One patient, one MRN, one built-in ledger, one live command centre — from the registration counter to the operating theatre.
Why EloHIMSMaternity homes and hospital OB units carry two patients in every episode — mother and baby. EloHIMS follows the whole journey: the WHO eight-contact antenatal schedule, a partograph in the labour room, a caesarean tied to its theatre case, and a newborn who leaves the delivery with an MRN of their own, linked to the mother.
The pregnancy can be registered straight from the consultation. EloHIMS lays out the WHO eight antenatal contacts from her dates and shows each as done, due, upcoming or missed; scans and tetanus toxoid doses are recorded against the pregnancy. In labour, the midwife plots a partograph with WHO alert and action lines. A caesarean is tied to a theatre case. At delivery, a live-born baby gets an MRN of their own, linked to the mother, and can be admitted to NICU under it — and the delivery feeds the births register.
From her LMP or EDD, EloHIMS works out the WHO eight antenatal contacts between 12 and 40 weeks and shows each one on the pregnancy page as done, due, upcoming or missed. When a visit is recorded, its next-visit date defaults to the next contact. The schedule is calculated, not booked, so the ANC register and visit charges count only visits that actually happened.
Tetanus toxoid is tracked as one course, TT1 to TT5, across all of the mother's pregnancies. Only the next dose in the sequence can be given, and only after its minimum gap — 28 days, 182 days, one year, one year. The page shows the doses she has had, the next one due and her protection status.
The partograph is started from the pregnancy page. As the midwife records each observation, EloHIMS plots it — X for dilatation, O for descent — and draws the alert and action lines from the first reading of 4 cm or more. The labour's state is worked out on the server, not judged by eye: on track, alert, or action.
The labour room list shows every woman in labour with her partograph state, so the obstetrician on duty can see at a glance who has crossed a line.
Recording a live birth creates the baby's own file: "Baby of" the mother, with date and time of birth, sex and birth weight, and the next MRN on the hospital's normal numbering, linked to the mother both ways. The births register shows the baby's MRN, the labour room list shows it, and the patient profile links mother and babies. Older births get a "Create baby's file" button. "Admit baby to NICU" admits the newborn under their own MRN.
When the delivery is a lower segment caesarean section, it is tied to the theatre case already open for her — or EloHIMS creates one, with the obstetrician as surgeon, on her admission, in the chosen theatre at the delivery time. Theatre then completes its own checklist, anaesthesia record, operation note and charges on that case. A non-caesarean delivery cannot carry a theatre case, and a case belonging to another patient or another delivery is refused.
A maternity unit where missed antenatal contacts show up, labour is charted against the WHO lines, every caesarean has its theatre case, and every live-born baby leaves delivery with an MRN linked to the mother.
The WHO eight-contact ANC schedule, TT1–TT5, a partograph with alert and action lines, LSCS tied to theatre, and the newborn's own MRN — one continuous account of mother and baby.