410047003: traumatische open luxatie van gewricht van schouderregio (aandoening)

• SNOMED CT Concept\Clinical finding (finding)\...
• \Finding of limb structure\Disorder of limb (disorder)\Traumatic injury of limb (disorder)\Traumatic injury of shoulder (disorder)\Open wound of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Finding of limb structure\Disorder of limb (disorder)\Traumatic injury of limb (disorder)\Open wound of limb\Open wound of upper limb\Open wound of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Finding of limb structure\Disorder of limb (disorder)\Disorder of upper limb (disorder)\Dislocation of joint of upper limb\Traumatic dislocation of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Finding of limb structure\Disorder of limb (disorder)\Disorder of upper limb (disorder)\Injury of upper extremity\Injury of shoulder and/or upper arm\Injury of shoulder region\Traumatic injury of shoulder (disorder)\Open wound of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Finding of limb structure\Disorder of limb (disorder)\Disorder of upper limb (disorder)\Injury of upper extremity\Injury of shoulder and/or upper arm\Injury of shoulder region\Traumatic arthropathy of the shoulder region\Traumatic dislocation of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Finding of limb structure\Disorder of limb (disorder)\Disorder of upper limb (disorder)\Injury of upper extremity\Traumatic arthropathy of upper extremity (disorder)\Traumatic arthropathy of the shoulder region\Traumatic dislocation of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Finding of limb structure\Disorder of limb (disorder)\Disorder of upper limb (disorder)\Injury of upper extremity\Open wound of upper limb\Open wound of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Finding of limb structure\Disorder of limb (disorder)\Disorder of upper limb (disorder)\Disorder of shoulder region (disorder)\Disorder of joint of shoulder region (disorder)\Traumatic arthropathy of the shoulder region\Traumatic dislocation of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Finding of limb structure\Disorder of limb (disorder)\Disorder of upper limb (disorder)\Disorder of shoulder region (disorder)\Injury of shoulder region\Traumatic injury of shoulder (disorder)\Open wound of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Finding of limb structure\Disorder of limb (disorder)\Disorder of upper limb (disorder)\Disorder of shoulder region (disorder)\Injury of shoulder region\Traumatic arthropathy of the shoulder region\Traumatic dislocation of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Finding of limb structure\Finding of upper limb\Disorder of upper limb (disorder)\Dislocation of joint of upper limb\Traumatic dislocation of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Finding of limb structure\Finding of upper limb\Disorder of upper limb (disorder)\Injury of upper extremity\Injury of shoulder and/or upper arm\Injury of shoulder region\Traumatic injury of shoulder (disorder)\Open wound of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Finding of limb structure\Finding of upper limb\Disorder of upper limb (disorder)\Injury of upper extremity\Injury of shoulder and/or upper arm\Injury of shoulder region\Traumatic arthropathy of the shoulder region\Traumatic dislocation of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Finding of limb structure\Finding of upper limb\Disorder of upper limb (disorder)\Injury of upper extremity\Traumatic arthropathy of upper extremity (disorder)\Traumatic arthropathy of the shoulder region\Traumatic dislocation of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Finding of limb structure\Finding of upper limb\Disorder of upper limb (disorder)\Injury of upper extremity\Open wound of upper limb\Open wound of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Finding of limb structure\Finding of upper limb\Disorder of upper limb (disorder)\Disorder of shoulder region (disorder)\Disorder of joint of shoulder region (disorder)\Traumatic arthropathy of the shoulder region\Traumatic dislocation of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Finding of limb structure\Finding of upper limb\Disorder of upper limb (disorder)\Disorder of shoulder region (disorder)\Injury of shoulder region\Traumatic injury of shoulder (disorder)\Open wound of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Finding of limb structure\Finding of upper limb\Disorder of upper limb (disorder)\Disorder of shoulder region (disorder)\Injury of shoulder region\Traumatic arthropathy of the shoulder region\Traumatic dislocation of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Finding of limb structure\Finding of upper limb\Finding of shoulder region\Disorder of shoulder region (disorder)\Disorder of joint of shoulder region (disorder)\Traumatic arthropathy of the shoulder region\Traumatic dislocation of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Finding of limb structure\Finding of upper limb\Finding of shoulder region\Disorder of shoulder region (disorder)\Injury of shoulder region\Traumatic injury of shoulder (disorder)\Open wound of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Finding of limb structure\Finding of upper limb\Finding of shoulder region\Disorder of shoulder region (disorder)\Injury of shoulder region\Traumatic arthropathy of the shoulder region\Traumatic dislocation of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Wound finding\Wound (disorder)\Open wound (disorder)\...
