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Open Data Library

Free to take home.

31 sets. Take the library with you: catalog.json catalog.csv

Drugs & safety

U.S. Food & Drug Administration Direct download

openFDA

One manifest lists every openFDA bulk file and the size_mb figure FDA publishes for each part.

FDA public data as JSON APIs and bulk downloads: drug labels, recalls, device reports, NDC listings, and drug adverse events. Adverse events are their own card because that download is a different decision.

The front door. The adverse-event warehouse behind it is the FAERS card.

No single file. Drug adverse events alone list 110,752.84 MB across 1,767 parts (see the FAERS card).

Formats
JSON API · bulk JSON (zipped)
License
Public domain (CC0)
Updated
Manifest last_updated 2026-10-08

How to download

  1. Open the downloads page and pick one endpoint (labels, NDC, enforcement, or events).
  2. For adverse events, use the FAERS card. That archive is the large one.
  3. Each part is a zip of JSON. Download the parts you need; do not mirror them here.

U.S. Food & Drug Administration Direct download

openFDA drug adverse events (FAERS)

The complete public download of U.S. drug adverse-event reports, file by file.

Quarterly bulk zips of drug adverse-event reports: the public FAERS ledger as JSON, from 2004 through the newest quarter in the manifest, plus an “all other” bucket.

This is the download people mean when they say “just grab FAERS.”

110,752.84 MB compressed across 1,767 files (sum of openFDA size_mb, export 2026-10-05).

111 GB compressed. about 2 hours on a 100 Mbps connection (estimate).

Unzipping needs more disk than the compressed file. Measured 2026-10-08.

First file: 2026 Q2, part 1 of 36 (246.42 MB listed) (246 MB)

Formats
bulk JSON (zipped)
License
Public domain (CC0)
Updated
Export date 2026-10-05

How to download

  1. Start with one part if you want to see the shape of a report before committing disk.
  2. 2026 Q2 is 36 parts totaling 3,384.09 MB (size_mb sum). The full archive is every quarter back to 2004.
  3. Resume with wget -c. Each part is independent.

This command fetches the first file, not every file in the set.

wget -c https://download.open.fda.gov/drug/event/2026q2/drug-event-0001-of-0036.json.zip

U.S. National Library of Medicine Direct download

DailyMed (SPL drug labels)

The structured text of U.S. prescription labels, as the label XML itself.

The current FDA label (Structured Product Labeling) for marketed U.S. drugs — full prescribing information as structured XML, in bulk ZIP releases.

The fine print of every pill bottle in the country, machine-readable.

The DailyMed bulk page did not publish one combined byte count on the read dated 2026-10-08. openFDA’s separate drug-label JSON lists 1,773.39 MB across 14 files; that is a different packaging, not this XML.

First file: openFDA drug-label JSON, part 1 of 14 (130.74 MB listed) — not the SPL XML (131 MB)

Formats
XML (SPL) · bulk ZIP releases · REST API
License
Public domain
Updated
Daily

How to download

  1. Open the SPL resources page and choose the human-prescription bulk release.
  2. Expect multiple zip parts. The page is the size authority for those zips.
  3. If you only need a JSON sample of labels, the starter file is openFDA’s first label part, not DailyMed XML.

This command fetches the first file, not every file in the set.

wget -c https://download.open.fda.gov/drug/label/drug-label-0001-of-0014.json.zip

U.S. Food & Drug Administration Direct download

FDA Orange Book data files

The official therapeutic-equivalence list pharmacists use for generic substitution.

Approved drug products with therapeutic-equivalence evaluations — the list behind generic substitution, plus patent and exclusivity data.

The book pharmacists argue with. Now a ZIP file.

2.34 MB for openFDA’s Orange Book JSON zip (size_mb, export 2026-10-08). FDA’s own delimited zip is linked from the Orange Book data-files page; that older media URL returned 404 on this probe, so its byte count is not recorded.

2.3 MB compressed. under a minute on a 100 Mbps connection (estimate).

Unzipping needs more disk than the compressed file. Measured 2026-10-08.

