404106004: Lymphomatoid papulosis with Hodgkin's disease (disorder)

• SNOMED CT Concept\Clinical finding (finding)\...
• \Skin AND/OR mucosa finding (finding)\Skin or mucosa lesion\Lesion of skin and/or skin-associated mucous membrane\Skin lesion\Neoplasm of skin\Malignant neoplasm of skin (disorder)\Hodgkin's disease affecting skin (disorder)\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \Skin AND/OR mucosa finding (finding)\Skin or mucosa lesion\Lesion of skin and/or skin-associated mucous membrane\Skin lesion\Neoplasm of skin\Neoplasm of uncertain behavior of skin\Primary cutaneous CD30 antigen positive T-cell lymphoproliferative disorder (disorder)\Lymphomatoid papulosis\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \Skin AND/OR mucosa finding (finding)\Skin finding\Mass of skin\Neoplasm of skin\Malignant neoplasm of skin (disorder)\Hodgkin's disease affecting skin (disorder)\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \Skin AND/OR mucosa finding (finding)\Skin finding\Mass of skin\Neoplasm of skin\Neoplasm of uncertain behavior of skin\Primary cutaneous CD30 antigen positive T-cell lymphoproliferative disorder (disorder)\Lymphomatoid papulosis\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \Skin AND/OR mucosa finding (finding)\Skin finding\Disorder of skin (disorder)\Skin lesion\Neoplasm of skin\Malignant neoplasm of skin (disorder)\Hodgkin's disease affecting skin (disorder)\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \Skin AND/OR mucosa finding (finding)\Skin finding\Disorder of skin (disorder)\Skin lesion\Neoplasm of skin\Neoplasm of uncertain behavior of skin\Primary cutaneous CD30 antigen positive T-cell lymphoproliferative disorder (disorder)\Lymphomatoid papulosis\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \Mass of body structure\Mass of soft tissue (finding)\Neoplasm of soft tissue (disorder)\Malignant neoplasm of soft tissue\Malignant neoplasm of skin (disorder)\Hodgkin's disease affecting skin (disorder)\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \Mass of body structure\Mass of soft tissue (finding)\Neoplasm of soft tissue (disorder)\Neoplasm of skin\Malignant neoplasm of skin (disorder)\Hodgkin's disease affecting skin (disorder)\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \Mass of body structure\Mass of soft tissue (finding)\Neoplasm of soft tissue (disorder)\Neoplasm of skin\Neoplasm of uncertain behavior of skin\Primary cutaneous CD30 antigen positive T-cell lymphoproliferative disorder (disorder)\Lymphomatoid papulosis\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \Mass of body structure\Mass of soft tissue (finding)\Neoplasm of soft tissue (disorder)\Neoplasm of uncertain behavior of soft tissues\Neoplasm of uncertain behavior of skin\Primary cutaneous CD30 antigen positive T-cell lymphoproliferative disorder (disorder)\Lymphomatoid papulosis\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \Mass of body structure\Mass of soft tissue (finding)\Mass of skin\Neoplasm of skin\Malignant neoplasm of skin (disorder)\Hodgkin's disease affecting skin (disorder)\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \Mass of body structure\Mass of soft tissue (finding)\Mass of skin\Neoplasm of skin\Neoplasm of uncertain behavior of skin\Primary cutaneous CD30 antigen positive T-cell lymphoproliferative disorder (disorder)\Lymphomatoid papulosis\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \Mass of body structure\Neoplasm of integumentary system (disorder)\Neoplasm of skin\Malignant neoplasm of skin (disorder)\Hodgkin's disease affecting skin (disorder)\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \Mass of body structure\Neoplasm of integumentary system (disorder)\Neoplasm of skin\Neoplasm of uncertain behavior of skin\Primary cutaneous CD30 antigen positive T-cell lymphoproliferative disorder (disorder)\Lymphomatoid papulosis\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \Mass of body structure\Mass of body region\Mass of skin\Neoplasm of skin\Malignant neoplasm of skin (disorder)\Hodgkin's disease affecting skin (disorder)\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \Mass of body structure\Mass of body region\Mass of skin\Neoplasm of skin\Neoplasm of uncertain behavior of skin\Primary cutaneous CD30 antigen positive