• \Open traumatic dislocation of joint (disorder)\Open dislocation of shoulder region (disorder)
• \Open wound of limb\Open wound of upper limb\Open wound of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Musculoskeletal finding\Joint finding\Arthropathy (disorder)\Disorder of joint of shoulder region (disorder)\Traumatic arthropathy of the shoulder region\Traumatic dislocation of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Musculoskeletal finding\Joint finding\Arthropathy (disorder)\Lesion of joint\Open traumatic dislocation of joint (disorder)\Open dislocation of shoulder region (disorder)
• \Musculoskeletal finding\Joint finding\Arthropathy (disorder)\Joint injury\Traumatic arthropathy\Traumatic arthropathy of upper extremity (disorder)\Traumatic arthropathy of the shoulder region\Traumatic dislocation of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Musculoskeletal finding\Joint finding\Arthropathy (disorder)\Joint injury\Traumatic arthropathy\Traumatic dislocation of joint\Open traumatic dislocation of joint (disorder)\Open dislocation of shoulder region (disorder)
• \Musculoskeletal finding\Joint finding\Arthropathy (disorder)\Joint injury\Traumatic arthropathy\Traumatic dislocation of joint\Traumatic dislocation of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Musculoskeletal finding\Joint finding\Arthropathy (disorder)\Dislocation of joint\Dislocation of joint of upper limb\Traumatic dislocation of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Musculoskeletal finding\Joint finding\Arthropathy (disorder)\Dislocation of joint\Traumatic dislocation of joint\Open traumatic dislocation of joint (disorder)\Open dislocation of shoulder region (disorder)
• \Musculoskeletal finding\Joint finding\Arthropathy (disorder)\Dislocation of joint\Traumatic dislocation of joint\Traumatic dislocation of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Musculoskeletal finding\Disorder of musculoskeletal system\Injury of musculoskeletal system\Joint injury\Traumatic arthropathy\Traumatic arthropathy of upper extremity (disorder)\Traumatic arthropathy of the shoulder region\Traumatic dislocation of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Musculoskeletal finding\Disorder of musculoskeletal system\Injury of musculoskeletal system\Joint injury\Traumatic arthropathy\Traumatic dislocation of joint\Open traumatic dislocation of joint (disorder)\Open dislocation of shoulder region (disorder)
• \Musculoskeletal finding\Disorder of musculoskeletal system\Injury of musculoskeletal system\Joint injury\Traumatic arthropathy\Traumatic dislocation of joint\Traumatic dislocation of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Musculoskeletal finding\Disorder of musculoskeletal system\Disorder of skeletal system\Arthropathy (disorder)\Disorder of joint of shoulder region (disorder)\Traumatic arthropathy of the shoulder region\Traumatic dislocation of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Musculoskeletal finding\Disorder of musculoskeletal system\Disorder of skeletal system\Arthropathy (disorder)\Lesion of joint\Open traumatic dislocation of joint (disorder)\Open dislocation of shoulder region (disorder)
• \Musculoskeletal finding\Disorder of musculoskeletal system\Disorder of skeletal system\Arthropathy (disorder)\Joint injury\Traumatic arthropathy\Traumatic arthropathy of upper extremity (disorder)\Traumatic arthropathy of the shoulder region\Traumatic dislocation of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Musculoskeletal finding\Disorder of musculoskeletal system\Disorder of skeletal system\Arthropathy (disorder)\Joint injury\Traumatic arthropathy\Traumatic dislocation of joint\Open traumatic dislocation of joint (disorder)\Open dislocation of shoulder region (disorder)
• \Musculoskeletal finding\Disorder of musculoskeletal system\Disorder of skeletal system\Arthropathy (disorder)\Joint injury\Traumatic arthropathy\Traumatic dislocation of joint\Traumatic dislocation of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Musculoskeletal finding\Disorder of musculoskeletal system\Disorder of skeletal system\Arthropathy (disorder)\Dislocation of joint\Dislocation of joint of upper limb\Traumatic dislocation of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Musculoskeletal finding\Disorder of musculoskeletal system\Disorder of skeletal system\Arthropathy (disorder)\Dislocation of joint\Traumatic dislocation of joint\Open traumatic dislocation of joint (disorder)\Open dislocation of shoulder region (disorder)
