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Please note that step 2 does not need to be performed if using one of the standard Reference Set types that have been predefined in the international release of SNOMED CT. The Reference Set Attributes for these predefined Reference Set types have already been added to the international release.
It is recommended that for each reference set, there is formal documentation that records (at a minimum) the rules, principles and approach used to determine the members of that reference set.
Reference Sets need to be maintained and the content re-examined when new releases of SNOMED CT are made available. Processes need to be established to address the concepts that have become inactive and the new concepts added in each new release.

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