WHO Immunization Implementation Guide
0.2.0 - ci-build
WHO Immunization Implementation Guide, published by WHO. This guide is not an authorized publication; it is the continuous build for version 0.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/WorldHealthOrganization/smart-immunizations/ and changes regularly. See the Directory of published versions
| Active as of 2025-08-08 |
<ValueSet xmlns="http://hl7.org/fhir">
<id value="IMMZ.D2.DT.BCG"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ValueSet IMMZ.D2.DT.BCG</b></p><a name="IMMZ.D2.DT.BCG"> </a><a name="hcIMMZ.D2.DT.BCG"> </a><p>This value set expansion contains 24 concepts.</p><table class="codes"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>System</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style="white-space:nowrap"><a name="IMMZ.D2.DT.BCG-http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Inputs-csaimt5y-33.40"> </a> <a href="CodeSystem-IMMZ.D2.DT.Inputs.html#IMMZ.D2.DT.Inputs-csaimt5y-33.4640">csaimt5y-33.40</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Inputs</td><td>Client's age is more than 5 years</td><td>Today's date − "Date of birth" > 5 years</td></tr><tr><td style="white-space:nowrap"><a name="IMMZ.D2.DT.BCG-http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Inputs-nbpsdwa-43.112"> </a> <a href="CodeSystem-IMMZ.D2.DT.Inputs.html#IMMZ.D2.DT.Inputs-nbpsdwa-43.46112">nbpsdwa-43.112</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Inputs</td><td>No BCG primary series dose was administered</td><td>Count of vaccines administered (where "Vaccine type" = "BCG vaccines" and "Type of dose" = "Primary series") = 0</td></tr><tr><td style="white-space:nowrap"><a name="IMMZ.D2.DT.BCG-http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Inputs-csailtoet28d-45.40"> </a> <a href="CodeSystem-IMMZ.D2.DT.Inputs.html#IMMZ.D2.DT.Inputs-csailtoet28d-45.4640">csailtoet28d-45.40</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Inputs</td><td>Client's age is less than or equal to 28 days</td><td>Today's date − "Date of birth" ≤ 28 days</td></tr><tr><td style="white-space:nowrap"><a name="IMMZ.D2.DT.BCG-http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Inputs-cshsinou-42.29"> </a> <a href="CodeSystem-IMMZ.D2.DT.Inputs.html#IMMZ.D2.DT.Inputs-cshsinou-42.4629">cshsinou-42.29</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Inputs</td><td>Client's HIV status is negative or unknown</td><td>"HIV status" ≠ "HIV-positive"</td></tr><tr><td style="white-space:nowrap"><a name="IMMZ.D2.DT.BCG-http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Inputs-nlvwa-32.90"> </a> <a href="CodeSystem-IMMZ.D2.DT.Inputs.html#IMMZ.D2.DT.Inputs-nlvwa-32.4690">nlvwa-32.90</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Inputs</td><td>No live vaccine was administered</td><td>Today's date − latest "Date and time of vaccination" (where "Live vaccine" = TRUE) IS NULL</td></tr><tr><td style="white-space:nowrap"><a name="IMMZ.D2.DT.BCG-http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Inputs-lvwaitlfw-52.92"> </a> <a href="CodeSystem-IMMZ.D2.DT.Inputs.html#IMMZ.D2.DT.Inputs-lvwaitlfw-52.4692">lvwaitlfw-52.92</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Inputs</td><td>Live vaccine was administered in the last four weeks</td><td>Today's date − latest "Date and time of vaccination" (where "Live vaccine" = TRUE) < 4 weeks</td></tr><tr><td style="white-space:nowrap"><a name="IMMZ.D2.DT.BCG-http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Inputs-cshsip-31.29"> </a> <a href="CodeSystem-IMMZ.D2.DT.Inputs.html#IMMZ.D2.DT.Inputs-cshsip-31.4629">cshsip-31.29</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Inputs</td><td>Client's HIV status is positive</td><td>"HIV status" = "HIV-positive"</td></tr><tr><td style="white-space:nowrap"><a name="IMMZ.D2.DT.BCG-http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Inputs-cicrat-52.25"> </a> <a