91531008: One stage subtotal suprapubic prostatectomy (procedure)

SNOMED CT Concept\Procedure\...

\Intentional, structural alteration of the human body by mechanical, thermal, light-based, electromagnetic, or chemical means, and/or by the incision or destruction of tissues using instruments to cut, burn, vaporize, freeze, suture, probe, or manipulate by closed reductions.\Surgical removal\Removal done with a cutting instrument\Trunk excision\Excision of pelvis (procedure)\Prostatectomy\Suprapubic prostatectomy\One stage subtotal suprapubic prostatectomy
\Intentional, structural alteration of the human body by mechanical, thermal, light-based, electromagnetic, or chemical means, and/or by the incision or destruction of tissues using instruments to cut, burn, vaporize, freeze, suture, probe, or manipulate by closed reductions.\Surgical removal\Removal done with a cutting instrument\Trunk excision\Excision of pelvis (procedure)\Prostatectomy\Subtotal prostatectomy\One stage subtotal suprapubic prostatectomy
\Intentional, structural alteration of the human body by mechanical, thermal, light-based, electromagnetic, or chemical means, and/or by the incision or destruction of tissues using instruments to cut, burn, vaporize, freeze, suture, probe, or manipulate by closed reductions.\Surgical removal\Removal done with a cutting instrument\Trunk excision\Abdomen excision\Prostatectomy\Suprapubic prostatectomy\One stage subtotal suprapubic prostatectomy
\Intentional, structural alteration of the human body by mechanical, thermal, light-based, electromagnetic, or chemical means, and/or by the incision or destruction of tissues using instruments to cut, burn, vaporize, freeze, suture, probe, or manipulate by closed reductions.\Surgical removal\Removal done with a cutting instrument\Trunk excision\Abdomen excision\Prostatectomy\Subtotal prostatectomy\One stage subtotal suprapubic prostatectomy
\Intentional, structural alteration of the human body by mechanical, thermal, light-based, electromagnetic, or chemical means, and/or by the incision or destruction of tissues using instruments to cut, burn, vaporize, freeze, suture, probe, or manipulate by closed reductions.\Operation on trunk\Operation on pelvic region of trunk (procedure)\Excision of pelvis (procedure)\Prostatectomy\Suprapubic prostatectomy\One stage subtotal suprapubic prostatectomy
\Intentional, structural alteration of the human body by mechanical, thermal, light-based, electromagnetic, or chemical means, and/or by the incision or destruction of tissues using instruments to cut, burn, vaporize, freeze, suture, probe, or manipulate by closed reductions.\Operation on trunk\Operation on pelvic region of trunk (procedure)\Excision of pelvis (procedure)\Prostatectomy\Subtotal prostatectomy\One stage subtotal suprapubic prostatectomy
\Intentional, structural alteration of the human body by mechanical, thermal, light-based, electromagnetic, or chemical means, and/or by the incision or destruction of tissues using instruments to cut, burn, vaporize, freeze, suture, probe, or manipulate by closed reductions.\Operation on trunk\Operation on pelvic region of trunk (procedure)\Operation on male genital system\Operation on prostate\Prostatectomy\Suprapubic prostatectomy\One stage subtotal suprapubic prostatectomy
\Intentional, structural alteration of the human body by mechanical, thermal, light-based, electromagnetic, or chemical means, and/or by the incision or destruction of tissues using instruments to cut, burn, vaporize, freeze, suture, probe, or manipulate by closed reductions.\Operation on trunk\Operation on pelvic region of trunk (procedure)\Operation on male genital system\Operation on prostate\Prostatectomy\Subtotal prostatectomy\One stage subtotal suprapubic prostatectomy
\Intentional, structural alteration of the human body by mechanical, thermal, light-based, electromagnetic, or chemical means, and/or by the incision or destruction of tissues using instruments to cut, burn, vaporize, freeze, suture, probe, or manipulate by closed reductions.\Operation on trunk\Trunk excision\Excision of pelvis (procedure)\Prostatectomy\Suprapubic prostatectomy\One stage subtotal suprapubic prostatectomy
\Intentional, structural alteration of the human body by mechanical, thermal, light-based, electromagnetic, or chemical means, and/or by the incision or destruction of tissues using instruments to cut, burn, vaporize, freeze, suture, probe, or manipulate by closed reductions.\Operation on trunk\Trunk excision\Excision of pelvis (procedure)\Prostatectomy\Subtotal prostatectomy\One stage subtotal suprapubic prostatectomy
\Intentional, structural alteration of the human body by mechanical, thermal, light-based, electromagnetic, or chemical means, and/or by the incision or destruction of tissues using instruments to cut, burn, vaporize, freeze, suture, probe, or manipulate by closed reductions.\Operation on trunk\Trunk excision\Abdomen excision\Prostatectomy\Suprapubic prostatectomy\One stage subtotal suprapubic prostatectomy
\Intentional, structural alteration of the human body by mechanical, thermal, light-based, electromagnetic, or chemical means, and/or by the incision or destruction of tissues using instruments to cut, burn, vaporize, freeze, suture, probe, or manipulate by closed reductions.\Operation on trunk\Trunk excision\Abdomen excision\Prostatectomy\Subtotal prostatectomy\One stage subtotal suprapubic prostatectomy
\Intentional, structural alteration of the human body by mechanical, thermal, light-based, electromagnetic, or chemical means, and/or by the incision or destruction of tissues using instruments to cut, burn, vaporize, freeze, suture, probe, or manipulate by closed reductions.\Operation on trunk\Operative procedure on male genitourinary system\Operation on male genital system\Operation on prostate\Prostatectomy\Suprapubic prostatectomy\One stage subtotal suprapubic prostatectomy
\Intentional, structural alteration of the human body by mechanical, thermal, light-based, electromagnetic, or chemical means, and/or by the incision or destruction of tissues using instruments to cut, burn, vaporize, freeze, suture, probe, or manipulate by closed reductions.\Operation on trunk\Operative procedure on male genitourinary system\Operation on male genital system\Operation on prostate\Prostatectomy\Subtotal prostatectomy\One stage subtotal suprapubic prostatectomy
\Intentional, structural alteration of the human body by mechanical, thermal, light-based, electromagnetic, or chemical means, and/or by the incision or destruction of tissues using instruments to cut, burn, vaporize, freeze, suture, probe, or manipulate by closed reductions.\Operation on trunk\Operation on abdominal region\Abdomen excision\Prostatectomy\Suprapubic prostatectomy\One stage subtotal suprapubic prostatectomy
\Intentional, structural alteration of the human body by mechanical, thermal, light-based, electromagnetic, or chemical means, and/or by the incision or destruction of tissues using instruments to cut, burn, vaporize, freeze, suture, probe, or manipulate by closed reductions.\Operation on trunk\Operation on abdominal region\Abdomen excision\Prostatectomy\Subtotal prostatectomy\One stage subtotal suprapubic prostatectomy
\Intentional, structural alteration of the human body by mechanical, thermal, light-based, electromagnetic, or chemical means, and/or by the incision or destruction of tissues using instruments to cut, burn, vaporize, freeze, suture, probe, or manipulate by closed reductions.\Operation on trunk\Operation on abdominal region\Operation on prostate\Prostatectomy\Suprapubic prostatectomy\One stage subtotal suprapubic prostatectomy
\Intentional, structural alteration of the human body by mechanical, thermal, light-based, electromagnetic, or chemical means, and/or by the incision or destruction of tissues using instruments to cut, burn, vaporize, freeze, suture, probe, or manipulate by closed reductions.\Operation on trunk\Operation on abdominal region\Operation on prostate\Prostatectomy\Subtotal prostatectomy\One stage subtotal suprapubic prostatectomy

