XpanDH Patient Summary
0.1.0 - ci-build 150

XpanDH Patient Summary, published by XpanDH Project. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/xpandh-ps/ and changes regularly. See the Directory of published versions

Resource Profile: Medication (EU PS)

Official URL: http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/Medication-ps-xpandh Version: 0.1.0
Draft as of 2024-12-12 Computable Name: MedicationPsXpandh

Copyright/Legal: Used by permission of the XpanDH project, all rights reserved Creative Commons License

This profile constrains the Medication resource for the purpose of the European patient summary.

This profile constrains the Medication resource for the purpose of the European patient summary.

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from MedicationIPS

NameFlagsCard.TypeDescription & Constraintsdoco
.. Medication MedicationIPS
... code 1..1 CodeableConceptIPS Any kind of product code (including ATC)
Binding: Active Ingredient (PARTIAL) (preferred)
... form 0..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Dose Form (required)
... ingredient
.... Slices for item[x] 1..1 CodeableConceptIPS, Reference(Substance | Medication) The actual ingredient or content
Slice: Unordered, Open by type:$this
..... item[x]:itemCodeableConcept 0..1 CodeableConceptIPS The actual ingredient or content
Binding: Substance (PARTIAL) (preferred)
..... item[x]:itemReference 0..1 Reference(Medication (EU PS)) The actual ingredient or content
.... isActive 0..1 boolean Usually true
.... strength 0..1 RatioIPS A kind of strength

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Medication.codepreferredEHDSIActiveIngredient
http://terminology.ehdsi.eu/ValueSet/eHDSIActiveIngredient
from this IG
Medication.formrequiredEHDSIDoseForm
http://terminology.ehdsi.eu/ValueSet/eHDSIDoseForm
from this IG
Medication.ingredient.item[x]:itemCodeableConceptpreferredEHDSISubstance
http://terminology.ehdsi.eu/ValueSet/eHDSISubstance
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. Medication 0..* MedicationIPS Definition of a Medication
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... code S 1..1 CodeableConceptIPS Any kind of product code (including ATC)
Binding: Active Ingredient (PARTIAL) (preferred)
Additional BindingsPurpose
Medications - SNOMED CT IPS Free Set candidate
WHO ATC - IPS candidate
Absent or Unknown Medication - IPS candidate

ele-1: All FHIR elements must have a @value or children
... form S 0..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Dose Form (required)
ele-1: All FHIR elements must have a @value or children
... ingredient S 0..* BackboneElement Active or inactive ingredient
ele-1: All FHIR elements must have a @value or children
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... Slices for item[x] S 1..1 The actual ingredient or content
Slice: Unordered, Closed by type:$this
Binding: Medicine Active Substances - IPS (preferred): SNOMED CT drug substances


ele-1: All FHIR elements must have a @value or children
..... itemCodeableConcept CodeableConcept(CodeableConceptIPS)
..... itemReference Reference(Substance | Medication)
..... item[x]:itemCodeableConcept S 0..1 CodeableConceptIPS The actual ingredient or content
Binding: Substance (PARTIAL) (preferred)
ele-1: All FHIR elements must have a @value or children
..... item[x]:itemReference S 0..1 Reference(Medication (EU PS)) The actual ingredient or content
ele-1: All FHIR elements must have a @value or children
.... isActive 0..1 boolean Usually true
ele-1: All FHIR elements must have a @value or children
.... strength SC 0..1 RatioIPS A kind of strength
ele-1: All FHIR elements must have a @value or children
rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Medication.codepreferredEHDSIActiveIngredient
http://terminology.ehdsi.eu/ValueSet/eHDSIActiveIngredient
from this IG
Medication.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-status|4.0.1
from the FHIR Standard
Medication.formrequiredEHDSIDoseForm
http://terminology.ehdsi.eu/ValueSet/eHDSIDoseForm
from this IG
Medication.ingredient.item[x]preferredMedicineActiveSubstancesUvIps
http://hl7.org/fhir/uv/ips/ValueSet/medicine-active-substances-uv-ips
Medication.ingredient.item[x]:itemCodeableConceptpreferredEHDSISubstance
http://terminology.ehdsi.eu/ValueSet/eHDSISubstance
from this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorMedicationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorMedicationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
rat-1errorMedication.ingredient.strengthNumerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
: (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())
NameFlagsCard.TypeDescription & Constraintsdoco
.. Medication 0..* MedicationIPS Definition of a Medication
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business identifier for this medication
... code S 1..1 CodeableConceptIPS Any kind of product code (including ATC)
Binding: Active Ingredient (PARTIAL) (preferred)
Additional BindingsPurpose
Medications - SNOMED CT IPS Free Set candidate
WHO ATC - IPS candidate
Absent or Unknown Medication - IPS candidate
... status ?!Σ 0..1 code active | inactive | entered-in-error
Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.

