48181000087103: Fracture of fourth metatarsal bone of left foot (disorder)

SNOMED CT Concept\Clinical finding (finding)\...

\Finding of limb structure\Disorder of limb (disorder)\Disorder of lower limb\Disorder of left lower extremity (disorder)\Injury of left lower limb (disorder)\Injury of left foot (disorder)\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Finding of limb structure\Disorder of limb (disorder)\Disorder of lower limb\Disorder of left lower extremity (disorder)\Injury of left lower limb (disorder)\Fracture of bone of left lower limb\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Finding of limb structure\Disorder of limb (disorder)\Disorder of lower limb\Disorder of free lower limb (disorder)\Injury of free lower limb\Injury of foot\Injury of left foot (disorder)\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Finding of limb structure\Disorder of limb (disorder)\Disorder of lower limb\Disorder of free lower limb (disorder)\Injury of free lower limb\Injury of foot\Fracture of foot\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Finding of limb structure\Disorder of limb (disorder)\Disorder of lower limb\Disorder of free lower limb (disorder)\Injury of free lower limb\Injury of foot\Fracture of foot\Fracture of bone of forefoot\Metatarsal bone fracture\Fracture of fourth metatarsal bone (disorder)\Fracture of fourth metatarsal bone of left foot
\Finding of limb structure\Disorder of limb (disorder)\Disorder of lower limb\Disorder of free lower limb (disorder)\Disorder of foot (disorder)\Injury of foot\Injury of left foot (disorder)\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Finding of limb structure\Disorder of limb (disorder)\Disorder of lower limb\Disorder of free lower limb (disorder)\Disorder of foot (disorder)\Injury of foot\Fracture of foot\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Finding of limb structure\Disorder of limb (disorder)\Disorder of lower limb\Disorder of free lower limb (disorder)\Disorder of foot (disorder)\Injury of foot\Fracture of foot\Fracture of bone of forefoot\Metatarsal bone fracture\Fracture of fourth metatarsal bone (disorder)\Fracture of fourth metatarsal bone of left foot
\Finding of limb structure\Disorder of limb (disorder)\Disorder of lower limb\Injury of lower limb\Injury of left lower limb (disorder)\Injury of left foot (disorder)\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Finding of limb structure\Disorder of limb (disorder)\Disorder of lower limb\Injury of lower limb\Injury of left lower limb (disorder)\Fracture of bone of left lower limb\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Finding of limb structure\Disorder of limb (disorder)\Disorder of lower limb\Injury of lower limb\Injury of free lower limb\Injury of foot\Injury of left foot (disorder)\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Finding of limb structure\Disorder of limb (disorder)\Disorder of lower limb\Injury of lower limb\Injury of free lower limb\Injury of foot\Fracture of foot\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Finding of limb structure\Disorder of limb (disorder)\Disorder of lower limb\Injury of lower limb\Injury of free lower limb\Injury of foot\Fracture of foot\Fracture of bone of forefoot\Metatarsal bone fracture\Fracture of fourth metatarsal bone (disorder)\Fracture of fourth metatarsal bone of left foot
\Finding of limb structure\Disorder of limb (disorder)\Disorder of lower limb\Injury of lower limb\Fracture of lower limb\Fracture of bone of left lower limb\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Finding of limb structure\Disorder of limb (disorder)\Disorder of lower limb\Injury of lower limb\Fracture of lower limb\Fracture of foot\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Finding of limb structure\Disorder of limb (disorder)\Disorder of lower limb\Injury of lower limb\Fracture of lower limb\Fracture of foot\Fracture of bone of forefoot\Metatarsal bone fracture\Fracture of fourth metatarsal bone (disorder)\Fracture of fourth metatarsal bone of left foot
\Finding of limb structure\Finding of lower limb\Finding of bone of lower limb (finding)\Finding of bone of foot\Fracture of foot\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Finding of limb structure\Finding of lower limb\Finding of bone of lower limb (finding)\Finding of bone of foot\Fracture of foot\Fracture of bone of forefoot\Metatarsal bone fracture\Fracture of fourth metatarsal bone (disorder)\Fracture of fourth metatarsal bone of left foot
\Finding of limb structure\Finding of lower limb\Finding of bone of lower limb (finding)\Fracture of lower limb\Fracture of bone of left lower limb\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Finding of limb structure\Finding of lower limb\Finding of bone of lower limb (finding)\Fracture of lower limb\Fracture of foot\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Finding of limb structure\Finding of lower limb\Finding of bone of lower limb (finding)\Fracture of lower limb\Fracture of foot\Fracture of bone of forefoot\Metatarsal bone fracture\Fracture of fourth metatarsal bone (disorder)\Fracture of fourth metatarsal bone of left foot
