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Product preview · Fictional patient data

OvaFlow

For third-party reproduction

Every person, their own chart.

Donors, gestational carriers and intended parents are linked by one plan, but each person keeps their own record, consent and permissions. OvaFlow is designed to keep those lines clear.

  • AveryIntended parent
  • SamIntended parent
  • DonorTheir own record
  • Gestational carrierTheir own consent

Consent on the right chart: moved to Sam's chart, move recorded

Fictional patient dataAvery and Sam are fictional. Illustration of separate charts on one plan.

Who this is for

Teams and families working with donors, gestational carriers or reciprocal IVF.

One plan, separate people

Linked by a plan. Never merged into one chart.

Intended parents, a donor and a gestational carrier share one treatment plan. Each keeps their own record, consent and permissions, and updates reach only the people they belong to.

Illustration · Avery and Sam are fictional
  1. Today

    Several people's roles blurred into one “care team”.

    With OvaFlow

    Separate roles and charts for every person involved.

  2. Today

    Consent filed under the wrong person's chart.

    With OvaFlow

    Misfiled consent moved to the right chart, with a visible trail.

  3. Today

    Clearance from one attempt reused for the next.

    With OvaFlow

    Clearance tied to one specific attempt.

  4. Today

    Donor health updates that don't reach every clinic holding related material.

    With OvaFlow

    Donor health updates passed to linked facilities without exposing unrelated identities.

A day in the cycle

What it looks like from your side.

Drawn from the prototype walkthroughs. Times are from the fictional demonstration day.

Fictional patient data
  1. Avery and Sam each have their own role, chart and permissions.

  2. A consent form is found on the wrong chart. It moves to Sam's chart, and the move is visible.

  3. Clearance recorded for the first attempt doesn't carry over to the second.

  4. A late donor health update reaches both linked clinics, and each acknowledges it.

  5. Watch it happen

Multi-party care · Separate charts, attempt-specific clearance & 21 CFR Part 1271 boundaries

Third-party reproduction—donor oocytes or sperm, donated embryos, gestational carriers, and reciprocal IVF—links two to four adults on one shared family-building plan while requiring strict separation of medical charts, independent legal representation, attempt-specific clearance, and FDA 21 CFR Part 1271 donor eligibility records [1, 2, 3, 4].

  1. 01Intake
    Separate roles, charts, and privacy permissions
    What starts this moment

    Avery & Sam (reciprocal IVF / intended parents) + Donor or Gestational Carrier intake

    Where it can slip today

    Spouses, intended parents, and carriers are squeezed into 'partner notes' on a single chart, exposing private history.

    How OvaFlow keeps it in view

    Assigns each person their own chart, role, and permission boundary while linking them to one shared plan ID

    Separate charts · Linked to 1 plan
  2. 02Consent check
    Misfiled consent detection and audited move
    What starts this moment

    Signed consent form uploaded under Avery's chart instead of Sam's chart

    Where it can slip today

    Staff delete and re-upload a misfiled PDF with no record of why it moved, or miss that Sam's signature is on the wrong chart.

    How OvaFlow keeps it in view

    Moves the misfiled consent to Sam's chart with a visible audit trail showing source, destination, and actor

    Moved to Sam's chart · Trail visible
  3. 03Donor eligibility
    Donor screening & quarantined shipment vs. clinical use
    What starts this moment

    Donor infectious-disease / risk screening (21 CFR 1271 Subpart C) and cryoshipper arrival

    Where it can slip today

    Receiving a shipped donor tank is treated as clearance to warm and transfer before eligibility documentation is verified.

    How OvaFlow keeps it in view

    Tracks quarantined transport separately from clinical-use donor eligibility release

    Shipment separate from clinical release
  4. 04Attempt 2 prep
    Attempt-specific legal and psychological clearance
    What starts this moment

    Preparation for a second embryo transfer attempt after an earlier cycle

    Where it can slip today

    Clearance letters from Attempt 1 are silently carried over to Attempt 2 without verifying contract terms or re-clearance.

    How OvaFlow keeps it in view

    Binds legal and medical/psychological clearance to Attempt 1 only; Attempt 2 opens a fresh clearance check

    Attempt 1 completed · Attempt 2 check open
  5. 05Long-term follow-up
    Late donor health update across linked facilities
    What starts this moment

    Post-donation genetic or medical update reported for a donor with material at two clinics

    Where it can slip today

    One clinic files the donor update locally while a sibling cohort at a partner clinic never hears about it.

