Use to record the level of pregnancy-related precautions and care requirements applicable to an individual, as the basis for safe and appropriate clinical decision-making. The context may be reassessed and updated over time as clinical circumstances change.
Each of the following mutually exclusive care states reflects a distinct circumstance in which a different level of pregnancy-related precautions is required:
- 'Baseline precautions' - the default state applying when none of the other defined states apply, requiring routine pregnancy-related precautions because an unrecognised pregnancy cannot be excluded.
- 'Planning pregnancy' - applies when the individual is actively planning or preparing for pregnancy, such as intentional discontinuation of contraception, preconception clinical optimisation, or commencement of fertility treatment, and elevated pregnancy-related precautions are required.
- 'Pregnant' - applies when pregnancy has been clinically confirmed and pregnancy-specific precautions apply.
- 'Post-pregnant' - applies during the recovery period following the end of a pregnancy, regardless of gestational age or outcome, during which 'Baseline precautions' apply in addition to any specific post-pregnancy care considerations.
- 'Not applicable' - applies when pregnancy is physiologically impossible and pregnancy-related precautions are not required in the individual's current circumstances.
Typical events that may trigger an update to the 'Pregnancy care context' include, but are not limited to:
- Documentation of menarche: transition from 'Not applicable' to 'Baseline precautions'.
- Decision to actively prepare for pregnancy, such as commencement of fertility treatment or intentional discontinuation of contraception: transition from 'Baseline precautions' to 'Planning pregnancy'.
- Confirmation of pregnancy: transition from 'Baseline precautions' or 'Planning pregnancy' to 'Pregnant'.
- Documented birth or pregnancy loss: transition from 'Pregnant' to 'Post-pregnant'.
- Completion of the post-pregnant recovery period: transition from 'Post-pregnant' to 'Baseline precautions'.
- Documentation of a formal diagnosis of menopause or a hysterectomy procedure: transition from 'Baseline precautions' to 'Not applicable'.
This archetype is intended to be used alongside the OBSERVATION.pregnancy_assertion archetype. Together they supersede the traditional representation of a single 'Pregnancy status' concept by separating pregnancy assertion from pregnancy care context. Pregnancy assertion records whether an individual is believed to be pregnant or not at a specific point in time, while Pregnancy care context records the broader and more persistent clinical context and associated pregnancy-related precautions relevant to clinical decision-making.
Organisation: Atomica Informatics
Email: heather.leslie@atomicainformatics.com
Date originally authored: 2026-02-23
Organisation: Atomica Informatics
Email: heather.leslie@atomicainformatics.com
Date originally authored: 2026-02-23
- Licence: This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/.
- Custodian Organisation: openEHR Foundation
- Original Namespace: org.openehr
- Original Publisher: openEHR Foundation
- Custodian Namespace: org.openehr
- MD5-CAM-1.0.1: 185EC0BBCD312C8135DBAA9A774AC003
- Build Uid: af1cdfa6-ac22-48f2-a0b7-576cce9de698
- Revision: 0.0.1-alpha
The context may be assigned by a clinician or automatically updated by a clinical system when a qualifying clinical event is documented. Examples where 'Not applicable' is appropriate include premenarchal individuals, postmenopausal individuals, and those who do not have a uterus.
Choice of:
Text
Coded Text- Baseline precautions [The default state, which applies to individuals for whom pregnancy is physiologically possible but none of the other defined states apply, requiring routine pregnancy-related precautions because an unrecognised pregnancy cannot be excluded.]
- Planning pregnancy [Applies when the individual is actively planning or preparing for pregnancy, and elevated pregnancy-related precautions are required beyond those of the 'Baseline precautions' state to support safe conception and early pregnancy.]
- Pregnant [Applies when pregnancy has been clinically confirmed and pregnancy-specific precautions apply.]
- Post-pregnant [Applies during the recovery period following the end of a pregnancy, regardless of gestational age or outcome, during which 'Baseline precautions' apply in addition to any specific post-pregnancy care considerations.]
- Not applicable [Applies when pregnancy is physiologically impossible and pregnancy-related precautions are not required in the individual's current circumstances.]
For example: the date of delivery when initiating a 'Post-pregnant' context; the date of a menopause diagnosis for a 'Not applicable' context; and the date of menarche when recording the 'Baseline precautions' context.
This date represents the anticipated end of the current context and does not imply that the state has been reviewed or changed. For example: 28 days after birth for a 'Post-pregnant' context.
Review of the current 'Care context' may confirm that the current context remains applicable or result in a change to a different context. For example: a scheduled follow-up after commencing fertility treatment for a 'Planning pregnancy' context; or a postnatal review date for a 'Post-pregnant' context.
For example: local information requirements; or additional metadata to align with FHIR.
Include:
All not explicitly excluded archetypes