MedStream

IVF · ART · Embryology

IVF software that has stood in the lab.

Most hospital systems treat the IVF lab as an afterthought. MedStream was shaped inside working ART centres — so it already knows your stim sheets, your day-5 morning, your tank map, your Form F. Seventeen modules that follow the cycle exactly the way your lab does.

dedicated embryology & ART modules
17

dedicated embryology & ART modules

day-wise embryo grading, with photos
3 · 5 · 6

day-wise embryo grading, with photos

witnessed freezing, thaw & transfer
100%

witnessed freezing, thaw & transfer

ICMR reporting built in · ABHA-ID ready
Form F

ICMR reporting built in · ABHA-ID ready

The cycle, end to end

How does one IVF cycle flow end to end?

Follow one patient — Riya Shah, UHID 24-01187 — through every module she touches, from recruitment to result. This is the walkthrough we give visiting embryologists.

01

Recruitment & stimulation

A patient is recruited into IVF with the doctor’s note attached, and her cycle starts as a record — not a whiteboard entry. Every running cycle across the clinic sits in one Active IVF Cycles view, so nobody has to ask “which day is she on?” out loud.

  • Cycle-type master you configure — fresh · frozen · donor
  • Consolidated view of every OPU, ET & donor history per patient
  • Stimulation protocol and trigger recorded on the cycle
app.medstream.in/ivf/active-cycles

Active IVF cycles

12 running

Riya ShahUHID 24-01187 · Antagonist · Stim day 6Fresh

Next · Injection reminder tonight

Deepa NairUHID 24-00932 · Endometrial prep · Day 11Frozen (FET)

Next · Lining scan Thursday

Sunita RaoUHID 23-04771 · Recipient syncDonor oocyte

Next · Awaiting donor OPU

Cycle types come from your own master — fresh · frozen · donor

02

Ovum pick-up

On OPU morning, the record captures what your paper sheet does — protocol, anaesthesia, then the yield broken down by maturity — and what it doesn’t: denudation time, day-0 semen prep and clinical images of the semen sample and oocyte cluster, attached where they belong.

  • Oocyte yield by maturity — total · MII · MI · GV · atretic
  • Oocytes for ICSI, morphology remarks & denudation time
  • OPU discharge summaries for the patient and for the donor
app.medstream.in/ivf/opu/24-01187

OPU — Riya Shah

12 Jun · short GA

12

Retrieved

9

MII

2

MI

1

GV

0

Atretic

For ICSI · 9 oocytes

Denudation · 13:42

Day-0 semen prep · done

Images · oocyte cluster ×2

Discharge summaries print for the patient — and, on donor cycles, for the donor too.
03

Fertilisation & culture

Culture media go in with name, batch and expiry — traceable if anything is ever questioned. Fertilisation is counted, and every embryo is graded on Day 3, 5 and 6 with photos on the record, so the Day-5 decision is made on evidence, not memory.

  • Media name, batch & expiry on every culture
  • Per-embryo grading across Day 3 · 5 · 6
  • Day-3 & Day-5 photographs stored with the embryo
app.medstream.in/ivf/culture/24-01187

Day 5 — morning check

Injected 9 · Fertilised 8

Culture media · Blast medium — Batch V-2408 · Exp 02/2027
4AA
E1→ fresh ET
4AB
E2→ vitrified
Morula
E3recheck D6 · 3BB
Arrested
E4discarded

Day-3 & Day-5 photos · attached to the record

04

Vitrification & the tank

Freezing is never a solo act: every straw records who did it and who witnessed it. Storage is mapped exactly as your tank is built — cryocan to canister to goblet to the colour of the cryolock — for embryos and semen alike. Type a name; find the straw.

  • Double-witnessing — done-by and witnessed-by, every time
  • Vitrification media with batch & expiry
  • Thaw reports carry survival counts & images of straws left behind
app.medstream.in/cryo/locator
Riya Shah2 straws found

Cryocan 2

−196 °C · LN₂

Canister B

Goblet 4

Pink cryolockE2 · E3
Done by · E. DesaiWitnessed by · Dr. A. Mehta Kit · Batch K-1094 · Exp 11/2026
05

Embryo transfer

Fresh or frozen, the transfer record reads like the register your inspector wants: what was thawed, what survived, what was transferred and at what grade — plus the catheter and three named sign-offs for loading, transfer and verification.

  • Thawed · survived · transferred, with grades
  • Loading, transfer & verification personnel named
  • Post-ET advice printed for the patient — witnessed throughout

Embryo transfer record

Fresh · Day 5

Riya Shah · UHID 24-01187

17 Jun · 11:20 am

Embryo transferredE1 · Blastocyst 4AA

CatheterSoft · smooth pass

Post-ET advicePrinted · bilingual

S. Iyer

Loaded by

Dr. A. Mehta

Transferred by

E. Desai

Verified by

Witnessed end to end ✓

06

β-hCG & outcome

The two-week wait is a workflow, not a hope. The advised β-hCG date becomes a reminder call in the front desk’s queue — call time, who answered, feedback and reschedules all logged — and the result closes the loop into clinical pregnancy status and cycle-outcome analytics.