• \Musculoskeletal finding\Disorder of musculoskeletal system\Disorder of skeletal system\Arthropathy (disorder)\Dislocation of joint\Traumatic dislocation of joint\Traumatic dislocation of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Disease\Disorder of joint region\Arthropathy (disorder)\Disorder of joint of shoulder region (disorder)\Traumatic arthropathy of the shoulder region\Traumatic dislocation of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Disease\Disorder of joint region\Arthropathy (disorder)\Lesion of joint\Open traumatic dislocation of joint (disorder)\Open dislocation of shoulder region (disorder)
• \Disease\Disorder of joint region\Arthropathy (disorder)\Joint injury\Traumatic arthropathy\Traumatic arthropathy of upper extremity (disorder)\Traumatic arthropathy of the shoulder region\Traumatic dislocation of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Disease\Disorder of joint region\Arthropathy (disorder)\Joint injury\Traumatic arthropathy\Traumatic dislocation of joint\Open traumatic dislocation of joint (disorder)\Open dislocation of shoulder region (disorder)
• \Disease\Disorder of joint region\Arthropathy (disorder)\Joint injury\Traumatic arthropathy\Traumatic dislocation of joint\Traumatic dislocation of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Disease\Disorder of joint region\Arthropathy (disorder)\Dislocation of joint\Dislocation of joint of upper limb\Traumatic dislocation of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Disease\Disorder of joint region\Arthropathy (disorder)\Dislocation of joint\Traumatic dislocation of joint\Open traumatic dislocation of joint (disorder)\Open dislocation of shoulder region (disorder)
• \Disease\Disorder of joint region\Arthropathy (disorder)\Dislocation of joint\Traumatic dislocation of joint\Traumatic dislocation of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Disease\Disorder of joint region\Disorder of shoulder region (disorder)\Disorder of joint of shoulder region (disorder)\Traumatic arthropathy of the shoulder region\Traumatic dislocation of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Disease\Disorder of joint region\Disorder of shoulder region (disorder)\Injury of shoulder region\Traumatic injury of shoulder (disorder)\Open wound of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Disease\Disorder of joint region\Disorder of shoulder region (disorder)\Injury of shoulder region\Traumatic arthropathy of the shoulder region\Traumatic dislocation of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Disease\Traumatic or non-traumatic injury (disorder)\Traumatic injury (disorder)\Traumatic injury of limb (disorder)\Traumatic injury of shoulder (disorder)\Open wound of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Disease\Traumatic or non-traumatic injury (disorder)\Traumatic injury (disorder)\Traumatic injury of limb (disorder)\Open wound of limb\Open wound of upper limb\Open wound of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Disease\Traumatic or non-traumatic injury (disorder)\Traumatic injury (disorder)\Open wound (disorder)\Open traumatic dislocation of joint (disorder)\Open dislocation of shoulder region (disorder)
• \Disease\Traumatic or non-traumatic injury (disorder)\Traumatic injury (disorder)\Open wound (disorder)\Open wound of limb\Open wound of upper limb\Open wound of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Disease\Traumatic or non-traumatic injury (disorder)\Traumatic injury (disorder)\Traumatic arthropathy\Traumatic arthropathy of upper extremity (disorder)\Traumatic arthropathy of the shoulder region\Traumatic dislocation of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Disease\Traumatic or non-traumatic injury (disorder)\Traumatic injury (disorder)\Traumatic arthropathy\Traumatic dislocation of joint\Open traumatic dislocation of joint (disorder)\Open dislocation of shoulder region (disorder)
