ARCHETYPE Pregnancy care state (openEHR-EHR-EVALUATION.pregnancy_care_state.v0)

Name: Pregnancy care state
License: http://creativecommons.org/licenses/by-sa/4.0/

ARCHETYPE ID	openEHR-EHR-EVALUATION.pregnancy_care_state.v0
Concept	Pregnancy care state
Description	A clinical assessment categorising the individual’s pregnancy-related physiological context and reproductive intent to support safe clinical care.
Use	Use to record the individual’s current pregnancy-related care state so that relevant pregnancy considerations can be taken into account in clinical decision-making. The state may be reassessed and updated over time as clinical circumstances change, including before, during and after pregnancies. The defined pregnancy care states represent distinct pregnancy-related circumstances across the reproductive continuum. These include a default baseline state, pregnancy-related physiological states, intent to conceive, and situations where pregnancy care does not apply. Each of the following mutually exclusive care states reflects circumstances in which pregnancy considerations may influence clinical management: 'Premenarchal' - applies when pregnancy is generally considered physiologically unlikely because menarche has not yet occurred. Clinical judgement may be required when determining the transition between 'Premenarchal' and 'Baseline' states during puberty, as ovulation may occur before the first recognised menstrual period and pregnancy may therefore be possible prior to documented menarche. 'Baseline' - the default pregnancy care state used when none of the other defined states apply. In this situation, routine pregnancy-related clinical safety considerations should be applied because pregnancy may be unrecognised. 'Preconception' - applies when the individual is actively planning or preparing for pregnancy, such as intentional discontinuation of contraception, preconception clinical optimisation, or onset of fertility treatment, and pregnancy-related care requirements should be escalated beyond the 'Baseline' state to support safe conception and early pregnancy. 'Pregnant' - applies when pregnancy has been clinically confirmed and pregnancy-specific care requirements apply. 'Post-pregnancy' - applies during the recovery period following the end of a pregnancy, regardless of gestational age or outcome, during which 'Baseline' pregnancy-related care requirements and other post-pregnancy care considerations apply. 'Not applicable' - applies when pregnancy is biologically impossible and pregnancy-related care considerations are not relevant, for example when the individual is post-menopausal or does not have a uterus. Typical events that may trigger an update to the 'Pregnancy care state' include, but are not limited to: Documentation of first menstrual period (menarche): transition from 'Premenarchal' to 'Baseline'. Documentation of fertility treatment commencing: transition from 'Baseline' to ‘Preconception’. Confirmation of a pregnancy diagnosis: transition from 'Baseline' or 'Preconception' to ‘Pregnant’. Documented birth or pregnancy loss: transition from 'Pregnant' to ‘Post-pregnancy’. Completion of the immediate postpartum period: transition from 'Post-pregnancy' to ‘Baseline’. Documentation of menopause or a hysterectomy procedure: transition from 'Baseline' to ‘Not applicable’, which is usually considered a permanent state.
Misuse	Not to record pregnancy confirmation or exclusion at a specific point in time. In particular, a clinician's determination that an individual is ‘not pregnant’ is only valid as a point-in-time clinical assertion and should not be used to represent an ongoing pregnancy care context. Use the OBSERVATION.pregnancy_assertion archetype for this purpose. Not to be used to record a suspicion of, or level of uncertainty about, a diagnosis of pregnancy, such as 'possible', 'probable', 'suspected', or 'confirmed'. Use the EVALUATION.problem_diagnosis for this purpose. Not to be used to record the summary information about a single pregnancy. Use the EVALUATION.pregnancy_summary for this purpose.
Purpose	To record the individual’s current pregnancy-related care state so that relevant pregnancy considerations can be taken into account in clinical decision-making.
References
Copyright	© openEHR Foundation
Authors	Author name: Heather Leslie Organisation: Atomica Informatics Email: heather.leslie@atomicainformatics.com Date originally authored: 2026-02-23
Other Details Language	Author name: Heather Leslie Organisation: Atomica Informatics Email: heather.leslie@atomicainformatics.com Date originally authored: 2026-02-23
Other Details (Language Independent)	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: DC07E3B0E4F93A311D03243649062322 Build Uid: 8c4ab725-d34d-4d12-860a-0cca772b7258 Revision: 0.0.1-alpha
Keywords
Lifecycle	in_development
UID	973160a5-6500-4105-9b53-70195c501904
Language used	en
Citeable Identifier	1013.1.8224
Revision Number	0.0.1-alpha
data
Pregnancy care state	Pregnancy care state: A category that identifies the current pregnancy-related care requirements applicable to an individual, based on their pregnancy-related physiological state and reproductive intent. Choice of: Text Coded Text at0003::Premenarchal [Applies when the individual has not yet experienced menarche and pregnancy-related care requirements are generally not applicable.] at0004::Baseline [The default pregnancy care state used when none of the other defined states apply, requiring routine pregnancy-related clinical safety considerations because pregnancy may be unrecognised.] at0005::Preconception [Applies when the individual is actively planning or preparing for pregnancy, and pregnancy-related care requirements should be escalated beyond the Baseline state to support safe conception and early pregnancy.] at0006::Pregnant [Applies when pregnancy has been clinically confirmed and pregnancy-specific care requirements apply.] at0007::Post-pregnancy [Applies during the recovery period following the end of a pregnancy, regardless of gestational age or outcome, during which 'Baseline' pregnancy-related care requirements and other post-pregnancy care considerations apply.] at0016::Not applicable [Applies when pregnancy is biologically impossible and pregnancy-related care considerations are not relevant.]
Valid start	Valid start: The date from when the 'Care state' applies. For example: the date of delivery when initiating a 'Post-pregnancy' state; the date of a menopause diagnosis for a 'Not applicable' state; and the date of menarche when recording the 'Baseline' state.
Valid end	Valid end: The date when the 'Care state' no longer applies, or an explicit designation of ‘Indefinite’ where no end is defined. For example: the date which is 28 days after birth for a 'Post-pregnancy' state; or 'Indefinite' after diagnosis of 'Menopause' or having a 'Hysterectomy' procedure. Choice of: Date Coded Text at0010::Indefinite [The current care context represents a permanent state unless prior documentation is corrected.]
Comment	Comment: Additional narrative about the pregnancy care context not captured in other fields.
protocol
Extension	Extension: Additional information required to extend the model with local content or to align with other reference models or formalisms. For example: local information requirements; or additional metadata to align with FHIR. Include: All not explicitly excluded archetypes
Last updated	Last updated: The date when this pregnancy care context was last updated.
Other contributors
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