For nutritionists
Practice software for South African nutritionists
Nutrition works over months and is recorded, in most practices, in a form that cannot show a month.
Or talk to us first- POPIA & HPCSA aligned
- We take medical aids
- Built by practising clinicians
HPCSA board
Dietetics and Nutrition
In short
iScript.live records nutritional assessment, anthropometry and intervention as discrete values against a patient record, so a course of care produces a trend rather than a folder. Telehealth and patient messaging carry follow-up between visits, and claims are submitted in real time through MediKredit. Nutritionists are a distinct register under the Professional Board for Dietetics and Nutrition.
iScript.live is a multi-tenant, AI-native healthcare practice platform built in South Africa by Lighthouse iScript (Pty) Ltd. This page is about what iScript.live does for nutritionists practising in South Africa. Nutritionists in South Africa are regulated by the Health Professions Council of South Africa under the Health Professions Act 56 of 1974, through its Professional Board for Dietetics and Nutrition.
A registered nutritionist works on nutrition and dietary intervention within the scope of that registration category, in clinical, community, corporate and public health settings. Where the boundary between the nutrition and dietetics registers falls is set by the professional board rather than described here.
This page covers what iScript.live does for nutrition practice: measurement over time, plans that change, remote follow-up, and the funding reality of a discipline that is often paid privately.
At a glance
- Platform
- iScript.live, built by Lighthouse iScript (Pty) Ltd
- Profession this page is about
- Nutritionists
- Regulating council
- Health Professions Council of South Africa
- Governing statute
- Health Professions Act 56 of 1974
- Professional board
- Dietetics and Nutrition
- Country of practice
- South Africa
No registration-number prefix is published here. It could not be verified against an authoritative source, and a wrong one would be worse than none.
What actually gets in the way
Where the day goes in nutritionists' practice
None of this is a software problem in the abstract. Each of these is an hour, a rejected claim or a clinical decision made with less information than it deserved.
Measurements that cannot be plotted
Weight, waist and body composition are taken at every visit and recorded in a way that no software can turn into a curve.
Long intervals with no contact
Four to six weeks between consultations is where adherence is decided, and the practitioner has no signal until the patient returns.
Administration absorbed by the practitioner
Coding, submission, remittance matching and payment follow-up land on a practitioner who usually works alone.
A day in the practice
What a working day looks like on iScript.live
Nutrition practice is behaviour change measured over months, in a discipline where the software is usually not clinical software at all.
Initial consultation
Baseline as values, because everything after is comparison
Anthropometry, dietary assessment and goals recorded as structured values with units rather than as narrative, so a review at month three has something to compare against.
LiveThe plan
The plan is in the record and it is versioned
Which plan the client was on when a measurement was taken is answerable, which is the minimum requirement for saying anything about what worked.
Follow-up
Remote follow-up without a lesser record
Video consultation with the record in frame, so travel stops being the reason a review does not happen. Whether remote is appropriate remains a professional judgement.
LiveBetween reviews
Contact from the practice, not a personal number
WhatsApp Business API messaging from the practice record, so a check-in between reviews is part of the file.
What you get, and what is still being built
The platform, read from your side of the desk
Every capability on this list is in production and in daily use. We keep the roadmap and the reality on separate lists on purpose.
Assessment and anthropometry as discrete values
Structured templates capture nutritional assessment, dietary history, anthropometry and intervention as fields, so intake and review are directly comparable.
Structured consultation workflow
Follow-up without travel
Video consultation with the record in frame, WhatsApp Business API messaging and card payment collection, so a mid-interval check-in is a workflow rather than a favour.
Telehealth, e-prescribing and messaging
Eligibility, claim and remittance
MediKredit integration to XML specification 3.53 over certificate-based mutual TLS for member and benefit eligibility, submission, item-level rejection handling and electronic remittance advice.
