FIVNAT Export

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FIVNAT

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

You can also exclude a single cycle of a patient from the FIVNAT export, by selecting the corresponding option in the cycle details window:

FIVNAT cycle exclusion


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.

 

Contents

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:

FIVNAT ID.png

 

 

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

AttendingClinician FIVNAT.png

 

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

ResponsCliniFIVNAT.png

 

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

The eight FIVNAT options related to the male semen diagnosis are taken from the drop-down menu "Diagnosis" within the semen analysis window.

Here it concerns the very first semen analysis (spermiogram before) in the male Lab diagnostics

 

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
FIVNAT cycle indication

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

FIVNAT Fresh8.png

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

The reason for embryo destruction within the graphical representation in the colture tabsheet, has to be entered in the corresponding drop-down menu:

 

FIVNAT options MedITEX options --> Drop-Down Menu
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 field
Genetic disorder Genetic disorder
FIVNAT reason destruction

 

 

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 cryopreservation / new cryopreservation

The reason for embryo cryopreservation / new cryopreservation within the graphical representation in the colture tabsheet has to be entered in the corresponding drop-down menu:

FIVNAT options MedITEX options --> Drop-Down Menu
Ohss Ohss
Concomitant Disease Concomitant Disease
Hemorrhage Hemorrhage
Avoidance Multiples Avoidance Multiples
Cervical Stenosis Cervical Stenosis
Accident Accident
Other Other
None None
FIVNAT reason cryo

 

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

 

Social egg freezing cycles

 

According to the new FIVNAT specification the Social Egg Freezing Cycles have to be documented with following rules:

 

  • The partner's birthdate must in all social freezing cycles imperatively be 01.01.1900
  • The type of man infertility must be unknown
  • The spermiogram before must be unknown
  • Desire to have children since must be 1900
  • Indication for IVF/ICSI and/or accompanying disorders must be Age
  • Transfer must be no
  • Reason for cancellation must be Oocytes cryopreservation cycle

 

By documenting a Social egg freezing cycle in MedITEX IVF, you have to set in the cycle details window this two option:

 

  • Treatment: only aspiration
  • Social Egg Freezing: must be active
FIVNAT Social egg freezing

Therefore the cycle will be automatically sent to FIVNAT applying the above mentioned rules.

 

 

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

 

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