# Clinical **URL:** https://discourse.openehr.org/c/clinical/5.md?page=1 [Latest](https://discourse.openehr.org/latest.md) · [Categories](https://discourse.openehr.org/categories.md) · [Tags](https://discourse.openehr.org/tags.md) **Page:** 2 --- ## [How/if to handle 'Date of Diagnosis' - 'unkown'?](https://discourse.openehr.org/t/how-if-to-handle-date-of-diagnosis-unkown/17276)

**Author:** [@ian.mcnicoll](https://discourse.openehr.org/u/ian.mcnicoll)\ **Replies:** 0\ **Last updated:** [7 September 2026 14:01 UTC](https://discourse.openehr.org/t/how-if-to-handle-date-of-diagnosis-unkown/17276 "2026-09-07T14:01:55Z")

In the London UCP , we have been asked to support ‘Date of Diagnosis’ = ‘unknown’ as distinct from an empty field i.e. a positive assertion that the question has been asked but the date is unknown. TBH I do struggle to … --- ## [Service direction Archetype - Active branch](https://discourse.openehr.org/t/service-direction-archetype-active-branch/17237)

**Author:** [@jbuch](https://discourse.openehr.org/u/jbuch)\ **Replies:** 2\ **Last updated:** [28 August 2026 07:42 UTC](https://discourse.openehr.org/t/service-direction-archetype-active-branch/17237 "2026-08-28T07:42:55Z")

A few months ago I submitted a German translation of the Archetype openEHR-EHR-CLUSTER.service\_direction.v1. It seems to be blocked by another active branch open since 2022. Could an editor please resolve this? Thank you… --- ## [Data capture from Rich Text editor](https://discourse.openehr.org/t/data-capture-from-rich-text-editor/17213)

**Author:** [@Ian\_Bennett](https://discourse.openehr.org/u/Ian_Bennett)\ **Replies:** 3\ **Last updated:** [21 August 2026 08:26 UTC](https://discourse.openehr.org/t/data-capture-from-rich-text-editor/17213 "2026-08-21T08:26:26Z")

Hi, does anyone know if reference model can support data capture and retrieval via a Rich text editor in the frontend? Or does anyone have experience of this? A lot of EPRs using proprietary data models will capture pro… --- ## [Help with checking in Swedish translation branches to trunk](https://discourse.openehr.org/t/help-with-checking-in-swedish-translation-branches-to-trunk/17197)

**Author:** [@Manna](https://discourse.openehr.org/u/Manna)\ **Replies:** 3\ **Last updated:** [14 August 2026 06:44 UTC](https://discourse.openehr.org/t/help-with-checking-in-swedish-translation-branches-to-trunk/17197 "2026-08-14T06:44:01Z")

Hi, I would appreciate some help with checking in the Swedish translation branches to trunk for the following archetypes: Blood group (openEHR-EHR-EVALUATION.blood\_group.v0) Fluid output (openEHR-EHR-OBSERVATION.fluid… --- ## [Xmind feedback](https://discourse.openehr.org/t/xmind-feedback/17182)

**Author:** [@Pete\_Bouvier](https://discourse.openehr.org/u/Pete_Bouvier)\ **Replies:** 4\ **Last updated:** [6 August 2026 14:46 UTC](https://discourse.openehr.org/t/xmind-feedback/17182 "2026-08-06T14:46:00Z")

Hi all, Ian and I have been speaking independently to the team at Xmind. They’re keen to use openEHR as part of a series of case studies about their clients and to that end, they’ve written a short article about how Ian… --- ## [Contradictions in Licensing and IP Acknowledge information](https://discourse.openehr.org/t/contradictions-in-licensing-and-ip-acknowledge-information/16848)

**Author:** [@varntzen](https://discourse.openehr.org/u/varntzen)\ **Replies:** 38\ **Last updated:** [29 July 2026 18:41 UTC](https://discourse.openehr.org/t/contradictions-in-licensing-and-ip-acknowledge-information/16848 "2026-07-29T18:41:12Z")

