93566002: onvolledige ossificatie van arcus van sacrale wervel (aandoening)

• SNOMED CT Concept\Clinical finding (finding)\...
• \Finding of back (finding)\Finding of sacral region (finding)\Sacral spine finding\Disorder of sacrum (disorder)\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Finding of back (finding)\Finding of spinal region\Disorder of spinal region (disorder)\Congenital anomaly of vertebral region of back\Congenital anomaly of spine\Incomplete ossification of vertebra (disorder)\Incomplete ossification of arch of sacral vertebra
• \Finding of back (finding)\Finding of spinal region\Disorder of spinal region (disorder)\Congenital anomaly of vertebral region of back\Congenital anomaly of spine\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Finding of back (finding)\Finding of spinal region\Disorder of spinal region (disorder)\Disorder of vertebral column (disorder)\Incomplete ossification of vertebra (disorder)\Incomplete ossification of arch of sacral vertebra
• \Finding of back (finding)\Finding of spinal region\Disorder of spinal region (disorder)\Disorder of vertebral column (disorder)\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Finding of back (finding)\Finding of spinal region\Disorder of spinal region (disorder)\Disorder of sacrum (disorder)\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Finding of back (finding)\Finding of spinal region\Vertebral column finding\Disorder of vertebral column (disorder)\Incomplete ossification of vertebra (disorder)\Incomplete ossification of arch of sacral vertebra
• \Finding of back (finding)\Finding of spinal region\Vertebral column finding\Disorder of vertebral column (disorder)\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Finding of back (finding)\Finding of spinal region\Vertebral column finding\Finding of vertebra\Incomplete ossification of vertebra (disorder)\Incomplete ossification of arch of sacral vertebra
• \Finding of back (finding)\Finding of spinal region\Vertebral column finding\Finding of vertebra\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Finding of back (finding)\Finding of spinal region\Sacral spine finding\Disorder of sacrum (disorder)\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Finding of back (finding)\Disorder of back\Disorder of spinal region (disorder)\Congenital anomaly of vertebral region of back\Congenital anomaly of spine\Incomplete ossification of vertebra (disorder)\Incomplete ossification of arch of sacral vertebra
• \Finding of back (finding)\Disorder of back\Disorder of spinal region (disorder)\Congenital anomaly of vertebral region of back\Congenital anomaly of spine\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Finding of back (finding)\Disorder of back\Disorder of spinal region (disorder)\Disorder of vertebral column (disorder)\Incomplete ossification of vertebra (disorder)\Incomplete ossification of arch of sacral vertebra
• \Finding of back (finding)\Disorder of back\Disorder of spinal region (disorder)\Disorder of vertebral column (disorder)\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Finding of back (finding)\Disorder of back\Disorder of spinal region (disorder)\Disorder of sacrum (disorder)\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Finding of back (finding)\Disorder of back\Congenital anomaly of back\Congenital anomaly of vertebral region of back\Congenital anomaly of spine\Incomplete ossification of vertebra (disorder)\Incomplete ossification of arch of sacral vertebra
• \Finding of back (finding)\Disorder of back\Congenital anomaly of back\Congenital anomaly of vertebral region of back\Congenital anomaly of spine\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Finding of trunk structure\Finding of abdominopelvic segment of trunk (finding)\Disorder of abdominopelvic segment of trunk\Disorder of pelvic region of trunk (disorder)\Disorder of pelvis\Congenital anomaly of the pelvis\Congenital anomaly of pelvic bones\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Finding of trunk structure\Finding of abdominopelvic segment of trunk (finding)\Disorder of abdominopelvic segment of trunk\Disorder of pelvic region of trunk (disorder)\Disorder of pelvis\Disorder of sacrum (disorder)\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Finding of trunk structure\Finding of abdominopelvic segment of trunk (finding)\Disorder of abdominopelvic segment of trunk\Congenital anomaly of lower trunk\Congenital anomaly of the pelvis\Congenital anomaly of pelvic bones\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Finding of trunk structure\Finding of abdominopelvic segment of trunk (finding)\Finding of pelvic region of trunk (finding)\Finding of pelvis (finding)\Finding of sacral region (finding)\Sacral spine finding\Disorder of sacrum (disorder)\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Finding of trunk structure\Finding of abdominopelvic segment of trunk (finding)\Finding of pelvic region of trunk (finding)\Finding of pelvis (finding)\Disorder of pelvis\Congenital anomaly of the pelvis\Congenital anomaly of pelvic bones\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Finding of trunk structure\Finding of abdominopelvic segment of trunk (finding)\Finding of pelvic region of trunk (finding)\Finding of pelvis (finding)\Disorder of pelvis\Disorder of sacrum (disorder)\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Finding of trunk structure\Finding of abdominopelvic