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CPE-001 · Context modules
CTX-HT-PREG: Pregnancy Thyroid Context
Pregnancy Thyroid Context. Routed when pregnant.
Context moduleContext moduleThyroid engine v1.1.0
Routing trigger
- Pregnant
Behavior
- Use trimester- and assay-specific reference intervals where available.
- Do not apply a universal automatic treatment rule at TSH > 2.5.
- For TPO-positive pregnancy, treatment is recommended when TSH is above 4.0 and may be considered when TSH is between 2.5 and 4.0 under ATA guidance.
- Require physician-managed obstetric/endocrine pathway.
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.
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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