Sphygmos is a clinical operating system for South African doctors. It combines clinical Q&A (Ask Sphygmos), dictation and consult recording, patient records, clinical documents, results tracking, follow-ups, scheduling, and billing preparation in one workspace.

Is Sphygmos an AI medical scribe?

Yes, and it does not stop at the note. Dictation and consent-based consult recording draft structured notes, and the same consult can produce draft documents, follow-up actions, and billing-ready codes, all connected to the patient record.

Does the AI make clinical decisions?

No. Everything Sphygmos generates is a draft for the doctor to review, edit, and sign off. The doctor remains responsible for clinical judgement, and nothing is sent on your behalf without your approval.

Is it built for South African practice?

Yes. Sphygmos includes PMB motivations, RAF and COIDA document workflows, sick notes and ICD-10 coding support. Documents require your review against the current requirements. Direct lab feeds and automated claims switching are not active; WhatsApp messaging is planned, subject to activation.

Can I use Sphygmos hands-free?

Yes. Say "Sphygmos" to wake it, ask what you would normally type, and hear the answer read back. That works mid-consult or when you are scrubbed in. Anything that writes or sends reads itself back and waits for your spoken confirmation first, and activation is tied to your own voiceprint.

Can I try Sphygmos without signing up?

Yes. "Try a day in Sphygmos" opens a demo practice with no sign-up and no email. Every patient in it is invented, and the full product runs a seeded day: the waiting room, a consult, the paperwork, and Ask. When you are done, one tap starts your own practice.

How much does Sphygmos cost?

You can start free and upgrade when you need more. Current plans and Rand pricing are on this page under Pricing. No hidden charges, cancel any time.

Sphygmos

Built for South African doctors

Sphygmos. Clinical software for South African doctors.

Patient records, clinical AI, dictation and consult recording in one place. Draft notes, prescriptions and referrals, review results and manage follow-ups, with you in control of every clinical decision. For GPs and specialists across private and public care.

Hands-free: say "Sphygmos"Ask SphygmosDictation and consult recorderInvoices and debtors

Start free, no card needed Try a day in Sphygmos

3 patient records includedNo credit cardCancel anytime

See it in practice

Doctor asks

Help me build a differential diagnosis for chest pain.

Sphygmos prepares

Reasoning that shows its work

Differentials, red flags, what is missing, and next steps, laid out for you to weigh. Never a verdict handed down.

Must-not-miss diagnoses come first
Evidence for and against each possibility
South African clinical context where relevant

Medical roles covered

Statutory documents built in

Care team roles

To start, no card needed

Hands-free mode

Say "Sphygmos."

Gloves on, hands full, mid-procedure. Your whole practice answers to your voice. Wake it with a word, ask what you would normally type, and hear the answer back.

Wake it with a word

Say "Sphygmos" and speak. No tapping, no unlocking, no breaking sterility.

Ask anything you would type

"Who is waiting?" "What came back on Mrs Dlamini?" "Start a referral." The same brain, by voice.

It answers out loud

Answers are read back to you, so your eyes never have to leave the patient.

Actions confirm by voice

Anything that writes or sends reads itself back first and waits for your spoken "Sphygmos, confirm". Nothing happens without you.

Activation is tied to your own voiceprint. You teach it your voice once, and it answers to you.

Clinical work in one place

Built around the realities of South African doctors.

Patient records, notes, documents, results review, follow-up, and billing preparation stay connected to the clinical record.

Patient record

Clinical timeline, uploaded document reading, photo comparison across time-points, and the details needed before the next consult.

PMB motivations

Medical-aid-context drafts for major SA medical aids, with evidence checklists and likely rejection risks surfaced for doctor review.

RAF, COIDA, S21, MHCA

Medico-legal documents structured for the required process, with an extra safety check on high-risk outputs.

Consult recorder

One-tap record. Structured SOAP note, differentials, prescription drafts, referral letters, all saved to the patient timeline.

Team & locum

Roles for doctors and support teams in rooms, clinics, and public-sector services. Locum access is time-boxed automatically.

Community & referrals

Doctors using Sphygmos can refer to each other inside the platform, with patient consent recorded before anything is shared.

How it works

Three decisions we made early.

Each one shapes how every answer, note, and document comes out.

Specialty-aware reasoning

A GP and a cardiologist should not get the same answer for the same patient. Sphygmos adjusts the clinical blind spots, note structure, and billing context to the doctor's role.

Fast when simple, careful when high-risk

Simple admin stays fast. RAF, PMB, Section 21, and other high-stakes documents get a stricter quality path and an extra check before the doctor signs off.

SA-specific from day one

ICD-10 lookup is authoritative, not invented. PMB motivations are scheme-specific, not templated. Disclaimers are HPCSA-aware, audit trail is PoPIA-ready. Built for how SA actually works.

Compare

Choose by the work you need to do.

Clinical documentation

Try dictation and consultation recording separately. Check the note, patient identity, medicines and follow-up before saving.