Formats
JSON zip (openFDA) · TXT (delimited) from FDA
License
Public domain
Updated
Monthly (openFDA export 2026-10-08)

How to download

  1. For a small complete JSON copy, download the openFDA zip in the command below.
  2. For FDA’s delimited text, use the Orange Book data-files page and take the zip linked there.

This command fetches the official file named in the size line.

wget -c https://download.open.fda.gov/drug/orangebook/drug-orangebook-0001-of-0001.json.zip

U.S. Food & Drug Administration Direct download

openFDA NDC directory

The public list of NDC package codes FDA is currently publishing.

National Drug Code product listings: the code on the package, the name, the dosage form, and the labeler, as one JSON zip.

26.74 MB, one file (openFDA size_mb, export 2026-10-08, 138,264 records).

27 MB compressed. under a minute on a 100 Mbps connection (estimate).

Unzipping needs more disk than the compressed file. Measured 2026-10-08.

Formats
JSON (zipped)
License
Public domain (CC0)
Updated
Export date 2026-10-08

How to download

  1. Download the single zip.
  2. Unzip to one JSON file of product listings.

This command fetches the official file named in the size line.

wget -c https://download.open.fda.gov/drug/ndc/drug-ndc-0001-of-0001.json.zip

U.S. Food & Drug Administration Direct download

FDA Purple Book

The biologics counterpart to the Orange Book: which biologics are licensed, and which are interchangeable.

Licensed biological products, with biosimilar and interchangeability evaluations. FDA publishes a CSV and an Excel file for each month.

487,303 bytes for the September 2026 CSV (Content-Length). That is one month, not every month stacked together.

487 KB compressed. under a minute on a 100 Mbps connection (estimate).

Unzipping needs more disk than the compressed file. Measured 2026-10-08.

Formats
CSV · XLSX
License
Public domain
Updated
Monthly files; September 2026 CSV probed 2026-10-08

How to download

  1. The downloads page lists a CSV and an Excel file per month.
  2. Take the newest month unless you are building a history.
  3. September 2026 is the newest CSV the page listed on the probe date.

This command fetches the official file named in the size line.

curl -L -O https://www.accessdata.fda.gov/drugsatfda_docs/PurpleBook/2026/purplebook-search-September-data-download.csv

DrugBank (University of Alberta / OMx) Free registration required

DrugBank Open Data

A CC0 identifier crosswalk for drugs. The full DrugBank database is a different, licensed product.

The freely licensed subset of DrugBank: the open drug and drug-target vocabulary (identifiers, names, CAS/UNII mappings) under CC0. The full database requires a license.

Byte size was not visible without signing in. The releases page is behind a free account, so this catalog does not guess.

Formats
CSV (zipped)
License
CC0 1.0 (open subset only)
Updated
With DrugBank releases

How to download

  1. Create a free DrugBank account.
  2. Open the latest release and download only the files marked Open Data (CC0).
  3. Leave the licensed full database alone unless you have that license.

U.S. National Library of Medicine Free registration required

RxNorm

The identifier map that lets pharmacy systems and hospital systems name the same drug.

The normalized naming system for U.S. drugs — clinical drug, dose form, and brand mapped to stable identifiers. Full monthly releases need a free UMLS account.

The Rosetta Stone for why your pharmacy’s computer and your hospital’s computer disagree.

The full-file byte count sits behind the UMLS login. It is not recorded here.

Formats
RRF (pipe-delimited) · API (JSON)
License
Free; UMLS Metathesaurus License (free account) for full files
Updated
Monthly

How to download

  1. Request a free UMLS license account if you do not have one.
  2. From the RxNorm files page, download the current monthly release.
  3. The RxNorm API can answer one drug at a time without the full file.

Clinical trials

U.S. National Library of Medicine Direct download

ClinicalTrials.gov

The registry of trials that were registered, including studies that never posted results.

The registry and results database of clinical studies — protocols, arms, outcomes, and posted results. API v2 plus bulk study downloads.

