> 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-user-organizations.md).

# Maturity Assessment for User Organizations

This assessment is designed for User Organizations (e.g., healthcare providers, hospitals, government agencies) that implement SNOMED CT within their systems and workflows .

It enables organizations to evaluate:

* Clinical adoption and workflow integration
* Governance and strategic alignment
* User capability and training
* Interoperability readiness
* Use of analytics and decision support

The objective is to assess maturity, identify gaps, and guide continuous improvement in clinical terminology use.

***

## KPA: Scope of SNOMED CT Implementation

This KPA evaluates how extensively SNOMED CT is implemented across clinical areas and embedded into workflows.

It focuses on:

* Breadth of adoption across departments and care settings
* Depth of integration into clinical processes

Higher maturity indicates enterprise-wide adoption with deep workflow integration, supporting consistent clinical documentation and care delivery.

{% stepper %}
{% step %}

### Clinical Areas

#### Question

> **In how many clinical areas or care settings is SNOMED CT currently used?**

#### Context

Clinical areas may include primary care, emergency, radiology, pathology, pharmacy, mental health, and specialty services.

<table><thead><tr><th width="101.07672119140625">Option</th><th width="275.44384765625">Description</th><th width="109.5703125">Score</th><th>Example</th></tr></thead><tbody><tr><td>0</td><td>None</td><td>0</td><td>No SNOMED CT use in any clinical area</td></tr><tr><td>1</td><td>Limited – 1–2 areas</td><td>25</td><td>Used only in one or two departments</td></tr><tr><td>2</td><td>Partial – uneven coverage</td><td>50</td><td>Used in some departments but not consistently</td></tr><tr><td>3</td><td>Broad – several major areas</td><td>75</td><td>Used across multiple core clinical services</td></tr><tr><td>4</td><td>Comprehensive – most areas</td><td>90</td><td>Used in most departments</td></tr><tr><td>5</td><td>Fully integrated enterprise-wide</td><td>100</td><td>Used consistently across all relevant areas</td></tr></tbody></table>
{% endstep %}

{% step %}

### Clinical Workflows

#### Question

> **How extensively is SNOMED CT embedded in clinical workflows and processes?**

#### Context

Workflows include clinical documentation, orders, procedures, care plans, reporting, and decision support.

<table><thead><tr><th width="98.7613525390625">Option</th><th width="236.985107421875">Description</th><th width="97.65338134765625">Score</th><th>Example</th></tr></thead><tbody><tr><td>0</td><td>None</td><td>0</td><td>No integration into workflows</td></tr><tr><td>1</td><td>Minimal use (1–2 workflow areas)</td><td>25</td><td>Used in isolated processes only</td></tr><tr><td>2</td><td>Developing</td><td>50</td><td>Partially integrated into workflows</td></tr><tr><td>3</td><td>Established</td><td>75</td><td>Used in key workflows such as documentation and ordering</td></tr><tr><td>4</td><td>Comprehensive</td><td>90</td><td>Embedded across most workflows</td></tr><tr><td>5</td><td>Optimized</td><td>100</td><td>Fully embedded and continuously improved</td></tr></tbody></table>
{% endstep %}
{% endstepper %}

## KPA: Governance and Strategy

This KPA assesses the organizational structures, policies, and strategic alignment guiding SNOMED CT implementation.

It focuses on:

* Governance frameworks
* Roles and accountability
* Strategic planning and alignment

Higher maturity reflects well-defined governance integrated into organizational and digital health strategies.

{% stepper %}
{% step %}

### Governance Structure

#### Question

> **What is the state of governance structures for SNOMED CT adoption?**

#### Context

Consider ownership, roles, responsibilities, and oversight mechanisms supporting SNOMED CT implementation.

<table><thead><tr><th width="94.79119873046875">Option</th><th>Description</th><th width="93.49859619140625">Score</th><th>Example</th></tr></thead><tbody><tr><td>0</td><td>No governance</td><td>0</td><td>No defined ownership or oversight</td></tr><tr><td>1</td><td>Basic governance</td><td>25</td><td>Informal or fragmented governance</td></tr><tr><td>2</td><td>Established frameworks</td><td>50</td><td>Defined roles and policies exist</td></tr><tr><td>3</td><td>Comprehensive governance</td><td>75</td><td>Formal governance with oversight mechanisms</td></tr><tr><td>4</td><td>Continuously improved governance</td><td>90</td><td>Governance regularly reviewed and improved</td></tr><tr><td>5</td><td>Advanced governance model</td><td>100</td><td>Fully optimized and adaptive governance system</td></tr></tbody></table>
{% endstep %}

{% step %}

### Strategic Alignment

#### Question

> **Are strategic plans for SNOMED CT documented and reviewed?**

#### Context

Consider alignment with organizational priorities, digital health strategies, and clinical transformation initiatives.

