<?xml version="1.0" encoding="UTF-8"?>
<library xmlns="urn:hl7-org:elm:r1" xmlns:t="urn:hl7-org:elm-types:r1" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:xsd="http://www.w3.org/2001/XMLSchema" xmlns:fhir="http://hl7.org/fhir" xmlns:qdm43="urn:healthit-gov:qdm:v4_3" xmlns:qdm53="urn:healthit-gov:qdm:v5_3" xmlns:a="urn:hl7-org:cql-annotations:r1" localId="0">
   <annotation translatorOptions="EnableAnnotations,EnableLocators,DisableListDemotion,DisableListPromotion" signatureLevel="Overloads" xsi:type="a:CqlToElmInfo"/>
   <annotation xsi:type="a:Annotation">
      <a:s r="416">
         <a:s>library IMMZConcepts</a:s>
      </a:s>
   </annotation>
   <identifier id="IMMZConcepts" system="http://smart.who.int/immunizations"/>
   <schemaIdentifier id="urn:hl7-org:elm" version="r1"/>
   <usings>
      <def localId="1" localIdentifier="System" uri="urn:hl7-org:elm-types:r1" version="1.0.0"/>
   </usings>
   <codeSystems>
      <def localId="206" locator="3:1-3:74" name="IMMZC" id="http://smart.who.int/immunizations/CodeSystem/IMMZ.C" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="206">
               <a:s>codesystem &quot;IMMZC&quot;: 'http://smart.who.int/immunizations/CodeSystem/IMMZ.C'</a:s>
            </a:s>
         </annotation>
      </def>
      <def localId="208" locator="4:1-4:74" name="IMMZD" id="http://smart.who.int/immunizations/CodeSystem/IMMZ.D" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="208">
               <a:s>codesystem &quot;IMMZD&quot;: 'http://smart.who.int/immunizations/CodeSystem/IMMZ.D'</a:s>
            </a:s>
         </annotation>
      </def>
      <def localId="210" locator="5:1-5:74" name="IMMZZ" id="http://smart.who.int/immunizations/CodeSystem/IMMZ.Z" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="210">
               <a:s>codesystem &quot;IMMZZ&quot;: 'http://smart.who.int/immunizations/CodeSystem/IMMZ.Z'</a:s>
            </a:s>
         </annotation>
      </def>
   </codeSystems>
   <valueSets>
      <def localId="212" locator="8:1-8:71" name="WHO ATC" id="http://hl7.org/fhir/uv/ips/ValueSet/whoatc-uv-ips" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="212">
               <a:s>//WHO ATC IPS Valueset
valueset &quot;WHO ATC&quot;: 'http://hl7.org/fhir/uv/ips/ValueSet/whoatc-uv-ips'</a:s>
            </a:s>
         </annotation>
      </def>
      <def localId="214" locator="15:1-15:95" name="Live Attenuated" id="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.LiveAttenuated" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="214">
               <a:s>// General use ValueSets 


// Vaccine Value Sets

valueset &quot;Live Attenuated&quot;: 'http://smart.who.int/immunizations/ValueSet/IMMZ.Z.LiveAttenuated'</a:s>
            </a:s>
         </annotation>
      </def>
      <def localId="216" locator="17:1-17:96" name="Measles-containing vaccines" id="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE9" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="216">
               <a:s>valueset &quot;Measles-containing vaccines&quot;: 'http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE9'</a:s>
            </a:s>
         </annotation>
      </def>
      <def localId="218" locator="18:1-18:81" name="BCG vaccines" id="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE1" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="218">
               <a:s>valueset &quot;BCG vaccines&quot;: 'http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE1'</a:s>
            </a:s>
         </annotation>
      </def>
      <def localId="220" locator="19:1-19:85" name="Cholera vaccines" id="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE2" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="220">
               <a:s>valueset &quot;Cholera vaccines&quot;: 'http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE2'</a:s>
            </a:s>
         </annotation>
      </def>
      <def localId="222" locator="20:1-20:100" name="Hepatitis B-containing vaccines" id="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE6" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="222">
               <a:s>valueset &quot;Hepatitis B-containing vaccines&quot;: 'http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE6'</a:s>
            </a:s>
         </annotation>
      </def>
      <def localId="224" locator="21:1-21:100" name="Poliovirus-containing vaccines" id="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE14" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="224">
               <a:s>valueset &quot;Poliovirus-containing vaccines&quot;: 'http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE14'</a:s>
            </a:s>
         </annotation>
      </def>
      <def localId="226" locator="22:1-22:89" name="Oral polio vaccines" id="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE30" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="226">
               <a:s>valueset &quot;Oral polio vaccines&quot;: 'http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE30'</a:s>
