NLM is the US Member of the IHTSDO - one of the nine original Charter Members. As an IHTSDO member, NLM has rights and responsibilities that include the distribution of SNOMED CT (both English and Spanish versions) in multiple formats. Details are available in the IHTSDO Articles of Association. NLM supports this effort through a contract with the IHTSDO under which NLM pays an annual fee to make SNOMED CT available free of charge to anyone in the US.
NLM is a voting member of the General Assembly of the IHTSDO and serves as a focal point for US input to the ongoing development of the terminology. NLM also has representation on the Member Forum and on some of the IHTSDO Advisory Groups.
For additional information, please see the Governance and Advisory Webpage.