Every registered trial since 2000 — including the ones that quietly never enrolled anyone.

A single combined byte count was not on the API about-page read on 2026-10-08. Study count is not a file size, so none is invented here.

Formats
REST API (JSON) · bulk JSON/CSV
License
Public domain (U.S. Government work); attribution requested
Updated
Daily

How to download

  1. Read the API about page and choose a search download or the full study download.
  2. Prefer a filtered study set if you do not need every record.
  3. The JSON is large. Check free disk before a full pull, because this catalog does not have a published total.

Population health

U.S. Centers for Disease Control and Prevention Direct download

CDC WONDER

The public way to export U.S. death and birth tables without taking the whole collection home.

Query-and-export access to CDC epidemiologic datasets: underlying-cause mortality, natality, cancer statistics, vaccinations, and more.

No single file. You export a table, and the file is the size of that query.

Formats
web query, then TSV · API (XML)
License
Public domain (data-use restrictions on small cells)
Updated
Dataset-dependent (mortality: annually, plus provisional)

How to download

  1. Pick a dataset (for example underlying cause of death).
  2. Group by the few fields you need. Small cell counts are suppressed.
  3. Export the result as tab-delimited text. That export is the download.

CDC / National Center for Health Statistics Direct download

NHANES

The exam-and-lab sample behind national estimates of cholesterol, blood pressure, and similar measures.

The National Health and Nutrition Examination Survey — interviews, exams, and lab measurements on a U.S. sample, in cycles since 1999. Each cycle is many component files.

The reason we know what the average American’s cholesterol actually is.

No combined size is published for every component. Demographics for the August 2021–August 2023 cycle (DEMO_L.xpt) is 2,582,160 bytes (Content-Length).

First file: DEMO_L.xpt, August 2021–August 2023 demographics (2,582,160 bytes) (2.6 MB)

Formats
SAS transport (.XPT)
License
Public domain
Updated
Biennial cycles

How to download

  1. Open one cycle. Download only the components you will analyze.
  2. Start with demographics (the starter file) so the other files have an ID to join to.
  3. Documentation HTML ships beside the data. Read the codebook before the numbers.

This command fetches the first file, not every file in the set.

curl -L -O https://wwwn.cdc.gov/Nchs/Data/Nhanes/Public/2021/DataFiles/DEMO_L.xpt

U.S. Centers for Disease Control and Prevention Direct download

BRFSS

The state-level survey of how U.S. adults say they live: smoking, exercise, access to care.

Behavioral Risk Factor Surveillance System — the state-based telephone survey of health risk behaviors, chronic conditions, and prevention.

The annual zip URLs returned 403 to this probe, and the HTML page did not yield a byte count. No size is recorded.

Formats
XPT or ASCII zip, by year
License
Public domain
Updated
Annual

How to download

  1. Open the annual data page and pick the newest year.
  2. Download the XPT (or ASCII) zip from that year’s file list.
  3. Download the codebook for the same year. Variable names change.

U.S. Centers for Disease Control and Prevention Direct download

CDC PLACES

County, city, and tract estimates for measures that a national survey cannot publish that small.

Model-based estimates of health measures for counties, places, and census tracts — the local cut of measures that national surveys cannot print at that geography.

PLACES is many tables. A single byte count for “all of PLACES” was not recorded, so none is shown.

Formats
CSV via data.cdc.gov
License
Public domain
Updated
Annual releases

How to download

  1. Open the PLACES data portal and choose one geography (county, place, or tract) and one year.
  2. Export that table as CSV from data.cdc.gov.
  3. Read the measure definitions before comparing two tracts.

World Health Organization Direct download

WHO Global Health Observatory

The country-by-country indicator set WHO maintains, under its own license (not U.S. public domain).

Health indicators for WHO member states — life expectancy, disease burden, immunization, health systems — via an OData API and CSV export.

No single file. Export an indicator, or query the API. The license is CC BY-NC-SA 3.0 IGO.

