preferred_name: orotate(out) + 2 H(+)(out) => orotate(in) + 2 H(+)(in)
preferred_name_lc: orotate(out) + 2 h(+)(out) => orotate(in) + 2 h(+)(in)
label: orotate(out) + 2 H(+)(out) => orotate(in) + 2 H(+)(in)
label_lc: orotate(out) + 2 h(+)(out) => orotate(in) + 2 h(+)(in)