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FHIR IG Statistics: ConceptMap/IMMZ.D.ConceptMap

Packagesmart.who.int.immunizations
Resource TypeConceptMap
IdIMMZ.D.ConceptMap
FHIR VersionR4
Sourcehttp://smart.who.int/immunizations/https://build.fhir.org/ig/WorldHealthOrganization/smart-immunizations/ConceptMap-IMMZ.D.ConceptMap.html
URLhttp://smart.who.int/immunizations/ConceptMap/IMMZ.D.ConceptMap
Version0.2.0
Statusactive
Date2025-01-10
NameIMMZ_D_ConceptMap
TitleConceptMap to and from IMMZ.D DataElements
Authoritywho
DescriptionMapping to and from IMMZ.D Data Dictionary to other codesystems.

Resources that use this resource

No resources found

Resources that this resource uses

CodeSystem
mmsInternational Classification of Diseases, 11th Revision Mortality and Morbidity Statistics (MMS)
loinc.orgLogical Observation Identifiers, Names and Codes (LOINC)
sctSNOMED CT International Edition
IMMZ.DIMMZ.D CodeSystem for Data Elements

Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: ConceptMap IMMZ.D.ConceptMap

Mapping from (not specified) to (not specified)


Group 1 Mapping from IMMZ.D CodeSystem for Data Elements to EventStatus

Source CodeRelationshipTarget Code
DE2 (Completed)is equivalent tocompleted
DE3 (Entered in error)is equivalent toentered-in-error
DE4 (Not done)is equivalent tonot-done

Group 2 Mapping from EventStatus to IMMZ.D CodeSystem for Data Elements

Source CodeRelationshipTarget Code
completedis equivalent toDE2 (Completed)
entered-in-erroris equivalent toDE3 (Entered in error)
not-doneis equivalent toDE4 (Not done)

Group 3 Mapping from IMMZ.D CodeSystem for Data Elements to AdverseEventOutcome

Source CodeRelationshipTarget Code
DE116 (Died)is equivalent tofatal
DE117 (Recovered)is equivalent toresolved
DE118 (Recovered with sequelae)is equivalent toresolvedWithSequelae
DE119 (Recovering)is equivalent torecovering
DE120 (Not recovered)is equivalent toongoing
DE121 (Unknown)is equivalent tounknown

Group 4 Mapping from AdverseEventOutcome to IMMZ.D CodeSystem for Data Elements

Source CodeRelationshipTarget Code
fatalis equivalent toDE116 (Died)
resolvedis equivalent toDE117 (Recovered)
resolvedWithSequelaeis equivalent toDE118 (Recovered with sequelae)
recoveringis equivalent toDE119 (Recovering)
ongoingis equivalent toDE120 (Not recovered)
unknownis equivalent toDE121 (Unknown)

Group 5 Mapping from IMMZ.D CodeSystem for Data Elements to International Classification of Diseases, 11th Revision Mortality and Morbidity Statistics (MMS)

Source CodeRelationshipTarget CodeComment
DE158 (Due)is related toQC06
DE159 (Contraindicated)is related toQC04.Z
DE162 (Currently pregnant)is equivalent toQA41
DE163 (Immunocompromised)maps to wider concept4B4Z
DE200 (Severely immunocompromised)maps to wider concept4B4Z
DE164 (Exposed to immunosuppressive treatment)maps to wider conceptPH48
DE165 (Severely immunosuppressed)is related to4B4Z
DE187 (Immunodeficiency syndromes)maps to wider concept4B4Z
DE166 (History of anaphylactic reactions)is equivalent toQC44.0
DE167 (Severe allergic reactions)is related toQC44.2
DE168 (Symptomatic HIV infection)is equivalent to1C62.1
DE170 (Receiving blood products)narrowerQB98Per the Immunizations DAK
DE188 (Severe acute illness)is related toMG25
DE190 (TB disease)maps to wider concept1B1Z
DE191 (Breastfeeding)maps to wider conceptQA48.1
DE192 (Spina bifida)is equivalent toLA02
DE193 (Bladder exstrophy)is equivalent toLB31.3
DE194 (Acute gastroenteritis)maps to wider concept1A40.Z
DE195 (Moderate to severe fever)maps to wider conceptMG26
DE86 (Client education and counselling on immunization)is equivalent toQA1Y
DE87 (Counselling on functions of the immunological system)maps to wider conceptQA1Y
DE88 (Advising about functions of the immunological system)maps to wider conceptQA1Y
DE89 (Education to influence immunization behaviours)maps to wider conceptQA1Y
DE90 (Advising about immunization behaviours)maps to wider conceptQA1Y
DE91 (Awareness raising to influence immunization behaviours)maps to wider conceptQA1Y
DE5 (Reason vaccine was not administered)is related toQC04
DE6 (Immunity)maps to wider conceptQC04.Y
DE7 (Medical precaution)maps to wider conceptQC04.Y
DE8 (Product out of stock)maps to wider conceptQC04.7
DE9 (Client objection)is equivalent toQC04.5
DE10 (Caregiver refusal)is equivalent toQC04.6
DE11 (Unspecified reason)is equivalent toQC04.Z
DE12 (Client allergy to vaccine or component)is equivalent toQC04.4
DE13 (Immunocompromised)is equivalent toQC04.3
DE14 (Chronic illness or condition)is equivalent toQC04.2
DE15 (Acute illness)is equivalent toQC04.1
DE16 (Had the disease)is equivalent toQC04.0
DE17 (Immunization not carried out for other reasons)is equivalent toQC04.Y
DE127 (Typhoid)is equivalent to1A07
DE128 (Influenza)is related to1E32
DE129 (Measles)is equivalent to1F03
DE133 (Pertussis)is equivalent to1C12
DE135 (Mumps)is equivalent to1D80
DE136 (Varicella)is equivalent to1E90
DE137 (Viral hepatitis A)narrower1E50.0Per the Immunizations DAK
DE139 (Tuberculosis)maps to wider concept1B1Z
DE140 (Viral hepatitis B)narrower1E50.1Per the Immunizations DAK
DE141 (Haemophilus influenzae type b)is equivalent toXN0FG
DE142 (Tetanus)is equivalent to1C13
DE143 (Rotavirus)is equivalent toXN6N7
DE144 (Human papillomavirus)is equivalent toXN8JY
DE175 (Japanese encephalitis)is equivalent to1C85
DE146 (Poliomyelitis)narrower1C81Per the Immunizations DAK
DE176 (Diphtheria)is equivalent to1C17
DE177 (Pneumococcal disease)is equivalent toCA40.07
DE178 (Rubella)is equivalent to1F02
DE179 (Dengue)narrower1D2ZPer the Immunizations DAK
DE180 (Rabies)is equivalent to1C82
DE181 (Meningococcal)is equivalent to1C1C
DE182 (Cholera)is equivalent to1A00
DE183 (Tick-borne encephalitis)maps to wider concept1C80
DE184 (Yellow fever)is equivalent to1D47
DE148 (COVID-19)is equivalent toRA01
DE92 (Reaction reported)is related toPK81.7
DE95 (Reaction manifestation)maps to wider conceptNE80.3
DE96 (Severe local reaction)narrowerEH77Per the Immunizations DAK
DE98 (Seizures)narrower8A63.YPer the Immunizations DAK
DE99 (Abscess)narrower1B75.3Per the Immunizations DAK
DE100 (Sepsis)narrower1G40Per the Immunizations DAK
DE101 (Encephalopathy)narrower8E47Per the Immunizations DAK
DE102 (Toxic shock syndrome)is equivalent to1C45
DE103 (Anaphylaxis)is equivalent to4A84
DE104 (Fever)narrowerMG26Per the Immunizations DAK
DE105 (Other)narrowerNE80.YPer the Immunizations DAK
DE109 (Life threatening)is related toXS2R
DE110 (Disability)narrowerQF10Per the Immunizations DAK
DE205 (HIV-positive)narrower1C62.ZPer the Immunizations DAK
DE206 (HIV-negative)is related toQA02.Y
DE208 (Preterm birth)is equivalent toKA21.4
DE209 (Immunocompromised)maps to wider concept4B4Z
DE245 (TST)is equivalent toXM0EK6
DE247 (Positive)is related to1B1Z
DE248 (Negative)is related toQA02.0
DE211 (Birth weight in grams)is related toKA21
DE212 (Type of poliovirus dose)is related toXM0N50
DE213 (IPV)is equivalent toXM5V19
DE214 (bOPV)is equivalent toXM79H3
DE217 (Inactivated Vero cell-derived vaccine)maps to wider conceptXM0LB5
DE218 (Live attenuated vaccine)is equivalent toXM47S0
DE221 (FSME-Immun)maps to wider conceptXM8MP6
DE222 (Encepur)maps to wider conceptXM8MP6
DE223 (TBE-Moscow)maps to wider conceptXM8MP6
DE224 (EnceVir)maps to wider conceptXM8MP6
DE226 (Typbar-TCV)maps to wider conceptXM8BU8
DE227 (ViPS)maps to wider conceptXM3SF6
DE228 (Ty21a)maps to wider conceptXM33K4
DE230 (WC vaccine)is equivalent toXM3Z26
DE231 (WC-rBS vaccine)maps to wider conceptXM29K4
DE233 (MenA conjugate vaccine (5µg))is equivalent toXM2280
DE234 (Monovalent MenC conjugate)is equivalent toXM18Y8
DE235 (Quadrivalent conjugate)is equivalent toXM2EH7
DE252 (Polysaccharide vaccine)narrowerXM92B2Per the Immunizations DAK
DE238 (Live attenuated hepatitis A vaccine)maps to wider conceptXM6LL6
DE239 (Inactivated hepatitis A vaccine)is equivalent toXM2A12
DE255 (Hepatitis B monovalent vaccine)is related toXM9V38

