<status value="active"/> <date value="2010-03-22"/> <description value="Represents the patient's status with respect to their immunization guideline as of an evaluation date."/> <compose> <include> <system value="http://snomed.info/sct"/> <concept> <code value="171258008"/> </concept> <concept> <code value="171279008"/> </concept> <concept> <code value="171259000"/> </concept> </include> </compose> </ValueSet>