FIVNAT Medical History

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Name / Database field
Part of the document
Field in MedITEX

Sterility type woman 

(Typ Sterilität Frau)

INFERT_FEM_KIND

 

Female medical history -> Fertility -> Infertility type

Fivnat htf 01.png

Sterility type man

(Typ Sterilität Mann)

INFERT_MAN_KIND

 

Male medical history -> General -> Infertility type

Fivnat htf 02.png

Number of previous IVF/ICSI treatments fresh

(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

Number of births after previous IVF/ICSI

(Anzahl Geburten nach vorherigen IVF/ICSI)

IVF_DELIV_NB

 

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

Fivnat htf 04.png

Number of miscarriages after previous IVF/ICSI

(Anzahl Fehlgeburten nach
vorherigen IVF/ICSI)

IVF_ABORT_NB

 

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

Fivnat htf 05.png

Number of etopic pregnancies after previous IVF/ICSI

(Anzahl Eileiterschwangerschaften
nach vorherigen IVF/ICSI)

IVF_EUP_NB

 

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

Fivnat htf 06.png

Additional occurrence of certain female pathologies

(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

Semen analysis before IVF/ICSI

(Spermiogramm vor IVF/ICSI)

Spermiogram1-8

 

Semen analysis -> Diagnosis

Fivnat htf 08.png

Other male pathologies

(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

Unprotected intercourse since

(Kinderwunsch seit)

INFERT_START_YEAR

 

Female medical history -> Unprotected intercourse since -> Year

Fivnat htf 10.png

Indications for IVF or ICSI

(Indikation für IVF oder ICSI
und/oder Begleiterkrankungen)

IVF_INDICATION01-12

 

 Cycle details -> Main indication

Fivnat htf 11.png