segment of trunk (finding)\Finding of pelvic region of trunk (finding)\Finding of pelvis (finding)\Finding of bone of pelvis (finding)\Congenital anomaly of pelvic bones\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Finding of trunk structure\Finding of abdominopelvic segment of trunk (finding)\Finding of pelvic region of trunk (finding)\Disorder of pelvic region of trunk (disorder)\Disorder of pelvis\Congenital anomaly of the pelvis\Congenital anomaly of pelvic bones\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Finding of trunk structure\Finding of abdominopelvic segment of trunk (finding)\Finding of pelvic region of trunk (finding)\Disorder of pelvic region of trunk (disorder)\Disorder of pelvis\Disorder of sacrum (disorder)\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Finding of trunk structure\Disorder of trunk (disorder)\Disorder of abdominopelvic segment of trunk\Disorder of pelvic region of trunk (disorder)\Disorder of pelvis\Congenital anomaly of the pelvis\Congenital anomaly of pelvic bones\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Finding of trunk structure\Disorder of trunk (disorder)\Disorder of abdominopelvic segment of trunk\Disorder of pelvic region of trunk (disorder)\Disorder of pelvis\Disorder of sacrum (disorder)\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Finding of trunk structure\Disorder of trunk (disorder)\Disorder of abdominopelvic segment of trunk\Congenital anomaly of lower trunk\Congenital anomaly of the pelvis\Congenital anomaly of pelvic bones\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Finding of trunk structure\Disorder of trunk (disorder)\Congenital anomaly of trunk\Congenital anomaly of musculoskeletal structure of trunk\Congenital anomaly of pelvic bones\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Finding of trunk structure\Disorder of trunk (disorder)\Congenital anomaly of trunk\Congenital anomaly of lower trunk\Congenital anomaly of the pelvis\Congenital anomaly of pelvic bones\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Musculoskeletal finding\Vertebral column finding\Disorder of vertebral column (disorder)\Incomplete ossification of vertebra (disorder)\Incomplete ossification of arch of sacral vertebra
• \Musculoskeletal finding\Vertebral column finding\Disorder of vertebral column (disorder)\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Musculoskeletal finding\Vertebral column finding\Finding of vertebra\Incomplete ossification of vertebra (disorder)\Incomplete ossification of arch of sacral vertebra
• \Musculoskeletal finding\Vertebral column finding\Finding of vertebra\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Musculoskeletal finding\Bone finding\Finding of bone of pelvis (finding)\Congenital anomaly of pelvic bones\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Musculoskeletal finding\Bone finding\Finding of vertebra\Incomplete ossification of vertebra (disorder)\Incomplete ossification of arch of sacral vertebra
• \Musculoskeletal finding\Bone finding\Finding of vertebra\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Musculoskeletal finding\Bone finding\Disorder of bone (disorder)\Disorder of bone development (disorder)\Congenital anomaly of skeletal bone\Incomplete ossification\Incomplete ossification of vertebra (disorder)\Incomplete ossification of arch of sacral vertebra
• \Musculoskeletal finding\Bone finding\Disorder of bone (disorder)\Disorder of bone development (disorder)\Congenital anomaly of skeletal bone\Congenital anomaly of pelvic bones\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Musculoskeletal finding\Disorder of musculoskeletal system\Disorder of skeletal system\Disorder of vertebral column (disorder)\Incomplete ossification of vertebra (disorder)\Incomplete ossification of arch of sacral vertebra
• \Musculoskeletal finding\Disorder of musculoskeletal system\Disorder of skeletal system\Disorder of vertebral column (disorder)\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Musculoskeletal finding\Disorder of musculoskeletal system\Disorder of skeletal system\Disorder of bone (disorder)\Disorder of bone development (disorder)\Congenital anomaly of skeletal bone\Incomplete ossification\Incomplete ossification of vertebra (disorder)\Incomplete ossification of arch of sacral vertebra
• \Musculoskeletal finding\Disorder of musculoskeletal system\Disorder of skeletal system\Disorder of bone (disorder)\Disorder of bone development (disorder)\Congenital anomaly of skeletal bone\Congenital anomaly of pelvic bones\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Musculoskeletal finding\Disorder of musculoskeletal system\Congenital anomaly of musculoskeletal system\Congenital anomaly of musculoskeletal structure of trunk\Congenital anomaly of pelvic bones\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Musculoskeletal finding\Disorder of musculoskeletal system\Congenital anomaly of musculoskeletal system\Congenital anomaly of skeletal bone\Incomplete ossification\Incomplete ossification of vertebra (disorder)\Incomplete ossification of arch of sacral vertebra
