You open one pregnancy episode per patient, record each antenatal visit with the gestational age worked out for you, bill a visit when it is charged, and close the episode with an outcome. You need it at every antenatal clinic session.
Go to Clinical > Specialty Care > Specialty Registers > OB/GYN. The page is OB/GYN — Antenatal Care. Use Search by patient name or MR number… or Filter by patient to find an episode. The columns are Patient, LMP, EDD, GPAL, Blood, Risk, Visits, Status and Actions.
Click New pregnancy. On the Visit tab pick the Patient (search by name, MR number, phone or CNIC), then enter the LMP date, an optional Ultrasound EDD, and Gravida, Para, Abortions and Living. On the Clinical tab choose Blood group, Rh factor and Risk level (Normal or High risk). Notes go on the Plan tab.
Click Open episode. The toast says "Pregnancy episode opened". The row shows the patient with the MR number, the LMP, the EDD, the GPAL (for example G2 P1 A0 L1), the blood group, a risk badge, the visit count and an Active badge.
Click the row to open the episode. The card Antenatal-care visits shows the EDD and Add visit. Click Add visit. On the Visit tab set the Visit date and the Next visit date. On the Clinical tab enter weight, blood pressure (Systolic, Diastolic), Fundal height, Fetal heart rate and Presentation.
On the Plan tab enter Hemoglobin, Urine protein, Urine glucose, TT dose, Fetal movement, Complaints and Advice. The Billing card says "No charge — the visit will be saved clinical-only." until you add a service. Click Record; the toast says "Antenatal visit recorded".
For a later visit, click Add visit again and fill the same fields. On the Plan tab use Add a service… and choose Antenatal Visit. Pick a Payment method (Cash, Card, Bank, Online, Credit or Insurance), check the amount, then click Record. The visit is saved as Billed.
The table lists Date, GA (wk), Wt (kg), BP, FH (cm), FHR, Hb, Next and Billing for each visit. A visit saved without a service shows Unbilled; a charged one shows Billed. Row actions are Bill visit, Edit visit and More actions (Delete visit).
On an Unbilled row click Bill visit. The dialog Bill this visit asks for the Service, Payment method and Amount; a card payment also asks for a Bank account. Click Post charge. The toast says "Charge posted" and a specialty visit receipt appears with Done, Print A4 and Print thermal.
Open Reports & Analytics > Day Book. A cash-billed visit posts an invoice (Dr 1100 Accounts Receivable, Cr 4003 Service Income) and a voucher (Dr 1000 Cash in Hand, Cr 1100). Receivable nets to zero.
At delivery click Record outcome on the episode row. Choose the Outcome (Live birth, Still birth, Miscarriage or Termination), the Delivery date, the Delivery mode and a note, then click Record outcome. The toast says "Pregnancy outcome recorded" and the Status column shows the outcome.
| Mistake | What you see | Fix |
|---|---|---|
| Saving a pregnancy without choosing a patient | "Select a patient for this pregnancy episode" | Search and select the patient first |
| Closing an episode too early | The Record outcome button is gone | Check the date and outcome before you save; closing is final |
| Forgetting to add the service on a charged visit | Billing shows Unbilled | Use Bill visit on that row |
| Item | Meaning / rule |
|---|---|
| EDD | LMP + 280 days, or the ultrasound EDD when entered |
| GPAL | Gravida, Para, Abortions, Living |
| GA (wk) | Completed weeks since the LMP, computed for each visit |
| Billing | Unbilled until a service is charged, then Billed |
| Outcome | Live birth or Still birth completes the episode; Miscarriage or Termination terminates it |
How is the expected delivery date worked out? The EDD is the LMP plus 280 days. If you enter an ultrasound EDD, that date is used instead.
Do I have to enter the gestational age for each visit? No. It is computed from the pregnancy's LMP and the visit date and shown in the GA (wk) column.
Can I charge an antenatal visit later? Yes. A visit saved without a service shows Unbilled; click Bill visit on its row and post the charge.
Can I reopen a pregnancy after recording the outcome? No. Closing locks the episode and the Record outcome button is removed.
GridX HMS runs this whole workflow. See what GridX HMS does and what it costs, or browse all step-by-step guides.