FIVNAT

MedITEX allows you to exclude patients from the FIVNAT export, by selecting the corresponding option in Demographics -> Edit person tab.

Cycles included in the export are: IVF, ICSI, ICF/ICSI, Thaw cycle and Only reception.

Cycles excluded from the export are: all cycles from patients that have FIVNAT exclusion in Demographics, cycles with Reception of Ooc/Emb checkbox defined in the Cycle overview.

 

Center and Subcenter ID

Center ID comes from the system settings:

 

Subcenter ID can come from different places, depending on the type of Export.

Each user that has a subcenter ID with FIVNAT, must have the following entry in their personal settings:

 

If the export is from Fresh cycles, it will come from Attending clinician of the Cycle details, if this field is documented:

 

If cycle Attending clinician is not documented, it will take from Responsible clinician of Demographics area:

 

In case of Destruction or Import Cycles, Respondible clinician will be taken.

If no clinician is found in Cycle details of Demographics, the ID taken will come fromt he general settings:

 

Demographics

Date of birth

Country of residence (Female)

 

Female medical history linked to cycle

Female sterility type

FIVNAT options	MedITEX options
Primary	Primary
Secondary	Secondary
Unknown	If this field is left blank or if any other option is chosen

Female Medical History --> Fertility --> Infertility type

 

Number of previous treatments

Female Medical History --> Basic --> Previous treatments

 

Number of births, abortions and previous ectopic pregnancies

FIVNAT options	MedITEX options
N° Births	N° Para	Premature delivery (vital signs before 38th week) Stillbirth (from 28th week of pregnancy or >=500g) On schedule (vital signs from 38th week of pregnancy) Birth
N° Abortions	N° Abort	Missed abortion Hydatid mole Early abortion (till 16th week of pregnancy) Late abortion (17th to 28th week of pregnancy)
N° Ectopic pregnancies	N° Ectopic	Ectopic pregnancy Heterotopic pregnancy (if present)

A new window will open then   Female Medical History --> Basic --> Gravida/Para Section

 

Sterility factors

FIVNAT options	MedITEX options
None	None
Endometriosis (I/II)	Endometriosis (I/II)
Endometriosis (III/IV)	Endometriosis (III/IV)
Tube Pathology	Tube Pathology
Womb Fibrosis	Womb Fibrosis
Malformation Of The Womb	Malformation Of The Womb
Chronic Anovulation (PCOS)	Chronic Anovulation (PCOS)
Hypogonadotropic Ovarian Insufficiency (WHO III)	Hypogonadotropic Ovarian Insufficiency (WHO III)
Hypogonadotropic Ovarian Insufficiency (WHO I)	Hypogonadotropic Ovarian Insufficiency (WHO I)
Malignant Change Of The Female Genital Tract	Malignant Change Of The Female Genital Tract
Reappearing Miscarriage	Reappearing Miscarriage
Thyroid Disease	Thyroid Disease
DiabetesMellitus I/II	DiabetesMellitus I/II
Breast Cancer	Breast Cancer
Other	If any other option is selected in the drop-down menu of the four fields and whether the free text field is not empty

Female Medical History --> Basic --> Sterility Factors (4+1 fields)

 

Unprotected intercourse since

Female Medical History --> Basic --> Unprotected intercourse since (year)

 

Male medical history linked to cycle

Male sterility type

FIVNAT options	MedITEX options
Primary	Primary
Secondary	Secondary
Unknown	If this field is left blank or if any other option is chosen

Male Medical History --> General --> Infertility type

 

Male pathology

FIVNAT options	MedITEX options --> Sterility factor
None	None
Varicocele	Varicocele
Status after varicocele	Status after varicocele
Klinefelter Syndrome	Klinefelter Syndrome
Paraplegia o Tetraplegia	Paraplegia o Tetraplegia
Status after Testicle Neoplasia	Status after Testicle Neoplasia
Other	If any other option is selected in the drop-down menu of the four fields and whether the free text field is not empty
FIVNAT options	MedITEX options --> Chromosome analysis
Chromosome Anomaly Numerical Or Structured	Positive results
FIVNAT options	MedITEX optsions --> CFTR carrier
Mutation Of The CFTR Genes	Yes (carrier or ill)

Male Medical History --> Basic

 

Male semen diagnosis

All fields related to the Semen analysis area are connected with the two Semen analysis records in the Male Medical History record, attached to the Cycle details and the first 2 Semen analysis linked with Culture section for the cycle.