    How OvaFlow keeps it in view

    Shares the de-identified donor health notice with every linked facility and tracks acknowledgment from each

    Both clinics acknowledged · Identities protected
Five multi-party coordination checkpoints showing how Avery and Sam, a donor, and a gestational carrier stay linked to one plan without merging charts or reusing clearances.Fictional clinic day · Fictional patient data

Worked multi-party case · Avery & Sam, Donor Material & Gestational Carrier

One family-building plan, separate charts, and clearances that never coast from Attempt 1 to Attempt 2.

Follow Avery and Sam's third-party and reciprocal IVF coordination: keeping each person's chart private, moving a misfiled consent with a visible record, holding Attempt 2 until fresh clearance is recorded, and routing a late donor health update across two facilities.

Fictional patient data

Why this moment matters in an IVF clinic

Under 21 CFR Part 1271 Subpart C (§1271.50–.90), reproductive HCT/P donor eligibility requires specific screening and testing within statutory windows, and quarantined shipment under distinct labeling is legally separate from clinical release [1]. Meanwhile, ASRM gestational carrier and LGBTQ+ family-building guidelines mandate independent legal counsel, separate charts, and attempt-specific clearance verification [2, 3, 4].

  1. Step 01Avery, Sam, Gestational Carrier & Coordinator

    Separate charts · Linking people on a plan never merges their records

    In OvaFlow, linking Avery, Sam, a donor, and a gestational carrier to one treatment plan never merges their medical records. Each adult has an independent chart, portal view, and confidentiality boundary in accordance with ASRM intimate-partner and gestational-carrier ethics opinions.[3][4]

  2. Step 02Third-Party Coordinator

    Consent move · Moving a misfiled consent to Sam's chart with a visible record

    When a signed consent document belonging to Sam is discovered under Avery's chart, OvaFlow moves the document to Sam's chart while preserving a permanent, visible record of where it was filed, who moved it, and when.[4]

  3. Step 03Third-Party Coordinator & REI Physician

    Attempt 2 check · Prior-attempt clearance never carries over automatically

    Consistent with ASRM gestational carrier guidance requiring verification of legal agreement terms and medical/psychological readiness before each transfer cycle, OvaFlow ties clearance to Attempt 1. When Attempt 2 begins, the prior clearance is shown as historical and cannot satisfy Attempt 2.[3]

  4. Step 04Cryobank & Linked Receiving Clinics

    Donor eligibility & health updates · 21 CFR 1271 boundaries and multi-clinic notice

    OvaFlow separates quarantined donor shipment arrival from clinical-use donor eligibility verification [1, 2]. Later, when a donor health update is reported, OvaFlow routes the notice to both linked facilities holding related gametes or embryos and tracks each clinic's acknowledgment without exposing unrelated recipient identities.[1][2]

What stays protected

How separate charts, per-attempt clearance, and donor updates stay clear

Fictional patient record
01 · Avery & Sam · Shared plan, separate records

Separate charts & consent history

Avery's chart
Own workup, medical history, and consentPrivate clinical notes stay isolated to Avery's chart
Sam's chart
Misfiled consent moved here with a visible recordShows where the form was found, who moved it, and when
Carrier & donor charts
Separate permissions and independent counselBeing linked on one plan never grants access to another person's chart
02 · Attempt & donor release rules

Attempt 1 clearance never carries over to Attempt 2, and shipping is not clinical release

Each transfer attempt requires its own fresh legal and clinical clearance, and shipped donor tissue stays on hold until clinical-use eligibility is confirmed.

03 · Checked for each attempt · Shared across linked clinics

Second-attempt clearance & donor updates

Attempt 1 clearance
Recorded for Attempt 1 only (completed)Kept in history and cannot unlock a second transfer attempt
Attempt 2 check
Waiting on Attempt 2 legal and medical clearanceRequires fresh confirmation before embryo warming or transfer
Late donor health update
Acknowledged by both linked clinicsShared with clinics holding related material without exposing recipient names

OvaFlow tracks document placement and clearance status; legal counsel, FDA donor eligibility determinations, and clinical release stay with qualified professionals.

How Avery, Sam, a donor, and a gestational carrier stay linked to one plan without merging medical records or reusing Attempt 1 clearance for Attempt 2.

Who's involved

Linked by one plan. Never merged into one record.

A relationship alone grants no access to another person's record. Each person below has their own chart, consent and permissions.

  • Intended parents

    The people who will be the parents of a child born through treatment, including when a donor or gestational carrier is involved.