Group 6 Mapping from International Classification of Diseases, 11th Revision Mortality and Morbidity Statistics (MMS) to IMMZ.D CodeSystem for Data Elements

Source CodeRelationshipTarget CodeComment
QC06is related toDE158 (Due)
QC04.Zis related toDE159 (Contraindicated)
QA41is equivalent toDE162 (Currently pregnant)
4B4ZnarrowerDE163 (Immunocompromised)Per the Immunizations DAK
4B4ZnarrowerDE200 (Severely immunocompromised)Per the Immunizations DAK
PH48narrowerDE164 (Exposed to immunosuppressive treatment)Per the Immunizations DAK
4B4Zis related toDE165 (Severely immunosuppressed)
4B4ZnarrowerDE187 (Immunodeficiency syndromes)Per the Immunizations DAK
QC44.0is equivalent toDE166 (History of anaphylactic reactions)
QC44.2is related toDE167 (Severe allergic reactions)
1C62.1is equivalent toDE168 (Symptomatic HIV infection)
QB98maps to wider conceptDE170 (Receiving blood products)
MG25is related toDE188 (Severe acute illness)
1B1ZnarrowerDE190 (TB disease)Per the Immunizations DAK
QA48.1narrowerDE191 (Breastfeeding)Per the Immunizations DAK
LA02is equivalent toDE192 (Spina bifida)
LB31.3is equivalent toDE193 (Bladder exstrophy)
1A40.ZnarrowerDE194 (Acute gastroenteritis)Per the Immunizations DAK
MG26narrowerDE195 (Moderate to severe fever)Per the Immunizations DAK
QA1Yis equivalent toDE86 (Client education and counselling on immunization)
QA1YnarrowerDE87 (Counselling on functions of the immunological system)Per the Immunizations DAK
QA1YnarrowerDE88 (Advising about functions of the immunological system)Per the Immunizations DAK
QA1YnarrowerDE89 (Education to influence immunization behaviours)Per the Immunizations DAK
QA1YnarrowerDE90 (Advising about immunization behaviours)Per the Immunizations DAK
QA1YnarrowerDE91 (Awareness raising to influence immunization behaviours)Per the Immunizations DAK
QC04is related toDE5 (Reason vaccine was not administered)
QC04.YnarrowerDE6 (Immunity)Per the Immunizations DAK
QC04.YnarrowerDE7 (Medical precaution)Per the Immunizations DAK
QC04.7narrowerDE8 (Product out of stock)Per the Immunizations DAK
QC04.5is equivalent toDE9 (Client objection)
QC04.6is equivalent toDE10 (Caregiver refusal)
QC04.Zis equivalent toDE11 (Unspecified reason)
QC04.4is equivalent toDE12 (Client allergy to vaccine or component)
QC04.3is equivalent toDE13 (Immunocompromised)
QC04.2is equivalent toDE14 (Chronic illness or condition)
QC04.1is equivalent toDE15 (Acute illness)
QC04.0is equivalent toDE16 (Had the disease)
QC04.Yis equivalent toDE17 (Immunization not carried out for other reasons)
1A07is equivalent toDE127 (Typhoid)
1E32is related toDE128 (Influenza)
1F03is equivalent toDE129 (Measles)
1C12is equivalent toDE133 (Pertussis)
1D80is equivalent toDE135 (Mumps)
1E90is equivalent toDE136 (Varicella)
1E50.0maps to wider conceptDE137 (Viral hepatitis A)
1B1ZnarrowerDE139 (Tuberculosis)Per the Immunizations DAK
1E50.1maps to wider conceptDE140 (Viral hepatitis B)
XN0FGis equivalent toDE141 (Haemophilus influenzae type b)
1C13is equivalent toDE142 (Tetanus)
XN6N7is equivalent toDE143 (Rotavirus)
XN8JYis equivalent toDE144 (Human papillomavirus)
1C85is equivalent toDE175 (Japanese encephalitis)
1C81maps to wider conceptDE146 (Poliomyelitis)
1C17is equivalent toDE176 (Diphtheria)
CA40.07is equivalent toDE177 (Pneumococcal disease)
1F02is equivalent toDE178 (Rubella)
1D2Zmaps to wider conceptDE179 (Dengue)
1C82is equivalent toDE180 (Rabies)
1C1Cis equivalent toDE181 (Meningococcal)
1A00is equivalent toDE182 (Cholera)
1C80narrowerDE183 (Tick-borne encephalitis)Per the Immunizations DAK
1D47is equivalent toDE184 (Yellow fever)
RA01is equivalent toDE148 (COVID-19)
PK81.7is related toDE92 (Reaction reported)
NE80.3narrowerDE95 (Reaction manifestation)Per the Immunizations DAK
EH77maps to wider conceptDE96 (Severe local reaction)
8A63.Ymaps to wider conceptDE98 (Seizures)
1B75.3maps to wider conceptDE99 (Abscess)
1G40maps to wider conceptDE100 (Sepsis)
8E47maps to wider conceptDE101 (Encephalopathy)
1C45is equivalent toDE102 (Toxic shock syndrome)
4A84is equivalent toDE103 (Anaphylaxis)
MG26maps to wider conceptDE104 (Fever)
NE80.Ymaps to wider conceptDE105 (Other)
XS2Ris related toDE109 (Life threatening)
QF10maps to wider conceptDE110 (Disability)
1C62.Zmaps to wider conceptDE205 (HIV-positive)
QA02.Yis related toDE206 (HIV-negative)
KA21.4is equivalent toDE208 (Preterm birth)
4B4ZnarrowerDE209 (Immunocompromised)Per the Immunizations DAK
XM0EK6is equivalent toDE245 (TST)
1B1Zis related toDE247 (Positive)
QA02.0is related toDE248 (Negative)
KA21is related toDE211 (Birth weight in grams)
XM0N50is related toDE212 (Type of poliovirus dose)
XM5V19is equivalent toDE213 (IPV)
XM79H3is equivalent toDE214 (bOPV)
XM0LB5narrowerDE217 (Inactivated Vero cell-derived vaccine)Per the Immunizations DAK
XM47S0is equivalent toDE218 (Live attenuated vaccine)
XM8MP6narrowerDE221 (FSME-Immun)Per the Immunizations DAK
XM8MP6narrowerDE222 (Encepur)Per the Immunizations DAK
XM8MP6narrowerDE223 (TBE-Moscow)Per the Immunizations DAK
XM8MP6narrowerDE224 (EnceVir)Per the Immunizations DAK
XM8BU8narrowerDE226 (Typbar-TCV)Per the Immunizations DAK
XM3SF6narrowerDE227 (ViPS)Per the Immunizations DAK
XM33K4narrowerDE228 (Ty21a)Per the Immunizations DAK
XM3Z26is equivalent toDE230 (WC vaccine)
XM29K4narrowerDE231 (WC-rBS vaccine)Per the Immunizations DAK
XM2280is equivalent toDE233 (MenA conjugate vaccine (5µg))
XM18Y8is equivalent toDE234 (Monovalent MenC conjugate)
XM2EH7is equivalent toDE235 (Quadrivalent conjugate)
XM92B2maps to wider conceptDE252 (Polysaccharide vaccine)
XM6LL6narrowerDE238 (Live attenuated hepatitis A vaccine)Per the Immunizations DAK
XM2A12is equivalent toDE239 (Inactivated hepatitis A vaccine)
XM9V38is related toDE255 (Hepatitis B monovalent vaccine)

