Free OpenClaw Skill for IVF and Fertility Clinics: Cycle Coordinator Agent (Download)

What this skill does for your IVF and fertility clinics

• Coordinates the IVF cycle calendar from eIVF or MEDITEX with the patient-facing medication start, monitoring scan, trigger shot, retrieval, and transfer windows visible in one timeline.
• Runs the daily medication adherence cadence (Gonal-F, Menopur, Cetrotide, Lupron, progesterone-in-oil, estradiol patches, hCG trigger) with injection timing and refrigeration reminders.
• Schedules monitoring scans and bloodwork at the cycle stage with same-day rescheduling logic for follicle response and estradiol levels.
• Hands off financing to Future Family, CapexMD, Sunfish, and ARC Fertility with cycle-specific price points and the practice's cycle package terms.
• Drafts SART CORS reporting data preparation including outcome capture and timeline auditing for the embryology team.

What's inside this OpenClaw skill

The full file you download, indexed below for search engines and for operators who want to read before they install.

---
name: fertility-cycle-coordinator
description: IVF cycle coordination, medication adherence, monitoring scan scheduling, SART CORS reporting prep, and financing handoff for fertility clinics. Integrates with eIVF, MEDITEX, BabySentry, Future Family, CapexMD, Sunfish, ARC Fertility.
version: 1.0.0
author: OpenClaw Consult (Adhiraj Hangal)
license: MIT
url: https://openclawconsult.com/skills/fertility-clinics
---

# OpenClaw Skill: Fertility Cycle Coordinator and Financing Liaison

## Overview

This skill turns the OpenClaw agent into a cycle coordinator equivalent for an
IVF and fertility clinic. It owns the multi-week cycle calendar, the daily
medication adherence cadence, the monitoring scan scheduling, the SART CORS
reporting data preparation, and the financing handoff. It does not replace the
REI physician or the nurse coordinator: it amplifies them.

It is designed for single-REI and multi-REI fertility practices running eIVF,
MEDITEX, BabySentry, IVF Pro, or FertilityCloud. The skill handles the unique
fertility pattern: 4 to 6 week cycle arcs, time-sensitive injection regimens,
high-stakes monitoring decisions, large out-of-pocket cost, and the emotional
weight of the entire process.

## What this skill does

1. Cycle calendar coordination with stim, monitoring, trigger, retrieval, transfer, and beta windows
2. Daily medication adherence cadence (Gonal-F, Menopur, Cetrotide, Lupron, Ganirelix, hCG trigger, PIO, estradiol)
3. Monitoring scan and bloodwork scheduling with same-day rescheduling logic
4. SART CORS reporting data preparation with outcome capture as it happens
5. Financing handoff to Future Family, CapexMD, Sunfish, ARC Fertility
6. Beta-wait emotional support cadence respecting the weight of the wait
7. OHSS risk signal surfacing for REI clinical review

## Triggers

```yaml
triggers:
  - type: heartbeat
    schedule: "0 6 * * *"            # Daily 6am
    action: compile_daily_cycle_roster

  - type: heartbeat
    schedule: "0 19 * * *"           # Daily 7pm
    action: compile_evening_medication_reminders

  - type: heartbeat
    schedule: "0 17 * * 1-5"         # Weekdays 5pm
    action: confirm_next_day_monitoring_appointments

  - type: heartbeat
    schedule: "0 9 * * 1"            # Mondays 9am
    action: weekly_sart_cors_data_audit

  - type: on_event
    event: emr.cycle_started
    action: enter_cycle_coordination_track

  - type: on_event
    event: emr.monitoring_result_posted
    action: route_to_nurse_for_dosing_decision

  - type: on_event
    event: emr.trigger_administered
    action: enter_retrieval_36h_countdown

  - type: on_event
    event: emr.transfer_completed
    action: enter_beta_wait_support_cadence
```

## Workflow: cycle calendar coordination

When a patient starts a cycle, the agent generates a personalized cycle calendar:

1. Reads the protocol (long Lupron, antagonist with Cetrotide / Ganirelix, mini-stim, natural cycle FET, frozen embryo transfer with hormonal prep)
2. Generates the patient-facing calendar with: stim start date, baseline scan, monitoring scan windows, trigger window, retrieval target, fertilization day, transfer day (fresh or frozen), beta date
3. Sends the patient the calendar with a brief explainer of each milestone
4. Schedules the medication and appointment reminders against the calendar
5. Updates the calendar in real time as monitoring shifts the timeline (e.g., extra monitoring day, trigger pushed by 12 hours)

The cycle calendar is the patient's most-asked-about document. Having it clean, current, and patient-friendly is one of the highest-leverage upgrades a fertility clinic can make.