            </a:s>
         </annotation>
      </def>
      <def localId="228" locator="23:1-23:96" name="Inactivated polio vaccines" id="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE31" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="228">
               <a:s>valueset &quot;Inactivated polio vaccines&quot;: 'http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE31'</a:s>
            </a:s>
         </annotation>
      </def>
      <def localId="230" locator="24:1-24:93" name="DTP-containing vaccines" id="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE24" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="230">
               <a:s>valueset &quot;DTP-containing vaccines&quot;: 'http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE24'</a:s>
            </a:s>
         </annotation>
      </def>
      <def localId="232" locator="25:1-25:112" name="Tetanus and diphtheria-containing vaccines" id="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE28" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="232">
               <a:s>valueset &quot;Tetanus and diphtheria-containing vaccines&quot;: 'http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE28'</a:s>
            </a:s>
         </annotation>
      </def>
      <def localId="234" locator="26:1-26:99" name="Pertussis-containing vaccines" id="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE12" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="234">
               <a:s>valueset &quot;Pertussis-containing vaccines&quot;: 'http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE12'</a:s>
            </a:s>
         </annotation>
      </def>
      <def localId="236" locator="27:1-27:97" name="Tetanus-containing vaccines" id="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE19" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="236">
               <a:s>valueset &quot;Tetanus-containing vaccines&quot;: 'http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE19'</a:s>
            </a:s>
         </annotation>
      </def>
      <def localId="238" locator="28:1-28:92" name="Hib-containing vaccines" id="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE4" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="238">
               <a:s>valueset &quot;Hib-containing vaccines&quot;: 'http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE4'</a:s>
            </a:s>
         </annotation>
      </def>
      <def localId="240" locator="29:1-29:91" name="Pneumococcal vaccines" id="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE13" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="240">
               <a:s>valueset &quot;Pneumococcal vaccines&quot;: 'http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE13'</a:s>
            </a:s>
         </annotation>
      </def>
      <def localId="242" locator="30:1-30:88" name="Rotavirus vaccines" id="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE16" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="242">
               <a:s>valueset &quot;Rotavirus vaccines&quot;: 'http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE16'</a:s>
            </a:s>
         </annotation>
      </def>
      <def localId="244" locator="31:1-31:97" name="Rubella-containing vaccines" id="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE17" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="244">
               <a:s>valueset &quot;Rubella-containing vaccines&quot;: 'http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE17'</a:s>
            </a:s>
         </annotation>
      </def>
      <def localId="246" locator="32:1-32:81" name="HPV vaccines" id="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE7" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="246">
               <a:s>valueset &quot;HPV vaccines&quot;: 'http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE7'</a:s>
            </a:s>
         </annotation>
      </def>
      <def localId="248" locator="33:1-33:86" name="Typhoid vaccines" id="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE21" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="248">
               <a:s>valueset &quot;Typhoid vaccines&quot;: 'http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE21'</a:s>
            </a:s>
         </annotation>
      </def>
      <def localId="250" locator="34:1-34:80" name="JE vaccines" id="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE8" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="250">
               <a:s>valueset &quot;JE vaccines&quot;: 'http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE8'</a:s>
            </a:s>
         </annotation>
      </def>
      <def localId="252" locator="35:1-35:91" name="Yellow fever vaccines" id="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE23" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="252">
               <a:s>valueset &quot;Yellow fever vaccines&quot;: 'http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE23'</a:s>
            </a:s>