\Finding of limb structure\Finding of lower limb\Finding of ankle or foot (finding)\Finding of foot region\Finding of bone of foot\Fracture of foot\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Finding of limb structure\Finding of lower limb\Finding of ankle or foot (finding)\Finding of foot region\Finding of bone of foot\Fracture of foot\Fracture of bone of forefoot\Metatarsal bone fracture\Fracture of fourth metatarsal bone (disorder)\Fracture of fourth metatarsal bone of left foot
\Finding of limb structure\Finding of lower limb\Finding of ankle or foot (finding)\Finding of foot region\Disorder of foot (disorder)\Injury of foot\Injury of left foot (disorder)\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Finding of limb structure\Finding of lower limb\Finding of ankle or foot (finding)\Finding of foot region\Disorder of foot (disorder)\Injury of foot\Fracture of foot\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Finding of limb structure\Finding of lower limb\Finding of ankle or foot (finding)\Finding of foot region\Disorder of foot (disorder)\Injury of foot\Fracture of foot\Fracture of bone of forefoot\Metatarsal bone fracture\Fracture of fourth metatarsal bone (disorder)\Fracture of fourth metatarsal bone of left foot
\Finding of limb structure\Finding of lower limb\Disorder of lower limb\Disorder of left lower extremity (disorder)\Injury of left lower limb (disorder)\Injury of left foot (disorder)\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Finding of limb structure\Finding of lower limb\Disorder of lower limb\Disorder of left lower extremity (disorder)\Injury of left lower limb (disorder)\Fracture of bone of left lower limb\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Finding of limb structure\Finding of lower limb\Disorder of lower limb\Disorder of free lower limb (disorder)\Injury of free lower limb\Injury of foot\Injury of left foot (disorder)\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Finding of limb structure\Finding of lower limb\Disorder of lower limb\Disorder of free lower limb (disorder)\Injury of free lower limb\Injury of foot\Fracture of foot\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Finding of limb structure\Finding of lower limb\Disorder of lower limb\Disorder of free lower limb (disorder)\Injury of free lower limb\Injury of foot\Fracture of foot\Fracture of bone of forefoot\Metatarsal bone fracture\Fracture of fourth metatarsal bone (disorder)\Fracture of fourth metatarsal bone of left foot
\Finding of limb structure\Finding of lower limb\Disorder of lower limb\Disorder of free lower limb (disorder)\Disorder of foot (disorder)\Injury of foot\Injury of left foot (disorder)\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Finding of limb structure\Finding of lower limb\Disorder of lower limb\Disorder of free lower limb (disorder)\Disorder of foot (disorder)\Injury of foot\Fracture of foot\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Finding of limb structure\Finding of lower limb\Disorder of lower limb\Disorder of free lower limb (disorder)\Disorder of foot (disorder)\Injury of foot\Fracture of foot\Fracture of bone of forefoot\Metatarsal bone fracture\Fracture of fourth metatarsal bone (disorder)\Fracture of fourth metatarsal bone of left foot
\Finding of limb structure\Finding of lower limb\Disorder of lower limb\Injury of lower limb\Injury of left lower limb (disorder)\Injury of left foot (disorder)\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Finding of limb structure\Finding of lower limb\Disorder of lower limb\Injury of lower limb\Injury of left lower limb (disorder)\Fracture of bone of left lower limb\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Finding of limb structure\Finding of lower limb\Disorder of lower limb\Injury of lower limb\Injury of free lower limb\Injury of foot\Injury of left foot (disorder)\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Finding of limb structure\Finding of lower limb\Disorder of lower limb\Injury of lower limb\Injury of free lower limb\Injury of foot\Fracture of foot\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Finding of limb structure\Finding of lower limb\Disorder of lower limb\Injury of lower limb\Injury of free lower limb\Injury of foot\Fracture of foot\Fracture of bone of forefoot\Metatarsal bone fracture\Fracture of fourth metatarsal bone (disorder)\Fracture of fourth metatarsal bone of left foot
\Finding of limb structure\Finding of lower limb\Disorder of lower limb\Injury of lower limb\Fracture of lower limb\Fracture of bone of left lower limb\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Finding of limb structure\Finding of lower limb\Disorder of lower limb\Injury of lower limb\Fracture of lower limb\Fracture of foot\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Finding of limb structure\Finding of lower limb\Disorder of lower limb\Injury of lower limb\Fracture of lower limb\Fracture of foot\Fracture of bone of forefoot\Metatarsal bone fracture\Fracture of fourth metatarsal bone (disorder)\Fracture of fourth metatarsal bone of left foot

