HFEA have provide guidance on this here - prism-advanced-scenarios_including-swap-role-for-shared-motherhood.docx (live.com), in particular Task Adv5
We know that HFEA has refined their definitions and a shared motherhood cycle, where one partner creates embryos with her eggs and then the other partner has the embryo transfer and hopefully carries the pregnancy , is no longer referred to as a donation cycle, and the participants are not known as a donor and a recipient. However the events the you need to use in IDEAS are still referred to as donations. This does to reflect in HFEA, as the participants are registered with appropriate roles
From HFEA;
In PRISM, for female:female couples the egg provider is registered as the “patient” (P1) and the partner is registered as normal “partner” (P2).
Stimulation, egg collection and embryo creation and use (including storage) are recorded under the patient (P1).
To record an FET or fresh embryo transfer under P2 (partner). The clinic will first need to swap the role from “partner” to “patient".
SCENARIOS
Fresh embryo donation - shared motherhood
REGISTRATION
Register P1 - egg source - as ‘Patient’
Register P2 as ‘Partner’
P1 - FRESH DONATION
IDEAS - Create Embryo Donation or IVF treatment cycle
PRISM - Submit Tx cycle form
IDEAS – Collect eggs – laboratory details
PRISM - Submit Egg Collection form
IDEAS – Create embryos using P1 eggs and donor sperm - and donate these embryos using the ‘donate’ lab event and selecting the embryos by clicking the grey tick. It will turn green (example below)
Any remaining embryos can be frozen or discarded in the donor cycle
PRISM – Submit Embryo Creation and Use
Gamete source will be ‘Patient eggs and donor sperm’
Fresh donated section should have the number donated in field ‘No. of embryo's donated fresh / For use in surrogacy’ - see example screenshot below
P2 - FRESH RECIPIENT of DONATED PARTER EMBRYOS
PRISM – Edit the registration form and change the role of P2 to ‘Patient’
PRISM - Edit the registration form and change the role of P1 to ‘Partner’
IDEAS - Create Embryo Recipient treatment cycle
Gamete source - indicate the ovum source, and also the treatment cycle that the embryos were created in
PRISM - Submit Tx cycle form making sure that the role is selected as patient and choose the treatment type as indicated below
IDEAS – Laboratory details
Click ‘get eggs/embryos’ and select ‘from donor cycle’ option
Select the donated embryos from P1
Transfer, Store or Discard these embryos
PRISM - Submit Embryo Recipient form
Enter the registration number of P1
Click search, which should provide the inventory of donated embryos from P1
Select the embryos, finish complete the form and save
Frozen embryo donation - shared motherhood
Registration with HFEA
Register P1 - egg source - as ‘Patient’
Register P2 as ‘Partner’
Collecting eggs, creating embryos and storing for donation
IDEAS - Create a cycle to create the embryos
PRISM - Submit Tx cycle form
IDEAS – Collect eggs – laboratory details
PRISM - Submit Egg Collection form
IDEAS – Create embryos using P1 eggs and donor sperm
Store these embryos -
Any embryos to be donated to P2, store with the purpose ‘donation for use by others’
PRISM – Submit Embryo Creation and Use
Gamete source will be ‘Patient eggs and donor sperm’
What do I do if the embryos are initially created for the patient use and then she decides to donate to P2 for thaw and transfer?
change the purpose in the cryomodule to ‘cryo for donation’
add a ‘donation’ lab event to the original embryo creation cycle, for the embryos to be donated
FROZEN RECIPIENT of DONATED PARTNER EMBRYOS FOR P2
PRISM – Edit the registration form and change the role of P2 to ‘Patient’ and the role of P1 to ‘partner’
IDEAS - Create Frozen Embryo Transfer recipient treatment cycle NO DONATION CYCLE IS REQUIRED IN THE RECORD OF P1
PRISM - Submit Tx cycle form
IDEAS – Laboratory details - Click ‘Get Eggs and Embryos’ and select ‘Thaw from previous or donor cycle’ ;
Select the donated stored embryos from P1
Transfer, Store or Discard these embryos
PRISM - Submit Frozen Embryo Transfer form - Select Gamete Source = ‘Partner’ which should provide the inventory of donated frozen embryos from P1
Select the embryos, finish complete the form and save;
IN PRISM ENSURE THAT A FROZEN EMBRYO TRANSFER THAW FORM IS AVAILABLE, NOT A FRESH EMBRYO RECIPIENT FORM - IF NOT CONTACT SUPPORT AT MELLOWOOD AS YOUR CONFIGURATION MAY BE INCORRECT
Fresh egg donation - shared motherhood
Registration with HFEA
Register P1 - egg source - as ‘Patient’
Register P2 as ‘Partner’
IDEAS
Create Egg Donation treatment cycle
Laboratory Details folder
Collect egg 'using ‘get eggs/embryos’ button
Donate these eggs by setting the fate to ‘donate to partner’ in the egg collection lab event
Complete the treatment and cycle
PRISM
P2 - RECIPIENT of FRESH DONATED PARTNER EGGS
PRISM – Edit the registration form and change the role of P2 to ‘Patient’ and the role of P1 to ‘partner’
Create Egg Recipient treatment cycle
Gametes tab - Identify donor, the donation treatment cycle in the Gametes tab
Laboratory details
Use ‘get egg/embryo’ and use the ‘from donor cycle’ option;
this will allow you to ''select and receive’ the selected eggs from the donation cycle identified in the gametes tab
Add the appropriate lab events up until Embryo Transfer
Frozen egg donation - shared motherhood
P1 - egg storage for donation
Create Egg donation/egg freeze cycle type or similar
Collect eggs – laboratory details
Store these eggs - any eggs to be donated to P2, store with the purpose ‘donation for use by others’
‘Claim’ the eggs for P2 in the cryomodule - 'Claiming' donor samples
What do I do if the eggs are initially created for the patient use and then she decides to donate to P2 for thaw, embryo creation and transfer?
change the purpose in the cryomodule to ‘cryo for donation’
add a ‘donation’ lab event to the original embryo creation cycle, for the embryos to be donated
‘Claim’ the eggs for P2 in the cryomodule - 'Claiming' donor samples
P2 - Frozen egg recipient Cycle
PRISM – Edit the registration form and change the role of P2 to ‘Patient’ and the role of P1 to ‘partner’
Create Frozen Egg recipient treatment cycle type NO DONATION CYCLE IS REQUIRED IN THE RECORD OF P1, the donation event happens in the cycle that the eggs were stored in
gametes tab - Identify the cycle the eggs are being donated from in the Gamete Source tab
Laboratory details
Click ‘Get Eggs and Embryos’ and select ‘Thaw from previous or donor cycle’;
Select the donated stored eggs from P1
Use the appropriate lab events to create, transfer, store or discard these embryos