Formats
OData API (JSON) · CSV export
License
CC BY-NC-SA 3.0 IGO
Updated
Rolling

How to download

  1. Pick an indicator on the GHO site.
  2. Export CSV, or call the OData API for that indicator code.
  3. Keep the CC BY-NC-SA terms with anything you redistribute.

Payments & policy

U.S. Centers for Medicare & Medicaid Services Direct download

CMS Open Payments

The public file of industry payments to U.S. physicians and teaching hospitals.

Payments and other transfers of value from drug and device companies to U.S. physicians and teaching hospitals, reported under the Sunshine Act.

Transparency as a CSV: you can look up any U.S. physician. Yes, including me.

CMS publishes one CSV package per program year. A byte total was not on the dataset-downloads page in the 2026-10-08 read, so none is shown.

Formats
CSV (by program year)
License
Public domain
Updated
Annually, with refreshes

How to download

  1. Open dataset downloads and choose a program year.
  2. Download that year’s general-payments CSV if you want the line items.
  3. A full year is large. Start with one year, not every year at once.

U.S. Centers for Medicare & Medicaid Services Direct download

data.CMS.gov

The shelf of Medicare payment and provider files. This card is the catalog, not one file.

The catalog of CMS program datasets: Medicare utilization and payment, hospital cost reports, provider enrollment, and more. Each dataset is its own download.

No single file. Each dataset on data.cms.gov has its own size, shown on that dataset’s page.

Formats
CSV · API (JSON)
License
Public domain
Updated
Dataset-dependent

How to download

  1. Search for one dataset (for example Medicare physician utilization).
  2. Read that dataset’s page for the file size CMS prints there.
  3. Download that file, or use its API, rather than trying to take the whole catalog.

U.S. Centers for Medicare & Medicaid Services Direct download

NPPES NPI download

The public directory of U.S. National Provider Identifiers.

The monthly National Provider Identifier dissemination file: who holds an NPI, in CMS’s Version 2 layout, plus a small weekly incremental file.

1,105.79 MB for the September 14, 2026 monthly Version 2 zip, as printed on the NPI files page.

1.1 GB compressed. about 1 minutes on a 100 Mbps connection (estimate).

Unzipping needs more disk than the compressed file. Measured 2026-10-08.

First file: Weekly incremental file, Sept 28–Oct 4, 2026 (7.49 MB printed) (7.5 MB)

Formats
CSV inside a ZIP
License
Public domain
Updated
Monthly full file, weekly increments (page read 2026-10-08)

How to download

  1. Download the monthly Version 2 zip if you need the full directory.
  2. Use a weekly file only as an increment on top of a monthly file you already have.
  3. The zip also contains other-name, practice-location, and endpoint reference files.

This command fetches the official file named in the size line.

wget -c https://download.cms.gov/nppes/NPPES_Data_Dissemination_September_2026_V2.zip

Agency for Healthcare Research and Quality Direct download

MEPS

The public survey of what U.S. households actually spent on health care.

Medical Expenditure Panel Survey — nationally representative U.S. data on health service use, cost, and insurance. AHRQ publishes each year’s files separately.

Each PU file has its own size on the download page. A total for every MEPS file was not summed here.

Formats
ASCII, SAS, Stata, or XLSX by file
License
Public domain
Updated
Annual files

How to download

  1. Choose a data year and a file (full-year consolidated is the usual start).
  2. Download the format you can read (SAS transport or ASCII plus the codebook).
  3. Check the file’s own size on that row before you start.

U.S. Centers for Medicare & Medicaid Services Direct download

CMS DE-SynPUF

A synthetic Medicare claims set you can download without a data-use agreement.

Medicare Claims Synthetic Public Use Files (2008–2010): synthetic beneficiary, carrier, inpatient, outpatient, and prescription claims. Synthetic means the rows are not real people.

CMS publishes 20 samples. A byte total was not recorded on this probe, so none is shown. These files are synthetic.

Formats
CSV zip, by sample
License
Public domain (synthetic)
Updated
Fixed 2008–2010 release

How to download

  1. Read the page so you know the files are synthetic, not a 5% real-claims extract.
  2. Download one sample (Sample 1 is enough to learn the layout).
  3. Beneficiary, carrier, inpatient, outpatient, and PDE files are separate zips inside a sample.

Literature

U.S. National Library of Medicine Direct download

PubMed/MEDLINE annual baseline

The bulk XML of PubMed’s annual baseline, file by file.

The annual PubMed citation baseline — biomedical citations and abstracts with MeSH indexing — as many gzipped XML files, plus daily update files outside this folder.

All of biomedicine’s abstracts in one download. Bring a real disk.

1,334 baseline files (pubmed26n0001 through pubmed26n1334). Adding the FTP listing’s rounded megabyte sizes comes to about 52 GB. Each line is rounded, so the total is approximate.

52 GB compressed. about 69 minutes on a 100 Mbps connection (estimate).

Unzipping needs more disk than the compressed file. Measured 2026-10-08.

First file: pubmed26n0001.xml.gz (FTP lists 19M, rounded)

Formats
XML (gzipped)
License
Free to download; NLM terms apply to some abstract text
Updated
Baseline dated 2026-01-29 on the listing; daily updates are a separate folder

How to download

  1. Download one file first (the command below) and confirm you can parse it.
  2. The baseline is 1,334 gzipped XML files. The approximate 52 GB figure is a sum of rounded listing sizes.
  3. Daily updates live in the sibling updatefiles folder, not in this baseline.

This command fetches the first file, not every file in the set.

wget -c https://ftp.ncbi.nlm.nih.gov/pubmed/baseline/pubmed26n0001.xml.gz

Clinical records

MIT Laboratory for Computational Physiology Free, but credentialed (training + data-use agreement)

PhysioNet / MIMIC-IV

The credentialed ICU record set most clinical machine-learning papers mean by “MIMIC.”

De-identified electronic health records from Beth Israel Deaconess ICU and ED stays. Version 3.1 is the current credentialed release. The open demo is a separate card.

Free, but you must pass a human-subjects course first. The data is worth the homework.

PhysioNet did not print a file size on the public version page read on 2026-10-08 (the bytes sit behind the data-use agreement). The open demo’s uncompressed size is on the demo card.

Formats
CSV · BigQuery
License
PhysioNet Credentialed Health Data License (free; DUA + CITI training required)
Updated
Version 3.1 is the current release listed on the project page

How to download

  1. Complete the required human-subjects training and upload the completion report.
  2. Sign the data-use agreement on the version 3.1 page.
  3. Only then does PhysioNet show the files. Use the MIMIC-IV Demo card if you want the schema with no agreement.

MIT Laboratory for Computational Physiology Direct download

MIMIC-IV Demo

The open 100-patient copy of the MIMIC-IV schema, before you do the credentialing homework.

A small open demo of MIMIC-IV (100 patients) with the same table layout as the credentialed release. No data-use agreement.

PhysioNet prints “Total uncompressed size: 15.5 MB.” The zip’s compressed size was not listed, so download time is not estimated.

Formats
CSV zip
License
Open access (demo); see the PhysioNet page
Updated
Demo version 2.2

How to download

  1. Open the demo version page. No CITI course is required for the demo.
  2. Download the zip from that page.
  3. Treat 15.5 MB as uncompressed size, not as the zip size.

MIT Laboratory for Computational Physiology Direct download

eICU Collaborative Research Database Demo

An open demo of multi-hospital ICU stays, separate from single-center MIMIC.

A demo of the multi-center eICU database: de-identified ICU stays from many hospitals, open without the credentialed agreement. The full eICU set is credentialed and is not this card.

PhysioNet prints “Total uncompressed size: 130.6 MB.” Compressed size was not listed, so download time is not estimated.

Formats
CSV
License
Open access (demo); see the PhysioNet page
Updated
Demo version 2.0.1

How to download

  1. Open the demo page and download the files listed there.
  2. The full eICU database is a different, credentialed project. This card is only the demo.
  3. 130.6 MB is the uncompressed total PhysioNet prints.