\Musculoskeletal finding\Bone finding\Finding of bone of lower limb (finding)\Finding of bone of foot\Fracture of foot\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Musculoskeletal finding\Bone finding\Finding of bone of lower limb (finding)\Finding of bone of foot\Fracture of foot\Fracture of bone of forefoot\Metatarsal bone fracture\Fracture of fourth metatarsal bone (disorder)\Fracture of fourth metatarsal bone of left foot
\Musculoskeletal finding\Bone finding\Finding of bone of lower limb (finding)\Fracture of lower limb\Fracture of bone of left lower limb\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Musculoskeletal finding\Bone finding\Finding of bone of lower limb (finding)\Fracture of lower limb\Fracture of foot\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Musculoskeletal finding\Bone finding\Finding of bone of lower limb (finding)\Fracture of lower limb\Fracture of foot\Fracture of bone of forefoot\Metatarsal bone fracture\Fracture of fourth metatarsal bone (disorder)\Fracture of fourth metatarsal bone of left foot
\Musculoskeletal finding\Bone finding\Disorder of bone (disorder)\Bone injury\Fracture of bone\Fracture of lower limb\Fracture of bone of left lower limb\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Musculoskeletal finding\Bone finding\Disorder of bone (disorder)\Bone injury\Fracture of bone\Fracture of lower limb\Fracture of foot\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Musculoskeletal finding\Bone finding\Disorder of bone (disorder)\Bone injury\Fracture of bone\Fracture of lower limb\Fracture of foot\Fracture of bone of forefoot\Metatarsal bone fracture\Fracture of fourth metatarsal bone (disorder)\Fracture of fourth metatarsal bone of left foot
\Musculoskeletal finding\Disorder of musculoskeletal system\Injury of musculoskeletal system\Bone injury\Fracture of bone\Fracture of lower limb\Fracture of bone of left lower limb\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Musculoskeletal finding\Disorder of musculoskeletal system\Injury of musculoskeletal system\Bone injury\Fracture of bone\Fracture of lower limb\Fracture of foot\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Musculoskeletal finding\Disorder of musculoskeletal system\Injury of musculoskeletal system\Bone injury\Fracture of bone\Fracture of lower limb\Fracture of foot\Fracture of bone of forefoot\Metatarsal bone fracture\Fracture of fourth metatarsal bone (disorder)\Fracture of fourth metatarsal bone of left foot
\Musculoskeletal finding\Disorder of musculoskeletal system\Disorder of skeletal system\Disorder of bone (disorder)\Bone injury\Fracture of bone\Fracture of lower limb\Fracture of bone of left lower limb\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Musculoskeletal finding\Disorder of musculoskeletal system\Disorder of skeletal system\Disorder of bone (disorder)\Bone injury\Fracture of bone\Fracture of lower limb\Fracture of foot\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Musculoskeletal finding\Disorder of musculoskeletal system\Disorder of skeletal system\Disorder of bone (disorder)\Bone injury\Fracture of bone\Fracture of lower limb\Fracture of foot\Fracture of bone of forefoot\Metatarsal bone fracture\Fracture of fourth metatarsal bone (disorder)\Fracture of fourth metatarsal bone of left foot