For the Diagnosis field below, it is only necessary to have it documented in one of the four places. If the documentation is done in the semen analysis linked in Culture, it is not necessary to have it linked with the Medical History (and vice-versa). Please keep in mind that this only applies to the Diagnosis field. In MedITEX, the semen analysis is always mandatory in Culture.

Male Medical History --> Basic

Therapy --> Culture --> Treatments and treatment semen analyses

FIVNAT options	MedITEX options --> Semen analysis
Normozoospermia	Normozoospermia
Oligospermia	Oligospermia
Asthenozoospermia	Asthenozoospermia
Teratozoospermia	Teratozoospermia
Azoospermia	Azoospermia
Cryptozoospermia	Cryptozoospermia
Other	Other
Unknown	If field is blank for all four semen analysis

Laboratory Diag. --> New Element --> Semen Analysis

 

Fresh and thawing cycles

Cycle type

The FIVNAT export query distinguishes Fresh cycles from thawing cycles, if in the Culture section, thawing of oocytes, Zygotes or embryos takes place.

Therapy --> Culture

 

Import date

Therapy --> Cycle Details

 

Cycle indication

FIVNAT options	MedITEX options
Tubal	Tubal
Anovulation/Dysovulation/PCO Syndrome	Anovulation/Dysovulation/PCO Syndrome
Endometriosis	Endometriosis
Male Infertility	Male Infertility
Male Immunological Infertility	Male Immunological Infertility
Donor Sperm	Donor Sperm
Unexplained Infertility	Unexplained Infertility
Genetical Cause Of The Infertility	Genetical Cause Of The Infertility
PGD	PGD
Hepatitis	Hepatitis
HIV	HIV
Other	If you select any other option or field is left blank

Therapy --> Cycle Details

 

Scheduled fertilization technique

FIVNAT options	MedITEX options
IVF	IVF
ICSI	ICSI
MIXED	IVF/ICSI

Therapy --> Cycle Details

 

Protocol

This field should only be exported in case the cycle is Fresh. For Cryo cycles, field exported is called StimulationType (column EU).

FIVNAT options	MedITEX options
Short	Short
Long	Long
Natural	Natural cycle
Other stimulation	Option Other or any remaining option

Therapy --> Cycle Details

 

Stimulation start date

The FIVNAT export Query select the start date of the first stimulation drug inserted in Cycle overview.

If no stimulation medication is applied for this cycle, the cycle start date in the Cycle details is taken.

Therapy --> Cycle Details

 

Drugs used in the treatment or after transfer

FIVNAT options	MedITEX options
GnRH Agonist	GnRH Agonist
GnRH Antagonist	GnRH Antagonist
Clomifen	Clomifen
hmg	hMG
hcg	rec hCG or u hCG
uFSH	uFSH
rFSH	recFSH
rLH	recLH
Aromatase Hemmer	---
Other	If other drugs are present in therapy and do not belong to the preceding groups

Therapy --> Overview

Groups of drugs can be assigned in System --> Configuration/Administration --> Drugs

 

 

Failure of the stimulation and reason

FIVNAT options	MedITEX options
No Reaction	No follicular growth
Other	If you choose any other option

Therapy --> Overview

 

Follicular aspiration date and n° of collected oocytes

The FIVNAT export Query extracts for fresh cycles the date of Follicular Aspiration and the number of oocytes collected, while for thawing cycles extracts the date of the original follicular aspiration.

Therapy --> Aspiration

 

Fertilization technique

The FIVNAT export Query extracts for fresh cycles and thawing cycles where only oocytes are thawed, the technique used in culture, while thawing cycles where PN and embryos are thawed, checks what type of cells were thawed.

FIVNAT options	MedITEX options
IVF	FIVET
ICSI	ICSI
Mixed	FIVET/ICSI
ICSI After IVM	ICSI and IVM

Therapy --> Culture --> Graphical representation --> Cycle Details

For thawing cycles, the fertilization technique is extracted from the material type thawed.

