The VeNom Coding Group developed out of a common desire of a number of founding members to encourage and develop a common set of terminology that was as robust as the SNOMED medical terminology but more accessible and flexible for the veterinary user. The original set of terms was derived from a list of final diagnoses coded from SNOMED over a period of several years by clinicians at the RVC Queen Mother Hospital for Animals (QMHA). Due to the inherent complexities of the SNOMED nomenclature at the time, it was decided to break away from the use of SNOMED and the initial SNOMED-derived list was edited and expanded upon before being implemented in the QMHA in 2006. The terms matured within the QMHA over the following 2 years but remained primarily referral based. An interest in primary practice clinical coding was unfolding (Upjohn et al, 2008) at the same time as an ambitious development of a paperless clinical record was underway at the RVC under Professor David Church (CRIS, Clinical Record Information System) and also at the University of Glasgow School of Veterinary Medicine (UGSVM) under Prof Ian Ramsey and Prof Jim Anderson. A number of preliminary meetings were held at the RVC amongst key stakeholders. From a large group of interested parties three main collaborators took the initiative forward, the RVC, University of Glasgow School of Veterinary Medicine (UGSVM) and the PDSA. With this initial core of interest the group grew and the terms have matured. Subsequent members from other institutions have joined and the interest across the UK and beyond continues to be maintained.