Validation Results for TWCM

Generated Wed Oct 07 04:16:33 UTC 2026, FHIR version 4.0.1 for tw.gov.mohw.nricm.twcm#0.1.0 (canonical = https://www.nricm.edu.tw/twcm (history)). See Full QA Report & IP

Quality Checks
Publisher Version:	IG Publisher Version: v2.3.5
Publication Code:	n/a . PackageId = tw.gov.mohw.nricm.twcm, Canonical = https://www.nricm.edu.tw/twcm
Realm Check for n/a:	n/a
Language Info:	This IG has no language information
Publication Request:	This IG has never been published No publication request found
Supressed Messages:	22 Suppressed Issues
Dependency Checks:	Package Version FHIR Canonical Web Base Comment tw.gov.mohw.nricm.twcm 0.1.0 R4 https://www.nricm.edu.tw/twcm tw.gov.mohw.nricm.twcm / hl7.terminology.r4 7.4.0 M Latest Milestone Release. R4 http://terminology.hl7.org http://terminology.hl7.org/7.4.0 tw.gov.mohw.nricm.twcm / hl7.fhir.uv.extensions.r4 5.3.0 M Latest Milestone Release. R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.3.0 tw.gov.mohw.nricm.twcm / hl7.fhir.uv.extensions.r4 / hl7.terminology.r4 7.1.0 O Outdated Release. R4 http://terminology.hl7.org http://terminology.hl7.org/7.1.0 Latest Release is 7.4.0 tw.gov.mohw.nricm.twcm / hl7.fhir.uv.extensions.r4 / hl7.terminology.r4 / hl7.fhir.uv.extensions.r4 5.2.0 O Outdated Release. R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 Latest Release is 5.3.0 tw.gov.mohw.nricm.twcm / tw.gov.mohw.twcore 0.3.2 U Not yet released. R4 https://twcore.mohw.gov.tw/ig/twcore https://twcore.mohw.gov.tw/ig/twcore/0.3.2 tw.gov.mohw.nricm.twcm / tw.gov.mohw.twcore / hl7.terminology.r4 6.1.0 O Outdated Release. R4 http://terminology.hl7.org http://terminology.hl7.org/6.1.0 Latest Release is 7.4.0 tw.gov.mohw.nricm.twcm / tw.gov.mohw.twcore / hl7.fhir.uv.extensions.r4 5.1.0 O Outdated Release. R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.1.0 Latest Release is 5.3.0 tw.gov.mohw.nricm.twcm / tw.gov.mohw.twcore / hl7.fhir.uv.ips 1.1.0 O Outdated Release. R4 http://hl7.org/fhir/uv/ips http://hl7.org/fhir/uv/ips/STU1.1 Latest Release is 2.0.1 tw.gov.mohw.nricm.twcm / tw.gov.mohw.twcore / hl7.fhir.uv.ips / hl7.terminology.r4 5.0.0 O Outdated Release. R4 http://terminology.hl7.org http://terminology.hl7.org/5.0.0 Latest Release is 7.4.0 tw.gov.mohw.nricm.twcm / tw.gov.mohw.twcore / hl7.fhir.uv.ips / fhir.dicom 2022.4.20221006 O Outdated Release. R4 http://fhir.org/packages/fhir.dicom http://fhir.org/packages/fhir.dicom Latest Release is 2025.3.20250714 tw.gov.mohw.nricm.twcm / tw.gov.mohw.twcore / hl7.fhir.uv.sdc 3.0.0 O Outdated Release. R4 http://hl7.org/fhir/uv/sdc http://hl7.org/fhir/uv/sdc/STU3 Latest Release is 4.0.0 tw.gov.mohw.nricm.twcm / tw.gov.mohw.twcore / hl7.fhir.uv.sdc / hl7.fhir.r4.examples 4.0.1 O Outdated Release. R4 http://hl7.org/fhir http://hl7.org/fhir/R4 Latest Release is 5.0.0 tw.gov.mohw.nricm.twcm / hl7.fhir.uv.ips 2.0.1 M Latest Milestone Release. R4 http://hl7.org/fhir/uv/ips file:///web/publishing/work/task-89/draft/output tw.gov.mohw.nricm.twcm / hl7.fhir.uv.ips / hl7.terminology.r4 7.2.0 O Outdated Release. R4 http://terminology.hl7.org http://terminology.hl7.org/7.2.0 Latest Release is 7.4.0 tw.gov.mohw.nricm.twcm / hl7.fhir.uv.ips / hl7.terminology.r4 / hl7.fhir.uv.extensions.r4 5.3.0 M Latest Milestone Release. R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.3.0 (as above) tw.gov.mohw.nricm.twcm / hl7.fhir.uv.ips / hl7.fhir.uv.ipa 1.1.0 M Latest Milestone Release. R4 http://hl7.org/fhir/uv/ipa http://hl7.org/fhir/uv/ipa/STU1.1 tw.gov.mohw.nricm.twcm / hl7.fhir.uv.ips / hl7.fhir.uv.ipa / hl7.terminology.r4 6.2.0 O Outdated Release. R4 http://terminology.hl7.org http://terminology.hl7.org/6.2.0 Latest Release is 7.4.0 tw.gov.mohw.nricm.twcm / hl7.fhir.uv.ips / hl7.fhir.uv.ipa / hl7.fhir.uv.extensions.r4 5.2.0 O Outdated Release. R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 (as above). Latest Release is 5.3.0 tw.gov.mohw.nricm.twcm / hl7.fhir.uv.ips / hl7.fhir.uv.ipa / hl7.fhir.uv.smart-app-launch 2.0.0 O Outdated Release. R4 http://hl7.org/fhir/smart-app-launch http://hl7.org/fhir/smart-app-launch/STU2 Latest Release is 2.2.0 tw.gov.mohw.nricm.twcm / hl7.fhir.uv.ips / hl7.fhir.uv.extensions.r4 5.3.0 M Latest Milestone Release. R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.3.0 (as above) tw.gov.mohw.nricm.twcm / hl7.fhir.uv.tools.r4 1.3.0 M Latest Milestone Release. R4 http://hl7.org/fhir/tools http://hl7.org/fhir/tools/1.3.0 Internal Dependency Templates: custom-template#0.1.0 -> fhir.base.template#current
Related IGs:	n/a
Dependent IGs:	no references
Global Profiles:	(none declared)
Terminology Server(s):	https://tx.fhir.org/r4 (details)
HTA Analysis:	Non-HL7 Igs are exempt from terminology dependency analysis
R5 Dependencies:	(none)
Draft Dependencies:	hl7.fhir.r4.core#4.0.1: GuideParameterCode (15 uses), SignatureTypeCodes (2 uses), AllergyIntolerance (3 uses), CommonLanguages (44 uses), AllergyIntoleranceClinicalStatusCodes (1 uses), AllergyIntoleranceVerificationStatusCodes (1 uses), AllergyIntoleranceType (1 uses), AllergyIntoleranceCategory (1 uses), AllergyIntoleranceCriticality (1 uses), SubstanceCode (1 uses), SNOMEDCTClinicalFindings (4 uses), AllergyIntoleranceSeverity (1 uses), SNOMEDCTRouteCodes (2 uses), CarePlan (3 uses), PlanDefinition (6 uses), Questionnaire (5 uses), Measure (5 uses), ActivityDefinition (6 uses), RequestStatus (2 uses), CarePlanIntent (1 uses), CarePlanCategory (2 uses), Goal (2 uses), CarePlanActivityOutcome (1 uses), Appointment (3 uses), CommunicationRequest (2 uses), DeviceRequest (35 uses), NutritionOrder (35 uses), Task (2 uses), VisionPrescription (2 uses), RequestGroup (2 uses), CarePlanActivityKind (1 uses), ProcedureCodes(SNOMEDCT) (7 uses), CarePlanActivityStatus (1 uses), HealthcareService (4 uses), Medication (1 uses), Substance (8 uses), SNOMEDCTMedicationCodes (6 uses), ClinicalImpression (12 uses), ClinicalImpressionStatus (1 uses), InvestigationType (5 uses), QuestionnaireResponse (42 uses), FamilyMemberHistory (4 uses), DiagnosticReport (2 uses), RiskAssessment (2 uses), ImagingStudy (1 uses), Media (6 uses), Condition/Problem/DiagnosisCodes (14 uses), Condition (31 uses), ClinicalImpressionPrognosis (1 uses), CommonTags (1 uses), CompositionStatus (2 uses), CompositionAttestationMode (1 uses), DocumentRelationshipType (2 uses), Composition (68 uses), ListMode (33 uses), ListOrderCodes (33 uses), ListEmptyReasons (33 uses), DocumentSectionCodes (11 uses), Practitioner (12 uses), PractitionerRole (12 uses), Device (37 uses), RelatedPerson (12 uses), Organization (18 uses), ConditionClinicalStatusCodes (5 uses), ConditionVerificationStatus (5 uses), ConditionCategoryCodes (5 uses), Condition/DiagnosisSeverity (5 uses), SNOMEDCTBodyStructures (24 uses), ConditionStage (5 uses), ConditionStageType (5 uses), ManifestationAndSymptomCodes (5 uses), DiagnosticReportStatus (1 uses), DiagnosticServiceSectionCodes (1 uses), LOINCCodes (51 uses), Specimen (1 uses), DocumentReferenceStatus (1 uses), EncounterStatus (2 uses), EncounterType (1 uses), ServiceType (1 uses), EpisodeOfCare (1 uses), ParticipantType (1 uses), EncounterReasonCodes (1 uses), ImmunizationRecommendation (37 uses), DiagnosisRole (1 uses), Account (1 uses), AdmitSource (1 uses), Diet (1 uses), SpecialCourtesy (1 uses), SpecialArrangements (1 uses), DischargeDisposition (1 uses), EncounterLocationStatus (1 uses), LocationType (1 uses), FamilyHistoryStatus (1 uses), FamilyHistoryAbsentReason (1 uses), DocumentReference (1 uses), ConditionOutcomeCodes (1 uses), Medication Status Codes (1 uses), SNOMEDCTFormCodes (2 uses), medicationrequest Status (1 uses), medicationRequest Status Reason Codes (1 uses), medicationRequest Intent (1 uses), medicationRequest Category Codes (1 uses), RequestPriority (2 uses), ProcedurePerformerRoleCodes (3 uses), medicationRequest Course of Therapy Codes (1 uses), Coverage (1 uses), ClaimResponse (2 uses), SNOMEDCTAdditionalDosageInstructions (1 uses), MedicationRequest (9 uses), SNOMEDCTMedicationAsNeededReasonCodes (2 uses), SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (1 uses), SNOMEDCTAdministrationMethodCodes (1 uses), DoseAndRateType (1 uses), DetectedIssue (1 uses), MedicationAdministration (38 uses), ObservationCategoryCodes (24 uses), ObservationMethods (17 uses), DeviceMetric (17 uses), ObservationReferenceRangeMeaningCodes (17 uses), ObservationReferenceRangeAppliesToCodes (17 uses), MolecularSequence (59 uses), observation-vitalsigns (9 uses), observation-bp (3 uses), VitalSignsUnits (8 uses), observation-bodyheight (4 uses), BodyLengthUnits (1 uses), observation-bodytemp (4 uses), BodyTemperatureUnits (1 uses), observation-bodyweight (4 uses), BodyWeightUnits (1 uses), observation-heartrate (4 uses), observation-vitalspanel (5 uses), OrganizationType (2 uses), ContactEntityType (2 uses), Endpoint (2 uses), PatientRelationshipType (1 uses), EventStatus (2 uses), ProcedureReasonCodes (2 uses), ProcedureOutcomeCodes(SNOMEDCT) (2 uses), ProcedureFollowUpCodes(SNOMEDCT) (2 uses), ProcedureDeviceActionCodes (2 uses), FHIRDeviceTypes (2 uses), ProcedureCategoryCodes(SNOMEDCT) (1 uses), ProvenanceActivityType (1 uses), SecurityRoleType (3 uses), ProvenanceParticipantType (2 uses), ProvenanceEntityRole (1 uses), Provenance (2 uses), SignatureTypeCodes (1 uses), ServiceRequest (1 uses), RequestIntent (1 uses), ServiceRequestCategoryCodes (1 uses), ServiceRequestOrderDetailsCodes (1 uses), ParticipantRoles (1 uses)
Modifier Extensions:	(none)
Previous Version Comparison:	Unable to compare with previous version: Unable to find version history at https://www.nricm.edu.tw/twcm (Problem #1 with package-list.json at https://www.nricm.edu.tw/twcm: Not Found)
IPA Comparison:	n/a
IPS Comparison:	n/a
Validation Flags:	On: checkAggregation, autoLoad; Off: hintAboutNonMustSupport, anyExtensionsAllowed, showReferenceMessages, noExperimentalContent, displayWarnings
Summary:	errors = 0, warn = 2, info = 0, broken links = 11, pinned = n/a. Show Message Ids

