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Obtaining an IHTSDO Affiliate License
  • Applicants in IHTSDO Member countries are asked to check the relevant IHTSDO Member webpage for advice on how to apply for an Affiliate License within their country http://www.ihtsdo.org/members.
  • Applicants who are not in an IHTSDO Member country, or are in Member country that does not currently provide a registration service, can apply for a license using the SNOMED CT Licensing and Distribution Service: https://mlds.ihtsdotools.org
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.
Affiliates are also liable to pay fees if they expose SNOMED CT content in ways that enable it to be used in non-Member countries. This includes providing access to SNOMED CT via the Internet, in web application, mobile phone application or as part of a published specification or standard.

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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.
Those providing such access to these service or materials to another company or organization for use in a non-Member country must first confirm that that company or organization is an Affiliate Licensee. Furthermore, they must ensure the recipient of the services or materials understands its obligation to report and pay fees to IHTSDO for use in Non-Member countries.

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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Figure 5 Members manage licenses issued to Affiliates for national use of SNOMED CT

 

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Sub-licenses

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:

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