bɪkˈʌz ʌvðə lˈɑːdʒɪk ʌvðə dˌaɪəɡnˈɑːstɪk tɹˈiː, wˌɛɹ ˌiːˌɛfˈiː ɐplˈaɪz tə mˈɛni bɹˈæntʃᵻz ʌvðə tɹˈiː ænd ðˈʌs kænˈɑːt ˈɑːkjʊpˌaɪ ɐ bɹˈæntʃ, ɪɾ ɪz nˌɑːt lˈɪstᵻd baɪ ðə ɹˈɛdʒɪstɹi æz ɐ kˈɔːz bˌʌt ɹˈæðɚ, "wɪð ˌiːˌɛfˈiː" ɪz ɐ mˈɑːdɪfˌaɪɚ ðæt kæn biː ɐplˈaɪd tʊ ˌɛni kˈɔːz.
Because of the logic of the diagnostic tree, where EFE applies to many branches of the tree and thus cannot occupy a branch, it is not listed by the Registry as a cause but rather, "with EFE" is a modifier that can be applied to any cause.