Frequently asked questions

PRIME is clinical decision support for nurses and other primary care clinicians in South Africa. It guides each consultation from the history to the prescription using the South African guidelines, sends every case to an HPCSA-registered doctor for review, follows up your patients afterwards, and helps you run your clinic, from stock control to a dashboard of how you are doing.

PRIME was built by South African doctors, for the way primary care works in South Africa. We are active, reachable, and we listen to the nurses and doctors who use it.

The South African Primary Healthcare Standard Treatment Guidelines and Essential Medicines List. Each line of a diagnosis and prescription is cited to its guideline section, and one tap opens the guideline at the right page. Where a case needs it, PRIME also shows relevant articles. For children under five, PRIME follows IMCI.

No. PRIME structures the consultation and shows its clinical reasoning, so you can check it against your own, but you examine the patient and make the decisions. Many nurses find it sharpens their own judgement over time.

Nine out of ten times, the reviewing doctor agrees with the diagnosis the nurse made with PRIME. Every case is still reviewed by a doctor. See our research page for how we measure this, and for the published research behind nurse-led, doctor-backed care.

Yes. PRIME is POPIA compliant. Clinic comparisons on your dashboard are completely private: other clinics never see your name, and you never see theirs.

Yes. Children under five follow a dedicated IMCI pathway with growth and nutrition checks. Occupational health covers medical surveillance, certificates of fitness and statutory forms such as Annexure 3 and CM12, on its own plan.

PRIME is built on the South African guidelines and is used in South Africa today. Clinic groups, pharmacies and care providers in other countries can request a pilot: tick "I would like to pilot PRIME outside South Africa" on our contact form, then tell us your country, what you do and what you would like to pilot. We will adapt PRIME to your country’s clinical guidelines and your language.

PCDT (Primary Care Drug Therapy) pharmacists, registered professional nurses, primary healthcare (PHC) nurses, advanced practice nurses, specialist nurses and clinical associates. Every case that goes through PRIME is reviewed by an HPCSA-registered doctor, and anything outside your scope is escalated to the doctor.

A laptop with an internet connection. There is nothing to install: PRIME runs in your web browser, on a computer or a tablet. A device in your waiting room for the pre-consultation is recommended, but not required.

Register at primeclinic.app with your professional details. Then set up your profile: your registration number (such as your SANC number), your signature and your clinic, so your scripts and letters are ready to sign. Then start your first consultation.

Nurses are covered by our 30-day money-back guarantee. Use PRIME with your own patients, and if you are not satisfied within your first 30 days, tell us and we will refund you.

Yes. Download our start-a-clinic price list on the pricing page. It covers the starter equipment, training, and an HPCSA-registered doctor supervising every case.

21 languages, including all 11 official South African languages. PRIME shows the patient's own words with the English translation beside them.

Your patient answers PRIME's questions on a screen or tablet in your waiting room, in their own language. By the time they sit down with you, PRIME has an in-depth history, so you start from complete information.

Turn it on, and PRIME listens to the consultation and writes the notes for you. You read them, correct anything that needs it, and confirm. It is optional.

Yes. PRIME runs 67 emergency checks first, then suggests what to examine and which investigations to do, gives a ranked list of likely diagnoses with its clinical reasoning shown, and drafts the prescription from the guidelines. Where a case needs it, the relevant guideline and articles are shown alongside. You decide, and a doctor reviews every case.

More than 60,000. PRIME's integration with Medprax makes them searchable, so you find the right product, strength and pack quickly.

Yes. PRIME is a closed-loop system: it can prescribe only from what you have in your cupboard, within the budget you set, so every script can be dispensed on the spot. It also keeps track of your stock as you dispense.

Yes. Upload medical images, such as a photo of a rash or a wound, to the patient's record, so the reviewing doctor sees what you saw.

Yes. Print a summary of the consultation for the patient, or for your own records.

PRIME runs 67 emergency checks before it suggests a diagnosis, on every consultation. If a patient shows signs of an emergency, PRIME tells you straight away, so you can send them to the nearest emergency room.

Every time. PRIME sends the prescription and a case summary to an HPCSA-registered doctor, who edits it or signs it off remotely, without the patient having to come back.

You choose. PRIME's own HPCSA-registered doctors review cases within 15 minutes, or you can invite a doctor you already work with to review your cases. Either way, every case is reviewed by an HPCSA-registered doctor before the prescription is final.

The case is escalated to the doctor, who reviews it remotely and prescribes. The patient stays with you: you do not have to refer them away.

Yes. You and the doctor can message each other about a case whenever you need to.

Yes. Where it is clinically appropriate and you request one, the doctor co-signs the medical certificate.

After the visit, PRIME checks in with your patients on WhatsApp and tells you who is not improving, so you can act before a problem grows. Patients feel remembered, and they come back to you.

How busy you are, your typical patients, the conditions you see most often, and the patients who commonly do not get better.

Yes. PRIME shows how busy your clinic is compared with other clinics. It is completely private: you do not see their names, and they do not see yours.

Short self-learning modules built from the feedback on your own patients. They focus on the conditions your community actually brings you, and on the patients who do not get better, so you improve where it matters most.

Yes. PRIME keeps track of the medicines in your cupboard as you dispense them, and can prescribe only from what you have, within the budget you set.

Nurses: R550 a month plus R55 per case. Pharmacies: R950 a month plus R55 per case. Retirement facilities: R650 a month plus R65 per case. Occupational health: R1,350 a month. The per-case fee covers the doctor's review. All prices exclude VAT.

Not on the nurse plan. The doctor's review is billed to the patient's medical aid as a prescription, so medical aid patients cost you nothing extra.

Yes. Billing is automated: once you close the case, the bill is switched automatically, so there is nothing to capture twice.

You set your own consultation fee. PRIME's cost is fixed and small, so your consultation fee, and any medication you dispense, are your revenue.

It is optional, on any plan. The 21-inch screen is R13,000 once-off or R1,200 a month. The tablet is R2,100 once-off or R350 a month. Prices exclude VAT.

Nurses are covered by our 30-day money-back guarantee. If you are not satisfied within your first 30 days, we will refund you.

It brings you patients and gives you time back. You build your own network of pharmacies, nurse-led practices and retirement homes, whose cases come to you to review and bill, and PRIME takes care of the notes, the follow-up and the billing. It is built by South African doctors, on South African guidelines.

The pharmacies, nurse-led practices and retirement homes around your practice. They use PRIME on your invitation, and their cases come to you for review.

PRIME GP is by invitation. A clinic or pharmacy you work with can invite you, or contact us and tell us about your practice and the area you serve.

Each case review is billed as a telehealth consultation. Contact us for current pricing and how billing works for your practice.

No. PRIME is the preferred primary care AI for GoodX, but it adapts to any practice management and billing system.

It is automated: once you close the consultation, the bill is switched. Nothing is captured twice.

96% accurate on South African words. It writes the note while you talk, and you check it and sign. It is optional.

Medprax. Our integration with Medprax powers PRIME's medical intelligence, with more than 60,000 medicines, searchable in seconds.

Yes. PRIME is led by experienced GPs who run patient-centred, profitable practices, with clinical safety first and the latest technology behind them. We understand your market. Email info@primecds.co.za or support@primecds.co.za for a bespoke quote. We will set you up and give your practice the competitive advantage it needs.

You review within your own scope and HPCSA registration, following the HPCSA's telehealth guidelines, with the full case in front of you. Nothing is signed until you sign it off.