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The worklist answers “who is due today”. The chart summarises the pregnancy. The antenatal card is the third question, and usually the one that decides something: how this pregnancy has moved over time. A fundal height climbing four centimetres in four weeks, a diastolic drifting up across three visits, a presentation that was breech at 34 weeks and cephalic at 36 — none of that is visible in a single row. Select a woman’s name on Today’s Clinic to open her card. Download card and Today’s Clinic sit at the top right.

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What you’re looking at

The page is headed with her name, and under it Antenatal card with her patient number and age.

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The pregnancy, at the top

The gestation in weeks, with a Trimester badge, a Post-dates badge from 42 weeks, and — once the record is closed — a status badge reading Delivered, Closed or Entered in error. Where the dating will not derive it says Dating unavailable. Beneath it: Expected delivery with how it was arrived at, Booked with the gestation she booked at, Gravida / Para, Blood group, and Last menstrual period, Multiple pregnancy and PMTCT — Enrolled — where those were recorded. A closed record also shows its Outcome.

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Contacts — oldest first

The series runs oldest first, deliberately: it is read down a column as a trend, the way its paper ancestor was written one line per visit. The most recent row carries a Latest badge so it is still findable at a glance. Anything else recorded at a visit — lie, movements, oedema, pallor, danger signs — sits on a detail line under its row, along with Referred to a clinician and the reason where one was given. A finding with no value shows —, never a zero. With nothing recorded yet the section reads No contacts recorded yet.

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Contact records — newest first

Under the series, Contact records lists every contact of the pregnancy again, this time newest first — the order you look for “what did we write at her last visit”. Each row gives the contact number, the date, the gestation, who recorded it, and a badge where it applies: Every row has View. The latest also has Edit — see View or amend a contact below.
Every gestation on the card is worked out from the current due date, including the contacts recorded before it was last changed. That is what re-dating means. Where a due date has been changed, a Due date was changed panel states the previous date, the reason and who changed it, and says the same thing in as many words.

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Schedule

A Schedule block states where she stands: Contacts recorded (3 of 8 on the eight-contact schedule), Next contact with the window it opens from, and Windows passed with nothing recorded — naming them, or None. It reads against whichever contact schedule your hospital has set, at the moment you open the card — not the one in force when she booked. It carries its own caveat, and it means it: “The schedule is advisory. A contact that was not recorded is not the same as a contact that did not happen, and nothing on this card acts on it.”

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Flags from the most recent contact

Where the latest visit’s findings meet a named threshold, an amber Flags from the most recent contact panel lists them — each with the values it fired on. Raised blood pressure, Proteinuria, Fundal height small for dates, Fetal movements reduced, Rhesus negative and others of that kind. Three things about this panel decide how to read it:
  • It is information, not a decision. The panel says so: “Shown for information. Nothing here is acted on automatically, and it does not replace your assessment.”
  • An empty panel is not a reassurance. When nothing fires, the panel is simply absent — there is no green “no risk factors”, because a measurement nobody took cannot mean she is well.
  • It is separate from the booking list. Risk factors recorded at booking is its own panel and is exactly what a person wrote down. Nothing calculated is mixed into it.

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View or amend a contact

View opens the contact read-only: the date, every vital and finding recorded at it (a value nobody recorded shows —), and the referral if there was one. Nothing on that screen can change the record. Only the most recent contact can be changed, and changing it never overwrites what was written. Saving an amendment keeps the contact as it was as an earlier version, with the name of whoever wrote it, when, and your reason for the change.
1

Select Edit on the latest contact

On the row badged Latest in Contact records — or select View and then Edit at the bottom of the sheet. The form opens with everything recorded at that visit already filled in, and a panel reading You are amending this contact.
2

Correct what was wrong

Change the date, a vital or a finding. Clearing a box removes that value; it never becomes a zero.
3

Give the reason for the amendment

Reason for the amendment is required — “Blood pressure was mistyped” is enough. It is shown with the earlier version, so whoever reads it next knows why it changed.
4

Select Save amendment

The toast reads Contact 3 amended. The row now carries Amended, with your name and the time.
To see what it said before, select View on the contact: under Earlier versions each version lists who wrote it, when it was replaced, by whom and why. Select View earlier version to read its values.
What an amendment leaves alone. The contact keeps its number, its place in her schedule and any programme doses recorded against it — an amended contact is still one contact, and nothing is counted twice. A referral made at the visit is carried forward unchanged: it already put her on a consultation list, and a clinician may have signed it off. Her doctor’s chart and vitals show the amended values once, never both versions.
An older contact cannot be edited. If an older visit is wrong, mark it as entered in error and record the visit again. A contact on a pregnancy that has been closed can be viewed but not amended.

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Programme doses

The bottom of the card carries a derived Programme schedule block and the Programme doses ledger under it. See Programme doses.

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Download the card

Download card, at the top right, produces an A4 PDF of this pregnancy — the card a woman carries between visits and to the facility where she delivers.
1

Select Download card

The button reads Preparing… while the document is being produced.
2

Save the file

It downloads as Antenatal_Card_ followed by the record’s reference. The file is named after the record and never after her, because a filename ends up in a downloads folder, a chat window and a printer queue.

