Living organisms may be considered as open systems, because matter passes into and out from them. Thermodynamics of open systems is currently often considered in terms of passages from one state of thermodynamic equilibrium to another, or in terms of flows in the approximation of local thermodynamic equilibrium. The problem for living organisms may be further simplified by the approximation of assuming a steady state with unchanging flows. General principles of entropy production for such approximations are a subject of ongoing research.