T-cell lymphoproliferative disorder (disorder)\Lymphomatoid papulosis\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \General finding of soft tissue\Mass of soft tissue (finding)\Neoplasm of soft tissue (disorder)\Malignant neoplasm of soft tissue\Malignant neoplasm of skin (disorder)\Hodgkin's disease affecting skin (disorder)\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \General finding of soft tissue\Mass of soft tissue (finding)\Neoplasm of soft tissue (disorder)\Neoplasm of skin\Malignant neoplasm of skin (disorder)\Hodgkin's disease affecting skin (disorder)\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \General finding of soft tissue\Mass of soft tissue (finding)\Neoplasm of soft tissue (disorder)\Neoplasm of skin\Neoplasm of uncertain behavior of skin\Primary cutaneous CD30 antigen positive T-cell lymphoproliferative disorder (disorder)\Lymphomatoid papulosis\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \General finding of soft tissue\Mass of soft tissue (finding)\Neoplasm of soft tissue (disorder)\Neoplasm of uncertain behavior of soft tissues\Neoplasm of uncertain behavior of skin\Primary cutaneous CD30 antigen positive T-cell lymphoproliferative disorder (disorder)\Lymphomatoid papulosis\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \General finding of soft tissue\Mass of soft tissue (finding)\Mass of skin\Neoplasm of skin\Malignant neoplasm of skin (disorder)\Hodgkin's disease affecting skin (disorder)\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \General finding of soft tissue\Mass of soft tissue (finding)\Mass of skin\Neoplasm of skin\Neoplasm of uncertain behavior of skin\Primary cutaneous CD30 antigen positive T-cell lymphoproliferative disorder (disorder)\Lymphomatoid papulosis\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \General finding of soft tissue\Skin finding\Mass of skin\Neoplasm of skin\Malignant neoplasm of skin (disorder)\Hodgkin's disease affecting skin (disorder)\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \General finding of soft tissue\Skin finding\Mass of skin\Neoplasm of skin\Neoplasm of uncertain behavior of skin\Primary cutaneous CD30 antigen positive T-cell lymphoproliferative disorder (disorder)\Lymphomatoid papulosis\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \General finding of soft tissue\Skin finding\Disorder of skin (disorder)\Skin lesion\Neoplasm of skin\Malignant neoplasm of skin (disorder)\Hodgkin's disease affecting skin (disorder)\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \General finding of soft tissue\Skin finding\Disorder of skin (disorder)\Skin lesion\Neoplasm of skin\Neoplasm of uncertain behavior of skin\Primary cutaneous CD30 antigen positive T-cell lymphoproliferative disorder (disorder)\Lymphomatoid papulosis\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \General finding of soft tissue\Disorder of soft tissue\Soft tissue lesion\Neoplasm of soft tissue (disorder)\Malignant neoplasm of soft tissue\Malignant neoplasm of skin (disorder)\Hodgkin's disease affecting skin (disorder)\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \General finding of soft tissue\Disorder of soft tissue\Soft tissue lesion\Neoplasm of soft tissue (disorder)\Neoplasm of skin\Malignant neoplasm of skin (disorder)\Hodgkin's disease affecting skin (disorder)\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \General finding of soft tissue\Disorder of soft tissue\Soft tissue lesion\Neoplasm of soft tissue (disorder)\Neoplasm of skin\Neoplasm of uncertain behavior of skin\Primary cutaneous CD30 antigen positive T-cell lymphoproliferative disorder (disorder)\Lymphomatoid papulosis\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \General finding of soft tissue\Disorder of soft tissue\Soft tissue lesion\Neoplasm of soft tissue (disorder)\Neoplasm of uncertain behavior of soft tissues\Neoplasm of uncertain behavior of skin\Primary cutaneous CD30 antigen positive T-cell lymphoproliferative disorder (disorder)\Lymphomatoid papulosis\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \General finding of soft tissue\Disorder of soft tissue\Soft tissue lesion\Skin lesion\Neoplasm of skin\Malignant neoplasm of skin (disorder)\Hodgkin's disease affecting skin (disorder)\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \General