Data Elements Used for Calculations

	ATTACHMENT C8-a. Overview of NASS Data Elements Used for Success Rates Calculations, and Publication Plan
		Data to be Reported 1	Variable status 2 (add, drop, modify, unchanged)	Used in Success Rates Calculations 3	‘Other Significant Factors’ (FCSRCA) Affecting Success Rates 3	Dissemination and Publication Plan
1		Date of cycle reporting	Add	X		ART Clinic Success Rates Report ART National Summary Report Data Validation ART Surveillance Summary Supplemental Publications
2		NASS Patient ID	Unchanged	X		ART Clinic Success Rates Report ART National Summary Report Data Validation ART Surveillance Summary Supplemental Publications
3		Patient Optional Identifiers	Modify			Optional Field for Clinic Use
4		Date of Birth (Patient)	Unchanged		X	ART Clinic Success Rates Report ART National Summary Report Data Validation ART Surveillance Summary Supplemental Publications
5		Sex of patient seeking ART	Add		X	Supplemental Publications
6		Cycle start date	Modify	X		ART Clinic Success Rates Report ART National Summary Report Data Validation ART Surveillance Summary Supplemental Publications
7		Patient US Resident	Modify		X	ART Surveillance Summary Supplemental Publications
8		Patient Country of Residence (if not United States)	Unchanged		X	ART Surveillance Summary Supplemental Publications
9		Patient State of Residence	Modify		X	ART Surveillance Summary Supplemental Publications
10		Patient city of residence	Modify		X	ART Surveillance Summary Supplemental Publications
11		Patient Zip Code of residence	Modify		X	ART Surveillance Summary Supplemental Publications
12		Intended cycle type	Modify		X	ART Clinic Success Rates Report ART National Summary Report Data Validation ART Surveillance Summary Supplemental Publications
13		Embryo or oocyte banking type	Modify	X	X	ART Clinic Success Rates Report ART National Summary Report Data Validation ART Surveillance Summary Supplemental Publications
14		Intended duration of oocyte banking	Add		X	ART Clinic Success Rates Report ART National Summary Report Data Validation Supplemental Publications
15		Intended duration of embryo banking	Add		X	ART Clinic Success Rates Report ART National Summary Report Data Validation Supplemental Publications
16		Intended embryo source	Modify		X	ART Clinic Success Rates Report ART National Summary Report Data Validation ART Surveillance Summary Supplemental Publications
17		Intended Oocyte Source and state	Modify		X	ART Clinic Success Rates Report ART National Summary Report Data Validation ART Surveillance Summary Supplemental Publications
18		Intended Sperm Source (Partner, Donor, Mixed)	Modify		X	ART National Summary Report Supplemental Publications
19		Intended pregnancy carrier	Modify		X	ART Clinic Success Rates Report ART National Summary Report Supplemental Publications
20		Cycle type	Modify		X	ART Clinic Success Rates Report ART National Summary Report Data Validation Supplemental Publications
21		Embryo source	Modify		X	ART Clinic Success Rates Report ART National Summary Report Data Validation Supplemental Publications
22		Oocyte Source and state	Modify		X	ART Clinic Success Rates Report ART National Summary Report Data Validation Supplemental Publications
23		Reason for ART	Modify		X	ART Clinic Success Rates Report ART National Summary Report Data Validation Supplemental Publications
24		Female Patient Height	Unchanged		X	Supplemental Publications
25		Female Patient Weight at the start of this cycle	Unchanged		X	Supplemental Publications
26		History of cigarette smoking	Modify		X	Supplemental Publications
27		Prior pregnancy	Add		X	ART National Summary Report Supplemental Publications
28		Months attempting pregnancy (if couple is not surgically sterile)	Add		X	Supplemental Publications
29		Female Patient Gravidity	Modify		X	ART National Summary Report Supplemental Publications
30		Prior Full-Term Births	Unchanged		X	ART National Summary Report Supplemental Publications
31		Prior Preterm Births	Unchanged		X	ART National Summary Report Supplemental Publications
32		Number of Prior Stillbirths	Add		X	ART National Summary Report Supplemental Publications
33		Prior Spontaneous Abortions (miscarriage)	Unchanged		X	ART National Summary Report Supplemental Publications
34		Prior ectopic pregnancies	Add		X	ART National Summary Report Supplemental Publications
35		Prior stimulations for ART	Modify		X	ART National Summary Report Supplemental Publications
