# Clinical (archive)

**URL:** https://discourse.openehr.org/c/clinical-archive/153.md

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## [About the Clinical (archive) category](https://discourse.openehr.org/t/about-the-clinical-archive-category/11983)

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**Author:** [@system](https://discourse.openehr.org/u/system)\
**Replies:** 0

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Historical archive of the openehr-clinical@openehr.org mailing list (2002-2020). Migrated from the Thunderbird mailbox archive in 2026.

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## [DENWIS - Dutch Early Nurse Worry Indicator Score](https://discourse.openehr.org/t/denwis-dutch-early-nurse-worry-indicator-score/14432)

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**Author:** [@system](https://discourse.openehr.org/u/system)\
**Replies:** 0\
**Last updated:** [8 November 2019 17:29 UTC](https://discourse.openehr.org/t/denwis-dutch-early-nurse-worry-indicator-score/14432 "2019-11-08T17:29:44Z")

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We have been trying to find out more about use of the DENWIS score, and how it is practically implemented - do others have any experience? In particular we are not clear about what data is actually recorded… Please join…

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## [Comments on "Terminologies in Information models", anyone?](https://discourse.openehr.org/t/comments-on-terminologies-in-information-models-anyone/14430)

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**Author:** [@system](https://discourse.openehr.org/u/system)\
**Replies:** 1\
**Last updated:** [8 November 2019 10:34 UTC](https://discourse.openehr.org/t/comments-on-terminologies-in-information-models-anyone/14430 "2019-11-08T10:34:42Z")

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My thoughts: The picture is not wrong It needs more detail: Codes from codings systems are used in structures Ontologies are the ‘best’ coding systems, derived classifications are ‘good’ as well In structures codes are…

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## [MEDINFO presentations.](https://discourse.openehr.org/t/medinfo-presentations/16617)

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**Author:** [@system](https://discourse.openehr.org/u/system)\
**Replies:** 1\
**Last updated:** [19 August 2019 14:29 UTC](https://discourse.openehr.org/t/medinfo-presentations/16617 "2019-08-19T14:29:38Z")

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Hi folks, I updated openEHR related presentations in MEDINFO2019 at Wikipage. There are so many interesting topics. https://openehr.atlassian.net/wiki/spaces/resources/pages/320634886/MEDINFO2019?atlOrigin=eyJpIjoiOTd…

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## [Template for Surgical Pre-Assessment](https://discourse.openehr.org/t/template-for-surgical-pre-assessment/15563)

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**Author:** [@johngrant4est](https://discourse.openehr.org/u/johngrant4est)\
**Replies:** 5\
**Last updated:** [22 July 2019 01:47 UTC](https://discourse.openehr.org/t/template-for-surgical-pre-assessment/15563 "2019-07-22T01:47:53Z")

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Hello All, been doing a bit of work (with help from Ian McNicoll) on an OpenEHR template for surgical pre-operative assessment. You can view the results of my efforts (and Ian’s) here : https://github.com/johngrant4est…

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## [openEHR modeling for physical activity data etc. from personal health platforms (like Google Fitness, Apple Health, Samsung Health, Withings, Garmin, Polar, Strava, MyFitnessPal etc.)](https://discourse.openehr.org/t/openehr-modeling-for-physical-activity-data-etc-from-personal-health-platforms-like-google-fitness-apple-health-samsung-health-withings-garmin-polar-strava-myfitnesspal-etc/14323)

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**Author:** [@system](https://discourse.openehr.org/u/system)\
**Replies:** 1\
**Last updated:** [10 July 2019 18:41 UTC](https://discourse.openehr.org/t/openehr-modeling-for-physical-activity-data-etc-from-personal-health-platforms-like-google-fitness-apple-health-samsung-health-withings-garmin-polar-strava-myfitnesspal-etc/14323 "2019-07-10T18:41:02Z")

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Hi! Those of you interested in openEHR modeling for physical activity data etc. from personal health platforms (like Google Fitness, Apple Health, Samsung Health, Withings, Garmin, Polar, Strava, MyFitnessPal etc.) may …

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## [Problem orientation in OpenEHR](https://discourse.openehr.org/t/problem-orientation-in-openehr/15567)

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**Author:** [@system](https://discourse.openehr.org/u/system)\
**Replies:** 24\
**Last updated:** [3 July 2019 23:14 UTC](https://discourse.openehr.org/t/problem-orientation-in-openehr/15567 "2019-07-03T23:14:39Z")

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How would we do this? There is a method of implementation in problem oriented records whereby a header, generally the ‘problem’, is linked to other record entries or elements that are to do with that problem. So ‘chest…

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## [Choosing appropriate composition archetypes for recording smoking and drinking summary](https://discourse.openehr.org/t/choosing-appropriate-composition-archetypes-for-recording-smoking-and-drinking-summary/16515)