• \Disease\Traumatic or non-traumatic injury (disorder)\Traumatic injury (disorder)\Traumatic arthropathy\Traumatic dislocation of joint\Traumatic dislocation of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Disease\Traumatic or non-traumatic injury (disorder)\Wound (disorder)\Open wound (disorder)\Open traumatic dislocation of joint (disorder)\Open dislocation of shoulder region (disorder)
• \Disease\Traumatic or non-traumatic injury (disorder)\Wound (disorder)\Open wound (disorder)\Open wound of limb\Open wound of upper limb\Open wound of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Disease\Traumatic or non-traumatic injury (disorder)\Injury of upper extremity\Injury of shoulder and/or upper arm\Injury of shoulder region\Traumatic injury of shoulder (disorder)\Open wound of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Disease\Traumatic or non-traumatic injury (disorder)\Injury of upper extremity\Injury of shoulder and/or upper arm\Injury of shoulder region\Traumatic arthropathy of the shoulder region\Traumatic dislocation of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Disease\Traumatic or non-traumatic injury (disorder)\Injury of upper extremity\Traumatic arthropathy of upper extremity (disorder)\Traumatic arthropathy of the shoulder region\Traumatic dislocation of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Disease\Traumatic or non-traumatic injury (disorder)\Injury of upper extremity\Open wound of upper limb\Open wound of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Disease\Traumatic or non-traumatic injury (disorder)\Injury of musculoskeletal system\Joint injury\Traumatic arthropathy\Traumatic arthropathy of upper extremity (disorder)\Traumatic arthropathy of the shoulder region\Traumatic dislocation of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Disease\Traumatic or non-traumatic injury (disorder)\Injury of musculoskeletal system\Joint injury\Traumatic arthropathy\Traumatic dislocation of joint\Open traumatic dislocation of joint (disorder)\Open dislocation of shoulder region (disorder)
• \Disease\Traumatic or non-traumatic injury (disorder)\Injury of musculoskeletal system\Joint injury\Traumatic arthropathy\Traumatic dislocation of joint\Traumatic dislocation of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Disease\Disorder of body system\Disorder of musculoskeletal system\Injury of musculoskeletal system\Joint injury\Traumatic arthropathy\Traumatic arthropathy of upper extremity (disorder)\Traumatic arthropathy of the shoulder region\Traumatic dislocation of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Disease\Disorder of body system\Disorder of musculoskeletal system\Injury of musculoskeletal system\Joint injury\Traumatic arthropathy\Traumatic dislocation of joint\Open traumatic dislocation of joint (disorder)\Open dislocation of shoulder region (disorder)
• \Disease\Disorder of body system\Disorder of musculoskeletal system\Injury of musculoskeletal system\Joint injury\Traumatic arthropathy\Traumatic dislocation of joint\Traumatic dislocation of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Disease\Disorder of body system\Disorder of musculoskeletal system\Disorder of skeletal system\Arthropathy (disorder)\Disorder of joint of shoulder region (disorder)\Traumatic arthropathy of the shoulder region\Traumatic dislocation of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Disease\Disorder of body system\Disorder of musculoskeletal system\Disorder of skeletal system\Arthropathy (disorder)\Lesion of joint\Open traumatic dislocation of joint (disorder)\Open dislocation of shoulder region (disorder)
• \Disease\Disorder of body system\Disorder of musculoskeletal system\Disorder of skeletal system\Arthropathy (disorder)\Joint injury\Traumatic arthropathy\Traumatic arthropathy of upper extremity (disorder)\Traumatic arthropathy of the shoulder region\Traumatic dislocation of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Disease\Disorder of body system\Disorder of musculoskeletal system\Disorder of skeletal system\Arthropathy (disorder)\Joint injury\Traumatic arthropathy\Traumatic dislocation of joint\Open traumatic dislocation of joint (disorder)\Open dislocation of shoulder region (disorder)
