<ValueSet xmlns="http://hl7.org/fhir">
  <id value="Tradename" />
  <meta>
    <lastUpdated value="2026-04-16T15:12:09Z" />
  </meta>
  <url value="https://nvc-cnv.canada.ca/fhir/v2/ValueSet/Tradename" />
  <version value="1.109" />
  <status value="active" />
  <date value="2026-04-16" />
  <description value="The tradename immunizing agent subset includes tradenames (representing the vaccine brand name) of authorized vaccines and passive immunizing agents (such as immunoglobulins and antitoxins, with ready-made antibodies) in Canada. This subset is a direct extension of the Canadian SNOMED CT Reference Sets developed by Canada Health Infoway. Where available, each SNOMED CT tradename is also linked to its corresponding Health Canada issued unique Drug Identification Number (DIN), lot numbers (assigned by the manufacturer to each vaccine batch), SNOMED CT generic immunization agent concept (representing the non-brand name), vaccine-preventable disease concept (indicating the disease the vaccine protects against), market authorization holder (representing the legal entity authorized by Health Canada for distributing the immunizing agent in Canada), 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="20190430" />
        </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-linked-generic-concept">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="7691000087100" />
              <display value="[Inf] Influenza trivalent vaccine" />
            </coding>
            <text value="[Inf] Influenza trivalent vaccine" />
          </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="260210008" />
              <display value="Influenza virus antigen" />
            </coding>
            <text value="Influenza virus 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="442269004" />
              <display value="Influenza A virus subtype H1N1 antigen" />
            </coding>
            <text value="Influenza A virus subtype H1N1 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-to-market-authorization-holder">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="27041000087109" />
              <display value="Drug Safety, Abbott Laboratories, Limited (supplier)" />
            </coding>
            <text value="Drug Safety, Abbott Laboratories, Limited (supplier)" />
          </valueCodeableConcept>
        </extension>
        <code value="19291000087108" />
        <display value="Xanaflu 15 micrograms per 0.5 milliliter suspension for injection Drug Safety, Abbott Laboratories, Limited (real clinical drug)" />
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
            <display value="Fully Specified Name" />
          </use>
          <value value="Xanaflu 15 micrograms per 0.5 milliliter suspension for injection Drug Safety, Abbott Laboratories, Limited (real clinical drug)" />
        </designation>
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[Inf] Xanaflu" />
        </designation>
        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[Inf] Xanaflu" />
        </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="Xanaflu" />
        </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="Xanaflu" />
        </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="20190430" />
        </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-linked-generic-concept">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="1981000221108" />
              <display value="[Men-B] Meningococcal B vaccine" />
            </coding>
            <text value="[Men-B] Meningococcal B vaccine" />
          </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="121080001" />
              <display value="Meningococcal group B antigen" />
            </coding>
            <text value="Meningococcal group B 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="23511006" />
              <display value="Meningococcal disease" />
            </coding>
            <text value="Meningococcal disease" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="27191000087103" />
              <display value="Novartis Vaccines and Diagnostics Inc. (supplier)" />
            </coding>
            <text value="Novartis Vaccines and Diagnostics Inc. (supplier)" />
          </valueCodeableConcept>
        </extension>
        <code value="19311000087109" />
        <display value="BEXSERO suspension for injection Novartis Vaccines and Diagnostics, Inc. (real clinical drug)" />
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
            <display value="Fully Specified Name" />
          </use>
          <value value="BEXSERO suspension for injection Novartis Vaccines and Diagnostics, Inc. (real clinical drug)" />
        </designation>
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[Men-B] BEXSERO (NVD)" />
        </designation>
        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[Men-B] BEXSERO (NVD)" />
        </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="BEXSERO" />
        </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="BEXSERO" />
        </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="Men-B" />
        </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-B" />
        </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="20250531" />
        </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="marketed" />
              <display value="Marketed" />
            </coding>
            <text value="Marketed" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-generic-concept">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="871908002" />
              <display value="[MMR-Var] Measles, mumps, rubella and varicella vaccine" />
            </coding>
            <text value="[MMR-Var] Measles, mumps, rubella and varicella vaccine" />
          </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="120998006" />
              <display value="Rubella virus antigen" />
            </coding>
            <text value="Rubella virus 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="120997001" />
              <display value="Measles virus antigen" />
            </coding>
            <text value="Measles virus 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="121087003" />
              <display value="Orthorubulavirus parotitidis antigen" />
            </coding>
            <text value="Orthorubulavirus parotitidis 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="871908002" />
              <display value="[MMR-Var] Measles, mumps, rubella and varicella vaccine" />
            </coding>
            <text value="[MMR-Var] Measles, mumps, rubella and varicella 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="14189004" />
              <display value="Measles" />
            </coding>
            <text value="Measles" />
          </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="38907003" />
              <display value="Varicella" />
            </coding>
            <text value="Varicella" />
          </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="36989005" />
              <display value="Mumps" />
            </coding>
            <text value="Mumps" />
          </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="36653000" />
              <display value="Rubella" />
            </coding>
            <text value="Rubella" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="27161000087106" />
              <display value="MERCK CANADA INC. (supplier)" />
            </coding>
            <text value="MERCK CANADA INC. (supplier)" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="A002489" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="A002490" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="A004464" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="A004465" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="A004480" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="K025768" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="L006374" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="L006375" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="L013544" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="L015410" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="L015412" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="L023110" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="L029614" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="L038002" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="L038003" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="L038004" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="L044517" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="L049942" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="L049943" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="L049944" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="L049945" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="L051103" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="X021303" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
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              <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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              <code value="4740000" />
              <display value="Shingles" />
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            <text value="Shingles" />
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              <display value="MERCK CANADA INC. (supplier)" />
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            <text value="MERCK CANADA INC. (supplier)" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="N017553" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="N019980" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="N019981" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="N020504" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="N020505" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="N023827" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="N023951" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="N032574" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="N032586" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="R022751" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="R022752" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="S001218" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="S004096" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="S012650" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="S012678" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="S012691" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="S012711" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="S012712" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="S012713" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="S012714" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="S019031" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="T022132" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U024355" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size">
          <valueString value="0.65" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="19400" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02375516" />
              <display value="02375516" />
            </coding>
            <text value="02375516" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="34206005" />
              <display value="Subcutaneous: SC" />
            </coding>
            <text value="Subcutaneous: SC" />
          </valueCodeableConcept>
        </extension>
        <code value="19321000087101" />
        <display value="ZOSTAVAX II 19400 plaque forming units per 0.65 milliliter powder and diluent for suspension for injection Merck Canada Inc. (real clinical drug)" />
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
            <display value="Fully Specified Name" />
          </use>
          <value value="ZOSTAVAX II 19400 plaque forming units per 0.65 milliliter powder and diluent for suspension for injection Merck Canada Inc. (real clinical drug)" />
        </designation>
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[LZV] ZOSTAVAX II" />
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        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[VVVCZ] ZOSTAVAX II" />
        </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="ZOSTAVAX II" />
        </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="ZOSTAVAX II" />
        </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="LZV" />
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        <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="VVVCZ" />
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      </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="20190430" />
        </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-linked-generic-concept">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="871768005" />
              <display value="[Inf] Influenza vaccine in nasal dose form" />
            </coding>
            <text value="[Inf] Influenza vaccine in nasal dose form" />
          </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="260210008" />
              <display value="Influenza virus antigen" />
            </coding>
            <text value="Influenza virus 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="442269004" />
              <display value="Influenza A virus subtype H1N1 antigen" />
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            <text value="Influenza A virus subtype H1N1 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-to-market-authorization-holder">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="26881000087109" />
              <display value="ASTRAZENECA CANADA INC. (supplier)" />
            </coding>
            <text value="ASTRAZENECA CANADA INC. (supplier)" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="FK2033B" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="FL2015" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="FL2015B" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="FL2155" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="FL2155B" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="HK2092" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="HL2478" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="HL2478B" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="HL2478C" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="JK2515" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="JK2515B" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KK2346" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KK2346B" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="MJ3210" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="MJ3210B" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="NK2858" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="NK2858B" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="PJ3268" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="PJ3268B" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="TJ2292" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="TJ2292C" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="WH2632B" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size">
          <valueString value="0.2" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="See product monograph" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02426544" />
              <display value="02426544" />
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            <text value="02426544" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="46713006" />
              <display value="Intranasal: IN" />
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            <text value="Intranasal: IN" />
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        <code value="20741000087105" />
        <display value="FLUMIST QUADRIVALENT 0.2 milliliter intranasal spray AstraZeneca Canada Inc. (real clinical drug)" />
        <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="FLUMIST QUADRIVALENT 0.2 milliliter intranasal spray AstraZeneca Canada Inc. (real clinical drug)" />
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        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[Inf] FLUMIST QUADRIVALENT" />
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        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[Inf] FLUMIST QUADRIVALENT" />
        </designation>
        <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" />
          </use>
          <value value="FLUMIST QUADRIVALENT" />
        </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="FLUMIST QUADRIVALENT" />
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        <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="Inf" />
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        <designation>
          <language value="fr" />
          <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="Inf" />
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      <system value="http://snomed.info/sct" />
      <version value="http://snomed.info/sct/20611000087101" />
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        <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="20190430" />
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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">
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            <coding>
              <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-product-status" />
              <code value="marketed" />
              <display value="Marketed" />
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            <text value="Marketed" />
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              <system value="http://snomed.info/sct/20611000087101" />
              <code value="20861000087100" />
              <display value="[HPV-9] Human papillomavirus 9-valent vaccine" />
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            <text value="[HPV-9] Human papillomavirus 9-valent vaccine" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
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              <system value="http://snomed.info/sct/20611000087101" />
              <code value="709358006" />
              <display value="Human papillomavirus, type 6 antigen" />
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            <text value="Human papillomavirus, type 6 antigen" />
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              <system value="http://snomed.info/sct/20611000087101" />
              <code value="120996005" />
              <display value="Human papillomavirus antigen" />
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            <text value="Human papillomavirus antigen" />
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              <system value="http://snomed.info/sct/20611000087101" />
              <code value="121235008" />
              <display value="Human papillomavirus 18 antigen" />
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              <system value="http://snomed.info/sct/20611000087101" />
              <code value="20861000087100" />
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            <text value="[HPV-9] Human papillomavirus 9-valent vaccine" />
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              <system value="http://snomed.info/sct/20611000087101" />
              <code value="121025008" />
              <display value="Human papillomavirus 16 antigen" />
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              <system value="http://snomed.info/sct/20611000087101" />
              <code value="709348007" />
              <display value="Human papillomavirus, type 11 antigen" />
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            <text value="Human papillomavirus, type 11 antigen" />
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              <system value="http://snomed.info/sct/20611000087101" />
              <code value="240532009" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
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              <system value="http://snomed.info/sct/20611000087101" />
              <code value="27161000087106" />
              <display value="MERCK CANADA INC. (supplier)" />
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            <text value="MERCK CANADA INC. (supplier)" />
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            <code value="M037115" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <code value="T023506" />
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            <code value="167701" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="354P4" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="3RM74" />
          </valueCoding>
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="5253C" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="5HS72" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="5LC7X" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="9KC24" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <code value="K3ZC9" />
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              <code value="02417030" />
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            <text value="02417030" />
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
            <code value="enPublicPicklist" />
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          <value value="BEXSERO" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
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          <value value="BEXSERO" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
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              <code value="marketed" />
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              <code value="121027000" />
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              <code value="52947006" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="JEV19F14G" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="JEV19J24G" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="JEV20F40G" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="JEV20H43G" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="JEV22A51G" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="JEV22D58G" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="JEV22H66G" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="JEV22K71G" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="JEV22L74G" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="JEV23J02G" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="JEV23K05G" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="JEV24A15G" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="JEV24B19G" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="JEV24B22G" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="JEV24K41G" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="JEV25B49G" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="JEV25D58G" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="JEV25E60G" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size">
          <valueString value="0.5" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="6" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02333279" />
              <display value="02333279" />
            </coding>
            <text value="02333279" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
            </coding>
            <text value="Intramuscular: IM" />
          </valueCodeableConcept>
        </extension>
        <code value="21771000087109" />
        <display value="IXIARO 6 micrograms per 0.5 milliliter suspension for injection Valneva Austria GmbH (real clinical drug)" />
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
            <display value="Fully Specified Name" />
          </use>
          <value value="IXIARO 6 micrograms per 0.5 milliliter suspension for injection Valneva Austria GmbH (real clinical drug)" />
        </designation>
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[JE] IXIARO (VAL)" />
        </designation>
        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[EJ] IXIARO (VAL)" />
        </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="IXIARO" />
        </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="IXIARO" />
        </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="JE" />
        </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="EJ" />
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      </concept>
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    <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" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-version">
          <valueString value="20190430" />
        </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="marketed" />
              <display value="Marketed" />
            </coding>
            <text value="Marketed" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-generic-concept">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="7691000087100" />
              <display value="[Inf] Influenza trivalent vaccine" />
            </coding>
            <text value="[Inf] Influenza trivalent vaccine" />
          </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="260210008" />
              <display value="Influenza virus antigen" />
            </coding>
            <text value="Influenza virus 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="442269004" />
              <display value="Influenza A virus subtype H1N1 antigen" />
            </coding>
            <text value="Influenza A virus subtype H1N1 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-to-market-authorization-holder">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="26911000087109" />
              <display value="BGP PHARMA ULC (supplier)" />
            </coding>
            <text value="BGP PHARMA ULC (supplier)" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="J22T" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="J26T" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="J32TB" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="J36T" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="J38T" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="J40T" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="L20T" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="L27T" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="L28" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="L32T" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="N18T" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="N18TA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="N20T" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="N20TA" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="N45T" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="R12T" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size">
          <valueString value="0.5" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="See product monograph" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
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              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02269562" />
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            <text value="02269562" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="34206005" />
              <display value="Subcutaneous: SC" />
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            <text value="Subcutaneous: SC" />
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
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            <text value="Intramuscular: IM" />
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          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
            <display value="Fully Specified Name" />
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        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[Inf] INFLUVAC (BGP)" />
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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="INFLUVAC" />
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        <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="INFLUVAC" />
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        <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="Inf" />
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        <designation>
          <language value="fr" />
          <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="Inf" />
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      <system value="http://snomed.info/sct" />
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          <valueString value="active" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-version">
          <valueString value="20190430" />
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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="marketed" />
              <display value="Marketed" />
            </coding>
            <text value="Marketed" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-generic-concept">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="1981000221108" />
              <display value="[Men-B] Meningococcal B vaccine" />
            </coding>
            <text value="[Men-B] Meningococcal B vaccine" />
          </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="121080001" />
              <display value="Meningococcal group B antigen" />
            </coding>
            <text value="Meningococcal group B 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="23511006" />
              <display value="Meningococcal disease" />
            </coding>
            <text value="Meningococcal disease" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="27241000087103" />
              <display value="PFIZER CANADA ULC (supplier)" />
            </coding>
            <text value="PFIZER CANADA ULC (supplier)" />
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            <code value="FN5544" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="FT8653" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="HD6344" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="HM8170" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="LW1945" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <code value="W06979" />
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              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02468751" />
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            <text value="02468751" />
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
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            <text value="Intramuscular: IM" />
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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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          <value value="Trumenba" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
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          <value value="Trumenba" />
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              <code value="marketed" />
              <display value="Marketed" />
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            <text value="Marketed" />
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              <system value="http://snomed.info/sct/20611000087101" />
              <code value="1362134008" />
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            <text value="[Chol-Ecol-O] Cholera and E. coli oral vaccine" />
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              <system value="http://snomed.info/sct/20611000087101" />
              <code value="721120005" />
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            <text value="Vibrio cholerae recombinant toxin B subunit antigen" />
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            <text value="Inactivated whole Vibrio cholerae antigen" />
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              <code value="11840006" />
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              <code value="63650001" />
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            <text value="VALNEVA SWEDEN AB (supplier)" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00228" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00229" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00231" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00238" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00241" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00242" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00258" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00259" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00261" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00270" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00274" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00284" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00285" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00293" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00304" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00305" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00320" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00321" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00331" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00349" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00353" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00361" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00411" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00412" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00415" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00416" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00423" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00428" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00429" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00430" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00431" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00436" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00437" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00446" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00448" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00452" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00463" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00468" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00469" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00470" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00472" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00476" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00477" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00480" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00486" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00487" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00490" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00491" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00492" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00493" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00503" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00504" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00505" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00514" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00525" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00530" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00538" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00542" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00544" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00547" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00552" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00553" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00560" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00561" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00562" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00565" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00571" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00579" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00584" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00600" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00613" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00621" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00622" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00642" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KV00643" />
          </valueCoding>
        </extension>
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
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            <display value="english public picklist" />
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              <code value="marketed" />
              <display value="Marketed" />
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            <text value="[RZV] Recombinant herpes zoster vaccine" />
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            <text value="[RZV] Recombinant herpes zoster vaccine" />
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              <code value="4740000" />
              <display value="Shingles" />
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            <text value="GLAXOSMITHKLINE INC. (supplier)" />
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              <display value="Cancelled Pre Market" />
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            <text value="Cancelled Pre Market" />
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              <code value="30141000087107" />
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            <text value="[COVID-19] Virus-like particle antigen COVID-19 vaccine" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
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              <code value="30131000087101" />
              <display value="Antigen of SARS-CoV-2 virus-like particle" />
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            <text value="Antigen of SARS-CoV-2 virus-like particle" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-protects-against-disease">
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              <code value="840539006" />
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            <text value="COVID-19" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
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              <code value="30161000087108" />
              <display value="Medicago Inc. (supplier)" />
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            <text value="Medicago Inc. (supplier)" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="3.75" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
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              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02521326" />
              <display value="02521326" />
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            <text value="02521326" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
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            <text value="Intramuscular: IM" />
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          <use>
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            <code value="900000000000003001" />
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        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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        <designation>
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          <use>
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            <code value="900000000000013009" />
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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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        <designation>
          <language value="fr" />
          <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>
          <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="COVID-19" />
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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="COVID-19" />
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          <valueString value="active" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-version">
          <valueString value="20210930" />
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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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              <code value="29061000087103" />
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            <text value="[COVID-19] Non-replicating vector COVID-19 vaccine" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="1157044000" />
              <display value="Recombinant non-replicating viral vector encoding severe acute respiratory syndrome coronavirus 2 spike protein" />
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            <text value="Recombinant non-replicating viral vector encoding severe acute respiratory syndrome coronavirus 2 spike protein" />
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              <code value="840539006" />
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            <text value="COVID-19" />
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        <display value="Convidecia COVID-19 non-replicating vector vaccine (real medicinal product)" />
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          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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        <designation>
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          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
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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" />
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          <value value="Convidecia" />
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        <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="Convidecia" />
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        <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="COVID-19" />
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        <designation>
          <language value="fr" />
          <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="COVID-19" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-version">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-last-updated">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-passive-immunizing-agent">
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            <coding>
              <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-product-status" />
              <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-linked-generic-concept">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="7121000087107" />
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            <text value="[Men-C-ACYW] Meningococcal conjugate A + C + Y + W vaccine" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="716270003" />
              <display value="Meningococcal polysaccharide group C antigen" />
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            <text value="Meningococcal polysaccharide group C antigen" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="716268007" />
              <display value="Meningococcal conjugate group W-135 antigen" />
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            <text value="Meningococcal conjugate group W-135 antigen" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="716272006" />
              <display value="Meningococcal polysaccharide group W-135 antigen" />
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            <text value="Meningococcal polysaccharide group W-135 antigen" />
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            <text value="Meningococcal conjugate group Y antigen" />
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              <code value="716266006" />
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            <text value="Meningococcal conjugate group C antigen" />
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              <code value="871834006" />
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            <text value="Neisseria meningitidis serogroup A capsular polysaccharide antigen conjugated" />
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              <code value="23511006" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
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            <text value="GLAXOSMITHKLINE INC. (supplier)" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="A90CA247A" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="A90CA275C" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AR6735" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AT5471" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="CJ8288" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="CJ9239" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="CM5743" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="DC8082" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="DD0014" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="DP5759" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="DR7849" />
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            <text value="COVID-19" />
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            <text value="BIONTECH MANUFACTURING GMBH (supplier)" />
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          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
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        <designation>
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          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
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          <value value="[COVID-19] COMIRNATY Original &amp; Omicron BA.4/BA.5 pediatric 3 mcg/0.2mL" />
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        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
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          <value value="[COVID-19] COMIRNATY Original &amp; Omicron BA.4/BA.5 pédiatrique 3 mcg/0.2 mL" />
        </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" />
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          <value value="COMIRNATY Original &amp; Omicron BA.4/BA.5" />
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        <designation>
          <language value="fr" />
          <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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          <value value="COMIRNATY Original &amp; Omicron BA.4/BA.5" />
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        <designation>
          <language value="en" />
          <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="COVID-19" />
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        <designation>
          <language value="fr" />
          <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="COVID-19" />
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        <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="20230930" />
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        <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" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-product-status">
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            <coding>
              <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-product-status" />
              <code value="marketed" />
              <display value="Marketed" />
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            <text value="Marketed" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-generic-concept">
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            <coding>
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              <code value="51311000087100" />
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            <text value="[RSV] Respiratory syncytial virus antigen vaccine" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="51291000087101" />
              <display value="RSV glycoprotein F antigen" />
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            <text value="RSV glycoprotein F 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="55735004" />
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            <text value="Respiratory syncytial virus infection" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="27071000087101" />
              <display value="GLAXOSMITHKLINE INC. (supplier)" />