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What is on it

The card is produced from the record on the server, not printed from this screen — so what it says comes from the pregnancy record itself rather than from whatever the page had loaded. Under your clinic’s letterhead, headed Antenatal Card, it carries a strip stating Produced, Gestation on this date and Status, and then: On screen, a contact you referred also shows whether a clinician has seen her — Not yet seen in amber, or Signed off by / Reported as seen by in green once it is closed. See Close a referral. The downloadable card does not carry that line. | Preventive Treatment And Supplements | IPTp, tetanus-containing vaccine, and iron and folic acid — with the dose, the date given, and whether it was Given at this clinic or Reported from elsewhere. Those three only | | Last Contact Recorded By | The clinician who recorded the most recent contact, with their licence details | A pregnancy with nothing recorded yet still produces a card — the contacts section reads “No antenatal contacts have been recorded against this pregnancy.” A contact or a dose marked as recorded in error is not printed — where doses were, the card states how many rather than listing them: ”… further entries were recorded in error and are not listed.”
Every gestation on the card is stated as at the day it was produced, and will be out of date afterwards — including the gestation shown against each past contact. The card says so on its own face, prints the production date in the strip, in that sentence and in the footer of every page. An open pregnancy is also stamped Pregnancy in progress — snapshot taken … above the record, so nobody reads it as the final account of a completed pregnancy. Work the gestation out again from the expected delivery date on the card.
PMTCT is deliberately left off the card, although the screen above shows it. The PMTCT field is not printed, and neither are ART or Infant nevirapine doses from the programme doses ledger — only IPTp, tetanus and iron-folate reach the paper. This is the one document that physically leaves the building: on screen the reader is her clinician, and on a carried card the reader is anyone she shows it to, so “PMTCT: Enrolled” or a printed ART dose discloses a status by implication just as plainly as the status itself would. Her HIV status and ART regimen are on neither the screen nor the card.
Sex is not printed on the card. Nothing on the document states something that was not recorded, and an assumption about a patient’s sex is not a thing to make on her behalf.

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Who can do this

Downloading is recorded in the audit log as an export, with your name and the time.

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Check it worked

  • The card opens on her name, and the row you recorded this morning is the last one in the series, badged Latest.
  • Its Gestation matches what the sheet showed you when you recorded it.
  • Contacts recorded on the Schedule block matches the Contacts count on Today’s Clinic.
  • After an amendment, Contact records shows Amended on that contact, View shows the corrected values, and Earlier versions holds what it said before. Contacts recorded on the Schedule block has not changed.
  • Download card saves a PDF whose Antenatal Contacts table has the same number of rows as the series on screen.

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Common issues

The link points at a pregnancy this hospital does not hold, or one that has been removed from your reach. Go back to Today’s Clinic and open her from the list.
Check you recorded it against this pregnancy rather than another woman’s row — the contact sheet names her at the top for exactly that reason. A contact marked as entered in error is also kept out of the series.
Only the most recent contact of a pregnancy that is still open can be amended. For an older contact, mark it as entered in error and record the visit again. You also need the Record an antenatal contact permission.
Another member of staff saved an amendment after you opened the form, and yours was not saved over theirs. Close the form, open the contact again, check what it says now, and amend it again if it still needs it.
A newer contact was recorded since you opened this one. Earlier contacts can be viewed, and corrected only by marking them as entered in error.
The due date has since been changed, so the whole series has moved with it. The Due date was changed panel says what it was and why.
The dating on the record cannot produce a gestational age for that date. Correcting the due date fixes the whole column at once.
The download was refused and the reason is on the toast. “That pregnancy record could not be found, or you do not have access to it.” covers both an unreachable record and one this hospital does not hold — they are deliberately one message. Open her from Today’s Clinic and try again.
Only IPTp, tetanus and iron-folate are printed. ART and Infant nevirapine are left off deliberately — see the note above — and so is a dose recorded as Other, because the ledger holds no medicine name for it and an unlabelled row on a carried card invites a guess.
Last Contact Recorded By names whoever recorded the most recent contact. On a pregnancy with no contacts recorded yet there is nobody to name.
Nothing recorded at the most recent contact met a threshold — or nothing was recorded that could. It is not a statement that she is well.

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FAQ

No — contacts are recorded from a row on Today’s Clinic. The card is where the series is read.
Yes, if you have its link. It shows the outcome and the closing date alongside the full series. Closed records are not listed on Today’s Clinic, so there is no way in from there.
Yes, if it was closed as Delivered or Ended. Beneath Outcome there is Re-open this record — it clears the outcome and puts her back on Today’s Clinic, and the Antenatal Register stops counting that outcome. Contacts and deliveries already recorded are not changed.Two limits. A delivery record still standing against the pregnancy has to be retracted first. And a record marked Entered in error cannot be re-opened at all — that path says it was never true, so open a new record for her instead. Re-opening needs the Close a pregnancy record permission.
Because the series is read as a trend, top to bottom, the way an antenatal card always has been. Reversing it would put the numbers in the order they were typed rather than the order they happened. Contact records, under it, lists the same contacts newest first.
No. The earlier version is kept, read-only, with who wrote it and why it was replaced — select View on the contact and look under Earlier versions. Every amendment is also in your audit log.
That visit was written up on a different day from the one it is dated to — a back-dated entry. Rows entered on the day they happened carry no such line.
No. It is produced from the record itself, on the server, and then downloaded — which is why the two are not identical. The card is laid out for A4 and paper affords fewer columns, so presentation and the urine dipstick move from the table to a labelled line under it; nothing is dropped.
Yes. A closed record prints its outcome and end date, and carries no in progress stamp — for a closed pregnancy the document is the record of what happened. A record marked as entered in error prints stamped Entered in error — not a valid clinical record.
No. The tab summarises the pregnancy while the patient is in front of you; the card is the whole series over time. See The pregnancy on the chart.