We have received a complain from Drew Bennett, Director - Software, Content Licensing and Research Partnerships who’s dealing with licensing of the EPIC QoL measure EPIC (Expanded Prostate Cancer Index Composite). The ge… --- ## [On DV\_BOOLEAN choice fields and usage with null flavors](https://discourse.openehr.org/t/on-dv-boolean-choice-fields-and-usage-with-null-flavors/17102)

**Author:** [@Sidharth\_Ramesh](https://discourse.openehr.org/u/Sidharth_Ramesh)\ **Replies:** 10\ **Last updated:** [16 July 2026 10:59 UTC](https://discourse.openehr.org/t/on-dv-boolean-choice-fields-and-usage-with-null-flavors/17102 "2026-07-16T10:59:38Z")

I’m looking at a bunch of screening-style archetypes where a presence field (encodes boolean information) is modelled as a choice of: DV\_BOOLEAN, DV\_CODED\_TEXT, DV\_TEXT Some examples: openEHR-EHR-EVALUATION.pregnancy… --- ## [Proposal: Skinfold measurement archetype for anthropometry](https://discourse.openehr.org/t/proposal-skinfold-measurement-archetype-for-anthropometry/11786)

**Author:** [@ana.milosev](https://discourse.openehr.org/u/ana.milosev)\ **Replies:** 9\ **Last updated:** [16 July 2026 09:59 UTC](https://discourse.openehr.org/t/proposal-skinfold-measurement-archetype-for-anthropometry/11786 "2026-07-16T09:59:35Z")

Hello everyone, I am currently modelling occupational, sports and traffic medicine templates and have encountered the need to record multiple skinfold measurements as part of anthropometric assessment. Examples include… --- ## [Looking for an archetype to store details regarding incapacity for work, sport, and travel](https://discourse.openehr.org/t/looking-for-an-archetype-to-store-details-regarding-incapacity-for-work-sport-and-travel/17051)

**Author:** [@emmanuel.eschmann](https://discourse.openehr.org/u/emmanuel.eschmann)\ **Replies:** 5\ **Last updated:** [8 July 2026 08:24 UTC](https://discourse.openehr.org/t/looking-for-an-archetype-to-store-details-regarding-incapacity-for-work-sport-and-travel/17051 "2026-07-08T08:24:37Z")

We need to model a medical certificate that includes details regarding incapacity for work, sport and travel. The archetype ‘openEHR-EHR-COMPOSITION.health\_certificate.v1’ found in the international CKM provides a compo… --- ## ["Handgrip strength" is ready for publication](https://discourse.openehr.org/t/handgrip-strength-is-ready-for-publication/16739)

**Author:** [@kanika.kuwelker](https://discourse.openehr.org/u/kanika.kuwelker)\ **Replies:** 1\ **Last updated:** [7 July 2026 08:58 UTC](https://discourse.openehr.org/t/handgrip-strength-is-ready-for-publication/16739 "2026-07-07T08:58:45Z")

Hi all, The archetype Handgrip strength has been through two review rounds, and the editors recommend it for publication. If you have any comments or objections, please make a Change Request or start a discussion in th… --- ## [Eyes on openEHR](https://discourse.openehr.org/t/eyes-on-openehr/6003)

**Author:** [@varntzen](https://discourse.openehr.org/u/varntzen)\ **Replies:** 43\ **Last updated:** [2 July 2026 13:57 UTC](https://discourse.openehr.org/t/eyes-on-openehr/6003 "2026-07-02T13:57:55Z")

Starting this discussion here, as there are an ongoing thread about collaboration in the Highmed openEHR symposium Highmed openEHR symposium 31.1.25 . Please use this thread instead. @Lars\_Fuhrmann @SevKohler @Paulmille… --- ## [Are "imaging examination" and "radiological examination" intended to be interchangeable?](https://discourse.openehr.org/t/are-imaging-examination-and-radiological-examination-intended-to-be-interchangeable/17075)

**Author:** [@Manna](https://discourse.openehr.org/u/Manna)\ **Replies:** 4\ **Last updated:** [2 July 2026 12:42 UTC](https://discourse.openehr.org/t/are-imaging-examination-and-radiological-examination-intended-to-be-interchangeable/17075 "2026-07-02T12:42:20Z")

