4- Treatment Plan		Removal=0 Retention=1	Rating (1–5)
4-1	Type of infertility (primary or secondary)
4-2	Cause of infertility
4-2-1	Male factor
4-2-2	Endometriosis
4-2-3	Ovarian factors
4-2-4	Hormonal problems
4-2-5	Male severe (ICSI)
4-2-6	Tubal pathology ovary
4-2-7	Unexplained
4-2-8	Mix
4-3	Number of IUI/IO cycles
4-4	Number of IVF/ICSI cycles
4-5	Type of cycle
4-5-1	Agonist (long, poor)
4-5-2	Antagonist (flexible, fixed)
4-5-3	Shanghai protocol
4-5-4	Donor (embryo, oocytes, surrogate's uterus)
4-6	Drugs for stimulation
4-7	Gonadotrophins
4-7-1	Type of gonadotrophins (follicle-stimulating hormone [FSH], luteinizing hormone [LH], Human Molecular Genetics(HMG))
4-7-2	Number of ampoules
4-7-3	Gonadotropin dose
4-8	Number of mature follicles (day of Human Chorionic Gonadotropin (HCG))
4-9	Number of oocytes
4-10	Heterologous oocyte
4-11	Antilog oocyte
4-12	Fertilization method
4-13	Sperm origin (husband, donor)
4-14	Sperm catch (ejaculation, Testicular Sperm Extraction, Percutaneous Epididymal Sperm Aspiration, cryopreservation)
4-15	Number of embryos
4-16	Number of embryos cryopreserved
4-17	Quality of embryo (A, B, C, D)
4-18	Day of transfer (2, 3, 4, 5, 6)
4-19	Stage of embryos (cells)
4-20	Number of fresh embryos transferred
4-21	Number of thawed embryos transferred
4-22	Preimplantation genetic diagnosis (PGD) cycle
4-23	Genetic disorder (monogenic, chromosomal)
4-24	Preimplantation genetic screening (PGS) cycle
4-25	Embryo transfer (easy/difficult)
Comments:
Suggested Data Elements: