Maturity Levels for Members (National Release Center)
The SNOMED CT Implementation Maturity Levels for Members (National Release Centers), highlights how adoption evolves at a national or regional level. It shows the progression from no coordinated activity to a fully optimized ecosystem where SNOMED CT is widely implemented, governed, and leveraged for advanced use. The model emphasizes how Members can progressively strengthen governance frameworks, expand adoption across affiliates, align with national health strategies, and enable interoperability and secondary use to support data-driven healthcare at scale.
Maturity Level Descriptions
Level 0 – None
No national adoption initiatives or formal recognition of SNOMED CT
No governance structures, policies, or assigned responsibilities
No awareness, capability, or stakeholder engagement
Health data primarily uses local or non-standardized terminologies
No infrastructure or support for terminology services
Level 1 – Basic
Awareness of SNOMED CT exists at a national level
Limited or informal discussions among key stakeholders
No coordinated national program or implementation roadmap
Minimal engagement with international standards or communities
Early understanding of potential benefits, but no structured action
Level 2 – Emerging
National strategy for SNOMED CT defined or in development
Initial pilot projects or early adopters (e.g., selected organizations)
Early governance structures, roles, and responsibilities beginning to form
Initial stakeholder engagement and awareness-building activities
Exploration of infrastructure needs (e.g., terminology services, extensions)
Level 3 – Advanced
Increasing number of affiliates actively using SNOMED CT
Formal governance structures established, including policies and oversight
National guidance, standards, and support resources available
Monitoring and reporting mechanisms introduced to track adoption
Training programs and stakeholder engagement initiatives in place
Early interoperability initiatives emerging across systems
Level 4 – Integrated
Majority of target organizations adopting and using SNOMED CT consistently
Strong governance with active stakeholder participation
Alignment with national digital health strategies and regulatory frameworks
Interoperability enabled across systems through standardized implementation
Measurable improvements in data quality, consistency, and exchange
SNOMED CT used for analytics, reporting, and decision-making
Level 5 – Optimizing
Full national adoption across affiliates and healthcare sectors
Continuous monitoring, evaluation, and improvement embedded in governance
Mature infrastructure supporting terminology services and national extensions
Advanced secondary use of data (analytics, research, population health, AI)
Strong ecosystem collaboration across stakeholders
Recognized leadership in terminology governance and international best practices
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