36		Prior Frozen ART Cycles	Unchanged		X	ART National Summary Report Supplemental Publications
37		Prior ART cycles resulted in pregnancy	Add		X	ART National Summary Report Supplemental Publications
38		Female Patient Maximum Follicle Stimulating Hormone (FSH) Level	Modify		X	Supplemental Publications
39		Anti-Mullerian Hormone (AMH) level (ng/mL)	Add		X	Supplemental Publications
40		Date of Birth (Oocyte source)	Modify		X	ART Clinic Success Rates Report ART National Summary Report Data Validation ART Surveillance Summary Supplemental Publications
41		Oocyte source ethnicity	Modify		X	Supplemental Publications
42		Oocyte source race	Modify		X	Supplemental Publications
43		Pregnancy carrier	Modify		X	ART Clinic Success Rates Report ART National Summary Report Supplemental Publications
44		Pregnancy carrier date of birth	Modify		X	Supplemental Publications
45		Pregnancy carrier Ethnicity	Modify		X	Supplemental Publications
46		Pregnancy carrier Race	Modify		X	Supplemental Publications
47		Sperm source	Modify		X	ART National Summary Report Supplemental Publications
48		Sperm source date of birth	Add		X	Supplemental Publications
49		Sperm source Ethnicity	Add		X	Supplemental Publications
50		Sperm source Race	Add		X	Supplemental Publications
51		Medications given to stimulate follicular development	Unchanged		X	ART Clinic Success Rates Report Supplemental Publications
52		Oral medications given	Modify		X	Supplemental Publications
53		Medications containing FSH	Modify		X	Supplemental Publications
54		Medications with LH/HCG activity	Add		X	Supplemental Publications
55		GnRH Protocol	Modify		X	Supplemental Publications
56		Cycle cancelled before retrieval	Unchanged	X		ART Clinic Success Rates Report ART National Summary Report Data Validation Supplemental Publications
57		Date of Cancellation	Unchanged		X	Supplemental Publications
58		Reason for Cancel	Modify		X	ART National Summary Report Supplemental Publications
59		Date of Oocyte Retrieval	Unchanged	X		ART Clinic Success Rates Report ART National Summary Report Supplemental Publications
60		Number of Patient Oocytes Retrieved	Unchanged		X	Supplemental Publications
61		Number of Donor Oocytes Retrieved	Unchanged		X	Supplemental Publications
62		Use of retrieved oocytes	Modify		X	ART Clinic Success Rates Report Supplemental Publications
63		Number of Fresh Oocytes Cryopreserved	Unchanged		X	ART National Summary Report Supplemental Publications
64		Complications of stimulation or retrieval	Add		X	Supplemental Publications
65		Type of complications related to ovarian stimulation or oocyte retrieval	Modify		X	Supplemental Publications
66		Hospitalization for Complication	Modify		X	Supplemental Publications
67		Sperm State	Add		X	Supplemental Publications
68		Sperm Collection Method (Ejaculation, Epididymal Aspiration, Testicular Biopsy, Electroejaculation, Retrograde Ejaculation)	Modify		X	Supplemental Publications
69		Use of Intracytoplasmic Sperm Injection	Modify		X	ART Clinic Success Rates Report ART National Summary Report Supplemental Publications
70		Indication for ICSI	Add		X	ART National Summary Report Supplemental Publications
71		In vitro maturation used?	Modify		X	ART Clinic Success Rates Report ART National Summary Report Supplemental Publications
72		PGD or PGS performed on embryos	Unchanged		X	ART Clinic Success Rates Report ART National Summary Report Supplemental Publications
73		Total 2PN	Add		X	Supplemental Publications
74		Pre-implantation genetic diagnosis (PGD) or screening (PGS) reason	Modify		X	Supplemental Publications
75		Pre-implantation genetic diagnosis or screening technique	Add		X	Supplemental Publications
76		Use of Assisted Hatching	Modify		X	ART National Summary Report Supplemental Publications
77		Research cycle	Add		X	ART Clinic Success Rates Report ART National Summary Report ART Surveillance Summary Supplemental Publications
78		Study type	Modify		X	ART Clinic Success Rates Report Supplemental Publications
79		Transfer attempted	Modify	X		ART Clinic Success Rates Report ART National Summary Report Data Validation ART Surveillance Summary Supplemental Publications
80		Reason transfer not attempted	Add		X	ART National Summary Report Supplemental Publications
81		Transfer Date	Unchanged		X	ART Clinic Success Rates Report ART National Summary Report Supplemental Publications
82		Endometrial Thickness	Add		X	Supplemental Publications
