Skip to main content
A pregnancy record is what makes a woman appear on Today’s Clinic and what her contacts are counted against. Three acts govern its life, and each is a separate permission because each has a different reach.

​
Open a pregnancy record

Select Open a pregnancy record at the top right of Today’s Clinic. The button is absent if you do not hold that permission.
1

Find the patient

Patient searches your whole patient list — type a name or number into Search patients…. She must already be registered; this sheet does not create a patient.
2

Date the pregnancy

Enter a Last menstrual period, or an Expected delivery date, or both. One of the two is required — the sheet says so: “Dating drives every antenatal date that follows.”
  • Last menstrual period — “The due date is worked out from this.”
  • Expected delivery date — “Overrides the one derived from the period.”
  • Cycle length — only used when the period is what dates the pregnancy. Anything outside 21–45 days is refused: “A cycle length of 21–45 days. Outside that, enter the due date directly”.
  • Dating based on — Last menstrual period, Ultrasound scan, Clinical assessment or Unknown. Left alone it is Worked out from what you entered.
3

Set the booking date

Booking date starts on today and cannot be in the future. Her gestation on that day is kept as a permanent fact — “Her gestation on this day is stored as a fact and never recalculated” — so it still reads correctly if the due date is later corrected.
4

Add the obstetric history you have

Gravida, Para, Blood group, Rhesus. All optional, and a box left empty stays empty rather than becoming a zero.Multiple pregnancy is a switch — “Twins or more.” — and switching it on asks for the Number of babies, which must be at least two.
5

List the risk factors

Risk factors is a comma-separated line: “Separate with commas. Shown on her record as a prompt — never acted on automatically.” Write what a clinician needs prompting about — a previous caesarean, anaemia.
6

Select Open record

It confirms Pregnancy record opened — “She is on today’s antenatal clinic list.”
One open pregnancy per woman at a time. Trying to open a second returns “This patient already has an open pregnancy record. Close it before opening another.”

​
Change the due date

Open the ⋯ menu on her row in Today’s Clinic and choose Change due date. It is a separate permission because it moves more than one date.
1

Read what it is now

The sheet shows Currently due with the date being replaced, so the change is a comparison rather than a guess.
2

Enter the New expected delivery date and what it is Based on

Based on starts on Ultrasound scan, since a scan is the usual reason a due date moves, but it is a starting point and not an assumption.
3

Say why

Why is it changing? is required — “Recorded with the date it replaces. Every gestational age and contact date already worked out from the old date moves with it.”
4

Select Change due date

It confirms Due date changed — “The previous date, the reason and your name are on the record.”
Re-dating moves the whole record, including the past. Every gestation on her antenatal card — at contacts recorded weeks ago — is worked out again from the new date, and every contact window moves with it. That is what re-dating means: it says she was 28+3 then, not 26+1. The date it replaced, your name and your reason stay on the record, and both the card and the chart show them.

​
Close a pregnancy record

Open the ⋯ menu on her row and choose Close record. The sheet is headed Close the pregnancy record and says up front: “nothing here is deleted — the record stays, with its outcome and who recorded it.”
1

Say how the record ends

How does this record end? offers Delivered, Ended, and Entered in error — this record was never true.
2

Record the outcome

For Delivered or Ended, choose an Outcome: Live birth, Stillbirth, Miscarriage, Termination, Ectopic pregnancy, Transferred to another facility or Unknown. It is required.
3

Set the date

Date the pregnancy ended starts on today and cannot be in the future. Notes is optional.
4

Confirm

Select Close record, then confirm: “no further antenatal contacts can be recorded against it, and it moves off today’s clinic into the register. If this turns out to be wrong, it can be re-opened from the pregnancy record. The record itself is never deleted.”
It confirms Pregnancy record closed — “It moves off today’s clinic and into the register.”

​
Entered in error is a correction, not an outcome

Choosing Entered in error — this record was never true replaces the outcome picker with a plain statement: This is a correction, not a clinical outcome. — “Use this when the record should never have existed — opened for the wrong woman, or a pregnancy that was not confirmed. No outcome is recorded. The record stays on file and she can have a new one opened.” The date field becomes Date this was corrected and the notes field becomes Why was it entered in error?, which is required. The button reads Mark as entered in error, and the confirmation Mark as error. It confirms Record marked as entered in error — “It stays on file as a correction. A new record can now be opened for her.” A record corrected this way never appears in the Antenatal Register. One closed as delivered or ended does.

​
Re-opening a record closed by mistake

A record closed as Delivered or Ended can be re-opened. Open her antenatal card; beneath Outcome there is Re-open this record. The confirmation names the outcome being withdrawn, and the record goes back onto today’s clinic with its outcome cleared — so the Antenatal Register stops counting that outcome. Contacts, deliveries and observations already recorded are not changed, and it can be closed again.
Retract the delivery first. If a delivery record still stands against the pregnancy, re-opening is refused — an open pregnancy with a birth recorded against it would contradict itself. Mark the delivery as entered in error first, then re-open. See Retracting a delivery or birth record.
Entered in error cannot be re-opened. That path says the record was never true, so there is nothing to bring back — open a new record for her instead. The corrected record stays on file either way.

​
Who can do this

Re-opening rides the same permission as closing, deliberately: whoever may record that a pregnancy ended may record that it did not. Splitting them would leave a record closed by mistake standing until somebody with a different permission was free. A control you do not hold the permission for is not shown — the toolbar button is absent, and the ⋯ menu disappears entirely when you hold neither of its two acts. Hiding is a convenience: the check runs again when the act is submitted, and a refused attempt is written to the audit log. Enforcement is opt-in per person; see Permissions.

​
Check it worked

  • She is a row on Today’s Clinic, with her gestation and a Next contact date.
  • After a re-dating, her Due date and Gestation have both moved, and a Due date was changed panel is on her card and her chart.
  • After closing, she is off Today’s Clinic and on the Antenatal Register with her outcome.

​
If something goes wrong

The record cannot be dated from nothing, and every antenatal date follows from the dating. If neither is known, enter the best clinical estimate as the due date and set Dating based on to Clinical assessment.
“Check them, or enter the due date directly.” The commonest cause is a mistyped year on the period.
The two dates are the wrong way round. Check which field each went into.
She is already on Today’s Clinic. If the existing record is wrong, close it as Entered in error and open a new one.
The new date matches the current one, so there is nothing to change. Close the sheet.
Somebody closed it while the sheet was open. Reload Today’s Clinic.
Delivered and Ended both need an outcome. If nothing happened to the pregnancy because the record itself was wrong, use Entered in error instead.

​
FAQ

No. Nothing in this module deletes. A record that should never have existed is marked Entered in error, which keeps it on file and out of the register — that is how somebody reading the record later can tell a mistake from a clinical event.
Enter the Expected delivery date on its own and set Dating based on to what it came from. The record is dated either way; only how it was dated changes.
No. Back-date it to the day she actually booked and her booking gestation is recorded correctly. It cannot be in the future.
Yes — one after another. Only one may be open at a time, and each closed one keeps its own dates and outcome.
No. Every contact stays on her antenatal card and on her chart. Closing stops new ones being added.