The Recorded Sex or Gender template has several observations contained with entryRelationships like:

Jurisdiction is the organization that issued the document and therefore defines the concept.
Typically a state or nation, but possibly a firm or professional society.
10. MAY contain zero or one [0..1] entryRelationship (CONF:4536-107) such that it
a. SHALL contain exactly one [1..1] observation (CONF:4536-108).
i. This observation SHALL contain exactly one [1..1] @classCode="OBS"
Observation (CodeSystem: HL7ActClass
urn:oid:2.16.840.1.113883.5.6) (CONF:4536-110).
ii. This observation SHALL contain exactly one [1..1] @moodCode="EVN" Event
(CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001)
(CONF:4536-111).
iii. This observation SHALL contain exactly one [1..1] code="77969-4"
Jurisdiction code (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1)
(CONF:4536-109).
iv. This observation SHALL contain exactly one [1..1] statusCode="complete"
Completed (CodeSystem: HL7ActStatus
urn:oid:2.16.840.1.113883.5.14) (CONF:4536-112).
v. This observation SHALL contain exactly one [1..1] value with @xsi:type="CD"
(CONF:4536-113).
1. This value MAY contain zero or one [0..1] originalText (CONF:4536-
114).

It would be much more readable and maintainable to create separate templates for these, the way the C-CDA IG does. That is, we'd have something like:

10. MAY contain zero or one [0..1] entryRelationship (CONF:4536-107) such that it
a. SHALL contain exactly one [1..1] Jurisdiction Observation (CONF:4536-108).

And then move the observation details (and description) to a new entry-level observation template. The same would go for document type, date of entry, and patient record type.