Group 7 Mapping from IMMZ.D CodeSystem for Data Elements to Logical Observation Identifiers, Names and Codes (LOINC)

Source CodeRelationshipTarget CodeComment
DE19 (Vaccine type)is equivalent to39236-5 (Vaccine code (CPT) CPHS)
DE20 (Date and time of vaccination)is equivalent to30952-6 (Date and time of vaccination)
DE201 (Contact date)is equivalent to21975-8 (Date last contact)
DE202 (ANC contact number)narrower75612-2 (Number of visits to this healthcare entity in the last 12 months)Per the Immunizations DAK
DE162 (Currently pregnant)is equivalent to82810-3 (Pregnancy status)
DE163 (Immunocompromised)is related to96381-9 (Immune status)
DE200 (Severely immunocompromised)is related to96381-9 (Immune status)
DE165 (Severely immunosuppressed)is related to96381-9 (Immune status)
DE187 (Immunodeficiency syndromes)maps to wider concept82757-6 (Immunodeficiency)
DE168 (Symptomatic HIV infection)maps to wider concept47244-9 (Symptom, diagnosis, or opportunistic infection related to HIV treatment)
DE170 (Receiving blood products)maps to wider conceptLL3859-7 (Blood products)
DE191 (Breastfeeding)maps to wider concept63895-7 (Breastfeeding status)
DE22 (Administrative area)is equivalent to72060-7 (Where was vaccine received)
DE23 (Vaccine manufacturer)is equivalent to30957-5 (Manufacturer name [Identifier] Vaccine)
DE24 (Vaccine batch number)is equivalent to30959-1 (Lot number [Identifier] Vaccine)
DE26 (Expiration date)maps to wider concept74066-2 (Expiration date of Medication [AHRQ])
DE34 (Dose quantity)is equivalent to82745-1 (Doses of vaccine given [#] --pre symptom onset)
DE93 (Reaction date)is equivalent to30953-4 (Date and time of onset of vaccination adverse event)
DE186 (Recommended follow-up date)maps to wider concept39289-4 (Follow-up (referred to) provider /specialist, appointment date CPHS)
DE204 (HIV status)is equivalent to55277-8 (HIV status)
DE205 (HIV-positive)is equivalent to45683-0 (HIV infection [Minimum Data Set])
DE208 (Preterm birth)is equivalent to76517-2 (Premature infant)
DE209 (Immunocompromised)is related to96381-9 (Immune status)
DE244 (IGRA)maps to wider concept27415-9 (Interferon gamma [Mass/volume] in Serum or Plasma)
DE245 (TST)is equivalent to39263-9 (Tuberculin screen test status CPHS)
DE247 (Positive)is related to45241-7 (Tuberculosis status)
DE211 (Birth weight in grams)is equivalent to8339-4 (Birth weight Measured)

Group 8 Mapping from Logical Observation Identifiers, Names and Codes (LOINC) to IMMZ.D CodeSystem for Data Elements

Source CodeRelationshipTarget CodeComment
39236-5 (Vaccine code (CPT) CPHS)is equivalent toDE19 (Vaccine type)
30952-6 (Date and time of vaccination)is equivalent toDE20 (Date and time of vaccination)
21975-8 (Date last contact)is equivalent toDE201 (Contact date)
75612-2 (Number of visits to this healthcare entity in the last 12 months)maps to wider conceptDE202 (ANC contact number)
82810-3 (Pregnancy status)is equivalent toDE162 (Currently pregnant)
96381-9 (Immune status)is related toDE163 (Immunocompromised)
96381-9 (Immune status)is related toDE200 (Severely immunocompromised)
96381-9 (Immune status)is related toDE165 (Severely immunosuppressed)
82757-6 (Immunodeficiency)narrowerDE187 (Immunodeficiency syndromes)Per the Immunizations DAK
47244-9 (Symptom, diagnosis, or opportunistic infection related to HIV treatment)narrowerDE168 (Symptomatic HIV infection)Per the Immunizations DAK
LL3859-7 (Blood products)narrowerDE170 (Receiving blood products)Per the Immunizations DAK
63895-7 (Breastfeeding status)narrowerDE191 (Breastfeeding)Per the Immunizations DAK
72060-7 (Where was vaccine received)is equivalent toDE22 (Administrative area)
30957-5 (Manufacturer name [Identifier] Vaccine)is equivalent toDE23 (Vaccine manufacturer)
30959-1 (Lot number [Identifier] Vaccine)is equivalent toDE24 (Vaccine batch number)
74066-2 (Expiration date of Medication [AHRQ])narrowerDE26 (Expiration date)Per the Immunizations DAK
82745-1 (Doses of vaccine given [#] --pre symptom onset)is equivalent toDE34 (Dose quantity)
30953-4 (Date and time of onset of vaccination adverse event)is equivalent toDE93 (Reaction date)
39289-4 (Follow-up (referred to) provider /specialist, appointment date CPHS)narrowerDE186 (Recommended follow-up date)Per the Immunizations DAK
55277-8 (HIV status)is equivalent toDE204 (HIV status)
45683-0 (HIV infection [Minimum Data Set])is equivalent toDE205 (HIV-positive)
76517-2 (Premature infant)is equivalent toDE208 (Preterm birth)
96381-9 (Immune status)is related toDE209 (Immunocompromised)
27415-9 (Interferon gamma [Mass/volume] in Serum or Plasma)narrowerDE244 (IGRA)Per the Immunizations DAK
39263-9 (Tuberculin screen test status CPHS)is equivalent toDE245 (TST)
45241-7 (Tuberculosis status)is related toDE247 (Positive)
8339-4 (Birth weight Measured)is equivalent toDE211 (Birth weight in grams)