  • β-hCG advised date, result & clinical pregnancy status
  • Reminder call workflow with outcome & reschedule tracking
  • IVF Cycle Report — outcomes analysed across the clinic
app.medstream.in/worklists/beta-hcg

β-hCG follow-up

Mon · 30 Jun

Riya ShahAdvised 30 Jun · Called 10:05 · answered: selfPositive · 512 mIU/mL
Deepa NairAdvised 30 Jun · No answer 9:40 · rescheduledRecall · 4:00 pm
Ayesha KhanAdvised 1 Jul · Due tomorrowAwaiting

Call time, who answered & feedback logged · feeds the IVF Cycle Report

Andrology

Is andrology taken just as seriously?

Half of every cycle starts at the andrology bench. MedStream treats it with the same structure as the embryology lab — not a free-text notes box.

Semen analysis, the WHO way

Collection method, place and time, abstinence, liquefaction, volume, colour, pH, viscosity, pus cells, fructose, total count, a four-way motility breakdown and morphology — captured as structured fields, printed as a clean PDF.

IUI, husband or donor

Both records carry the washing method, sperm-separation device, ovulation-induction protocol, trigger, indication — and the ART bank, when a donor is involved. Printable, like everything else.

Straight into the freezer

A completed analysis hands off to semen freezing without re-entry — into the same double-witnessed, cryocan-to-cryolock tank map the embryos live in.

Semen analysis report

PDF · SA-24-0618

Rahul Shah

Abstinence 3 days · Clinic · 08:40

Volume2.6 mL

pH7.6

Liquefaction24 min

ColourGrey-opalescent

ViscosityNormal

Pus cells2–3 /hpf

FructosePositive

Total count52 M/mL

Motility — four-way breakdown

Progressive · rapid34%
Progressive · slow18%
Non-progressive9%
Immotile39%
Morphology · normal forms 5%→ hand-off to semen freezing

Compliance & safety

How does an ART centre stay inspection-ready?

In ART, inspections and consent audits are not edge cases — they are the job. MedStream keeps you inspection-ready as a side effect of ordinary daily work.

  • Two names on every straw

    Freezing, thaw and transfer each record who performed it and who witnessed it — done-by and witnessed-by, on 100% of events. No unwitnessed straw ever enters your tank, and no unwitnessed embryo ever leaves it.

  • ICMR Form F, built in

    Form F is part of the record, not a Saturday chore — alongside witnessed consents in English and Gujarati. The system is ABHA-ID ready, so national health IDs sit on the same patient record.

  • Donors, documented end to end

    The donor register holds the ART bank, donor ID, physical characteristics, vials received and any adverse events — with donor OPU records and the donor's own discharge summary alongside.

  • Registers that export themselves

    OPU and ET registers export to PDF or Excel in the shape the registrar asks for. What used to be a week of transcription before an inspection becomes a click before lunch.

Beyond the lab door

How does the lab talk to the front desk?

A cycle is carried as much by the front desk as by the lab. MedStream turns lab schedules into call queues — and successful cycles into maternity records.

Reminders become worklists

Injection and OPU-prep reminders land in the front desk's call queue every morning — with the call outcome, who answered and any reschedule recorded against the cycle.

Templates in your patient's language

Call scripts and messages are editable templates in English and Gujarati, and a worklist entry can nudge the patient on WhatsApp in one click.

And when the cycle succeeds

A positive β-hCG doesn't start a new file. The same record flows into ANC and maternity — same UHID, same history, nothing re-entered.

app.medstream.in/worklists/reminders

Reminder calls — today

8 to make

Riya ShahStim day 6 · injection tonight 8:00 pmInjection

WhatsApp nudged ✓✓

Kavita JoshiStim day 2 · injection tonight 8:30 pmInjection

Called · confirmed

Nisha VermaOPU tomorrow · fasting from 10:00 pmOPU prep

Recall 5:00 pm

Editable template · English / ગુજરાતી

આજે રાત્રે 8:00 વાગ્યે ઇન્જેક્શન લેવાનું યાદ રાખશો.

A reminder: your injection is due tonight at 8:00 pm.

In short

  • MedStream's IVF & Embryology suite has 17 dedicated modules covering the full ART workflow — stimulation, OPU, fertilisation, culture, transfer and β-hCG outcome.
  • Every freeze and thaw is double-witnessed, and cryo storage is mapped cryocan → canister → goblet → cryolock, down to the straw.
  • Day-wise embryo grading (D3/D5/D6) keeps photos with every embryo, and andrology gets the same structure as the embryology bench.
  • ICMR Form F, donor registers and registrar exports keep the centre ready for its strictest inspection day.

Thirty minutes · No commitments, no jargon

See a full cycle, from stimulation to β-hCG, in thirty minutes.

  • Personalised walkthrough of your patient journey
  • Assisted data migration from registers or legacy software
  • On-site & remote training for every role
  • White-label setup — your name, logo and colours