The landing page for affiliates looking to use SNOMED CT in non-member countries can be found here – https://mlds.ihtsdotools.org
Click on the Register button and you will be taken to the initial registration screen.
Once you have completed the initial registration, you will be sent an Account Activation email to confirm your email address and allow you to continue your registration. In the email you receive, is the confirmation URL which will take you to the next step:
You will be asked how you will be using SNOMED CT
Commercial
Academic
Individual
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Any information that falls outside of the requested data should be recorded in the Other Activities section. Affiliates are required to notify IHTSDO prior to engaging in any activities that do not fall within the existing categories at which time the IHTSDO will determine the appropriate Fee Structure for the activity in question
The final section asks for you to confirm that you have read and accept the terms of the SNOMED CT affiliate license ( )before clicking the register button where you will be asked to confirm the information on your application before the final submission.
At this point, you will now be redirected to your dashboard, where you will be able to see the status of your application and the standing of your account.
Once your application has been reviewed and approved your Account Information Status will change to Pending Invoice as shown below.
Once your invoice is paid, your Account Information Status will change to In Good Standing and you will be able to access the SNOMED CT Releases as well as any other extensions or other files that are available.
Other
You will then be asked the type of your organization:
Developer
Development
Educational
Healthcare Provider
Personal
Research
Vendor
Finally, you will be asked for the type of agreement:
Normal
Research
Public good.
Next, you will be asked to provide information about yourself or your organization as well as a billing address (if applicable) for invoices to be sent.
Your current and planned usage for the current year needs to be provided, along with a summary of the purpose of your SNOMED CT deployment and the status of implementation.











* Data Creation System - a system for the entry, processing and storage of data.
* Data Analysis System - a system for the collection, organization, analysis, interpretation and presentation of data. Once your account has been reviewed and, if applicable, any invoice has been paid, you will now be able to see that you application has been approved and your account will be in a 'good standing' process.
At this stage you will now have access to download the SNOMED CT International Release by clicking on the 'Releases' link on the top menu or the releases section on your dashboard.
From your dashboard you can also apply for access to other products, such as national extensions. If you would like to apply to access any national Member space that can be found on the MLDS, you can click on the relevant country where you will be asked to provide information used by the member to review your application. Once approved by that country you will have access to the your selected release.




Approved - Application is approved.
Declined - Application is declined.
Change Requested - An Action has been sent to the Affilate to comply and is under further review before approval is granted.
In Good Standing - Affiliate is approved they have paid or they have been Re-activated, they have complete access.
Pending Invoice - Affiliate has access to the account but can not download, once payment is received, Admin places account In Good Standing.
De-Activation Pending - Flags an Affiliate account but they can not download releases, they have a certain time to respond to an IHTSDO action. They have access to their account.
De-Activated - Affiliate Account is De-Activated for failure of payment or other infraction; they have no Access to download and have no access to their MLDS account. The reason for De-activation is noted to Affiliate.

When an Affiliate completes their application, the usage report can be filled out without completing all of the information. The IHTSDO or Member NRC admin reviews the application and will request additional usage information be completed if required. The Affiliate will see reminder messages that indicate when reports need to be submitted.
After the initial usage report submission, towards the end of every year, and if applicable, the Affiliate will receive a notification via email that they need to provide a report on the current and planned usage of SNOMED CT in non-member countries, and any member countries they have registered with through the MLDS.
On your dashboard you will see your previously submitted usage reports, as well as where to create a new usage report.
Click on New Report button.
If for some reason an affiliate wants to correct a usage report that has been submitted, they must first retract the usage report. They can do this by clicking on the usage report they wish to change and then click the Retract Declaration Button. They can then amend their changes and submit. Any previously submitted Usage reports for the same time period will be superseded.






In order to get access to the international edition of SNOMED CT and its derivatives, you will need to register and apply for an account. Each application is reviewed by the IHTSDO and follows these steps:
An application is made by user providing information such as type of license requested, proposed or current use of SNOMED CT and the non-member countries where it is being used
The application is reviewed by IHTSDO staff, and if applicable, an invoice will be sent based up on the usage of SNOMED CT as detailed in the Affiliate License Agreement (http://www.ihtsdo.org/resource/resource/117). Your account will be put in a pending invoice (payment?) status and you will be able to log in to your account to see the status.
If an invoice has been raised, you will need to send payment for the invoice before you are able to access and download SNOMED CT. Once payment has been received, or if there is no need for an invoice, your account will be put into a 'good standing' status and you will be able download the relevant releases.
At the end of each year, you will be asked to provide an update on the usage of SNOMED CT in order to continue to have access to the release packages.
An application can be made for any other extension, release or derivative other than SNOMED CT while their primary application is under review. Once the application is submitted it will follow the same process as above going into an initial state of Pending until the Member Admin approves that extension application and thier Primary application status changes to "in Good Standing" with payment complete before any downloads are available.
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For further details and questions around licensing, please read the following FAQs - https://ihtsdo.freshdesk.com/support/solutions/4000002199