Clinical records

Open a patient, review a result and return to the outstanding work. Check that the context stays with you.

South African documents

Draft a referral, script or PMB motivation. Check the fields, letterhead and final output against your requirements.

Connected services

List the lab, claims-switching and accounting connections you rely on. These integrations are not currently active in Sphygmos.

Clinical software Medical AI AI medical scribe

Pricing

Straightforward pricing

Monthly plans with clear allowances for clinical requests, dictation, consult recording, patient records, storage, and messaging.

Free

Explore the clinical OS.

20 Sphygmos requests / month
20 dictation minutes
3 patient records for trial use
Ask Sphygmos for clinical questions
Standard clinical assistant pathway
No files, PDFs, SMS, consult recording, or billing

Essential

Entry-level paid plan for low-volume practice.

R395/month

200 AI generations / month
120 dictation minutes + 30 consult recording minutes
50 patients with full timeline
Document reading, PDF export, letterhead, and pre-consult briefs
20 SMS messages + 5 image-attached AI calls
WhatsApp messaging available once activated

Solo

Daily-use practice tool.

R795/month

600 AI generations / month
400 dictation minutes + 150 consult recording minutes
250 patients with full timeline
60 SMS messages + 20 image-attached AI calls
Invoices, debtors, and manual claims workspace
Photo comparison for clinical images
Protected launchers: scripts, PMB, RAF, COIDA, Section 21

Pro

Full-time doctor, primary tool.

R1 495/month

1,400 AI generations / month
900 dictation minutes + 360 consult recording minutes
1,000 patients
Deeper review path for high-risk clinical work
150 SMS messages + 60 image-attached AI calls
Scheduling, follow-ups, invoices, and debtors
WhatsApp messaging available once activated
Priority email support

Practice

Solo doctor with admin support.

R2 495/month

3,000 AI generations / month (pooled)
2 seats: 1 clinical + 1 admin (R495 per extra)
Unlimited patients with shared pool
1,800 dictation minutes + 900 consult recording minutes
300 SMS messages + 150 image-attached AI calls
Locum access + team calendar
Shared billing workspace and handover queues

Clinic

Multi-doctor practice or small clinic.

R5 995/month

7,000 AI generations / month (pooled)
8 seats: 5 clinical + 3 admin (R395 per extra)
700 SMS messages + 350 image-attached AI calls
Cross-doctor referrals
4,500 dictation minutes + 2,000 consult recording minutes
Uploaded lab and radiology results can be reviewed and tracked
Onboarding session per new user

Enterprise

Custom volumes, SSO, dedicated success contact.

Quote

Custom usage, storage, and seat limits
SSO (SAML/OIDC)
Custom scheme configurations
Dedicated customer success contact
On-premise audit trail option
Custom data retention policy

Clinic (8 seats) and Enterprise plans also available. Get in touch.

A clinical day needs more than another tab.

Start with 3 patient records and see a full day's work in one place. No credit card. No trial timer.

Start for free

Not ready to sign up? Try a day in Sphygmos first. No email, every patient invented.

Questions doctors ask

What is Sphygmos?: Sphygmos is a clinical operating system for South African doctors. It combines clinical Q&A (Ask Sphygmos), dictation and consult recording, patient records, clinical documents, results tracking, follow-ups, scheduling, and billing preparation in one workspace.
Is Sphygmos an AI medical scribe?: Yes, and it does not stop at the note. Dictation and consent-based consult recording draft structured notes, and the same consult can produce draft documents, follow-up actions, and billing-ready codes, all connected to the patient record.
Does the AI make clinical decisions?: No. Everything Sphygmos generates is a draft for the doctor to review, edit, and sign off. The doctor remains responsible for clinical judgement, and nothing is sent on your behalf without your approval.
Is it built for South African practice?: Yes. Sphygmos includes PMB motivations, RAF and COIDA document workflows, sick notes and ICD-10 coding support. Documents require your review against the current requirements. Direct lab feeds and automated claims switching are not active; WhatsApp messaging is planned, subject to activation.
Can I use Sphygmos hands-free?: Yes. Say "Sphygmos" to wake it, ask what you would normally type, and hear the answer read back. That works mid-consult or when you are scrubbed in. Anything that writes or sends reads itself back and waits for your spoken confirmation first, and activation is tied to your own voiceprint.
Can I try Sphygmos without signing up?: Yes. "Try a day in Sphygmos" opens a demo practice with no sign-up and no email. Every patient in it is invented, and the full product runs a seeded day: the waiting room, a consult, the paperwork, and Ask. When you are done, one tap starts your own practice.
How much does Sphygmos cost?: You can start free and upgrade when you need more. Current plans and Rand pricing are on this page under Pricing. No hidden charges, cancel any time.

Practical reading: clinical practice guides on PMB motivations, sick notes, RAF 4 reports, COIDA forms, ICD-10 coding, and Section 21 applications.