How to Install SNOMED with Pinnacle 21 Community

SNOMED Dictionary 

Systematized Nomenclature of Medicine (SNOMED) is used for coding of clinical terms. It is used in the Trail Summary (TS) domain of SDTM to identify the the medical condition or problem that an investigational product in a study is intended to affect. For more information, please see section 6.6.1 of the Technical Conformance Guide. 

Since SNOMED is only available through a commercial subscription, it’s not included as part of Pinnacle 21 Community Validator distribution and must be provided by you or your company. 

When provided, the Pinnacle 21 Validator uses sct2_Description_Full-en.txt from the SNOMED dictionary to perform coding compliance checks of the TS domain. 

Steps to Install

We have created this easy process for you to add your company’s licensed copy of SNOMED to Pinnacle 21 Validator. 

  1. From the validation screen, click "More dictionaries" 

  2. Enter in which SNOMED version you would like to install (e.g. 2016-09-01)
  3. Browse and select the sct2_Description_Full-en.txt file you would like to install
  4. Click install
  5. After installation is completed, click close

After you have installed SNOMED, you will be able to select which version to use from the dropdown in the select dictionaries modal. 

To add additional versions of SNOMED dictionary, click "More dictionaries" on the validation screen and then select the plus icon next to the dictionary.  Repeat steps 2 - 5
Note: to overwrite an existing version of SNOMED already imported, follow the same steps and select "yes" when prompted if you wish to overwrite. 


How to Install SNOMED

For any additional questions, please post on the P21 Community Forum. If you are an Enterprise client, please contact your CSM or email

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