href="CodeSystem-IMMZ.D2.DT.Inputs.html#IMMZ.D2.DT.Inputs-cicrat-52.4625">cicrat-52.25</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Inputs</td><td>Client is currently receiving antiretroviral therapy</td><td>"Currently on ART" = TRUE</td></tr><tr><td style="white-space:nowrap"><a name="IMMZ.D2.DT.BCG-http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Inputs-ciis-32.31"> </a> <a href="CodeSystem-IMMZ.D2.DT.Inputs.html#IMMZ.D2.DT.Inputs-ciis-32.4631">ciis-32.31</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Inputs</td><td>Client is immunologically stable</td><td>"Immunologically stable" = TRUE</td></tr><tr><td style="white-space:nowrap"><a name="IMMZ.D2.DT.BCG-http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Inputs-cinis-36.32"> </a> <a href="CodeSystem-IMMZ.D2.DT.Inputs.html#IMMZ.D2.DT.Inputs-cinis-36.4632">cinis-36.32</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Inputs</td><td>Client is not immunologically stable</td><td>"Immunologically stable" = FALSE</td></tr><tr><td style="white-space:nowrap"><a name="IMMZ.D2.DT.BCG-http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Inputs-cicnrat-56.26"> </a> <a href="CodeSystem-IMMZ.D2.DT.Inputs.html#IMMZ.D2.DT.Inputs-cicnrat-56.4626">cicnrat-56.26</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Inputs</td><td>Client is currently not receiving antiretroviral therapy</td><td>"Currently on ART" = FALSE</td></tr><tr><td style="white-space:nowrap"><a name="IMMZ.D2.DT.BCG-http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Inputs-csaib28da5y-43.50"> </a> <a href="CodeSystem-IMMZ.D2.DT.Inputs.html#IMMZ.D2.DT.Inputs-csaib28da5y-43.4650">csaib28da5y-43.50</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Inputs</td><td>Client's age is between 28 days and 5 years</td><td>28 days < Today's date − "Date of birth" < 5 years</td></tr><tr><td style="white-space:nowrap"><a name="IMMZ.D2.DT.BCG-http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Inputs-cstitrin-45.39"> </a> <a href="CodeSystem-IMMZ.D2.DT.Inputs.html#IMMZ.D2.DT.Inputs-cstitrin-45.4639">cstitrin-45.39</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Inputs</td><td>Client's TB infection test result is negative</td><td>"TB infection test result" = "Negative"</td></tr><tr><td style="white-space:nowrap"><a name="IMMZ.D2.DT.BCG-http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Inputs-nlvwaitlfw-55.92"> </a> <a href="CodeSystem-IMMZ.D2.DT.Inputs.html#IMMZ.D2.DT.Inputs-nlvwaitlfw-55.4692">nlvwaitlfw-55.92</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Inputs</td><td>No live vaccine was administered in the last four weeks</td><td>Today's date − latest "Date and time of vaccination" (where "Live vaccine" = TRUE) ≥ 4 weeks</td></tr><tr><td style="white-space:nowrap"><a name="IMMZ.D2.DT.BCG-http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Inputs-cstitriutndonry-77.34"> </a> <a href="CodeSystem-IMMZ.D2.DT.Inputs.html#IMMZ.D2.DT.Inputs-cstitriutndonry-77.4634">cstitriutndonry-77.34</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Inputs</td><td>Client's TB infection test result is unknown (test not done or no result yet)</td><td>"TB infection test result" IS NULL</td></tr><tr><td style="white-space:nowrap"><a name="IMMZ.D2.DT.BCG-http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Inputs-cstitrip-45.39"> </a> <a href="CodeSystem-IMMZ.D2.DT.Inputs.html#IMMZ.D2.DT.Inputs-cstitrip-45.4639">cstitrip-45.39</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Inputs</td><td>Client's TB infection test result is positive</td><td>"TB infection test result" = "Positive"</td></tr><tr><td style="white-space:nowrap"><a name="IMMZ.D2.DT.BCG-http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Inputs-cincw-29.25"> </a> <a