I was working on translating openEHR-EHR-CLUSTER.imaging\_exam.v1 and I noticed that this archetype uses both imaging examination and radiological examination. For example, the archetype name refers to an Imaging examinat… --- ## [How do we handle messy source language when translating?](https://discourse.openehr.org/t/how-do-we-handle-messy-source-language-when-translating/6800)

**Author:** [@Asa\_Skagerhult](https://discourse.openehr.org/u/Asa_Skagerhult)\ **Replies:** 13\ **Last updated:** [25 June 2026 11:42 UTC](https://discourse.openehr.org/t/how-do-we-handle-messy-source-language-when-translating/6800 "2026-06-25T11:42:24Z")

Hi, We just published the Swedish translation of Procedure (Swe: Åtgärd). The “Use” field is a long, wordy, not very well organized text where content is unnecessarily repeated. It is not only hard to understand, it is … --- ## [Review status of CLUSTER.case\_identification.v0](https://discourse.openehr.org/t/review-status-of-cluster-case-identification-v0/17034)

**Author:** [@Olha\_Nikolaieva](https://discourse.openehr.org/u/Olha_Nikolaieva)\ **Replies:** 8\ **Last updated:** [25 June 2026 10:38 UTC](https://discourse.openehr.org/t/review-status-of-cluster-case-identification-v0/17034 "2026-06-25T10:38:52Z")

Hi everyone, During the openEHR.ch Data Modeling Exchange Group (DMEG) work, we agreed to use CLUSTER.case\_identification.v0 as the standard for representing the administrative case ID in Switzerland. The decision is do… --- ## [old archetypes in templates](https://discourse.openehr.org/t/old-archetypes-in-templates/17052)

**Author:** [@Manna](https://discourse.openehr.org/u/Manna)\ **Replies:** 4\ **Last updated:** [25 June 2026 09:06 UTC](https://discourse.openehr.org/t/old-archetypes-in-templates/17052 "2026-06-25T09:06:51Z")

Hello, We have noticed that this outdated archetype openEHR-EHR-OBSERVATION.imaging\_exam\_result.v0 is used in several templates that are in the CKM (Folliculometry, Imaging examination result and Imaging). When we pull … --- ## [How to model and store reports that belong to multiple clients?](https://discourse.openehr.org/t/how-to-model-and-store-reports-that-belong-to-multiple-clients/17050)

**Author:** [@Jelte](https://discourse.openehr.org/u/Jelte)\ **Replies:** 1\ **Last updated:** [24 June 2026 13:12 UTC](https://discourse.openehr.org/t/how-to-model-and-store-reports-that-belong-to-multiple-clients/17050 "2026-06-24T13:12:46Z")

Hello openEHR community, We are currently working on several use cases where we need to record information that is relevant to multiple subjects, EHRs, or groups of people. While openEHR provides clear mechanisms for re… --- ## [PROMS archetypes: EQ-5D](https://discourse.openehr.org/t/proms-archetypes-eq-5d/357)

**Author:** [@siljelb](https://discourse.openehr.org/u/siljelb)\ **Replies:** 7\ **Last updated:** [17 June 2026 18:16 UTC](https://discourse.openehr.org/t/proms-archetypes-eq-5d/357 "2026-06-17T18:16:23Z")

Does anyone know of any archetypes that have been created for recording EQ-5D? --- ## [Adverse event risk, resolution/end date/abatement](https://discourse.openehr.org/t/adverse-event-risk-resolution-end-date-abatement/16856)

**Author:** [@wouterzanen](https://discourse.openehr.org/u/wouterzanen)\ **Replies:** 17\ **Last updated:** [11 June 2026 00:07 UTC](https://discourse.openehr.org/t/adverse-event-risk-resolution-end-date-abatement/16856 "2026-06-11T00:07:06Z")

Adverse event risk is the equivalent to allergy intollerance in FHIR. For the EHDS model a field end-date (Date of resolution of the allergy (e.g. when the clinician deemed there is no longer any need to track the underl… --- ## [Help with clinical modelling](https://discourse.openehr.org/t/help-with-clinical-modelling/16919)

