Infertility visits

---

husband

Diagnosis	{foreach $infertility->husbndiagnosis1t as $single} {$single->title} / {/foreach}
Evaluation	{$ivfsheet->anevaluation}

Travel abroad		Location	{$infertility->sheetlocationt->title}	Duration	{$infertility->historyduration}	In	{$infertility->historyin}	Out	{$infertility->historyout}
Medical History				Surgical History
{foreach $infertility->medicalhistorydmt as $single} {$single->title} / {/foreach}			{$infertility->medicalhistorynote}	{foreach $infertility->surgicalhistorydmt as $single} {$single->title} / {/foreach}				{$infertility->surgicalhistorynote}

General (BW)	Local
{$infertility->examinationgeneral}	{foreach $infertility->examinationlocalset as $single} {$single->title} / {/foreach}	{$infertility->examinationlocalnote}

{if !empty($semen)} {foreach $semen as $single} {/foreach}

Semen
Date		PLace		Type		C	PRM	TM	AF	VIT	Vol	TZI	SDI
{$single->date}		{$single->semenplacet->title}		{$single->sementypet->title}		{$single->nc}	{$single->prm}	{$single->tm}	{$single->af}	{$single->vit}	{$single->vol}	{$single->tzi}	{$single->sdi}

{/if} {if !empty($semen2)} {foreach $semen2 as $single} {/foreach}

Other Inv
	Scrotal U/S	TRUS	Karyo	Yq micro	SDF	Semen Fr	TESE	Other
Date	{$single->detescrotal}	{$single->detetrue}	{$single->detekaryo}	{$single->deteyqmicro}	{$single->detesdf}	{$single->detesemenfr}	{$single->detetese}	{$single->deteother}
PLace	{$single->placescrotal}	{$single->placetrue}	{$single->placekaryo}	{$single->placeyqmicro}	{$single->placesdf}	{$single->semen2placesemenfrt->title}	{$single->semen2placeteset->title}	{$single->placeother}
Result	{foreach $single->semen2resultscrotalt as $single2} {$single2->title} / {/foreach}	{$single->semen2resulttruet->title}	{$single->semen2resultkaryot->title}	{$single->semen2resultyqmicrot->title}	{$single->semen2resultsdft->title}	C M AF {$single->resultsemenfrc} {$single->resultsemenfrm} {$single->resultsemenfraf}	{$single->resulttese}	{$single->resultother}

{/if} {if !empty($hormonalprofile)} {foreach $hormonalprofile as $single} {/foreach}

Hormonal Profile
	FSH	LH	TT	PRL	E2	Inhibin B	Other	Other
Date	{$single->datefsh}	{$single->datelh}	{$single->datett}	{$single->dateprl}	{$single->datee2}	{$single->dateinhibin}	{$single->dateother}	{$single->dateother1}
Result	{$single->resultfsh}	{$single->resultlh}	{$single->resulttt}	{$single->resultprl}	{$single->resulte2}	{$single->resultinhibin}	{$single->resultother}	{$single->resultother1}

{/if} {if !empty($infertility->sheetttt)}

TTT	{$infertility->sheetttt}

{/if}

---

WIFE

Diagnosis	{foreach $infertility->diagnosist as $single} {$single->title} / {/foreach}
Evaluation	{$ivfsheet->anevaluations}

{if !empty($infertility->sheetttt)}

Menstrual History					Sexual History
Reg C/D Amount Dysm LMP {$infertility->menstrualregt->title} {$infertility->wmenstrualcd} {$infertility->menstrualamountt->title} {$infertility->menstrualdysmt->title} {$infertility->wmenstruallmp}					{$infertility->wsexual}

Medical History		Surgical History		Family History
{foreach $infertility->medicalhistoryt as $single} {$single->title} / {/foreach}	{$infertility->w2medical}	{foreach $infertility->surgicalhistoryt as $single} {$single->title} / {/foreach}	{$infertility->wsurgical}	{foreach $infertility->familyhistoryt as $single} {$single->title} / {/foreach}	{$infertility->wfamily}

