Most Indian IVF clinics in 2026 already run some combination of practice-management software, lab equipment readouts, accounting tools, WhatsApp for coordination, and a paper backup. Adopting a new platform is daunting if it means ripping and replacing everything. Miro is built specifically not to force that.
Here's how Miro's IVF EMR fits alongside the systems a clinic already uses, what gets connected and what doesn't need to, and the realistic timeline.
The honest framing — Miro replaces some things, integrates with others
Different clinic systems play different roles. Miro is built to occupy the clinical-record layer and the patient-facing layer; it's not trying to be your accounting suite or your physical lab equipment. The split looks roughly like:
| System | What Miro does |
|---|---|
| Clinical patient record / EMR | Replaces (this is Miro's core) |
| Patient-facing app / portal | Replaces (Miro Fertility Passport) |
| Embryology lab record | Integrates (continues to use existing software where present) |
| Diagnostic lab equipment outputs | Integrates (PDF uploads) |
| Accounting / billing software (Tally, Zoho, etc.) | Coexists (Miro handles patient invoicing; tax/ledger work stays in your accounting tool) |
| HR / staff management | Coexists (no integration needed) |
| WhatsApp / SMS / email for clinical coordination | Replaces (in-product two-way messaging between patient and clinic) |
| Paper records (legacy) | Migrates over time via uploads |
What integration looks like in practice
1. Importing existing patient records
On day one, you don't need historical patient records to be fully migrated. Patients who are mid-cycle continue with their current records, and Miro starts logging from the next visit forward. For long-term patients, scanned PDFs of prior records can be uploaded into the patient's Miro record over the first weeks.
Clinics with existing structured patient databases (Excel sheets, custom databases) can bulk-import their patient roster into Miro from a CSV — name, email, optional phone — directly from the Patients page. Each new patient receives an email to set their own password, so no clinic staff is in the loop on credentials. Up to 500 rows per batch; existing platform users get a clinic invite instead of a duplicate account.
2. Lab equipment and embryology software
Diagnostic lab equipment that produces PDF reports integrates simply: reports are uploaded into the patient's record, where Miro extracts the structured values. Embryology software (RI Witness, Matcher, KIDScore, etc.) coexists — Miro stores the embryology summary as part of the clinical record, while the dedicated embryology system continues to do its specialised job in the lab.
3. Billing and accounting
Miro's built-in invoicing module links bills to the clinical record — so what the patient sees in their bill matches what the clinical side recorded, and online payments via the integrated gateway settle straight against the invoice. Clinics that want to keep their existing accounting software (Tally, Zoho, custom) for tax and statutory reporting can run it alongside Miro; an automated push from Miro into those tools is not part of the product today.
4. Patient-facing app
This is where Miro adds the most for clinics: every patient gets a Miro Fertility Passport without the clinic having to build or maintain a patient app. Patients see their cycle data, scans, embryology updates, and invoices in real time. This usually replaces existing patient apps, which clinics often find expensive to maintain.
5. Two-way patient–clinic messaging (replacing WhatsApp)
Most Indian IVF clinics today coordinate with patients over a mix of WhatsApp, SMS, and email — fast, but unstructured, unaudited, and tied to whichever staff member typed the message from their personal phone. Miro replaces that with in-product two-way messaging between patient and clinic:
- Patients message the clinic from inside their Fertility Passport; clinic staff reply from the clinic dashboard
- Each message is authored by a specific doctor or staff member (not an anonymous "clinic" account), and read receipts show when the patient has seen it
- Messages are categorised — general, dose instruction, result ready, urgent, appointment reminder — so dose changes and result notifications don't get lost in chit-chat
- The full thread sits next to the patient's clinical record, so any doctor on the case sees the same context the colleague did yesterday
- Clinics can switch patient-initiated messaging off entirely if they prefer one-way notifications
Because the conversation lives inside the clinical record, it's automatically covered by the same audit trail, DPDP-2023 export/erasure rights, and PCPNDT text filtering as the rest of the patient data — none of which a personal WhatsApp account can offer.
The 2–4 week onboarding timeline
Week 1 — Configuration
- Clinic setup, staff accounts
- Doctor accounts and clinic-admin permissions
- Treatment protocol templates
- Invoicing structure aligned with existing pricing
- Optional CSV import of the existing patient roster (name, email, phone — up to 500 rows per batch)
Week 2 — Training
- Doctor training on the clinical record interface
- Clinic-staff training on appointment management
- Clinic-staff training on billing and analytics
Weeks 3–4 — Ramp-up
- Real patient cases gradually moved to Miro
- Existing systems run in parallel as backup
- Patients onboarded to the Fertility Passport
- Initial analytics dashboards reviewed with the clinic
After 4 weeks, most clinics have migrated their daily clinical workflow to Miro while keeping any specialised software (embryology, accounting) in place.
