request access to specific SNOMED International tools & services", and also include an explanation of why you need USCRS and any additional qualifying information in the sections immediately after that.

Should you still have any difficulty, please contact us by sending an email to .

Yes. (and the screen is purposefully blank for a few minutes..)

Users are able to create requests to add, modify or retire information in SNOMED CT including:

• Creating a new Concept(s)

• New Synonym(s)

• Add Parent(s)

• Modify Description(s)

All requests are treated as normal priority with the exception of data errors. Where a request points towards a possible error in SNOMED CT, the request will be prioritized for investigation.

There are three methods of creating requests for SNOMED Content: Simple Mode, Direct Mode, and Batch Mode. To learn more about these modes and help choosing the correct one see: Creating Requests.

A basic understanding of SNOMED CT content and structure is required, and each request must include a justification, or practical use case. Every request must also include an identifier that links to the current version of either International Edition of SNOMED CT or US Edition of SNOMED CT. Both are available from the National Library of Medicine to users with a UMLS Metathesaurus License.

Users may exist the system for later completion, validation, and submission.

As an requestor you can do a number of things on each request - Managing Submitted Requests Screen

The document provides a comprehensive overview of the features and usage guidelines of the software application. It begins with an introduction that outlines the primary objectives and target audience. Subsequent sections detail installation procedures, basic and advanced functionalities, and customization options. The document also includes troubleshooting tips, frequently asked questions, and contact information for support. Each section is designed to ensure users can effectively utilize the application to meet their specific needs.

Provide Feedback