{/if} {if !empty($awifep)} {foreach $awifep as $single} {/foreach}

(Obst History) p
Sex	Name	Date of D	Age	Mode of D	Type of D	W	L	Obst	CO Method Duration Stopped	Comment
{$single->wifesext->title}	{$single->name}	{$single->date}	{$single->wifeage}	{$single->wifemodeofdt->title}	{$single->wifetypeofdt->title}	{$single->wifew}	wifel == 1} checked {/if}>	{foreach $single->wifeobstt as $single2} {$single2->title} / {/foreach}	{foreach $single->awifepmethodt as $single2} {$single2->title} / {/foreach} {$single->duration} {$single->stopped}	{$single->comment}

{/if} {if !empty($wifeepc)} {foreach $wifeepc as $single} {/foreach}

EPC							Last
date	Type	W	TTT	Obst	Histopath	cost	D	A
{$single->wifeepcdate}	{$single->wifeepctypet->title}	{$single->wifeepcw}	{$single->wifeepctttt->title}	{$single->wifeepcobstt->title}	{$single->histopath}	{$single->coast}	{$single->wifeepcp}	{$single->wifeepcepc}

{/if}

General		Local
BW	{$infertilitysheet->generalbw}	Vulva	{foreach $infertility->localvulvat as $single} {$single->title} / {/foreach}
BMI	{$infertilitysheet->generalbmi}	Vagina	{foreach $infertility->localvaginat as $single} {$single->title} / {/foreach}
Breast	{foreach $infertility->generalbreastt as $single} {$single->title} / {/foreach}	CX	{foreach $infertility->localcxt as $single} {$single->title} / {/foreach}
Hirsutism	{$infertility->generalhirsutismt->title}	Other	{$infertilitysheet->localother}
Thyroid	{$infertility->generalthyroidt->title}	Other	{$infertilitysheet->localother1}

{if !empty($hormonalprofile2)} {foreach $hormonalprofile2 as $single} {/foreach}

Hormonal Profile
	AMH	TSH	PRL	FSH	LH	E2	P4	Other
Date	{$single->dateamh}	{$single->datetsh}	{$single->dateprl}	{$single->datefsh}	{$single->datelh}	{$single->datee2}	{$single->datep4}	{$single->dateother}
Result	{$single->resultamh}	{$single->resulttsh}	{$single->resultprl}	{$single->resultfsh}	{$single->resultlh}	{$single->resulte2}	{$single->resultp4}	{$single->resultother}

{/if} {if !empty($tvs)} {foreach $tvs as $single} {/foreach}

TVS
Date	{$single->comment}
UT	{foreach $single->tvsutt as $single2} {$single2->title} / {/foreach}
CX	{foreach $single->tvscxt as $single2} {$single2->title} / {/foreach}
RO	{foreach $single->tvsrot as $single2} {$single2->title} / {/foreach}
LO	{foreach $single->tvslot as $single2} {$single2->title} / {/foreach}
Pelvis	{foreach $single->tvspelvist as $single2} {$single2->title} / {/foreach}

{/if} {if !empty($dtvs)} {foreach $dtvs as $single} {/foreach}

3D TVS
Date	Place	Result
{$single->date}	{foreach $single->dtvsplacet as $single2} {$single2->title} / {/foreach}	{foreach $single->dtvsresultt as $single2} {$single2->title} / {/foreach}

{/if} {if !empty($sis)} {foreach $sis as $single} {/foreach}

SIS
Date	Result
{$single->date}	{foreach $single->sisresultt as $single2} {$single2->title} / {/foreach}

{/if} {if !empty($hsg)} {foreach $hsg as $single} {/foreach}

HSG
Date	PLace	UT	RT	LT	Pelvis
{$single->date}	{$single->hsgplacet->title}	{$single->hsgutt->title}	{foreach $single->hsgrtt as $single2} {$single2->title} / {/foreach}	{foreach $single->hsgltt as $single2} {$single2->title} / {/foreach}	{$single->hsgpelvist->title}