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**Author:** [@system](https://discourse.openehr.org/u/system)\
**Replies:** 10\
**Last updated:** [20 June 2019 16:29 UTC](https://discourse.openehr.org/t/choosing-appropriate-composition-archetypes-for-recording-smoking-and-drinking-summary/16515 "2019-06-20T16:29:06Z")

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Hi, What would be the composition archetype recommended for a template to record summaries such as Smoking & drinking? The best that I could think of is the encounter composition. Do let me know if any other is better s…

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## [Significance of UID, template\_id & concept in templates](https://discourse.openehr.org/t/significance-of-uid-template-id-concept-in-templates/16520)

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**Author:** [@system](https://discourse.openehr.org/u/system)\
**Replies:** 4\
**Last updated:** [20 June 2019 06:48 UTC](https://discourse.openehr.org/t/significance-of-uid-template-id-concept-in-templates/16520 "2019-06-20T06:48:43Z")

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Hi, Please see a snippet from an OPT that we have. I see that there are 3 different pieces of identification - UID, template\_id & concept. Template\_id seems to have been picked up automatically from the template file na…

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## [Mandatory fields in service\_request.v1](https://discourse.openehr.org/t/mandatory-fields-in-service-request-v1/14413)

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**Author:** [@system](https://discourse.openehr.org/u/system)\
**Replies:** 3\
**Last updated:** [10 June 2019 22:13 UTC](https://discourse.openehr.org/t/mandatory-fields-in-service-request-v1/14413 "2019-06-10T22:13:46Z")

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Hi, I am using \[openEHR-EHR-INSTRUCTION.service\_request.v1\] in a template and notice that it has two mandatory nodes - narrative & current\_activity:0/timing. Narrative expects a human readable narrative of the request …

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## [Downloading previous versions of archetypes from CKM](https://discourse.openehr.org/t/downloading-previous-versions-of-archetypes-from-ckm/15634)

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**Author:** [@system](https://discourse.openehr.org/u/system)\
**Replies:** 15\
**Last updated:** [29 May 2019 08:08 UTC](https://discourse.openehr.org/t/downloading-previous-versions-of-archetypes-from-ckm/15634 "2019-05-29T08:08:04Z")

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Hi, I had used some archetypes from CKM in my templates some time back. Now when I am revising & reviewing them I notice that some of the archetypes have newer versions an so my templates give error as they are unable t…

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## [Genomics archetype reviews kick off today!](https://discourse.openehr.org/t/genomics-archetype-reviews-kick-off-today/15724)

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**Author:** [@system](https://discourse.openehr.org/u/system)\
**Replies:** 0\
**Last updated:** [26 April 2019 09:09 UTC](https://discourse.openehr.org/t/genomics-archetype-reviews-kick-off-today/15724 "2019-04-26T09:09:41Z")

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Dear colleagues, I’d like to draw your attention to some exciting work just commencing on CKM – today we sent out our first genomics archetype for review. More will come over the next few weeks. It has taken a small co…

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## [Appropriate archetype for pulse recording in vitals](https://discourse.openehr.org/t/appropriate-archetype-for-pulse-recording-in-vitals/15568)

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**Author:** [@system](https://discourse.openehr.org/u/system)\
**Replies:** 2\
**Last updated:** [3 April 2019 09:07 UTC](https://discourse.openehr.org/t/appropriate-archetype-for-pulse-recording-in-vitals/15568 "2019-04-03T09:07:25Z")

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Hi, CKM includes two archetypes - openEHR-EHR-OBSERVATION.pulse.v1 & openEHR-EHR-OBSERVATION.respiration.v1, Both of which seem to be capturing very similar data. Which is recommended for general vitals recor…

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## [Class of archetype 'Gender'](https://discourse.openehr.org/t/class-of-archetype-gender/14408)

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**Author:** [@yampeku](https://discourse.openehr.org/u/yampeku)\
**Replies:** 2\
**Last updated:** [2 April 2019 12:39 UTC](https://discourse.openehr.org/t/class-of-archetype-gender/14408 "2019-04-02T12:39:32Z")

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The only thing I can think of is that it would prevent that ENTRY archetype to be used within the details of a Demographic Actor (Patient/Agent), which could have a big impact

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## [transfer/move archetype?](https://discourse.openehr.org/t/transfer-move-archetype/15312)

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**Author:** [@system](https://discourse.openehr.org/u/system)\
**Replies:** 8\
**Last updated:** [14 March 2019 07:32 UTC](https://discourse.openehr.org/t/transfer-move-archetype/15312 "2019-03-14T07:32:25Z")

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Hi again, I was wondering if somebody has put some thoughts on a “patient transfer” archetype which would serve to record the transfer of patients between different wards within a hospital. Why would it be interesting t…

