<ValueSet xmlns="http://hl7.org/fhir">
  <id value="Generic" />
  <meta>
    <lastUpdated value="2026-04-23T15:06:38Z" />
  </meta>
  <url value="https://nvc-cnv.canada.ca/fhir/v2/ValueSet/Generic" />
  <version value="1.109" />
  <status value="active" />
  <date value="2026-04-23" />
  <description value="The generic immunizing agent subset includes vaccines and passive immunizing agents that are currently authorized for use in Canada, those obtained through special access programs (generic description), and vaccines that have been discontinued and/or never licensed in Canada (with a tradename). This subset is a direct extension of the Canadian SNOMED CT Reference Sets developed by Canada Health Infoway. Where available, each SNOMED CT generic immunizing agent is also linked to its corresponding SNOMED CT tradename (representing the vaccine brand name), vaccine-preventable disease concept (indicating the disease the vaccine protects against), and antigen concept (representing the active ingredient triggering an immune response)." />
  <compose>
    <include>
      <system value="http://snomed.info/sct" />
      <version value="http://snomed.info/sct/20611000087101" />
      <concept>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-status">
          <valueString value="active" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-version">
          <valueString value="20240229" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-last-updated">
          <valueDate value="2025-08-11" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-passive-immunizing-agent">
          <valueBoolean value="false" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-product-status">
          <valueCodeableConcept>
            <coding>
              <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-product-status" />
              <code value="approved" />
              <display value="Approved" />
            </coding>
            <text value="Approved" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-product-status">
          <valueCodeableConcept>
            <coding>
              <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-product-status" />
              <code value="marketed" />
              <display value="Marketed" />
            </coding>
            <text value="Marketed" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="121006005" />
              <display value="Influenza A virus antigen" />
            </coding>
            <text value="Influenza A virus antigen" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-protects-against-disease">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="6142004" />
              <display value="Influenza" />
            </coding>
            <text value="Influenza" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-tradename-concept">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="45401000087105" />
              <display value="[Inf] FOCLIVIA" />
            </coding>
            <text value="[Inf] FOCLIVIA" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-tradename-concept">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="57881000087106" />
              <display value="[Inf] AREPANRIX H5N1" />
            </coding>
            <text value="[Inf] AREPANRIX H5N1" />
          </valueCodeableConcept>
        </extension>
        <code value="1003499009" />
        <display value="[Inf] Influenza A subtype H5N1 vaccine" />
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
            <display value="Fully Specified Name" />
          </use>
          <value value="Vaccine product containing only Influenza A virus subtype H5N1 antigen (medicinal product)" />
        </designation>
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[Inf] Influenza A subtype H5N1 vaccine" />
        </designation>
        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[Inf] vaccin contre l'influenza A sous-type H5N1" />
        </designation>
        <designation>
          <language value="en" />
          <use>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
            <code value="enPublicPicklist" />
            <display value="english public picklist" />
          </use>
          <value value="Influenza (flu) vaccine" />
        </designation>
        <designation>
          <language value="fr" />
          <use>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
            <code value="frPublicPicklist" />
            <display value="french public picklist" />
          </use>
          <value value="vaccin contre l'influenza (grippe)" />
        </designation>
        <designation>
          <language value="en" />
          <use>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
            <code value="enAbbreviation" />
            <display value="english abbreviation" />
          </use>
          <value value="Inf" />
        </designation>
        <designation>
          <language value="fr" />
          <use>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
            <code value="frAbbreviation" />
            <display value="french abbreviation" />
          </use>
          <value value="Inf" />
        </designation>
      </concept>
    </include>
    <include>
      <system value="http://snomed.info/sct" />
      <version value="http://snomed.info/sct/20611000087101" />
      <concept>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-status">
          <valueString value="active" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-version">
          <valueString value="20200930" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-last-updated">
          <valueDate value="2025-08-11" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-passive-immunizing-agent">
          <valueBoolean value="false" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="863875008" />
              <display value="Live poliomyelitis antigen" />
            </coding>
            <text value="Live poliomyelitis antigen" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-protects-against-disease">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="398102009" />
              <display value="Poliomyelitis" />
            </coding>
            <text value="Poliomyelitis" />
          </valueCodeableConcept>
        </extension>
        <code value="1051000221104" />
        <display value="[OPV] Poliomyelitis live vaccine" />
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
            <display value="Fully Specified Name" />
          </use>
          <value value="Vaccine product containing only live attenuated Human poliovirus serotypes 1 and 3 antigens in oral dose form (medicinal product form)" />
        </designation>
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[OPV] Poliomyelitis live vaccine" />
        </designation>
        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[VPO] vaccin vivant contre la poliomyélite" />
        </designation>
        <designation>
          <language value="en" />
          <use>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
            <code value="enPublicPicklist" />
            <display value="english public picklist" />
          </use>
          <value value="Polio vaccine" />
        </designation>
        <designation>
          <language value="fr" />
          <use>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
            <code value="frPublicPicklist" />
            <display value="french public picklist" />
          </use>
          <value value="vaccin contre la poliomyélite" />
        </designation>
        <designation>
          <language value="en" />
          <use>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
            <code value="enAbbreviation" />
            <display value="english abbreviation" />
          </use>
          <value value="OPV" />