finding of soft tissue\Disorder of soft tissue\Soft tissue lesion\Skin lesion\Neoplasm of skin\Neoplasm of uncertain behavior of skin\Primary cutaneous CD30 antigen positive T-cell lymphoproliferative disorder (disorder)\Lymphomatoid papulosis\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \General finding of soft tissue\Disorder of soft tissue\Disorder of skin and/or subcutaneous tissue (disorder)\Disorder of skin (disorder)\Skin lesion\Neoplasm of skin\Malignant neoplasm of skin (disorder)\Hodgkin's disease affecting skin (disorder)\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \General finding of soft tissue\Disorder of soft tissue\Disorder of skin and/or subcutaneous tissue (disorder)\Disorder of skin (disorder)\Skin lesion\Neoplasm of skin\Neoplasm of uncertain behavior of skin\Primary cutaneous CD30 antigen positive T-cell lymphoproliferative disorder (disorder)\Lymphomatoid papulosis\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \Integumentary system finding\Disorder of integument\Neoplasm of integumentary system (disorder)\Neoplasm of skin\Malignant neoplasm of skin (disorder)\Hodgkin's disease affecting skin (disorder)\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \Integumentary system finding\Disorder of integument\Neoplasm of integumentary system (disorder)\Neoplasm of skin\Neoplasm of uncertain behavior of skin\Primary cutaneous CD30 antigen positive T-cell lymphoproliferative disorder (disorder)\Lymphomatoid papulosis\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \Integumentary system finding\Disorder of integument\Disorder of skin and/or subcutaneous tissue (disorder)\Disorder of skin (disorder)\Skin lesion\Neoplasm of skin\Malignant neoplasm of skin (disorder)\Hodgkin's disease affecting skin (disorder)\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \Integumentary system finding\Disorder of integument\Disorder of skin and/or subcutaneous tissue (disorder)\Disorder of skin (disorder)\Skin lesion\Neoplasm of skin\Neoplasm of uncertain behavior of skin\Primary cutaneous CD30 antigen positive T-cell lymphoproliferative disorder (disorder)\Lymphomatoid papulosis\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \Integumentary system finding\Skin finding\Mass of skin\Neoplasm of skin\Malignant neoplasm of skin (disorder)\Hodgkin's disease affecting skin (disorder)\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \Integumentary system finding\Skin finding\Mass of skin\Neoplasm of skin\Neoplasm of uncertain behavior of skin\Primary cutaneous CD30 antigen positive T-cell lymphoproliferative disorder (disorder)\Lymphomatoid papulosis\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \Integumentary system finding\Skin finding\Disorder of skin (disorder)\Skin lesion\Neoplasm of skin\Malignant neoplasm of skin (disorder)\Hodgkin's disease affecting skin (disorder)\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \Integumentary system finding\Skin finding\Disorder of skin (disorder)\Skin lesion\Neoplasm of skin\Neoplasm of uncertain behavior of skin\Primary cutaneous CD30 antigen positive T-cell lymphoproliferative disorder (disorder)\Lymphomatoid papulosis\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \Disease\Disorder of hematopoietic cell proliferation (disorder)\Lymphoproliferative disorder\Primary cutaneous CD30 antigen positive T-cell lymphoproliferative disorder (disorder)\Lymphomatoid papulosis\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \Disease\Disorder of hematopoietic cell proliferation (disorder)\Lymphoproliferative disorder\Lymphoreticular tumour\Malignant lymphoma (disorder)\Hodgkin's disease (clinical)\Hodgkin's disease affecting skin (disorder)\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \Disease\Neoplasm and/or hamartoma (disorder)\Neoplastic disease\Neoplasm of hematopoietic cell type (disorder)\Lymphoreticular tumour\Malignant lymphoma (disorder)\Hodgkin's disease (clinical)\Hodgkin's disease affecting skin (disorder)\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \Disease\Neoplasm and/or hamartoma (disorder)\Neoplastic disease\Neoplasm of hematopoietic cell type (disorder)\Malignant tumour of lymphoid haemopoietic and related tissue\Malignant lymphoma (disorder)\Hodgkin's disease (clinical)\Hodgkin's disease