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Walkthrough 20 of 29 · Desktop
Provisional dates stay provisional, a positive test isn't the finish line, a loss stops cheerful reminders, and OB graduation counts only when the OB accepts.
Frozen transfer, early pregnancy, loss and returning after a pause, muted recording of the design prototype. Fictional patient data.
Chapter 1 of 8: Preparing a frozen embryo transfer
Recorded from an interactive design prototype. Every patient, clinician and clinic is fictional, EMR screens are modeled reconstructions, and nothing shown is a live connection to any clinic or vendor system.
Clinical & operational context
A frozen embryo transfer from preparation to its possible endings. Dates stay provisional until signed, a pregnancy of unknown location keeps an owner, and if a pregnancy is lost, routine prompts stop and a named clinician follows up. When care moves to an obstetric team, it counts only once they accept, and a patient can return from a pause on her own timing.
The second half of an IVF journey — frozen embryo transfer (FET), serial beta-hCG testing, early pregnancy ultrasound surveillance, transition ('graduation') to obstetric care, or navigating a biochemical/clinical pregnancy loss and an eventual pause or return — is where communication breakdowns hurt patients most deeply. Clinics routinely struggle with three transitions: a cancelled or deferred transfer where luteal medication reminders keep firing, a pregnancy of unknown location or pregnancy loss where cheerful 'Congratulations on your pregnancy!' automated messages are not halted in time, and an obstetric graduation where the receiving OB office never acknowledges receipt of the transfer summary.
This 8-chapter walkthrough covers the full post-embryology arc: preparing a frozen embryo transfer with endometrial and embryo readiness gates, cleanly handling a deferred transfer, tracking serial beta-hCG rises and early ultrasound follow-up, immediately silencing celebratory nudges and routing compassionate support when a pregnancy is lost, assembling the obstetric graduation packet with a named discharge owner, keeping the fertility clinic responsible until the receiving OB team explicitly accepts, supporting a patient when an attempt does not succeed, and welcoming a paused patient back only on her own timing.
OvaFlow safeguard
Aligns lining clearance, embryo authorization, and luteal meds
Nursing & REI team
Tracks 48-hour serial beta-hCG & ultrasound with named owner
Discharge owner
Holds luteal/care ownership until OB confirms transfer packet
OvaFlow safeguard
Retires pregnancy milestones immediately on loss or pause
How OvaFlow coordinates frozen transfer readiness, serial beta-hCG follow-up, verified OB graduation handoff, and loss/pause safeguards.
Guardrail: Fertility clinic ownership continues until the OB practice confirms receipt, and any pregnancy loss immediately halts routine milestone nudges.
What to watch for
A frozen embryo transfer from preparation to its possible endings. Dates stay provisional until signed, a pregnancy of unknown location keeps an owner, and if a pregnancy is lost, routine prompts stop and a named clinician follows up. When care moves to an obstetric team, it counts only once they accept, and a patient can return from a pause on her own timing.
Follow the exact timestamps, UI status changes, and coordination safeguards as the recording plays.
What to watch for: Frozen embryo transfer readiness checks endometrial clearance, consent, and the specific embryo authorized for warming.
Boundary rule: Warming and transfer scheduling require signed clinician and embryology gates.
On-screen narration: A new frozen embryo transfer (FET) preparation episode opens. The transfer date stays provisional until the biological timing is confirmed. The transfer date is locked only against the clinician's signed authorization.
What to watch for: If a transfer is deferred before warming, luteal and transfer-day reminders are retired cleanly.
Boundary rule: Patients never receive 'Arrive with a full bladder tomorrow' texts after a transfer deferral.
On-screen narration: If there is no transfer, a cancellation plan with owned next steps opens instead.
What to watch for: After a positive beta-hCG, 48-hour repeat bloodwork and viability ultrasound appointments carry a named nurse owner.
Boundary rule: Serial beta-hCG surveillance never relies on the patient remembering to call back.
On-screen narration: A positive beta-hCG starts early-pregnancy follow-up. A pregnancy of unknown location is tracked as “Location is not yet established” until a scan.
What to watch for: If a pregnancy loss occurs, all pregnancy-milestone messages stop immediately and compassionate nursing/counseling follow-up opens.
Boundary rule: Zero automated pregnancy congratulation or OB-prep messages can fire after a loss is recorded.
On-screen narration: If a pregnancy is lost, routine pregnancy prompts stop immediately. A named clinician or nurse accepts the follow-up after the loss. The loss follow-up is confirmed as owned.
What to watch for: At 8 to 10 weeks, the obstetric graduation summary (embryo dates, luteal support taper, ultrasound findings) is prepared under a named discharge owner.
Boundary rule: A named fertility nurse remains the discharge owner during the transition window.
On-screen narration: Back to early-pregnancy follow-up, toward OB graduation. An intrauterine pregnancy and the ongoing luteal support plan are recorded. The OB graduation packet is sent. The fertility clinic stays responsible while it is pending.
What to watch for: Graduation completes only when the receiving obstetric practice confirms receipt and the first OB visit is verified.
Boundary rule: Faxing a graduation packet never ends fertility clinic responsibility on its own.
On-screen narration: The receiving OB team explicitly accepts the transfer of care. The graduated episode stays linked to the remaining frozen embryos.
What to watch for: When a transfer attempt is negative, follow-up consult and support tasks open without pressuring an immediate next cycle.
Boundary rule: Clinical review of next steps happens at a human pace.
On-screen narration: An unsuccessful attempt opens a structured debrief and the option to pause.
What to watch for: When a paused patient decides to return months later, her prior episode context is ready without re-asking her whole history.
Boundary rule: Returning from a pause is initiated by the patient and clinician together.
On-screen narration: Maya returns from her chosen pause, ready to revisit her plan.
OvaFlow never makes the clinical call in these recordings. Physicians sign, the person taking a handoff accepts it, and the lab keeps its own holds. The companion tracks, checks and stops; staff decide.
In this walkthrough
Every patient, family member, clinician and clinic in these stories is fictional. Names, times and screens come from prototype walkthroughs, not from real care.
Maya ChenPatientSystems a clinic running this workflow often uses. They do not appear in this recording.
Hospital, OB & emergency EHR (outside records)Third-party names and logos are trademarks of their respective owners, shown to illustrate systems commonly used in IVF clinics. No affiliation, endorsement or live integration is implied. nAbleIVF, eIVF and Artisan appear as modeled workflow examples.
Where this appears
This recording is part of these pages. Each one explains the step in more depth.
Questions & answers
What clinicians, coordinators, practice leaders, and patients ask when reviewing Walkthrough 20.
Patients graduating from IVF at 8 to 10 weeks are often still tapering estradiol and progesterone support. Keeping a named fertility nurse as discharge owner until the OB practice confirms receipt prevents a care gap between clinics.
Every upcoming pregnancy milestone, ultrasound prep reminder, and graduation checklist item is immediately retired so the patient is never hurt by an automated message.
Never. The episode stays in a quiet paused state until the patient and her clinician choose to initiate a new plan.
Related
Every member of the procedure team commits to the slot, a mid-cycle insurance change rebuilds the estimate, consent lands on the right person's chart, and the interpreter is booked for every visit.
The patient's phone and the clinic's workspace side by side, so each reassuring screen shows the safeguard behind it.
“Your pause, your pace”: routine reminders stop, and asking for a private call doesn't restart treatment.
Next step
We'll replay this flow against your roles and handoffs, using fictional records. Please don't send patient data.