        </designation>
        <designation>
          <language value="fr" />
          <use>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
            <code value="frAbbreviation" />
            <display value="french abbreviation" />
          </use>
          <value value="VPO" />
        </designation>
      </concept>
    </include>
    <include>
      <system value="http://snomed.info/sct" />
      <version value="http://snomed.info/sct/20611000087101" />
      <concept>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-status">
          <valueString value="active" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-version">
          <valueString value="20220930" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-last-updated">
          <valueDate value="2025-08-11" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-passive-immunizing-agent">
          <valueBoolean value="false" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-product-status">
          <valueCodeableConcept>
            <coding>
              <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-product-status" />
              <code value="cancelled" />
              <display value="Cancelled Post Market" />
            </coding>
            <text value="Cancelled Post Market" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="714078004" />
              <display value="Pneumococcal conjugate antigen" />
            </coding>
            <text value="Pneumococcal conjugate antigen" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="1052330009" />
              <display value="[Pneu-C-10] Pneumococcal conjugate 10-valent vaccine" />
            </coding>
            <text value="[Pneu-C-10] Pneumococcal conjugate 10-valent vaccine" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-protects-against-disease">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="16814004" />
              <display value="Pneumococcal disease" />
            </coding>
            <text value="Pneumococcal disease" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-replaces-concept">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="7661000087108" />
              <display value="Vaccine product containing only pneumococcal 10 serotypes conjugated antigens (medicinal product)" />
            </coding>
            <text value="Vaccine product containing only pneumococcal 10 serotypes conjugated antigens (medicinal product)" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-tradename-concept">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="7671000087104" />
              <display value="[Pneu-C-10] SYNFLORIX" />
            </coding>
            <text value="[Pneu-C-10] SYNFLORIX" />
          </valueCodeableConcept>
        </extension>
        <code value="1052330009" />
        <display value="[Pneu-C-10] Pneumococcal conjugate 10-valent vaccine" />
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
            <display value="Fully Specified Name" />
          </use>
          <value value="Vaccine product containing only Streptococcus pneumoniae Danish serotype 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F, and 23F capsular polysaccharide antigens conjugated (medicinal product)" />
        </designation>
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[Pneu-C-10] Pneumococcal conjugate 10-valent vaccine" />
        </designation>
        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[Pneu-C-10] vaccin contre le pneumocoque conjugué 10-valent" />
        </designation>
        <designation>
          <language value="en" />
          <use>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
            <code value="enPublicPicklist" />
            <display value="english public picklist" />
          </use>
          <value value="Pneumococcal conjugate (Pneu-C) vaccine" />
        </designation>
        <designation>
          <language value="fr" />
          <use>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
            <code value="frPublicPicklist" />
            <display value="french public picklist" />
          </use>
          <value value="vaccin contre le pneumocoque conjugué (Pneu-C)" />
        </designation>
        <designation>
          <language value="en" />
          <use>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
            <code value="enAbbreviation" />
            <display value="english abbreviation" />
          </use>
          <value value="Pneu-C-10" />
        </designation>
        <designation>
          <language value="fr" />
          <use>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
            <code value="frAbbreviation" />
            <display value="french abbreviation" />
          </use>
          <value value="Pneu-C-10" />
        </designation>
      </concept>
    </include>
    <include>
      <system value="http://snomed.info/sct" />
      <version value="http://snomed.info/sct/20611000087101" />
      <concept>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-status">
          <valueString value="active" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-version">
          <valueString value="20230331" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-last-updated">
          <valueDate value="2025-08-11" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-passive-immunizing-agent">
          <valueBoolean value="false" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-product-status">
          <valueCodeableConcept>
            <coding>
              <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-product-status" />
              <code value="cancelled" />
              <display value="Cancelled Post Market" />
            </coding>
            <text value="Cancelled Post Market" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="714078004" />
              <display value="Pneumococcal conjugate antigen" />
            </coding>
            <text value="Pneumococcal conjugate antigen" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="1052328007" />
              <display value="[Pneu-C-7] Pneumococcal conjugate 7-valent vaccine" />
            </coding>
            <text value="[Pneu-C-7] Pneumococcal conjugate 7-valent vaccine" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-protects-against-disease">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="16814004" />
              <display value="Pneumococcal disease" />
            </coding>
            <text value="Pneumococcal disease" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-replaces-concept">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="125714002" />
              <display value="Pneumococcal 7-valent conjugate vaccine (medicinal product)" />
            </coding>
            <text value="Pneumococcal 7-valent conjugate vaccine (medicinal product)" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-tradename-concept">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="7651000087105" />
              <display value="[Pneu-C-7] Prevnar" />
            </coding>
            <text value="[Pneu-C-7] Prevnar" />
          </valueCodeableConcept>
        </extension>
        <code value="1052328007" />
        <display value="[Pneu-C-7] Pneumococcal conjugate 7-valent vaccine" />
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
            <display value="Fully Specified Name" />
          </use>
          <value value="Vaccine product containing only Streptococcus pneumoniae Danish serotype 4, 6B, 9V, 14, 18C, 19F, and 23F capsular polysaccharide antigens conjugated (medicinal product)" />
        </designation>
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[Pneu-C-7] Pneumococcal conjugate 7-valent vaccine" />
        </designation>
        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[Pneu-C-7] vaccin contre le pneumocoque conjugué 7-valent" />