<table><thead><tr><th width="100.29901123046875">Option</th><th>Description</th><th width="106.34942626953125">Score</th><th>Example</th></tr></thead><tbody><tr><td>0</td><td>No documented goals</td><td>0</td><td>No strategy or roadmap</td></tr><tr><td>1</td><td>Informal discussions</td><td>25</td><td>Ad hoc or informal planning</td></tr><tr><td>2</td><td>Documented strategy</td><td>50</td><td>Defined implementation plan</td></tr><tr><td>3</td><td>Reviewed and refined</td><td>75</td><td>Strategy reviewed periodically</td></tr><tr><td>4</td><td>Dynamically updated</td><td>90</td><td>Strategy updated based on changing priorities</td></tr><tr><td>5</td><td>Advanced continuous alignment</td><td>100</td><td>Fully integrated into organizational strategy</td></tr></tbody></table>
{% endstep %}
{% endstepper %}

## KPA: User Proficiency and Training

This KPA evaluates how well users are trained, supported, and empowered to use SNOMED CT effectively.

It focuses on:

* Training programs
* Knowledge dissemination
* Internal champions and expertise

Higher maturity indicates a knowledgeable workforce supported by structured training and expert networks.

{% stepper %}
{% step %}

### Training Programs

#### Question

> **What level of training is provided to users on SNOMED CT?**

#### Context

Consider the availability, consistency, and quality of training provided to different user groups.

<table><thead><tr><th width="91.992919921875">Option</th><th>Description</th><th width="97.765625">Score</th><th>Example</th></tr></thead><tbody><tr><td>0</td><td>No training</td><td>0</td><td>No training available</td></tr><tr><td>1</td><td>Basic, inconsistent training</td><td>25</td><td>Limited or one-off training</td></tr><tr><td>2</td><td>Structured programs</td><td>50</td><td>Formal onboarding training</td></tr><tr><td>3</td><td>Comprehensive training</td><td>75</td><td>Regular training and updates</td></tr><tr><td>4</td><td>Continuously improved training</td><td>90</td><td>Training improved based on feedback</td></tr><tr><td>5</td><td>Advanced training ecosystem</td><td>100</td><td>Continuous, role-based learning programs</td></tr></tbody></table>
{% endstep %}

{% step %}

### User Support / Champions

#### Question

> **Are there champions or proficient users to support SNOMED CT adoption?**

#### Context

Consider whether there are designated individuals or roles that promote, support, and guide SNOMED CT use.

<table><thead><tr><th width="93.54119873046875">Option</th><th>Description</th><th width="108.80609130859375">Score</th><th>Example</th></tr></thead><tbody><tr><td>0</td><td>No support</td><td>0</td><td>No internal expertise available</td></tr><tr><td>1</td><td>Minimal support</td><td>25</td><td>Informal or ad hoc support</td></tr><tr><td>2</td><td>Identified champions</td><td>50</td><td>Designated support roles exist</td></tr><tr><td>3</td><td>Active champions</td><td>75</td><td>Champions actively support adoption</td></tr><tr><td>4</td><td>Advanced support roles</td><td>90</td><td>Dedicated terminology or support roles</td></tr><tr><td>5</td><td>Fully optimized ecosystem</td><td>100</td><td>Continuous expert support and knowledge sharing</td></tr></tbody></table>
{% endstep %}
{% endstepper %}

## KPA: Interoperability

This KPA measures the ability to exchange SNOMED CT-coded data across systems.

It focuses on:

* Data exchange capabilities
* Standards alignment

Higher maturity reflects seamless, standards-based interoperability across healthcare systems.

{% stepper %}
{% step %}

### Data Exchange

#### Question

> **What is the level of SNOMED CT integration for data exchange?**

#### Context

Consider how SNOMED CT-coded data is exchanged within and across systems, including reliability and coverage.

