For occupational therapists
Practice software for South African occupational therapists
Occupational therapy is measured in function, delivered across schools, homes, wards and rooms, and recorded almost everywhere on paper that never leaves the file.
Or talk to us first- POPIA & HPCSA aligned
- We take medical aids
- Built by practising clinicians
HPCSA board
Occupational Therapy, Medical Orthotics and Prosthetics and Arts Therapy
In short
iScript.live records occupational therapy assessment, goals and functional outcomes as discrete values against a course of care, so progress is comparable rather than described. Diaries handle several therapists and sites, patient messaging carries home programmes, and claims are submitted in real time through MediKredit with eligibility confirmed beforehand.
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 occupational therapists practising in South Africa. Occupational therapists 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 Occupational Therapy, Medical Orthotics and Prosthetics and Arts Therapy.
An occupational therapist assesses and improves a person's ability to carry out the activities of daily life and work, through graded intervention, environmental adaptation and assistive equipment. Occupational therapy is characterised by functional goals defined with the client and measured against.
This page covers what iScript.live does for an occupational therapy practice: functional assessment and goals over a course of intervention, third-party reporting, equipment supply, and claiming.
At a glance
- Platform
- iScript.live, built by Lighthouse iScript (Pty) Ltd
- Profession this page is about
- Occupational therapists
- Regulating council
- Health Professions Council of South Africa
- Governing statute
- Health Professions Act 56 of 1974
- Professional board
- Occupational Therapy, Medical Orthotics and Prosthetics and Arts Therapy
- 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 occupational therapists' 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.
Functional goals that cannot be scored
Goal attainment is the profession's core outcome and it is almost always written as prose, which means it cannot be compared across a course of intervention.
Work that happens away from the practice
School visits, home assessments and ward rounds happen where there is no desktop, so notes are written up later from memory.
Reports that take longer than the session
Funder, school and medico-legal reports are assembled by hand from a file, which is where the unpaid hours accumulate.
A day in the practice
What a working day looks like on iScript.live
Occupational therapy is goal-directed work over weeks or months, frequently with somebody other than the client asking for the report.
Assessment
Function recorded as measures against goals
Functional assessment, goals and baseline are captured as structured values, so progress is a comparison rather than a description.
LiveIntervention
Each session records change against the plan
The plan is already in the record, so a session entry is the delta rather than a restatement, which matters in a discipline with a long course of contact.
Equipment and adaptation
Supplied items move stock and post to the ledger
Assistive devices and consumables supplied by the practice are stock items, so what left the store and what went to the client agree.
Reporting
The report is drawn from measured progress
Where a school, an employer, an insurer or a legal representative has commissioned the assessment, the report is produced from the structured record rather than assembled from memory.
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, goals and outcomes as fields
Structured templates hold functional assessment, goals, intervention and review as discrete values, so a report is generated from recorded data rather than assembled from a folder.
Structured consultation workflow
Several therapists, several settings, one record
Row-level tenant isolation with per-site scheduling and role-based access, and a mobile-first interface designed for low bandwidth, so a school or home visit can be recorded where it happens.
Multi-tenant clinical core
Eligibility, submission and remittance
MediKredit integration to XML specification 3.53 over certificate-based mutual TLS for member and benefit eligibility, item-level rejection handling, reversals and electronic remittance advice.
Real-time medical-scheme claim switching
Home programmes and remote review
Video consultation with the record in frame, plus WhatsApp Business API messaging, so a home programme or a carer instruction comes from the clinical record.
Telehealth, e-prescribing and messaging
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, goals and outcomes as fields | Structured consultation workflow | Live |
| Several therapists, several settings, one record | Multi-tenant clinical core | Live |
| Eligibility, submission and remittance | Real-time medical-scheme claim switching | Live |
| Home programmes and remote review | Telehealth, e-prescribing and messaging | Live |
4 of these 4 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
Function is measurable, and prose is not
Occupational therapy loses funding arguments it should win because its outcomes are recorded as description. Capturing goals and functional measures as discrete values means the same record produces the clinical review, the funder report and the school letter without any of them being written from scratch.
- Goals and functional measures recorded as comparable values.
- Reports generated from the record rather than assembled by hand.
- Mobile-first for school, home and ward work, with every export audited.
What it replaces
What actually comes out of the practice
Occupational therapy practices usually run paper assessments, a document folder of reports, and a separate invoicing arrangement per payer.
| What a practice runs today | What it becomes |
|---|---|
| Functional assessments on paper, summarised into reports | Structured measures against goals, with reports drawn from themLive |
| A different invoicing arrangement for every payer | A debtor that can be the client, a scheme, an employer or an insurer, against one record |
| Assistive equipment tracked on an order sheet | Stock items moving at the point of supply, posting to the ledger |
| Session notes that restate the plan each time | Session entries recording change against a plan already in the record |
Separating the debtor from the patient is the change that matters most in a discipline where the payer is so often not the client.
Billing and medical schemes
How occupational therapists actually get paid
Occupational therapy is funded from an unusually wide range of sources: schemes, employers, insurers, schools, legal matters and the client directly.
