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SNOMED International provides a Reference Set and Translation Tool that can be used to create and maintain SNOMED CT reference sets (see screenshot below).

The features related to reference sets include:

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ART ValueSet Editorhttps://art-decor.org/mediawiki/index.php/ART_Value_Set_Editor
clinFHIR ValueSet Editorhttp://clinfhir.com/valuesetCreator.html
HealthTerm, CareComhttps://www.carecom.com/products/#healthterm
Snow Owl collaborative terminology authoring platform, B2ihttp://www.termspaceb2ihealthcare.com/landing/index.html
Snowray Terminology Service, B2ihttps://snowray.app 
termSpace - Terminology Authoring EnvironmenttermSpace collaborative authoring environment, termMedhttp://www.termspace.com/landing/index.html
Trifolia ValueSet Editorhttps://www.lantanagroup.com/our-software-products/trifolia-on-fhir/

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