openEHR-clinical Digest, Vol 56, Issue 3

Danielle Santos Alves angeldannyalves at
Wed Jan 4 16:38:46 EST 2017

Helo Pablo e Heather,

Recently happened the same with me: I'm validating some data in obstetric's
archetypes and some informations that were present in some archetypes that
I already had downloaded before, were not present in CKM currently. I found
out they were "withdrawn".

This fact took our local researchers to ask why they were superseded since
that some informations that were present are important and should be
maintained in the currently version.

Exemple: in the archetype  openEHR-EHR-EVALUATION.pregnancy.v1, that I had
in my computer, talks about the membrane status during the labor, in cases
if the rupture was spontaneous or artificial.

In fact, we realize that we do not have the option of membrane stay intact
all the time in childbirth (which is what we want in the most natural
process possible).

However, in the available archetype with the same information, the
archetype openEHR-EHR-EVALUATION.pregnancy_summary.v0, doesn't have anymore
the information about the state of the membranes.

It is true that the current archetype brings better and clearer information
than the old but I think some important information should not simply be

Anyway, it is only observations that Heather has already explained me and,
once all our validation considerations have been completed, I will submit
those contributions to CKM reviewers.

This is only the register, because this doubt and observation may be
happening to other researchers as well.

2017-01-04 15:00 GMT-02:00 <openehr-clinical-request at>:

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>    1. RE: Missing lab test archetypes from CKM (Heather Leslie)
> ----------------------------------------------------------------------
> Message: 1
> Date: Wed, 4 Jan 2017 05:00:50 +0000
> From: Heather Leslie <heather.leslie at>
> To: For openEHR clinical discussions
>         <openehr-clinical at>
> Subject: RE: Missing lab test archetypes from CKM
> Message-ID:
>         <ME1PR01MB09943F638C02695F6E6069A0FD610 at ME1PR01MB0994.
> Content-Type: text/plain; charset="utf-8"
> Hi Pablo,
> These archetypes were unpublished archetypes that have been rejected
> according to the openEHR policy and for valid reasons around patterns and
> design, still led by Ian.
> See specs here:
> Identification/Identification.html#_lifecycle_model. The only exception
> is that Release candidate has not been implemented in CKM.
> You can see the archetypes you are looking for in the openEHR CKM,
> including their log message re what archetypes they have been superseded by:
> ?       openEHR-EHR-OBSERVATION.lab_test.v1 -
> showArchetype_1013.1.350_REVISIONHISTORY
> Laboratory test, Rejected Archetype [Internet]. openEHR Foundation,
> openEHR Clinical Knowledge Manager [cited: 2017-01-04]. Available from:
> ?       openEHR-EHR-OBSERVATION.lab_test-blood_glucose.v1 -
> Blood glucose, Rejected Archetype [Internet]. openEHR Foundation, openEHR
> Clinical Knowledge Manager [cited: 2017-01-04]. Available from:
> I suspect that your issue is that your CKM search was only using the
> default, in which the lifecycle states do not include Rejected and
> Deprecated archetypes ? see the second tab labelled ?Lifecycle? on the
> Search/Find Resources page.
> The current UI works with these set defaults so as to optimise access to
> all current and active governed archetypes. If we added all rejected and
> deprecated archetypes plus all those in incubators to the default search
> then you would always find every archetype but there would be a lot more
> ?noise?, which we felt was not useful for the majority of users. Perhaps we
> have it wrong and if you have suggestions on how to improve this, please
> contact me directly.
> Kind regards
> Heather
> From: openEHR-clinical [mailto:openehr-clinical-bounces at]
> On Behalf Of Pablo Pazos
> Sent: Wednesday, 4 January 2017 5:50 AM
> To: For openEHR clinical discussions <openehr-clinical at>
> Subject: Missing lab test archetypes from CKM
> I been using these archetypes for some time (created by Ian):
> openEHR-EHR-OBSERVATION.lab_test.v1
> openEHR-EHR-OBSERVATION.lab_test-blood_glucose.v1
> I *believe* those were in the CKM before, but it seems that were removed,
> the most similar I could find are:
> openEHR-EHR-OBSERVATION.laboratory_test.v0
> openEHR-EHR-OBSERVATION.pathology_test.v1
> openEHR-EHR-OBSERVATION.pathology_test-blood_glucose.v1
> If the first two archetypes were on the CKM before and also were overriden
> by one of the mentioned above, shouldn't we have a more formal way of
> deprecating archetypes?
> --
> Ing. Pablo Pazos Guti?rrez
> Cel:(00598) 99 043 145
> Skype: cabolabs
> [Image removed by sender.]<>
> pablo.pazos at<mailto:pablo.pazos at>
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Danielle Santos Alves
Professora da Universidade Federal de Pernambuco - UFPE  Saúde da Mulher /
Ginecologia e Obstetrícia
Doutoranda do Centro de Informática da UFPE - CIn/UFPE
Enfermeira Pesquisadora do Núcleo de Telessaúde - NUTES/UFPE
Av. Prof. Moraes Rêgo s/n, Bloco A do Hospital das Clínicas
Cidade Universitária, Recife-PE CEP 50670-901
Fones: 081-21263661
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