n/a Show Validation Information

fsh-generated/resources/StructureDefinition-careplan-twcm.json Show Validation Information (1)

Path	Severity	Message	Validating
StructureDefinition​.snapshot​.element[60]	warning	The Binding on the type slicer CarePlan.activity.detail.product[x] applies to all its slices, but it only makes sense for some of its types, so it has no effect on the slices for Reference SD_TYPE_SLICER_PARTIAL_CONSTRAINT	--

fsh-generated/resources/StructureDefinition-medicationrequest-twcm.json Show Validation Information (1)

Path	Severity	Message	Validating
StructureDefinition​.snapshot​.element[18]	warning	The Binding on the type slicer MedicationRequest.medication[x] applies to all its slices, but it only makes sense for some of its types, so it has no effect on the slices for Reference SD_TYPE_SLICER_PARTIAL_CONSTRAINT	--

Suppressed Messages (Warnings, hints, broken links)

deprecated extension，IG中未使用，不影響驗證。

• % The extension http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet|5.3.0 is deprecated% (1 uses)
• % The extension http://hl7.org/fhir/StructureDefinition/regex|5.3.0 is deprecated% (1 uses)

validator無法辨識URL，不影響驗證。

• % No definition could be found for URL value% (14 uses)

中醫處置分類值集沿用FHIR R4 procedure-category值集之SNOMED CT代碼，103693007於SNOMED CT 2023年版停用且無官方替代碼，為與FHIR標準值集一致故保留，不影響驗證。

• % The concept '103693007' has a status of inactive% (1 uses)

使用預設的HL7值集，但HL7 validator無法辨識版本，此屬於HL7 validator程式本身問題，非IG設計問題。

• % There are multiple different potential matches for the url% (13 uses)

來自相依套件(IPS)內部的連結，非本IG內容，不影響驗證。

• % Hyperlink scheme 'file'% (1 uses)

建議Observation皆須要填寫performer，但此專案情境不需要。

• % Best Practice Recommendation: In general, all observations should have a performer% (23 uses)

建議使用OID，但目前暫無需求，不影響驗證。

• % have an OID% (106 uses)

慢性疾病值集之代碼名稱照錄臺灣核心(TW Core)2023年版ICD-10-CM原文，Q90、Q91部分名稱於原始資料即帶前導空白，為與TW Core一致故保留，不影響驗證。

• %value should not start or finish with whitespace ' 第% (12 uses)

提醒slice的pattern寫法將於R5版本不再支援，不影響驗證。

• % The discriminator type 'pattern' is deprecated in R5% (42 uses)

提醒slice雖有多筆，但實際只能填一筆，不影響驗證。

• The slice definition for Condition.code.coding has a maximum of 1 but the slices add up to a maximum of 6. Check that this is what is intended (2 uses)
• The slice definition for Encounter.serviceType.coding has a maximum of 1 but the slices add up to a maximum of 3. Check that this is what is intended (1 uses)
• The slice definition for Medication.code.coding has a maximum of 2 but the slices add up to a maximum of 7. Check that this is what is intended (1 uses)
• The slice definition for Patient.identifier has a maximum of 2 but the slices add up to a maximum of 3. Check that this is what is intended (1 uses)
• The slice definition for Patient.name has a maximum of 1 but the slices add up to a maximum of 4. Check that this is what is intended (1 uses)
• The slice definition for Procedure.code.coding has a maximum of 1 but the slices add up to a maximum of 6. Check that this is what is intended (1 uses)

最新版本的代碼不齊全，無法直接繼承，故先繼續使用0.3.2版。

• % The ImplementationGuide uses package tw.gov.mohw.twcore#0.3.2% (1 uses)

本IG自訂代碼系統目前為草案(draft)狀態，待正式發布後改為active，不影響驗證。

• % Reference to draft CodeSystem% (162 uses)

病史、證型及治則之code.coding依代碼系統切分slice(本IG詞彙、ICD-11)，各slice以pattern指定代碼系統，套用至該slice之每一筆coding為預期設計，不影響驗證。

• %The repeating element has a pattern. The pattern will apply to all the repeats% (3 uses)

部分值集(如慢性疾病值集約1.2萬筆ICD-10-CM代碼)代碼量超過IG Publisher展開與逐碼檢查之上限(1,000筆)，Expansion僅列出部分代碼，代碼已另行比對TW Core 2023年版，不影響驗證。

• % The value set expansion is too large, and only a subset has been displayed% (3 uses)
• %The value set include has too many concepts to validate% (1 uses)
• %expansion has too many codes to produce (>1000)% (1 uses)

Errors sorted by type

SD_TYPE_SLICER_PARTIAL_CONSTRAINT