         </annotation>
      </def>
      <def localId="254" locator="36:1-36:82" name="TBE vaccines" id="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE20" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="254">
               <a:s>valueset &quot;TBE vaccines&quot;: 'http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE20'</a:s>
            </a:s>
         </annotation>
      </def>
      <def localId="256" locator="37:1-37:92" name="Meningococcal vaccines" id="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE10" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="256">
               <a:s>valueset &quot;Meningococcal vaccines&quot;: 'http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE10'</a:s>
            </a:s>
         </annotation>
      </def>
      <def localId="258" locator="38:1-38:100" name="Hepatitis A-containing vaccines" id="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE5" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="258">
               <a:s>valueset &quot;Hepatitis A-containing vaccines&quot;: 'http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE5'</a:s>
            </a:s>
         </annotation>
      </def>
      <def localId="260" locator="39:1-39:85" name="Rabies vaccines" id="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE15" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="260">
               <a:s>valueset &quot;Rabies vaccines&quot;: 'http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE15'</a:s>
            </a:s>
         </annotation>
      </def>
      <def localId="262" locator="40:1-40:85" name="Dengue vaccines" id="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE25" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="262">
               <a:s>valueset &quot;Dengue vaccines&quot;: 'http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE25'</a:s>
            </a:s>
         </annotation>
      </def>
      <def localId="264" locator="41:1-41:86" name="Malaria vaccines" id="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE27" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="264">
               <a:s>valueset &quot;Malaria vaccines&quot;: 'http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE27'</a:s>
            </a:s>
         </annotation>
      </def>
      <def localId="266" locator="42:1-42:95" name="Mumps-containing vaccines" id="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE11" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="266">
               <a:s>valueset &quot;Mumps-containing vaccines&quot;: 'http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE11'</a:s>
            </a:s>
         </annotation>
      </def>
      <def localId="268" locator="43:1-43:97" name="Seasonal influenza vaccines" id="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE18" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="268">
               <a:s>valueset &quot;Seasonal influenza vaccines&quot;: 'http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE18'</a:s>
            </a:s>
         </annotation>
      </def>
      <def localId="270" locator="44:1-44:99" name="Varicella-containing vaccines" id="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE22" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="270">
               <a:s>valueset &quot;Varicella-containing vaccines&quot;: 'http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE22'</a:s>
            </a:s>
         </annotation>
      </def>
      <def localId="272" locator="45:1-45:90" name="Pentavalent vaccines" id="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE29" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="272">
               <a:s>valueset &quot;Pentavalent vaccines&quot;: 'http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE29'</a:s>
            </a:s>
         </annotation>
      </def>
      <def localId="274" locator="46:1-46:109" name="Measles and rubella-containing vaccines" id="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE32" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="274">
               <a:s>valueset &quot;Measles and rubella-containing vaccines&quot;: 'http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE32'</a:s>
            </a:s>
         </annotation>
      </def>
      <def localId="276" locator="47:1-47:87" name="COVID-19 vaccines" id="http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE26" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="276">
               <a:s>valueset &quot;COVID-19 vaccines&quot;: 'http://smart.who.int/immunizations/ValueSet/IMMZ.Z.DE26'</a:s>
            </a:s>
         </annotation>
      </def>
   </valueSets>
   <codes>
      <def localId="278" locator="50:1-50:46" name="IPV" id="DE213" display="IPV" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="278">
               <a:s>code &quot;IPV&quot;: 'DE213' from </a:s>
               <a:s r="279">
                  <a:s>&quot;IMMZD&quot;</a:s>
               </a:s>
               <a:s> display 'IPV'</a:s>
            </a:s>