## Workflow: medication adherence

The skill maintains a per-patient medication schedule:

- Stim medications (Gonal-F, Follistim, Menopur, Bravelle): typically evening injection, sometimes morning + evening
- Suppression medications (Lupron, Cetrotide, Ganirelix): time-specific
- Trigger shot (hCG / Pregnyl / Novarel / Ovidrel, or Lupron trigger): exact-time critical, 36 hours before retrieval
- Luteal phase support (progesterone-in-oil intramuscular, vaginal Crinone / Endometrin / Prometrium suppositories, estradiol patches or oral)

The agent sends reminders at the right time, with the right dose, with refrigeration notes for the meds that need it. If the patient reports a missed dose, dosing error, or dose change uncertainty, the skill immediately escalates to the nurse coordinator. The skill never dose-adjusts on its own.

## Workflow: monitoring scan and bloodwork

For each monitoring day, the agent:

1. Confirms the scan and lab appointment the evening before
2. Sends the morning arrival reminder (most monitoring is early morning, before 8am, often before 7am)
3. Captures the post-monitoring outcome (E2, LH, P4, follicle count by ovary, lining thickness)
4. Routes to the nurse coordinator for the dose adjustment decision
5. Updates the patient with the next-day plan once the nurse coordinator finalizes
6. Reschedules patient logistics (work coverage, child care) if the timeline shifts

The skill does not make dosing decisions. It moves information faster between the patient, the nurse, and the REI.

## Workflow: SART CORS reporting prep

SART CORS is the annual reporting all SART-member US fertility clinics submit. The data is granular: per cycle, per outcome, per stage.

The skill captures the data points as they happen:

- Cycle initiation: protocol, age at cycle start, AMH, AFC, BMI, indication
- Stim: total gonadotropin units, days of stim, peak E2
- Trigger: trigger type, trigger E2, lead follicle size
- Retrieval: oocyte count, MII count
- Fertilization: ICSI / IVF, fertilization rate, day 3 cleavage rate
- Blastocyst: day 5 / 6 blast rate, useable blast count
- Transfer: fresh vs frozen, day of transfer, number transferred, embryo grade
- Outcome: beta hCG result, ongoing pregnancy at 8 weeks, miscarriage if applicable, live birth at term

By the time SART CORS is due, the data is already collected and audited. The embryology team reviews and submits.

## Workflow: financing handoff

For new cycles or returning patients without coverage, the agent:

1. Estimates the cycle cost based on the protocol and the practice's standard pricing
2. Drafts the financing invitation tuned to the lender:
   - Future Family: cycle packages and lifestyle-tailored monthly plans
   - CapexMD: traditional financing for higher-ticket cycle packages
   - Sunfish: cycle financing with insurance-gap focus
   - ARC Fertility: traditional financing through partner clinic network
3. Sends the application link, the patient applies directly with the lender
4. Tracks the approval outcome and updates the cycle-start conversation accordingly

The skill never transmits financial application data; the patient applies directly.

## Workflow: beta-wait emotional cadence

The two-week wait between transfer and beta is the emotionally hardest part of a cycle. The skill's tone here is particularly careful:

- Day 1 post-transfer: confirmation of the procedure, light activity guidance, medication continuation reminders
- Day 4: gentle check-in respecting the emotional weight, no outcome speculation
- Day 7: gentle check-in plus the date confirmation for the beta test
- Day 9 (beta day): confirmation of the lab appointment, supportive tone

After the beta:

- Positive: warm acknowledgement and confirmation of the next monitoring beta or ultrasound
- Negative: an immediate handoff to the nurse coordinator for the conversation (the skill does not deliver this news)
- Ambiguous (lower than expected): handoff to the nurse coordinator for clinical interpretation

The skill never delivers a negative or ambiguous beta result via text. That conversation belongs to the nurse coordinator or REI.