{/if} {if !empty($hysteroscopy)} {foreach $hysteroscopy as $single} {/foreach}

Hysteroscopy
Date	PLace	Dil	Introd	CX	Cavity - Fundus	R-Ostium	L-Ostium
{$single->date}	{$single->copyplacet->title}	{$single->copydilt->title}	{$single->copyintrodt->title}	{foreach $single->copycxt as $single2} {$single2->title} / {/foreach}	{foreach $single->copycavityt as $single2} {$single2->title} / {/foreach}	{$single->copyrostiumt->title}	{$single->copylostiumt->title}
Intervention	{$single->hysintervention}			{foreach $single->copymcxt as $single2} {$single2->title} / {/foreach}	{foreach $single->copymcavityt as $single2} {$single2->title} / {/foreach}	{foreach $single->copymrostiumt as $single2} {$single2->title} / {/foreach}	{foreach $single->copymlostiumt as $single2} {$single2->title} / {/foreach}	{$single->coast}

{/if} {if !empty($laparoscopy)} {foreach $laparoscopy as $single} {/foreach}

Laparoscopy
Date	PLace	UT	RT	LT	RO	LO	Pelvis
{$single->date}	{$single->laparplacet->title}	{foreach $single->laparult as $single2} {$single2->title} / {/foreach}	{foreach $single->laparrtt as $single2} {$single2->title} / {/foreach}	{foreach $single->laparltt as $single2} {$single2->title} / {/foreach}	{foreach $single->laparrot as $single2} {$single2->title} / {/foreach}	{foreach $single->laparlot as $single2} {$single2->title} / {/foreach}	{foreach $single->laparpelvist as $single2} {$single2->title} / {/foreach}
Intervention	{$single->lapintervention}	{foreach $single->laparmutt as $single2} {$single2->title} / {/foreach}	{foreach $single->laparmrtt as $single2} {$single2->title} / {/foreach}	{foreach $single->laparmltt as $single2} {$single2->title} / {/foreach}	{foreach $single->laparmrot as $single2} {$single2->title} / {/foreach}	{foreach $single->laparmlot as $single2} {$single2->title} / {/foreach}	{foreach $single->laparmpelvist as $single2} {$single2->title} / {/foreach}	{$single->coast}

{/if} {if !empty($infertility->sheetother)}

Other

{$infertility->sheetother}

{/if}

DA	Metformin	COS Type Response	IUI Trials Date Result
{$infertility->tttdat->title}	{$infertility->tttmetformint->title}	{foreach $infertility->ttttypet as $single} {$single->title} / {/foreach} {$infertility->tttresponset->title}	{$infertility->sheettrials} {$infertility->sheetdate} {$infertility->sheetresult}

{if !empty($icsi)} {foreach $icsi as $single} {/foreach}

ICSI
Date	PLace	Protocol	OPU	Semen	Fert	S.S	ET	D	Fr	Re Fr	Result
{$single->date}	{$single->icsiplacet->title}	{$single->icsiprotocol}	{$single->opu}	{$single->icsisemen}	{$single->fert}	{$single->icsiss}	{$single->et}	{$single->vd}	{$single->fr}	{$single->refr}	{$single->icsiresult}

{/if} {if !empty($folliculom)} {foreach $folliculom as $single} {/foreach}

FOLLICULOM
LMP	TTT	CD	Date	RO	LO	Endo	Pelvis	TOO	Result
{$single->lmp}	{$single->ttt}	{$single->cd}	{$single->date}	{$single->ro}	{$single->lo}	{$single->endo}	{$single->pelvis}	{$single->too}	{$single->result}

{/if} {if !empty($operations)} {assign var="i" value="1"} {foreach $operations as $single} {assign var="i" value=$i+1} {/foreach}

operations
	operation	Date	place	histopath	Cost	nots
{$i}	{foreach $single->operationt as $single2} {$single2->title} / {/foreach}	{$single->date}	{$single->placet->title}	{foreach $single->histopatht as $single2} {$single2->title} / {/foreach}	{$single->cost}	{$single->note}

{/if}

PLan
Husband	{foreach $infertility->sheethusbandt as $single} {$single->title} / {/foreach}
Wife	{foreach $infertility->sheetwifet as $single} {$single->title} / {/foreach}

{if !empty($newvisit)} {foreach $newvisit as $single} {/foreach}

New Visit
Date	Cycles	LMP	BW	usvsdtv eq 1} checked {/if} >US usvsdtv eq 2} checked {/if} >TVS usvsdtv eq 3} checked {/if} >3D TVS UT OV	TTT (Button)
{$single->date}	{$single->newvisitcyclest->title}	{$single->lmp}	{$single->bw}	{$single->ut} {$single->ov}
Notes	{$single->ttt}