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## [Moving towards the use of SNOMED CT in place of local codes for better interoperability](https://discourse.openehr.org/t/moving-towards-the-use-of-snomed-ct-in-place-of-local-codes-for-better-interoperability/16407)

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**Author:** [@system](https://discourse.openehr.org/u/system)\
**Replies:** 1\
**Last updated:** [8 March 2019 08:23 UTC](https://discourse.openehr.org/t/moving-towards-the-use-of-snomed-ct-in-place-of-local-codes-for-better-interoperability/16407 "2019-03-08T08:23:26Z")

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Hi, Many of the archetypes in the CKM use local codes extensively (Diagnosis certainty in problem diagnosis, severity category in symptom sign etc.). SNOMED CT seems to include reasonable replacements for a large number…

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## [Task Planning Visual Modelling Language TP-VML](https://discourse.openehr.org/t/task-planning-visual-modelling-language-tp-vml/15721)

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**Author:** [@system](https://discourse.openehr.org/u/system)\
**Replies:** 1\
**Last updated:** [7 March 2019 15:26 UTC](https://discourse.openehr.org/t/task-planning-visual-modelling-language-tp-vml/15721 "2019-03-07T15:26:43Z")

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For those interested in clinical workflow, Task Planning, etc, the Task Planning Visual Modelling Language (TP-VML) is taking shape, initially as a draw.io mode. thomas

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## [Useful openEHR terminology Links on specifications page](https://discourse.openehr.org/t/useful-openehr-terminology-links-on-specifications-page/14402)

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**Author:** [@system](https://discourse.openehr.org/u/system)\
**Replies:** 0\
**Last updated:** [27 January 2019 17:33 UTC](https://discourse.openehr.org/t/useful-openehr-terminology-links-on-specifications-page/14402 "2019-01-27T17:33:37Z")

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There are now some useful links to get to any openEHR terminology group on the specifications home page (scroll down) in one click. thomas

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## [Christmas greetings from the CKM team](https://discourse.openehr.org/t/christmas-greetings-from-the-ckm-team/14401)

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**Author:** [@system](https://discourse.openehr.org/u/system)\
**Replies:** 1\
**Last updated:** [5 January 2019 08:26 UTC](https://discourse.openehr.org/t/christmas-greetings-from-the-ckm-team/14401 "2019-01-05T08:26:18Z")

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Hi everyone, What a year it has been, and great to be able to reflect back on achievements and the gathering momentum. Silje Ljosland Bakke and myself, as clinical program leads would like to thank everyone for their c…

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## [DV\_PROPORTION vs DV\_QUANTITY for %](https://discourse.openehr.org/t/dv-proportion-vs-dv-quantity-for/15555)

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**Author:** [@siljelb](https://discourse.openehr.org/u/siljelb)\
**Replies:** 3\
**Last updated:** [3 January 2019 10:23 UTC](https://discourse.openehr.org/t/dv-proportion-vs-dv-quantity-for/15555 "2019-01-03T10:23:07Z")

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I would have guessed it would be the other way around. If you know at design time that this value will be a percentage, use the DV\_PROPORTION data type with the ‘type’ attribute set to 2 (percent, denominator fixed to 10…

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## [Archetypes for consent, end-of-life planning and advance decision to refuse treatment](https://discourse.openehr.org/t/archetypes-for-consent-end-of-life-planning-and-advance-decision-to-refuse-treatment/16605)

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**Author:** [@system](https://discourse.openehr.org/u/system)\
**Replies:** 3\
**Last updated:** [23 November 2018 13:02 UTC](https://discourse.openehr.org/t/archetypes-for-consent-end-of-life-planning-and-advance-decision-to-refuse-treatment/16605 "2018-11-23T13:02:55Z")

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Dear Ian, We are in discussions with a state government in India for the use of our EHR.Network platform for implementing a public Mental Health Management System(MHMS) in line with the Indian National mental healthcare…

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## [Question about: openEHR-EHR-CLUSTER.microscopy\_breast\_carcinoma.v1](https://discourse.openehr.org/t/question-about-openehr-ehr-cluster-microscopy-breast-carcinoma-v1/14395)

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**Author:** [@theresehogbergmarder](https://discourse.openehr.org/u/theresehogbergmarder)\
**Replies:** 1\
**Last updated:** [12 November 2018 11:44 UTC](https://discourse.openehr.org/t/question-about-openehr-ehr-cluster-microscopy-breast-carcinoma-v1/14395 "2018-11-12T11:44:30Z")

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Hi, I’m a master student at Linköpings University and are writing my master thesis as a part of the Biomedical engineering program. The thesis is about investigating the possibility to create a dynamic template for brea…

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## [MEDINFO 2019, Lyon, France.](https://discourse.openehr.org/t/medinfo-2019-lyon-france/15539)