• \Musculoskeletal finding\Disorder of musculoskeletal system\Congenital anomaly of musculoskeletal system\Congenital anomaly of skeletal bone\Congenital anomaly of pelvic bones\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Disease\Disorder of foetus and/or newborn\Congenital disease (disorder)\Congenital malformation\Congenital anomaly of body wall\Congenital anomaly of pelvic bones\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Disease\Disorder of foetus and/or newborn\Congenital disease (disorder)\Congenital malformation\Congenital anomaly of back\Congenital anomaly of vertebral region of back\Congenital anomaly of spine\Incomplete ossification of vertebra (disorder)\Incomplete ossification of arch of sacral vertebra
• \Disease\Disorder of foetus and/or newborn\Congenital disease (disorder)\Congenital malformation\Congenital anomaly of back\Congenital anomaly of vertebral region of back\Congenital anomaly of spine\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Disease\Disorder of foetus and/or newborn\Congenital disease (disorder)\Congenital malformation\Congenital abnormality of lower limb and pelvic girdle\Congenital anomaly of lower trunk\Congenital anomaly of the pelvis\Congenital anomaly of pelvic bones\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Disease\Disorder of foetus and/or newborn\Congenital disease (disorder)\Congenital malformation\Congenital anomaly of trunk\Congenital anomaly of musculoskeletal structure of trunk\Congenital anomaly of pelvic bones\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Disease\Disorder of foetus and/or newborn\Congenital disease (disorder)\Congenital malformation\Congenital anomaly of trunk\Congenital anomaly of lower trunk\Congenital anomaly of the pelvis\Congenital anomaly of pelvic bones\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Disease\Disorder of foetus and/or newborn\Congenital disease (disorder)\Congenital malformation\Congenital anomaly of musculoskeletal system\Congenital anomaly of musculoskeletal structure of trunk\Congenital anomaly of pelvic bones\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Disease\Disorder of foetus and/or newborn\Congenital disease (disorder)\Congenital malformation\Congenital anomaly of musculoskeletal system\Congenital anomaly of skeletal bone\Incomplete ossification\Incomplete ossification of vertebra (disorder)\Incomplete ossification of arch of sacral vertebra
• \Disease\Disorder of foetus and/or newborn\Congenital disease (disorder)\Congenital malformation\Congenital anomaly of musculoskeletal system\Congenital anomaly of skeletal bone\Congenital anomaly of pelvic bones\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Disease\Disorder of body wall (disorder)\Congenital anomaly of body wall\Congenital anomaly of pelvic bones\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Disease\Disorder of body system\Disorder of musculoskeletal system\Disorder of skeletal system\Disorder of vertebral column (disorder)\Incomplete ossification of vertebra (disorder)\Incomplete ossification of arch of sacral vertebra
• \Disease\Disorder of body system\Disorder of musculoskeletal system\Disorder of skeletal system\Disorder of vertebral column (disorder)\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Disease\Disorder of body system\Disorder of musculoskeletal system\Disorder of skeletal system\Disorder of bone (disorder)\Disorder of bone development (disorder)\Congenital anomaly of skeletal bone\Incomplete ossification\Incomplete ossification of vertebra (disorder)\Incomplete ossification of arch of sacral vertebra
• \Disease\Disorder of body system\Disorder of musculoskeletal system\Disorder of skeletal system\Disorder of bone (disorder)\Disorder of bone development (disorder)\Congenital anomaly of skeletal bone\Congenital anomaly of pelvic bones\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Disease\Disorder of body system\Disorder of musculoskeletal system\Congenital anomaly of musculoskeletal system\Congenital anomaly of musculoskeletal structure of trunk\Congenital anomaly of pelvic bones\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Disease\Disorder of body system\Disorder of musculoskeletal system\Congenital anomaly of musculoskeletal system\Congenital anomaly of skeletal bone\Incomplete ossification\Incomplete ossification of vertebra (disorder)\Incomplete ossification of arch of sacral vertebra
• \Disease\Disorder of body system\Disorder of musculoskeletal system\Congenital anomaly of musculoskeletal system\Congenital anomaly of skeletal bone\Congenital anomaly of pelvic bones\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Disease\Disorder of trunk (disorder)\Disorder of abdominopelvic segment of trunk\Disorder of pelvic region of trunk (disorder)\Disorder of pelvis\Congenital anomaly of the pelvis\Congenital anomaly of pelvic bones\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Disease\Disorder of trunk (disorder)\Disorder of abdominopelvic segment of trunk\Disorder of pelvic region of trunk (disorder)\Disorder of pelvis\Disorder of sacrum (disorder)\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Disease\Disorder of trunk (disorder)\Disorder of abdominopelvic segment of trunk\Congenital anomaly of lower trunk\Congenital anomaly of the pelvis\Congenital anomaly of pelvic bones\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Disease\Disorder of trunk (disorder)\Congenital anomaly of trunk\Congenital anomaly of musculoskeletal structure of trunk\Congenital anomaly of pelvic bones\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Disease\Disorder of trunk (disorder)\Congenital anomaly of trunk\Congenital anomaly of lower trunk\Congenital anomaly of the pelvis\Congenital anomaly of pelvic bones\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Disease\Disorder of back\Disorder of spinal region (disorder)\Congenital anomaly of vertebral region of back\Congenital anomaly of spine\Incomplete ossification of vertebra (disorder)\Incomplete ossification of arch of sacral vertebra
