FIVNAT Medical History

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Name / Database field
Part of the document
Field in MedITEX

Typ Sterilität Frau

INFERT_FEM_KIND

 

Female medical history -> Fertility -> Infertility type

Fivnat htf 01.png

Typ Sterilität Mann

INFERT_MAN_KIND

 

Male medical history -> General -> Infertility type

Fivnat htf 02.png

Anzahl vorheriger Behandlungen
mit IVF/ICSI frisch

IVF_DECLARED_ATTEMPT_NB

 

Female medical history -> Basic -> Previous treatments -> Number of IVF and ICSI treatments

Fivnat htf 03.png

Anzahl Geburten nach vorherigen IVF/ICSI

IVF_DELIV_NB

 

Female medical history -> Basic -> Gravida Para section -> Gravida number

Fivnat htf 04.png

Anzahl Fehlgeburten nach
vorherigen IVF/ICSI

IVF_ABORT_NB

 

Female medical history -> Basic -> Gravida Para section -> Abort number

Fivnat htf 05.png

Anzahl Eileiterschwangerschaften
nach vorherigen IVF/ICSI

IVF_EUP_NB

 

Female medical history -> Basic -> Gravida Para section -> Ectopic number

Fivnat htf 06.png

Zusätzliches Auftreten bestimmter weiblicher Pathologien

ParticularFemalePathology01-15

 

Female medical history -> Basic -> Sterility factors -> Fields 1, 2, 3, 4 and text field

Fivnat htf 07.png

Spermiogramm vor IVF/ICSI

Spermiogram1-8

 

Semen analysis -> Diagnosis

Fivnat htf 08.png

Andere männliche Pathologien

Pathol_Other_Male1-9

 

Male medical history -> Fertility impairment factors -> Varicocele, StatusAfterVaricocele, KlinefelterSyndrome, ParaplegiaOrTetraplegia, StatusAfterTesticleNeoplasia, Other

Male medical history -> Basic -> Chromosome analysis

Male medical history -> Basic -> CFTR carrier

Fivnat htf 09.png

Kinderwunsch seit

INFERT_START_YEAR

 

Female medical history -> Unprotected intercourse since -> Year

Fivnat htf 10.png

Indikation für IVF oder ICSI
und/oder Begleiterkrankungen

IVF_INDICATION01-12

 

 Cycle details -> Main indication

Fivnat htf 11.png