In the ballot version the definition of Systemic Variation is misleading; it is a repeat of the Molecular Variation text:
VRS currently covers many classes of variation that are defined on a contiguous molecule such as single nucleotide variants (SNVs), multi-nucleotide variants (MNVs), indels, repeats, haplotypes, breakpoints, and sequence rearrangements that form derivative molecules.
Collectively, these types of variation are called molecular variation.