href="CodeSystem-IMMZ.D2.DT.Inputs.html#IMMZ.D2.DT.Inputs-cincw-29.4625">cincw-29.25</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Inputs</td><td>Client is not clinically well</td><td>"Clinically well" = FALSE</td></tr><tr><td style="white-space:nowrap"><a name="IMMZ.D2.DT.BCG-http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Inputs-cicw-25.24"> </a> <a href="CodeSystem-IMMZ.D2.DT.Inputs.html#IMMZ.D2.DT.Inputs-cicw-25.4624">cicw-25.24</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Inputs</td><td>Client is clinically well</td><td>"Clinically well" = TRUE</td></tr><tr><td style="white-space:nowrap"><a name="IMMZ.D2.DT.BCG-http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Inputs-obpsdwa-44.112"> </a> <a href="CodeSystem-IMMZ.D2.DT.Inputs.html#IMMZ.D2.DT.Inputs-obpsdwa-44.46112">obpsdwa-44.112</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Inputs</td><td>One BCG primary series dose was administered</td><td>Count of vaccines administered (where "Vaccine type" = "BCG vaccines" and "Type of dose" = "Primary series") = 1</td></tr><tr><td style="white-space:nowrap"><a name="IMMZ.D2.DT.BCG-http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Outputs-cidfbv-33.44"> </a> <a href="CodeSystem-IMMZ.D2.DT.Outputs.html#IMMZ.D2.DT.Outputs-cidfbv-33.4644">cidfbv-33.44</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Outputs</td><td>Client is due for BCG vaccination</td><td>"Immunization recommendation status" = "Due"</td></tr><tr><td style="white-space:nowrap"><a name="IMMZ.D2.DT.BCG-http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Outputs-cindfbv-37.48"> </a> <a href="CodeSystem-IMMZ.D2.DT.Outputs.html#IMMZ.D2.DT.Outputs-cindfbv-37.4648">cindfbv-37.48</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Outputs</td><td>Client is not due for BCG vaccination</td><td>"Immunization recommendation status" = "Not due"</td></tr><tr><td style="white-space:nowrap"><a name="IMMZ.D2.DT.BCG-http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Outputs-cjirccn-53.66"> </a> <a href="CodeSystem-IMMZ.D2.DT.Outputs.html#IMMZ.D2.DT.Outputs-cjirccn-53.4666">cjirccn-53.66</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Outputs</td><td>Clinical judgement is required. Create clinical note.</td><td>"Immunization recommendation status" = "Further evaluation needed"</td></tr><tr><td style="white-space:nowrap"><a name="IMMZ.D2.DT.BCG-http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Outputs-cjirccn-53.67"> </a> <a href="CodeSystem-IMMZ.D2.DT.Outputs.html#IMMZ.D2.DT.Outputs-cjirccn-53.4667">cjirccn-53.67</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Outputs</td><td>Clinical judgement is required. Create clinical note.</td><td>'"Immunization recommendation status" = "Further evaluation needed"</td></tr><tr><td style="white-space:nowrap"><a name="IMMZ.D2.DT.BCG-http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Outputs-bisic-37.50"> </a> <a href="CodeSystem-IMMZ.D2.DT.Outputs.html#IMMZ.D2.DT.Outputs-bisic-37.4650">bisic-37.50</a></td><td>http://smart.who.int/immunizations/CodeSystem/IMMZ.D2.DT.Outputs</td><td>BCG immunization schedule is complete</td><td>'"Immunization recommendation status" = "Complete"</td></tr></table></div>
</text>
<url value="http://smart.who.int/immunizations/ValueSet/IMMZ.D2.DT.BCG"/>
<version value="0.2.0"/>
<name
value="Determine_if_the_client_is_due_for_a_bacille_Calmette_Gu_rin__BCG__vaccination_according_to_the_national_immunization_schedule"/>
<title value="IMMZ.D2.DT.BCG ValueSet for Decision Table"/>
<status value="active"/>
<date value="2025-08-08T19:12:11+00:00"/>
<publisher value="WHO"/>
<contact>
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<value value="http://who.int"/>
</telecom>
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<description
value="ValueSet IMMZ.D2.DT.BCG for Determine if the client is due for a bacille Calmette–Guérin (BCG) vaccination according to the national immunization schedule.