Group 9 Mapping from IMMZ.D CodeSystem for Data Elements to SNOMED CT (all versions)

Source CodeRelationshipTarget CodeComment
DE19 (Vaccine type)narrower787859002 (Vaccine product)Per the Immunizations DAK
DE201 (Contact date)is related to406543005 (Date of visit (observable entity))
DE202 (ANC contact number)is equivalent to3401000175105 (Total number of prenatal care visits (observable entity))
DE158 (Due)is related to722187008 (Under immunized (finding))
DE162 (Currently pregnant)is equivalent to77386006 (Pregnancy)
DE163 (Immunocompromised)is equivalent to370388006 (Patient immunocompromised)
DE200 (Severely immunocompromised)maps to wider concept370388006 (Patient immunocompromised)
DE164 (Exposed to immunosuppressive treatment)maps to wider concept86553008 (Immunosuppressive therapy)
DE165 (Severely immunosuppressed)is equivalent to370388006 (Patient immunocompromised)
DE187 (Immunodeficiency syndromes)is equivalent to234532001 (Immunodeficiency disorder)
DE166 (History of anaphylactic reactions)is equivalent to10839421000119100
DE167 (Severe allergic reactions)maps to wider concept419076005 (Allergic reaction (disorder))
DE168 (Symptomatic HIV infection)is equivalent to86406008 (Human immunodeficiency virus infection)
DE170 (Receiving blood products)is equivalent to116859006 (Transfusion of blood product)
DE188 (Severe acute illness)maps to wider concept39104002 (Illness)
DE190 (TB disease)maps to wider concept56717001 (Tuberculosis)
DE191 (Breastfeeding)is equivalent to169750002 (Mother currently breast-feeding)
DE192 (Spina bifida)is equivalent to67531005 (Spina bifida)
DE193 (Bladder exstrophy)is equivalent to204997000 (Exstrophy of urinary bladder NOS)
DE194 (Acute gastroenteritis)maps to wider concept69776003 (Acute gastroenteritis)
DE195 (Moderate to severe fever)maps to wider concept386661006 (Fever (finding))
DE4 (Not done)is equivalent to385660001 (Not done (qualifier value))
DE9 (Client objection)is equivalent to591000119102 (Vaccine refused by patient)
DE13 (Immunocompromised)is equivalent to370388006 (Patient immunocompromised)
DE14 (Chronic illness or condition)maps to wider concept39104002 (Illness)
DE15 (Acute illness)maps to wider concept39104002 (Illness)
DE127 (Typhoid)is equivalent to4834000 (Typhoid fever)
DE128 (Influenza)is equivalent to6142004 (Influenza)
DE129 (Measles)is equivalent to14189004 (Measles)
DE133 (Pertussis)is equivalent to27836007 (Pertussis)
DE135 (Mumps)is equivalent to36989005 (Mumps)
DE136 (Varicella)is equivalent to38907003 (Varicella)
DE137 (Viral hepatitis A)is equivalent to40468003 (Viral hepatitis, type A)
DE139 (Tuberculosis)is equivalent to56717001 (Tuberculosis)
DE140 (Viral hepatitis B)is equivalent to66071002 (Type B viral hepatitis)
DE141 (Haemophilus influenzae type b)is equivalent to70036007 (Haemophilus influenzae pneumonia)
DE142 (Tetanus)is equivalent to76902006 (Tetanus)
DE143 (Rotavirus)is equivalent to186150001 (Rotavirus enteritis)
DE144 (Human papillomavirus)is equivalent to240532009 (Human papilloma virus infection)
DE175 (Japanese encephalitis)is equivalent to52947006 (Japanese encephalitis virus disease)
DE146 (Poliomyelitis)is equivalent to398102009 (Acute poliomyelitis (disorder))
DE176 (Diphtheria)is equivalent to397428000 (Diphtheria (disorder))
DE177 (Pneumococcal disease)is equivalent to16814004 (Pneumococcal infectious disease)
DE178 (Rubella)is equivalent to36653000 (Rubella)
DE179 (Dengue)narrower20927009 (Dengue hemorrhagic fever)Per the Immunizations DAK
DE180 (Rabies)is equivalent to14168008 (Rabies)
DE181 (Meningococcal)is equivalent to7180009 (Meningitis)
DE182 (Cholera)is equivalent to63650001 (Cholera)
DE183 (Tick-borne encephalitis)is equivalent to712986001 (Tickborne encephalitis)
DE184 (Yellow fever)is equivalent to16541001 (Yellow fever)
DE148 (COVID-19)is equivalent to840539006 (Disease caused by 2019 novel coronavirus)
DE92 (Reaction reported)maps to wider concept418799008 (Finding reported by subject or history provider (finding))
DE108 (Death)is equivalent to399166001 (Fatal (qualifier value))
DE109 (Life threatening)is equivalent to442452003 (Life threatening severity)
DE110 (Disability)is equivalent to21134002 (Disability)
DE111 (Hospitalization)is equivalent to32485007 (Hospital admission)
DE112 (Congenital anomaly)maps to wider concept276654001 (Congenital malformation)
DE115 (Reaction outcome)narrower293104008 (Adverse reaction to immunization)Per the Immunizations DAK
DE185 (Date/time of follow-up appointment)maps to wider concept185353001 (Appointment date)
DE186 (Recommended follow-up date)maps to wider concept410671006 (Date (attribute))
DE204 (HIV status)is equivalent to278977008 (HIV status)
DE205 (HIV-positive)is equivalent to165816005 (HIV positive)
DE206 (HIV-negative)is equivalent to165815009 (HIV negative)
DE207 (Unknown)maps to wider concept261665006 (Unknown)
DE208 (Preterm birth)is equivalent to395507008 (Premature infant (finding))
DE209 (Immunocompromised)is equivalent to370388006 (Patient immunocompromised)
DE244 (IGRA)is equivalent to68311008 (Interferon assay)
DE245 (TST)is equivalent to28163009 (Skin test for tuberculosis, Tine test)
DE247 (Positive)maps to wider concept10828004 (Positive)
DE248 (Negative)maps to wider concept260385009 (Negative)
DE213 (IPV)is equivalent to871740006 (Inactivated whole Human poliovirus antigen only vaccine product)

Group 10 Mapping from SNOMED CT (all versions) to IMMZ.D CodeSystem for Data Elements