\Procedure by site\Procedure on body region (procedure)\Procedure on trunk\Procedure on pelvic region of trunk\Operation on pelvic region of trunk (procedure)\Excision of pelvis (procedure)\Prostatectomy\Suprapubic prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by site\Procedure on body region (procedure)\Procedure on trunk\Procedure on pelvic region of trunk\Operation on pelvic region of trunk (procedure)\Excision of pelvis (procedure)\Prostatectomy\Subtotal prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by site\Procedure on body region (procedure)\Procedure on trunk\Procedure on pelvic region of trunk\Operation on pelvic region of trunk (procedure)\Operation on male genital system\Operation on prostate\Prostatectomy\Suprapubic prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by site\Procedure on body region (procedure)\Procedure on trunk\Procedure on pelvic region of trunk\Operation on pelvic region of trunk (procedure)\Operation on male genital system\Operation on prostate\Prostatectomy\Subtotal prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by site\Procedure on body region (procedure)\Procedure on trunk\Procedure on pelvic region of trunk\Procedure on male genital system\Procedure on male genital organ\Procedure on prostate\Operation on prostate\Prostatectomy\Suprapubic prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by site\Procedure on body region (procedure)\Procedure on trunk\Procedure on pelvic region of trunk\Procedure on male genital system\Procedure on male genital organ\Procedure on prostate\Operation on prostate\Prostatectomy\Subtotal prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by site\Procedure on body region (procedure)\Procedure on trunk\Procedure on pelvic region of trunk\Procedure on male genital system\Operation on male genital system\Operation on prostate\Prostatectomy\Suprapubic prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by site\Procedure on body region (procedure)\Procedure on trunk\Procedure on pelvic region of trunk\Procedure on male genital system\Operation on male genital system\Operation on prostate\Prostatectomy\Subtotal prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by site\Procedure on body region (procedure)\Procedure on trunk\Procedure on abdomen\Procedure on prostate\Operation on prostate\Prostatectomy\Suprapubic prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by site\Procedure on body region (procedure)\Procedure on trunk\Procedure on abdomen\Procedure on prostate\Operation on prostate\Prostatectomy\Subtotal prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by site\Procedure on body region (procedure)\Procedure on trunk\Procedure on abdomen\Operation on abdominal region\Abdomen excision\Prostatectomy\Suprapubic prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by site\Procedure on body region (procedure)\Procedure on trunk\Procedure on abdomen\Operation on abdominal region\Abdomen excision\Prostatectomy\Subtotal prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by site\Procedure on body region (procedure)\Procedure on trunk\Procedure on abdomen\Operation on abdominal region\Operation on prostate\Prostatectomy\Suprapubic prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by site\Procedure on body region (procedure)\Procedure on trunk\Procedure on abdomen\Operation on abdominal region\Operation on prostate\Prostatectomy\Subtotal prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by site\Procedure on body region (procedure)\Procedure on trunk\Procedure on genitourinary system\Procedure on male genital system\Procedure on male genital organ\Procedure on prostate\Operation on prostate\Prostatectomy\Suprapubic prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by site\Procedure on body region (procedure)\Procedure on trunk\Procedure on genitourinary system\Procedure on male genital system\Procedure on male genital organ\Procedure on prostate\Operation on prostate\Prostatectomy\Subtotal prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by site\Procedure on body region (procedure)\Procedure on trunk\Procedure on genitourinary system\Procedure on male genital system\Operation on male genital system\Operation on prostate\Prostatectomy\Suprapubic prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by site\Procedure on body region (procedure)\Procedure on trunk\Procedure on genitourinary system\Procedure on male genital system\Operation on male genital system\Operation on prostate\Prostatectomy\Subtotal prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by site\Procedure on body region (procedure)\Procedure on trunk\Procedure on genitourinary system\Operative procedure on male genitourinary system\Operation on male genital system\Operation on prostate\Prostatectomy\Suprapubic prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by site\Procedure on body region (procedure)\Procedure on trunk\Procedure on genitourinary system\Operative procedure on male genitourinary system\Operation on male genital system\Operation on prostate\Prostatectomy\Subtotal prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by site\Procedure on body region (procedure)\Procedure on trunk\Operation on trunk\Operation on pelvic region of trunk (procedure)\Excision of pelvis (procedure)\Prostatectomy\Suprapubic prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by site\Procedure on body region (procedure)\Procedure on trunk\Operation on trunk\Operation on pelvic region of trunk (procedure)\Excision of pelvis (procedure)\Prostatectomy\Subtotal prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by site\Procedure on body region (procedure)\Procedure on trunk\Operation on trunk\Operation on pelvic region of trunk (procedure)\Operation on male genital system\Operation on prostate\Prostatectomy\Suprapubic prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by site\Procedure on body region (procedure)\Procedure on trunk\Operation on trunk\Operation on pelvic region of trunk (procedure)\Operation on male genital system\Operation on prostate\Prostatectomy\Subtotal prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by site\Procedure on body region (procedure)\Procedure on trunk\Operation on trunk\Trunk excision\Excision of pelvis (procedure)\Prostatectomy\Suprapubic prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by site\Procedure on body region (procedure)\Procedure on trunk\Operation on trunk\Trunk excision\Excision of pelvis (procedure)\Prostatectomy\Subtotal prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by site\Procedure on body region (procedure)\Procedure on trunk\Operation on trunk\Trunk excision\Abdomen excision\Prostatectomy\Suprapubic prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by site\Procedure on body region (procedure)\Procedure on trunk\Operation on trunk\Trunk excision\Abdomen excision\Prostatectomy\Subtotal prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by site\Procedure on body region (procedure)\Procedure on trunk\Operation on trunk\Operative procedure on male genitourinary system\Operation on male genital system\Operation on prostate\Prostatectomy\Suprapubic prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by site\Procedure on body region (procedure)\Procedure on trunk\Operation on trunk\Operative procedure on male genitourinary system\Operation on male genital system\Operation on prostate\Prostatectomy\Subtotal prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by site\Procedure on body region (procedure)\Procedure on trunk\Operation on trunk\Operation on abdominal region\Abdomen excision\Prostatectomy\Suprapubic prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by site\Procedure on body region (procedure)\Procedure on trunk\Operation on trunk\Operation on abdominal region\Abdomen excision\Prostatectomy\Subtotal prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by site\Procedure on body region (procedure)\Procedure on trunk\Operation on trunk\Operation on abdominal region\Operation on prostate\Prostatectomy\Suprapubic prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by site\Procedure on body region (procedure)\Procedure on trunk\Operation on trunk\Operation on abdominal region\Operation on prostate\Prostatectomy\Subtotal prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by site\Procedure on organ\Procedure on male genital organ\Procedure on prostate\Operation on prostate\Prostatectomy\Suprapubic prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by site\Procedure on organ\Procedure on male genital organ\Procedure on prostate\Operation on prostate\Prostatectomy\Subtotal prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by site\Procedure on body system\Procedure on genitourinary system\Procedure on male genital system\Procedure on male genital organ\Procedure on prostate\Operation on prostate\Prostatectomy\Suprapubic prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by site\Procedure on body system\Procedure on genitourinary system\Procedure on male genital system\Procedure on male genital organ\Procedure on prostate\Operation on prostate\Prostatectomy\Subtotal prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by site\Procedure on body system\Procedure on genitourinary system\Procedure on male genital system\Operation on male genital system\Operation on prostate\Prostatectomy\Suprapubic prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by site\Procedure on body system\Procedure on genitourinary system\Procedure on male genital system\Operation on male genital system\Operation on prostate\Prostatectomy\Subtotal prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by site\Procedure on body system\Procedure on genitourinary system\Operative procedure on male genitourinary system\Operation on male genital system\Operation on prostate\Prostatectomy\Suprapubic prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by site\Procedure on body system\Procedure on genitourinary system\Operative procedure on male genitourinary system\Operation on male genital system\Operation on prostate\Prostatectomy\Subtotal prostatectomy\One stage subtotal suprapubic prostatectomy