**Author:** [@Anselm\_Iwuanyanwu](https://discourse.openehr.org/u/Anselm_Iwuanyanwu)\ **Replies:** 6\ **Last updated:** [2 June 2026 10:45 UTC](https://discourse.openehr.org/t/help-with-clinical-modelling/16919 "2026-06-02T10:45:29Z")

Hello everyone. I am looking for some help. I am supposed to model about 20 forms this month for our migration. I’m looking at doing up to 4 this week but I’d need some review to ensure that I’m modeling it right. I’ve m… --- ## [Help with checking in branch](https://discourse.openehr.org/t/help-with-checking-in-branch/16916)

**Author:** [@Manna](https://discourse.openehr.org/u/Manna)\ **Replies:** 2\ **Last updated:** [2 June 2026 07:03 UTC](https://discourse.openehr.org/t/help-with-checking-in-branch/16916 "2026-06-02T07:03:55Z")

Hello, I would like some help with checking in my branch in the archeytpe “body temperature”. I am not able to do so, since there is another active branch. Thanks in advance, Manna Vosta --- ## [Pulse oximetry, need help checking in](https://discourse.openehr.org/t/pulse-oximetry-need-help-checking-in/16738)

**Author:** [@Asa\_Skagerhult](https://discourse.openehr.org/u/Asa_Skagerhult)\ **Replies:** 1\ **Last updated:** [29 April 2026 13:33 UTC](https://discourse.openehr.org/t/pulse-oximetry-need-help-checking-in/16738 "2026-04-29T13:33:26Z")

Hi, we have finished the Swedish translation of Pulse oximetry, but two branches are in the way for checkning in. We need help. :slight\_smile: Åsa and Manna --- ## [IIEF-5 Archetype - availability in CKM and event vs data modelling](https://discourse.openehr.org/t/iief-5-archetype-availability-in-ckm-and-event-vs-data-modelling/16749)

**Author:** [@Firoza24](https://discourse.openehr.org/u/Firoza24)\ **Replies:** 1\ **Last updated:** [29 April 2026 06:48 UTC](https://discourse.openehr.org/t/iief-5-archetype-availability-in-ckm-and-event-vs-data-modelling/16749 "2026-04-29T06:48:30Z")

Hello, We are currently implementing the IIEF-5 (International Index of Erectile Function) questionnaire in a Swedish clinical setting (Karolinska University Hospital), using openEHR and the patient-facing platform Al… --- ## [Best practices for designing scalable, event-driven architectures using openEHR as the system of record.](https://discourse.openehr.org/t/best-practices-for-designing-scalable-event-driven-architectures-using-openehr-as-the-system-of-record/16735)

**Author:** [@SJ1](https://discourse.openehr.org/u/SJ1)\ **Replies:** 2\ **Last updated:** [28 April 2026 08:23 UTC](https://discourse.openehr.org/t/best-practices-for-designing-scalable-event-driven-architectures-using-openehr-as-the-system-of-record/16735 "2026-04-28T08:23:53Z")

Hi all, I’m currently working on a large-scale healthcare platform where openEHR is being used as the central system of record. We are exploring an event-driven architecture to support downstream consumers such as analy… --- ## [Inpatient episode details cluster](https://discourse.openehr.org/t/inpatient-episode-details-cluster/16730)

**Author:** [@MartinMilde](https://discourse.openehr.org/u/MartinMilde)\ **Replies:** 0\ **Last updated:** [24 April 2026 09:50 UTC](https://discourse.openehr.org/t/inpatient-episode-details-cluster/16730 "2026-04-24T09:50:01Z")

Hello everyone. I’m working on a form for recording data that will later be sent to a medical registry database. Most of it is in order, but I’m missing an appropriate archetype to record a couple of data elements . Sp… --- ## [Where should the editable title of a report be stored?](https://discourse.openehr.org/t/where-should-the-editable-title-of-a-report-be-stored/11819)

**Author:** [@emmanuel.eschmann](https://discourse.openehr.org/u/emmanuel.eschmann)\ **Replies:** 10\ **Last updated:** [16 April 2026 14:56 UTC](https://discourse.openehr.org/t/where-should-the-editable-title-of-a-report-be-stored/11819 "2026-04-16T14:56:47Z")