Source CodeRelationshipTarget CodeComment
787859002 (Vaccine product)maps to wider conceptDE19 (Vaccine type)
406543005 (Date of visit (observable entity))is related toDE201 (Contact date)
3401000175105 (Total number of prenatal care visits (observable entity))is equivalent toDE202 (ANC contact number)
722187008 (Under immunized (finding))is related toDE158 (Due)
77386006 (Pregnancy)is equivalent toDE162 (Currently pregnant)
370388006 (Patient immunocompromised)is equivalent toDE163 (Immunocompromised)
370388006 (Patient immunocompromised)narrowerDE200 (Severely immunocompromised)Per the Immunizations DAK
86553008 (Immunosuppressive therapy)narrowerDE164 (Exposed to immunosuppressive treatment)Per the Immunizations DAK
370388006 (Patient immunocompromised)is equivalent toDE165 (Severely immunosuppressed)
234532001 (Immunodeficiency disorder)is equivalent toDE187 (Immunodeficiency syndromes)
10839421000119100is equivalent toDE166 (History of anaphylactic reactions)
419076005 (Allergic reaction (disorder))narrowerDE167 (Severe allergic reactions)Per the Immunizations DAK
86406008 (Human immunodeficiency virus infection)is equivalent toDE168 (Symptomatic HIV infection)
116859006 (Transfusion of blood product)is equivalent toDE170 (Receiving blood products)
39104002 (Illness)narrowerDE188 (Severe acute illness)Per the Immunizations DAK
56717001 (Tuberculosis)narrowerDE190 (TB disease)Per the Immunizations DAK
169750002 (Mother currently breast-feeding)is equivalent toDE191 (Breastfeeding)
67531005 (Spina bifida)is equivalent toDE192 (Spina bifida)
204997000 (Exstrophy of urinary bladder NOS)is equivalent toDE193 (Bladder exstrophy)
69776003 (Acute gastroenteritis)narrowerDE194 (Acute gastroenteritis)Per the Immunizations DAK
386661006 (Fever (finding))narrowerDE195 (Moderate to severe fever)Per the Immunizations DAK
385660001 (Not done (qualifier value))is equivalent toDE4 (Not done)
591000119102 (Vaccine refused by patient)is equivalent toDE9 (Client objection)
370388006 (Patient immunocompromised)is equivalent toDE13 (Immunocompromised)
39104002 (Illness)narrowerDE14 (Chronic illness or condition)Per the Immunizations DAK
39104002 (Illness)narrowerDE15 (Acute illness)Per the Immunizations DAK
4834000 (Typhoid fever)is equivalent toDE127 (Typhoid)
6142004 (Influenza)is equivalent toDE128 (Influenza)
14189004 (Measles)is equivalent toDE129 (Measles)
27836007 (Pertussis)is equivalent toDE133 (Pertussis)
36989005 (Mumps)is equivalent toDE135 (Mumps)
38907003 (Varicella)is equivalent toDE136 (Varicella)
40468003 (Viral hepatitis, type A)is equivalent toDE137 (Viral hepatitis A)
56717001 (Tuberculosis)is equivalent toDE139 (Tuberculosis)
66071002 (Type B viral hepatitis)is equivalent toDE140 (Viral hepatitis B)
70036007 (Haemophilus influenzae pneumonia)is equivalent toDE141 (Haemophilus influenzae type b)
76902006 (Tetanus)is equivalent toDE142 (Tetanus)
186150001 (Rotavirus enteritis)is equivalent toDE143 (Rotavirus)
240532009 (Human papilloma virus infection)is equivalent toDE144 (Human papillomavirus)
52947006 (Japanese encephalitis virus disease)is equivalent toDE175 (Japanese encephalitis)
398102009 (Acute poliomyelitis (disorder))is equivalent toDE146 (Poliomyelitis)
397428000 (Diphtheria (disorder))is equivalent toDE176 (Diphtheria)
16814004 (Pneumococcal infectious disease)is equivalent toDE177 (Pneumococcal disease)
36653000 (Rubella)is equivalent toDE178 (Rubella)
20927009 (Dengue hemorrhagic fever)maps to wider conceptDE179 (Dengue)
14168008 (Rabies)is equivalent toDE180 (Rabies)
7180009 (Meningitis)is equivalent toDE181 (Meningococcal)
63650001 (Cholera)is equivalent toDE182 (Cholera)
712986001 (Tickborne encephalitis)is equivalent toDE183 (Tick-borne encephalitis)
16541001 (Yellow fever)is equivalent toDE184 (Yellow fever)
840539006 (Disease caused by 2019 novel coronavirus)is equivalent toDE148 (COVID-19)
418799008 (Finding reported by subject or history provider (finding))narrowerDE92 (Reaction reported)Per the Immunizations DAK
399166001 (Fatal (qualifier value))is equivalent toDE108 (Death)
442452003 (Life threatening severity)is equivalent toDE109 (Life threatening)
21134002 (Disability)is equivalent toDE110 (Disability)
32485007 (Hospital admission)is equivalent toDE111 (Hospitalization)
276654001 (Congenital malformation)narrowerDE112 (Congenital anomaly)Per the Immunizations DAK
293104008 (Adverse reaction to immunization)maps to wider conceptDE115 (Reaction outcome)
185353001 (Appointment date)narrowerDE185 (Date/time of follow-up appointment)Per the Immunizations DAK
410671006 (Date (attribute))narrowerDE186 (Recommended follow-up date)Per the Immunizations DAK
278977008 (HIV status)is equivalent toDE204 (HIV status)
165816005 (HIV positive)is equivalent toDE205 (HIV-positive)
165815009 (HIV negative)is equivalent toDE206 (HIV-negative)
261665006 (Unknown)narrowerDE207 (Unknown)Per the Immunizations DAK
395507008 (Premature infant (finding))is equivalent toDE208 (Preterm birth)
370388006 (Patient immunocompromised)is equivalent toDE209 (Immunocompromised)
68311008 (Interferon assay)is equivalent toDE244 (IGRA)
28163009 (Skin test for tuberculosis, Tine test)is equivalent toDE245 (TST)
10828004 (Positive)narrowerDE247 (Positive)Per the Immunizations DAK
260385009 (Negative)narrowerDE248 (Negative)Per the Immunizations DAK
871740006 (Inactivated whole Human poliovirus antigen only vaccine product)is equivalent toDE213 (IPV)

