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ICD-11 comes with an implementation package that includes an online coding tool, an ICD-API that provides web services to enable remote programmatic access to ICD-11, enhanced capability to capture and combine clinically relevant characteristics of cases and integrated support for multiple languages, plus the ICD-11 Implementation or Transition Guide (World Health Organization 2019c)
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Emphysema of the peri-bronchial lung parenchyma can occur more than 10 years after small airway obstruction can be detected, and predominantly in the areas initially affected by air trapping