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**Author:** [@system](https://discourse.openehr.org/u/system)\
**Replies:** 14\
**Last updated:** [8 November 2018 10:54 UTC](https://discourse.openehr.org/t/medinfo-2019-lyon-france/15539 "2018-11-08T10:54:18Z")

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Dear openEHR colleagues, In the next year, MEDINFO 2019 will be in Lyon, France, from 26th to 30th August, 2019. The application for paper/poster/workshop/tutorial deadline is Nov 12. This is important, ONLY less tha…

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## [Seeking clarification regarding Assumed value](https://discourse.openehr.org/t/seeking-clarification-regarding-assumed-value/15544)

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**Author:** [@system](https://discourse.openehr.org/u/system)\
**Replies:** 10\
**Last updated:** [10 October 2018 00:08 UTC](https://discourse.openehr.org/t/seeking-clarification-regarding-assumed-value/15544 "2018-10-10T00:08:57Z")

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Hi everyone, Assumed value - https://www.openehr.org/releases/AM/latest/docs/AOM1.4/AOM1.4.html#\_assumed\_value I’ve spoken to Sam Heard on many occasions and I have understood him to say that the intent for an assumed …

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## [ECG archetype advice required](https://discourse.openehr.org/t/ecg-archetype-advice-required/15541)

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**Author:** [@system](https://discourse.openehr.org/u/system)\
**Replies:** 12\
**Last updated:** [7 September 2018 01:38 UTC](https://discourse.openehr.org/t/ecg-archetype-advice-required/15541 "2018-09-07T01:38:57Z")

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Hi everyone, I’ve just been facilitating the most recent reviews on the ECG archetype and would appreciate some advice on two issues. The current atrial and ventricular rates are modelled as a Quantity (frequency) ie 1…

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## [How to define transitions in the ISM](https://discourse.openehr.org/t/how-to-define-transitions-in-the-ism/15518)

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**Author:** [@system](https://discourse.openehr.org/u/system)\
**Replies:** 27\
**Last updated:** [27 August 2018 16:16 UTC](https://discourse.openehr.org/t/how-to-define-transitions-in-the-ism/15518 "2018-08-27T16:16:23Z")

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Hi all, I’m testing the AE for a new workshop, and designed a simple state machine for and order so my students can use it as basic for more complex state machines. I have: NEW (maps to ISM PLANNED), ASSIGNED (maps to …

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## [completeness of tagging of archetpyes with snomed terminology IDs](https://discourse.openehr.org/t/completeness-of-tagging-of-archetpyes-with-snomed-terminology-ids/15537)

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**Author:** [@system](https://discourse.openehr.org/u/system)\
**Replies:** 3\
**Last updated:** [27 August 2018 11:26 UTC](https://discourse.openehr.org/t/completeness-of-tagging-of-archetpyes-with-snomed-terminology-ids/15537 "2018-08-27T11:26:27Z")

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Hello, When looking at the published archetypes in the international CKM I see a lot of archetype members that do not have a terminology binding, but which could possibly have one. The "Body Surface Area" for example ha…

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## [A clinical modelling conversation...](https://discourse.openehr.org/t/a-clinical-modelling-conversation/13418)

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**Author:** [@system](https://discourse.openehr.org/u/system)\
**Replies:** 5\
**Last updated:** [20 August 2018 10:39 UTC](https://discourse.openehr.org/t/a-clinical-modelling-conversation/13418 "2018-08-20T10:39:09Z")

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Dear Colleagues, This email is jointly sent by the openEHR Clinical Knowledge Administrators, Silje and Heather. Following recent email threads, we would like to establish some common understanding and expectations abo…

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## [Sports and Wellness](https://discourse.openehr.org/t/sports-and-wellness/15709)

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**Author:** [@system](https://discourse.openehr.org/u/system)\
**Replies:** 1\
**Last updated:** [1 August 2018 07:42 UTC](https://discourse.openehr.org/t/sports-and-wellness/15709 "2018-08-01T07:42:12Z")

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Is this subject clinical? Not really (maybe another mailing-list would be in place, I explain it) A few weeks ago I discussed that OpenEhr should also focus on sports and wellness, because it is a growing market, it is…

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## [Topics of the openehr-clinical list](https://discourse.openehr.org/t/topics-of-the-openehr-clinical-list/16594)

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**Author:** [@siljelb](https://discourse.openehr.org/u/siljelb)\
**Replies:** 5\
**Last updated:** [9 July 2018 15:41 UTC](https://discourse.openehr.org/t/topics-of-the-openehr-clinical-list/16594 "2018-07-09T15:41:16Z")

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Hi everyone, I’ve seen a tendency lately that topics that at least to me seem to be of a technical nature are posted to the clinical list. These topics often generate a lot of discussion, which drowns out much of the di…

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