Source

{
  "resourceType": "ConceptMap",
  "id": "IMMZ.D.ConceptMap",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "url": "http://smart.who.int/immunizations/ConceptMap/IMMZ.D.ConceptMap",
  "version": "0.2.0",
  "name": "IMMZ_D_ConceptMap",
  "title": "ConceptMap to and from IMMZ.D DataElements",
  "status": "active",
  "experimental": false,
  "date": "2025-01-10",
  "publisher": "WHO",
  "contact": [
    {
      "name": "WHO",
      "telecom": [
        {
          "system": "url",
          "value": "http://who.int"
        }
      ]
    }
  ],
  "description": "Mapping to and from IMMZ.D Data Dictionary to other codesystems.",
  "group": [
    {
      "source": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
      "target": "http://hl7.org/fhir/event-status",
      "element": [
        {
          "code": "DE2",
          "target": [
            {
              "code": "completed",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "DE3",
          "target": [
            {
              "code": "entered-in-error",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "DE4",
          "target": [
            {
              "code": "not-done",
              "equivalence": "equivalent"
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/event-status",
      "target": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
      "element": [
        {
          "code": "completed",
          "target": [
            {
              "code": "DE2",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "entered-in-error",
          "target": [
            {
              "code": "DE3",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "not-done",
          "target": [
            {
              "code": "DE4",
              "equivalence": "equivalent"
            }
          ]
        }
      ]
    },
    {
      "source": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
      "target": "http://terminology.hl7.org/CodeSystem/adverse-event-outcome",
      "element": [
        {
          "code": "DE116",
          "target": [
            {
              "code": "fatal",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "DE117",
          "target": [
            {
              "code": "resolved",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "DE118",
          "target": [
            {
              "code": "resolvedWithSequelae",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "DE119",
          "target": [
            {
              "code": "recovering",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "DE120",
          "target": [
            {
              "code": "ongoing",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "DE121",
          "target": [
            {
              "code": "unknown",
              "equivalence": "equivalent"
            }
          ]
        }
      ]
    },
    {
      "source": "http://terminology.hl7.org/CodeSystem/adverse-event-outcome",
      "target": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
      "element": [
        {
          "code": "fatal",
          "target": [
            {
              "code": "DE116",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "resolved",
          "target": [
            {
              "code": "DE117",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "resolvedWithSequelae",
          "target": [
            {
              "code": "DE118",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "recovering",
          "target": [
            {
              "code": "DE119",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "ongoing",
          "target": [
            {
              "code": "DE120",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "unknown",
          "target": [
            {
              "code": "DE121",
              "equivalence": "equivalent"
            }
          ]
        }
      ]
    },
    {
      "source": "http://smart.who.int/immunizations/CodeSystem/IMMZ.D",
      "target": "http://id.who.int/icd/release/11/mms",
      "element": [
        {
          "code": "DE158",
          "target": [
            {
              "code": "QC06",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "DE159",
          "target": [
            {
              "code": "QC04.Z",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "DE162",
          "target": [
            {
              "code": "QA41",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "DE163",
          "target": [
            {
              "code": "4B4Z",
              "equivalence": "wider"
            }
          ]
        },
        {
          "code": "DE200",
          "target": [
            {
              "code": "4B4Z",
              "equivalence": "wider"
            }
          ]
        },
        {
          "code": "DE164",
          "target": [
            {
              "code": "PH48",
              "equivalence": "wider"
            }
          ]
        },
        {
          "code": "DE165",
          "target": [
            {
              "code": "4B4Z",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "DE187",
          "target": [
            {
              "code": "4B4Z",
              "equivalence": "wider"
            }
          ]
        },
        {
          "code": "DE166",
          "target": [
            {
              "code": "QC44.0",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "DE167",
          "target": [
            {
              "code": "QC44.2",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "DE168",
          "target": [
            {
              "code": "1C62.1",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "DE170",
          "target": [
            {
              "code": "QB98",
              "equivalence": "narrower",
              "comment": "Per the Immunizations DAK"
            }
          ]
        },
        {
          "code": "DE188",
          "target": [
            {
              "code": "MG25",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "DE190",
          "target": [
            {
              "code": "1B1Z",
              "equivalence": "wider"
            }
          ]
        },
        {
          "code": "DE191",
          "target": [
            {
              "code": "QA48.1",
              "equivalence": "wider"
            }
          ]
        },
        {
          "code": "DE192",
          "target": [
            {
              "code": "LA02",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "DE193",
          "target": [
            {
              "code": "LB31.3",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "DE194",
          "target": [
            {
              "code": "1A40.Z",
              "equivalence": "wider"
            }
          ]
        },
        {
          "code": "DE195",
          "target": [
            {
              "code": "MG26",
              "equivalence": "wider"
            }
          ]
        },
        {
          "code": "DE86",
          "target": [
            {
              "code": "QA1Y",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "DE87",
          "target": [
            {
              "code": "QA1Y",
              "equivalence": "wider"
            }
          ]
        },
        {
          "code": "DE88",
          "target": [
            {
              "code": "QA1Y",
              "equivalence": "wider"
            }
          ]
        },
        {
          "code": "DE89",
          "target": [
            {
              "code": "QA1Y",
              "equivalence": "wider"
            }
          ]
        },
        {
          "code": "DE90",
          "target": [
            {
              "code": "QA1Y",
              "equivalence": "wider"
            }
          ]
        },
        {
          "code": "DE91",
          "target": [
            {
              "code": "QA1Y",
              "equivalence": "wider"
            }
          ]
        },
        {
          "code": "DE5",
          "target": [
            {
              "code": "QC04",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "DE6",
          "target": [
            {
              "code": "QC04.Y",
              "equivalence": "wider"
            }
          ]
        },
        {
          "code": "DE7",
          "target": [
            {
              "code": "QC04.Y",
              "equivalence": "wider"
            }
          ]
        },
        {
          "code": "DE8",
          "target": [
            {
              "code": "QC04.7",
              "equivalence": "wider"
            }
          ]
        },
        {
          "code": "DE9",
          "target": [
            {
              "code": "QC04.5",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "DE10",
          "target": [
            {
              "code": "QC04.6",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "DE11",
          "target": [
            {
              "code": "QC04.Z",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "DE12",
          "target": [
            {
              "code": "QC04.4",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "DE13",
          "target": [
            {
              "code": "QC04.3",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "DE14",
          "target": [
            {
              "code": "QC04.2",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "DE15",
          "target": [
            {
              "code": "QC04.1",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "DE16",
          "target": [
            {
              "code": "QC04.0",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "DE17",
          "target": [
            {
              "code": "QC04.Y",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "DE127",
          "target": [
            {
              "code": "1A07",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "DE128",
          "target": [
            {
              "code": "1E32",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "DE129",
          "target": [
            {
              "code": "1F03",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "DE133",
          "target": [
            {
              "code": "1C12",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "DE135",
          "target": [
            {
              "code": "1D80",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "DE136",
          "target": [
            {
              "code": "1E90",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "DE137",
          "target": [
            {
              "code": "1E50.0",
              "equivalence": "narrower",
              "comment": "Per the Immunizations DAK"
            }
          ]
        },
        {
          "code": "DE139",
          "target": [
            {
              "code": "1B1Z",
              "equivalence": "wider"
            }
          ]
        },
        {
          "code": "DE140",
          "target": [
            {
              "code": "1E50.1",
              "equivalence": "narrower",
              "comment": "Per the Immunizations DAK"
            }
          ]
        },
        {
          "code": "DE141",
          "target": [
            {
              "code": "XN0FG",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "DE142",
          "target": [
            {
              "code": "1C13",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "DE143",
          "target": [
            {
              "code": "XN6N7",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "DE144",
          "target": [
            {
              "code": "XN8JY",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "DE175",
          "target": [
            {
              "code": "1C85",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "DE146",
          "target": [
            {
              "code": "1C81",
              "equivalence": "narrower",
              "comment": "Per the Immunizations DAK"
            }
          ]
        },
        {
          "code": "DE176",
          "target": [
            {
              "code": "1C17",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "DE177",
          "target": [
            {
              "code": "CA40.07",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "DE178",
          "target": [
            {
              "code": "1F02",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "DE179",
          "target": [
            {
              "code": "1D2Z",
              "equivalence": "narrower",
              "comment": "Per the Immunizations DAK"
            }
          ]
        },
        {
          "code": "DE180",
          "target": [
            {
              "code": "1C82",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "DE181",
          "target": [
            {
              "code": "1C1C",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "DE182",
          "target": [
            {
              "code": "1A00",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "DE183",
          "target": [
            {
              "code": "1C80",
              "equivalence": "wider"
            }
          ]
        },
        {
          "code": "DE184",
          "target": [
            {
              "code": "1D47",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "DE148",
          "target": [
            {
              "code": "RA01",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "DE92",
          "target": [
            {
              "code": "PK81.7",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "DE95",
          "target": [
            {
              "code": "NE80.3",