        </designation>
        <designation>
          <language value="en" />
          <use>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
            <code value="enPublicPicklist" />
            <display value="english public picklist" />
          </use>
          <value value="Pneumococcal conjugate (Pneu-C) vaccine" />
        </designation>
        <designation>
          <language value="fr" />
          <use>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
            <code value="frPublicPicklist" />
            <display value="french public picklist" />
          </use>
          <value value="vaccin contre le pneumocoque conjugué (Pneu-C)" />
        </designation>
        <designation>
          <language value="en" />
          <use>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
            <code value="enAbbreviation" />
            <display value="english abbreviation" />
          </use>
          <value value="Pneu-C-7" />
        </designation>
        <designation>
          <language value="fr" />
          <use>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
            <code value="frAbbreviation" />
            <display value="french abbreviation" />
          </use>
          <value value="Pneu-C-7" />
        </designation>
      </concept>
    </include>
    <include>
      <system value="http://snomed.info/sct" />
      <version value="http://snomed.info/sct/20611000087101" />
      <concept>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-status">
          <valueString value="inactive" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-version">
          <valueString value="20200930" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-last-updated">
          <valueDate value="2025-08-11" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-passive-immunizing-agent">
          <valueBoolean value="false" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-replaced-by-concept">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="28441000087100" />
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        <designation>
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            <coding>
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              <code value="marketed" />
              <display value="Marketed" />
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            <text value="Marketed" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
          <valueCodeableConcept>
            <coding>
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              <code value="551000221106" />
              <display value="Tetanus toxoid" />
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            <text value="Tetanus toxoid" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="713610005" />
              <display value="Acellular Bordetella pertussis antigen" />
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            <text value="Acellular Bordetella pertussis antigen" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
          <valueCodeableConcept>
            <coding>
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              <code value="161000221102" />
              <display value="Diphtheria toxoid" />
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            <text value="Diphtheria toxoid" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="844578004" />
              <display value="Inactivated Poliovirus antigen" />
            </coding>
            <text value="Inactivated Poliovirus antigen" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-protects-against-disease">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="27836007" />
              <display value="Pertussis" />
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            <text value="Pertussis" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-protects-against-disease">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="398102009" />
              <display value="Poliomyelitis" />
            </coding>
            <text value="Poliomyelitis" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-protects-against-disease">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="397430003" />
              <display value="Diphtheria" />
            </coding>
            <text value="Diphtheria" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-protects-against-disease">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="76902006" />
              <display value="Tetanus" />
            </coding>
            <text value="Tetanus" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-tradename-concept">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="7491000087102" />
              <display value="[Tdap-IPV] BOOSTRIX-POLIO" />
            </coding>
            <text value="[Tdap-IPV] BOOSTRIX-POLIO" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-tradename-concept">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="7481000087104" />
              <display value="[Tdap-IPV] ADACEL-POLIO" />
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            <text value="[Tdap-IPV] ADACEL-POLIO" />
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          <use>
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            <display value="Fully Specified Name" />
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        <designation>
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          <use>
            <system value="http://snomed.info/sct" />
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            <display value="Synonym" />
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        <designation>
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          <use>
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        <designation>
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          <use>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
            <code value="enPublicPicklist" />
            <display value="english public picklist" />
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        <designation>
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          <use>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
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            <display value="french public picklist" />
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        <designation>
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          <use>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
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            <display value="english abbreviation" />
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          <value value="Tdap-IPV" />
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        <designation>
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          <use>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
            <code value="frAbbreviation" />
            <display value="french abbreviation" />
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          <value value="dcaT-VPI" />
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      <concept>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-status">
          <valueString value="active" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-version">
          <valueString value="20200930" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-last-updated">
          <valueDate value="2025-08-11" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-passive-immunizing-agent">
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            <coding>
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              <code value="715979001" />