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            <text value="GLAXOSMITHKLINE INC. (supplier)" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="2G75N" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="54X47" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="5CP93" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="5K5DL" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="74MH4" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="799K5" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="7X423" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="99M97" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="9FJ54" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="9HE5B" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="B3Z25" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="BT354" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C27YR" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="CB349" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="EZ247" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="FA374" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="TL5Z4" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="XY43C" />
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              <code value="02540207" />
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              <code value="78421000" />
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        <designation>
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            <system value="http://snomed.info/sct" />
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            <system value="http://snomed.info/sct" />
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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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          <value value="AREXVY" />
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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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          <value value="AREXVY" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-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="VRS" />
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            <text value="Severe acute respiratory syndrome coronavirus 2 mRNA" />
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            <code value="HL2950" />
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              <code value="02541866" />
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              <code value="78421000" />
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            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
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        <designation>
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          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[COVID-19] COMIRNATY Omicron XBB.1.5 pediatric 3 mcg/0.2 mL" />
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        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
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          <value value="[COVID-19] COMIRNATY Omicron XBB.1.5 pédiatrique 3 mcg/0.2 mL" />
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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="COMIRNATY Omicron XBB.1.5" />
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        <designation>
          <language value="fr" />
          <use>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
            <code value="frPublicPicklist" />
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            <display value="english abbreviation" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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            <code value="LT1001" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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            <code value="NJ7902" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="X62057" />
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              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02402904" />
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            <text value="02402904" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
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            <code value="900000000000003001" />
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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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          <value value="NIMENRIX" />
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          <use>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
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            <text value="Dormant" />
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            <text value="ID BIOMEDICAL CORPORATION OF QUEBEC (supplier)" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="LE5813" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="LF2143" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="LT0530" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="MA2237" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="ME0083" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="MJ9384" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="MX6795" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="NJ5252" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="NW0528" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="VNS1P11B-AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="VNS1Q05A-AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="VNS1Q11B-AC" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="VNS1R03C" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="VNS1R04EAA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="VNS1R06EAB" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="VNS1R09BAE" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="VNS1R10DAA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="VNS1R11CAC" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="VNS1R12EAA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="VNS1R14AAB" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="VNS1S05CAB" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="VNS1S10EAB" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="VNS1S13AAA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="VNS1T04BAA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="VNS1T04CAA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="VNS1T04DAD" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="VNS1T05DAD" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="VNS1T05DAE" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="VNS1T06CAA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="VNS1T10DAB" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size">
          <valueString value="0.5" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="See product monograph" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02245057" />
              <display value="02245057" />
            </coding>
            <text value="02245057" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
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            <text value="Intramuscular: IM" />
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        <code value="21891000087103" />
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          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
            <display value="Fully Specified Name" />
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          <value value="NeisVac-C 10 micrograms per 0.5 milliliter suspension for injection Pfizer Canada ULC (real clinical drug)" />
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        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[Men-C-C] NeisVac-C (Pfiz)" />
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        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[Men-C-C] NeisVac-C (Pfiz)" />
        </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="NeisVac-C" />
        </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="NeisVac-C" />
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        <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-C-C" />
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        <designation>
          <language value="fr" />
          <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="Men-C-C" />
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      <system value="http://snomed.info/sct" />
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        <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="20190430" />
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        <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_pre_market" />
              <display value="Cancelled Pre Market" />
            </coding>
            <text value="Cancelled Pre Market" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-generic-concept">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="7691000087100" />
              <display value="[Inf] Influenza trivalent vaccine" />
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            <text value="[Inf] Influenza trivalent vaccine" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="260210008" />
              <display value="Influenza virus antigen" />
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            <text value="Influenza virus antigen" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="442269004" />
              <display value="Influenza A virus subtype H1N1 antigen" />
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            <text value="Influenza A virus subtype H1N1 antigen" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-protects-against-disease">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="6142004" />
              <display value="Influenza" />
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            <text value="Influenza" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="27321000087103" />
              <display value="SEQIRUS UK LIMITED (supplier)" />
            </coding>
            <text value="SEQIRUS UK LIMITED (supplier)" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="151901" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="151922" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="153001" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="153002" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="164701" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="164702" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="164703" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="165001" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="176002" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="176002C" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="176101A" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="176102" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="176352A" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="177302" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="178301" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="178302" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="259183A1A" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="259183B1A" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="259183B1AA" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="259183C1AA" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="274914A1A" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="274914B1A" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="286402A1A" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="150101" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="160521" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="171001" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size">
          <valueString value="0.5" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="See product monograph" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02346850" />
              <display value="02346850" />
            </coding>
            <text value="02346850" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
            </coding>
            <text value="Intramuscular: IM" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size">
          <valueString value="0.5" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="See product monograph" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02428881" />
              <display value="02428881" />
            </coding>
            <text value="02428881" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
            </coding>
            <text value="Intramuscular: IM" />
          </valueCodeableConcept>
        </extension>
        <code value="22971000087103" />
        <display value="AGRIFLU 15 micrograms per 0.5 milliliter suspension for injection Seqirus UK Limited (real clinical drug)" />
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
            <display value="Fully Specified Name" />
          </use>
          <value value="AGRIFLU 15 micrograms per 0.5 milliliter suspension for injection Seqirus UK Limited (real clinical drug)" />
        </designation>
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[Inf] AGRIFLU (SEQ)" />
        </designation>
        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[Inf] AGRIFLU (SEQ)" />
        </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="AGRIFLU" />
        </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="AGRIFLU" />
        </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="20190930" />
        </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="dormant" />
              <display value="Dormant" />
            </coding>
            <text value="Dormant" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-generic-concept">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="19401000087100" />
              <display value="[Inf] Influenza quadrivalent vaccine" />
            </coding>
            <text value="[Inf] Influenza quadrivalent vaccine" />
          </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="260210008" />
              <display value="Influenza virus antigen" />
            </coding>
            <text value="Influenza virus 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="442269004" />
              <display value="Influenza A virus subtype H1N1 antigen" />
            </coding>
            <text value="Influenza A virus subtype H1N1 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-to-market-authorization-holder">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="27311000087106" />
              <display value="SEQIRUS PTY LTD (supplier)" />
            </coding>
            <text value="SEQIRUS PTY LTD (supplier)" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AS2869B" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AS2870B" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AU1802A" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AU1802B" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="P100107887" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="P100107888" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="P100107889" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="P100107890" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="P100107891" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="P100113791" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="P100236341" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="P100236348" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="P100236355" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="P100236356" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="P100241690" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="P100353704" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="P100353714" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="P100353716" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="P100353717" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="P100369135" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="P100371822" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="P100246208" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="P100246210" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="P100267101" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="P100359208" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="P100359210" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="P100359212" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="P100362998" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="P100364926" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="P100367158" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="P100367172" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="P100367387" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="P100369971" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="P100463121" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="P100475029" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="P100478052" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="P100478853" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="P100584035" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="P100584670" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="P100585964" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="P100712180" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="P100712183" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="P100712201" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size">
          <valueString value="0.5" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="See product monograph" />
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        <designation>
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          <use>
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        <designation>
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          <use>
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            <display value="english public picklist" />
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        <designation>
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          <use>
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            <display value="french public picklist" />
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        <designation>
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        <designation>
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            <text value="[BCG] Bacillus Calmette Guerin vaccine" />
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            <text value="Bacillus Calmette-Guerin antigen" />
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              <code value="56717001" />
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            <text value="Tuberculosis" />
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        <designation>
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          <use>
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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" />
            <code value="frPublicPicklist" />
            <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="BCG" />
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        <designation>
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            <text value="Dormant" />
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            <text value="Influenza A virus subtype H1N1 antigen" />
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          <valueString value="See product monograph" />
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            <coding>
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              <code value="02484854" />
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            <text value="02484854" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
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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="COVID-19" />
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        <designation>
          <language value="fr" />
          <use>
            <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="COVID-19" />
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      <system value="http://snomed.info/sct" />
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        <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">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-passive-immunizing-agent">
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              <code value="marketed" />
              <display value="Marketed" />
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            <text value="Marketed" />
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            <text value="[Inf] Influenza trivalent high-dose vaccine" />
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              <code value="260210008" />
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            <text value="Influenza virus antigen" />
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              <code value="442269004" />
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            <text value="Influenza A virus subtype H1N1 antigen" />
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              <code value="6142004" />
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            <text value="Influenza" />
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            <text value="SANOFI VACCINES CANADA LTD. (supplier)" />
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            <code value="UI685AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <code value="UI853AA" />
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            <code value="UI999AB" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <code value="UJ010AA" />
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            <code value="UJ024AB" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <code value="UJ037AC" />
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            <code value="UJ233AA" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
            <code value="enPublicPicklist" />
            <display value="english public picklist" />
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          <use>
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            <display value="french public picklist" />
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          <value value="FLUZONE haute dose" />
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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="english abbreviation" />
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              <code value="551000221106" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="716268007" />
              <display value="Meningococcal conjugate group W-135 antigen" />
            </coding>
            <text value="Meningococcal conjugate group W-135 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="716267002" />
              <display value="Meningococcal conjugate group Y antigen" />
            </coding>
            <text value="Meningococcal conjugate group Y 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="7121000087107" />
              <display value="[Men-C-ACYW] Meningococcal conjugate A + C + Y + W vaccine" />
            </coding>
            <text value="[Men-C-ACYW] Meningococcal conjugate A + C + Y + W vaccine" />
          </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="716266006" />
              <display value="Meningococcal conjugate group C antigen" />
            </coding>
            <text value="Meningococcal conjugate group C 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="23511006" />
              <display value="Meningococcal disease" />
            </coding>
            <text value="Meningococcal disease" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="27071000087101" />
              <display value="GLAXOSMITHKLINE INC. (supplier)" />
            </coding>
            <text value="GLAXOSMITHKLINE INC. (supplier)" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AMVA157A" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AMVA252A" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AMVA425A" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AMVA595A" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AMVA706A" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AMVA922A" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AMVB018A" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AMVB040A" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AMVB083A" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AMVB109A" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="M15012" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="M15013" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="M15022" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="M15052" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="M15142" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="M16001" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="M16007" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="M16035" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="M16072" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="M16120" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="M16143" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="M17027" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size">
          <valueString value="0.5" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="See product monograph" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02347393" />
              <display value="02347393" />
            </coding>
            <text value="02347393" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
            </coding>
            <text value="Intramuscular: IM" />
          </valueCodeableConcept>
        </extension>
        <code value="21681000087101" />
        <display value="Menveo powder and solution for injection GlaxoSmithKline Inc. (real clinical drug)" />
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
            <display value="Fully Specified Name" />
          </use>
          <value value="Menveo powder and solution for injection GlaxoSmithKline Inc. (real clinical drug)" />
        </designation>
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[Men-C-ACYW] Menveo (GSK)" />
        </designation>
        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[Men-C-ACYW-135] Menveo (GSK)" />
        </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="Menveo" />
        </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="Menveo" />
        </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="Men-C-ACYW" />
        </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-C-ACYW-135" />
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      </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="20241130" />
        </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-linked-generic-concept">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="1119349007" />
              <display value="[COVID-19] mRNA COVID-19 vaccine" />
            </coding>
            <text value="[COVID-19] mRNA COVID-19 vaccine" />
          </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="1119343008" />
              <display value="Severe acute respiratory syndrome coronavirus 2 mRNA" />
            </coding>
            <text value="Severe acute respiratory syndrome coronavirus 2 mRNA" />
          </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="840539006" />
              <display value="COVID-19" />
            </coding>
            <text value="COVID-19" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="51461000087108" />
              <display value="MODERNA BIOPHARMA CANADA CORPORATION (supplier)" />
            </coding>
            <text value="MODERNA BIOPHARMA CANADA CORPORATION (supplier)" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="043A23A" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="047D22A" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="0.1" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02527685" />
              <display value="02527685" />
            </coding>
            <text value="02527685" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
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            <text value="Intramuscular: IM" />
          </valueCodeableConcept>
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        <code value="35651000087105" />
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        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
            <display value="Fully Specified Name" />
          </use>
          <value value="SPIKEVAX (original strain) messenger ribonucleic acid 0.10 milligrams per 1 milliliter dispersion for injection Moderna Biopharma Canada Corporation (real clinical drug)" />
        </designation>
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[COVID-19] SPIKEVAX (original strain) 0.10 mg/mL" />
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        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[COVID-19] SPIKEVAX (souche originale) 0.10 mg/mL" />
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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" />
          </use>
          <value value="SPIKEVAX (original strain)" />
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        <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="SPIKEVAX (original strain)" />
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        <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="COVID-19" />
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        <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="COVID-19" />
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      </concept>
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    <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" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-version">
          <valueString value="20230331" />
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        <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" />
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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" />
            </coding>
            <text value="Cancelled Post Market" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-generic-concept">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="33581000087104" />
              <display value="[COVID-19] Pediatric mRNA COVID-19 vaccine" />
            </coding>
            <text value="[COVID-19] Pediatric mRNA COVID-19 vaccine" />
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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="1119343008" />
              <display value="Severe acute respiratory syndrome coronavirus 2 mRNA" />
            </coding>
            <text value="Severe acute respiratory syndrome coronavirus 2 mRNA" />
          </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="840539006" />
              <display value="COVID-19" />
            </coding>
            <text value="COVID-19" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="29141000087103" />
              <display value="BIONTECH MANUFACTURING GMBH (supplier)" />
            </coding>
            <text value="BIONTECH MANUFACTURING GMBH (supplier)" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="GK0876" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size">
          <valueString value="0.2" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="See product monograph" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02533197" />
              <display value="02533197" />
            </coding>
            <text value="02533197" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
            </coding>
            <text value="Intramuscular: IM" />
          </valueCodeableConcept>
        </extension>
        <code value="37701000087106" />
        <display value="COMIRNATY Original &amp; Omicron BA.4/BA.5 messenger ribonucleic acid 10 micrograms per 0.2 milliliter suspension for injection BioNTech Manufacturing GmbH (real clinical drug)" />
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
            <display value="Fully Specified Name" />
          </use>
          <value value="COMIRNATY Original &amp; Omicron BA.4/BA.5 messenger ribonucleic acid 10 micrograms per 0.2 milliliter suspension for injection BioNTech Manufacturing GmbH (real clinical drug)" />
        </designation>
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[COVID-19] COMIRNATY Original &amp; Omicron BA.4/BA.5 pediatric 10 mcg/0.2mL" />
        </designation>
        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[COVID-19] COMIRNATY Original &amp; Omicron BA.4/BA.5 pédiatrique 10mcg/0.2mL" />
        </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="COMIRNATY Original &amp; Omicron BA.4/BA.5" />
        </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="COMIRNATY Original &amp; Omicron BA.4/BA.5" />
        </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="COVID-19" />
        </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="COVID-19" />
        </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-linked-generic-concept">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="33581000087104" />
              <display value="[COVID-19] Pediatric mRNA COVID-19 vaccine" />
            </coding>
            <text value="[COVID-19] Pediatric mRNA COVID-19 vaccine" />
          </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="1119343008" />
              <display value="Severe acute respiratory syndrome coronavirus 2 mRNA" />
            </coding>
            <text value="Severe acute respiratory syndrome coronavirus 2 mRNA" />
          </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="840539006" />
              <display value="COVID-19" />
            </coding>
            <text value="COVID-19" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="51461000087108" />
              <display value="MODERNA BIOPHARMA CANADA CORPORATION (supplier)" />
            </coding>
            <text value="MODERNA BIOPHARMA CANADA CORPORATION (supplier)" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AT0709B" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AT0710B" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AT1113B" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="See product monograph" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02532352" />
              <display value="02532352" />
            </coding>
            <text value="02532352" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
            </coding>
            <text value="Intramuscular: IM" />
          </valueCodeableConcept>
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        <code value="38591000087106" />
        <display value="SPIKEVAX Bivalent (Original / Omicron BA.4/BA.5) messenger ribonucleic acid 10 micrograms per 0.2 milliliter dispersion for injection Moderna Biopharma Canada Corporation (real clinical drug)" />
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
            <display value="Fully Specified Name" />
          </use>
          <value value="SPIKEVAX Bivalent (Original / Omicron BA.4/BA.5) messenger ribonucleic acid 10 micrograms per 0.2 milliliter dispersion for injection Moderna Biopharma Canada Corporation (real clinical drug)" />
        </designation>
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[COVID-19]SPIKEVAX Bivalent (Original / Omicron BA.4/BA.5) 10 mcg/0.2 mL" />
        </designation>
        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[COVID-19] SPIKEVAX bivalent (Original / Omicron BA.4/BA.5) 10 mcg/0.2 mL" />
        </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="SPIKEVAX Bivalent (Original / Omicron BA.4/BA.5)" />
        </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="SPIKEVAX Bivalent (Original / Omicron BA.4/BA.5)" />
        </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="COVID-19" />
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        <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="COVID-19" />
        </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="20230930" />
        </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" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-generic-concept">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="1162643001" />
              <display value="[COVID-19] Recombinant spike protein COVID-19 vaccine" />
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            <text value="[COVID-19] Recombinant spike protein COVID-19 vaccine" />
          </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="29301000087104" />
              <display value="SARS-CoV-2 recombinant spike protein antigen" />
            </coding>
            <text value="SARS-CoV-2 recombinant spike protein 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="840539006" />
              <display value="COVID-19" />
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            <text value="COVID-19" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="47581000087107" />
              <display value="Biological E. Limited (supplier)" />
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            <text value="Biological E. Limited (supplier)" />
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        <display value="CORBEVAX recombinant spike protein 0.5 milliliter suspension for injection Biological E. Limited (real clinical drug)" />
        <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="CORBEVAX recombinant spike protein 0.5 milliliter suspension for injection Biological E. Limited (real clinical drug)" />
        </designation>
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[COVID-19] CORBEVAX" />
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        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[COVID-19] CORBEVAX" />
        </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="CORBEVAX" />
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        <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="CORBEVAX" />
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        <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="COVID-19" />
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        <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="COVID-19" />
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    <include>
      <system value="http://snomed.info/sct" />
      <version value="http://snomed.info/sct/20611000087101" />
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        <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="20230930" />
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        <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" />
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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="marketed" />
              <display value="Marketed" />
            </coding>
            <text value="Marketed" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-generic-concept">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="33581000087104" />
              <display value="[COVID-19] Pediatric mRNA COVID-19 vaccine" />
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            <text value="[COVID-19] Pediatric mRNA COVID-19 vaccine" />
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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="1119343008" />
              <display value="Severe acute respiratory syndrome coronavirus 2 mRNA" />
            </coding>
            <text value="Severe acute respiratory syndrome coronavirus 2 mRNA" />
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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="840539006" />
              <display value="COVID-19" />
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            <text value="COVID-19" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="29141000087103" />
              <display value="BIONTECH MANUFACTURING GMBH (supplier)" />
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            <text value="BIONTECH MANUFACTURING GMBH (supplier)" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="HJ4781" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="MW6929" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="NA7021" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size">
          <valueString value="0.3" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="10" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02541858" />
              <display value="02541858" />
            </coding>
            <text value="02541858" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
            </coding>
            <text value="Intramuscular: IM" />
          </valueCodeableConcept>
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        <display value="COMIRNATY Omicron XBB.1.5 messenger ribonucleic acid 10 micrograms per 0.3 milliliter suspension for injection BioNTech Manufacturing GmbH (real clinical drug)" />
        <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="COMIRNATY Omicron XBB.1.5 messenger ribonucleic acid 10 micrograms per 0.3 milliliter suspension for injection BioNTech Manufacturing GmbH (real clinical drug)" />
        </designation>
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[COVID-19] COMIRNATY Omicron XBB.1.5 pediatric 10 mcg/0.3 mL" />
        </designation>
        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[COVID-19] COMIRNATY Omicron XBB.1.5 pédiatrique 10 mcg/0.3 mL" />
        </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" />
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          <value value="COMIRNATY Omicron XBB.1.5" />
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        <designation>
          <language value="fr" />
          <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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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
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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">
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              <display value="Cancelled Post Market" />
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            <text value="Cancelled Post Market" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-generic-concept">
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              <code value="56341000087108" />
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            <text value="[LZV] Live attenuated herpes zoster vaccine" />
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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="56341000087108" />
              <display value="[LZV] Live attenuated herpes zoster vaccine" />
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            <text value="[LZV] Live attenuated herpes zoster vaccine" />
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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="4740000" />
              <display value="Shingles" />
            </coding>
            <text value="Shingles" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="27161000087106" />
              <display value="MERCK CANADA INC. (supplier)" />
            </coding>
            <text value="MERCK CANADA INC. (supplier)" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size">
          <valueString value="0.65" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="19400" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
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            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02315939" />
              <display value="02315939" />
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            <text value="02315939" />
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="34206005" />
              <display value="Subcutaneous: SC" />
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            <text value="Subcutaneous: SC" />
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        <designation>
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          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[VVVCZ] ZOSTAVAX" />
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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="ZOSTAVAX" />
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        <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="ZOSTAVAX" />
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        <designation>
          <language value="en" />
          <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="LZV" />
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        <designation>
          <language value="fr" />
          <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="VVVCZ" />
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        <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="20190430" />
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        <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" />
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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 url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-generic-concept">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="7881000087101" />
              <display value="[DTaP-IPV] Diphtheria, tetanus, acellular pertussis and inactivated poliomyelitis pediatric vaccine" />
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            <text value="[DTaP-IPV] Diphtheria, tetanus, acellular pertussis and inactivated poliomyelitis pediatric vaccine" />
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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="551000221106" />
              <display value="Tetanus toxoid" />
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            <text value="Tetanus toxoid" />
          </valueCodeableConcept>
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        <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>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="161000221102" />
              <display value="Diphtheria toxoid" />
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            <text value="Diphtheria toxoid" />
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        <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" />
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            <text value="Inactivated Poliovirus 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="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" />
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            <text value="Poliomyelitis" />
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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="397430003" />
              <display value="Diphtheria" />
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            <text value="Diphtheria" />
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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="76902006" />
              <display value="Tetanus" />
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            <text value="Tetanus" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="27071000087101" />
              <display value="GLAXOSMITHKLINE INC. (supplier)" />
            </coding>
            <text value="GLAXOSMITHKLINE INC. (supplier)" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AC20B328AA" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AC20B328AB" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AC20B328AC" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size">
          <valueString value="0.5" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="See product monograph" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02241284" />
              <display value="02241284" />
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            <text value="02241284" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
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            <text value="Intramuscular: IM" />
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          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
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            <display value="Fully Specified Name" />
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        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
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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>
          <language value="fr" />
          <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="DTaP-IPV" />
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        <designation>
          <language value="fr" />
          <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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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-version">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-last-updated">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-passive-immunizing-agent">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-generic-concept">
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            <coding>
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            <text value="[COVID-19] Whole inactivated virus COVID-19 vaccine" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