              "equivalence": "wider"
            }
          ]
        },
        {
          "code": "DE96",
          "target": [
            {
              "code": "EH77",
              "equivalence": "narrower",
              "comment": "Per the Immunizations DAK"
            }
          ]
        },
        {
          "code": "DE98",
          "target": [
            {
              "code": "8A63.Y",
              "equivalence": "narrower",
              "comment": "Per the Immunizations DAK"
            }
          ]
        },
        {
          "code": "DE99",
          "target": [
            {
              "code": "1B75.3",
              "equivalence": "narrower",
              "comment": "Per the Immunizations DAK"
            }
          ]
        },
        {
          "code": "DE100",
          "target": [
            {
              "code": "1G40",
              "equivalence": "narrower",
              "comment": "Per the Immunizations DAK"
            }
          ]
        },
        {
          "code": "DE101",
          "target": [
            {
              "code": "8E47",
              "equivalence": "narrower",
              "comment": "Per the Immunizations DAK"
            }
          ]
        },
        {
          "code": "DE102",
          "target": [
            {
              "code": "1C45",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "DE103",
          "target": [
            {
              "code": "4A84",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "DE104",
          "target": [
            {
              "code": "MG26",
              "equivalence": "narrower",
              "comment": "Per the Immunizations DAK"
            }
          ]
        },
        {
          "code": "DE105",
          "target": [
            {
              "code": "NE80.Y",
              "equivalence": "narrower",
              "comment": "Per the Immunizations DAK"
            }
          ]
        },
        {
          "code": "DE109",
          "target": [
            {
              "code": "XS2R",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "DE110",
          "target": [
            {
              "code": "QF10",
              "equivalence": "narrower",
              "comment": "Per the Immunizations DAK"
            }
          ]
        },
        {
          "code": "DE205",
          "target": [
            {
              "code": "1C62.Z",
              "equivalence": "narrower",
              "comment": "Per the Immunizations DAK"
            }
          ]
        },
        {
          "code": "DE206",
          "target": [
            {
              "code": "QA02.Y",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "DE208",
          "target": [
            {
              "code": "KA21.4",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "DE209",
          "target": [
            {
              "code": "4B4Z",
              "equivalence": "wider"
            }
          ]
        },
        {
          "code": "DE245",
          "target": [
            {
              "code": "XM0EK6",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "DE247",
          "target": [
            {
              "code": "1B1Z",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "DE248",
          "target": [
            {
              "code": "QA02.0",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "DE211",
          "target": [
            {
              "code": "KA21",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "DE212",
          "target": [
            {
              "code": "XM0N50",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "DE213",
          "target": [
            {
              "code": "XM5V19",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "DE214",
          "target": [
            {
              "code": "XM79H3",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "DE217",
          "target": [
            {
              "code": "XM0LB5",
              "equivalence": "wider"
            }
          ]
        },
        {
          "code": "DE218",
          "target": [
            {
              "code": "XM47S0",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "DE221",
          "target": [
            {
              "code": "XM8MP6",
              "equivalence": "wider"
            }
          ]
        },
        {
          "code": "DE222",
          "target": [
            {
              "code": "XM8MP6",
              "equivalence": "wider"
            }
          ]
        },
        {
          "code": "DE223",
          "target": [
            {
              "code": "XM8MP6",
              "equivalence": "wider"
            }
          ]
        },
        {
          "code": "DE224",
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            {
              "code": "XM8MP6",
              "equivalence": "wider"
            }
          ]
        },
        {
          "code": "DE226",
          "target": [
            {
              "code": "XM8BU8",
              "equivalence": "wider"
            }
          ]
        },
        {
          "code": "DE227",
          "target": [
            {
              "code": "XM3SF6",
              "equivalence": "wider"
            }
          ]
        },
        {
          "code": "DE228",
          "target": [
            {
              "code": "XM33K4",
              "equivalence": "wider"
            }
          ]
        },
        {
          "code": "DE230",
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            {
              "code": "XM3Z26",
              "equivalence": "equivalent"
            }
          ]
        },
        {
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          "target": [
            {
              "code": "XM29K4",
              "equivalence": "wider"
            }
          ]
        },
        {
          "code": "DE233",
          "target": [
            {
              "code": "XM2280",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "DE234",
          "target": [
            {
              "code": "XM18Y8",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "DE235",
          "target": [
            {
              "code": "XM2EH7",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "DE252",
          "target": [
            {
              "code": "XM92B2",
              "equivalence": "narrower",
              "comment": "Per the Immunizations DAK"
            }
          ]
        },
        {
          "code": "DE238",
          "target": [
            {
              "code": "XM6LL6",
              "equivalence": "wider"
            }
          ]
        },
        {
          "code": "DE239",
          "target": [
            {
              "code": "XM2A12",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "DE255",
          "target": [
            {
              "code": "XM9V38",
              "equivalence": "relatedto"
            }
          ]
        }
      ]
    },
    {
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          "target": [
            {
              "code": "DE158",
              "equivalence": "relatedto"
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          ]
        },
        {
          "code": "QC04.Z",
          "target": [
            {
              "code": "DE159",
              "equivalence": "relatedto"
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          ]
        },
        {
          "code": "QA41",
          "target": [
            {
              "code": "DE162",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "4B4Z",
          "target": [
            {
              "code": "DE163",
              "equivalence": "narrower",
              "comment": "Per the Immunizations DAK"
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        },
        {
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              "code": "DE200",
              "equivalence": "narrower",
              "comment": "Per the Immunizations DAK"
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        },
        {
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            {
              "code": "DE164",
              "equivalence": "narrower",
              "comment": "Per the Immunizations DAK"
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        {
          "code": "4B4Z",
          "target": [
            {
              "code": "DE165",
              "equivalence": "relatedto"
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        },
        {
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              "code": "DE187",
              "equivalence": "narrower",
              "comment": "Per the Immunizations DAK"
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        },
        {
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              "code": "DE166",
              "equivalence": "equivalent"
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          ]
        },
        {
          "code": "QC44.2",
          "target": [
            {
              "code": "DE167",
              "equivalence": "relatedto"
            }
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        },
        {
          "code": "1C62.1",
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            {
              "code": "DE168",
              "equivalence": "equivalent"
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          ]
        },
        {
          "code": "QB98",
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            {
              "code": "DE170",
              "equivalence": "wider"
            }
          ]
        },
        {
          "code": "MG25",
          "target": [
            {
              "code": "DE188",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "1B1Z",
          "target": [
            {
              "code": "DE190",
              "equivalence": "narrower",
              "comment": "Per the Immunizations DAK"
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        },
        {
          "code": "QA48.1",
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            {
              "code": "DE191",
              "equivalence": "narrower",
              "comment": "Per the Immunizations DAK"
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        },
        {
          "code": "LA02",
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            {
              "code": "DE192",
              "equivalence": "equivalent"
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        },
        {
          "code": "LB31.3",
          "target": [
            {
              "code": "DE193",
              "equivalence": "equivalent"
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        },
        {
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            {
              "code": "DE194",
              "equivalence": "narrower",
              "comment": "Per the Immunizations DAK"
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        {
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            {
              "code": "DE195",
              "equivalence": "narrower",
              "comment": "Per the Immunizations DAK"
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        {
          "code": "QA1Y",
          "target": [
            {
              "code": "DE86",
              "equivalence": "equivalent"
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        },
        {
          "code": "QA1Y",
          "target": [
            {
              "code": "DE87",
              "equivalence": "narrower",
              "comment": "Per the Immunizations DAK"
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              "code": "DE88",
              "equivalence": "narrower",
              "comment": "Per the Immunizations DAK"
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        {
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              "code": "DE89",
              "equivalence": "narrower",
              "comment": "Per the Immunizations DAK"
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        {
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              "code": "DE90",
              "equivalence": "narrower",
              "comment": "Per the Immunizations DAK"
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        },
        {
          "code": "QA1Y",
          "target": [
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              "code": "DE91",
              "equivalence": "narrower",
              "comment": "Per the Immunizations DAK"
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          ]
        },
        {
          "code": "QC04",
          "target": [
            {
              "code": "DE5",
              "equivalence": "relatedto"
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        },
        {
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            {
              "code": "DE6",
              "equivalence": "narrower",
              "comment": "Per the Immunizations DAK"
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        },
        {
          "code": "QC04.Y",
          "target": [
            {
              "code": "DE7",
              "equivalence": "narrower",
              "comment": "Per the Immunizations DAK"
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        },
        {
          "code": "QC04.7",
          "target": [
            {
              "code": "DE8",
              "equivalence": "narrower",
              "comment": "Per the Immunizations DAK"