\Disease\Traumatic or non-traumatic injury (disorder)\Injury of lower limb\Injury of left lower limb (disorder)\Injury of left foot (disorder)\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Disease\Traumatic or non-traumatic injury (disorder)\Injury of lower limb\Injury of left lower limb (disorder)\Fracture of bone of left lower limb\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Disease\Traumatic or non-traumatic injury (disorder)\Injury of lower limb\Injury of free lower limb\Injury of foot\Injury of left foot (disorder)\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Disease\Traumatic or non-traumatic injury (disorder)\Injury of lower limb\Injury of free lower limb\Injury of foot\Fracture of foot\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Disease\Traumatic or non-traumatic injury (disorder)\Injury of lower limb\Injury of free lower limb\Injury of foot\Fracture of foot\Fracture of bone of forefoot\Metatarsal bone fracture\Fracture of fourth metatarsal bone (disorder)\Fracture of fourth metatarsal bone of left foot
\Disease\Traumatic or non-traumatic injury (disorder)\Injury of lower limb\Fracture of lower limb\Fracture of bone of left lower limb\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Disease\Traumatic or non-traumatic injury (disorder)\Injury of lower limb\Fracture of lower limb\Fracture of foot\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Disease\Traumatic or non-traumatic injury (disorder)\Injury of lower limb\Fracture of lower limb\Fracture of foot\Fracture of bone of forefoot\Metatarsal bone fracture\Fracture of fourth metatarsal bone (disorder)\Fracture of fourth metatarsal bone of left foot
\Disease\Traumatic or non-traumatic injury (disorder)\Injury of musculoskeletal system\Bone injury\Fracture of bone\Fracture of lower limb\Fracture of bone of left lower limb\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Disease\Traumatic or non-traumatic injury (disorder)\Injury of musculoskeletal system\Bone injury\Fracture of bone\Fracture of lower limb\Fracture of foot\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Disease\Traumatic or non-traumatic injury (disorder)\Injury of musculoskeletal system\Bone injury\Fracture of bone\Fracture of lower limb\Fracture of foot\Fracture of bone of forefoot\Metatarsal bone fracture\Fracture of fourth metatarsal bone (disorder)\Fracture of fourth metatarsal bone of left foot
\Disease\Disorder of body system\Disorder of musculoskeletal system\Injury of musculoskeletal system\Bone injury\Fracture of bone\Fracture of lower limb\Fracture of bone of left lower limb\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Disease\Disorder of body system\Disorder of musculoskeletal system\Injury of musculoskeletal system\Bone injury\Fracture of bone\Fracture of lower limb\Fracture of foot\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Disease\Disorder of body system\Disorder of musculoskeletal system\Injury of musculoskeletal system\Bone injury\Fracture of bone\Fracture of lower limb\Fracture of foot\Fracture of bone of forefoot\Metatarsal bone fracture\Fracture of fourth metatarsal bone (disorder)\Fracture of fourth metatarsal bone of left foot
\Disease\Disorder of body system\Disorder of musculoskeletal system\Disorder of skeletal system\Disorder of bone (disorder)\Bone injury\Fracture of bone\Fracture of lower limb\Fracture of bone of left lower limb\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Disease\Disorder of body system\Disorder of musculoskeletal system\Disorder of skeletal system\Disorder of bone (disorder)\Bone injury\Fracture of bone\Fracture of lower limb\Fracture of foot\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Disease\Disorder of body system\Disorder of musculoskeletal system\Disorder of skeletal system\Disorder of bone (disorder)\Bone injury\Fracture of bone\Fracture of lower limb\Fracture of foot\Fracture of bone of forefoot\Metatarsal bone fracture\Fracture of fourth metatarsal bone (disorder)\Fracture of fourth metatarsal bone of left foot
\Disease\Disorder of limb (disorder)\Disorder of lower limb\Disorder of left lower extremity (disorder)\Injury of left lower limb (disorder)\Injury of left foot (disorder)\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Disease\Disorder of limb (disorder)\Disorder of lower limb\Disorder of left lower extremity (disorder)\Injury of left lower limb (disorder)\Fracture of bone of left lower limb\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Disease\Disorder of limb (disorder)\Disorder of lower limb\Disorder of free lower limb (disorder)\Injury of free lower limb\Injury of foot\Injury of left foot (disorder)\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Disease\Disorder of limb (disorder)\Disorder of lower limb\Disorder of free lower limb (disorder)\Injury of free lower limb\Injury of foot\Fracture of foot\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Disease\Disorder of limb (disorder)\Disorder of lower limb\Disorder of free lower limb (disorder)\Injury of free lower limb\Injury of foot\Fracture of foot\Fracture of bone of forefoot\Metatarsal bone fracture\Fracture of fourth metatarsal bone (disorder)\Fracture of fourth metatarsal bone of left foot
\Disease\Disorder of limb (disorder)\Disorder of lower limb\Disorder of free lower limb (disorder)\Disorder of foot (disorder)\Injury of foot\Injury of left foot (disorder)\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Disease\Disorder of limb (disorder)\Disorder of lower limb\Disorder of free lower limb (disorder)\Disorder of foot (disorder)\Injury of foot\Fracture of foot\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Disease\Disorder of limb (disorder)\Disorder of lower limb\Disorder of free lower limb (disorder)\Disorder of foot (disorder)\Injury of foot\Fracture of foot\Fracture of bone of forefoot\Metatarsal bone fracture\Fracture of fourth metatarsal bone (disorder)\Fracture of fourth metatarsal bone of left foot
\Disease\Disorder of limb (disorder)\Disorder of lower limb\Injury of lower limb\Injury of left lower limb (disorder)\Injury of left foot (disorder)\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Disease\Disorder of limb (disorder)\Disorder of lower limb\Injury of lower limb\Injury of left lower limb (disorder)\Fracture of bone of left lower limb\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Disease\Disorder of limb (disorder)\Disorder of lower limb\Injury of lower limb\Injury of free lower limb\Injury of foot\Injury of left foot (disorder)\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Disease\Disorder of limb (disorder)\Disorder of lower limb\Injury of lower limb\Injury of free lower limb\Injury of foot\Fracture of foot\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Disease\Disorder of limb (disorder)\Disorder of lower limb\Injury of lower limb\Injury of free lower limb\Injury of foot\Fracture of foot\Fracture of bone of forefoot\Metatarsal bone fracture\Fracture of fourth metatarsal bone (disorder)\Fracture of fourth metatarsal bone of left foot
\Disease\Disorder of limb (disorder)\Disorder of lower limb\Injury of lower limb\Fracture of lower limb\Fracture of bone of left lower limb\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Disease\Disorder of limb (disorder)\Disorder of lower limb\Injury of lower limb\Fracture of lower limb\Fracture of foot\Fracture of left foot\Fracture of fourth metatarsal bone of left foot
\Disease\Disorder of limb (disorder)\Disorder of lower limb\Injury of lower limb\Fracture of lower limb\Fracture of foot\Fracture of bone of forefoot\Metatarsal bone fracture\Fracture of fourth metatarsal bone (disorder)\Fracture of fourth metatarsal bone of left foot