We want to enable end users to change the names of some reports from their default names. For example, a ‘discharge summary’ could be renamed ‘relocation report’ or ‘death report’, depending on the circumstances. We are … --- ## ["Gugging Swallowing Screen (GUSS)" and "Gugging Swallowing Screen for Intensive Care Units (GUSS - ICU)" are ready for publication](https://discourse.openehr.org/t/gugging-swallowing-screen-guss-and-gugging-swallowing-screen-for-intensive-care-units-guss-icu-are-ready-for-publication/11383)

**Author:** [@Hanne\_Marte\_Barholm](https://discourse.openehr.org/u/Hanne_Marte_Barholm)\ **Replies:** 9\ **Last updated:** [16 April 2026 11:25 UTC](https://discourse.openehr.org/t/gugging-swallowing-screen-guss-and-gugging-swallowing-screen-for-intensive-care-units-guss-icu-are-ready-for-publication/11383 "2026-04-16T11:25:43Z")

Dear all, The archetypes Gugging Swallowing Screen (GUSS) and Gugging Swallowing Screen for Intensive Care Units (GUSS - ICU) have been through one review round each, and the editors recommend them for publication. If … --- ## [Emergency medical services workflow](https://discourse.openehr.org/t/emergency-medical-services-workflow/11943)

**Author:** [@gandrejc](https://discourse.openehr.org/u/gandrejc)\ **Replies:** 0\ **Last updated:** [14 April 2026 10:13 UTC](https://discourse.openehr.org/t/emergency-medical-services-workflow/11943 "2026-04-14T10:13:04Z")

Hi I’m currently exploring openEHR for Emergency Medical Services modelling, specifically trying to represent something similar to NEMSIS-style EMS workflows (911 call → dispatch → on-scene care → transport → ED handove… --- ## [RECIST 1.1 and iRECIST archetype](https://discourse.openehr.org/t/recist-1-1-and-irecist-archetype/5303)

**Author:** [@Olha\_Nikolaieva](https://discourse.openehr.org/u/Olha_Nikolaieva)\ **Replies:** 1\ **Last updated:** [13 April 2026 12:51 UTC](https://discourse.openehr.org/t/recist-1-1-and-irecist-archetype/5303 "2026-04-13T12:51:45Z")

Hello everyone, Basel’s team is excited to announce that we are currently working on developing the RECIST 1.1 archetype. RECIST 1.1 (Response Evaluation Criteria in Solid Tumors) is a standardized set of criteria used … --- ## ['Steady state' values like 'usual SPO2' or 'usual Hb'](https://discourse.openehr.org/t/steady-state-values-like-usual-spo2-or-usual-hb/11889)

**Author:** [@ian.mcnicoll](https://discourse.openehr.org/u/ian.mcnicoll)\ **Replies:** 5\ **Last updated:** [9 April 2026 10:58 UTC](https://discourse.openehr.org/t/steady-state-values-like-usual-spo2-or-usual-hb/11889 "2026-04-09T10:58:37Z")

We had a use-case in the London UCP for ‘steady-state’ or ‘usual’ SPO2 levels in the context of a sickle cell disease support plan i.e “what does the person’s SPO2 normally run at”. This is helpful in emergency settings … --- ## [Modeling CGM metrics (TIR, GMI, Mean Glucose) without using Laboratory Analyte CLUSTERs](https://discourse.openehr.org/t/modeling-cgm-metrics-tir-gmi-mean-glucose-without-using-laboratory-analyte-clusters/11744)

**Author:** [@LauraMoral](https://discourse.openehr.org/u/LauraMoral)\ **Replies:** 5\ **Last updated:** [1 April 2026 17:58 UTC](https://discourse.openehr.org/t/modeling-cgm-metrics-tir-gmi-mean-glucose-without-using-laboratory-analyte-clusters/11744 "2026-04-01T17:58:45Z")

Hi everyone, My colleague @david.hernandez and I are currently working on the modelling for a remote glucose monitoring initiative. We need to represent several calculated metrics derived from Continuous Glucose Monito… [Previous page](https://discourse.openehr.org/c/clinical/5.md) [Next page](https://discourse.openehr.org/c/clinical/5.md?page=2)