Real-time medical-scheme claim switching
Built today, or being built
What is live, and what is not, in one table
The same list as the cards above, in the form a sceptical reader wants it. Every status in the right-hand column is resolved from the platform roadmap at the moment this page renders. None of it is typed by hand.
| Capability | Platform capability it comes from | Status |
|---|---|---|
| Assessment and anthropometry as discrete values | Structured consultation workflow | Live |
| Follow-up without travel | Telehealth, e-prescribing and messaging | Live |
| Eligibility, claim and remittance | Real-time medical-scheme claim switching | Live |
3 of these 3 capabilities are in production today. Anything in development is not available to buy, is not in a beta programme, and should not be counted on when you make a decision.
Why this is different
A trend is the only evidence a nutrition intervention has
Nutrition is judged over months, and a record that stores measurements as text cannot show a month. Capturing anthropometry as discrete values, on the same timeline as any laboratory result the patient has, turns a series of appointments into evidence a referring clinician and a funder can read.
- Anthropometry recorded as comparable values across a course of care.
- Telehealth and messaging so the interval between visits is not silent.
- Claims validated before transmission for a practitioner working without support.
What it replaces
What actually comes out of the practice
Almost always a spreadsheet, a document folder and a personal phone.
| What happens today | What it becomes |
|---|---|
| Measurements in a spreadsheet per client | Structured anthropometry with units, trendable against a versioned planLive |
| Plans emailed as documents and superseded | The plan in the record, tied to the measurements taken under it |
| Advice given on a personal WhatsApp number | Practice messaging recorded against the client |
| Invoices typed monthly and chased personally | An account from the consultation, with card payment collection |
Measurement becoming data is the change that matters. The rest follows from it.
Billing and medical schemes
How nutritionists actually get paid
For many nutrition practices in South Africa, private payment rather than scheme reimbursement is the base of the practice, and the page is written on that assumption rather than the flattering one.
Scheme claiming is available through the live MediKredit integration with eligibility beforehand and item-level rejection handling afterwards. Whether a registered nutritionist's consultation is a benefit on a given plan depends on the registration category, the practice code number and the scheme's rules, and this site does not assert an answer.
Private work is treated as the primary case. The client can be their own debtor, a package can be billed to them, card payment collection is live, and a remote consultation can be paid for at the point it happens.
If your income is predominantly private, the per-claim commercial model exists so you are not paying for a claims rail you rarely use.
The billing mechanics, and their status
- Client as their own debtor
- Live.
- Card payment collection
- Live.
- Remote consultation with payment in the same workflow
- Live.
- Scheme eligibility and claim submission
- Live, through MediKredit.
Who else touches it
Who else in the practice uses this, and what they can see
A practice is not one person, and a clinical record that only the clinician can reach is a record somebody else will keep a second copy of. Roles are configured by the practice, not assumed by the platform, and every role is scoped at row level.
| Role | What they do, and what they can see |
|---|---|
| The practitioner | Consults, records, prescribes where the registration allows it, and submits. Sees the full clinical record for patients within the practice. |
| Reception and front desk | Books, checks members in, confirms eligibility before the appointment and takes payment. Sees the demographic, appointment and account layers, not the clinical note. |
| Billing and accounts | Works claims, item-level rejections, reversals and remittance advice, and reconciles what was paid against what was submitted. Sees coded lines, not free-text clinical content. |
| Practice manager or owner | Configures the practice, the sites, the fees, the templates and who may do what. Sees activity and financial reporting across every site in the group. |
| A supervisor, where the registration requires one | Countersigns and reviews the work of a practitioner practising under supervision, against the same record rather than a printed copy of it. |
| An assistant, associate or locum | Joins the practice as a provider rather than as a shared login, so their activity is attributable to them and ends when their association does. |
Every read, write and export carries the actor, the timestamp and the reason, so who saw what is answerable rather than reconstructed.
Getting started
From registration to a working practice, and what moving across involves
Onboarding is measured in days rather than in an implementation project. Nothing here requires a server, a site visit or a consultant. Migrating history is the separate question, and it is answered below rather than skipped.
Standing the practice up
01
Register your practice
Online registration produces a tenant with your branding and subdomain, without an implementation project.
02
Configure your assessment fields
The measures you take at every visit are set up as discrete fields so they can be trended rather than described.
