In April, new uniform international license terms for Systemized Nomenclature of Medicine — Clinical Terms (SNOMED CT) replaced the US-wide license terms negotiated by the National Library of Medicine in 2003, giving US users broader rights to distribute derivative products internationally. The newly formed International Health Terminology Standards Organization (IHTSDO) acquired SNOMED CT from the College of American Pathologists (CAP).

The Department of Health and Human Services (HHS) is one of nine charter members of the IHTSDO and is represented by NLM in the new organization, which will continue to distribute SNOMED CT through its Unified Medical Language System (UMLS) Metathesaurus. NLM will also make SNOMED CT available in its native format, as required by the IHTSDO.