         </annotation>
         <codeSystem localId="279" locator="50:26-50:32" name="IMMZD"/>
      </def>
      <def localId="281" locator="51:1-51:48" name="bOPV" id="DE214" display="bOPV" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="281">
               <a:s>code &quot;bOPV&quot;: 'DE214' from </a:s>
               <a:s r="282">
                  <a:s>&quot;IMMZD&quot;</a:s>
               </a:s>
               <a:s> display 'bOPV'</a:s>
            </a:s>
         </annotation>
         <codeSystem localId="282" locator="51:27-51:33" name="IMMZD"/>
      </def>
      <def localId="284" locator="53:1-53:120" name="Completed the primary vaccination series" id="DE203" display="Completed the primary vaccination series" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="284">
               <a:s>code &quot;Completed the primary vaccination series&quot;: 'DE203' from </a:s>
               <a:s r="285">
                  <a:s>&quot;IMMZD&quot;</a:s>
               </a:s>
               <a:s> display 'Completed the primary vaccination series'</a:s>
            </a:s>
         </annotation>
         <codeSystem localId="285" locator="53:63-53:69" name="IMMZD"/>
      </def>
      <def localId="287" locator="54:1-54:96" name="Completed the booster series" id="DE257" display="Completed the booster series" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="287">
               <a:s>code &quot;Completed the booster series&quot;: 'DE257' from </a:s>
               <a:s r="288">
                  <a:s>&quot;IMMZD&quot;</a:s>
               </a:s>
               <a:s> display 'Completed the booster series'</a:s>
            </a:s>
         </annotation>
         <codeSystem localId="288" locator="54:51-54:57" name="IMMZD"/>
      </def>
      <def localId="290" locator="55:1-55:140" name="Date when primary vaccination series was completed" id="DE221" display="Date when primary vaccination series was completed" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="290">
               <a:s>code &quot;Date when primary vaccination series was completed&quot;: 'DE221' from </a:s>
               <a:s r="291">
                  <a:s>&quot;IMMZD&quot;</a:s>
               </a:s>
               <a:s> display 'Date when primary vaccination series was completed'</a:s>
            </a:s>
         </annotation>
         <codeSystem localId="291" locator="55:73-55:79" name="IMMZD"/>
      </def>
      <def localId="293" locator="56:1-56:60" name="HIV status" id="DE204" display="HIV status" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="293">
               <a:s>code &quot;HIV status&quot;: 'DE204' from </a:s>
               <a:s r="294">
                  <a:s>&quot;IMMZD&quot;</a:s>
               </a:s>
               <a:s> display 'HIV status'</a:s>
            </a:s>
         </annotation>
         <codeSystem localId="294" locator="56:33-56:39" name="IMMZD"/>
      </def>
      <def localId="296" locator="57:1-57:64" name="HIV-positive" id="DE205" display="HIV-positive" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="296">
               <a:s>code &quot;HIV-positive&quot;: 'DE205' from </a:s>
               <a:s r="297">
                  <a:s>&quot;IMMZD&quot;</a:s>
               </a:s>
               <a:s> display 'HIV-positive'</a:s>
            </a:s>
         </annotation>
         <codeSystem localId="297" locator="57:35-57:41" name="IMMZD"/>
      </def>
      <def localId="299" locator="58:1-58:64" name="HIV-negative" id="DE206" display="HIV-negative" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="299">
               <a:s>code &quot;HIV-negative&quot;: 'DE206' from </a:s>
               <a:s r="300">
                  <a:s>&quot;IMMZD&quot;</a:s>
               </a:s>
               <a:s> display 'HIV-negative'</a:s>
            </a:s>
         </annotation>
         <codeSystem localId="300" locator="58:35-58:41" name="IMMZD"/>
      </def>
      <def localId="302" locator="59:1-59:58" name="HIV-Unknown" id="DE207" display="Unknown" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="302">
               <a:s>code &quot;HIV-Unknown&quot;: 'DE207' from </a:s>
               <a:s r="303">
                  <a:s>&quot;IMMZD&quot;</a:s>
               </a:s>
               <a:s> display 'Unknown'</a:s>
            </a:s>
         </annotation>
         <codeSystem localId="303" locator="59:34-59:40" name="IMMZD"/>
      </def>
      <def localId="305" locator="60:1-60:72" name="Currently on ART" id="DE210" display="Currently on ART" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="305">
               <a:s>code &quot;Currently on ART&quot;: 'DE210' from </a:s>
               <a:s r="306">
                  <a:s>&quot;IMMZD&quot;</a:s>
               </a:s>
               <a:s> display 'Currently on ART'</a:s>
            </a:s>
         </annotation>
         <codeSystem localId="306" locator="60:39-60:45" name="IMMZD"/>
      </def>
      <def localId="308" locator="61:1-61:84" name="Immunologically stable" id="DE249" display="Immunologically stable" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="308">