  • Donor

    A person who provides eggs, sperm or embryos for someone else's treatment. Later health updates may need to reach every clinic holding related material.

  • Gestational carrier

    A person who carries a pregnancy for intended parents, with their own role, chart and consent.

  • Reciprocal IVF

    A path where one person provides the eggs and the other carries the pregnancy.

What stays where it belongs

A relationship alone grants no access to another person's record or authority over material.

What OvaFlow shows this role
  • Separate charts and permissions per participantKeeps intended parents, reciprocal IVF partners, donors, and gestational carriers in distinct records linked to one plan.
  • Audited relocation for misfiled consentsMoves a consent form filed on the wrong chart to the rightful person's chart with a visible chain-of-custody trail.
  • Attempt-specific clearance gatesTies legal, psychological, and medical clearance to one specific attempt so Attempt #1 never silently unlocks Attempt #2.
  • Privacy-preserving multi-clinic donor updatesRoutes post-donation health or genetic updates to every linked facility holding related material and tracks each acknowledgment.
What OvaFlow never does (stays with you & your EMR)
  • Never merges partner, donor, or carrier chartsBeing married, partnered, or linked on a family-building plan never grants access to another adult's medical record.
  • Never reuses clearance across transfer attemptsAn expired or prior-attempt clearance letter never satisfies the readiness check for a subsequent transfer attempt.
  • Never confuses shipping release with clinical-use releaseMoving quarantined donor material between facilities never marks that material cleared for clinical transfer or insemination.
  • Never provides legal counsel or makes FDA determinationsParentage agreements, legal clearance letters, and 21 CFR Part 1271 donor eligibility determinations stay with attorneys and clinicians.

Standards, regulations & norms shaping third-party reproduction

FDA 21 CFR Part 1271 Subpart C

Donor eligibility determination and quarantined transport rules

Federal regulations under 21 CFR Part 1271 Subpart C (§1271.50, .55, .60, .65, .80, .85, .90) govern donor eligibility screening and infectious-disease testing for reproductive cells and tissues (HCT/Ps), and distinguish quarantined transport or storage under specific labeling from final release for clinical use.[1]

ASRM Gamete & Embryo Donation (2024)

Distinguishing federal rules from ASRM guidance and longitudinal updates

ASRM's 2024 guidance regarding gamete and embryo donation clarifies the interplay between mandatory FDA donor-eligibility rules and ASRM psychoeducational/genetic screening recommendations, and highlights managing new donor medical or genetic information discovered after donation.[2]

ASRM Gestational Carrier & LGBTQ+ Care

Independent legal counsel, attempt-specific clearance, and separate charts

ASRM committee opinions on gestational carriers (2022), LGBTQ+ family building and reciprocal IVF (2026), and intimate-partner confidentiality require independent legal representation for intended parents and carriers, verification of clearance before embryo transfer, and strict individual chart privacy.[3][4]

Prototype walkthroughs

See it in the prototype.

Recorded from the interactive design prototype with fictional patient data. Open one to play it here with chapters and captions.

All 2 walkthroughs for third-party reproduction

Common questions & sources

Questions from third-party reproduction.

How OvaFlow handles edge cases, clinical authority, and source-system boundaries for this role.

Q01In reciprocal IVF or gestational carrier cycles, can one partner or intended parent see the other person's full chart?

No. OvaFlow links participants to a shared family-building plan for scheduling and readiness coordination, but each adult has their own chart, consent record, and privacy permissions. A relationship link never grants automatic access to another person's medical history.[3][4]

Q02What happens when a signed consent form is uploaded to the wrong person's chart?

Instead of deleting the file and losing provenance, OvaFlow allows authorized staff to move the consent to the rightful person's chart (for example, from Avery's chart to Sam's chart) while keeping a visible audit trail of the correction.

Q03Why doesn't clearance from our first embryo transfer carry over to our second attempt?

Gestational carrier agreements, psychological evaluations, and infectious-disease or medical clearances have attempt-specific or time-bounded validity. OvaFlow binds clearance to Attempt #1 so Attempt #2 requires explicit confirmation before transfer scheduling.[1][3]

Q04How does OvaFlow handle a late medical or genetic update from a gamete donor?

When a donor health update is logged, OvaFlow notifies every linked facility holding related gametes or embryos without exposing recipients' private identities across clinics, and tracks until each facility acknowledges the update.[2]

Next step

Walk a donor or carrier case through with us.

See how intended parents, donors, and gestational carriers stay on separate charts with attempt-specific clearance and donor update trails.