... manufacturer Σ 0..1 Reference(Organization) Manufacturer of the item
... form S 0..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Dose Form (required)
... amount Σ 0..1 Ratio Amount of drug in package
... ingredient S 0..* BackboneElement Active or inactive ingredient
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... Slices for item[x] S 1..1 The actual ingredient or content
Slice: Unordered, Closed by type:$this
Binding: Medicine Active Substances - IPS (preferred): SNOMED CT drug substances

..... itemCodeableConcept CodeableConcept(CodeableConceptIPS)
..... itemReference Reference(Substance | Medication)
..... item[x]:itemCodeableConcept S 0..1 CodeableConceptIPS The actual ingredient or content
Binding: Substance (PARTIAL) (preferred)
..... item[x]:itemReference S 0..1 Reference(Medication (EU PS)) The actual ingredient or content
.... isActive 0..1 boolean Usually true
.... strength SC 0..1 RatioIPS A kind of strength
rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
... batch 0..1 BackboneElement Details about packaged medications
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... lotNumber 0..1 string Identifier assigned to batch
.... expirationDate 0..1 dateTime When batch will expire

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Medication.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Medication.codepreferredEHDSIActiveIngredient
http://terminology.ehdsi.eu/ValueSet/eHDSIActiveIngredient
from this IG
Medication.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-status|4.0.1
from the FHIR Standard
Medication.formrequiredEHDSIDoseForm
http://terminology.ehdsi.eu/ValueSet/eHDSIDoseForm
from this IG
Medication.ingredient.item[x]preferredMedicineActiveSubstancesUvIps
http://hl7.org/fhir/uv/ips/ValueSet/medicine-active-substances-uv-ips
Medication.ingredient.item[x]:itemCodeableConceptpreferredEHDSISubstance
http://terminology.ehdsi.eu/ValueSet/eHDSISubstance
from this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorMedicationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorMedicationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
rat-1errorMedication.ingredient.strengthNumerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
: (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())

This structure is derived from MedicationIPS

Summary

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Medication.ingredient.item[x]

Differential View

This structure is derived from MedicationIPS

NameFlagsCard.TypeDescription & Constraintsdoco
.. Medication MedicationIPS
... code 1..1 CodeableConceptIPS Any kind of product code (including ATC)
Binding: Active Ingredient (PARTIAL) (preferred)
... form 0..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Dose Form (required)
... ingredient
.... Slices for item[x] 1..1 CodeableConceptIPS, Reference(Substance | Medication) The actual ingredient or content
Slice: Unordered, Open by type:$this
..... item[x]:itemCodeableConcept 0..1 CodeableConceptIPS The actual ingredient or content
Binding: Substance (PARTIAL) (preferred)
..... item[x]:itemReference 0..1 Reference(Medication (EU PS)) The actual ingredient or content
.... isActive 0..1 boolean Usually true
.... strength 0..1 RatioIPS A kind of strength

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Medication.codepreferredEHDSIActiveIngredient
http://terminology.ehdsi.eu/ValueSet/eHDSIActiveIngredient
from this IG
Medication.formrequiredEHDSIDoseForm
http://terminology.ehdsi.eu/ValueSet/eHDSIDoseForm
from this IG
Medication.ingredient.item[x]:itemCodeableConceptpreferredEHDSISubstance
http://terminology.ehdsi.eu/ValueSet/eHDSISubstance
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Medication 0..* MedicationIPS Definition of a Medication
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... code S 1..1 CodeableConceptIPS Any kind of product code (including ATC)
Binding: Active Ingredient (PARTIAL) (preferred)
Additional BindingsPurpose
Medications - SNOMED CT IPS Free Set candidate
WHO ATC - IPS candidate
Absent or Unknown Medication - IPS candidate