               <a:s>code &quot;Immunologically stable&quot;: 'DE249' from </a:s>
               <a:s r="309">
                  <a:s>&quot;IMMZD&quot;</a:s>
               </a:s>
               <a:s> display 'Immunologically stable'</a:s>
            </a:s>
         </annotation>
         <codeSystem localId="309" locator="61:45-61:51" name="IMMZD"/>
      </def>
      <def localId="311" locator="62:1-62:88" name="TB infection test result" id="DE246" display="TB infection test result" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="311">
               <a:s>code &quot;TB infection test result&quot;: 'DE246' from </a:s>
               <a:s r="312">
                  <a:s>&quot;IMMZD&quot;</a:s>
               </a:s>
               <a:s> display 'TB infection test result'</a:s>
            </a:s>
         </annotation>
         <codeSystem localId="312" locator="62:47-62:53" name="IMMZD"/>
      </def>
      <def localId="314" locator="63:1-63:59" name="TB-Positive" id="DE247" display="Positive" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="314">
               <a:s>code &quot;TB-Positive&quot;: 'DE247' from </a:s>
               <a:s r="315">
                  <a:s>&quot;IMMZD&quot;</a:s>
               </a:s>
               <a:s> display 'Positive'</a:s>
            </a:s>
         </annotation>
         <codeSystem localId="315" locator="63:34-63:40" name="IMMZD"/>
      </def>
      <def localId="317" locator="64:1-64:59" name="TB-Negative" id="DE248" display="Negative" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="317">
               <a:s>code &quot;TB-Negative&quot;: 'DE248' from </a:s>
               <a:s r="318">
                  <a:s>&quot;IMMZD&quot;</a:s>
               </a:s>
               <a:s> display 'Negative'</a:s>
            </a:s>
         </annotation>
         <codeSystem localId="318" locator="64:34-64:40" name="IMMZD"/>
      </def>
      <def localId="320" locator="65:1-65:70" name="Clinically well" id="DE250" display="Clinically well" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="320">
               <a:s>code &quot;Clinically well&quot;: 'DE250' from </a:s>
               <a:s r="321">
                  <a:s>&quot;IMMZD&quot;</a:s>
               </a:s>
               <a:s> display 'Clinically well'</a:s>
            </a:s>
         </annotation>
         <codeSystem localId="321" locator="65:38-65:44" name="IMMZD"/>
      </def>
      <def localId="323" locator="66:1-66:82" name="Birth weight in grams" id="DE211" display="Birth weight in grams" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="323">
               <a:s>code &quot;Birth weight in grams&quot;: 'DE211' from </a:s>
               <a:s r="324">
                  <a:s>&quot;IMMZD&quot;</a:s>
               </a:s>
               <a:s> display 'Birth weight in grams'</a:s>
            </a:s>
         </annotation>
         <codeSystem localId="324" locator="66:44-66:50" name="IMMZD"/>
      </def>
      <def localId="326" locator="67:1-67:66" name="Preterm birth" id="DE208" display="Preterm birth" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="326">
               <a:s>code &quot;Preterm birth&quot;: 'DE208' from </a:s>
               <a:s r="327">
                  <a:s>&quot;IMMZD&quot;</a:s>
               </a:s>
               <a:s> display 'Preterm birth'</a:s>
            </a:s>
         </annotation>
         <codeSystem localId="327" locator="67:36-67:42" name="IMMZD"/>
      </def>
      <def localId="329" locator="68:1-68:118" name="At high risk for pneumococcal infection" id="DE251" display="At high risk for pneumococcal infection" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="329">
               <a:s>code &quot;At high risk for pneumococcal infection&quot;: 'DE251' from </a:s>
               <a:s r="330">
                  <a:s>&quot;IMMZD&quot;</a:s>
               </a:s>
               <a:s> display 'At high risk for pneumococcal infection'</a:s>
            </a:s>
         </annotation>
         <codeSystem localId="330" locator="68:62-68:68" name="IMMZD"/>
      </def>
      <def localId="332" locator="69:1-69:74" name="Immunocompromised" id="DE209" display="Immunocompromised" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="332">
               <a:s>code &quot;Immunocompromised&quot;: 'DE209' from </a:s>
               <a:s r="333">
                  <a:s>&quot;IMMZD&quot;</a:s>
               </a:s>
               <a:s> display 'Immunocompromised'</a:s>
            </a:s>
         </annotation>
         <codeSystem localId="333" locator="69:40-69:46" name="IMMZD"/>
      </def>
      <def localId="335" locator="70:1-70:74" name="Dengue serostatus" id="DE241" display="Dengue serostatus" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="335">
               <a:s>code &quot;Dengue serostatus&quot;: 'DE241' from </a:s>
               <a:s r="336">
                  <a:s>&quot;IMMZD&quot;</a:s>
               </a:s>
               <a:s> display 'Dengue serostatus'</a:s>
