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CPE-001 · Context modules
CTX-HT-FERTILITY: Preconception / Infertility Thyroid Context
Preconception / Infertility Thyroid Context. Routed when trying to conceive or fertility treatment == true.
Routing trigger
- Trying to conceive or fertility treatment == true
Behavior
- Flag guideline sensitivity and do not make automatic treatment claims from TSH 2.5-4.0 or antibody positivity alone.
- Surface ATA pregnancy-related context and ASRM 2024 fertility guideline for physician interpretation.
Evidence
- EV-ATA-PREGAmerican Thyroid Association. Hypothyroidism in Pregnancy; based on ATA pregnancy guidance.Supports: TPO-positive pregnancy: treat when TSH above 4.0; consider treatment at 2.5-4.0; special-population routing.
- EV-ASRM-2024ASRM Practice Committee. Subclinical hypothyroidism in the infertile female population: a guideline. Fertil Steril. 2024;121:765-782.Supports: Fertility-specific uncertainty and avoidance of blanket treatment logic.
Cases where this rule fires
Open a case to see this rule fire with real inputs, then change the values until it stops.
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