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            <text value="Meningococcal polysaccharide antigen" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-protects-against-disease">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="23511006" />
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            <text value="Meningococcal disease" />
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        <display value="[Men-P] Meningococcal polysaccharide vaccine" />
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
            <display value="Fully Specified Name" />
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          <value value="Vaccine product containing only meningococcal capsular polysaccharide unconjugated antigen (medicinal product)" />
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        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
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          <value value="[Men-P] Meningococcal polysaccharide vaccine" />
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        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
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            <display value="Synonym" />
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          <value value="[Men-P] vaccin contre le méningocoque polysaccharide" />
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        <designation>
          <language value="en" />
          <use>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
            <code value="enPublicPicklist" />
            <display value="english public picklist" />
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          <value value="Meningococcal polysaccharide (Men-P ) vaccine" />
        </designation>
        <designation>
          <language value="fr" />
          <use>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
            <code value="frPublicPicklist" />
            <display value="french public picklist" />
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          <value value="vaccin contre le méningocoque polysaccharide (Men-P)" />
        </designation>
        <designation>
          <language value="en" />
          <use>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
            <code value="enAbbreviation" />
            <display value="english abbreviation" />
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          <value value="Men-P" />
        </designation>
        <designation>
          <language value="fr" />
          <use>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
            <code value="frAbbreviation" />
            <display value="french abbreviation" />
          </use>
          <value value="Men-P" />
        </designation>
      </concept>
    </include>
    <include>
      <system value="http://snomed.info/sct" />
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      <concept>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-status">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-version">
          <valueString value="20200930" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-last-updated">
          <valueDate value="2025-08-11" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-passive-immunizing-agent">
          <valueBoolean value="false" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-product-status">
          <valueCodeableConcept>
            <coding>
              <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-product-status" />
              <code value="cancelled" />
              <display value="Cancelled Post Market" />
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            <text value="Cancelled Post Market" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="8351000087102" />
              <display value="Tick-borne encephalitis virus antigen" />
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            <text value="Tick-borne encephalitis virus antigen" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-protects-against-disease">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="712986001" />
              <display value="Tickborne encephalitis" />
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            <text value="Tickborne encephalitis" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-replaces-concept">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="333699008" />
              <display value="Tick-borne encephalitis vaccine (product)" />
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            <text value="Tick-borne encephalitis vaccine (product)" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-tradename-concept">
          <valueCodeableConcept>
            <coding>
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              <display value="[TBE] FSME-IMMUN (Bax)" />
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            <text value="[TBE] FSME-IMMUN (Bax)" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-tradename-concept">
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            <coding>
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          <use>
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        <designation>
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          <use>
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        <designation>
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        <designation>
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
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        <designation>
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          <use>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
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        <designation>
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        <designation>
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
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            <display value="french abbreviation" />
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          <value value="ETT" />
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            <coding>
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            <text value="Rotavirus vaccine (product)" />
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          <use>
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        <designation>
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        <designation>
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        <designation>
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        <designation>
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        <designation>
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        <designation>
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            <text value="Vaccine product containing only Yellow fever virus antigen (medicinal product)" />
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          <use>
            <system value="http://snomed.info/sct" />
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        <designation>
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            <system value="http://snomed.info/sct" />
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        <designation>
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          <use>
            <system value="http://snomed.info/sct" />
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        <designation>
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        <designation>
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        <designation>
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        <designation>
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        <designation>
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