In accordance with the Articles of Association, license fees in countries that are not yet Members of IHTSDO depend on the nature and extent of the use of SNOMED CT, as well as the wealth of the country. 

Most IHTSDO Member countries provides SNOMED CT free of charge to users, although some may charge a small fee for cost recovery. The specific information is provided by your National Release Centre. 

IHTSDO and its Members encourage the use of SNOMED CT in research that contributes to broadening our collective understanding and knowledgebase. If you are within a Member nation, please contact your National Release Centre for access to the standard. 

If you are in a country that is not yet a Member of IHTSDO, you can obtain a license to use SNOMED CT through IHTSDO. Qualifying research projects may qualify for a free license if they:

• are supported by a formal proposal that has been peer reviewed, 
• have been ethically approved in accordance with the prevailing legislation, regulations and guidelines in effect in the relevant territory, 
• are conducted within a definite timeframe, and 
• the results of the research are offered for publication in peer-reviewed public journals and are provided to the Licensor free of charge.

To request a fee waiver, please contact IHTSDO, providing evidence that your research project meets the above criteria.

IHTSDO encourages the use of SNOMED CT around the world. The Articles of Association contain a provision whereby the organization can waive standard Affiliate License fees for use of the standard in non-Member territories for charitable and humanitarian purposes. To apply for a fee waiver, please write to IHTSDO at license@remove-this.ihtsdo.org with a completed Affiliate License, Application Form and information regarding: 

• The nature and scope of use of SNOMED CT proposed 
• The product/service in which SNOMED CT would be used and the time frame for deployment. 
• What results do you hope to achieve through this work? How will you monitor and evaluate progress? 
• Is there a charge to health professionals (or others) for the use of SNOMED CT or the product/service in which it is used? If so, please describe. 
• Any other facts that you feel would be relevant for consideration.

Healthcare providers and others wanting to use SNOMED CT in the countries categorized as low income economies by the World Bank can obtain SNOMED CT Affiliate Licenses free of charge. 

For other nations, the wealth of the country is determined by the country's gross national income band and extent of use. As it is set out in the Articles of Association, the allocation of a Non-Member Territory into a Band shall be as determined by the IHTSDO (based on the Non-Member Territory's relative Gross National Income (GNI) or other measure adopted by the IHTSDO) and published by the IHTSDO.

The Licensee shall notify the IHTSDO in writing before carrying out any activity of a kind described in paragraphs 2 or 3 of the Appendix B in the Articles in a Non-Member Territory that has not been allocated by the IHTSDO under paragraph 6.1. Upon receiving notice from the Licensee under this paragraph 6.2, the IHTSDO shall allocate the Non-Member Territory as described in paragraph 6.1.

In accordance with the Articles of Association, the Licensee shall pay the following fees in respect of each hospital or Practice in a Non-Member Territory in or which the Licensee: 

a) deploys the International Release in a Data Creation System, unless that Data Creation System is used exclusively in connection with a Quality Research Project; or 

b) distributes or licenses a Licensee Product that is or includes a Data Creation System, unless that Licensee Product is used exclusively in connection with Qualifying Research Project. 

Hospital in Band A Territory (see list below) - US$ 1,500 per annum baseline fee adjusted as per paragraph 1.4 in the Articles of Association. 

Hospital in Band B Territory (see list below) - US$ 1,000 per annum baseline fee adjusted as per paragraph 1.4 in the Articles of Association. 

Hospital in Band C and band D Territory (see list below) - US$ 500 per annum baseline fee adjusted as per paragraph 1.4 in the Articles of Association 

Practice in Band A, B C or D Territoriy (see list below) - US$ 500 per annum baseline fee adjusted as per paragraph 1.4 in the Articles of Association. 

Practice in Band E Territory (see list below) -  Healthcare providers and others wanting to use SNOMED CT in the countries categorized as low income economies by the World Bank can obtain SNOMED CT Affiliate Licenses free of charge. 

Hospital or Practice in other territory (see list below) - As per paragraph 6.2 in the Articles of Association. 

Please note that in accordance with clause 2.2.4 in Exhibit 1 of the Articles of Association, the Licensee may use the International Release to ensure that its officers, employees, agents and contractors use the International Release "in the Licensee's systems (including browsers and data analysis systems) made available to the general public for accessing and/or retrieving any part of the International Release and/or data encoded using the foregoing, provided that users of those systems are not able to extract any substantial portion of SNOMED CT and provided further that no fee is charged for access to those systems except where access is incidental to the provision of training or consulting services.

Affiliate License Agreement

License Applications

Member Countries: 
See Affiliate Contacts on your country's Member page listed below

Non-Member Countries:
Use online SALSA application

• Australia
• Canada
• Cyprus
• Denmark
• Estonia
• Iceland
• Israel
• Lithuania
• Malta
• New Zealand
• Poland
• Singapore
• Slovak Republic
• Slovenia
• Spain
• Sweden
• The Netherlands
• United Kingdom
• United States