Finding:  
                     -Update statements to include clause "a. SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: 
 
                     HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002)"   
 
                     Suggestion:  
                     -Prior Conformance
                    
 
                     7. MAY contain zero or more [0..*] entryRelationship (CONF:1098-32382).
 
                     
                        
                    
 
                     a. The entryRelationship, if present, SHALL contain exactly one [1..1] Planned
 
                     
                        
                    
 
                     Encounter (V2) (identifier:
 
                     
                        
                    
 
                     urn:hl7ii:2.16.840.1.113883.10.20.22.4.40:2014-06-09) (CONF:1098-
 
                     
                        
                    
 
                     32383).
 
                     
                        
                    
 
                     8. MAY contain zero or more [0..*] entryRelationship (CONF:1098-32384).
 
                     
                        
                    
 
                     a. The entryRelationship, if present, SHALL contain exactly one [1..1] Planned
 
                     
                        
                    
 
                     Medication Activity (V2) (identifier:
 
                     
                        
                    
 
                     urn:hl7ii:2.16.840.1.113883.10.20.22.4.42:2014-06-09) (CONF:1098-
 
                     
                        
                    
 
                     32385).
 
                     
                        
                    
 
                     9. MAY contain zero or more [0..*] entryRelationship (CONF:1098-32386).
 
                     
                        
                    
 
                     a. The entryRelationship, if present, SHALL contain exactly one [1..1] Planned
 
                     
                        
                    
 
                     Observation (V2) (identifier:
 
                     
                        
                    
 
                     urn:hl7ii:2.16.840.1.113883.10.20.22.4.44:2014-06-09) (CONF:1098-
 
                     
                        
                    
 
                     32387).
 
                     
                        
                    
 
                     10. MAY contain zero or more [0..*] entryRelationship (CONF:1098-32388).
 
                     
                        
                    
 
                     a. The entryRelationship, if present, SHALL contain exactly one [1..1] Planned
 
                     
                        
                    
 
                     Procedure (V2) (identifier:
 
                     
                        
                    
 
                     HL7 CDA R2.1 IG: Consolidated CDA Templates for Clinical Note (US Realm), DSTU R2—Vol. 2: Templates Page 632
 
                     
                        
                    
 
                     August 2015 © 2015 Health Level Seven, Inc. All rights reserved.
 
                     
                        
                    
 
                     urn:hl7ii:2.16.840.1.113883.10.20.22.4.41:2014-06-09) (CONF:1098-
 
                     
                        
                    
 
                     32389).
 
                     
                        
                    
 
                     11. MAY contain zero or more [0..*] entryRelationship (CONF:1098-32390).
 
                     
                        
                    
 
                     a. The entryRelationship, if present, SHALL contain exactly one [1..1] Planned Supply
 
                     
                        
                    
 
                     (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.43:2014-06-
 
                     
                        
                    
 
                     09) (CONF:1098-32391).
 
                     
                        
                    
 
                     12. MAY contain zero or more [0..*] entryRelationship (CONF:1098-32632).
 
                     
                        
                    
 
                     a. The entryRelationship, if present, SHALL contain exactly one [1..1] Planned Act
 
                     
                        
                    
 
                     (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.39:2014-06-
 
                     
                        
                    
 
                     09) (CONF:1098-32633).
 
                     
                        
-Conformance After Update
                    
 
                     7. MAY contain zero or more [0..*] entryRelationship (CONF:1098-32382).
 
                     a. The entryRelationship, if present, SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32928).
 
                     b. The entryRelationship, if present, SHALL contain exactly one [1..1] Planned Encounter (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.40:2014-06-09) (CONF:1098-32383).
 
                     8. MAY contain zero or more [0..*] entryRelationship (CONF:1098-32384).
 
                     a. The entryRelationship, if present, SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32929).
 
                     b. The entryRelationship, if present, SHALL contain exactly one [1..1] Planned Medication Activity (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.42:2014-06-09) (CONF:1098-32385).
 
                     9. MAY contain zero or more [0..*] entryRelationship (CONF:1098-32386).
 
                     a. The entryRelationship, if present, SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32930).
 
                     b. The entryRelationship, if present, SHALL contain exactly one [1..1] Planned Observation (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.44:2014-06-09) (CONF:1098-32387).
 
                     10. MAY contain zero or more [0..*] entryRelationship (CONF:1098-32388).
 
                     a. The entryRelationship, if present, SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32931).
 
                     b. The entryRelationship, if present, SHALL contain exactly one [1..1] Planned Procedure (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.41:2014-06-09) (CONF:1098-32389).
 
                     11. MAY contain zero or more [0..*] entryRelationship (CONF:1098-32390).
 
                     a. The entryRelationship, if present, SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32932).
 
                     b. The entryRelationship, if present, SHALL contain exactly one [1..1] Planned Supply (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.43:2014-06-09) (CONF:1098-32391).
 
                     12. MAY contain zero or more [0..*] entryRelationship (CONF:1098-32632).
 
                     a. The entryRelationship, if present, SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32933).
 
                     b. The entryRelationship, if present, SHALL contain exactly one [1..1] Planned Act (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.39:2014-06-09) (CONF:1098-32633).
 
                     Further explanation:  
                     -32382, 32384, 32385, 32386, 32388, 32389, 32390, 32391, 32632, 32633