For me when we talk about the health system, we cannot deny the fact that the financing part of the system is most important. In UHC, the financing is being criticized, mostly by hospitals on inefficiency financial support. ICD has been using as a claim processing between NHSO and hospitals the same as the insurance billing process in the US. However, the UHC is heading to DRG to align with their move from “fee-for-service” to “fee-for-performance” which is the same as in many countries in Europe. Comparing to SNOMED-CT, ICD is rougher in terms of clinical terms needs, and when comparing to DRG there are too many details for payment processing. Then for me, ICD, apart from its function in disease diagnosis using internally in the hospital or epidemiological function as its origin, the hospital should get to know more on other standards following the national move.