India's assisted reproduction sector transformed fundamentally with the enactment of the Assisted Reproductive Technology (Regulation) Act 2021 and the Surrogacy (Regulation) Act 2021. Every ART clinic must now be registered with the National Registry and comply with strict documentation, reporting, and consent requirements.
The ART Regulation Act 2021 requires all ART clinics and ART banks to register with the National Registry of ART Clinics and Banks (NRA). MedicoPlus supports the documentation required for registration and maintains the clinic's compliance records — facility details, qualified personnel, equipment list, and annual reporting data.
The Act mandates specific consent requirements, age restrictions, oocyte donation limits, and embryo storage rules. MedicoPlus enforces these as workflow checkpoints — the clinic cannot proceed with a cycle without all mandatory consents captured, and system alerts flag any regulatory concern before it becomes a compliance failure.
For clinics involved in altruistic surrogacy (the only form permitted under the Surrogacy Act 2021), MedicoPlus maintains the complete surrogacy agreement documentation trail, surrogate health records, intending parent records, and the medical certificate requirements — all in structured, auditable format.
Each IVF cycle involves multiple phases, clinical decisions, and laboratory interactions over 4–6 weeks. MedicoPlus provides a unified cycle tracking workspace that gives the clinician and embryologist a shared view of every step.
The embryology laboratory is the technical heart of an IVF clinic. ICMR guidelines require meticulous record-keeping for all laboratory procedures — from oocyte assessment through embryo cryopreservation. MedicoPlus provides a dedicated embryology module aligned with these standards.
Oocyte maturity grading (MII, MI, GV) for each oocyte retrieved is documented. Insemination method (standard IVF or ICSI) and time are recorded. Fertilisation check results — normal 2PN, 3PN, 1PN, unfertilised — are captured for each oocyte with embryologist initials per ICMR documentation standards.
Day 2 and Day 3 cleavage stage grading using cell number, fragmentation percentage, and symmetry — per Istanbul Consensus criteria. Blastocyst grading on Day 5/6 using Gardner criteria (expansion, ICM grade, TE grade). Each embryo is assigned a unique identifier tracked through to transfer or cryopreservation.
Embryo cryopreservation records capture vitrification date, embryo grade at cryopreservation, tank number, canister, goblet, and straw position — enabling exact location retrieval. Consent for storage duration and disposition of unused embryos is documented per ART Act 2021 requirements including maximum storage duration of 5 years.
The ART Regulation Act 2021 mandates specific registration and consent processes for all couples seeking ART treatment. MedicoPlus enforces these requirements as workflow steps — no clinical procedure can proceed without the required documentation being completed.
ART Regulation Act 2021 requires registered clinics to submit cycle outcome data to the National Registry. MedicoPlus captures and formats this data automatically as cycles are completed — making registry reporting an administrative task rather than a clinical burden.
Every IVF, IUI, ICSI, and FET cycle outcome is captured in structured fields: number of oocytes retrieved, fertilised, embryos transferred, and pregnancy result (negative, biochemical, clinical, ongoing, live birth). This data accumulates into the clinic's annual outcome statistics required for NRA renewal.
MedicoPlus generates internal analytics — clinical pregnancy rate per transfer, live birth rate per cycle started, multiple pregnancy rate, cycle cancellation rate — broken down by diagnosis, age group, and protocol. These metrics are essential for quality improvement and counselling accuracy.
Annual cycle data required for NRA submission is exported from MedicoPlus in the format specified by the National Registry. This includes aggregate cycle volumes, procedure types, donor gamete use, outcome data, and personnel details — reducing the administrative effort of compliance to a single export step.
IVF billing in India is complex — cycles are billed as packages, individual components attract different GST treatment, and pharmaceutical costs are significant. MedicoPlus manages the entire billing lifecycle from package sale to final settlement with correct GST compliance.
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