{/if} {if !empty($ivfsheet)}

IVF Sheet

---

Evaluation	{$ivfsheet->anevaluation} {$ivfsheet->anevaluations}

Infertility			ICSI Trial
Type	Duration	AMH	N	Type	Protocol	TTT	Notes
{$ivfsheet->antypet->title}	{$ivfsheet->anduration}	{$ivfsheet->anamh}	{$ivfsheet->annn}	{$ivfsheet->antypest->title}	{$ivfsheet->icsiprotocolt->title}	{$ivfsheet->anttt}	{$ivfsheet->annotes}

LMP	{$ivfsheet->lmpfresh}

LMP	{$ivfsheet->lmpfrozen}

{if !empty($ovst)} {foreach $ovst as $single} {/foreach}

OV. ST.
CD	Date	Ag/Antag	HMG	F 10 11 12 13 14 15 16 17 18 19 20 ..	E	E2	Notes
{$single->ovstcdfh}	{$single->ovstdate}	{$single->ovstag}	{$single->ovsthmg}	R {$single->ovstfr} {$single->ovstfrr} {$single->ovstfrrr} {$single->ovstfrrrr} {$single->ovstffrrrr} {$single->ovstfffrrr} {$single->ovstffffrr} {$single->ovstfffffr} {$single->ovstffffff} {$single->ovstfrfffff} {$single->ovstfrrffff} {$single->ovstfrrffff} L {$single->ovstdfr} {$single->ovstdfrr} {$single->ovstdfrrr} {$single->ovstdfrrrr} {$single->ovstdffrrrr} {$single->ovstdfffrrr} {$single->ovstdffffrr} {$single->ovstdfffffr} {$single->ovstdffffff} {$single->ovstdfrfffff} {$single->ovstdfrrffff} {$single->ovstdfrrffff}	{$single->eovst}	{$single->eeovst}	{$single->noteovst}

{/if}

TOO			OPU				Semen				F/E D2
CD	Date	Drug	Date	N	Diff N	Notes					N	Diff N
{$ivfsheet->toocd}	{$ivfsheet->toodate}	{$ivfsheet->toodrug}	{$ivfsheet->opudate}	{$ivfsheet->opun}	Mll {$ivfsheet->opumll} Ml {$ivfsheet->opuml} GV {$ivfsheet->opugv} At {$ivfsheet->opuat} ?... {$ivfsheet->oopuu}	{$ivfsheet->opunote}	{$ivfsheet->ssement->title}	{$ivfsheet->sseement->title}	{$ivfsheet->icsisement->title}	{$ivfsheet->sseemmeent->title}	{$ivfsheet->fefn}	A {$ivfsheet->fefa} B {$ivfsheet->fefb} C {$ivfsheet->fefc}

S . S		ET						FR			Outcome
N of T.E	Result	CD	Date	N	G	Notes	Cancel	CD	ST	EN		HSG	TVS	Del
{$ivfsheet->sssnofte}	{$ivfsheet->sssresult}	{$ivfsheet->ssscd}	{$ivfsheet->ettdate}	{$ivfsheet->ettn}	{$ivfsheet->ettg}	{$ivfsheet->ettnote}	{$ivfsheet->ettcancel}	{$ivfsheet->frrcd}	{$ivfsheet->frrst}	{$ivfsheet->frren}	Date Result	{$ivfsheet->ooutcomehsgd} {$ivfsheet->ooutcomehsgn}	{$ivfsheet->ooutcometvsd} {$ivfsheet->ooutcometvsn}	{$ivfsheet->ooutcomedeld} {$ivfsheet->ooutcomedeln}

{if !empty($eprep)} {foreach $eprep as $single} {/foreach}

E Prep								Thawing
CD	Date	TTT	E	RO	LO	Cancel	L P S	Date	ST.N	EN
{$single->eprepcd}	{$single->eprepdate}	{$single->eprepttt}	{$single->eprepe}	{$single->eprepro}	{$single->epreplo}	{$single->eprepcancel}	{$single->epreplpst->title}	{$single->thawingdate}	{$single->thawingstn}	{$single->thawingen}