<table><thead><tr><th width="115.84234619140625">Option</th><th>Description</th><th width="111.43109130859375">Score</th><th>Example</th></tr></thead><tbody><tr><td>0</td><td>No data exchange</td><td>0</td><td>No structured data exchange</td></tr><tr><td>1</td><td>Limited interoperability</td><td>25</td><td>Inconsistent or partial exchange</td></tr><tr><td>2</td><td>Select system integration</td><td>50</td><td>Reliable exchange in some interfaces</td></tr><tr><td>3</td><td>Seamless exchange</td><td>75</td><td>Standards-based interoperability</td></tr><tr><td>4</td><td>Continuously refined</td><td>90</td><td>Exchange processes regularly improved</td></tr><tr><td>5</td><td>Advanced ecosystem</td><td>100</td><td>Fully optimized, scalable interoperability</td></tr></tbody></table>
{% endstep %}

{% step %}

### Interoperability Standards

#### Question

> **Are interoperability processes aligned with national or international standards?**

#### Context

Consider the use of recognized standards and consistency of implementation across systems.

<table><thead><tr><th width="104.71307373046875">Option</th><th>Description</th><th width="91.56390380859375">Score</th><th>Example</th></tr></thead><tbody><tr><td>0</td><td>No standards</td><td>0</td><td>No alignment with standards</td></tr><tr><td>1</td><td>Incomplete mappings</td><td>25</td><td>Partial or inconsistent mappings</td></tr><tr><td>2</td><td>Partially standardized</td><td>50</td><td>Some compliance with standards</td></tr><tr><td>3</td><td>Monitored and improved</td><td>75</td><td>Standards regularly reviewed and improved</td></tr><tr><td>4</td><td>Fully reliable processes</td><td>90</td><td>Consistent, reliable implementation</td></tr><tr><td>5</td><td>Advanced ecosystem</td><td>100</td><td>Fully optimized standards alignment</td></tr></tbody></table>
{% endstep %}
{% endstepper %}

## KPA: Analytics and Decision Support

This KPA evaluates how SNOMED CT is used to support analytics, reporting, and clinical decision support.

It focuses on:

* Clinical analytics
* Reporting
* Decision support systems

Higher maturity reflects data-driven healthcare supported by predictive analytics and real-time clinical guidance.

{% stepper %}
{% step %}

### Analytics Tools

#### Question

> **How effectively are analytics tools using SNOMED CT data?**

#### Context

Consider how SNOMED CT data is used for reporting, analysis, and insight generation.

<table><thead><tr><th width="93.18963623046875">Option</th><th>Description</th><th width="111.405517578125">Score</th><th>Example</th></tr></thead><tbody><tr><td>0</td><td>No analytics</td><td>0</td><td>No use of SNOMED CT data</td></tr><tr><td>1</td><td>Basic analytics</td><td>25</td><td>Simple reporting</td></tr><tr><td>2</td><td>Actionable insights</td><td>50</td><td>Supports decision-making</td></tr><tr><td>3</td><td>Predictive analytics</td><td>75</td><td>Trend analysis and forecasting</td></tr><tr><td>4</td><td>Real-time insights</td><td>90</td><td>Near real-time analytics</td></tr><tr><td>5</td><td>Advanced ecosystem</td><td>100</td><td>Fully optimized analytics environment</td></tr></tbody></table>
{% endstep %}

{% step %}

### Decision Support

#### Question

> **Are decision support tools integrated with SNOMED CT?**

#### Context

Consider how SNOMED CT is used within clinical decision support systems and workflows.

<table><thead><tr><th width="95.6114501953125">Option</th><th>Description</th><th width="100.87078857421875">Score</th><th>Example</th></tr></thead><tbody><tr><td>0</td><td>No decision support</td><td>0</td><td>No CDS capability</td></tr><tr><td>1</td><td>Limited tools</td><td>25</td><td>Partial or inconsistent use</td></tr><tr><td>2</td><td>Workflow support</td><td>50</td><td>Used in key clinical workflows</td></tr><tr><td>3</td><td>Measured effectiveness</td><td>75</td><td>CDS performance monitored</td></tr><tr><td>4</td><td>Real-time decision support</td><td>90</td><td>Context-aware guidance</td></tr><tr><td>5</td><td>Advanced ecosystem</td><td>100</td><td>Fully optimized CDS environment</td></tr></tbody></table>
{% endstep %}
{% endstepper %}

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