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The Terminology Registry is a piece of software with which authorized personnel could manage the medical terminology dictionary to be used in the clinical practice. Terminology Registry can be looked as a code system, ontology, vocabulary, or dictionary. Terminologies themselves maybe described as simply as a simple text, or as complicated as SNOMED or ICD10. We must understand that a Terminology Registry is the one source of truth with regards to terminologies in the HIE ecosystem. A terminology will be always be a centrally defined concept within TR.