            </a:s>
         </annotation>
         <codeSystem localId="336" locator="70:40-70:46" name="IMMZD"/>
      </def>
      <def localId="338" locator="71:1-71:63" name="Dengue-Positive" id="DE264" display="Positive" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="338">
               <a:s>code &quot;Dengue-Positive&quot;: 'DE264' from </a:s>
               <a:s r="339">
                  <a:s>&quot;IMMZD&quot;</a:s>
               </a:s>
               <a:s> display 'Positive'</a:s>
            </a:s>
         </annotation>
         <codeSystem localId="339" locator="71:38-71:44" name="IMMZD"/>
      </def>
      <def localId="341" locator="72:1-72:63" name="Dengue-Negative" id="DE265" display="Negative" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="341">
               <a:s>code &quot;Dengue-Negative&quot;: 'DE265' from </a:s>
               <a:s r="342">
                  <a:s>&quot;IMMZD&quot;</a:s>
               </a:s>
               <a:s> display 'Negative'</a:s>
            </a:s>
         </annotation>
         <codeSystem localId="342" locator="72:38-72:44" name="IMMZD"/>
      </def>
      <def localId="344" locator="73:1-73:61" name="Dengue-Unknown" id="DE266" display="Unknown" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="344">
               <a:s>code &quot;Dengue-Unknown&quot;: 'DE266' from </a:s>
               <a:s r="345">
                  <a:s>&quot;IMMZD&quot;</a:s>
               </a:s>
               <a:s> display 'Unknown'</a:s>
            </a:s>
         </annotation>
         <codeSystem localId="345" locator="73:37-73:43" name="IMMZD"/>
      </def>
      <def localId="347" locator="75:1-75:94" name="Potential contraindications" id="DE161" display="Potential contraindications" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="347">
               <a:s>code &quot;Potential contraindications&quot;: 'DE161' from </a:s>
               <a:s r="348">
                  <a:s>&quot;IMMZD&quot;</a:s>
               </a:s>
               <a:s> display 'Potential contraindications'</a:s>
            </a:s>
         </annotation>
         <codeSystem localId="348" locator="75:50-75:56" name="IMMZD"/>
      </def>
      <def localId="350" locator="76:1-76:79" name="CI-Currently pregnant" id="DE162" display="Currently pregnant" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="350">
               <a:s>code &quot;CI-Currently pregnant&quot;: 'DE162' from </a:s>
               <a:s r="351">
                  <a:s>&quot;IMMZD&quot;</a:s>
               </a:s>
               <a:s> display 'Currently pregnant'</a:s>
            </a:s>
         </annotation>
         <codeSystem localId="351" locator="76:44-76:50" name="IMMZD"/>
      </def>
      <def localId="353" locator="77:1-77:109" name="CI-History of anaphylactic reactions" id="DE166" display="History of anaphylactic reactions" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="353">
               <a:s>code &quot;CI-History of anaphylactic reactions&quot;: 'DE166' from </a:s>
               <a:s r="354">
                  <a:s>&quot;IMMZD&quot;</a:s>
               </a:s>
               <a:s> display 'History of anaphylactic reactions'</a:s>
            </a:s>
         </annotation>
         <codeSystem localId="354" locator="77:59-77:65" name="IMMZD"/>
      </def>
      <def localId="356" locator="78:1-78:93" name="CI-Severe allergic reactions" id="DE167" display="Severe allergic reactions" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="356">
               <a:s>code &quot;CI-Severe allergic reactions&quot;: 'DE167' from </a:s>
               <a:s r="357">
                  <a:s>&quot;IMMZD&quot;</a:s>
               </a:s>
               <a:s> display 'Severe allergic reactions'</a:s>
            </a:s>
         </annotation>
         <codeSystem localId="357" locator="78:51-78:57" name="IMMZD"/>
      </def>
      <def localId="359" locator="79:1-79:95" name="CI-Severely immunocompromised" id="DE200" display="Severely immunocompromised" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="359">
               <a:s>code &quot;CI-Severely immunocompromised&quot;: 'DE200' from </a:s>
               <a:s r="360">
                  <a:s>&quot;IMMZD&quot;</a:s>
               </a:s>
               <a:s> display 'Severely immunocompromised'</a:s>
            </a:s>
         </annotation>
         <codeSystem localId="360" locator="79:52-79:58" name="IMMZD"/>
      </def>
      <def localId="362" locator="80:1-80:93" name="CI-Severely immunosuppressed" id="DE165" display="Severely immunosuppressed" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="362">
               <a:s>code &quot;CI-Severely immunosuppressed&quot;: 'DE165' from </a:s>
               <a:s r="363">
                  <a:s>&quot;IMMZD&quot;</a:s>
               </a:s>
               <a:s> display 'Severely immunosuppressed'</a:s>
            </a:s>
         </annotation>
         <codeSystem localId="363" locator="80:51-80:57" name="IMMZD"/>
      </def>