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            <coding>
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              <code value="1153537004" />
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            <text value="Inactivated whole severe acute respiratory syndrome coronavirus 2 antigen" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-protects-against-disease">
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            <coding>
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              <code value="840539006" />
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            <text value="COVID-19" />
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          <use>
            <system value="http://snomed.info/sct" />
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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>
            <system value="http://snomed.info/sct" />
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            <display value="Synonym" />
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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" />
            <code value="frPublicPicklist" />
            <display value="french public picklist" />
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          <value value="CoviVac" />
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        <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="COVID-19" />
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        <designation>
          <language value="fr" />
          <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="COVID-19" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-version">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-last-updated">
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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="29061000087103" />
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            <text value="[COVID-19] Non-replicating vector COVID-19 vaccine" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="1157044000" />
              <display value="Recombinant non-replicating viral vector encoding severe acute respiratory syndrome coronavirus 2 spike protein" />
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            <text value="Recombinant non-replicating viral vector encoding severe acute respiratory syndrome coronavirus 2 spike protein" />
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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="840539006" />
              <display value="COVID-19" />
            </coding>
            <text value="COVID-19" />
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        <display value="Sputnik Light COVID-19 non-replicating vector vaccine (real medicinal product)" />
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          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
            <display value="Fully Specified Name" />
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          <value value="Sputnik Light COVID-19 non-replicating vector vaccine (real medicinal product)" />
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        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[COVID-19] Sputnik Light" />
        </designation>
        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[COVID-19] Sputnik Light" />
        </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="Sputnik Light" />
        </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="Sputnik Light" />
        </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="COVID-19" />
        </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="COVID-19" />
        </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="20190430" />
        </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="marketed" />
              <display value="Marketed" />
            </coding>
            <text value="Marketed" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-generic-concept">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="871831003" />
              <display value="[MMR] Measles, mumps and rubella vaccine" />
            </coding>
            <text value="[MMR] Measles, mumps and rubella vaccine" />
          </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="120998006" />
              <display value="Rubella virus antigen" />
            </coding>
            <text value="Rubella virus 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="120997001" />
              <display value="Measles virus antigen" />
            </coding>
            <text value="Measles virus 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="121087003" />
              <display value="Orthorubulavirus parotitidis antigen" />
            </coding>
            <text value="Orthorubulavirus parotitidis 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="14189004" />
              <display value="Measles" />
            </coding>
            <text value="Measles" />
          </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="36989005" />
              <display value="Mumps" />
            </coding>
            <text value="Mumps" />
          </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="36653000" />
              <display value="Rubella" />
            </coding>
            <text value="Rubella" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="27071000087101" />
              <display value="GLAXOSMITHKLINE INC. (supplier)" />
            </coding>
            <text value="GLAXOSMITHKLINE INC. (supplier)" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="27MD3" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="29X42" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="3274E" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="39RE5" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="3KL9K" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="52XP3" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="773JE" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="7R94P" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="955AY" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="9EP24" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="9X3YC" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AMJRC870CA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AMJRC870CB" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AMJRC991AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AMJRC991AB" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AMJRD065AB" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AMJRD065AC" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AMJRD194AA" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AMJRD238AB" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AMJRD240AB" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AMJRD242AA" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AMJRD268AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AMJRD332AB" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AMJRD360AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AMJRD360AB" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AMJRD362AA" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AMJRD362AB" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AMJRD362AD" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AMJRD417AA" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AMJRD417AB" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AMJRD480AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AMJRD480AB" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AMJRD480AC" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AMJRD565AA" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AMJRD647AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AMJRD690AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AMJRD692AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AMJRD692AB" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AMJRD698AB" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AMJRD754AB" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AMJRD782AD" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AMJRD788AA" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AMJRD868AA" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="BC744" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="DT3E7" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="E5N74" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="H342K" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="JK5KH" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="M7L2X" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="M9PH5" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Z24RL" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size">
          <valueString value="0.5" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="See product monograph" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02239208" />
              <display value="02239208" />
            </coding>
            <text value="02239208" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
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            <text value="[Pneu-C-20] Pneumococcal conjugate 20-valent vaccine" />
          </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="1252709000" />
              <display value="[Pneu-C-20] Pneumococcal conjugate 20-valent vaccine" />
            </coding>
            <text value="[Pneu-C-20] Pneumococcal conjugate 20-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-linked-to-market-authorization-holder">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="27241000087103" />
              <display value="PFIZER CANADA ULC (supplier)" />
            </coding>
            <text value="PFIZER CANADA ULC (supplier)" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="GF1702" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="GF1709" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="GK8570" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="GM1337" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="GM7954" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="GP1116" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="GT9024" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="GW9204" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="HC6030" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="HF1129" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="HL1118" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="HN2461" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="LA6682" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="LF7644" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="LH5099" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="LJ5498" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="LX0207" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="MA2503" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="MA2504" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="ME5055" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="ME5057" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="MH4475" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="MM0516" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="MR7034" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="MR8817" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="NA0175" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="NC2395" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="ND9734" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="NG6860" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="NH0509" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="NM7672" />
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          <valueString value="0.5" />
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          <valueString value="ML" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="See product monograph" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02527049" />
              <display value="02527049" />
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            <text value="02527049" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
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            <text value="Intramuscular: IM" />
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          <language value="en" />
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            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
            <display value="Fully Specified Name" />
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        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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        <designation>
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          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[Pneu-C-20] PREVNAR 20" />
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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" />
            <code value="frPublicPicklist" />
            <display value="french public picklist" />
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          <value value="PREVNAR 20" />
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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="english abbreviation" />
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          <value value="Pneu-C-20" />
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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 abbreviation" />
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          <value value="Pneu-C-20" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-last-updated">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-passive-immunizing-agent">
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              <code value="marketed" />
              <display value="Marketed" />
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            <text value="Marketed" />
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              <code value="1119349007" />
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            <text value="[COVID-19] mRNA COVID-19 vaccine" />
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              <code value="1119343008" />
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            <text value="Severe acute respiratory syndrome coronavirus 2 mRNA" />
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              <code value="840539006" />
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            <text value="BIONTECH MANUFACTURING GMBH (supplier)" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="HH1302" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="HJ3096" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="HJ3097" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="HJ3100" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="LN0602" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="LN0604" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="LN2588" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="LP1782" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="MW6928" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="MX4961" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="NA4448" />
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            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02541823" />
              <display value="02541823" />
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            <text value="02541823" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
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              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
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            <text value="Intramuscular: IM" />
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          <use>
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVD223AH" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVD228AD" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVD230AB" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVD243AF" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVD248AB" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC495AB" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC514AB" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC514BB" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC522AC" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC544AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC551BC" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC551BF" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC561AM" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC591EE" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC608AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC621BD" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC624AG" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC626AH" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC636CL" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC638AK" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC638AR" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC639AI" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC650AV" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC653AC" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC661BA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC664AP" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC678AD" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC678AL" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC710AG" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC735AG" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC755AK" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC790AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC812AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC817AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size">
          <valueString value="1" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="20" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02487039" />
              <display value="02487039" />
            </coding>
            <text value="02487039" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
            </coding>
            <text value="Intramuscular: IM" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size">
          <valueString value="1" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="20" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="01919431" />
              <display value="01919431" />
            </coding>
            <text value="01919431" />
          </valueCodeableConcept>
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
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            <text value="Intramuscular: IM" />
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          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
            <display value="Fully Specified Name" />
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          <value value="Engerix B 20 micrograms per milliliter suspension for injection GlaxoSmithKline Inc. (real clinical drug)" />
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        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[HB] Engerix B" />
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        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[HB] Engerix B" />
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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" />
          </use>
          <value value="Engerix B" />
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        <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="Engerix B" />
        </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="HB" />
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        <designation>
          <language value="fr" />
          <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="HB" />
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    <include>
      <system value="http://snomed.info/sct" />
      <version value="http://snomed.info/sct/20611000087101" />
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        <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="20190430" />
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        <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" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-product-status">
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            <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-linked-generic-concept">
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              <system value="http://snomed.info/sct/20611000087101" />
              <code value="9801000087100" />
              <display value="[HAHB] Hepatitis A and B pediatric vaccine" />
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            <text value="[HAHB] Hepatitis A and B pediatric vaccine" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="713618003" />
              <display value="Hepatitis A virus antigen" />
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            <text value="Hepatitis A virus antigen" />
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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="303233001" />
              <display value="Hepatitis B virus antigen" />
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            <text value="Hepatitis B virus antigen" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-protects-against-disease">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="40468003" />
              <display value="Hepatitis A" />
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            <text value="Hepatitis A" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-protects-against-disease">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="66071002" />
              <display value="Hepatitis B" />
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            <text value="Hepatitis B" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="27071000087101" />
              <display value="GLAXOSMITHKLINE INC. (supplier)" />
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            <text value="GLAXOSMITHKLINE INC. (supplier)" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB331AK" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB338AC" />
          </valueCoding>
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB338AP" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB338AY" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB348AK" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB348AL" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB348AP" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB361AB" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB362AF" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB362AR" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB367BA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB367BF" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB368BE" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB368BG" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB368CC" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB388BA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB388BM" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB388BR" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB400AJ" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB400AO" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB403AE" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB403AF" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB403AP" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB415AD" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB415AG" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB415AJ" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB415AK" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB436AC" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB436AL" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB445AC" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB445AI" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB445AN" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB455AR" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB460AF" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB460AL" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB485BA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB485BD" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB491AE" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB491AL" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB503BC" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="See product monograph" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
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            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02237548" />
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            <text value="02237548" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
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            <coding>
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              <code value="78421000" />
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            <code value="900000000000003001" />
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        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[HAHB] Twinrix Junior" />
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        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
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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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          <value value="Twinrix Junior" />
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        <designation>
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          <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="Twinrix Junior" />
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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="english abbreviation" />
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          <value value="HAHB" />
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        <designation>
          <language value="fr" />
          <use>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
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          <value value="HAHB" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-version">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-passive-immunizing-agent">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-product-status">
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            <coding>
              <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-product-status" />
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              <display value="Cancelled Post Market" />
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            <text value="Cancelled Post Market" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-generic-concept">
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              <code value="871764007" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
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              <code value="120975003" />
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            <text value="Haemophilus influenzae type b antigen" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-protects-against-disease">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
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            <text value="GLAXOSMITHKLINE INC. (supplier)" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <designation>
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          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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        <designation>
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          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
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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" />
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          <value value="Hiberix" />
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        <designation>
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          <use>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
            <code value="frPublicPicklist" />
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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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            <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="Hib" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-version">
          <valueString value="20220930" />
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          <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" />
        </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-linked-generic-concept">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="1119349007" />
              <display value="[COVID-19] mRNA COVID-19 vaccine" />
            </coding>
            <text value="[COVID-19] mRNA COVID-19 vaccine" />
          </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="1119343008" />
              <display value="Severe acute respiratory syndrome coronavirus 2 mRNA" />
            </coding>
            <text value="Severe acute respiratory syndrome coronavirus 2 mRNA" />
          </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="840539006" />
              <display value="COVID-19" />
            </coding>
            <text value="COVID-19" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="51461000087108" />
              <display value="MODERNA BIOPHARMA CANADA CORPORATION (supplier)" />
            </coding>
            <text value="MODERNA BIOPHARMA CANADA CORPORATION (supplier)" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AT0709B" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AT0710B" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AT1113B" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="See product monograph" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02532352" />
              <display value="02532352" />
            </coding>
            <text value="02532352" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
            </coding>
            <text value="Intramuscular: IM" />
          </valueCodeableConcept>
        </extension>
        <code value="37651000087101" />
        <display value="SPIKEVAX Bivalent (Original / Omicron BA.4/BA.5) messenger ribonucleic acid 0.10 milligrams per 1 milliliter dispersion for injection Moderna Biopharma Canada Corporation (real clinical drug)" />
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          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
            <display value="Fully Specified Name" />
          </use>
          <value value="SPIKEVAX Bivalent (Original / Omicron BA.4/BA.5) messenger ribonucleic acid 0.10 milligrams per 1 milliliter dispersion for injection Moderna Biopharma Canada Corporation (real clinical drug)" />
        </designation>
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[COVID-19] SPIKEVAX Bivalent (Original / Omicron BA.4/BA.5) 0.10 mg/mL" />
        </designation>
        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[COVID-19] SPIKEVAX Bivalent (Original / Omicron BA.4/BA.5) 0.10 mg/mL" />
        </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="SPIKEVAX Bivalent (Original / Omicron BA.4/BA.5)" />
        </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="SPIKEVAX Bivalent (Original / Omicron BA.4/BA.5)" />
        </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="COVID-19" />
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        <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="COVID-19" />
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      </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="marketed" />
              <display value="Marketed" />
            </coding>
            <text value="Marketed" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-generic-concept">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="1252708008" />
              <display value="[Pneu-C-15] Pneumococcal conjugate 15-valent vaccine" />
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            <text value="[Pneu-C-15] Pneumococcal conjugate 15-valent vaccine" />
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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="714078004" />
              <display value="Pneumococcal conjugate antigen" />
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            <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="1252708008" />
              <display value="[Pneu-C-15] Pneumococcal conjugate 15-valent vaccine" />
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            <text value="[Pneu-C-15] Pneumococcal conjugate 15-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" />
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            <text value="Pneumococcal disease" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="27161000087106" />
              <display value="MERCK CANADA INC. (supplier)" />
            </coding>
            <text value="MERCK CANADA INC. (supplier)" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="A003295" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="A005333" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="W023225" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="X023331" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Y004010" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Y006911" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Y008717" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Y009842" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Y010107" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Y010282" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Y011269" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Y011498" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Y016634" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Y016807" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Y020384" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Z004151" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Z004718" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Z006815" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Z008507" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Z011686" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Z012214" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Z015008" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Z018162" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Z018561" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
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            <coding>
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              <code value="02522403" />
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            <text value="02522403" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
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            <text value="Intramuscular: IM" />
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          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
            <display value="Fully Specified Name" />
          </use>
          <value value="VAXNEUVANCE 0.5 milliliter suspension for injection Merck Canada Inc. (real clinical drug)" />
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        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[Pneu-C-15] VAXNEUVANCE" />
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        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[Pneu-C-15] VAXNEUVANCE" />
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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="VAXNEUVANCE" />
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        <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="VAXNEUVANCE" />
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        <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-15" />
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        <designation>
          <language value="fr" />
          <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="Pneu-C-15" />
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    <include>
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      <concept>
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          <valueString value="active" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-version">
          <valueString value="20230331" />
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        <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" />
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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="approved" />
              <display value="Approved" />
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            <text value="Approved" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-generic-concept">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="1003499009" />
              <display value="[Inf] Influenza A subtype H5N1 vaccine" />
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            <text value="[Inf] Influenza A subtype H5N1 vaccine" />
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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="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">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="6142004" />
              <display value="Influenza" />
            </coding>
            <text value="Influenza" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
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            <coding>
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              <code value="27321000087103" />
              <display value="SEQIRUS UK LIMITED (supplier)" />
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            <text value="SEQIRUS UK LIMITED (supplier)" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
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              <code value="02510561" />
              <display value="02510561" />
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            <text value="02510561" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
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              <code value="78421000" />
              <display value="Intramuscular: IM" />
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            <text value="Intramuscular: IM" />
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        <display value="FOCLIVIA 7.5 micrograms per 0.5 milliliter suspension for injection Seqirus UK Limited (real clinical drug)" />
        <designation>
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          <use>
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            <code value="900000000000003001" />
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          <value value="FOCLIVIA 7.5 micrograms per 0.5 milliliter suspension for injection Seqirus UK Limited (real clinical drug)" />
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        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
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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="FOCLIVIA" />
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        <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="FOCLIVIA" />
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        <designation>
          <language value="en" />
          <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="Inf" />
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        <designation>
          <language value="fr" />
          <use>
            <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="Inf" />
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        <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="20240531" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-last-updated">
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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">
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              <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-linked-generic-concept">
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              <code value="1119349007" />
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            <text value="[COVID-19] mRNA COVID-19 vaccine" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="1119343008" />
              <display value="Severe acute respiratory syndrome coronavirus 2 mRNA" />
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            <text value="Severe acute respiratory syndrome coronavirus 2 mRNA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-protects-against-disease">
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              <code value="840539006" />
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            <text value="COVID-19" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="51461000087108" />
              <display value="MODERNA BIOPHARMA CANADA CORPORATION (supplier)" />
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            <text value="MODERNA BIOPHARMA CANADA CORPORATION (supplier)" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="006H23-2A" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="007H23A" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <code value="008H23A" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="012H23A" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="023G23A" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="024G23A" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="025G23A" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="037G23A" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <code value="038G23A" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="041G23A" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <code value="3053317" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <designation>
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            <system value="http://snomed.info/sct" />
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            <display value="Synonym" />
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        <designation>
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          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
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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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          <value value="SPIKEVAX XBB.1.5" />
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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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          <value value="SPIKEVAX XBB.1.5" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
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            <display value="english abbreviation" />
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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 abbreviation" />
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          <value value="COVID-19" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-last-updated">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-passive-immunizing-agent">
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              <code value="51311000087100" />
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            <text value="[RSV] Respiratory syncytial virus antigen vaccine" />
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              <system value="http://snomed.info/sct/20611000087101" />
              <code value="51291000087101" />
              <display value="RSV glycoprotein F antigen" />
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            <text value="RSV glycoprotein F 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="55735004" />
              <display value="Respiratory syncytial virus infection" />
            </coding>
            <text value="Respiratory syncytial virus infection" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="27241000087103" />
              <display value="PFIZER CANADA ULC (supplier)" />
            </coding>
            <text value="PFIZER CANADA ULC (supplier)" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="LC2896" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="LG2911" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="LL7267" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="LM8148" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="LM8159" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="LM8159A" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="LM8159B" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="LM8160" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="LM8160A" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="LM8160B" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="LM8160C" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="LM8161" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="LM8161A" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="LP5416" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="LP5417" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="LP5417A" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="MK3136" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="NC3838" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="ND8165" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size">
          <valueString value="0.5" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="See product monograph" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02544040" />
              <display value="02544040" />
            </coding>
            <text value="02544040" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
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            <text value="Intramuscular: IM" />
          </valueCodeableConcept>
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        <code value="55351000087104" />
        <display value="ABRYSVO 120 micrograms per 0.5 milliliter powder for suspension Pfizer Canada ULC (real clinical drug)" />
        <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="ABRYSVO 120 micrograms per 0.5 milliliter powder for suspension Pfizer Canada ULC (real clinical drug)" />
        </designation>
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[RSV] ABRYSVO" />
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        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[VRS] ABRYSVO" />
        </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="ABRYSVO" />
        </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="ABRYSVO" />
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        <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="RSV" />
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        <designation>
          <language value="fr" />
          <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="VRS" />
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        <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="20190430" />
        </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="marketed" />
              <display value="Marketed" />
            </coding>
            <text value="Marketed" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-generic-concept">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="19371000087102" />
              <display value="[HA] Hepatitis A regular strength vaccine" />
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            <text value="[HA] Hepatitis A regular strength vaccine" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="19371000087102" />
              <display value="[HA] Hepatitis A regular strength vaccine" />
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            <text value="[HA] Hepatitis A regular strength vaccine" />
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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="713618003" />
              <display value="Hepatitis A virus antigen" />
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            <text value="Hepatitis A virus 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="40468003" />
              <display value="Hepatitis A" />
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            <text value="Hepatitis A" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="27071000087101" />
              <display value="GLAXOSMITHKLINE INC. (supplier)" />