\Procedure by method\To take something off or out, to get rid of, to eliminate\Surgical removal\Removal done with a cutting instrument\Trunk excision\Excision of pelvis (procedure)\Prostatectomy\Suprapubic prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by method\To take something off or out, to get rid of, to eliminate\Surgical removal\Removal done with a cutting instrument\Trunk excision\Excision of pelvis (procedure)\Prostatectomy\Subtotal prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by method\To take something off or out, to get rid of, to eliminate\Surgical removal\Removal done with a cutting instrument\Trunk excision\Abdomen excision\Prostatectomy\Suprapubic prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by method\To take something off or out, to get rid of, to eliminate\Surgical removal\Removal done with a cutting instrument\Trunk excision\Abdomen excision\Prostatectomy\Subtotal prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by method\Operation on trunk\Operation on pelvic region of trunk (procedure)\Excision of pelvis (procedure)\Prostatectomy\Suprapubic prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by method\Operation on trunk\Operation on pelvic region of trunk (procedure)\Excision of pelvis (procedure)\Prostatectomy\Subtotal prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by method\Operation on trunk\Operation on pelvic region of trunk (procedure)\Operation on male genital system\Operation on prostate\Prostatectomy\Suprapubic prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by method\Operation on trunk\Operation on pelvic region of trunk (procedure)\Operation on male genital system\Operation on prostate\Prostatectomy\Subtotal prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by method\Operation on trunk\Trunk excision\Excision of pelvis (procedure)\Prostatectomy\Suprapubic prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by method\Operation on trunk\Trunk excision\Excision of pelvis (procedure)\Prostatectomy\Subtotal prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by method\Operation on trunk\Trunk excision\Abdomen excision\Prostatectomy\Suprapubic prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by method\Operation on trunk\Trunk excision\Abdomen excision\Prostatectomy\Subtotal prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by method\Operation on trunk\Operative procedure on male genitourinary system\Operation on male genital system\Operation on prostate\Prostatectomy\Suprapubic prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by method\Operation on trunk\Operative procedure on male genitourinary system\Operation on male genital system\Operation on prostate\Prostatectomy\Subtotal prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by method\Operation on trunk\Operation on abdominal region\Abdomen excision\Prostatectomy\Suprapubic prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by method\Operation on trunk\Operation on abdominal region\Abdomen excision\Prostatectomy\Subtotal prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by method\Operation on trunk\Operation on abdominal region\Operation on prostate\Prostatectomy\Suprapubic prostatectomy\One stage subtotal suprapubic prostatectomy
\Procedure by method\Operation on trunk\Operation on abdominal region\Operation on prostate\Prostatectomy\Subtotal prostatectomy\One stage subtotal suprapubic prostatectomy