• \Disease\Disorder of body system\Disorder of musculoskeletal system\Disorder of skeletal system\Arthropathy (disorder)\Joint injury\Traumatic arthropathy\Traumatic dislocation of joint\Traumatic dislocation of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Disease\Disorder of body system\Disorder of musculoskeletal system\Disorder of skeletal system\Arthropathy (disorder)\Dislocation of joint\Dislocation of joint of upper limb\Traumatic dislocation of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Disease\Disorder of body system\Disorder of musculoskeletal system\Disorder of skeletal system\Arthropathy (disorder)\Dislocation of joint\Traumatic dislocation of joint\Open traumatic dislocation of joint (disorder)\Open dislocation of shoulder region (disorder)
• \Disease\Disorder of body system\Disorder of musculoskeletal system\Disorder of skeletal system\Arthropathy (disorder)\Dislocation of joint\Traumatic dislocation of joint\Traumatic dislocation of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Disease\Disorder of limb (disorder)\Traumatic injury of limb (disorder)\Traumatic injury of shoulder (disorder)\Open wound of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Disease\Disorder of limb (disorder)\Traumatic injury of limb (disorder)\Open wound of limb\Open wound of upper limb\Open wound of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Disease\Disorder of limb (disorder)\Disorder of upper limb (disorder)\Dislocation of joint of upper limb\Traumatic dislocation of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Disease\Disorder of limb (disorder)\Disorder of upper limb (disorder)\Injury of upper extremity\Injury of shoulder and/or upper arm\Injury of shoulder region\Traumatic injury of shoulder (disorder)\Open wound of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Disease\Disorder of limb (disorder)\Disorder of upper limb (disorder)\Injury of upper extremity\Injury of shoulder and/or upper arm\Injury of shoulder region\Traumatic arthropathy of the shoulder region\Traumatic dislocation of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Disease\Disorder of limb (disorder)\Disorder of upper limb (disorder)\Injury of upper extremity\Traumatic arthropathy of upper extremity (disorder)\Traumatic arthropathy of the shoulder region\Traumatic dislocation of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Disease\Disorder of limb (disorder)\Disorder of upper limb (disorder)\Injury of upper extremity\Open wound of upper limb\Open wound of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Disease\Disorder of limb (disorder)\Disorder of upper limb (disorder)\Disorder of shoulder region (disorder)\Disorder of joint of shoulder region (disorder)\Traumatic arthropathy of the shoulder region\Traumatic dislocation of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Disease\Disorder of limb (disorder)\Disorder of upper limb (disorder)\Disorder of shoulder region (disorder)\Injury of shoulder region\Traumatic injury of shoulder (disorder)\Open wound of shoulder region (disorder)\Open dislocation of shoulder region (disorder)
• \Disease\Disorder of limb (disorder)\Disorder of upper limb (disorder)\Disorder of shoulder region (disorder)\Injury of shoulder region\Traumatic arthropathy of the shoulder region\Traumatic dislocation of shoulder region (disorder)\Open dislocation of shoulder region (disorder)

Status: current, Sufficiently defined by necessary conditions definition status (core metadata concept). Date: 31-Jul 2005. Module: SNOMED CT core

Descriptions:

Id	Description	Lang	Type	Status	Case?	Module
2465498012	Open dislocation of shoulder region (disorder)	en	Fully specified name	Active	Entire term case insensitive (core metadata concept)	SNOMED CT core
2471774012	Open dislocation of shoulder region	en	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT core
4828831000146116	traumatische open luxatie van gewricht van schouderregio	nl	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT Netherlands NRC maintained module (core metadata concept)
4828841000146112	traumatische open luxatie van gewricht van schouderregio (aandoening)	nl	Fully specified name	Active	Entire term case insensitive (core metadata concept)	SNOMED CT Netherlands NRC maintained module (core metadata concept)
4828851000146110	traumatische open luxatie van gewricht van schoudergebied	nl	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT Netherlands NRC maintained module (core metadata concept)

Expanded Value Set

This concept is not in any reference sets

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