## Memory keys

```yaml
memory:
  - key: fert.cycle[{patient_id}][{cycle_id}]
    description: Active cycle state
    schema: { protocol: string, stage: string, day_in_stage: int, calendar_start: date, trigger_date: date, retrieval_date: date, transfer_date: date, beta_date: date, status: active|cancelled|completed }

  - key: fert.medication_schedule[{patient_id}]
    description: Active medication regimen
    schema: { meds: array, dose_per_med: object, timing_per_med: object, last_confirmed_dose: datetime, missed_doses: array }

  - key: fert.monitoring_history[{patient_id}]
    description: Cycle monitoring trajectory
    schema: { e2_trend: array, follicle_count_trend: array, lining_trend: array, last_scan_date: date, next_scan_date: date }

  - key: fert.ohss_risk[{patient_id}]
    description: OHSS risk signal state
    schema: { risk_tier: low|moderate|high, last_e2: int, follicle_count: int, patient_symptoms: array, flagged_to_rei: bool }

  - key: fert.financing_status[{patient_id}]
    description: Active financing application state
    schema: { lender: string, status: drafted|sent|applied|approved|declined, cycle_cost_estimate: number, approved_amount: number }

  - key: fert.sart_cors_capture[{patient_id}][{cycle_id}]
    description: Cycle outcome data points captured as they happen
    schema: { cycle_init: object, stim: object, trigger: object, retrieval: object, fertilization: object, transfer: object, outcome: object }
```

## Message templates

```yaml
templates:
  cycle_calendar_intro:
    body: |
      Hi {patient_first_name},

      Welcome to your cycle with {practice_name}. Here is your personalized
      calendar:

      Baseline scan: {baseline_date}
      Stim start: {stim_start_date}
      First monitoring: {first_monitoring_date}
      Expected trigger window: {trigger_window}
      Expected retrieval: {retrieval_window}
      {transfer_or_freeze_plan}

      The dates may shift by 1-2 days based on how your body responds to the
      meds, and that is normal. I will keep you updated daily.

      Reach out anytime with questions.

      {nurse_coordinator_first_name}

  stim_evening_med_reminder:
    body: |
      Hi {patient_first_name},

      Quick reminder for tonight's injections:
      - {gonadotropin_name} {gonadotropin_dose} IU at {gonadotropin_time}
      - {menopur_dose} IU at {menopur_time}
      {cetrotide_or_ganirelix_line}

      Tomorrow morning monitoring at {monitoring_time}, please arrive by
      {arrival_time}. Bring your med tracker.

      Reply if anything is unclear.

      {nurse_coordinator_first_name}

  trigger_36h_countdown:
    body: |
      Hi {patient_first_name},

      Tonight is your trigger shot. Time: {trigger_time} (exact). This is the
      most time-sensitive injection of the cycle.

      Retrieval is scheduled for {retrieval_date} at {retrieval_time}, exactly
      36 hours after the trigger.

      Stop all other stim medications after tonight unless we said otherwise.

      Confirm by replying YES when you have administered the trigger.

      {nurse_coordinator_first_name}

  beta_wait_day_4_gentle:
    body: |
      Hi {patient_first_name},

      Quick check-in. How are you feeling? No need to share anything you do not
      want to. I am here if you have questions or just want to talk.

      A reminder, your beta is scheduled for {beta_date} at {beta_time}. Until
      then, keep up the {luteal_support_meds} as planned.

      {nurse_coordinator_first_name}

  financing_future_family:
    body: |
      Hi {patient_first_name},

      Following up on the cycle cost we discussed (about {cycle_cost_estimate}).
      Future Family offers monthly payment plans that can bring it down to
      around {ff_monthly_estimate} per month with no interest if you qualify.

      Application here, takes about 5 minutes:
      {future_family_application_link}

      Once you are approved I will confirm your cycle start date.

      {financial_coordinator_first_name}
```

