How to Automate nAbleIVF

A fertility clinic keeps two records at once

A fertility practice runs on nAbleIVF, a cloud EMR and practice management system built for that speciality alone, whether the clinic is one site or a group with several laboratories. It is written nAble IVF about as often as it is written as one word.

The first record is the patient's, and it moves fast. A cycle is a calendar with a deadline attached to every entry: stimulation days, monitoring scans, a retrieval on a morning that cannot be shifted, insemination hours later, a transfer or a freeze. Miss the day and you do not reschedule, you lose the cycle.

The second record is the freezer, and it barely moves at all. Eggs, sperm and embryos sit in tanks, in cylinders, on canes, some of them for a decade, belonging to people who are not currently patients and may not visit for years. Nothing about them is urgent on any given morning, which is exactly why they are the part of the practice most likely to go quietly wrong.

The freezer is a promise with no deadline on it

The cycle side has its own alarm clock. Somebody is always about to be late for something, and the whole laboratory is organised around not being.

The freezer side has nothing of the kind. A storage consent renews annually and expires on a date nobody is watching. A patient moves house and the storage invoice quietly bounces. A cane comes out for a thaw and goes back one position over, and the record still says where it used to be. A tank at the back of the room behaves perfectly until the morning it does not.

Then there is the witnessing trail. Every handoff of a specimen is meant to be double-checked and scanned, and those scans build up all day into a log that in most laboratories gets read, if it gets read at all, at the end of the week. A mismatch found on Friday happened on Tuesday.

nAbleIVF

The bench list before the bench arrives Each patient's cycle day resolved into the retrievals, checks and transfers actually due today, in time order.

A tank map that gets walked Every recorded specimen checked against the cane and canister position it should occupy, with each discrepancy named.

Witnessing gaps caught in minutes A barcode mismatch or an overridden double-check raised while the procedure it belongs to is still on the bench.

nAbleIVF holds the tank map and the scan trail

None of this is being ignored by the platform. Cryostorage manages frozen sperm, eggs and embryos from the EMR dashboard, laid out as tanks, cylinders and canes, with barcode scanning built in. nAble Witness is the mobile app beside it, monitoring and tracking patient reproductive cells so a specimen stays identified and traced through the treatment it belongs to. Cycle Planning carries monitoring, lab results, dosage adjustment and stimulation protocols, and Labs and Embryology runs the daily task list on the bench. Billing and accounting sit on the same record, results arrive from a long list of connected blood laboratories, and an analytics layer compares clinical and financial performance across facilities and providers.

The data is all there. What is missing is smaller and more awkward than a feature: somebody to read the whole of it, every morning, and say which four things are wrong.

A tank map is only an audit if a person walks it. A scan log is only a control if somebody looks before the next procedure starts.

Tomorrow's bench work can be laid out tonight

A senior embryologist arriving at six would find the same handful of problems every morning, and finding them is not the part that needs an embryologist.

The worklist built before anyone arrives: every patient's cycle day resolved into the retrievals, inseminations, checks and transfers actually due today, in time order, so the bench starts on the work rather than on working out the work. The tank map walked position by position, each recorded specimen set against the cane and canister it should be sitting in, so a misplaced straw is found by an audit and not by a patient.

Witnessing exceptions surfaced within minutes: a barcode mismatch, an overridden double-check, a skipped scan, raised while the procedure it belongs to is still on the bench. Storage consents expiring next quarter listed before the anniversary rather than after it. Nitrogen fills due or overdue, tank by tank. Last week's thaw survival broken out by protocol and freeze method, which is the number that tells a laboratory something has drifted long before a patient could.

This is a clinical record in a field with very little tolerance, so the line is drawn hard. Reading, comparing, counting and listing run unattended. Anything that writes to a chart, moves or releases a specimen, raises an invoice or reaches a patient is prepared and waits for a qualified person.

An audit only counts if somebody walks the tanks

The checking is clerical and the conclusion is not, and it is always the clerical half that gets skipped in a full week.

WebRun is an AI agent that drives a real Chrome browser, signed in as your team is, inside a private environment of your own. It opens nAbleIVF, reads the cryostorage module, the witness log or the cycle board, and leaves what it found where your laboratory lead will see it, discrepancies first.

Nothing is written into the record and nothing reaches a patient unread. A workflow can be restricted to an explicit list of sites, and you can watch a run and stop it partway.

Every workflow below names the screen it reads and the discrepancy it is looking for.