Status: current, Sufficiently defined by necessary conditions definition status (core metadata concept). Date: 01-Jan 2025. Module: SNOMED CT core

Descriptions:

Id Description Lang Type Status Case? Module

5423248013 Fracture of fourth metatarsal bone of left foot en Synonym (core metadata concept) Active Entire term case insensitive (core metadata concept) SNOMED CT core

5423249017 Fracture of fourth metatarsal bone of left foot (disorder) en Fully specified name Active Entire term case insensitive (core metadata concept) SNOMED CT core

Expanded Value Set

Outbound Relationships	Type	Target	Active	Characteristic	Refinability	Group	Values
Fracture of fourth metatarsal bone of left foot	Is a	Fracture of fourth metatarsal bone (disorder)	true	Inferred relationship	Some
Fracture of fourth metatarsal bone of left foot	Is a	Fracture of left foot	true	Inferred relationship	Some
Fracture of fourth metatarsal bone of left foot	Finding site	Structure of fourth metatarsal bone of left foot	true	Inferred relationship	Some	1
Fracture of fourth metatarsal bone of left foot	Associated morphology	Fracture	true	Inferred relationship	Some	1

Inbound Relationships	Type	Active	Source	Characteristic	Refinability	Group
Closed fracture of fourth metatarsal bone of left foot (disorder)	Is a	True	Fracture of fourth metatarsal bone of left foot	Inferred relationship	Some
Open fracture of fourth metatarsal bone of left foot (disorder)	Is a	True	Fracture of fourth metatarsal bone of left foot	Inferred relationship	Some

This concept is not in any reference sets