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  1. Removal of Site Sequence Number clauses as it is expected users will use ACK's.
  2. Updated METeOR codes where required.
  3. Updated references to AS 4846-2014 rather than the superseded AS 4846-2006 and AS 5017-2006.
  4. Inclusion of Patient segment information ie MSH, PV1, PID
  5. Total reRe-vamp structuring of conformance points into a table.