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Also, manual coding is mainly based on a standard process and coding guidelines, potentially formalised as a set of rules and terminologies deployed in the healthcare system, for example, the priority of certain codes, the number of codes for each case, the mutual exclusion among certain codes, the rules to code hypothetical cases (e.g., possible and probable), the locally defined specific codes, etc

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The compounds David, Marcus, and Elena used don't require accepting a grey market