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            <text value="GLAXOSMITHKLINE INC. (supplier)" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVB781AS" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVB826AM" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVB826AZ" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVB838AY" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVB868AL" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVB883BC" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVB900BK" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVB905AB" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVB906AG" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVB908AI" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVB909AB" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVB909AP" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVB931AC" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVB931AK" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVB937CH" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVB946AN" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVB956AI" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVB967AI" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVB978AG" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVB988AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVC013AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVC029AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVC033AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVC044DA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVC049AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVC076AB" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVC112AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVC127BA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVC127BB" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVC160AA" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVC170AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVC180AJ" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVC186AG" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVC189AD" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVC205AC" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVC213AL" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVC219AC" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="1440" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02187078" />
              <display value="02187078" />
            </coding>
            <text value="02187078" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
            </coding>
            <text value="Intramuscular: IM" />
          </valueCodeableConcept>
        </extension>
        <code value="6871000087101" />
        <display value="Havrix 1440 ELISA units per milliliter suspension for injection GlaxoSmithKline Inc. (real clinical drug)" />
        <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="Havrix 1440 ELISA units per milliliter suspension for injection GlaxoSmithKline Inc. (real clinical drug)" />
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        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[HA] Havrix 1440" />
        </designation>
        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[HA] Havrix 1440" />
        </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="Havrix 1440" />
        </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="Havrix 1440" />
        </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="HA" />
        </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" />
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          <value value="HA" />
        </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="20190430" />
        </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="marketed" />
              <display value="Marketed" />
            </coding>
            <text value="Marketed" />
          </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="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-linked-generic-concept">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="9831000087108" />
              <display value="[HB] Hepatitis B pediatric strength vaccine" />
            </coding>
            <text value="[HB] Hepatitis B pediatric strength vaccine" />
          </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="9831000087108" />
              <display value="[HB] Hepatitis B pediatric strength vaccine" />
            </coding>
            <text value="[HB] Hepatitis B pediatric strength vaccine" />
          </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="303233001" />
              <display value="Hepatitis B virus antigen" />
            </coding>
            <text value="Hepatitis B 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="66071002" />
              <display value="Hepatitis B" />
            </coding>
            <text value="Hepatitis B" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="27071000087101" />
              <display value="GLAXOSMITHKLINE INC. (supplier)" />
            </coding>
            <text value="GLAXOSMITHKLINE INC. (supplier)" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC767AM" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC769AA" />
          </valueCoding>
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC797BG" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC827AH" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC827AQ" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC829AB" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC863AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC912AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC936AA" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC989AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVD028BA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVD028BB" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVD028BC" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVD032AA" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVD080AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVD101AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVD118AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVD118AB" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVD119CA" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVD173AB" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVD173AG" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVD173AQ" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVD220AH" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVD220CI" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVD227BC" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVD237AQ" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVD252BA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC448CA" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC448DA" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC499AL" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC521AB" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC543AF" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC556BI" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC556BQ" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC577AN" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC579AF" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC580AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC580AE" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC580AF" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC605BI" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC637AE" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC680AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC685AM" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC715BK" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC716BA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHBVC782AC" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size">
          <valueString value="0.5" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="10" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02487020" />
              <display value="02487020" />
            </coding>
            <text value="02487020" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
            </coding>
            <text value="Intramuscular: IM" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size">
          <valueString value="0.5" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="10" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02296454" />
              <display value="02296454" />
            </coding>
            <text value="02296454" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
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            <text value="Intramuscular: IM" />
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        <display value="Engerix B 10 micrograms per 0.5 milliliter suspension for injection GlaxoSmithKline Inc. (real clinical drug)" />
        <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="Engerix B 10 micrograms per 0.5 milliliter suspension for injection GlaxoSmithKline Inc. (real clinical drug)" />
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        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[HB] Engerix B pediatric" />
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        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[HB] Engerix B pédiatrique" />
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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" />
          </use>
          <value value="Engerix B" />
        </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="Engerix B" />
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        <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="HB" />
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        <designation>
          <language value="fr" />
          <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="HB" />
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    </include>
    <include>
      <system value="http://snomed.info/sct" />
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        <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="20190430" />
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        <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" />
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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="marketed" />
              <display value="Marketed" />
            </coding>
            <text value="Marketed" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-generic-concept">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="24371000087105" />
              <display value="[HAHB] Hepatitis A and B regular strength vaccine" />
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            <text value="[HAHB] Hepatitis A and B regular strength vaccine" />
          </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="713618003" />
              <display value="Hepatitis A virus antigen" />
            </coding>
            <text value="Hepatitis A virus 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="303233001" />
              <display value="Hepatitis B virus antigen" />
            </coding>
            <text value="Hepatitis B 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="40468003" />
              <display value="Hepatitis A" />
            </coding>
            <text value="Hepatitis A" />
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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="66071002" />
              <display value="Hepatitis B" />
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            <text value="Hepatitis B" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="27071000087101" />
              <display value="GLAXOSMITHKLINE INC. (supplier)" />
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            <text value="GLAXOSMITHKLINE INC. (supplier)" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB327AB" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB327AD" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB341AK" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB341BI" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB343AJ" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB345AM" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB356BA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB357AC" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB362BA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB363AY" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB365AR" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB369AB" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB370AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB373BC" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB376AB" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB380AV" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB385AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB393AS" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB399AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB407AB" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB411AO" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB416AJ" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB434AB" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB449AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB449BA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB464AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB464AB" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB469AD" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB478AI" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB479CA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB480AC" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB480AI" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB483AD" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB485AC" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB488AJ" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB495AC" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHABB503AC" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="BHABB333AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size">
          <valueString value="1" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="See product monograph" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02230578" />
              <display value="02230578" />
            </coding>
            <text value="02230578" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
            </coding>
            <text value="Intramuscular: IM" />
          </valueCodeableConcept>
        </extension>
        <code value="6971000087106" />
        <display value="Twinrix 720 ELISA units HAV and 20 micrograms HBV per milliliter suspension for injection GlaxoSmithKline Inc. (real clinical drug)" />
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
            <display value="Fully Specified Name" />
          </use>
          <value value="Twinrix 720 ELISA units HAV and 20 micrograms HBV per milliliter suspension for injection GlaxoSmithKline Inc. (real clinical drug)" />
        </designation>
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[HAHB] Twinrix" />
        </designation>
        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[HAHB] Twinrix" />
        </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="Twinrix" />
        </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="Twinrix" />
        </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="HAHB" />
        </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="HAHB" />
        </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="20190430" />
        </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-linked-generic-concept">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="871764007" />
              <display value="[Hib] Haemophilus influenzae type b vaccine" />
            </coding>
            <text value="[Hib] Haemophilus influenzae type b vaccine" />
          </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="120975003" />
              <display value="Haemophilus influenzae type b antigen" />
            </coding>
            <text value="Haemophilus influenzae type b 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="406583002" />
              <display value="Haemophilus influenzae infection, invasive" />
            </coding>
            <text value="Haemophilus influenzae infection, invasive" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="27161000087106" />
              <display value="MERCK CANADA INC. (supplier)" />
            </coding>
            <text value="MERCK CANADA INC. (supplier)" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size">
          <valueString value="0.5" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="See product monograph" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02235721" />
              <display value="02235721" />
            </coding>
            <text value="02235721" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
            </coding>
            <text value="Intramuscular: IM" />
          </valueCodeableConcept>
        </extension>
        <code value="7051000087101" />
        <display value="Liquid PedvaxHIB suspension for injection Merck Canada Inc. (real clinical drug)" />
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
            <display value="Fully Specified Name" />
          </use>
          <value value="Liquid PedvaxHIB suspension for injection Merck Canada Inc. (real clinical drug)" />
        </designation>
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[Hib] Liquid PedvaxHIB" />
        </designation>
        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[Hib] PedvaxHIB liquide" />
        </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="Liquid PedvaxHIB" />
        </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="PedvaxHIB liquide" />
        </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="Hib" />
        </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="Hib" />
        </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="20250531" />
        </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="marketed" />
              <display value="Marketed" />
            </coding>
            <text value="Marketed" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-generic-concept">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="871908002" />
              <display value="[MMR-Var] Measles, mumps, rubella and varicella vaccine" />
            </coding>
            <text value="[MMR-Var] Measles, mumps, rubella and varicella vaccine" />
          </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="120998006" />
              <display value="Rubella virus antigen" />
            </coding>
            <text value="Rubella virus 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="120997001" />
              <display value="Measles virus antigen" />
            </coding>
            <text value="Measles virus 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="121087003" />
              <display value="Orthorubulavirus parotitidis antigen" />
            </coding>
            <text value="Orthorubulavirus parotitidis 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="871908002" />
              <display value="[MMR-Var] Measles, mumps, rubella and varicella vaccine" />
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            <text value="[MMR-Var] Measles, mumps, rubella and varicella 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="14189004" />
              <display value="Measles" />
            </coding>
            <text value="Measles" />
          </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="38907003" />
              <display value="Varicella" />
            </coding>
            <text value="Varicella" />
          </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="36989005" />
              <display value="Mumps" />
            </coding>
            <text value="Mumps" />
          </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="36653000" />
              <display value="Rubella" />
            </coding>
            <text value="Rubella" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="27071000087101" />
              <display value="GLAXOSMITHKLINE INC. (supplier)" />
            </coding>
            <text value="GLAXOSMITHKLINE INC. (supplier)" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="2979N" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="377R9" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="4755P" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="4FE94" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="54H42" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="5Z3AX" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="7544Z" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="7ET22" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="7FA3M" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AMRVA338AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AMRVA357AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AMRVA363AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AMRVA374AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AMRVA374AB" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AMRVA374AC" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AMRVA393AB" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AMRVA418AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AMRVA467AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AMRVA468AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AMRVA468AB" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="LN5H7" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="PB95Z" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <coding>
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            <system value="http://snomed.info/sct" />
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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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          <use>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
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              <code value="40468003" />
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            <text value="Sanofi Pasteur SA (supplier)" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
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              <code value="02243741" />
              <display value="02243741" />
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            <text value="02243741" />
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              <code value="78421000" />
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        <designation>
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          <use>
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            <system value="http://snomed.info/sct" />
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          <use>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
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            <display value="english public picklist" />
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        <designation>
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        <designation>
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        <designation>
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              <display value="Cancelled Post Market" />
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            <text value="Cancelled Post Market" />
          </valueCodeableConcept>
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-generic-concept">
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              <code value="1119349007" />
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            <text value="[COVID-19] mRNA COVID-19 vaccine" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
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            <coding>
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              <code value="1119343008" />
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            <text value="Severe acute respiratory syndrome coronavirus 2 mRNA" />
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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="840539006" />
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            <text value="COVID-19" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
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            <coding>
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            <text value="BIONTECH MANUFACTURING GMBH (supplier)" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
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          <valueCodeableConcept>
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              <code value="02527863" />
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            <text value="02527863" />
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        <designation>
          <language value="en" />
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            <system value="http://snomed.info/sct" />
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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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        <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 abbreviation" />
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            <coding>
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            <text value="[COVID-19] Recombinant spike protein COVID-19 vaccine" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
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            <text value="SARS-CoV-2 recombinant spike protein antigen" />
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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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            <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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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <designation>
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        <designation>
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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>
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVB882AQ" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVB882BL" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVB888AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVB889BB" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVB896AH" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVB896AS" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVB915BP" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVB915BS" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVB933CX" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVB943AQ" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVB953AG" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVB961AC" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVB976AB" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVC010AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVC010AB" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVC031AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVC034AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVC043BA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVC065AA" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVC069AA" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVC114CA" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVC130AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVC145AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVC152DH" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVC167AB" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVC182AI" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVC211AJ" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVC220BG" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHAVC230AP" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size">
          <valueString value="0.5" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="720" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
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            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02231056" />
              <display value="02231056" />
            </coding>
            <text value="02231056" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
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            <text value="Intramuscular: IM" />
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          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
            <display value="Fully Specified Name" />
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          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[HA] Havrix 720 Junior" />
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        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[HA] Havrix 720 Junior" />
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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="Havrix 720 Junior" />
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        <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="Havrix 720 Junior" />
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        <designation>
          <language value="en" />
          <use>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
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          <value value="HA" />
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        <designation>
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            <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="HA" />
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          <valueString value="active" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-version">
          <valueString value="20190430" />
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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">
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              <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-product-status" />
              <code value="approved" />
              <display value="Approved" />
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            <text value="Approved" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-product-status">
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              <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-product-status" />
              <code value="marketed" />
              <display value="Marketed" />
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            <text value="Marketed" />
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              <code value="9831000087108" />
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            <text value="[HB] Hepatitis B pediatric strength vaccine" />
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              <system value="http://snomed.info/sct/20611000087101" />
              <code value="9831000087108" />
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              <system value="http://snomed.info/sct/20611000087101" />
              <code value="303233001" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-protects-against-disease">
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              <system value="http://snomed.info/sct/20611000087101" />
              <code value="66071002" />
              <display value="Hepatitis B" />
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            <text value="Hepatitis B" />
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              <system value="http://snomed.info/sct/20611000087101" />
              <code value="27161000087106" />
              <display value="MERCK CANADA INC. (supplier)" />
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            <text value="MERCK CANADA INC. (supplier)" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="K021623" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="K023341" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="L003224" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="L009464" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="L016268" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="L016269" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="M001197" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="M005296" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="M012963" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="M014043" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="M014911" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="M018483" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="M020858" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="M032151" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="M032968" />
          </valueCoding>
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              <system value="http://snomed.info/sct/20611000087101" />
              <code value="26951000087108" />
              <display value="Berna Biotech AG (supplier)" />
            </coding>
            <text value="Berna Biotech AG (supplier)" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="See product monograph" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02248649" />
              <display value="02248649" />
            </coding>
            <text value="02248649" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
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            <text value="Intramuscular: IM" />
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        <code value="7061000087103" />
        <display value="Meningitec 10 micrograms suspension for injection Berna Biotech, AG (real clinical drug)" />
        <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="Meningitec 10 micrograms suspension for injection Berna Biotech, AG (real clinical drug)" />
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        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[Men-C-C] Meningitec (BB)" />
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        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[Men-C-C] Meningitec (BB)" />
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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" />
          </use>
          <value value="Meningitec" />
        </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="Meningitec" />
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        <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-C-C" />
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        <designation>
          <language value="fr" />
          <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="Men-C-C" />
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    </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">
          <valueString value="active" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-version">
          <valueString value="20190430" />
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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="marketed" />
              <display value="Marketed" />
            </coding>
            <text value="Marketed" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-generic-concept">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="7811000087105" />
              <display value="[Rota-1] Rotavirus monovalent vaccine" />
            </coding>
            <text value="[Rota-1] Rotavirus monovalent vaccine" />
          </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="7811000087105" />
              <display value="[Rota-1] Rotavirus monovalent vaccine" />
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            <text value="[Rota-1] Rotavirus monovalent vaccine" />
          </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="713628007" />
              <display value="Rota G1 (P8) serotype antigen" />
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            <text value="Rota G1 (P8) serotype 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="18624000" />
              <display value="Rotavirus infection" />
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            <text value="Rotavirus infection" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="27071000087101" />
              <display value="GLAXOSMITHKLINE INC. (supplier)" />
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            <text value="GLAXOSMITHKLINE INC. (supplier)" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AROLB217AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AROLB251AB" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AROLB311AB" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AROLB374AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AROLB374AB" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AROLB438AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AROLB438AC" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AROLB503AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AROLB503AC" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AROLB608AB" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AROLB608AC" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AROLB608AD" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AROLB682AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AROLB682AD" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AROLB684BG" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AROLB818AA" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AROLB825AB" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AROLB843AC" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AROLB883AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AROLB901DB" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AROLB951AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AROLB967AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AROLB967AC" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AROLB971AB" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AROLC008AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AROLC023AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AROLD005AB" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AROLD129AB" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AROLD153CA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AROLD154CA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AROLD200AB" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AROLD230AB" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AROLD360AC" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AROLD500BA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AROLD501AB" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AROLD577AB" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AROLD651AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AROLD760AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AROLD835AB" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AROLD936AB" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AROLE110BA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AROLE125AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AROLE248AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AROLE248AB" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AROLE388AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AROLE490AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AROLE491AE" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AROLE638AB" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AROLE695BA" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size">
          <valueString value="1.5" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="1000000" />
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              <code value="02300591" />
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            <text value="02300591" />
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="26643006" />
              <display value="Oral: PO" />
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            <text value="Oral: PO" />
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        </extension>
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        <display value="ROTARIX 1000000 units per 1.5 milliliter oral suspension GlaxoSmithKline Inc. (real clinical drug)" />
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          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
            <display value="Fully Specified Name" />
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          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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        <designation>
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          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[Rota-1] ROTARIX" />
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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="ROTARIX" />
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        <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="ROTARIX" />
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        <designation>
          <language value="en" />
          <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="Rota-1" />
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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 abbreviation" />
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          <value value="Rota-1" />
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              <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-product-status" />
              <code value="marketed" />
              <display value="Marketed" />
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            <text value="Marketed" />
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              <system value="http://snomed.info/sct/20611000087101" />
              <code value="7821000087102" />
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            <text value="[Rota-5] Rotavirus pentavalent vaccine" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
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              <system value="http://snomed.info/sct/20611000087101" />
              <code value="713619006" />
              <display value="Rota P1A (8) serotype antigen" />
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            <text value="Rota P1A (8) serotype antigen" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
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              <code value="7821000087102" />
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              <system value="http://snomed.info/sct/20611000087101" />
              <code value="713621001" />
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            <text value="Rota G3 serotype antigen" />
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              <system value="http://snomed.info/sct/20611000087101" />
              <code value="713640007" />
              <display value="Rota G4 serotype antigen" />
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            <text value="Rota G4 serotype antigen" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
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              <system value="http://snomed.info/sct/20611000087101" />
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            <text value="Rota G1 serotype antigen" />
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              <system value="http://snomed.info/sct/20611000087101" />
              <code value="714077009" />
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            <text value="Rota G2 serotype antigen" />
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              <system value="http://snomed.info/sct/20611000087101" />
              <code value="18624000" />
              <display value="Rotavirus infection" />
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            <text value="Rotavirus infection" />
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="27161000087106" />
              <display value="MERCK CANADA INC. (supplier)" />
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            <text value="MERCK CANADA INC. (supplier)" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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            <code value="U039394" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="W006216" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="W013533" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="W024806" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="W025523" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="X002042" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="X014292" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="X020461" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Y003123" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Y012510" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Z003700" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Z009907" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Z017826" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size">
          <valueString value="2" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="See product monograph" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02284413" />
              <display value="02284413" />
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            <text value="02284413" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="26643006" />
              <display value="Oral: PO" />
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            <text value="Oral: PO" />
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        <code value="7201000087107" />
        <display value="RotaTeq 115000000 units per 2 milliliter oral solution Merck Canada Inc. (real clinical drug)" />
        <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="RotaTeq 115000000 units per 2 milliliter oral solution Merck Canada Inc. (real clinical drug)" />
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        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[Rota-5] RotaTeq" />
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        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[Rota-5] RotaTeq" />
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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" />
          </use>
          <value value="RotaTeq" />
        </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="RotaTeq" />
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        <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="Rota-5" />
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        <designation>
          <language value="fr" />
          <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="Rota-5" />
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    <include>
      <system value="http://snomed.info/sct" />
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        <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="20190430" />
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        <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" />
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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" />
            </coding>
            <text value="Cancelled Post Market" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-generic-concept">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="2171000221104" />
              <display value="[Typh-I] Typhoid polysaccharide injectable vaccine" />
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            <text value="[Typh-I] Typhoid polysaccharide injectable vaccine" />
          </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="767841007" />
              <display value="Vi polysaccharide typhoid antigen" />
            </coding>
            <text value="Vi polysaccharide typhoid 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="4834000" />
              <display value="Typhoid fever" />
            </coding>
            <text value="Typhoid fever" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="27071000087101" />
              <display value="GLAXOSMITHKLINE INC. (supplier)" />
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            <text value="GLAXOSMITHKLINE INC. (supplier)" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="ATYPB108BD" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="ATYPB109AB" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="ATYPB109AI" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="ATYPB120CB" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size">
          <valueString value="0.5" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="25" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02242727" />
              <display value="02242727" />
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            <text value="02242727" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
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            <text value="Intramuscular: IM" />
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          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
            <display value="Fully Specified Name" />
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        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