 

Origin of sperm

FIVNAT options	MedITEX options --> First 2 semen analysis linked to the cycle
Partner	Partner
Donor sperm (priority if partner and donor sperm are selected)	Donor
Recent (priority if recent and cryo selected)	Fresh+Cryo Semen Analysis
Cryo	Cryo Semen Analysis
Ejaculate	Ejaculate
Epididymis	MESA fresh/cryo, PESA fresh/cryo

Therapy --> Culture --> Treatments and treatment semen analyses (Partner/Donor, Fresh/Cryo)

Laboratory Diag. --> New element --> Semen analysis

N° of injected oocytes

Therapy --> Culture --> Graphical representation

FIVNAT options	MedITEX options
MI	MI
MII	MII
GV	GV
Non Fert (day 1)	GV, MI, MII, degen.,0PN, >3PN (Day 1)
1PN (day 1)	1PN (day 1)
2PN (day 1)	2PN (day 1)
3PN (day 1)	3PN (day 1)
Zygotes left in culture	Zygotes selected for embryo culture
Embryo (day 2)	Embryo (day 2)

Therapy --> Culture --> Graphical representation

 

N° of destructed cells

FIVNAT options	MedITEX options
Oocytes Destroyed	Degenerated and Discarded day 0
Zygotes Destroyed	2pn Stopped +1pn+3pn+ 2PN Discarded day 1
Embyo Destroyed	Discarded and Stopped Embryo

Therapy --> Culture --> Graphical Representation

 

Reason for embryo destruction

FIVNAT options	MedITEX options --> QM Culture section
Evolution stop	Evolution stop
Very low development potential	Very low development potential
Decision by the pair	Decision by the pair
Other Reasons	Other reasons, or if I have embryos destroyed but empty QM field

Therapy --> Culture --> QM Field

 

Cryo cells per Cryo Technique

FIVNAT options	MedITEX options
Oocytes/Zygotes/Embryo Verification Slow freezing	Ovociti/Zigoti/Embrioni Verification Slow freezing

Therapy --> Culture --> Right click on the cell to cryopreserve or Overview --> blue Square --> + button

 

Embryo for research reason

FIVNAT options	MedITEX options
Evolution stop	Evolution stop
Very low development potential	Very low development potential
Decision by the pair	Decision by the pair

Cryopreservation

 

Transfer date

Therapy --> Transfer

 

Reason for cancelling transfer

FIVNAT options	MedITEX options
Puncture Failure	No oocytes aspirated
Fertilization Failure	No fertilization
Cell Division Failure	PN in arrest
Embryos in arrest	Embryos in arrest
Other	If any other reason given, besides "No cancelation" and "Not specified"

Therapy --> Transfer

 

Transferred Cells

Therapy --> Culture --> Right click on the cell to transfer

 

Transfer complication

In FIVNAT, transfer complications are separated into several fields.

FIVNAT options	MedITEX options
Hospital - OHSS	OHSS
Hospital - removal complication	Removal complication
Hospital cryo -Static OHSS	Static OHSS
Hospital cryo -Other	Other
Ambulant OHSS	Ambulant OHSS
Peritonitis	Peritonitis
Hemoperitoneum	Hemoperitoneum
Mental sickness	Mental sickness
Thromboembolism	Thromboembolism
Adnexal torsion	Adnexitis

Therapy --> Transfer

 

Cycle result

FIVNAT options	MedITEX options
No Pregnancy	If there is transfer and No pregnancy is selected
Biochemical Pregnancy	If there is transfer and PG test is performed and No pregnancy is selected
Clinical Pregnancy	If there is transfer and Clinical pregnancy is selected
Stimulation Failure	If cycle was cancelled
Fertilization Failure	If fertilized oocytes + 2PN =0
Cell Division Failure	If there are fertilized oocytes but number of Embryos is 0
Aborted Transfer Ohss	If Reason for no ET in Culture is different from No cancellation and Not specified
Unknown	If there is transfer and Unknown is selected

 

Thawed cells

Therapy --> Culture --> Thawing

 

UM date

Therapy --> Cycle details

 

Stimulation type

This option is only exported in Cryo cycles. For Fresh cycles, field exported is called Protocol (column CB).