MITRE Direct download

Synthea

Synthetic patients you generate yourself, with no real medical records in the output.

A synthetic patient generator. It writes fictional FHIR or CSV records. There is no one official patient file — you choose how many patients to generate.

No fixed dataset file. Output size depends on how many patients you ask the generator to write.

Formats
FHIR · CSV (generated)
License
Apache-2.0
Updated
Generator releases on GitHub

How to download

  1. Read the README and install the generator from the GitHub release.
  2. Generate a small population first (for example 100 patients) and look at the CSV or FHIR.
  3. Scale the run only after that sample looks like what you wanted. The records are fictional.

Bioactivity & molecules

EMBL — European Bioinformatics Institute Direct download

ChEMBL

A curated bioactivity database you can download as one SQLite file.

A curated database of bioactive molecules: compounds, activities, and targets. Release 37 is the current FTP “latest” as of 2026-05-29.

An entire medicinal-chemistry department’s memory, as a single SQLite file.

5.4 GB for chembl_37_sqlite.tar.gz (FTP listing, rounded, dated 2026-05-29). PostgreSQL is listed at 1.9 GB and MySQL at 2.0 GB, also rounded.

5.4 GB compressed. about 7 minutes on a 100 Mbps connection (estimate).

Unzipping needs more disk than the compressed file. Measured 2026-10-08.

First file: chembl_37_chemreps.txt.gz (FTP lists 279M, rounded)

Formats
SQLite · PostgreSQL · MySQL · SDF
License
CC BY-SA 3.0
Updated
Release 37, files dated 2026-05-29

How to download

  1. If you want the database, download the SQLite tarball. 5.4 GB is the rounded listing size.
  2. If you only want structures and identifiers, the chemreps text file is the smaller start.
  3. Keep the CC BY-SA attribution file that sits beside the dumps.

This command fetches the official file named in the size line.

wget -c https://ftp.ebi.ac.uk/pub/databases/chembl/ChEMBLdb/latest/chembl_37_sqlite.tar.gz

U.S. National Library of Medicine Direct download

PubChem compound extras

The public compound identifier and title table. Not the full 3D structure dump.

PubChem’s compound identifier tables. This card sizes the CID–title file. The full structure dump is a different, larger FTP tree and was not summed.

1.8 GB for CID-Title.gz (FTP listing, rounded, dated 2026-09-27). The full compound SDF collection is a separate directory and is not included in that figure.

1.8 GB compressed. about 2 minutes on a 100 Mbps connection (estimate).

Unzipping needs more disk than the compressed file. Measured 2026-10-08.

Formats
gzipped TSV
License
Public domain (U.S. Government work)
Updated
Listing dated 2026-09-27

How to download

  1. Download CID-Title.gz if you need compound IDs and names.
  2. Open the Extras directory for the other identifier tables (SMILES, InChI-Key, synonyms). Their listing sizes are on that page.
  3. Do not treat this file as the complete structure dump.

This command fetches the official file named in the size line.

wget -c https://ftp.ncbi.nlm.nih.gov/pubchem/Compound/Extras/CID-Title.gz

UniProt Consortium Direct download

UniProt Knowledgebase

The public protein-sequence knowledgebase, reviewed (Swiss-Prot) and unreviewed (TrEMBL).

Protein sequences. TrEMBL is the large unreviewed set. Swiss-Prot is the smaller reviewed set and is the right first file.

38 GB for uniprot_trembl.fasta.gz (FTP listing, rounded, release dated 2026-09-03). The dat.gz form of TrEMBL is listed at 113 GB.

38 GB compressed. about 51 minutes on a 100 Mbps connection (estimate).

Unzipping needs more disk than the compressed file. Measured 2026-10-08.

