A number of FHIR Terminology Service Operations have unique considerations when working with SNOMED CT
Paging - note that the $expand operation defines its own offset and count (count be 0 if you're interested in the total number of matches)
Limits on value set sizes - 1M configurable limit, default page size of 1K
Default language considerations - http headers, server settings (Link to Reuben's work and discussion of X-headers for LangRefsets)
Algorithms for text searching (reference implementation course eg "PNE PNE" finding Pneumococcal pneumonia)
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