• \Disease\Disorder of back\Disorder of spinal region (disorder)\Congenital anomaly of vertebral region of back\Congenital anomaly of spine\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Disease\Disorder of back\Disorder of spinal region (disorder)\Disorder of vertebral column (disorder)\Incomplete ossification of vertebra (disorder)\Incomplete ossification of arch of sacral vertebra
• \Disease\Disorder of back\Disorder of spinal region (disorder)\Disorder of vertebral column (disorder)\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Disease\Disorder of back\Disorder of spinal region (disorder)\Disorder of sacrum (disorder)\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Disease\Disorder of back\Congenital anomaly of back\Congenital anomaly of vertebral region of back\Congenital anomaly of spine\Incomplete ossification of vertebra (disorder)\Incomplete ossification of arch of sacral vertebra
• \Disease\Disorder of back\Congenital anomaly of back\Congenital anomaly of vertebral region of back\Congenital anomaly of spine\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Disease\Developmental disorder\Disorder of bone development (disorder)\Congenital anomaly of skeletal bone\Incomplete ossification\Incomplete ossification of vertebra (disorder)\Incomplete ossification of arch of sacral vertebra
• \Disease\Developmental disorder\Disorder of bone development (disorder)\Congenital anomaly of skeletal bone\Congenital anomaly of pelvic bones\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Disease\Developmental disorder\Congenital malformation\Congenital anomaly of body wall\Congenital anomaly of pelvic bones\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Disease\Developmental disorder\Congenital malformation\Congenital anomaly of back\Congenital anomaly of vertebral region of back\Congenital anomaly of spine\Incomplete ossification of vertebra (disorder)\Incomplete ossification of arch of sacral vertebra
• \Disease\Developmental disorder\Congenital malformation\Congenital anomaly of back\Congenital anomaly of vertebral region of back\Congenital anomaly of spine\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Disease\Developmental disorder\Congenital malformation\Congenital abnormality of lower limb and pelvic girdle\Congenital anomaly of lower trunk\Congenital anomaly of the pelvis\Congenital anomaly of pelvic bones\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Disease\Developmental disorder\Congenital malformation\Congenital anomaly of trunk\Congenital anomaly of musculoskeletal structure of trunk\Congenital anomaly of pelvic bones\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Disease\Developmental disorder\Congenital malformation\Congenital anomaly of trunk\Congenital anomaly of lower trunk\Congenital anomaly of the pelvis\Congenital anomaly of pelvic bones\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Disease\Developmental disorder\Congenital malformation\Congenital anomaly of musculoskeletal system\Congenital anomaly of musculoskeletal structure of trunk\Congenital anomaly of pelvic bones\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra
• \Disease\Developmental disorder\Congenital malformation\Congenital anomaly of musculoskeletal system\Congenital anomaly of skeletal bone\Incomplete ossification\Incomplete ossification of vertebra (disorder)\Incomplete ossification of arch of sacral vertebra
• \Disease\Developmental disorder\Congenital malformation\Congenital anomaly of musculoskeletal system\Congenital anomaly of skeletal bone\Congenital anomaly of pelvic bones\Congenital anomaly of sacral vertebra\Incomplete ossification of arch of sacral vertebra

Status: current, Sufficiently defined by necessary conditions definition status (core metadata concept). Date: 31-Jan 2019. Module: SNOMED CT core

Descriptions:

Id	Description	Lang	Type	Status	Case?	Module
154896019	Incomplete ossification of arch of sacral vertebra	en	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT core
154897011	Incomplete ossification of sacral arch	en	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT core
154898018	Reduced ossification of sacral arch	en	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT core
837326011	Incomplete ossification of arch of sacral vertebra (disorder)	en	Fully specified name	Active	Entire term case insensitive (core metadata concept)	SNOMED CT core
7753481000146115	onvolledige ossificatie van arcus van sacrale wervel	nl	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT Netherlands NRC maintained module (core metadata concept)
7753491000146118	onvolledige verbening van sacrale wervelboog	nl	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT Netherlands NRC maintained module (core metadata concept)
7753501000146111	onvolledige ossificatie van arcus van sacrale wervel (aandoening)	nl	Fully specified name	Active	Entire term case insensitive (core metadata concept)	SNOMED CT Netherlands NRC maintained module (core metadata concept)
8280571000146117	onvolledige botvorming van arcus van vertebra sacralis	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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