First file: Swiss-Prot FASTA, uniprot_sprot.fasta.gz (FTP lists 89M, rounded)

Formats
FASTA (gzipped)
License
CC BY 4.0
Updated
Release files dated 2026-09-03

How to download

  1. Start with Swiss-Prot if you want reviewed protein sequences.
  2. Download TrEMBL FASTA only if you need the unreviewed set. The listing rounds it to 38 GB.
  3. The XML and dat forms are larger than the FASTA. Check the directory before choosing one.

This command fetches the first file, not every file in the set.

wget -c https://ftp.uniprot.org/pub/databases/uniprot/current_release/knowledgebase/complete/uniprot_sprot.fasta.gz

BindingDB Direct download

BindingDB

A public table of measured drug–target binding numbers.

Measured binding affinities between drug-like molecules and protein targets, as a downloadable database.

The downloads index tried on 2026-10-08 returned 404, and no file size was captured. None is shown.

Formats
TSV or SDF zip
License
See the BindingDB license on the download page (free for the public set)
Updated
Periodic full dumps

How to download

  1. Open the BindingDB download page.
  2. Choose the full TSV or SDF dump listed there.
  3. Read the license on that page before redistributing the file. This catalog does not have a byte count for it.

Terminology

CDC / National Center for Health Statistics Direct download

ICD-10-CM FY2026

The diagnosis codes U.S. hospitals use for FY2026, as a free code-description file.

The U.S. clinical modification of ICD-10 for fiscal year 2026: diagnosis code descriptions, plus a separate table-and-index zip.

2,198,159 bytes for the code-descriptions zip (FTP listing, exact byte count). The table-and-index zip on the same directory is 18,744,973 bytes.

2.2 MB compressed. under a minute on a 100 Mbps connection (estimate).

Unzipping needs more disk than the compressed file. Measured 2026-10-08.

Formats
ZIP of text
License
Public domain
Updated
FY2026 files dated June 2025 on the listing

How to download

  1. Download the code-descriptions zip for the codes and their long text.
  2. Download the table-and-index zip from the same FY2026 directory if you need the index.
  3. Guidelines PDF is a third, smaller file in that directory.

This command fetches the official file named in the size line.

curl -L -O "https://ftp.cdc.gov/pub/Health_Statistics/NCHS/Publications/ICD10CM/2026/icd10cm-Code%20Descriptions-2026.zip"

U.S. National Library of Medicine Direct download

MeSH

The subject headings PubMed uses to index articles.

Medical Subject Headings — the controlled vocabulary used to index PubMed. The 2026 descriptor file is one gzipped XML.

16,812,612 bytes for desc2026.gz (Content-Length).

17 MB compressed. under a minute on a 100 Mbps connection (estimate).

Unzipping needs more disk than the compressed file. Measured 2026-10-08.

Formats
XML (gzipped)
License
NLM terms; free to download
Updated
2026 descriptors

How to download

  1. Download desc2026.gz for the descriptors.
  2. Qualifiers and supplementary concepts are separate files in the same xmlmesh directory.

This command fetches the official file named in the size line.

curl -L -O https://nlmpubs.nlm.nih.gov/projects/mesh/MESH_FILES/xmlmesh/desc2026.gz

Regenstrief Institute Free registration required

LOINC

The code system labs use so “hemoglobin” is the same identifier across hospitals.

The universal codes for laboratory tests and clinical observations. The full release is free and requires a Regenstrief license account.

The file size is shown after you sign in. It was not visible on the public downloads page, so none is recorded.

Formats
CSV / accessory files inside a zip
License
LOINC license (free account)
Updated
Twice-yearly releases

How to download

  1. Create a free LOINC account and accept the license.
  2. Download the current LOINC table file from the downloads page.
  3. The page shows the zip size once you are signed in. Use that number, not a guess.

This library is a personal, hand-maintained list of public resources. Each dataset belongs to and is licensed by its maintainer — check the license before you build on one. Listing here is not an endorsement by any of these organizations, and nothing on this page is medical advice. Byte counts come only from the maintainer’s own page, manifest, or directory listing. A blank size means they did not publish one.