Tx cycle - Treatment plan tab & sentinel dates

This is the date the treatment plan was created. Usually the date the intended treatment record is created.

This is the date the baseline scan is done or scheduled to be done.

This is the date of her first day of bleeding preceding her treatment with down-regulation drugs. This is usually the month before stimulation drugs are given.

This date is the first day that stimulation medications are administered.

For most reporting agencies, this date is the 'start of treatment' for reporting purposes

Start of follicular phase (LMP) 

Typically the date the patient begins their stimulation (eg. start date of FSH in IVF cycle or HRT in FET cycle) or is the LMP in a CC or natural cycle.  

This is considered the Cycle Start Date.

This date (and time) is filled in when drugs are used to convert a cycle from the follicular phase to the luteal phase. Typically this is done in frozen embryo, donor egg/embryo and surrogate treatments. This box is filled in when the patient either has a natural surge or P4 administration begins.  

Please note:
When this box is filled in the 'Date of trigger' is redundant and not filled in.

 LH surge date 

 P4 administration 

You may enter the surge date if HCG is not used to trigger ovulation in the cycle.

P4 would be used in an FET cycle

Date of trigger 

Populates when confirmed in the detail of the plan, in the 'Plan Details tab

Date & time of HCG administration

Luteal day 0;

autofilled once trigger or LH surge date is entered

The egg retrieval or ovulation date.

IDEAS will automatically calculate the date of Luteal day 0 based on the date of trigger (above) and auto-fill this date. However, the Luteal day 0 date can be manually adjusted by overwriting the date.

This date is automatically filled in when the date of trigger is entered. However, it should be manually entered in treatments where there is an LH surge or when progesterone has been administered.  In an appropriately designed treatment plan the luteal day 0 will be automatically filled out based on the date that progesterone administration is begun (eg. If P4 begins on Luteal day -2 in the treatment plan, then luteal day 0 would be calculated to be 2 days after the date of P4 administration.). 

Please note:
  It is very important that this date is set in accordance with its biological context. All laboratory/embryology events are scoped to this date. Transferring of frozen embryos or fresh donor eggs/embryos depends on this biological context, especially with regards to endometrial receptivity and the associated implantation window.

Egg retrieval and embryo transfer date ;

Autofilled from dates recorded in the lab events folder

Note - lab events can only be entered once the luteal day 0 is entered

Transfer date is determined based on the relative luteal day of the transfer event in the Plan Details tab.

This is the date of egg collection for fresh IVF treatment or IVM cycles. IDEAS will enter this date for you once the corresponding laboratory event has been completed.

This is the date on which embryos or eggs are thawed. If further eggs or embryos are thawed, only the first thaw date is recorded although the second thaw event is recorded within the laboratory records.

This is the date of the first luteal phase pregnancy test. The interpretation can be Pregnant or Not pregnant and will be automatically filled in when the first luteal ß hCG is entered into Blood/Lab tests. This field should be entered for all treatments once the outcome is known as other functions within IDEAS are dependent on this information.

This is the date recorded inthe of the first gestational ultrasound scan which confirms the clinical status of the pregnancy.

When a pregnancy has been established, IDEAS calculates the estimated date of delivery and auto-fills this field.