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          <value value="[Typh-I] TYPHERIX" />
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        <designation>
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            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
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          <value value="[Typh-I] TYPHERIX" />
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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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          <value value="TYPHERIX" />
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        <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="TYPHERIX" />
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        <designation>
          <language value="en" />
          <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="Typh-I" />
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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="Typh-I" />
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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">
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              <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-product-status" />
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            <text value="Cancelled Post Market" />
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              <code value="7801000087108" />
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            <text value="[HPV-4] Human papillomavirus quadrivalent vaccine" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="709358006" />
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            <text value="Human papillomavirus, type 6 antigen" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="121235008" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
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            <coding>
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              <code value="7801000087108" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
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              <system value="http://snomed.info/sct/20611000087101" />
              <code value="121025008" />
              <display value="Human papillomavirus 16 antigen" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="709348007" />
              <display value="Human papillomavirus, type 11 antigen" />
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            <text value="Human papillomavirus, type 11 antigen" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-protects-against-disease">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="240532009" />
              <display value="Human papilloma virus infection" />
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            <text value="Human papilloma virus infection" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="27161000087106" />
              <display value="MERCK CANADA INC. (supplier)" />
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            <text value="MERCK CANADA INC. (supplier)" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="K026398" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="L003902" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="L011438" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="L049953" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="M006158" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="M010460" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="M010469" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="M018603" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="M021798" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="M025611" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="M036460" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="M036461" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="M038831" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size">
          <valueString value="0.5" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="See product monograph" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02283190" />
              <display value="02283190" />
            </coding>
            <text value="02283190" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
            </coding>
            <text value="Intramuscular: IM" />
          </valueCodeableConcept>
        </extension>
        <code value="7351000087103" />
        <display value="GARDASIL 120 micrograms per 0.5 milliliter suspension for injection Merck Canada Inc. (real clinical drug)" />
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
            <display value="Fully Specified Name" />
          </use>
          <value value="GARDASIL 120 micrograms per 0.5 milliliter suspension for injection Merck Canada Inc. (real clinical drug)" />
        </designation>
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[HPV-4] GARDASIL" />
        </designation>
        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[VPH-4] GARDASIL" />
        </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="GARDASIL" />
        </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="GARDASIL" />
        </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="HPV-4" />
        </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" />
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          <value value="VPH-4" />
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      </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" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-version">
          <valueString value="20190430" />
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        <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-linked-generic-concept">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="1362134008" />
              <display value="[Chol-Ecol-O] Cholera and E. coli oral vaccine" />
            </coding>
            <text value="[Chol-Ecol-O] Cholera and E. coli oral vaccine" />
          </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="721120005" />
              <display value="Vibrio cholerae recombinant toxin B subunit antigen" />
            </coding>
            <text value="Vibrio cholerae recombinant toxin B subunit 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="591000221103" />
              <display value="Inactivated whole Vibrio cholerae antigen" />
            </coding>
            <text value="Inactivated whole Vibrio cholerae 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="11840006" />
              <display value="Traveler's diarrhea" />
            </coding>
            <text value="Traveler's diarrhea" />
          </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="63650001" />
              <display value="Cholera" />
            </coding>
            <text value="Cholera" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="27021000087100" />
              <display value="Crucell Sweden AB (supplier)" />
            </coding>
            <text value="Crucell Sweden AB (supplier)" />
          </valueCodeableConcept>
        </extension>
        <code value="7401000087106" />
        <display value="DUKORAL oral suspension Crucell Sweden AB (real clinical drug)" />
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
            <display value="Fully Specified Name" />
          </use>
          <value value="DUKORAL oral suspension Crucell Sweden AB (real clinical drug)" />
        </designation>
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[Chol-Ecol-O] DUKORAL (CSA)" />
        </designation>
        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[Chol-Ecol-O] DUKORAL (CSA)" />
        </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="DUKORAL" />
        </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="DUKORAL" />
        </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="Chol-Ecol-O" />
        </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="Chol-Ecol-O" />
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      </concept>
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    <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" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-version">
          <valueString value="20190430" />
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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="marketed" />
              <display value="Marketed" />
            </coding>
            <text value="Marketed" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-generic-concept">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="7731000087108" />
              <display value="[DTaP-HB-IPV-Hib] Diphtheria, tetanus, acellular pertussis, hepatitis B, inactivated poliomyelitis and Haemophilus influenzae type b pediatric vaccine" />
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            <text value="[DTaP-HB-IPV-Hib] Diphtheria, tetanus, acellular pertussis, hepatitis B, inactivated poliomyelitis and Haemophilus influenzae type b pediatric vaccine" />
          </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="551000221106" />
              <display value="Tetanus toxoid" />
            </coding>
            <text value="Tetanus toxoid" />
          </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="303233001" />
              <display value="Hepatitis B virus antigen" />
            </coding>
            <text value="Hepatitis B virus 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="120975003" />
              <display value="Haemophilus influenzae type b antigen" />
            </coding>
            <text value="Haemophilus influenzae type b 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="844578004" />
              <display value="Inactivated Poliovirus antigen" />
            </coding>
            <text value="Inactivated Poliovirus 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="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>
              <system value="http://snomed.info/sct/20611000087101" />
              <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-protects-against-disease">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="406583002" />
              <display value="Haemophilus influenzae infection, invasive" />
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            <text value="Haemophilus influenzae infection, invasive" />
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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" />
            </coding>
            <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" />
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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="66071002" />
              <display value="Hepatitis B" />
            </coding>
            <text value="Hepatitis B" />
          </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" />
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            <text value="Diphtheria" />
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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="76902006" />
              <display value="Tetanus" />
            </coding>
            <text value="Tetanus" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="27071000087101" />
              <display value="GLAXOSMITHKLINE INC. (supplier)" />
            </coding>
            <text value="GLAXOSMITHKLINE INC. (supplier)" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="A21CC469A" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="A21CC521A" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="A21CC555A" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="A21CC635A" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="A21CC635B" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="A21CC637A" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="A21CC638A" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="A21CC763A" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="A21CC786A" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="A21CC788A" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="A21CC828A" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="A21CC829A" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="A21CC870A" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="A21CC900A" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="A21CC901A" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="A21CC936A" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="A21CC937A" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="A21CC941A" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="A21CC941B" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <code value="A21CC957A" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <code value="A21CE404B" />
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            <code value="A21CE415A" />
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          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="A21CE416A" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="A21CE528A" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="A21CE587B" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="A21CE597A" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="A21CE597B" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="A21CE602A" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="A21CE665C" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="A21CE668B" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="A21CE689A" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="A21CE690A" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="A21CE691A" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="A21CE718A" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="A21CE719A" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="A21CE720A" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size">
          <valueString value="0.5" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="See product monograph" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02253852" />
              <display value="02253852" />
            </coding>
            <text value="02253852" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
            </coding>
            <text value="Intramuscular: IM" />
          </valueCodeableConcept>
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        <code value="7451000087107" />
        <display value="INFANRIX hexa suspension for injection GlaxoSmithKline Inc. (real clinical drug)" />
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
            <display value="Fully Specified Name" />
          </use>
          <value value="INFANRIX hexa suspension for injection GlaxoSmithKline Inc. (real clinical drug)" />
        </designation>
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[DTaP-HB-IPV-Hib] INFANRIX hexa" />
        </designation>
        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[DCaT-HB-VPI-Hib] INFANRIX hexa" />
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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" />
          </use>
          <value value="INFANRIX hexa" />
        </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="INFANRIX hexa" />
        </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="DTaP-HB-IPV-Hib" />
        </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="DCaT-HB-VPI-Hib" />
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      </concept>
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    <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">
          <valueString value="active" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-version">
          <valueString value="20190430" />
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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="marketed" />
              <display value="Marketed" />
            </coding>
            <text value="Marketed" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-generic-concept">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="7931000087106" />
              <display value="[DTaP-IPV-Hib] Diphtheria, tetanus, acellular pertussis, inactivated poliomyelitis and Haemophilus influenzae type b pediatric vaccine" />
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            <text value="[DTaP-IPV-Hib] Diphtheria, tetanus, acellular pertussis, inactivated poliomyelitis and Haemophilus influenzae type b pediatric vaccine" />
          </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="551000221106" />
              <display value="Tetanus toxoid" />
            </coding>
            <text value="Tetanus toxoid" />
          </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="844578004" />
              <display value="Inactivated Poliovirus antigen" />
            </coding>
            <text value="Inactivated Poliovirus 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="120975003" />
              <display value="Haemophilus influenzae type b antigen" />
            </coding>
            <text value="Haemophilus influenzae type b 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="713610005" />
              <display value="Acellular Bordetella pertussis antigen" />
            </coding>
            <text value="Acellular Bordetella pertussis 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="161000221102" />
              <display value="Diphtheria toxoid" />
            </coding>
            <text value="Diphtheria toxoid" />
          </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="406583002" />
              <display value="Haemophilus influenzae infection, invasive" />
            </coding>
            <text value="Haemophilus influenzae infection, invasive" />
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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" />
            </coding>
            <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" />
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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="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" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="27071000087101" />
              <display value="GLAXOSMITHKLINE INC. (supplier)" />
            </coding>
            <text value="GLAXOSMITHKLINE INC. (supplier)" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="A20CB261A" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="A20CB262A" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="A20CB276A" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="A20CB281A" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="A20CB335A" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="A20CB353A" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="A20CB776B" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="A20CB777B" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="A20CB779A" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size">
          <valueString value="0.5" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="See product monograph" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
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            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02257122" />
              <display value="02257122" />
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            <text value="02257122" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
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            <text value="Intramuscular: IM" />
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        <display value="INFANRIX-IPV/Hib suspension for injection GlaxoSmithKline Inc. (real clinical drug)" />
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          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
            <display value="Fully Specified Name" />
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        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[DTaP-IPV-Hib] INFANRIX-IPV/Hib" />
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        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[DCaT-VPI-Hib] INFANRIX-IPV/Hib" />
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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="INFANRIX-IPV/Hib" />
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        <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="INFANRIX-IPV/Hib" />
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        <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="DTaP-IPV-Hib" />
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        <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="DCaT-VPI-Hib" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-version">
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        <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" />
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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="marketed" />
              <display value="Marketed" />
            </coding>
            <text value="Marketed" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-generic-concept">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="7691000087100" />
              <display value="[Inf] Influenza trivalent vaccine" />
            </coding>
            <text value="[Inf] Influenza trivalent vaccine" />
          </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="260210008" />
              <display value="Influenza virus antigen" />
            </coding>
            <text value="Influenza virus antigen" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
          <valueCodeableConcept>
            <coding>
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              <code value="442269004" />
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              <code value="46713006" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="GM1572" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="GP8591" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="GR5503" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="HC6029" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="HH4717" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="HJ1528" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="HL5212" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="HM9050" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="HY9719" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="J66256" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="L16104" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="L64685" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="L70538" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="L70539" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="M47973" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="M49647" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="M50955" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="M73833" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="M90790" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="M90791" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="N10351" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="N70196" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="N70233" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="N98035" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="R41782" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="R56653" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="R83735" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="S27524" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="S30092" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="S66654" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="S70680" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="T01492" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="T24279" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="T44989" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="T45004" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="T52808" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="T84389" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="W06116" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="W28766" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="W39744" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="W39761" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="W44052" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="W44053" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="X52467" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="X52474" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="X57043" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="X57058" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="X85839" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="X90005" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size">
          <valueString value="0.5" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="See product monograph" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02335204" />
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            <text value="02335204" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
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            <text value="Intramuscular: IM" />
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          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
            <display value="Fully Specified Name" />
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          <value value="Prevnar 13 suspension for injection Pfizer Canada ULC (real clinical drug)" />
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          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[Pneu-C-13] Prevnar 13" />
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        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[Pneu-C-13] Prevnar 13" />
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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" />
          </use>
          <value value="Prevnar 13" />
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        <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="Prevnar 13" />
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        <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="Pneu-C-13" />
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        <designation>
          <language value="fr" />
          <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="Pneu-C-13" />
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          <valueString value="active" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-version">
          <valueString value="20190430" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-last-updated">
          <valueDate value="2026-04-02" />
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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">
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            <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" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-generic-concept">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="7691000087100" />
              <display value="[Inf] Influenza trivalent vaccine" />
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            <text value="[Inf] Influenza trivalent vaccine" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="260210008" />
              <display value="Influenza virus antigen" />
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            <text value="Influenza virus antigen" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="442269004" />
              <display value="Influenza A virus subtype H1N1 antigen" />
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            <text value="Influenza A virus subtype H1N1 antigen" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-protects-against-disease">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="6142004" />
              <display value="Influenza" />
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            <text value="Influenza" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="27291000087105" />
              <display value="Sanofi Pasteur SA (supplier)" />
            </coding>
            <text value="Sanofi Pasteur SA (supplier)" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size">
          <valueString value="0.5" />
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          <valueString value="ML" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="See product monograph" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02223929" />
              <display value="02223929" />
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            <text value="02223929" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
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            <text value="Intramuscular: IM" />
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            <display value="english abbreviation" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Y005838" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Y007256" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Y007257" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Y007258" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Y012728" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Y014860" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Y016670" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Y016814" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Z003764" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Z005041" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Z009741" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Z011456" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Z011604" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Z014068" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Z015519" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Z016811" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Z018875" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size">
          <valueString value="0.5" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="1350" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02246081" />
              <display value="02246081" />
            </coding>
            <text value="02246081" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="34206005" />
              <display value="Subcutaneous: SC" />
            </coding>
            <text value="Subcutaneous: SC" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
            </coding>
            <text value="Intramuscular: IM" />
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        </extension>
        <code value="7241000087105" />
        <display value="VARIVAX III 1350 plaque forming units powder and diluent for solution for injection Merck Canada Inc. (real clinical drug)" />
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
            <display value="Fully Specified Name" />
          </use>
          <value value="VARIVAX III 1350 plaque forming units powder and diluent for solution for injection Merck Canada Inc. (real clinical drug)" />
        </designation>
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[Var] VARIVAX III" />
        </designation>
        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[Var] VARIVAX III" />
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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" />
          </use>
          <value value="VARIVAX III" />
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        <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="VARIVAX III" />
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        <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="Var" />
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        <designation>
          <language value="fr" />
          <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="Var" />
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      </concept>
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    <include>
      <system value="http://snomed.info/sct" />
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        <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="20190430" />
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        <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" />
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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="marketed" />
              <display value="Marketed" />
            </coding>
            <text value="Marketed" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-generic-concept">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="7791000087109" />
              <display value="[HPV-2] Human papillomavirus bivalent vaccine" />
            </coding>
            <text value="[HPV-2] Human papillomavirus bivalent vaccine" />
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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="121235008" />
              <display value="Human papillomavirus 18 antigen" />
            </coding>
            <text value="Human papillomavirus 18 antigen" />
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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="121025008" />
              <display value="Human papillomavirus 16 antigen" />
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            <text value="Human papillomavirus 16 antigen" />
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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="7791000087109" />
              <display value="[HPV-2] Human papillomavirus bivalent vaccine" />
            </coding>
            <text value="[HPV-2] Human papillomavirus bivalent vaccine" />
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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="240532009" />
              <display value="Human papilloma virus infection" />
            </coding>
            <text value="Human papilloma virus infection" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="27071000087101" />
              <display value="GLAXOSMITHKLINE INC. (supplier)" />
            </coding>
            <text value="GLAXOSMITHKLINE INC. (supplier)" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHPVA286AN" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHPVA342AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHPVA342AJ" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHPVA367AO" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHPVA398AX" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHPVA399AE" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHPVA402AB" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHPVA406AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHPVA406BC" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHPVA408AH" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHPVA435AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHPVA450CH" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AHPVA453AF" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
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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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          <use>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
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          <value value="CERVARIX" />
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        <designation>
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          <use>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
            <code value="frPublicPicklist" />
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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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          <use>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
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              <system value="http://snomed.info/sct/20611000087101" />
              <code value="871726005" />
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            <text value="[Rab] Rabies vaccine" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="120980007" />
              <display value="Rabies lyssavirus antigen" />
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            <text value="Rabies lyssavirus 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="14168008" />
              <display value="Rabies" />
            </coding>
            <text value="Rabies" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
          <valueCodeableConcept>
            <coding>
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02247600" />
              <display value="02247600" />
            </coding>
            <text value="02247600" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
            </coding>
            <text value="Intramuscular: IM" />
          </valueCodeableConcept>
        </extension>
        <code value="7441000087109" />
        <display value="BOOSTRIX suspension for injection GlaxoSmithKline Inc. (real clinical drug)" />
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
            <display value="Fully Specified Name" />
          </use>
          <value value="BOOSTRIX suspension for injection GlaxoSmithKline Inc. (real clinical drug)" />
        </designation>
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[Tdap] BOOSTRIX" />
        </designation>
        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[dcaT] BOOSTRIX" />
        </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="BOOSTRIX" />
        </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="BOOSTRIX" />
        </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="Tdap" />
        </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="dcaT" />
        </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="20190430" />
        </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="marketed" />
              <display value="Marketed" />
            </coding>
            <text value="Marketed" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-generic-concept">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="7891000087104" />
              <display value="[Tdap-IPV] Tetanus, diphteria, acellular pertussis and inactivated poliomyelitis vaccine" />
            </coding>
            <text value="[Tdap-IPV] Tetanus, diphteria, acellular pertussis and inactivated poliomyelitis vaccine" />
          </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="551000221106" />
              <display value="Tetanus toxoid" />
            </coding>
            <text value="Tetanus toxoid" />
          </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="713610005" />
              <display value="Acellular Bordetella pertussis antigen" />
            </coding>
            <text value="Acellular Bordetella pertussis 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="161000221102" />
              <display value="Diphtheria toxoid" />
            </coding>
            <text value="Diphtheria toxoid" />
          </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="844578004" />
              <display value="Inactivated Poliovirus antigen" />
            </coding>
            <text value="Inactivated Poliovirus 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="27836007" />
              <display value="Pertussis" />
            </coding>
            <text value="Pertussis" />
          </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>
        <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" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="27071000087101" />
              <display value="GLAXOSMITHKLINE INC. (supplier)" />
            </coding>
            <text value="GLAXOSMITHKLINE INC. (supplier)" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="2533X" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="2HJ92" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="3425D" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="395TE" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="39G7Y" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="3LN52" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="547ZP" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="5S797" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="9F4C7" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="A35AL" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AC39B077AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AC39B077AB" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AC39B077AF" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AC39B098BA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AC39B098BB" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AC39B098BC" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AC39B098BD" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AC39B098BE" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AC39B098BG" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AC39B098BH" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AC39B098BI" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AC39B108AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AC39B108BA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AC39B108BC" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AC39B121AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AC39B121AH" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AC39B121AJ" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AC39B121AK" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="AC39B135AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="DD54K" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="G73G2" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="YM5F4" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size">
          <valueString value="0.5" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="See product monograph" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02312557" />
              <display value="02312557" />
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            <text value="02312557" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
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            <text value="Intramuscular: IM" />
          </valueCodeableConcept>
        </extension>
        <code value="7491000087102" />
        <display value="BOOSTRIX-POLIO suspension for injection GlaxoSmithKline Inc. (real clinical drug)" />
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
            <display value="Fully Specified Name" />
          </use>
          <value value="BOOSTRIX-POLIO suspension for injection GlaxoSmithKline Inc. (real clinical drug)" />
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        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[Tdap-IPV] BOOSTRIX-POLIO" />
        </designation>
        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[dcaT-VPI] BOOSTRIX-POLIO" />
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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" />
          </use>
          <value value="BOOSTRIX-POLIO" />
        </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="BOOSTRIX-POLIO" />
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        <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="Tdap-IPV" />
        </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="dcaT-VPI" />
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      </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="20190430" />
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        <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="marketed" />
              <display value="Marketed" />
            </coding>
            <text value="Marketed" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-generic-concept">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="7691000087100" />
              <display value="[Inf] Influenza trivalent vaccine" />
            </coding>
            <text value="[Inf] Influenza trivalent vaccine" />
          </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="260210008" />
              <display value="Influenza virus antigen" />
            </coding>
            <text value="Influenza virus 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="442269004" />
              <display value="Influenza A virus subtype H1N1 antigen" />
            </coding>
            <text value="Influenza A virus subtype H1N1 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-to-market-authorization-holder">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="27101000087107" />
              <display value="ID BIOMEDICAL CORPORATION OF QUEBEC (supplier)" />
            </coding>
            <text value="ID BIOMEDICAL CORPORATION OF QUEBEC (supplier)" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="22TC5" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="25G9J" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="2977R" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="2AB22" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="2F425" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="2JC75" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="2JM72" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="2JN95" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="2K9TB" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="2X9AY" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="3342Z" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="3357Y" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="35F5N" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="3DE32" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="3M25X" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="47X3N" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="493EJ" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="4DM4K" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="52R3F" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="555EZ" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="5933E" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="5M7SA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="5MA32" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="73EA5" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="77MS5" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="7NL3B" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="955HE" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="97HX9" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="B3XA3" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="BK2DM" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="CK322" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="D2T97" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="F5B7A" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="G2MZ2" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="H455M" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="J2G33" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="K4MB3" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="L4KG9" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="L9LL4" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="LC2PR" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="LZ277" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="M453T" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="NA9AR" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="NS55A" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="T9CP4" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="X93X3" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="XF44N" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Y452K" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size">
          <valueString value="0.5" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="See product monograph" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
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            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02420686" />
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            <text value="02420686" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
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        <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="FLUVIRAL 15 micrograms per 0.5 milliliter suspension for injection ID Biomedical Corporation of Quebec (real clinical drug)" />
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        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[Inf] FLUVIRAL" />
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        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[Inf] FLUVIRAL" />
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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="FLUVIRAL" />
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        <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="FLUVIRAL" />
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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="Inf" />
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        <designation>
          <language value="fr" />
