Example - Vendor / Software Product

Scenario

A mature EHR product that:

• Has broad SNOMED CT coverage across core clinical modules

• Provides good usability (search, selection, UI integration)

• Supports basic interoperability standards

• Relies on semi-manual terminology update processes

• Has limited advanced analytics and AI capabilities

This reflects a typical commercially mature product, where usability and core functionality are strong, but deeper terminology and data capabilities lag behind.

---

Step 1: Score Key Questions

KPA: Scope of SNOMED CT Implementation

Question	Selected Option	Score
EHR Modules	Comprehensive – most modules	75
Clinical Domains	Moderate scope	50

KPA Score = (75 + 50) ÷ 2 = 62.5

---

KPA: Terminology Provisioning and Maintenance

Question	Selected Option	Score
Update Processes	Basic structured process (manual effort required)	25
Localization & Notification	Limited localization	25

KPA Score = 25

---

KPA: Usability and Tool Support

Question	Selected Option	Score
Search & Interface	Intuitive interfaces (synonyms, suggestions)	50
Feedback & Metrics	Metrics actively tracked	75

KPA Score = 62.5

---

KPA: Interoperability

Question	Selected Option	Score
Data Exchange	Standard-based integration (e.g., FHIR/HL7)	50

KPA Score = 50

---

KPA: Advanced Decision Support and Analytics

Question	Selected Option	Score
Decision Support	Defined tools (standard CDS features)	50
Analytics Capabilities	Basic analytics (reporting only)	25

KPA Score = (50 + 25) ÷ 2 = 37.5

---

Step 2: Overall Maturity Level

Area	Score	Level
Scope of Implementation	62.5	Level 3
Terminology Management	25	Level 1–2
Usability	62.5	Level 3
Interoperability	50	Level 2–3
Analytics & CDS	37.5	Level 2
Overall	47.5	Level 2 – Emerging

Domain Score = (62.5 + 25 + 62.5 + 50 + 37.5) ÷ 5 = 47.5

→ Level 2 – Emerging (upper range)

---

Interpretation

Strengths

• Strong coverage across clinical modules

• Good usability and user experience

• Solid foundation for interoperability

• Active use of user feedback for improvements

Weaknesses

• Weak terminology lifecycle management (updates, versioning, localization)

• Limited automation in terminology provisioning

• Basic analytics and limited decision support capabilities

---

Priority Actions

To progress to Level 3 – Advanced, the vendor should:

1. Strengthen Terminology Management

• Implement automated SNOMED CT update pipelines

• Introduce version control and release management

• Improve localization and extension handling

2. Enhance Analytics and CDS

• Expand decision support capabilities

• Introduce predictive and real-time analytics

• Enable better use of coded data

3. Improve Interoperability Depth

• Expand terminology services (value sets, mappings)

• Strengthen semantic interoperability across systems

---

Provide Feedback