FIVNAT options	MedITEX options
Natural Cycle	Natural Cycle
Artificial Cycle Treatment Endometrium	Artificial cycle
Ovarial Stimulation	If Ovarial stimulation is selected or any other option besides the ones above, in case of Cryo cycle

Therapy --> Cycle Details

 

Cryo cell from another center

FIVNAT options	MedITEX options
From the Center	If the field Center of origin in cryopreservation or thaw mask is empty
From Another Centre	If the field Center of origin in cryopreservation or thaw mask is not empty

Cryopreservation

Thawing

 

Thawing date

Therapy --> Culture --> Thawing

 

Cryo cells in thawing cycles

Therapy --> Culture --> Cryopreservation

 

Reason for new cryopreservation

FIVNAT options	MedITEX options --> QM Culture section
Ohss	Ohss
Concomitant Disease	Concomitant Disease
Hemorrhage	Hemorrhage
Avoidance Multiples	Avoidance Multiples
Cervical Stenosis	Cervical Stenosis
Accident	Accident
Other	Other
None	None

Therapy --> Culture --> QM Fields

 

US

FIVNAT options	MedITEX options
Amnion	Intrauterine and extrauterine cavity greater than zero
Heart Action	At least one Fetal heartbeat present (BCF)
shcg (default)	Otherwise

 

Spontaneous or induced abortions

The FIVNAT Query selects:

• Number induced abortions: Each cycle in which during pregnancy one of 4 embryos has induced abortion is counted in the number of induced abortions.

• Date: The date is the first submitted in case of abortion.

• Reason: The first indication for abortion in cases of induced abortion.

 

Pregnancies results

FIVNAT options	MedITEX options
Birth	At least one birth date present
Miscarriage	Spontaneous abortion for all embryos
Miscarriage Between 3 and 6 Months	Spontaneous abortion for all embryos and abortion date - clinical pregnancy date between 3 and 6 months
Ectopic Pregnancy	N° ectopic cavity different than 0 and N° intrauterine cavity equal 0
Ectopic Intrauterine Pregnancy	N° ectopic cavity different than 0 and N° intrauterine cavity different than  0
Induced Abortion	At least one embryo with Induced abortion as Pregnancy process until 24th week
Unknown	Unknown in the pregnancy result field

Therapy --> Pregnancies, Therapy --> Birth

 

Complications

FIVNAT options	MedITEX options
Menstruation 1	Menstruation 1
Menstruation 2	Menstruation 2
Menstruation 3	Menstruation 3
Gestation Diabetes	Gestation Diabetes
Insufficiency	Insufficiency
Preterm Labor 2	Preterm Labor 2
Preterm Labor 3	Preterm Labor 3
Plazenta Praevia	Plazenta Praevia
Septicemia	Septicemia
Solated Hypertonia	Solated Hypertonia
Premature Rupture Of Membranes	Premature Rupture Of Membranes
Preeclampsia	Preeclampsia
Eclampsia	Eclampsia
Psychological Problems	Psychological Problems
Intrauterine Growth Restriction	Intrauterine Growth Restriction
Hospitalization 1	Hospitalization 1
Hospitalization 2	Hospitalization 2
Hospitalization 3	Hospitalization 3
Cholestasis	Cholestasis
Unknown	Unknown
Other	Other

Therapy --> Pregnancy

 

Delivery mode

FIVNAT options	MedITEX options
Spontaneously	At least one baby has Spontaneous as Delivery mode
Forceps	At least one baby has Forceps as Delivery mode
Vacuum	At least one baby has Vacuum as Delivery mode
Cesarean	At least one baby has Cesarean as Delivery mode
Unknown	Any other option

Therapy --> Birth

 

Delivery date

The FIVNAT query selects the first not null date of birth.

Therapy --> Birth

 

Babies number

The FIVNAT query counts the number of babies with birth date not null.

Therapy --> Birth

 

Babies Weight

Therapy --> Birth

 

Malformations (presence and description)

Therapy --> Birth

 

Babies sex

Therapy --> Birth

 

Babies Conditions

FIVNAT options	MedITEX options
Healthy	Condition in Birth section: Normale
Intrau. Death	Condition in Birth section: Morte fetale intrauterina
Neonat Death Day 1 Till 6	The difference between postpartum death date and birth date between 1-6 days
Neonat Death Day 7 Till 28	The difference between postpartum death date and birth date between 7-28 days
Living With Complications	Congenital malformations or chromosomal abnormalities

Therapy --> Birth

 

Click here to know more about all fields exported to FIVNAT.

 

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