> For the complete documentation index, see [llms.txt](https://docs.snomed.org/llms.txt). Markdown versions of documentation pages are available by appending `.md` to page URLs; this page is available as [Markdown](https://docs.snomed.org/snomed-ct-practical-guides/implementation-maturity-framework-guide/snomed-ct-implementation-maturity-assessment/maturity-assessment-for-members-national-release-center/example-member-national-release-center.md).
# Example: Member - National Release Center
## Scenario
A national health authority with:
* Well-established governance and national strategy
* Strong central SNOMED CT capability (extension, policy, guidance)
* Limited uptake across healthcare providers
* Minimal secondary use of SNOMED CT data
This reflects a typical mid-stage national program, where central readiness outpaces adoption.
***
## Step 1: Score Key Questions
### KPA: Growth and Adoption
| Question | Selected Option | Score |
| -------------------- | ------------------ | ----- |
| Affiliate Adoption | <25% adoption | 25 |
| Monitoring & Metrics | Minimal monitoring | 25 |
KPA Score = (25 + 25) ÷ 2 = 25
***
### KPA: Governance and Strategy
| Question | Selected Option | Score |
| -------------------- | ------------------------------------- | ----- |
| Governance Structure | Comprehensive governance with reviews | 75 |
| Strategic Alignment | Integrated with national initiatives | 75 |
KPA Score = 75
***
### KPA: Stakeholder Engagement
| Question | Selected Option | Score |
| ----------------------- | --------------------- | ----- |
| Stakeholder Involvement | Occasional engagement | 25 |
| End-User Resources | Structured resources | 50 |
KPA Score = (25 + 50) ÷ 2 = 37.5
***
### KPA: National Extension Management
| Question | Selected Option | Score |
| ------------------- | -------------------- | ----- |
| Extension Processes | Systematic processes | 75 |
KPA Score = 75
***
### KPA: Secondary Use
| Question | Selected Option | Score |
| ------------------ | ---------------- | ----- |
| Secondary Data Use | Initial attempts | 25 |
KPA Score = 25
***
## Step 2: Overall Maturity Level
| Area | Score | Level |
| --------------------- | ----- | ------------------ |
| Growth & Adoption | 25 | Level 1-2 |
| Governance & Strategy | 75 | Level 4 |
| Extension Management | 75 | Level 4 |
| Secondary Use | 25 | Level 1-2 |
| Overall | 47.5 | Level 2 – Emerging |
Domain Score = (25 + 75 + 37.5 + 75 + 25) ÷ 5 = 47.5
→ Level 2 – Emerging (upper range)
***
## Step 3: Interpretation
#### Strengths
* Strong national governance and policy alignment
* Mature extension management and terminology capability
* Clear strategic direction
#### Weaknesses
* Very low adoption across affiliates
* Limited monitoring and feedback mechanisms
* Weak stakeholder engagement
* Minimal secondary use of data
***
### Priority Actions
To move toward Level 3 – Advanced, the Member should:
#### 1. Drive Adoption
* Establish national implementation mandates or incentives
* Support onboarding of healthcare providers
* Define minimum adoption requirements
#### 2. Strengthen Engagement
* Create formal stakeholder forums
* Build partnerships with providers and vendors
* Increase communication and support
#### 3. Improve Monitoring
* Introduce national adoption metrics
* Track usage across affiliates
* Use data to guide interventions
#### 4. Enable Secondary Use
* Develop national analytics platforms
* Promote reporting and research use cases
* Align SNOMED CT with broader data strategy
***
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