          <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="Inf" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-version">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-passive-immunizing-agent">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-product-status">
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            <coding>
              <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-product-status" />
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              <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-linked-generic-concept">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="1052328007" />
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            <text value="[Pneu-C-7] Pneumococcal conjugate 7-valent vaccine" />
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        <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" />
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            <text value="Pneumococcal conjugate antigen" />
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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="1052328007" />
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            <text value="[Pneu-C-7] Pneumococcal conjugate 7-valent vaccine" />
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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="16814004" />
              <display value="Pneumococcal disease" />
            </coding>
            <text value="Pneumococcal disease" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="27231000087109" />
              <display value="Pfizer Canada Inc. (supplier)" />
            </coding>
            <text value="Pfizer Canada Inc. (supplier)" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size">
          <valueString value="0.5" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="See product monograph" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02244081" />
              <display value="02244081" />
            </coding>
            <text value="02244081" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
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            <text value="Intramuscular: IM" />
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        <code value="7651000087105" />
        <display value="Prevnar 16 micrograms per 0.5 milliliter suspension for injection Pfizer Canada Inc. (real clinical drug)" />
        <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="Prevnar 16 micrograms per 0.5 milliliter suspension for injection Pfizer Canada Inc. (real clinical drug)" />
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        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[Pneu-C-7] Prevnar" />
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        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[Pneu-C-7] Prevnar" />
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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" />
          </use>
          <value value="Prevnar" />
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        <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="Prevnar" />
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        <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="Pneu-C-7" />
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        <designation>
          <language value="fr" />
          <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="Pneu-C-7" />
        </designation>
      </concept>
    </include>
    <include>
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      <version value="http://snomed.info/sct/20611000087101" />
      <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="20190430" />
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        <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-linked-generic-concept">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="1052330009" />
              <display value="[Pneu-C-10] Pneumococcal conjugate 10-valent vaccine" />
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            <text value="[Pneu-C-10] Pneumococcal conjugate 10-valent vaccine" />
          </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" />
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            <text value="Pneumococcal conjugate antigen" />
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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="1052330009" />
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            <text value="[Pneu-C-10] Pneumococcal conjugate 10-valent vaccine" />
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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="16814004" />
              <display value="Pneumococcal disease" />
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            <text value="Pneumococcal disease" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="27071000087101" />
              <display value="GLAXOSMITHKLINE INC. (supplier)" />
            </coding>
            <text value="GLAXOSMITHKLINE INC. (supplier)" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="4EA25" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="4K9BM" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="5E229" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="74FD5" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="7F2NN" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="ASPNA862CF" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="ASPNA907AJ" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="ASPNA907BB" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="ASPNA907BJ" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="ASPNB065EF" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="ASPNB069AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="ASPNB069BF" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="ASPNB197AB" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="ASPNB202DG" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="ASPNB203DA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="ASPNB203DB" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="CS3HX" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="G5C23" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="J7HR5" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="KH757" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="NE97F" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Z2S29" />
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          <valueString value="ML" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="See product monograph" />
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            <coding>
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              <code value="02320541" />
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            <text value="02320541" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
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            <coding>
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              <code value="78421000" />
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            <text value="Intramuscular: IM" />
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          <use>
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            <code value="900000000000003001" />
            <display value="Fully Specified Name" />
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        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[Pneu-C-10] SYNFLORIX" />
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        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[Pneu-C-10] SYNFLORIX" />
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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="SYNFLORIX" />
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        <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="SYNFLORIX" />
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        <designation>
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          <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="Pneu-C-10" />
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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="Pneu-C-10" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-version">
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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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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-generic-concept">
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            <coding>
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              <code value="7691000087100" />
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            <text value="[Inf] Influenza trivalent vaccine" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="260210008" />
              <display value="Influenza virus antigen" />
            </coding>
            <text value="Influenza virus antigen" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="442269004" />
              <display value="Influenza A virus subtype H1N1 antigen" />
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            <text value="Influenza A virus subtype H1N1 antigen" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-protects-against-disease">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="6142004" />
              <display value="Influenza" />
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            <text value="Influenza" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
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            <coding>
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              <code value="27191000087103" />
              <display value="Novartis Vaccines and Diagnostics Inc. (supplier)" />
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            <text value="Novartis Vaccines and Diagnostics Inc. (supplier)" />
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          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
            <display value="Fully Specified Name" />
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          <value value="Agriflu 15 micrograms per 0.5 milliliter suspension for injection Novartis Vaccines and Diagnostics, Inc. (real clinical drug)" />
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        <designation>
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          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[Inf] Agriflu (NVD)" />
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        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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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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          <value value="Agriflu" />
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        <designation>
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          <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="Agriflu" />
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        <designation>
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          <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="Inf" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <code value="S027455" />
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            <code value="T019071" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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              <code value="34206005" />
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          <use>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
            <code value="enPublicPicklist" />
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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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            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
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            <system value="http://snomed.info/sct" />
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          <use>
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            <display value="english public picklist" />
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        <designation>
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          <use>
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        <designation>
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            <text value="Varicellovirus humanalpha3 antibody" />
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            <text value="Varicella" />
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          <use>
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        <designation>
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          <use>
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            <display value="french public picklist" />
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        <designation>
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          <use>
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        <designation>
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          <use>
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          <value value="VarIg" />
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              <code value="restricted_access" />
              <display value="Restricted Access" />
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            <text value="Restricted Access" />
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              <code value="232861000087107" />
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            <text value="[Sma] Smallpox vaccine" />
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              <code value="1269334003" />
              <display value="Live attenuated Vaccinia virus antigen" />
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            <text value="Live attenuated Vaccinia virus antigen" />
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              <code value="428191002" />
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              <code value="78421000" />
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        <designation>
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        <designation>
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        <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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            <display value="french abbreviation" />
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          <value value="Inf" />
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="63650001" />
              <display value="Cholera" />
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            <text value="Cholera" />
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            <text value="BAVARIAN NORDIC AS (supplier)" />
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            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02538164" />
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            <text value="02538164" />
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              <code value="26643006" />
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            <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="VAXCHORA" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
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            <text value="[COVID-19] mRNA COVID-19 vaccine" />
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              <code value="1119343008" />
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            <text value="Severe acute respiratory syndrome coronavirus 2 mRNA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="D05532B" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="D05532C" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="D05555A" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="0.1" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02541270" />
              <display value="02541270" />
            </coding>
            <text value="02541270" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
            </coding>
            <text value="Intramuscular: IM" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size">
          <valueString value="0.5" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="50" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02557770" />
              <display value="02557770" />
            </coding>
            <text value="02557770" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
            </coding>
            <text value="Intramuscular: IM" />
          </valueCodeableConcept>
        </extension>
        <code value="60671000087102" />
        <display value="SPIKEVAX messenger ribonucleic acid 0.10 milligrams per 1 milliliter dispersion for injection Moderna Biopharma Canada Corporation (real clinical drug)" />
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
            <display value="Fully Specified Name" />
          </use>
          <value value="SPIKEVAX messenger ribonucleic acid 0.10 milligrams per 1 milliliter dispersion for injection Moderna Biopharma Canada Corporation (real clinical drug)" />
        </designation>
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[COVID-19] SPIKEVAX 0.10 mg/mL" />
        </designation>
        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[COVID-19] SPIKEVAX 0.10 mg/mL" />
        </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="SPIKEVAX" />
        </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="SPIKEVAX" />
        </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="COVID-19" />
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        <designation>
          <language value="fr" />
          <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="COVID-19" />
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      </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="20241130" />
        </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="marketed" />
              <display value="Marketed" />
            </coding>
            <text value="Marketed" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-generic-concept">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="1119349007" />
              <display value="[COVID-19] mRNA COVID-19 vaccine" />
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            <text value="[COVID-19] mRNA COVID-19 vaccine" />
          </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="1119343008" />
              <display value="Severe acute respiratory syndrome coronavirus 2 mRNA" />
            </coding>
            <text value="Severe acute respiratory syndrome coronavirus 2 mRNA" />
          </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="840539006" />
              <display value="COVID-19" />
            </coding>
            <text value="COVID-19" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="29141000087103" />
              <display value="BIONTECH MANUFACTURING GMBH (supplier)" />
            </coding>
            <text value="BIONTECH MANUFACTURING GMBH (supplier)" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="HD9867" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="HH1302" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="HJ3096" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="HJ3097" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="HJ3100" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="LN0602" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="LN0604" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="LN2588" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="LP1782" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="MW6928" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="MX4961" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="NA4448" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="NC3069" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="NC3078" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="NC5039" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="NC5040" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="NM3259" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="30" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
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              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02541823" />
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            <text value="02541823" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
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            <text value="Intramuscular: IM" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
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            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02552035" />
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
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            <text value="Intramuscular: IM" />
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          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
            <display value="Fully Specified Name" />
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          <value value="COMIRNATY messenger ribonucleic acid 30 micrograms per 0.3 milliliter suspension for injection BioNTech Manufacturing GmbH (real clinical drug)" />
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        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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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="COMIRNATY" />
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        <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="COMIRNATY" />
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        <designation>
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          <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="COVID-19" />
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        <designation>
          <language value="fr" />
          <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="COVID-19" />
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          <valueString value="active" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-version">
          <valueString value="20241130" />
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        <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" />
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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="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="dormant" />
              <display value="Dormant" />
            </coding>
            <text value="Dormant" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-generic-concept">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="1162643001" />
              <display value="[COVID-19] Recombinant spike protein COVID-19 vaccine" />
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            <text value="[COVID-19] Recombinant spike protein COVID-19 vaccine" />
          </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="29301000087104" />
              <display value="SARS-CoV-2 recombinant spike protein antigen" />
            </coding>
            <text value="SARS-CoV-2 recombinant spike protein 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="840539006" />
              <display value="COVID-19" />
            </coding>
            <text value="COVID-19" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="29951000087102" />
              <display value="NOVAVAX INC. (supplier)" />
            </coding>
            <text value="NOVAVAX INC. (supplier)" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="5683MF013" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size">
          <valueString value="0.5" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
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        <designation>
          <language value="en" />
          <use>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
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            <display value="english public picklist" />
          </use>
          <value value="MENHIBRIX" />
        </designation>
        <designation>
          <language value="fr" />
          <use>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
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            <display value="french public picklist" />
          </use>
          <value value="MENHIBRIX" />
        </designation>
        <designation>
          <language value="en" />
          <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="Men-C-CY-Hib" />
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        <designation>
          <language value="fr" />
          <use>
            <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="Men-C-CY-Hib" />
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    <include>
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      <concept>
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          <valueString value="active" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-last-updated">
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-passive-immunizing-agent">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-product-status">
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              <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-linked-generic-concept">
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              <system value="http://snomed.info/sct/20611000087101" />
              <code value="1360050007" />
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            <text value="[Pneu-C-21] Pneumococcal conjugate 21-valent vaccine" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="714078004" />
              <display value="Pneumococcal conjugate antigen" />
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            <text value="Pneumococcal conjugate antigen" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
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            <coding>
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              <code value="1360050007" />
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            <text value="[Pneu-C-21] Pneumococcal conjugate 21-valent vaccine" />
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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="16814004" />
              <display value="Pneumococcal disease" />
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            <text value="Pneumococcal disease" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="27161000087106" />
              <display value="MERCK CANADA INC. (supplier)" />
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            <text value="MERCK CANADA INC. (supplier)" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="A002982" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="A003233" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="A004756" />
          </valueCoding>
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Y013724" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Z003580" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Z007398" />
          </valueCoding>
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Z009258" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Z011763" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Z012266" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Z013969" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02549891" />
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            <text value="02549891" />
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            <coding>
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              <code value="78421000" />
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          <use>
            <system value="http://snomed.info/sct" />
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            <display value="Fully Specified Name" />
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          <use>
            <system value="http://snomed.info/sct" />
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          <use>
            <system value="http://snomed.info/sct" />
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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>
          <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="CAPVAXIVE" />
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        <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="Pneu-C-21" />
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        <designation>
          <language value="fr" />
          <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="Pneu-C-21" />
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            <coding>
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              <display value="Marketed" />
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            <text value="Marketed" />
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="7691000087100" />
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            <text value="[Inf] Influenza trivalent vaccine" />
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            <coding>
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            <text value="Influenza A virus subtype H1N1 antigen" />
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            <coding>
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            <text value="Influenza virus antigen" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-protects-against-disease">
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            <coding>
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              <code value="6142004" />
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
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            <text value="SEQIRUS UK LIMITED (supplier)" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <coding>
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            <system value="http://snomed.info/sct" />
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          <use>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
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          <use>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-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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          <use>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
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            <text value="Severe acute respiratory syndrome coronavirus 2 mRNA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
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            <coding>
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="FK5618" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="FL2757" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="FL4211" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="FX4343" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="FX8424" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="FX9154" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size">
          <valueString value="0.2" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="10" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02522454" />
              <display value="02522454" />
            </coding>
            <text value="02522454" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
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            <text value="Intramuscular: IM" />
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        <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="COMIRNATY (original strain) messenger ribonucleic acid 10 micrograms per 0.2 milliliter suspension for injection BioNTech Manufacturing GmbH (real clinical drug)" />
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        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[COVID-19] COMIRNATY (original strain) pediatric 10 mcg/0.2 mL" />
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        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[COVID-19] COMIRNATY (souche originale) vaccin pédiatrique 10 mcg/0.2 mL" />
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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" />
          </use>
          <value value="COMIRNATY (original strain)" />
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        <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="COMIRNATY (original strain)" />
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        <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="COVID-19" />
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        <designation>
          <language value="fr" />
          <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="COVID-19" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-version">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-last-updated">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-passive-immunizing-agent">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-product-status">
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            <coding>
              <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-product-status" />
              <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-linked-generic-concept">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="7691000087100" />
              <display value="[Inf] Influenza trivalent vaccine" />
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            <text value="[Inf] Influenza trivalent vaccine" />
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="442269004" />
              <display value="Influenza A virus subtype H1N1 antigen" />
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            <text value="Influenza A virus subtype H1N1 antigen" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="260210008" />
              <display value="Influenza virus antigen" />
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            <text value="Influenza virus antigen" />
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="6142004" />
              <display value="Influenza" />
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            <text value="Influenza" />
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          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="27281000087108" />
              <display value="SANOFI VACCINES CANADA LTD. (supplier)" />
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            <text value="SANOFI VACCINES CANADA LTD. (supplier)" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8809AA" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8809BB" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8809CA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8810AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8834AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8834BA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8901AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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          <valueString value="ML" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="See product monograph" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
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            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02365936" />
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            <text value="02365936" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
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          <use>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
            <code value="enPublicPicklist" />
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        <designation>
          <language value="fr" />
          <use>
            <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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          <use>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
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            <coding>
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            <coding>
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            <text value="[HB] Hepatitis B regular strength vaccine" />
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            <coding>
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            <coding>
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            <coding>
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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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          <use>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-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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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
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            <display value="french abbreviation" />
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        <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="20251130" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-last-updated">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-passive-immunizing-agent">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-product-status">
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            <coding>
              <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-product-status" />
              <code value="approved" />
              <display value="Approved" />
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            <text value="Approved" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-generic-concept">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="1119349007" />
              <display value="[COVID-19] mRNA COVID-19 vaccine" />
            </coding>
            <text value="[COVID-19] mRNA COVID-19 vaccine" />
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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="1119343008" />
              <display value="Severe acute respiratory syndrome coronavirus 2 mRNA" />
            </coding>
            <text value="Severe acute respiratory syndrome coronavirus 2 mRNA" />
          </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="840539006" />
              <display value="COVID-19" />
            </coding>
            <text value="COVID-19" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="51461000087108" />
              <display value="MODERNA BIOPHARMA CANADA CORPORATION (supplier)" />
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            <text value="MODERNA BIOPHARMA CANADA CORPORATION (supplier)" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="10" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02561433" />
              <display value="02561433" />
            </coding>
            <text value="02561433" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
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            <coding>
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              <code value="78421000" />
              <display value="Intramuscular: IM" />
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            <text value="Intramuscular: IM" />
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          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
            <display value="Fully Specified Name" />
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          <value value="mNEXSPIKE messenger ribonucleic acid 10 micrograms per 0.2 milliliter dispersion for injection Moderna Biopharma Canada Corporation (real clinical drug)" />
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        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[COVID-19] mNEXSPIKE" />
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        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[COVID-19] mNEXSPIKE" />
        </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="mNEXSPIKE" />
        </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="mNEXSPIKE" />
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        <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="COVID-19" />
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        <designation>
          <language value="fr" />
          <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="COVID-19" />
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    <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" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-version">
          <valueString value="20260228" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-last-updated">
          <valueDate value="2026-03-05" />
        </extension>
        <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" />
            </coding>
            <text value="Cancelled Post Market" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-generic-concept">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="19401000087100" />
              <display value="[Inf] Influenza quadrivalent vaccine" />
            </coding>
            <text value="[Inf] Influenza quadrivalent vaccine" />
          </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" />
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            <text value="Influenza A virus antigen" />
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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="442269004" />
              <display value="Influenza A virus subtype H1N1 antigen" />
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            <text value="Influenza A virus subtype H1N1 antigen" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="260210008" />
              <display value="Influenza virus antigen" />
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            <text value="Influenza virus 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="6142004" />
              <display value="Influenza" />
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            <text value="Influenza" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="27281000087108" />
              <display value="SANOFI VACCINES CANADA LTD. (supplier)" />
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            <text value="SANOFI VACCINES CANADA LTD. (supplier)" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UJ891AD" />
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          <valueString value="0.5" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="See product monograph" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02510936" />
              <display value="02510936" />
            </coding>
            <text value="02510936" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
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            <text value="Intramuscular: IM" />
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        <code value="35661000087108" />
        <display value="Supemtek 45 micrograms per 0.5 milliliter solution for injection Sanofi Vaccines Canada Ltd. (real clinical drug)" />
        <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="Supemtek 45 micrograms per 0.5 milliliter solution for injection Sanofi Vaccines Canada Ltd. (real clinical drug)" />
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        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[Inf] Supemtek" />
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        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[Inf] Supemtek" />
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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" />
          </use>
          <value value="Supemtek" />
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        <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="Supemtek" />
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        <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="Inf" />
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        <designation>
          <language value="fr" />
          <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="Inf" />
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          <valueString value="active" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-version">
          <valueString value="20260228" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-last-updated">
          <valueDate value="2026-03-05" />
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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-linked-generic-concept">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="871831003" />
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            <text value="[MMR] Measles, mumps and rubella vaccine" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="120997001" />
              <display value="Measles virus antigen" />
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            <text value="Measles virus antigen" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="121087003" />
              <display value="Orthorubulavirus parotitidis antigen" />
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            <text value="Orthorubulavirus parotitidis antigen" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="120998006" />
              <display value="Rubella virus antigen" />
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            <text value="Rubella virus antigen" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-protects-against-disease">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="14189004" />
              <display value="Measles" />
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            <text value="Measles" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-protects-against-disease">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="36989005" />
              <display value="Mumps" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-protects-against-disease">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="36653000" />
              <display value="Rubella" />
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            <text value="Rubella" />
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            <code value="Z011133" />
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="34206005" />
              <display value="Subcutaneous: SC" />
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            <text value="Subcutaneous: SC" />
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
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            <text value="Intramuscular: IM" />
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        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
            <display value="Fully Specified Name" />
          </use>
          <value value="M-M-RVAXPRO powder and solvent for suspension for injection (real clinical drug)" />
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        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[MMR] M-M-RVAXPRO" />
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        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[RRO] M-M-RVAXPRO" />
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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="M-M-RVAXPRO" />
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        <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="M-M-RVAXPRO" />
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        <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="MMR" />
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        <designation>
          <language value="fr" />
          <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="RRO" />
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    <include>
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        <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="20260531" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-last-updated">
          <valueDate value="2026-04-16" />
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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" />
            </coding>
            <text value="Cancelled Post Market" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-generic-concept">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="7121000087107" />
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            <text value="[Men-C-ACYW] Meningococcal conjugate A + C + Y + W vaccine" />
          </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="716270003" />
              <display value="Meningococcal polysaccharide group C antigen" />
            </coding>
            <text value="Meningococcal polysaccharide group C antigen" />
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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="716268007" />
              <display value="Meningococcal conjugate group W-135 antigen" />
            </coding>
            <text value="Meningococcal conjugate group W-135 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="716272006" />