Compliance built in, not bolted on
Miro was designed for the Indian regulatory environment from day one — not retrofitted from a Western product:
- ART Act 2021 — patient consent (including spousal co-signature), audit trails
- PCPNDT 1994 — fetal sex disclosure prevention enforced in product, not just policy
- DPDP Act 2023 — patient access, export, and deletion rights exposed natively
- Data residency — Indian infrastructure; TLS in transit, AES-256 at rest
What clinics don't change
- Their staff structure and reporting hierarchy
- Their treatment protocols and clinical decision-making
- Their embryology lab equipment and techniques
- Their accounting / financial reporting workflow (if they prefer to keep it)
- Their existing pharmacy partnerships
- Their hospital-association arrangements (for hospital-attached fertility units)
What changes
- One unified clinical record per patient — no more cross-checking across spreadsheets, paper, WhatsApp
- Real-time analytics dashboard (live-birth rate, fertilisation rate, blastocyst conversion) computed live
- Patient-facing Fertility Passport replaces the need to build / maintain a clinic-specific patient app
- Audit-ready compliance posture without manual paperwork
- Doctor productivity goes up — the "first 10 minutes spent re-taking history" problem goes away
Pricing and procurement
Miro is offered as a flat per-clinic subscription with four tiers — Starter, Clinic, Group, and Enterprise — billed monthly or annually (annual billing saves roughly 21%). Each tier sets caps on active patients and active treatment cycles rather than charging per doctor seat; every doctor and staff member at the clinic is included. A one-time onboarding fee applies (waived on annual plans), and Enterprise pricing is negotiated for hospital networks. See our Miro for Clinics page or book a demo to get a quote tailored to your setup.
The bottom line
Miro is built to fit alongside the systems your clinic already uses. The clinical record and patient-facing layer get unified; everything else (lab equipment, accounting, existing partnerships) keeps running. Onboarding takes 2–4 weeks, runs in parallel with your existing setup, and doesn't force a risky migration.
See our Miro for Clinics page for the full picture, or book a demo to see it running on a real patient.
Frequently asked questions
Do clinics need to rip and replace their existing systems to use Miro?
No. Miro is designed to coexist with whatever clinic management system, lab equipment, and accounting software a clinic already uses. Most clinics adopt Miro alongside their existing setup — the IVF EMR features layer on top without forcing the clinic to migrate their whole stack.
What kinds of integrations does Miro support?
Two main types in 2026: (1) document uploads and PDF imports from existing patient records, and (2) read-only data sharing with the patient's Miro Fertility Passport (the cross-clinic patient-side record). Integrations work via standard formats — PDF, CSV — rather than requiring custom-engineered API connections.
How long does it take a clinic to onboard Miro alongside its existing systems?
Typical onboarding is 2–4 weeks from contract signing to first patient using the system. Week 1 is configuration and clinic setup; week 2 is staff training for doctors and clinic staff; weeks 3–4 are gradual ramp-up with real patient cases. Clinics keep their existing systems running in parallel during onboarding — there's no risky big-bang migration.
Does Miro handle billing, or do clinics keep their accounting system?
Miro has built-in patient invoicing tied to the clinical record, so what the patient sees in their bill matches what the clinical side recorded. Clinics that prefer to keep a separate accounting system (Tally, Zoho, custom) for tax and reporting can run it alongside Miro — there is no automated push from Miro to those tools today.
Does Miro replace WhatsApp for patient–clinic communication?
Yes — that's one of the largest operational wins. Miro has built-in two-way messaging between patient and clinic, with per-message authorship (the specific doctor or staff member, not the clinic's main number), read receipts, and categories for dose instructions, result-ready notifications, and urgent issues. The thread lives next to the patient's clinical record and is covered by the same audit trail and DPDP-2023 export/erasure rights as the rest of the patient data, which a personal WhatsApp account can't offer. Clinics that prefer to keep WhatsApp for casual coordination can — Miro coexists — but most clinics move clinical conversations into the product within the first month.
What about embryology lab software and witnessing systems?
Miro records embryology workflow alongside the clinical record — fertilisation outcomes, embryo grades, transfer / freeze decisions — entered by the embryologist. Clinics using dedicated embryology software (RI Witness, Matcher, lab-specific systems) can continue using them in the lab; the embryology summary in Miro is captured manually and the patient sees that history through the Miro Fertility Passport.
Is Miro DPDP Act 2023 and ART Act 2021 compliant?
Yes — Miro was designed for the Indian regulatory environment from day one. Patient consent, audit trails, and PCPNDT enforcement are built into the product. DPDP 2023 patient rights — access, export, erasure — are exposed directly to patients and clinics. Data residency is in India.