Business rule: IMMZ.D2 Determine required vaccination(s) if any
Trigger: undefined
Table: IMMZ.D2.DT.BCG"/>
<compose>
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<display value="Client's age is more than 5 years"/>
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<concept>
<code value="nbpsdwa-43.112"/>
<display value="No BCG primary series dose was administered"/>
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<concept>
<code value="csailtoet28d-45.40"/>
<display value="Client's age is less than or equal to 28 days"/>
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<concept>
<code value="cshsinou-42.29"/>
<display value="Client's HIV status is negative or unknown"/>
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<concept>
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<display value="No live vaccine was administered"/>
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<concept>
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<display value="Client's HIV status is positive"/>
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<display
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</concept>
<concept>
<code value="ciis-32.31"/>
<display value="Client is immunologically stable"/>
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<concept>
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<display value="Client is not immunologically stable"/>
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<concept>
<code value="cicnrat-56.26"/>
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<concept>
<code value="csaib28da5y-43.50"/>
<display value="Client's age is between 28 days and 5 years"/>
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<concept>
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<display value="Client's TB infection test result is negative"/>
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<display
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<concept>
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<concept>
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<display value="Client's TB infection test result is positive"/>
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<display value="Client is not clinically well"/>
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<concept>
<code value="cicw-25.24"/>
<display value="Client is clinically well"/>
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<display value="One BCG primary series dose was administered"/>
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<display value="Client is not due for BCG vaccination"/>
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<concept>
<code value="cjirccn-53.66"/>
<display
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</concept>
<concept>
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<display
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<concept>
<code value="bisic-37.50"/>
<display value="BCG immunization schedule is complete"/>
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<expansion>
<timestamp value="2025-07-30T21:14:32.397Z"/>
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<contains>
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<code value="cshsinou-42.29"/>
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<contains>
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<contains>
<system
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<code value="lvwaitlfw-52.92"/>
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<contains>
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<code value="cshsip-31.29"/>
<display value="Client's HIV status is positive"/>
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<contains>
<system
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</contains>
<contains>
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<code value="ciis-32.31"/>
<display value="Client is immunologically stable"/>
</contains>
<contains>
<system
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<display value="Client is not immunologically stable"/>
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<contains>
<system
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<code value="cicnrat-56.26"/>
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<contains>
<system
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<display value="Client's age is between 28 days and 5 years"/>
</contains>
<contains>
<system
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<code value="cstitrin-45.39"/>
<display value="Client's TB infection test result is negative"/>
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<contains>
<system
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<code value="nlvwaitlfw-55.92"/>
<display
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</contains>
<contains>
<system
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<code value="cstitriutndonry-77.34"/>
<display
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</contains>
<contains>
<system
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<code value="cstitrip-45.39"/>
<display value="Client's TB infection test result is positive"/>
</contains>
<contains>
<system
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<code value="cincw-29.25"/>
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<contains>
<system
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<code value="cicw-25.24"/>
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<contains>
<system
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<display value="One BCG primary series dose was administered"/>
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<contains>
<system
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<code value="cidfbv-33.44"/>
<display value="Client is due for BCG vaccination"/>
</contains>
<contains>
<system
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<code value="cindfbv-37.48"/>
<display value="Client is not due for BCG vaccination"/>
</contains>
<contains>
<system
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<code value="cjirccn-53.66"/>
<display value="Clinical judgement is required. Create clinical note."/>
</contains>
<contains>
<system
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<code value="cjirccn-53.67"/>
<display value="Clinical judgement is required. Create clinical note."/>
</contains>
<contains>
<system
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<code value="bisic-37.50"/>
<display value="BCG immunization schedule is complete"/>
</contains>
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</ValueSet>