83		Number of Fresh Embryos Transferred to Uterus	Unchanged	X	X	ART Clinic Success Rates Report ART National Summary Report Data Validation ART Surveillance Summary Supplemental Publications
84		Elective single embryo transfer (fresh transfers)	Unchanged	X	X	ART Clinic Success Rates Report ART National Summary Report ART Surveillance Summary Supplemental Publications
85		Quality of embryo (fresh transfers)	Add		X	ART National Summary Report Supplemental Publications
86		Number of Fresh Embryos Cryopreserved	Unchanged		X	ART National Summary Report Supplemental Publications
87		Number of Thawed Embryos Transferred to Uterus	Unchanged	X	X	ART Clinic Success Rates Report ART National Summary Report Data Validation ART Surveillance Summary Supplemental Publications
88		Elective single embryo transfer (frozen transfers)	Modify	X	X	ART Clinic Success Rates Report ART National Summary Report ART Surveillance Summary Supplemental Publications
89		Quality of embryo (frozen transfers)	Add		X	ART National Summary Report Supplemental Publications
90		Date of oocyte retrieval (thawed embryos)	Add	X		ART Clinic Success Rates Report ART National Summary Report Supplemental Publications
91		Number of Thawed Embryos Cryopreserved (re-frozen)	Unchanged		X	ART National Summary Report Supplemental Publications
92		Number of Oocytes or embryos Transferred to Fallopian Tubes	Modify	X	X	ART Clinic Success Rates Report ART National Summary Report Data Validation ART Surveillance Summary Supplemental Publications
93		Outcome of Treatment (Not Pregnant, Biochemical Pregnancy, Ectopic Pregnancy, Clinical Intrauterine Gestation, Heterotopic Pregnancy, Unknown)	Unchanged	X		ART Clinic Success Rates Report ART National Summary Report Data Validation Supplemental Publications
94		Maximum Number of Fetal Hearts Observed on Ultrasound	Modify	X		ART Clinic Success Rates Report ART National Summary Report Data Validation ART Surveillance Summary Supplemental Publications
95		Ultrasound Date	Modify		X	Supplemental Publications
96		Monochorionicity	Add		X	Supplemental Publications
97		Outcome of Pregnancy (Live birth, Stillbirth, Spontaneous Abortion, Induced Abortion, Maternal Death Prior to Birth, Unknown)	Unchanged	X		ART Clinic Success Rates Report ART National Summary Report Data Validation ART Surveillance Summary Supplemental Publications
98		Date of Pregnancy Outcome	Unchanged	X		ART Clinic Success Rates Report ART National Summary Report Data Validation ART Surveillance Summary Supplemental Publications
99		Method of delivery	Add		X	Supplemental Publications
100		Source of information on pregnancy outcome	Unchanged		X	Supplemental Publications
101		Number of Infants Born	Unchanged	X		ART Clinic Success Rates Report ART National Summary Report Data Validation ART Surveillance Summary Supplemental Publications
102		Birth outcome for Each Infant	Unchanged	X		ART Clinic Success Rates Report ART National Summary Report ART Surveillance Summary Supplemental Publications
103		Gender for each liveborn or stillborn infant	Unchanged		X	Supplemental Publications
104		Birth weight for Each Live-born and Stillborn Infant	Unchanged	X		ART Clinic Success Rates Report ART National Summary Report ART Surveillance Summary Supplemental Publications
105		Birth Defects Diagnosed for Each Live-born and Stillborn Infant (Genetic Defect/Chromosomal Abnormality, Cleft Lip or Palate, Neural Tube Defect, Cardiac Defect, Limb Defect, Other Defect)	Modify		X	Supplemental Publications
106		Lab Upper Normal Limit for that FSH level	Drop
107		Lab upper normal FSH unknown	Drop
108		FSH Unknown	Drop
109		Patient Maximum Estradiol Level	Drop
110		Lab Upper Normal Limit for that Estradiol Level	Drop
111		Number of Fresh Embryos Transferred to Fallopian Tubes	Drop
112		Number of Thawed Embryos Transferred to Fallopian Tubes	Drop
113		Surgical Sterilization—Patient or Partner	Drop
114		Was an Ultrasound Performed?	Drop
115		Donor medicated to stimulate follicular development	Drop
116		Donor medications containing clomiphene	Drop
117		Donor clomiphene dosage	Drop
118		Donor medications containing FSH	Drop
119		Donor GnRH protocol	Drop
120		Patient smoked 100 cigarettes during life	Drop
121		Average daily cigarettes smoked	Drop

See Attachment C6 for Detailed Item Descriptions

See Attachment C6 for detailed justification of changes, including citations from scientific literature

See Attachment C8-b for Success Rate Calculations and methodology

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