affecting skin (disorder)\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \Disease\Neoplasm and/or hamartoma (disorder)\Neoplastic disease\Neoplasm of integumentary system (disorder)\Neoplasm of skin\Malignant neoplasm of skin (disorder)\Hodgkin's disease affecting skin (disorder)\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \Disease\Neoplasm and/or hamartoma (disorder)\Neoplastic disease\Neoplasm of integumentary system (disorder)\Neoplasm of skin\Neoplasm of uncertain behavior of skin\Primary cutaneous CD30 antigen positive T-cell lymphoproliferative disorder (disorder)\Lymphomatoid papulosis\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \Disease\Neoplasm and/or hamartoma (disorder)\Neoplastic disease\Neoplasm of soft tissue (disorder)\Malignant neoplasm of soft tissue\Malignant neoplasm of skin (disorder)\Hodgkin's disease affecting skin (disorder)\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \Disease\Neoplasm and/or hamartoma (disorder)\Neoplastic disease\Neoplasm of soft tissue (disorder)\Neoplasm of skin\Malignant neoplasm of skin (disorder)\Hodgkin's disease affecting skin (disorder)\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \Disease\Neoplasm and/or hamartoma (disorder)\Neoplastic disease\Neoplasm of soft tissue (disorder)\Neoplasm of skin\Neoplasm of uncertain behavior of skin\Primary cutaneous CD30 antigen positive T-cell lymphoproliferative disorder (disorder)\Lymphomatoid papulosis\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \Disease\Neoplasm and/or hamartoma (disorder)\Neoplastic disease\Neoplasm of soft tissue (disorder)\Neoplasm of uncertain behavior of soft tissues\Neoplasm of uncertain behavior of skin\Primary cutaneous CD30 antigen positive T-cell lymphoproliferative disorder (disorder)\Lymphomatoid papulosis\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \Disease\Neoplasm and/or hamartoma (disorder)\Neoplastic disease\Malignant neoplastic disease (disorder)\Malignant tumour of lymphoid haemopoietic and related tissue\Malignant lymphoma (disorder)\Hodgkin's disease (clinical)\Hodgkin's disease affecting skin (disorder)\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \Disease\Neoplasm and/or hamartoma (disorder)\Neoplastic disease\Malignant neoplastic disease (disorder)\Malignant neoplasm of soft tissue\Malignant neoplasm of skin (disorder)\Hodgkin's disease affecting skin (disorder)\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \Disease\Neoplasm and/or hamartoma (disorder)\Neoplastic disease\Neoplastic disease of uncertain behavior\Neoplasm of uncertain behavior of soft tissues\Neoplasm of uncertain behavior of skin\Primary cutaneous CD30 antigen positive T-cell lymphoproliferative disorder (disorder)\Lymphomatoid papulosis\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \Disease\Disorder of body system\Skin or mucosa lesion\Lesion of skin and/or skin-associated mucous membrane\Skin lesion\Neoplasm of skin\Malignant neoplasm of skin (disorder)\Hodgkin's disease affecting skin (disorder)\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \Disease\Disorder of body system\Skin or mucosa lesion\Lesion of skin and/or skin-associated mucous membrane\Skin lesion\Neoplasm of skin\Neoplasm of uncertain behavior of skin\Primary cutaneous CD30 antigen positive T-cell lymphoproliferative disorder (disorder)\Lymphomatoid papulosis\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \Disease\Disorder of body system\Disorder of integument\Neoplasm of integumentary system (disorder)\Neoplasm of skin\Malignant neoplasm of skin (disorder)\Hodgkin's disease affecting skin (disorder)\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \Disease\Disorder of body system\Disorder of integument\Neoplasm of integumentary system (disorder)\Neoplasm of skin\Neoplasm of uncertain behavior of skin\Primary cutaneous CD30 antigen positive T-cell lymphoproliferative disorder (disorder)\Lymphomatoid papulosis\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \Disease\Disorder of body system\Disorder of integument\Disorder of skin and/or subcutaneous tissue (disorder)\Disorder of skin (disorder)\Skin lesion\Neoplasm of skin\Malignant neoplasm of skin (disorder)\Hodgkin's disease affecting skin (disorder)\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \Disease\Disorder