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          ]
        },
        {
          "code": "QC04.5",
          "target": [
            {
              "code": "DE9",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "QC04.6",
          "target": [
            {
              "code": "DE10",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "QC04.Z",
          "target": [
            {
              "code": "DE11",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "QC04.4",
          "target": [
            {
              "code": "DE12",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "QC04.3",
          "target": [
            {
              "code": "DE13",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "QC04.2",
          "target": [
            {
              "code": "DE14",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "QC04.1",
          "target": [
            {
              "code": "DE15",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "QC04.0",
          "target": [
            {
              "code": "DE16",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "QC04.Y",
          "target": [
            {
              "code": "DE17",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "1A07",
          "target": [
            {
              "code": "DE127",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "1E32",
          "target": [
            {
              "code": "DE128",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "1F03",
          "target": [
            {
              "code": "DE129",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "1C12",
          "target": [
            {
              "code": "DE133",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "1D80",
          "target": [
            {
              "code": "DE135",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "1E90",
          "target": [
            {
              "code": "DE136",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "1E50.0",
          "target": [
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              "code": "DE137",
              "equivalence": "wider"
            }
          ]
        },
        {
          "code": "1B1Z",
          "target": [
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              "code": "DE139",
              "equivalence": "narrower",
              "comment": "Per the Immunizations DAK"
            }
          ]
        },
        {
          "code": "1E50.1",
          "target": [
            {
              "code": "DE140",
              "equivalence": "wider"
            }
          ]
        },
        {
          "code": "XN0FG",
          "target": [
            {
              "code": "DE141",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "1C13",
          "target": [
            {
              "code": "DE142",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "XN6N7",
          "target": [
            {
              "code": "DE143",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "XN8JY",
          "target": [
            {
              "code": "DE144",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "1C85",
          "target": [
            {
              "code": "DE175",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "1C81",
          "target": [
            {
              "code": "DE146",
              "equivalence": "wider"
            }
          ]
        },
        {
          "code": "1C17",
          "target": [
            {
              "code": "DE176",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "CA40.07",
          "target": [
            {
              "code": "DE177",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "1F02",
          "target": [
            {
              "code": "DE178",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "1D2Z",
          "target": [
            {
              "code": "DE179",
              "equivalence": "wider"
            }
          ]
        },
        {
          "code": "1C82",
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            {
              "code": "DE180",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "1C1C",
          "target": [
            {
              "code": "DE181",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "1A00",
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            {
              "code": "DE182",
              "equivalence": "equivalent"
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          ]
        },
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              "code": "DE183",
              "equivalence": "narrower",
              "comment": "Per the Immunizations DAK"
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          ]
        },
        {
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              "code": "DE184",
              "equivalence": "equivalent"
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          ]
        },
        {
          "code": "RA01",
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            {
              "code": "DE148",
              "equivalence": "equivalent"
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          ]
        },
        {
          "code": "PK81.7",
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            {
              "code": "DE92",
              "equivalence": "relatedto"
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        },
        {
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              "code": "DE95",
              "equivalence": "narrower",
              "comment": "Per the Immunizations DAK"
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        },
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              "code": "DE96",
              "equivalence": "wider"
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        },
        {
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              "equivalence": "wider"
            }
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        },
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              "code": "DE99",
              "equivalence": "wider"
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              "code": "DE100",
              "equivalence": "wider"
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          ]
        },
        {
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          "target": [
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              "code": "DE101",
              "equivalence": "wider"
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          ]
        },
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              "code": "DE102",
              "equivalence": "equivalent"
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        },
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              "code": "DE103",
              "equivalence": "equivalent"
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        },
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              "equivalence": "wider"
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        },
        {
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              "equivalence": "wider"
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          ]
        },
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        },
        {
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              "code": "DE110",
              "equivalence": "wider"
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          ]
        },
        {
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              "equivalence": "wider"
            }
          ]
        },
        {
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              "code": "DE206",
              "equivalence": "relatedto"
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          ]
        },
        {
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              "code": "DE208",
              "equivalence": "equivalent"
            }
          ]
        },
        {
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              "code": "DE209",
              "equivalence": "narrower",
              "comment": "Per the Immunizations DAK"
            }
          ]
        },
        {
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            {
              "code": "DE245",
              "equivalence": "equivalent"
            }
          ]
        },
        {
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          "target": [
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              "code": "DE247",
              "equivalence": "relatedto"
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          ]
        },
        {
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            {
              "code": "DE248",
              "equivalence": "relatedto"
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          ]
        },
        {
          "code": "KA21",
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            {
              "code": "DE211",
              "equivalence": "relatedto"
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          ]
        },
        {
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              "code": "DE212",
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          ]
        },
        {
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            {
              "code": "DE213",
              "equivalence": "equivalent"
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          ]
        },
        {
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              "code": "DE214",
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          ]
        },
        {
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              "code": "DE217",
              "equivalence": "narrower",
              "comment": "Per the Immunizations DAK"
            }
          ]
        },
        {
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              "code": "DE218",
              "equivalence": "equivalent"
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          ]
        },
        {
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              "equivalence": "narrower",
              "comment": "Per the Immunizations DAK"
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              "equivalence": "narrower",
              "comment": "Per the Immunizations DAK"
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        {
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              "equivalence": "narrower",
              "comment": "Per the Immunizations DAK"
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              "equivalence": "narrower",
              "comment": "Per the Immunizations DAK"
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          ]
        },
        {
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              "equivalence": "narrower",
              "comment": "Per the Immunizations DAK"
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        {
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              "equivalence": "narrower",
              "comment": "Per the Immunizations DAK"
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        {
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              "code": "DE228",
              "equivalence": "narrower",
              "comment": "Per the Immunizations DAK"
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        {
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              "code": "DE230",
              "equivalence": "equivalent"
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        {
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              "code": "DE231",
              "equivalence": "narrower",
              "comment": "Per the Immunizations DAK"
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          ]
        },
        {
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            {
              "code": "DE233",
              "equivalence": "equivalent"
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          ]
        },
        {
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            {
              "code": "DE234",
              "equivalence": "equivalent"
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        {
          "code": "XM2EH7",
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              "code": "DE235",
              "equivalence": "equivalent"
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        },
        {
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              "code": "DE252",
              "equivalence": "wider"
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        {
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              "code": "DE238",
              "equivalence": "narrower",
              "comment": "Per the Immunizations DAK"
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          ]
        },
        {
          "code": "XM2A12",
          "target": [
            {
              "code": "DE239",
              "equivalence": "equivalent"
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          ]
        },
        {
          "code": "XM9V38",
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              "equivalence": "relatedto"
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