      <def localId="365" locator="81:1-81:93" name="CI-Symptomatic HIV infection" id="DE168" display="Symptomatic HIV infection" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="365">
               <a:s>code &quot;CI-Symptomatic HIV infection&quot;: 'DE168' from </a:s>
               <a:s r="366">
                  <a:s>&quot;IMMZD&quot;</a:s>
               </a:s>
               <a:s> display 'Symptomatic HIV infection'</a:s>
            </a:s>
         </annotation>
         <codeSystem localId="366" locator="81:51-81:57" name="IMMZD"/>
      </def>
      <def localId="368" locator="82:1-82:95" name="CI-Immunodeficiency syndromes" id="DE187" display="Immunodeficiency syndromes" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="368">
               <a:s>code &quot;CI-Immunodeficiency syndromes&quot;: 'DE187' from </a:s>
               <a:s r="369">
                  <a:s>&quot;IMMZD&quot;</a:s>
               </a:s>
               <a:s> display 'Immunodeficiency syndromes'</a:s>
            </a:s>
         </annotation>
         <codeSystem localId="369" locator="82:52-82:58" name="IMMZD"/>
      </def>
      <def localId="371" locator="83:1-83:119" name="CI-Exposed to immunosuppressive treatment" id="DE164" display="Exposed to immunosuppressive treatment" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="371">
               <a:s>code &quot;CI-Exposed to immunosuppressive treatment&quot;: 'DE164' from </a:s>
               <a:s r="372">
                  <a:s>&quot;IMMZD&quot;</a:s>
               </a:s>
               <a:s> display 'Exposed to immunosuppressive treatment'</a:s>
            </a:s>
         </annotation>
         <codeSystem localId="372" locator="83:64-83:70" name="IMMZD"/>
      </def>
      <def localId="374" locator="84:1-84:83" name="CI-Severe acute illness" id="DE188" display="Severe acute illness" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="374">
               <a:s>code &quot;CI-Severe acute illness&quot;: 'DE188' from </a:s>
               <a:s r="375">
                  <a:s>&quot;IMMZD&quot;</a:s>
               </a:s>
               <a:s> display 'Severe acute illness'</a:s>
            </a:s>
         </annotation>
         <codeSystem localId="375" locator="84:46-84:52" name="IMMZD"/>
      </def>
      <def localId="377" locator="85:1-85:107" name="CI-Prior history of intussusception" id="DE196" display="Prior history of intussusception" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="377">
               <a:s>code &quot;CI-Prior history of intussusception&quot;: 'DE196' from </a:s>
               <a:s r="378">
                  <a:s>&quot;IMMZD&quot;</a:s>
               </a:s>
               <a:s> display 'Prior history of intussusception'</a:s>
            </a:s>
         </annotation>
         <codeSystem localId="378" locator="85:58-85:64" name="IMMZD"/>
      </def>
      <def localId="380" locator="86:1-86:91" name="CI-Altered immunocompetence" id="DE197" display="Altered immunocompetence" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="380">
               <a:s>code &quot;CI-Altered immunocompetence&quot;: 'DE197' from </a:s>
               <a:s r="381">
                  <a:s>&quot;IMMZD&quot;</a:s>
               </a:s>
               <a:s> display 'Altered immunocompetence'</a:s>
            </a:s>
         </annotation>
         <codeSystem localId="381" locator="86:50-86:56" name="IMMZD"/>
      </def>
      <def localId="383" locator="87:1-87:67" name="CI-Spina bifida" id="DE192" display="Spina bifida" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="383">
               <a:s>code &quot;CI-Spina bifida&quot;: 'DE192' from </a:s>
               <a:s r="384">
                  <a:s>&quot;IMMZD&quot;</a:s>
               </a:s>
               <a:s> display 'Spina bifida'</a:s>
            </a:s>
         </annotation>
         <codeSystem localId="384" locator="87:38-87:44" name="IMMZD"/>
      </def>
      <def localId="386" locator="88:1-88:77" name="CI-Bladder exstrophy" id="DE193" display="Bladder exstrophy" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="386">
               <a:s>code &quot;CI-Bladder exstrophy&quot;: 'DE193' from </a:s>
               <a:s r="387">
                  <a:s>&quot;IMMZD&quot;</a:s>
               </a:s>
               <a:s> display 'Bladder exstrophy'</a:s>
            </a:s>
         </annotation>
         <codeSystem localId="387" locator="88:43-88:49" name="IMMZD"/>
      </def>
      <def localId="389" locator="89:1-89:77" name="CI-Immunocompromised" id="DE163" display="Immunocompromised" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="389">
               <a:s>code &quot;CI-Immunocompromised&quot;: 'DE163' from </a:s>
               <a:s r="390">
                  <a:s>&quot;IMMZD&quot;</a:s>
               </a:s>
               <a:s> display 'Immunocompromised'</a:s>
            </a:s>
         </annotation>
         <codeSystem localId="390" locator="89:43-89:49" name="IMMZD"/>
      </def>