ele-1: All FHIR elements must have a @value or children
... form S 0..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Dose Form (required)
ele-1: All FHIR elements must have a @value or children
... ingredient S 0..* BackboneElement Active or inactive ingredient
ele-1: All FHIR elements must have a @value or children
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... Slices for item[x] S 1..1 The actual ingredient or content
Slice: Unordered, Closed by type:$this
Binding: Medicine Active Substances - IPS (preferred): SNOMED CT drug substances


ele-1: All FHIR elements must have a @value or children
..... itemCodeableConcept CodeableConcept(CodeableConceptIPS)
..... itemReference Reference(Substance | Medication)
..... item[x]:itemCodeableConcept S 0..1 CodeableConceptIPS The actual ingredient or content
Binding: Substance (PARTIAL) (preferred)
ele-1: All FHIR elements must have a @value or children
..... item[x]:itemReference S 0..1 Reference(Medication (EU PS)) The actual ingredient or content
ele-1: All FHIR elements must have a @value or children
.... isActive 0..1 boolean Usually true
ele-1: All FHIR elements must have a @value or children
.... strength SC 0..1 RatioIPS A kind of strength
ele-1: All FHIR elements must have a @value or children
rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Medication.codepreferredEHDSIActiveIngredient
http://terminology.ehdsi.eu/ValueSet/eHDSIActiveIngredient
from this IG
Medication.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-status|4.0.1
from the FHIR Standard
Medication.formrequiredEHDSIDoseForm
http://terminology.ehdsi.eu/ValueSet/eHDSIDoseForm
from this IG
Medication.ingredient.item[x]preferredMedicineActiveSubstancesUvIps
http://hl7.org/fhir/uv/ips/ValueSet/medicine-active-substances-uv-ips
Medication.ingredient.item[x]:itemCodeableConceptpreferredEHDSISubstance
http://terminology.ehdsi.eu/ValueSet/eHDSISubstance
from this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorMedicationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorMedicationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
rat-1errorMedication.ingredient.strengthNumerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
: (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Medication 0..* MedicationIPS Definition of a Medication
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business identifier for this medication
... code S 1..1 CodeableConceptIPS Any kind of product code (including ATC)
Binding: Active Ingredient (PARTIAL) (preferred)
Additional BindingsPurpose
Medications - SNOMED CT IPS Free Set candidate
WHO ATC - IPS candidate
Absent or Unknown Medication - IPS candidate
... status ?!Σ 0..1 code active | inactive | entered-in-error
Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.

... manufacturer Σ 0..1 Reference(Organization) Manufacturer of the item
... form S 0..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Dose Form (required)
... amount Σ 0..1 Ratio Amount of drug in package
... ingredient S 0..* BackboneElement Active or inactive ingredient
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... Slices for item[x] S 1..1 The actual ingredient or content
Slice: Unordered, Closed by type:$this
Binding: Medicine Active Substances - IPS (preferred): SNOMED CT drug substances

..... itemCodeableConcept CodeableConcept(CodeableConceptIPS)
..... itemReference Reference(Substance | Medication)
..... item[x]:itemCodeableConcept S 0..1 CodeableConceptIPS The actual ingredient or content
Binding: Substance (PARTIAL) (preferred)
..... item[x]:itemReference S 0..1 Reference(Medication (EU PS)) The actual ingredient or content
.... isActive 0..1 boolean Usually true
.... strength SC 0..1 RatioIPS A kind of strength
rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
... batch 0..1 BackboneElement Details about packaged medications
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... lotNumber 0..1 string Identifier assigned to batch
.... expirationDate 0..1 dateTime When batch will expire

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Medication.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Medication.codepreferredEHDSIActiveIngredient
http://terminology.ehdsi.eu/ValueSet/eHDSIActiveIngredient
from this IG
Medication.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-status|4.0.1
from the FHIR Standard
Medication.formrequiredEHDSIDoseForm
http://terminology.ehdsi.eu/ValueSet/eHDSIDoseForm
from this IG
Medication.ingredient.item[x]preferredMedicineActiveSubstancesUvIps
http://hl7.org/fhir/uv/ips/ValueSet/medicine-active-substances-uv-ips
Medication.ingredient.item[x]:itemCodeableConceptpreferredEHDSISubstance
http://terminology.ehdsi.eu/ValueSet/eHDSISubstance
from this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorMedicationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorMedicationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
rat-1errorMedication.ingredient.strengthNumerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
: (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())

This structure is derived from MedicationIPS

Summary

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Medication.ingredient.item[x]

 

Other representations of profile: CSV, Excel, Schematron