Affiliates register in each Member country where they are looking to implement. This allows them access to the national edition of SNOMED CT, providing additional content, descriptions, translations and derivative products. Where the Affiliate is looking to implement in multiple SNOMED International Member countries, they are required to register for each country. If the Affiliate is looking at additional implementations in non-Member countries, they are required to register with SNOMED International by creating an account at https://mlds.ihtsdotools.org/. At registration, the Affiliate will be notified of any fees that are applicable to the requested usage.