Status: current, Not sufficiently defined by necessary conditions definition status (core metadata concept). Date: 31-Jan 2002. Module: SNOMED CT core

Descriptions:

Id Description Lang Type Status Case? Module

151634016 One stage subtotal suprapubic prostatectomy en Synonym (core metadata concept) Active Entire term case insensitive (core metadata concept) SNOMED CT core

834866011 One stage subtotal suprapubic prostatectomy (procedure) en Fully specified name Active Entire term case insensitive (core metadata concept) SNOMED CT core

4689531000241110 prostatectomie sus-pubienne partielle, en un temps fr Synonym (core metadata concept) Active Entire term case insensitive (core metadata concept) SNOMED CT Switzerland NRC maintained Module

Expanded Value Set

Outbound Relationships	Type	Target	Active	Characteristic	Refinability	Group	Values
One stage subtotal suprapubic prostatectomy	Is a	Suprapubic prostatectomy	true	Inferred relationship	Some
One stage subtotal suprapubic prostatectomy	Is a	Subtotal prostatectomy	true	Inferred relationship	Some
One stage subtotal suprapubic prostatectomy	Method	Excision - action	false	Inferred relationship	Some	1
One stage subtotal suprapubic prostatectomy	Procedure site	Prostate	false	Inferred relationship	Some	1
One stage subtotal suprapubic prostatectomy	Procedure site	Structure of outlet of urinary bladder (body structure)	false	Inferred relationship	Some
One stage subtotal suprapubic prostatectomy	Access	Open approach	false	Inferred relationship	Some
One stage subtotal suprapubic prostatectomy	Approach	Transvesical	false	Inferred relationship	Some
One stage subtotal suprapubic prostatectomy	Approach	Suprapubic approach (qualifier value)	false	Inferred relationship	Some	2
One stage subtotal suprapubic prostatectomy	Procedure site	Prostate part	false	Inferred relationship	Some	1
One stage subtotal suprapubic prostatectomy	Procedure site - Direct (attribute)	Prostate part	true	Inferred relationship	Some	1
One stage subtotal suprapubic prostatectomy	Procedure site - Direct (attribute)	Prostate	false	Inferred relationship	Some	2
One stage subtotal suprapubic prostatectomy	Method	Excision - action	true	Inferred relationship	Some	1
One stage subtotal suprapubic prostatectomy	Method	Excision - action	false	Inferred relationship	Some	2
One stage subtotal suprapubic prostatectomy	Procedure site - Direct (attribute)	Prostate	true	Inferred relationship	Some	2
One stage subtotal suprapubic prostatectomy	Method	Excision - action	true	Inferred relationship	Some	2
One stage subtotal suprapubic prostatectomy	Surgical approach	Suprapubic approach (qualifier value)	false	Inferred relationship	Some	2
One stage subtotal suprapubic prostatectomy	Procedure approach	Suprapubic approach (qualifier value)	true	Inferred relationship	Some	2

Inbound Relationships

Type

Active

Source

Characteristic

Refinability

Group

This concept is not in any reference sets