FIVNAT Medical History

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Revision as of 13:40, 6 October 2015

 

<tbody> </tbody>
Name / Database field
 Part of the document
 Field in MedITEX

Typ Sterilität Frau

INFERT_FEM_KIND

  <img style="vertical-align: middle;" src="/images/Fivnat_mh_01.png" alt="" width="350" height="100" />

Female medical history -> Fertility -> Infertility type

Fivnat htf 01.png

Typ Sterilität Mann

INFERT_MAN_KIND

  <img style="vertical-align: middle;" src="/images/Fivnat_mh_02.png" alt="" width="350" height="91" />
 Male medical history -> General -> Infertility type

Anzahl vorheriger Behandlungen
mit IVF/ICSI frisch

IVF_DECLARED_ATTEMPT_NB

  <img style="vertical-align: middle;" src="/images/Fivnat_mh_03.png" alt="" width="350" height="99" />
 Female medical history -> Basic -> Previous treatments -> Number of IVF and ICSI treatments

Anzahl Geburten nach vorherigen
IVF/ICSI

IVF_DELIV_NB

  <img style="vertical-align: middle;" src="/images/Fivnat_mh_04.png" alt="" width="350" height="69" />
 Female medical history -> Basic -> Gravida Para section -> Gravida number

Anzahl Fehlgeburten nach
vorherigen IVF/ICSI

IVF_ABORT_NB

  <img style="vertical-align: middle;" src="/images/Fivnat_mh_05.png" alt="" width="350" height="97" />
 Female medical history -> Basic -> Gravida Para section -> Abort number

Anzahl Eileiterschwangerschaften
nach vorherigen IVF/ICSI

IVF_EUP_NB

  <img style="vertical-align: middle;" src="/images/Fivnat_mh_06.png" alt="" width="350" height="73" />
 Female medical history -> Basic -> Gravida Para section -> Ectopic number

Zusätzliches Auftreten bestimmter weiblicher Pathologien

ParticularFemalePathology01-15

  <img style="vertical-align: middle;" src="/images/Fivnat_mh_07.png" alt="" width="350" height="274" />
 Female medical history -> Basic -> Sterility factors -> Fields 1, 2, 3, 4 and text field

Spermiogramm vor IVF/ICSI

Spermiogram1-8

  <img style="vertical-align: middle;" src="/images/Fivnat_mh_08.png" alt="" width="350" height="204" />
 Semen analysis -> Diagnosis

Andere männliche Pathologien

Pathol_Other_Male1-9

  <img style="vertical-align: middle;" src="/images/Fivnat_mh_09.png" alt="" width="350" height="197" />

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

Male medical history -> Basic -> Chromosome analysis

Male medical history -> Basic -> CFTR carrier

Kinderwunsch seit

INFERT_START_YEAR

  <img style="vertical-align: middle;" src="/images/Fivnat_mh_10.png" alt="" width="350" height="63" />
 Female medical history -> Unprotected intercourse since -> Year

Indikation für IVF oder ICSI
und/oder Begleiterkrankungen

IVF_INDICATION01-12

  <img style="vertical-align: middle;" src="/images/Fivnat_mh_11.png" alt="" width="350" height="282" />
  Cycle details -> Main indication