03
Assess, follow up, claim
Consultations run in the room or over video, follow-up goes out by message, and the validated claim is submitted in real time.
Moving off your current system
Moving practice software is the part everybody underestimates, so it is worth being exact about what is quick and what is not. Standing the practice up, as set out above, is quick. Bringing a decade of history across is not, and is scoped as its own piece of work.
Step 1
Run in parallel for a short period
Most practices keep the outgoing system readable while they work live in the new one, rather than attempting a hard cut-over on a Monday morning. Nothing about the platform requires the old system to be switched off first.
Step 2
Bring patients across
Patient demographics, medical-aid details and balances import first, because those are what reception needs on day one. Clinical history follows, and how much of it comes across as structured data rather than as attached documents depends entirely on what the outgoing system will export.
Step 3
Move the money last
Open claims and outstanding debtors are the last thing to move, and usually the cleanest approach is to finish the claim cycle already in flight on the old system while new work starts on the new one.
Historic-data migration is quoted separately from the platform, because its length is a property of the outgoing system rather than of this one. A practice that exports well is a short piece of work. A practice whose history exists only as scanned paper is a decision about how much of it is worth carrying.
Regulation, record-keeping and compliance
What the record has to survive
Clinical software carries the most sensitive data a person has, and a regulator will eventually read what it produced. Compliance is designed into the platform rather than certified around it afterwards.
Registration authority
Professional Board for Dietetics and Nutrition
Health Professions Council of South Africa, under the Health Professions Act 56 of 1974.
Distinct register, distinct scope
Dietitians and nutritionists are distinct registers under the Professional Board for Dietetics and Nutrition with distinct scopes. The platform models them as distinct roles; what each may do remains the practitioner's professional responsibility.
Records and POPIA
Assessment, intervention and consent are held as one auditable record with an immutable audit trail, alongside lawful processing, data residency and subject-access handling.
The record has to be attributable
Every clinical entry carries who made it, when, and against which consent, on an immutable audit trail. An entry that is later corrected shows as a correction rather than replacing what was there, because a record that can be silently rewritten is not evidence of anything.
The record has to be retrievable years later
Clinical records outlive software, staff and sometimes practices. Records are held as structured data with their coding intact and are exportable, so the practice is not dependent on this platform continuing to exist in order to read its own history. Statutory retention periods are set by the regulator and the relevant legislation, not by us, and are not restated on this page.
Consent is part of the record, not a filing cabinet
Consent to treat, consent to a remote consultation and consent to share are captured in the consultation and stored against it, so the consent that applied at the time is retrievable with the entry it applied to.
Advice between consultations is still clinical advice
Where guidance is given between appointments, it belongs in the record. Messaging from the practice keeps it in the file rather than in a private thread that cannot be produced later.
What it costs
How this is priced, and what the quote depends on
The clinical platform is free, on every seat, permanently. You pay only for the medical claims you submit — at a rate that falls as you add modules — and optionally for the two business modules themselves. Every figure is published below rather than quoted on request.
01
CORE — the clinical platform, R0
The record, the diary, the billing, the claims workflow and the AI documentation, on every seat, at no cost and with no expiry. Not a trial and not a cut-down edition. Claims are R9.95 each on CORE, and that is the only charge.
02
R9.95, R8.95 or R7.95 per claim submitted
You pay for claims you actually send, from prepaid credits that never expire. The rate falls as you move up: R9.95 on CORE, R8.95 on STRIDE with one module, R7.95 on SUMMIT with both. Never a percentage of what the claim is worth, and never a percentage of what you earn.
03
STRIDE R699 a module, SUMMIT R1 199 for both
Website and Finance are optional business modules. They do not make you a better practitioner; they make you a better business, and they lower your per-claim rate while they are on. Neither is required to practise on the platform.
What the quote turns on
- How many medical-scheme claims you actually submit in a month — that is the only usage-based charge there is.
- Whether you want the Website module, the Finance module, both, or neither — which also sets your per-claim rate: R9.95 on CORE, R8.95 on STRIDE, R7.95 on SUMMIT.
