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If the hospitals in a country do not use the ICD standard, disease classification would be inconsistent, making it difficult to share data among hospitals and leading to a lack of interoperability. This, in turn, would result in ineffective data analysis, wrong diagnosis, and poor treatment or disease management. Moreover, it would affect disease reporting to health authorities, limiting their ability to monitor and evaluate the morbidity and mortality of diseases. As a result, it would negatively impact health service planning and decision-making for health policies.
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If hospitals do not use the ICD standard, disease classification would become inconsistent, making it difficult to share and compare data across facilities, compile national health statistics, or ensure interoperability. This would lead to ineffective data analysis, wrong diagnoses, and poor treatment or disease management. It would also hinder public health surveillance, disease reporting, international research, and monitoring of morbidity and mortality by health authorities. Additionally, insurance claims and reimbursement systems that rely on standardized codes would face challenges, while clinicians, administrators, and policymakers would struggle with fragmented records, ultimately weakening healthcare delivery and policy decision-making.
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If the hospitals in a country do not use the ICD Standard, we need to ask if they are using other Standard first.
If no standard is used, each hospital will write diseases differently making it hard to collect, compile, and compare in the national health information system or internationally (like in WHO system) which will cause obstacles in insurance claims, research, policy planning leading to health system failures and patients’ deaths. -
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One of the key purposes of ICD is interoperability. Without it, exchanging EMR/EHR data between hospitals would become inconsistent so difficulty in health information exchange occurs. Another one is clinical communication problem such as a diagnosis written in free text or using local codes may cause misinterpretation, especially when patients move between hospitals which could lead to errors in treatment, duplication of tests, and poor continuity of care. Many insurance systems use ICD codes for claims, reimbursement, and fraud detection. Without it, billing would be inconsistent and inefficient for both hospitals and insurance providers.
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Aside from providing a common/standardized language for recording, reporting, and monitoring diseases, ICD is also used to analyze statistical data on diseases. If hospitals in the country do not use the ICD standard, it will be harder to track the incidence and prevalence of diseases, monitor trends, and identify the onset of an epidemic or pandemic.
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If the hospitals do not use the ICD standard, the data systems would be fragmented and very difficult to integrate and so to interpret country disease prevalence and health status. If we need all disconnected systems to communicate and talk to each other, very expensive and handy middleware will be needed.
For health information exchange (HIE), we need standardization and interoperability between information systems. So, utilization of agree-on disease coding standards like ICD standard or SNOMED CT are required for disease classification and reliable health data exchange. -
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Apart from interoperability, data analysis and sharing, health surveillance, and billing that were already mentioned, without ICD (or other standardized tools), it would be difficult to develop EMR or decision-support systems. Hospitals may also struggle to adopt IT tools that are meant to reduce the workload of health professionals. This can lead to hidden costs from duplicated tasks and inefficient processes. It also could increase inequity in the health system, as hospitals that remain non-ICD–based would face challenges with traditional systems, resulting in poor data quality and affecting patient care in those regions.
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i. No standardized case definitions for the diseases among hospitals and different level of medical professionals, data reduntancy
ii. Face challenges in big data analysis for comparing of data, comprehensive management and research purposes, unable to monitor and EWAR system
iii. The above facts will impact on interoperability among institutes and country level ehealth system, increaded workload on data cleansing and verification
iv. If the hospital cannot use ICD standard, it is diffficult in calculating service package purchasing for case defining, management (logistics, financial and insurance)and implementing health economic. -
If hospitals don’t use the ICD standard, diagnoses would be coded differently everywhere, making it hard to share patient data or compare information. This would cause problems in communication, research, insurance claims and even public health planning. Overall, it would reduce efficiency and quality in healthcare.
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Currently, most hospitals use the ICD standard to classify disease diagnosis. What would happen if the hospitals in the country do not use the ICD standard?
Without using ICD standard, Disease name will be vary based on medical officer for example, myocardial infarction and ischemic heart disease. Let assume that those are the same meaning and just different in recording disease. So, There will be two disease name in the database. It will impact in data compilation and will coded like two different diseases . And then, there will be inaccurate conclusion for clinical analysis and decision making. The consequences will be serially endless as impact of not using ICD (uniform) coding name. -
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If hospitals do not use the ICD standard, health records will not be uniform. This causes confusion in diagnosis, problems in data sharing, weak public health reporting, difficulties with insurance claims, and trouble in international cooperation. In short, without ICD, the health system becomes less organized, less safe, and harder to manage.
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If the hospitals in the country do not use the ICD standard, several challenges and negative consequences would be faced. They lack standardization, have poor communication between health facilities, difficulties in public health reporting, and barriers to global collaboration.
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