
User Organizations
Assessing the Implementation Maturity of local SNOMED CT implementations
Implementation Maturity for User Organizations
The Implementation Maturity Framework (SNOMED IMF) provides a structured approach to evaluating the progress and effectiveness of SNOMED CT adoption among User Organizations (such as hospitals, clinics and registries). This assessment helps healthcare organizations identify strengths, gaps, and opportunities for improving their implementation strategies and optimizing the use of SNOMED CT in clinical settings.
What is Assessed?
SCOPE OF SNOMED CT IMPLEMENTATION
GOVERNANCE AND STRATEGY
USER PROFICIENCY AND TRAINING
INTEROPERABILITY
ANALYTICS AND DECISION SUPPORT
Maturity Levels for User Organizations
Level 3
Active use across multiple clinical workflows and departments
Established governance frameworks guiding implementation
Structured training programs and identified champions
Level 4
Comprehensive integration across all clinical and administrative functions
Comprehensive governance practices with regular reviews
Seamless interoperability aligned with national standards
Level 2
Partial implementation across selected clinical areas
Basic governance structures with inconsistent application
Inconsistent training programs and user support
Level 5
Continuous evaluation and improvement of SNOMED CT usage
Dynamic governance evolution based on feedback and emerging needs
Advanced analytics and real-time decision support capabilities
BASIC
EMERGING
ADVANCED
INTEGRATED
OPTIMIZING
Level 1
Minimal SNOMED CT implementation in clinical systems
No formal governance structure for terminology adoption
Limited user training and support infrastructure
Level 0
No SNOMED CT implementation or governance structures.
No user awareness, training, or support.
No use of SNOMED CT in clinical documentation, analytics, or decision support.
NONE

Getting Started
Assess the Maturity of Your Organization?
The Implementation Maturity Framework can be applied in two complementary ways. Organizations may refer to the questions outlined on this site as a point of departure for internal benchmarking and evaluation, using them to guide discussions and assess current levels of maturity across key areas.
Alternatively, for a more structured approach, organizations can use our interactive assessment tool, which provides additional guidance, instructions, and support to help evaluate maturity in a consistent and informed manner.