{/if}

S . S		ET						Re Fr	Outcome
N of T.E	Result	CD	Date	N	G	Notes	Cancel	EN		HSG	TVS	Del
{$ivfsheet->ssnofte}	{$ivfsheet->ssresult}	{$ivfsheet->etcd}	{$ivfsheet->etdate}	{$ivfsheet->etn}	{$ivfsheet->etg}	{$ivfsheet->etnote}	{$ivfsheet->etcancel}	{$ivfsheet->refren}	Date Result	{$ivfsheet->outcomehsgd} {$ivfsheet->outcomehsgn}	{$ivfsheet->outcometvsd} {$ivfsheet->outcometvsn}	{$ivfsheet->outcomedeld} {$ivfsheet->outcomedeln}

{/if}

Gyna Sheet

{if !empty($newvisitg)} {foreach $newvisitg as $single} {/foreach}

New Visit
Date	Cycles	LMP	BW	usvsdtv eq 1} checked {/if} >US usvsdtv eq 2} checked {/if} >TVS usvsdtv eq 3} checked {/if} >3D TVS UT OV	Notes
{$single->date}	{$single->newvisitcyclest->title}	{$single->lmp}	{$single->bw}	{$single->ut} {$single->ov}	{$single->noteg}
C/O				Diagnosis	TTT (Button)
{foreach $single->newvisitgcot as $single2} {$single2->title} / {/foreach}				{foreach $single->newvisitgdiagt as $single2} {$single2->title} / {/foreach}

{/if} {if !empty($ancsheet)}

ANC Sheet

LMP	EDD	G	P	EPC	Last Hb	Placenta	Notes
{$ancsheet->sheetlmp}	{$ancsheet->sheetedd}	{$infertility->obstg}	{$infertility->obstp}	{$infertility->obstepc}	{$ancsheet->sheetlast}	{$ancsheet->placentat->title}	{$ancsheet->sheetnte}

{if !empty($ancinvestigations)} {foreach $ancinvestigations as $single} {/foreach}

Investigations
	Hb	Plat	FBS	OGTT	HBs Ag	HCV Ab	CUA	Ferritin	Lab
Date	{$single->invesdhb}	{$single->invesdplat}	{$single->invesdfbs}	{$single->invesdogtt}	{$single->invesdhbs}	{$single->invesdhcv}	{$single->invesdcua}	{$single->invesdferr}
Result	{$single->investhb}	{$single->investplat}	{$single->investfbs}	{$single->invesdogtt}	{$single->investhbs}	{$single->investhcv}	{$single->investcua}	{$single->investferr}

{/if}

4D
	T1 Scan	T2 Scan
Date	{$ancsheet->tscandate}	{$ancsheet->ttscandate}
W	{$ancsheet->tscanw}	{$ancsheet->ttscanw}
Result	{$ancsheet->tscanresult}	{$ancsheet->ttscanresult}
Report	{$ancsheet->tscanreport}	{$ancsheet->ttscanreport}

{if !empty($ancnewvisit)} {foreach $ancnewvisit as $single} {/foreach}

New Visit
Date	W	BW	BP	Notes	TTT (Button)
{$single->newvisitdate}	newvisitdate < $ancsheet->sheetlmp}style="color: red;font-size: 18px;" {else} style="color: maroon; font-weight : bolder; font-size: 18px;" {/if}> {$single->newvisitw}	{$single->newvisitbw}	{$single->newvisitbp}	{$single->newvisitnote}
N	Biom - FHR	EFW	Placenta	AF	Notes
{$single->usnt->title}	{$single->usbiom}	{$single->usefw}	{$single->usplacet->title}	{$single->usaft->title}	{$single->newvisitnote2}

{/if} {if !empty($registeration)} {assign var="i" value="1"} {foreach $registeration as $single} {assign var="i" value=$i+1} {/foreach}

registeration
	(Obst History) P	place	origin	type	Cost
{$i}	{$single->awifept->name}	{$single->place2t->title}	{$single->origint->title}	{$single->typet->title}	{$single->coast}

{/if} {/if}