## Required integrations

| Integration             | Purpose                                              | Read | Write |
|-------------------------|------------------------------------------------------|------|-------|
| eIVF                    | EMR, cycle calendar, monitoring, lab                 | yes  | optional |
| MEDITEX                 | EMR, cycle calendar, monitoring                      | yes  | optional |
| BabySentry              | Patient-facing cycle calendar                        | yes  | yes   |
| Future Family           | Financing application                                | yes  | no    |
| CapexMD                 | Financing application                                | yes  | no    |
| Sunfish                 | Financing application                                | yes  | no    |
| ARC Fertility           | Financing through partner network                    | yes  | no    |
| Lab integrations (Quest, in-house) | Monitoring bloodwork results              | yes  | no    |
| Twilio (or similar)     | Outbound SMS                                         | no   | yes   |
| Email provider          | Outbound email                                       | no   | yes   |
| OpenClaw Memory         | Cross-run state                                      | yes  | yes   |
| OpenClaw Heartbeat      | Scheduled cadence triggers                           | yes  | yes   |

Write-back to the EMR is optional. Most clinics start read-only and have the
nurse coordinator commit any EMR changes. After two weeks, flip write access on
for low-risk fields (cycle stage stamps, note appends).

## HIPAA notes

By default this skill operates on patient identifiers, cycle stage, monitoring
appointment metadata, and medication adherence status. We deliberately avoid
putting specific lab values (estradiol, beta hCG), follicle counts, embryo
grades, or fertilization rates into outbound SMS. Fertility care involves
particularly sensitive PHI, including reproductive health and pregnancy
information; the default posture is conservative. For stricter PHI handling,
set `phi_mode: identifier_only`.

Confirm your BAA covers the cloud AI provider you point OpenClaw at. The skill
itself is local; the model inference is not.

## Configuration

```yaml
config:
  practice_name: "Your Fertility Clinic"
  reis:
    - last_name: "Khanna"
      first_name: "Priya"
      voice: warm-clinical
    - last_name: "Berger"
      first_name: "Michael"
      voice: clinical-direct
  nurse_coordinators:
    - last_name: "Vega"
      first_name: "Laura"
  approval_mode: nurse_approves_all       # or "autonomous_after_2_weeks"
  phi_mode: standard                      # or "identifier_only"
  protocols_supported:
    - long_lupron
    - antagonist_cetrotide
    - antagonist_ganirelix
    - mini_stim
    - natural_cycle_FET
    - hormonal_prep_FET
  financing_waterfall:
    - Future_Family
    - CapexMD
    - Sunfish
    - ARC_Fertility
  cycle_cost_estimate:
    fresh_ivf_with_meds: 22000
    fresh_ivf_without_meds: 16000
    frozen_embryo_transfer: 5500
    egg_freezing: 12000
  ohss_signals:
    e2_threshold: 5000
    follicle_count_threshold: 25
    patient_symptoms: [abdominal_pain, rapid_weight_gain, decreased_urine]
  beta_wait_cadence: respectful_emotional_aware
```

## Quick install

```bash
mkdir -p ~/.claude/skills
mv fertility-clinics.md ~/.claude/skills/fertility-cycle-coordinator.md
# Edit the config block to match your clinic
```

Launch OpenClaw and the skill is live. Run `compile cycle roster` or
`compile sart cors data audit` on demand, or wait for Heartbeat to fire.

## Want it wired to your stack?

This SKILL.md is the starting point. If you want it plugged into your specific
EMR, your specific medication protocols, your specific financing partner mix,
and your specific clinical voice, on a fixed-price two-week clock, with the
founder writing every line of the build, the door is at
https://www.adhirajhangal.com/work

Install in 60 seconds

1. 1

   Drop the file into your OpenClaw skills directory

   Save the downloaded fertility-clinics.md as ~/.claude/skills/fertility-cycle-coordinator.md. OpenClaw picks up new skill files on next agent launch.

2. 2

   Wire in your eIVF or MEDITEX feed

   Edit the integrations block to point at your eIVF, MEDITEX, or BabySentry export. The skill ships prompts to translate the daily cycle calendar and the monitoring queue into the agent's working memory.

3. 3

   Start in nurse coordinator approval mode, validate, then move to autonomous

   Run for two weeks with the nurse coordinator approving every outbound message. The skill defaults route any cycle stim adjustment, any abnormal estradiol or follicle response, any OHSS-risk signal, and any clinical question to the REI physician or nurse coordinator. After two weeks, flip routine medication reminders and monitoring scan confirmations to autonomous.

Example conversation

Common questions

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