              <display value="Meningococcal polysaccharide group W-135 antigen" />
            </coding>
            <text value="Meningococcal polysaccharide group W-135 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="716267002" />
              <display value="Meningococcal conjugate group Y antigen" />
            </coding>
            <text value="Meningococcal conjugate group Y 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="716266006" />
              <display value="Meningococcal conjugate group C antigen" />
            </coding>
            <text value="Meningococcal conjugate group C 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="7121000087107" />
              <display value="[Men-C-ACYW] Meningococcal conjugate A + C + Y + W vaccine" />
            </coding>
            <text value="[Men-C-ACYW] Meningococcal conjugate A + C + Y + W vaccine" />
          </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="716271004" />
              <display value="Meningococcal polysaccharide group Y antigen" />
            </coding>
            <text value="Meningococcal polysaccharide group Y antigen" />
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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="871834006" />
              <display value="Neisseria meningitidis serogroup A capsular polysaccharide antigen conjugated" />
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            <text value="Neisseria meningitidis serogroup A capsular polysaccharide antigen conjugated" />
          </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="23511006" />
              <display value="Meningococcal disease" />
            </coding>
            <text value="Meningococcal disease" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="27281000087108" />
              <display value="SANOFI VACCINES CANADA LTD. (supplier)" />
            </coding>
            <text value="SANOFI VACCINES CANADA LTD. (supplier)" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U4922AH" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U5103B" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U5103BG" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U5103bh" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U5171BD" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U5188AC" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U5273AD" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U5343AC" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U5391AD" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U5465AE" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U5506AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U5538AF" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U5747AA" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U5747BA" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U5819AE" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U5837BC" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U5870AE" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U5988AB" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U5999AF" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U6050AB" />
          </valueCoding>
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U6135AB" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U6135AC" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U6299AC" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U6333AC" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U6366AC" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U6599AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U6633AF" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U6633AG" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U6784AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U6790BB" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U6875AD" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U6879AG" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U6988BD" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U6988BE" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U7301BB" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U7556AA" />
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            <code value="U7660AH" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8533AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size">
          <valueString value="0.5" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="See product monograph" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02279924" />
              <display value="02279924" />
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            <text value="02279924" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
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            <text value="Intramuscular: IM" />
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          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
            <display value="Fully Specified Name" />
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          <value value="Menactra solution for injection Sanofi Vaccines Canada Ltd. (real clinical drug)" />
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        <designation>
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          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[Men-C-ACYW] Menactra" />
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          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
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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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          <value value="Menactra" />
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        <designation>
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          <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="Menactra" />
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            <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-C-ACYW" />
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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="Men-C-ACYW-135" />
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              <display value="Cancelled Post Market" />
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            <text value="Cancelled Post Market" />
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              <code value="7931000087106" />
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              <system value="http://snomed.info/sct/20611000087101" />
              <code value="551000221106" />
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            <text value="Tetanus toxoid" />
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            <text value="Haemophilus influenzae type b antigen" />
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              <code value="844578004" />
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            <text value="SANOFI VACCINES CANADA LTD. (supplier)" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5424BA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5424CA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5443A" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <code value="C5443AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5460A" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5514A" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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              <code value="02243167" />
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            <coding>
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              <code value="78421000" />
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            <text value="Intramuscular: IM" />
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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" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
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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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          <value value="PEDIACEL" />
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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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            <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="DTaP-IPV-Hib" />
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          <use>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
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            <display value="french abbreviation" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-passive-immunizing-agent">
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            <coding>
              <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-product-status" />
              <code value="marketed" />
              <display value="Marketed" />
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            <text value="Marketed" />
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            <coding>
              <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-product-status" />
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              <display value="Cancelled Post Market" />
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            <text value="Cancelled Post Market" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-generic-concept">
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              <code value="551000221106" />
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              <code value="120975003" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
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              <system value="http://snomed.info/sct/20611000087101" />
              <code value="713610005" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
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              <code value="161000221102" />
              <display value="Diphtheria toxoid" />
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            <text value="Diphtheria toxoid" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-protects-against-disease">
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              <system value="http://snomed.info/sct/20611000087101" />
              <code value="406583002" />
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            <text value="Haemophilus influenzae infection, invasive" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-protects-against-disease">
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              <system value="http://snomed.info/sct/20611000087101" />
              <code value="27836007" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-protects-against-disease">
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            <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" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="27281000087108" />
              <display value="SANOFI VACCINES CANADA LTD. (supplier)" />
            </coding>
            <text value="SANOFI VACCINES CANADA LTD. (supplier)" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C4707AB" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UK048AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UK108AB" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UK146AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UK147AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UK172AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UK173AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UK174AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UK195AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UK200AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UK209AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UK212AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UK213AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UK214AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UK215AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UK354AB" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UK360AC" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UK361AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UK362AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UK372AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UK380AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UK477AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UK478AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UK479AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UK481AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UK485AB" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size">
          <valueString value="0.5" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="See product monograph" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02231343" />
              <display value="02231343" />
            </coding>
            <text value="02231343" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
            </coding>
            <text value="Intramuscular: IM" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size">
          <valueString value="0.5" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="See product monograph" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02534797" />
              <display value="02534797" />
            </coding>
            <text value="02534797" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
            </coding>
            <text value="Intramuscular: IM" />
          </valueCodeableConcept>
        </extension>
        <code value="7511000087107" />
        <display value="PENTACEL powder and suspension for suspension for injection Sanofi Vaccines Canada Ltd. (real clinical drug)" />
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
            <display value="Fully Specified Name" />
          </use>
          <value value="PENTACEL powder and suspension for suspension for injection Sanofi Vaccines Canada Ltd. (real clinical drug)" />
        </designation>
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[DTaP-IPV-Hib] PENTACEL" />
        </designation>
        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[DCaT-VPI-Hib] PENTACEL" />
        </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="PENTACEL" />
        </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="PENTACEL" />
        </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="DTaP-IPV-Hib" />
        </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="DCaT-VPI-Hib" />
        </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="20260228" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-last-updated">
          <valueDate value="2026-02-05" />
        </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-linked-generic-concept">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="7911000087101" />
              <display value="[Td-IPV] Tetanus, diphteria, and inactivated polio adult vaccine" />
            </coding>
            <text value="[Td-IPV] Tetanus, diphteria, and inactivated polio adult vaccine" />
          </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="551000221106" />
              <display value="Tetanus toxoid" />
            </coding>
            <text value="Tetanus toxoid" />
          </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="161000221102" />
              <display value="Diphtheria toxoid" />
            </coding>
            <text value="Diphtheria toxoid" />
          </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="844578004" />
              <display value="Inactivated Poliovirus antigen" />
            </coding>
            <text value="Inactivated Poliovirus 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>
        <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" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="27281000087108" />
              <display value="SANOFI VACCINES CANADA LTD. (supplier)" />
            </coding>
            <text value="SANOFI VACCINES CANADA LTD. (supplier)" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C4643AB" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5111B" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5111BA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size">
          <valueString value="0.5" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="See product monograph" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="00615358" />
              <display value="00615358" />
            </coding>
            <text value="00615358" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
            </coding>
            <text value="Intramuscular: IM" />
          </valueCodeableConcept>
        </extension>
        <code value="7531000087102" />
        <display value="Td Polio Adsorbed suspension for injection Sanofi Vaccines Canada Ltd. (real clinical drug)" />
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
            <display value="Fully Specified Name" />
          </use>
          <value value="Td Polio Adsorbed suspension for injection Sanofi Vaccines Canada Ltd. (real clinical drug)" />
        </designation>
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[Td-IPV] Td Polio Absorbed" />
        </designation>
        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[dT-VPI] dT Polio adsorbées" />
        </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="Td Polio Adsorbed" />
        </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="dT Polio adsorbées" />
        </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="Td-IPV" />
        </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="dT-VPI" />
        </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="20260228" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-last-updated">
          <valueDate value="2026-02-05" />
        </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-linked-generic-concept">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="871804001" />
              <display value="[HA-Typh-I] Hepatitis A and typhoid vaccine" />
            </coding>
            <text value="[HA-Typh-I] Hepatitis A and typhoid vaccine" />
          </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="713618003" />
              <display value="Hepatitis A virus antigen" />
            </coding>
            <text value="Hepatitis A virus 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="767841007" />
              <display value="Vi polysaccharide typhoid antigen" />
            </coding>
            <text value="Vi polysaccharide typhoid 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="4834000" />
              <display value="Typhoid fever" />
            </coding>
            <text value="Typhoid fever" />
          </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="40468003" />
              <display value="Hepatitis A" />
            </coding>
            <text value="Hepatitis A" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="27281000087108" />
              <display value="SANOFI VACCINES CANADA LTD. (supplier)" />
            </coding>
            <text value="SANOFI VACCINES CANADA LTD. (supplier)" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="L5061-2" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="L5062-1" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="L5125-1" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="L5204-1" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="R3G471V" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="T3A132V" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="T3D751V" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="T3D851V" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="T3E011V" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="T3E251V" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size">
          <valueString value="0.5" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="See product monograph" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02248361" />
              <display value="02248361" />
            </coding>
            <text value="02248361" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
            </coding>
            <text value="Intramuscular: IM" />
          </valueCodeableConcept>
        </extension>
        <code value="7331000087107" />
        <display value="ViVAXIM 160 antigen units and 25 micrograms suspension for injection Sanofi Vaccines Canada Ltd. (real clinical drug)" />
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
            <display value="Fully Specified Name" />
          </use>
          <value value="ViVAXIM 160 antigen units and 25 micrograms suspension for injection Sanofi Vaccines Canada Ltd. (real clinical drug)" />
        </designation>
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[HA-Typh-I] ViVAXIM" />
        </designation>
        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[HA-Typh-I] ViVAXIM" />
        </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="VIVAXIM" />
        </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="VIVAXIM" />
        </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="HA-Typh-I" />
        </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="HA-Typh-I" />
        </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="20260228" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-last-updated">
          <valueDate value="2026-02-05" />
        </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="marketed" />
              <display value="Marketed" />
            </coding>
            <text value="Marketed" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-generic-concept">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="56841000087103" />
              <display value="[IPV] Poliomyelitis inactivated standard dose vaccine" />
            </coding>
            <text value="[IPV] Poliomyelitis inactivated standard dose vaccine" />
          </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="844578004" />
              <display value="Inactivated Poliovirus antigen" />
            </coding>
            <text value="Inactivated Poliovirus 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>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="27281000087108" />
              <display value="SANOFI VACCINES CANADA LTD. (supplier)" />
            </coding>
            <text value="SANOFI VACCINES CANADA LTD. (supplier)" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="K0195-1" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="L0269" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="L0269-1" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="N1B56" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="N1B561M" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="P3A29" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="P3A291M" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="P3P055M" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="R3E051M" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="T3E4410M" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U3E922M" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U3E924M" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="V3G061M" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="V3G064M" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="W3C7610M" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="W3C764M" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="W3C769M" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="X3D5410M" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="X3D543M" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="X3D546M" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Y3G28D6" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Y3G28P2" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size">
          <valueString value="0.5" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="See product monograph" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="01959042" />
              <display value="01959042" />
            </coding>
            <text value="01959042" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="34206005" />
              <display value="Subcutaneous: SC" />
            </coding>
            <text value="Subcutaneous: SC" />
          </valueCodeableConcept>
        </extension>
        <code value="7361000087100" />
        <display value="IMOVAX Polio 80 units per 0.5 milliliter solution for injection Sanofi Vaccines Canada Ltd. (real clinical drug)" />
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
            <display value="Fully Specified Name" />
          </use>
          <value value="IMOVAX Polio 80 units per 0.5 milliliter solution for injection Sanofi Vaccines Canada Ltd. (real clinical drug)" />
        </designation>
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[IPV] IMOVAX POLIO" />
        </designation>
        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[VPI] IMOVAX POLIO" />
        </designation>
        <designation>
          <language value="en" />
          <use>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
            <code value="enPublicPicklist" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UK359AB" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UK418AB" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UK421AB" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UK486AD" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="V1A63" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="V1F04" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="V1F37" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="W1B59" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="W1B91" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="W1C04" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="W1C94" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="X1A09" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="X1A11" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="X1A32" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="X1A33" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="X1A38" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="X1A39" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="X1A44" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="X1A46" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="X1B18" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="X1B19" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="X1B33" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="X1B73" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="X1B74" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="X1C04" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="X1C23" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="X1C26" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Y1A75" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Y1A76" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Y1A79" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Y1A80" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Y1A92" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Y1B90" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Y1C25" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Y1C47" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Y1C67" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Y1D06" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Y1D31" />
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          <valueString value="See product monograph" />
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              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="01959034" />
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            <text value="01959034" />
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
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          <language value="en" />
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            <code value="900000000000003001" />
            <display value="Fully Specified Name" />
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        <designation>
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            <system value="http://snomed.info/sct" />
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            <display value="Synonym" />
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          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
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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="Act-HIB" />
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        <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="Act-HIB" />
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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="Hib" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
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          <value value="Hib" />
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          <valueString value="active" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-version">
          <valueString value="20260228" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-last-updated">
          <valueDate value="2026-02-05" />
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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">
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              <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-product-status" />
              <code value="dormant" />
              <display value="Dormant" />
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            <text value="Dormant" />
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              <code value="19401000087100" />
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            <text value="[Inf] Influenza quadrivalent vaccine" />
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              <system value="http://snomed.info/sct/20611000087101" />
              <code value="260210008" />
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            <text value="Influenza virus antigen" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
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              <code value="442269004" />
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              <system value="http://snomed.info/sct/20611000087101" />
              <code value="6142004" />
              <display value="Influenza" />
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            <text value="Influenza" />
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              <system value="http://snomed.info/sct/20611000087101" />
              <code value="27281000087108" />
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            <text value="SANOFI VACCINES CANADA LTD. (supplier)" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8035AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8035BA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8035CA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8035DB" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8164AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8164BA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8426AC" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8426BA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8452AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8452AB" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
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            <code value="UI498AA" />
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            <code value="UI629AB" />
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            <code value="UI639AA" />
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            <code value="UI823AA" />
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            <code value="UI828AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UI828AB" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <code value="UI843AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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            <code value="UJ237AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <code value="UJ254AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UJ254AD" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UJ451AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <code value="UJ451AB" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UJ452AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UJ476AB" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UJ493AB" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UJ707AB" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UJ707AC" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UJ708AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UJ711AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UJ712AB" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UJ729AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UJ886AC" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UJ886AD" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UJ898AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UJ898AB" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UJ906AB" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UJ906AC" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UJ920AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UJ940AA" />
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          <valueString value="0.5" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="See product monograph" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02420643" />
              <display value="02420643" />
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            <text value="02420643" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
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            <text value="Intramuscular: IM" />
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          <valueString value="ML" />
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          <valueString value="See product monograph" />
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            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02432730" />
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            <text value="02432730" />
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            <coding>
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              <code value="78421000" />
              <display value="Intramuscular: IM" />
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            <text value="Intramuscular: IM" />
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        <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="FLUZONE Quadrivalent 15 micrograms per 0.5 milliliter suspension for injection Sanofi Vaccines Canada Ltd. (real clinical drug)" />
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        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[Inf] FLUZONE Quadrivalent" />
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        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
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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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          <value value="FLUZONE Quadrivalent" />
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        <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="FLUZONE Quadrivalent" />
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        <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="Inf" />
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        <designation>
          <language value="fr" />
          <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="Inf" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-version">
          <valueString value="20260228" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-last-updated">
          <valueDate value="2026-02-05" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-passive-immunizing-agent">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-product-status">
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            <coding>
              <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-product-status" />
              <code value="approved" />
              <display value="Approved" />
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            <text value="Approved" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-generic-concept">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="7841000087106" />
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            <text value="[DTaP] Diphtheria, tetanus and acellular pertussis pediatric vaccine" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="551000221106" />
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            <text value="Tetanus toxoid" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="713610005" />
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            <text value="Acellular Bordetella pertussis antigen" />
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              <code value="161000221102" />
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              <code value="27836007" />
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              <system value="http://snomed.info/sct/20611000087101" />
              <code value="397430003" />
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            <coding>
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              <code value="76902006" />
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            <text value="SANOFI VACCINES CANADA LTD. (supplier)" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <coding>
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              <code value="78421000" />
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            <display value="Fully Specified Name" />
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          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[DTaP] TRIPACEL" />
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          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[DCaT] TRIPACEL" />
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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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          <value value="TRIPACEL" />
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        <designation>
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          <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="TRIPACEL" />
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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="english abbreviation" />
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        <designation>
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            <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" />
        </designation>
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      <system value="http://snomed.info/sct" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-version">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-last-updated">
          <valueDate value="2026-02-05" />
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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" />
            </coding>
            <text value="Cancelled Post Market" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-generic-concept">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="7841000087106" />
              <display value="[DTaP] Diphtheria, tetanus and acellular pertussis pediatric vaccine" />
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            <text value="[DTaP] Diphtheria, tetanus and acellular pertussis pediatric vaccine" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="551000221106" />
              <display value="Tetanus toxoid" />
            </coding>
            <text value="Tetanus toxoid" />
          </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="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">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <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-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="397430003" />
              <display value="Diphtheria" />
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            <text value="Diphtheria" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-protects-against-disease">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="76902006" />
              <display value="Tetanus" />
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            <text value="Tetanus" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="27281000087108" />
              <display value="SANOFI VACCINES CANADA LTD. (supplier)" />
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            <text value="SANOFI VACCINES CANADA LTD. (supplier)" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size">
          <valueString value="0.5" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="See product monograph" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02224143" />
              <display value="02224143" />
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            <text value="02224143" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
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            <text value="Intramuscular: IM" />
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        <code value="7421000087100" />
        <display value="Tripacel Hybrid suspension for injection Sanofi Vaccines Canada Ltd. (real clinical drug)" />
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          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
            <display value="Fully Specified Name" />
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          <value value="Tripacel Hybrid suspension for injection Sanofi Vaccines Canada Ltd. (real clinical drug)" />
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        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[DTaP] Tripacel Hybrid" />
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        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[DTaP] Tripacel Hybrid" />
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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="Tripacel Hybrid" />
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        <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="Tripacel Hybrid" />
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        <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="DTaP" />
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        <designation>
          <language value="fr" />
          <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="DTaP" />
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          <valueString value="active" />
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          <valueString value="20260228" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-last-updated">
          <valueDate value="2026-02-05" />
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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">
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            <coding>
              <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-product-status" />
              <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-linked-generic-concept">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="871726005" />
              <display value="[Rab] Rabies vaccine" />
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            <text value="[Rab] Rabies vaccine" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="120980007" />
              <display value="Rabies lyssavirus antigen" />
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            <text value="Rabies lyssavirus antigen" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-protects-against-disease">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="14168008" />
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            <text value="Rabies" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
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            <text value="SANOFI VACCINES CANADA LTD. (supplier)" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="M1030" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="M1414" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="N1B05" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="P1C631M" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="P1C632M" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="P1C636M" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="P1D602M" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="R1C855M" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="R1D111M" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <code value="T1B782M" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <code value="T1B784M" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="T1F771M" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="V1D642M" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <code value="W1D181M" />
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            <code value="W1D212M" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="X1C162M" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="X1D402M" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Y1B403M" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Y1E13P2" />
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          <valueString value="VIAL" />
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          <valueString value="2.5" />
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            <coding>
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              <code value="01908286" />
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            <text value="01908286" />
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
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            <text value="Intramuscular: IM" />
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          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
            <display value="Fully Specified Name" />
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          <value value="Imovax Rabies 2.5 international units per milliliter powder for solution for injection Sanofi Vaccines Canada Ltd. (real clinical drug)" />
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        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[Rab] Imovax Rabies" />
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        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[Rage] Imovax Rage" />
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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="Imovax Rabies" />
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        <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="Imovax Rabies" />
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        <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="Rab" />
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        <designation>
          <language value="fr" />
          <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="Rage" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-version">
          <valueString value="20260228" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-last-updated">
          <valueDate value="2026-02-05" />
        </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="marketed" />
              <display value="Marketed" />
            </coding>
            <text value="Marketed" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-generic-concept">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="7851000087109" />
              <display value="[Tdap] Tetanus, diphtheria, and acellular pertussis adult vaccine" />
            </coding>
            <text value="[Tdap] Tetanus, diphtheria, and acellular pertussis adult vaccine" />
          </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="551000221106" />
              <display value="Tetanus toxoid" />
            </coding>
            <text value="Tetanus toxoid" />
          </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="713610005" />
              <display value="Acellular Bordetella pertussis antigen" />
            </coding>
            <text value="Acellular Bordetella pertussis 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="161000221102" />
              <display value="Diphtheria toxoid" />
            </coding>
            <text value="Diphtheria toxoid" />
          </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="27836007" />
              <display value="Pertussis" />
            </coding>
            <text value="Pertussis" />
          </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" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="27281000087108" />
              <display value="SANOFI VACCINES CANADA LTD. (supplier)" />
            </coding>