of body system\Disorder of integument\Disorder of skin and/or subcutaneous tissue (disorder)\Disorder of skin (disorder)\Skin lesion\Neoplasm of skin\Neoplasm of uncertain behavior of skin\Primary cutaneous CD30 antigen positive T-cell lymphoproliferative disorder (disorder)\Lymphomatoid papulosis\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \Disease\Disorder of soft tissue\Soft tissue lesion\Neoplasm of soft tissue (disorder)\Malignant neoplasm of soft tissue\Malignant neoplasm of skin (disorder)\Hodgkin's disease affecting skin (disorder)\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \Disease\Disorder of soft tissue\Soft tissue lesion\Neoplasm of soft tissue (disorder)\Neoplasm of skin\Malignant neoplasm of skin (disorder)\Hodgkin's disease affecting skin (disorder)\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \Disease\Disorder of soft tissue\Soft tissue lesion\Neoplasm of soft tissue (disorder)\Neoplasm of skin\Neoplasm of uncertain behavior of skin\Primary cutaneous CD30 antigen positive T-cell lymphoproliferative disorder (disorder)\Lymphomatoid papulosis\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \Disease\Disorder of soft tissue\Soft tissue lesion\Neoplasm of soft tissue (disorder)\Neoplasm of uncertain behavior of soft tissues\Neoplasm of uncertain behavior of skin\Primary cutaneous CD30 antigen positive T-cell lymphoproliferative disorder (disorder)\Lymphomatoid papulosis\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \Disease\Disorder of soft tissue\Soft tissue lesion\Skin lesion\Neoplasm of skin\Malignant neoplasm of skin (disorder)\Hodgkin's disease affecting skin (disorder)\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \Disease\Disorder of soft tissue\Soft tissue lesion\Skin lesion\Neoplasm of skin\Neoplasm of uncertain behavior of skin\Primary cutaneous CD30 antigen positive T-cell lymphoproliferative disorder (disorder)\Lymphomatoid papulosis\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \Disease\Disorder of soft tissue\Disorder of skin and/or subcutaneous tissue (disorder)\Disorder of skin (disorder)\Skin lesion\Neoplasm of skin\Malignant neoplasm of skin (disorder)\Hodgkin's disease affecting skin (disorder)\Lymphomatoid papulosis with Hodgkin's disease (disorder)
• \Disease\Disorder of soft tissue\Disorder of skin and/or subcutaneous tissue (disorder)\Disorder of skin (disorder)\Skin lesion\Neoplasm of skin\Neoplasm of uncertain behavior of skin\Primary cutaneous CD30 antigen positive T-cell lymphoproliferative disorder (disorder)\Lymphomatoid papulosis\Lymphomatoid papulosis with Hodgkin's disease (disorder)

Status: current, Sufficiently defined by necessary conditions definition status (core metadata concept). Date: 30-Sep 2021. Module: SNOMED CT core

Descriptions:

Id	Description	Lang	Type	Status	Case?	Module
1772033011	Lymphomatoid papulosis with Hodgkin's disease (disorder)	en	Fully specified name	Active	Only initial character case insensitive (core metadata concept)	SNOMED CT core
1783074012	Lymphomatoid papulosis with Hodgkin's disease	en	Synonym (core metadata concept)	Active	Only initial character case insensitive (core metadata concept)	SNOMED CT core
2842019018	Lymphomatoid papulosis with Hodgkin disease	en	Synonym (core metadata concept)	Active	Only initial character case insensitive (core metadata concept)	SNOMED CT core
13992501000172118	papulose lymphomatoïde avec maladie de Hodgkin	fr	Synonym (core metadata concept)	Active	Only initial character case insensitive (core metadata concept)	Belgian module (core metadata concept)
13992511000172115	LyP (lymphomatoid papulosis) avec LH (lymphome de Hodgkin)	fr	Synonym (core metadata concept)	Active	Entire term case sensitive (core metadata concept)	Belgian module (core metadata concept)
4375321000172112	lymfomatoïde papulose met Hodgkin-lymfoom	nl	Synonym (core metadata concept)	Active	Only initial character case insensitive (core metadata concept)	Belgian module (core metadata concept)
4375331000172110	lymfomatoïde papulose met ziekte van Hodgkin	nl	Synonym (core metadata concept)	Active	Only initial character case insensitive (core metadata concept)	Belgian module (core metadata concept)

Expanded Value Set

This concept is not in any reference sets

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