> For the complete documentation index, see [llms.txt](https://docs.snomed.org/llms.txt). Markdown versions of documentation pages are available by appending `.md` to page URLs; this page is available as [Markdown](https://docs.snomed.org/snomed-ct-user-guides/simplex-user-guide/faqs/what-are-my-responsibilities-after-publishing-using-simplex.md).

# What are my responsibilities after publishing using Simplex?

## User Support

The organisation publishing a SNOMED CT Edition using Simplex must offer the first line support for the release that they publish. The organisation name and a contact email must be provided during the release process to be included in the release package readme file.

The support effort can be minimized using pre-written responses and signposting to existing relevant support resources. You should expect there to be general questions about how SNOMED CT should be used in the relevant country or region and perhaps some technical questions.

The simplest way to respond to these questions is to direct people to a web page. A page should be created to provide any country or region-specific information. For more general questions people can be referred to the [SNOMED CT Document Library](https://docs.snomed.org), which includes the starter guide and RF2 specification.

For very specific questions the publishing organisation can contact the International Implementation Support Team for assistance <implementation@snomed.org>.

## Content Updates

A SNOMED CT Edition published from Simplex contains both your created extension content and the International Edition. A new version of the SNOMED CT Edition should be published at least once a year including an up-to-date version of the International Edition. This ensures that downstream users can benefit from the latest developments in the International Edition, even if your extension content has not changed.

## Feedback

In addition to the above, it is good practice to provide a feedback mechanism, or a method for users to propose changes or additions to the content. This could be as simple as providing an email address for feedback or utilizing more dedicated request submission services. Establishing a clear and accessible process for feedback helps ensure the content remains relevant and meets user needs.

<a href="https://docs.google.com/forms/d/e/1FAIpQLScTmbZIf0UEQwYDkY27EEWBkaiYkHSbR0_9DmFrMLXoQLyL7Q/viewform?usp=pp_url&#x26;entry.1767247133=SNOMED+Guide&#x26;entry.670899847=What%20are%20my%20responsibilities%20after%20publishing%20using%20Simplex%3F" class="button primary">Provide Feedback</a>


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