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SNOMED CT is designed to allow the

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tInternational Edition
to be extended to meet national or local requirements. A
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tSNOMED CT Extension
may contain components of various types including
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tconcepts,
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tdescriptions,
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trelationships
and derivatives including 
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treference sets.
Since the International Release and extensions share a common structure, the same application software can be used to enter, store and process information from different extensions. Extensions can also be shared without requiring additional software procurement or development.  Most E xtensions are managed by  Members or Affiliates of SNOMED International.

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