            <text value="SANOFI VACCINES CANADA LTD. (supplier)" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="2CA04" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="2CA07" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="2CA17" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="2CA20" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="2CA31" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="2CA47" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="2CA49" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="2CA59" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="2CA59C1" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="2CA59C3" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="2CA62" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="2CA62C3" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="2CA66" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="2CA67" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="2CA71" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="2CA72" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="2CA73" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="2CA73C2" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="2CA74" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="2CA74C1" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="2CA76" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="2CA78" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="2CA78C4" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="2CA80" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="2CA80C1" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="2CA82" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="2CA90" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="2CA95" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="2CA96" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="3CA05" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="3CA24" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="3CA28" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="3CA31" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="3CA36" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="3CA37" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="3CA38" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="3CA39" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="3CA40" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="3CA40C1" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="3CA41" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="3CA49" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="3CA50" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="3CA53" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="3CA56" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="3CA60" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="3CA61" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="4CA05" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="4CA13" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="4CA15" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="4CA20" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="4CA29" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="4CA32" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="4CA33" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="4CA47" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="4CA50" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="5CA07" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="5CA11" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="5CA12" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="5CA20" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="5DA87" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="5DA87D2" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="5DC46" />
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            <code value="5DC46D2" />
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            <code value="C4590AN" />
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            <code value="C4673AE" />
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            <code value="C4674AC" />
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            <code value="C4675AD" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5192AB" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <code value="C5192AF" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <code value="C5203A" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5203B" />
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            <code value="C5203BB" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5271A" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5282B" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5286A" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5286AC" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5654AD" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5668A" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5681A" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5681B" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5684B" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5684BB" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5686A" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5721A" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5721B" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5721BH" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5728A" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5737A" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5742A" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5749A" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5749AF" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5758A" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5758B" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5773A" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5773AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5773AH" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5776A" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5776AB" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5776AC" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5784A" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5789A" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5790A" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5790AJ" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5793A" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5797A" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5812A" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5812AC" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5814A" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5826A" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5836B" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5858A" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5860A" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5861A" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5861AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5874A" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5874AC" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5874AD" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5876A" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5877A" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5884A" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5884C" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5891A" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5898B" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5905A" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5920A" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5922A" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5922AB" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5922B" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5926A" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5961A" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5968A" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5974A" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5981A" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5987A" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5987AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="c5991a" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C5992B" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="C6000A" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Y3B13" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Y3B132V" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Y3B14" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Y3B141V" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Y3G43" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Y3G43D1" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Y3H45" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Y3H45D1" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size">
          <valueString value="0.5" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="See product monograph" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02240255" />
              <display value="02240255" />
            </coding>
            <text value="02240255" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
            </coding>
            <text value="Intramuscular: IM" />
          </valueCodeableConcept>
        </extension>
        <code value="7431000087103" />
        <display value="ADACEL suspension for injection Sanofi Vaccines Canada Ltd. (real clinical drug)" />
        <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="ADACEL suspension for injection Sanofi Vaccines Canada Ltd. (real clinical drug)" />
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        <designation>
          <language value="en" />
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            <system value="http://snomed.info/sct" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
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            <display value="english public picklist" />
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              <code value="marketed" />
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            <text value="Marketed" />
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              <code value="7891000087104" />
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              <code value="551000221106" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="V3E802V" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="V3G271V" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="V3M171V" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="W3G452V" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="X3B031V" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="X3D441V" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="X3J411V" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Y3D551V" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Y3G01D1" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Y3G86D1" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Y3K26D1" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="See product monograph" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02352044" />
              <display value="02352044" />
            </coding>
            <text value="02352044" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
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            <text value="Intramuscular: IM" />
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        <code value="7481000087104" />
        <display value="ADACEL-POLIO suspension for injection Sanofi Vaccines Canada Ltd. (real clinical drug)" />
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          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
            <display value="Fully Specified Name" />
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          <value value="ADACEL-POLIO suspension for injection Sanofi Vaccines Canada Ltd. (real clinical drug)" />
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        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[Tdap-IPV] ADACEL-POLIO" />
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        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[dcaT-VPI] ADACEL-POLIO" />
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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" />
          </use>
          <value value="ADACEL-POLIO" />
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        <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="ADACEL-POLIO" />
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        <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="Tdap-IPV" />
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        <designation>
          <language value="fr" />
          <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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        <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="20260228" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-last-updated">
          <valueDate value="2026-02-05" />
        </extension>
        <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">
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            <coding>
              <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-product-status" />
              <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-linked-generic-concept">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="2171000221104" />
              <display value="[Typh-I] Typhoid polysaccharide injectable vaccine" />
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            <text value="[Typh-I] Typhoid polysaccharide injectable vaccine" />
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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="767841007" />
              <display value="Vi polysaccharide typhoid antigen" />
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            <text value="Vi polysaccharide typhoid antigen" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-protects-against-disease">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="4834000" />
              <display value="Typhoid fever" />
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            <text value="Typhoid fever" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="27281000087108" />
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            <text value="SANOFI VACCINES CANADA LTD. (supplier)" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="K1678-2" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="L0069-1" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="L0304" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="L1316" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="L1316-1" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="L1589" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="M0307" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="M03071V" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="M1302" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="M13022M" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="N1F43" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="N1F431V" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <code value="N1K133M" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="P1B30" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="R1B922M" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="V2A473V" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="W2A243V" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="W2A305V" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="W2B194V" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="W2B272V" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="W2B594V" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
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            <code value="X2A254V" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="X2A267V" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="X2A306V" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Y2A05D2" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Y2A06D4" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Y2A09D3" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <code value="Y2A44D5" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <code value="Y2A45D2" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
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              <code value="78421000" />
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            <text value="Intramuscular: IM" />
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          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
            <display value="Fully Specified Name" />
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          <value value="TYPHIM Vi 25 micrograms per 0.5 milliliter solution for injection Sanofi Vaccines Canada Ltd. (real clinical drug)" />
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        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
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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="TYPHIM Vi" />
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        <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="TYPHIM Vi" />
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        <designation>
          <language value="en" />
          <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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        <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 abbreviation" />
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          <value value="Typh-I" />
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        <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">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-last-updated">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-passive-immunizing-agent">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-product-status">
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              <code value="marketed" />
              <display value="Marketed" />
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            <text value="Marketed" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-generic-concept">
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            <text value="[YF] Yellow fever vaccine" />
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            <text value="Yellow fever antigen" />
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              <code value="16541001" />
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            <text value="SANOFI VACCINES CANADA LTD. (supplier)" />
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            <code value="UI286AA" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <code value="UI680AB" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="http://snomed.info/sct" />
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            <system value="http://snomed.info/sct" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
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          <use>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
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              <system value="http://snomed.info/sct/20611000087101" />
              <code value="551000221106" />
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              <code value="713610005" />
              <display value="Acellular Bordetella pertussis antigen" />
            </coding>
            <text value="Acellular Bordetella pertussis 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="161000221102" />
              <display value="Diphtheria toxoid" />
            </coding>
            <text value="Diphtheria toxoid" />
          </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="844578004" />
              <display value="Inactivated Poliovirus antigen" />
            </coding>
            <text value="Inactivated Poliovirus 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="27836007" />
              <display value="Pertussis" />
            </coding>
            <text value="Pertussis" />
          </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>
        <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" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="27281000087108" />
              <display value="SANOFI VACCINES CANADA LTD. (supplier)" />
            </coding>
            <text value="SANOFI VACCINES CANADA LTD. (supplier)" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8277A" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8302A" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8624A" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8719A" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size">
          <valueString value="0.5" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="See product monograph" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02230946" />
              <display value="02230946" />
            </coding>
            <text value="02230946" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
            </coding>
            <text value="Intramuscular: IM" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size">
          <valueString value="0.5" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="See product monograph" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02534789" />
              <display value="02534789" />
            </coding>
            <text value="02534789" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
            </coding>
            <text value="Intramuscular: IM" />
          </valueCodeableConcept>
        </extension>
        <code value="7471000087101" />
        <display value="QUADRACEL suspension for injection Sanofi Vaccines Canada Ltd. (real clinical drug)" />
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
            <display value="Fully Specified Name" />
          </use>
          <value value="QUADRACEL suspension for injection Sanofi Vaccines Canada Ltd. (real clinical drug)" />
        </designation>
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[DTaP-IPV] QUADRACEL" />
        </designation>
        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[DCaT-VPI] QUADRACEL" />
        </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="QUADRACEL" />
        </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="QUADRACEL" />
        </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="DTaP-IPV" />
        </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="DCaT-VPI" />
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      </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="20260228" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-last-updated">
          <valueDate value="2026-02-05" />
        </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-linked-generic-concept">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="23701000087103" />
              <display value="[DTaP-Hib] Diphtheria, tetanus, acellular pertussis, and Haemophilus influenzae type b pediatric vaccine" />
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            <text value="[DTaP-Hib] Diphtheria, tetanus, acellular pertussis, and Haemophilus influenzae type b pediatric vaccine" />
          </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="551000221106" />
              <display value="Tetanus toxoid" />
            </coding>
            <text value="Tetanus toxoid" />
          </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="713610005" />
              <display value="Acellular Bordetella pertussis antigen" />
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            <text value="Acellular Bordetella pertussis 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="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="120975003" />
              <display value="Haemophilus influenzae type b antigen" />
            </coding>
            <text value="Haemophilus influenzae type b 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="406583002" />
              <display value="Haemophilus influenzae infection, invasive" />
            </coding>
            <text value="Haemophilus influenzae infection, invasive" />
          </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="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="397430003" />
              <display value="Diphtheria" />
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            <text value="Diphtheria" />
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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="76902006" />
              <display value="Tetanus" />
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            <text value="Tetanus" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="27281000087108" />
              <display value="SANOFI VACCINES CANADA LTD. (supplier)" />
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            <text value="SANOFI VACCINES CANADA LTD. (supplier)" />
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        <code value="23711000087101" />
        <display value="ACTacel powder and diluent for solution for injection Sanofi Vaccines Canada Ltd. (real clinical drug)" />
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
            <display value="Fully Specified Name" />
          </use>
          <value value="ACTacel powder and diluent for solution for injection Sanofi Vaccines Canada Ltd. (real clinical drug)" />
        </designation>
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[DTaP-Hib] ACTacel" />
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        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[DCaT-Hib] ACTacel" />
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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="ACTacel" />
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        <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="ACTacel" />
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        <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="DTaP-Hib" />
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        <designation>
          <language value="fr" />
          <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-Hib" />
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      </concept>
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    <include>
      <system value="http://snomed.info/sct" />
      <version value="http://snomed.info/sct/20611000087101" />
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        <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="20260228" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-last-updated">
          <valueDate value="2026-02-05" />
        </extension>
        <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">
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            <coding>
              <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-product-status" />
              <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-linked-generic-concept">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="19371000087102" />
              <display value="[HA] Hepatitis A regular strength vaccine" />
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            <text value="[HA] Hepatitis A regular strength vaccine" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="19371000087102" />
              <display value="[HA] Hepatitis A regular strength vaccine" />
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            <text value="[HA] Hepatitis A regular strength vaccine" />
          </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="713618003" />
              <display value="Hepatitis A virus antigen" />
            </coding>
            <text value="Hepatitis A 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="40468003" />
              <display value="Hepatitis A" />
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            <text value="Hepatitis A" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="27281000087108" />
              <display value="SANOFI VACCINES CANADA LTD. (supplier)" />
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            <text value="SANOFI VACCINES CANADA LTD. (supplier)" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="5DB49D5" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="M02561V" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="N3K502V" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="P3K354V" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="P3P345V" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="R3D131V" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="R3D136V" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="T3K361M" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="V3B682M" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="W3C5310M" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="W3C542M" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="X3B332M" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="X3B336M" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Y3A136M" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Y3A13P1" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Y3F49P1" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="Y3F49P2" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size">
          <valueString value="0.5" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="160" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02237792" />
              <display value="02237792" />
            </coding>
            <text value="02237792" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
            </coding>
            <text value="Intramuscular: IM" />
          </valueCodeableConcept>
        </extension>
        <code value="6851000087107" />
        <display value="AVAXIM 160 units per 0.5 milliliter suspension for injection Sanofi Vaccines Canada Ltd. (real clinical drug)" />
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
            <display value="Fully Specified Name" />
          </use>
          <value value="AVAXIM 160 units per 0.5 milliliter suspension for injection Sanofi Vaccines Canada Ltd. (real clinical drug)" />
        </designation>
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[HA] AVAXIM" />
        </designation>
        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[HA] AVAXIM" />
        </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="AVAXIM" />
        </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="AVAXIM" />
        </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="HA" />
        </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="HA" />
        </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="20260228" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-last-updated">
          <valueDate value="2026-02-05" />
        </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="dormant" />
              <display value="Dormant" />
            </coding>
            <text value="Dormant" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-generic-concept">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="33381000087107" />
              <display value="[Inf] Influenza quadrivalent high-dose vaccine" />
            </coding>
            <text value="[Inf] Influenza quadrivalent high-dose vaccine" />
          </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="260210008" />
              <display value="Influenza virus antigen" />
            </coding>
            <text value="Influenza virus 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="442269004" />
              <display value="Influenza A virus subtype H1N1 antigen" />
            </coding>
            <text value="Influenza A virus subtype H1N1 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-to-market-authorization-holder">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="27281000087108" />
              <display value="SANOFI VACCINES CANADA LTD. (supplier)" />
            </coding>
            <text value="SANOFI VACCINES CANADA LTD. (supplier)" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8085AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8085BA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8085CA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8095AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8095BA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8095CA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8095DA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8165AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8165BA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8165CA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8430CA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8430DA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8461AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8461BB" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8461CA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8461DA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8479AB" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8479BB" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8479CA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8479DB" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8483AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UJ727AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UJ727AB" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UJ744AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UJ744AB" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UJ758AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UJ758AB" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UJ763AB" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UJ894AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UJ894AB" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UJ912AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UJ912AB" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UJ913AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UJ913AB" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UJ927AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UJ929AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="UJ929AB" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size">
          <valueString value="0.7" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="See product monograph" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02500523" />
              <display value="02500523" />
            </coding>
            <text value="02500523" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
            </coding>
            <text value="Intramuscular: IM" />
          </valueCodeableConcept>
        </extension>
        <code value="31571000087102" />
        <display value="FLUZONE High-Dose Quadrivalent 60 micrograms per 0.7 milliliter suspension for injection Sanofi Vaccines Canada Ltd. (real clinical drug)" />
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
            <display value="Fully Specified Name" />
          </use>
          <value value="FLUZONE High-Dose Quadrivalent 60 micrograms per 0.7 milliliter suspension for injection Sanofi Vaccines Canada Ltd. (real clinical drug)" />
        </designation>
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[Inf] FLUZONE High-Dose Quadrivalent" />
        </designation>
        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[Inf] FLUZONE Haute Dose Quadrivalent" />
        </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" />
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          <value value="FLUZONE High-Dose Quadrivalent" />
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            <text value="Meningococcal polysaccharide group C antigen" />
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              <code value="716268007" />
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            <text value="Meningococcal conjugate group W-135 antigen" />
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            <text value="Meningococcal polysaccharide group W-135 antigen" />
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            <text value="Meningococcal conjugate group Y antigen" />
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            <coding>
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              <code value="716271004" />
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            <coding>
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              <code value="871834006" />
              <display value="Neisseria meningitidis serogroup A capsular polysaccharide antigen conjugated" />
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            <text value="Neisseria meningitidis serogroup A capsular polysaccharide antigen conjugated" />
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            <coding>
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              <code value="23511006" />
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            <text value="Meningococcal disease" />
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            <text value="02507161" />
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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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          <use>
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        <designation>
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          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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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="IMOGAM" />
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        <designation>
          <language value="fr" />
          <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>
          <language value="en" />
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            <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="RabIg" />
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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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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-last-updated">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-passive-immunizing-agent">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-product-status">
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              <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 url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-generic-concept">
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            <text value="[Td] Tetanus and low dose diphtheria adult vaccine" />
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              <code value="76902006" />
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            <text value="Tetanus" />
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            <text value="SANOFI VACCINES CANADA LTD. (supplier)" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
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            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-designation" />
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            <text value="[Td] Tetanus and low dose diphtheria adult vaccine" />
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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="551000221106" />
              <display value="Tetanus toxoid" />
            </coding>
            <text value="Tetanus toxoid" />
          </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="161000221102" />
              <display value="Diphtheria toxoid" />
            </coding>
            <text value="Diphtheria toxoid" />
          </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" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="27281000087108" />
              <display value="SANOFI VACCINES CANADA LTD. (supplier)" />
            </coding>
            <text value="SANOFI VACCINES CANADA LTD. (supplier)" />
          </valueCodeableConcept>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8207A" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8207AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8327A" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8327AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8327B" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8327BA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8467A" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8467AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8467B" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8467BA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8535A" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8535AB" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8656A" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8656AA" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8750A" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8750AB" />
          </valueCoding>
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-lot">
          <valueCoding>
            <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-vaccine-lot-id" />
            <code value="U8833A" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size">
          <valueString value="0.5" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-strength">
          <valueString value="See product monograph" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02528401" />
              <display value="02528401" />
            </coding>
            <text value="02528401" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
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            <text value="Intramuscular: IM" />
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        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
            <display value="Fully Specified Name" />
          </use>
          <value value="Td ADSORBED 5 limit of flocculation units and 2 limit of flocculation units per 0.5 milliliter without preservative suspension for injection Sanofi Vaccines Canada Ltd. (real clinical drug)" />
        </designation>
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[Td] Td ADSORBED (without preservative)" />
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        <designation>
          <language value="fr" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
          </use>
          <value value="[dT] Td ADSORBÉES (sans agent de conservation)" />
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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" />
          </use>
          <value value="Td ADSORBED" />
        </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="dT Td ADSORBÉES" />
        </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="Td" />
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        <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="dT" />
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    <include>
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-version">
          <valueString value="20260531" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-last-updated">
          <valueDate value="2026-04-10" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-passive-immunizing-agent">
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-product-status">
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            <coding>
              <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-product-status" />
              <code value="cancelled_pre_market" />
              <display value="Cancelled Pre Market" />
            </coding>
            <text value="Cancelled Pre Market" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-generic-concept">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="7691000087100" />
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            <text value="[Inf] Influenza trivalent vaccine" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="260210008" />
              <display value="Influenza virus antigen" />
            </coding>
            <text value="Influenza 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" />
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            <text value="Influenza" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
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              <display value="Sanofi Pasteur Inc. (supplier)" />
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            <text value="Sanofi Pasteur Inc. (supplier)" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-typical-dose-size-uom">
          <valueString value="ML" />
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          <valueString value="See product monograph" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-din">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02365693" />
              <display value="02365693" />
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            <text value="02365693" />
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        </extension>
        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="78421000" />
              <display value="Intramuscular: IM" />
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            <text value="Intramuscular: IM" />
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        <display value="FLUZONE Trivalent 15 micrograms per 0.5 milliliter suspension for injection Sanofi Pasteur Inc. (real clinical drug)" />
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
            <display value="Fully Specified Name" />
          </use>
          <value value="FLUZONE Trivalent 15 micrograms per 0.5 milliliter suspension for injection Sanofi Pasteur Inc. (real clinical drug)" />
        </designation>
        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[Inf] FLUZONE Trivalent standard dose (SP)" />
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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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        <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="Inf" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-concept-last-updated">
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            <coding>
              <system value="https://nvc-cnv.canada.ca/fhir/v2/CodeSystem/nvc-product-status" />
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            <text value="Cancelled Pre Market" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-generic-concept">
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              <system value="http://snomed.info/sct/20611000087101" />
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            <text value="[Inf] Influenza trivalent vaccine" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="442269004" />
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            <text value="Influenza A virus subtype H1N1 antigen" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-contains-antigen">
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            <coding>
              <system value="http://snomed.info/sct/20611000087101" />
              <code value="260210008" />
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            <text value="Influenza virus antigen" />
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            <coding>
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              <code value="6142004" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-linked-to-market-authorization-holder">
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            <text value="Sanofi Pasteur Inc. (supplier)" />
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            <coding>
              <system value="http://hl7.org/fhir/NamingSystem/ca-hc-din" />
              <code value="02365715" />
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            <text value="02365715" />
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        <extension url="https://nvc-cnv.canada.ca/fhir/v2/StructureDefinition/nvc-route-of-admin">
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            <coding>
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              <code value="78421000" />
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            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
            <display value="Fully Specified Name" />
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        <designation>
          <language value="en" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000013009" />
            <display value="Synonym" />
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          <value value="[Inf] FLUZONE Trivalent low dose (SP)" />
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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="FLUZONE Trivalent" />
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        <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="Inf" />
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