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Figure 4 All Affiliate License Agreements are with IHTSDO. However Members, as agents of IHTSDO, may issue Affiliate licenses.
Full details of the conditions of use of SNOMED CT are provided by the SNOMED CT Affiliate License agreement. The notes on the next page highlight a few key points about the availability of Affiliate licenses, conditions of use and circumstances in which charges are applicable for use of SNOMED CT.
Obtaining an IHTSDO Affiliate License |
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Use of SNOMED CT in Member countries |
IHTSDO does not charge for use of the SNOMED CT International Edition in Member countries. However, a Member is permitted to impose some conditions on use of SNOMED CT within its country. |
Use of SNOMED CT outside Member countries |
Affiliates are required to pay annual fees to IHTSDO for use in each hospital, clinic and other institution in a country that is not a Member of IHTSDO. The charges for this vary according to the wealth of the country. |
Provision of services that enable access to SNOMED CT in non-Member countries |
Companies or organizations providing apps, web portals and other software that incorporates all or part of SNOMED CT, or publishing mappings or other materials that include all or part of SNOMED CT require the permission of IHTSDO and a license for these activities. |
Web-based SNOMED CT browsers |
Web-based SNOMED CT browsers that allow SNOMED CT content to be viewed are currently regarded as a special case on which IHTSDO has published guidelines (see http://snomed.org/browserlicenseguidance). However, note that these guidelines only cover use to explore the content of SNOMED CT. They do not exempt those using SNOMED CT in Non-Member countries from obligation to pay fees for use. |
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If an Affiliate provides information about non-Member country use, the Member is obliged to inform IHTSDO of this so that the correct fees can be charged. In the event of termination of Membership, the former Member must submit the full register of all licenses it has issued to IHTSDO within 30 days.
Members are encouraged to share information about Affiliates they have registered that are based in or operating in other Member countries. They should also inform Affiliates about obtaining a National License in their country of origin.
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IHTSDO Affiliates can issue sub-licenses, to allow organizations/users to use SNOMED CT, as part of a software application or information system. An organization that is not itself an IHTSDO Affiliate is only permitted to use SNOMED CT in accordance with the terms of a sub-license issued by an IHTSDO Affiliate.
It is the Affiliate's responsibility to manage these sublicenses and make information about them available to IHTSDO. Affiliates are also required to report and make appropriate payments when SNOMED CT is used in non-Member countries.
Sub-licensing is not an NRC function but NRCs need to:
Figure 6 Sub-licenses are issued by Affiliates.
Members are not required to facilitate or manage sub-licenses. However, as the primary point of contact for the national Affiliates, an NRC should be able to support and guide Affiliates in matters related to the management of sub-licenses and to point Affiliates to the appropriate source of information within IHTSDO.
Licensing and Distribution of SNOMED CT - Tools
IHTSDO provides a platform for licensing and distribution of SNOMED CT for its Member countries. This service is named the Member Licensing and Distribution Services (MLDS) and enables the NRC to have a web based portal in the preferred language where Affiliates register and update their licensing information as well as download SNOMED CT and other related products. The NRC is responsible for translating the interface terminology, etc., but IHTSDO helps the NRC get started. Once registered in MLDS, an Affiliate can access the national distribution from the NRC as well as other NRC products, so long as the Member country is using MLDS. For more information about using MLDS in your country contact your Customer Relations Executive.
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