- Nothing else. Seats are free, sites are free, storage is free, and support is not a tier.
- Migrating historic patient data from an outgoing system is scoped separately and quoted before any work starts.
- Nothing here is indexed to your turnover, your collections or the value of your claims.
For nutritionists specifically
Nutrition practices with predominantly private income usually fit the per-claim model. Raise it early rather than being quoted on clinician headcount.
Every price on this site is published, not quoted. We never charge a percentage of what you earn. Registering a practice does not commit you to a contract.
Ask for a quote for your practiceObjections
The reasons not to do this, answered
Every one of these has been said to us by a practitioner in this profession or one adjacent to it. Where the answer is no, it says no.
Nobody claims for me. Why a claims platform?
Claiming is one capability among several and is unused if you do not need it. What carries a private nutrition practice is the structured measurement record, remote follow-up, practice messaging and card payment collection. The per-claim model means you are not funding a rail you do not ride.
Does it have a food database or nutrient analysis?
No. There is no food composition database or nutrient analysis engine in the platform, and implying one would be wrong. The plan and the goals live in the structured record; the analysis stays in whatever tool you use for it.
I consult from two different rooms and online. Does that work?
Yes. Sites are configured inside one tenant, remote consultation is live, and the record is the same regardless of where the consultation happened.
Questions practitioners actually ask
Nutritionists and iScript.live
Short, direct answers, each written to make sense on its own if it is read without the question above it or the page around it.
Is there practice software for nutritionists in South Africa?
iScript.live is a South African practice platform that records nutritional assessment and anthropometry as discrete values, supports telehealth and patient messaging between visits, and submits claims in real time through MediKredit with eligibility confirmed beforehand. Coding is validated against the ICD-10 Master Industry Table before the claim is transmitted.
Can iScript.live plot a client's measurements over months?
Yes. Weight, waist circumference and body composition are recorded as discrete values against a course of care rather than as free text, so intake and review measurements are directly comparable and can be shown to the client and any referring clinician.
Does iScript.live distinguish a nutritionist from a dietitian?
Yes. They are distinct registers under the Professional Board for Dietetics and Nutrition, and the platform models them as distinct roles with separately configured permissions, so both can work inside one practice tenant. What each register may do remains the practitioner's professional responsibility, not a decision the software makes.
Can nutritionists consult online through iScript.live?
Yes. Low-latency video consultation with the record in frame is live, along with WhatsApp messaging and card payment collection, and the platform is aligned to HPCSA guidance on telemedicine. Suitability of a remote consultation remains a professional judgement. Card payment collection runs from the same record as the consultation.
Can a registered nutritionist use iScript.live for a private, cash-based practice?
Yes. Scheme claiming is available but not required, the client can be their own debtor, a package of consultations can be billed to them, and card payment collection is live. The per-claim commercial model exists so a practice with little scheme submission is not priced as though it had.
Does iScript.live include a food composition or nutrient analysis database?
No. There is no food composition database or nutrient analysis engine in the platform today. Plans, goals and anthropometry are held as structured data in the clinical record, and nutrient analysis remains in whatever specialist tool the practitioner already uses.
Can a nutritionist consult remotely on iScript.live?
Yes. Low-latency video consultation with the clinical record in frame is live, together with card payment collection so a remote consultation and its payment are one workflow. Whether a remote consultation is appropriate remains a professional judgement.
The setting
What nutritionists and their practices look like on this platform
Editorial images, chosen to show the setting the software is used in rather than a stock photograph of a laptop.
These are AI-generated editorial images. They depict no real practitioner, patient or premises, and are not photographs of anyone on this platform or of any of the practices named elsewhere on this site.
The same HPCSA board
Other professions registered with the Dietetics and Nutrition board
Dietitians and nutritionists — the professions closest to chronic-disease outcomes and furthest from the billing rails that fund them. If you have landed on the wrong page for your own registration, the right one is probably below.
All 28 professions, grouped by boardBring your practice onto the platform
Register your practice and plot one client's three months
Record a baseline, follow up remotely, review, and see whether the curve is something you would put in front of a referrer.