      <def localId="392" locator="90:1-90:127" name="CI-Planning to get pregnant in the next month" id="DE169" display="Planning to get pregnant in the next month" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="392">
               <a:s>code &quot;CI-Planning to get pregnant in the next month&quot;: 'DE169' from </a:s>
               <a:s r="393">
                  <a:s>&quot;IMMZD&quot;</a:s>
               </a:s>
               <a:s> display 'Planning to get pregnant in the next month'</a:s>
            </a:s>
         </annotation>
         <codeSystem localId="393" locator="90:68-90:74" name="IMMZD"/>
      </def>
      <def localId="395" locator="91:1-91:91" name="CI-Receiving blood products" id="DE170" display="Receiving blood products" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="395">
               <a:s>code &quot;CI-Receiving blood products&quot;: 'DE170' from </a:s>
               <a:s r="396">
                  <a:s>&quot;IMMZD&quot;</a:s>
               </a:s>
               <a:s> display 'Receiving blood products'</a:s>
            </a:s>
         </annotation>
         <codeSystem localId="396" locator="91:50-91:56" name="IMMZD"/>
      </def>
      <def localId="398" locator="92:1-92:63" name="CI-TB disease" id="DE190" display="TB disease" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="398">
               <a:s>code &quot;CI-TB disease&quot;: 'DE190' from </a:s>
               <a:s r="399">
                  <a:s>&quot;IMMZD&quot;</a:s>
               </a:s>
               <a:s> display 'TB disease'</a:s>
            </a:s>
         </annotation>
         <codeSystem localId="399" locator="92:36-92:42" name="IMMZD"/>
      </def>
      <def localId="401" locator="93:1-93:69" name="CI-Breastfeeding" id="DE191" display="Breastfeeding" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="401">
               <a:s>code &quot;CI-Breastfeeding&quot;: 'DE191' from </a:s>
               <a:s r="402">
                  <a:s>&quot;IMMZD&quot;</a:s>
               </a:s>
               <a:s> display 'Breastfeeding'</a:s>
            </a:s>
         </annotation>
         <codeSystem localId="402" locator="93:39-93:45" name="IMMZD"/>
      </def>
      <def localId="404" locator="94:1-94:85" name="CI-Acute gastroenteritis" id="DE194" display="Acute gastroenteritis" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="404">
               <a:s>code &quot;CI-Acute gastroenteritis&quot;: 'DE194' from </a:s>
               <a:s r="405">
                  <a:s>&quot;IMMZD&quot;</a:s>
               </a:s>
               <a:s> display 'Acute gastroenteritis'</a:s>
            </a:s>
         </annotation>
         <codeSystem localId="405" locator="94:47-94:53" name="IMMZD"/>
      </def>
      <def localId="407" locator="95:1-95:91" name="CI-Moderate to severe fever" id="DE195" display="Moderate to severe fever" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="407">
               <a:s>code &quot;CI-Moderate to severe fever&quot;: 'DE195' from </a:s>
               <a:s r="408">
                  <a:s>&quot;IMMZD&quot;</a:s>
               </a:s>
               <a:s> display 'Moderate to severe fever'</a:s>
            </a:s>
         </annotation>
         <codeSystem localId="408" locator="95:50-95:56" name="IMMZD"/>
      </def>
      <def localId="410" locator="96:1-96:119" name="CI-Hypersensitivity to vaccine components" id="DE198" display="Hypersensitivity to vaccine components" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="410">
               <a:s>code &quot;CI-Hypersensitivity to vaccine components&quot;: 'DE198' from </a:s>
               <a:s r="411">
                  <a:s>&quot;IMMZD&quot;</a:s>
               </a:s>
               <a:s> display 'Hypersensitivity to vaccine components'</a:s>
            </a:s>
         </annotation>
         <codeSystem localId="411" locator="96:64-96:70" name="IMMZD"/>
      </def>
      <def localId="413" locator="97:1-97:79" name="CI-Taking antibiotics" id="DE199" display="Taking antibiotics" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="413">
               <a:s>code &quot;CI-Taking antibiotics&quot;: 'DE199' from </a:s>
               <a:s r="414">
                  <a:s>&quot;IMMZD&quot;</a:s>
               </a:s>
               <a:s> display 'Taking antibiotics'</a:s>
            </a:s>
         </annotation>
         <codeSystem localId="414" locator="97:44-97:50" name="IMMZD"/>
      </def>
      <def localId="416" locator="99:1-99:107" name="CI-Chronic gastrointestinal disease" id="DEXXX" display="Chronic gastrointestinal disease" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="416">
               <a:s>// THIS DOESN'T EXIST AND NEEDS TO BE ASSIGNED
code &quot;CI-Chronic gastrointestinal disease&quot;: 'DEXXX' from </a:s>
               <a:s r="417">
                  <a:s>&quot;IMMZD&quot;</a:s>
               </a:s>
               <a:s> display 'Chronic gastrointestinal disease'</a:s>
            </a:s>
         </annotation>
         <codeSystem localId="417" locator="99:58-99:64" name="IMMZD"/>
      </def>
   </codes>
</library>