Where scheme claiming applies it runs through the live MediKredit integration, with eligibility available beforehand and item-level rejection reasons, reversals and remittance advice returning against the claim. Whether a given intervention is a benefit depends on the registration, the practice code number and the scheme's rules.
Because the payer is so often a third party, the debtor and the patient are deliberately separate records. An insurer, an employer, a school or a legal representative can be the debtor while the clinical record remains the client's, and card payment collection is live where the client pays.
A practice whose income comes mostly from insurers and employers rather than schemes should say so, because it changes both the commercial model and the configuration.
The billing mechanics, and their status
- Third party as debtor
- Live.
- Client as their own debtor
- Live.
- Scheme eligibility and claim submission
- Live, through MediKredit.
- Equipment supply on the account with stock movement
- Live.
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 the practice
Online registration produces a tenant with your branding and subdomain, for a sole practitioner or a multi-therapist practice.
02
Configure assessments and goals
The assessments and goal frameworks you use are set up as discrete fields so outcomes are scored rather than narrated.
03
Assess, intervene, report
Sessions attach to a course of care wherever they happen, reports are generated from the record, and validated claims go out 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 Occupational Therapy, Medical Orthotics and Prosthetics and Arts Therapy
Health Professions Council of South Africa, under the Health Professions Act 56 of 1974.
Keeping of patient records
Assessment, goals, intervention, consent and correspondence held as one auditable record aligned to HPCSA guidance on the keeping of patient records, with an immutable audit trail.
POPIA and third-party reporting
Reports going to a school, an employer or a funder are a disclosure. Consent records, lawful processing and an audit trail on every export are built into the platform.
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.
A commissioned report has to be traceable to its assessment
Where a report goes to a third party, the assessment it was drawn from, its date and its author have to be retrievable together. That is what makes the report defensible if it is challenged.
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 occupational therapists specifically
Occupational therapy practices with mainly third-party and insurer income usually fit the per-claim model. Where the practice supplies equipment, raise inventory and ledger posting as part of scope.
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.
Half my work is medico-legal and insurance reporting. Is that supported?
The parts that are supported are the structured assessment record, a third-party debtor separate from the patient, and a report drawn from the measured record. What is not there is a medico-legal report template library, and it would be wrong to imply one.
I work in clients' homes and workplaces. Is this usable off-site?
The record is reachable from wherever you work and nothing sensitive lives on the device you carry. There is no dedicated offline mode, so a site with no connectivity at all is a real limitation rather than something to gloss over.
Does it handle assistive device supply?
Supplied devices are stock items that move at the point of supply and post to the general ledger. There is no direct supplier ordering integration, so the order to the supplier is placed the way you place it now.
Questions practitioners actually ask
Occupational therapists 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 occupational therapists in South Africa?
iScript.live is a South African practice platform that records occupational therapy assessment, goals and functional outcomes as structured data, supports multi-therapist and multi-site diaries, and submits claims in real time through MediKredit with eligibility confirmed beforehand. Reports for parents, schools and funders are generated from the same structured record.
Can iScript.live track goal attainment across a course of therapy?
Yes. Goals and functional measures are recorded as discrete values against a course of care, so baseline and review are directly comparable and the change can be reported to a parent, a school, a referring clinician or a funder. Baseline and review are recorded in the same fields rather than in two narratives.
Can occupational therapists record school and home visits on a phone?
Yes. The platform is mobile-first and designed for low bandwidth, so a session at a school, in a home or on a ward can be recorded where it happens rather than written up later from memory. Each session attaches to the course of care wherever it was delivered.
Does iScript.live help with funder and school reports?
Reports are generated from the structured record, so recorded assessments, goals and outcomes populate them rather than being retyped. Every export is logged with actor, timestamp and reason, which matters because a third-party report is a disclosure under POPIA. That matters because a school or employer report is a disclosure, not a clinical note.
Can an occupational therapist bill an insurer or employer rather than the client on iScript.live?
Yes. The debtor and the patient are separate records in the data model, so an insurer, employer, school or legal representative can be the debtor while the clinical record remains the client's. Scheme claiming and direct client payment with card collection are both also live.
Does iScript.live work for occupational therapy done in homes and workplaces?
The record is reachable from wherever the practitioner works and nothing sensitive is stored on the device they carry. There is no dedicated offline mode in the platform today, so a site with no connectivity at all remains a genuine limitation.
Can an occupational therapy practice supply assistive equipment through iScript.live?
Supplied devices and consumables are held as stock items that move at the point of supply and post to the general ledger through the platform's ERPNext integration. There is no direct supplier ordering integration, so the order to the supplier is placed as it is now.
The setting
What occupational therapists 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 Occupational Therapy, Medical Orthotics and Prosthetics and Arts Therapy board
Occupational therapists, orthotists and prosthetists, and arts therapists in drama, music, art and movement. 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 score one course of intervention
Set a baseline against measurable goals, review it, and see whether the report writes itself.