since 2012 now located @1d New eskdale street, paarl, cape town, south africa
Version 4.510 released October 2025 - now with Lab data ingestion
Simcart Ltd (New Zealand) offers software applications for managing Chronic Kidney Disease and Diabetes in your community in 2025 and beyond—with Automated Personalized Plans of Care solutions (APPs).
Version 4.510 release October 2025 with Auto- and Manual ingestion of Lab reports and Clinical reports
Version 4.507 release July 2025 with built in AI tools to support user with any data related question.
Version 4.1 to 4.4 released June 2025 with several new features and enhance capabilities to users
Version 4.1 with AI capabilities has been live in Auckland, New Zealand since 12 February 2025
Version 4.0 of Cloud-based Reality+ has been live since October 1, 2023 for the National Kidney Foundation of Samoa.
On 1 April 2023, version 2.7.1 of Renal and Diabetes Reality was launched in Taranaki, New Zealand. The next update, version Reality Apps version 4.0, is expected to be released by 30 September 2026.
Reality Apps version 4.0 planned upgrade in Northland Health Alliance (NZ) by 31 October 2026
Fiji Kidney Hub upgraded to Reality Apps 4.0 (Cloud-based App live since 31 May 2024)
RenoCare and HealthPlus South Africa have successfully launched version 4.1 of their software on 10 March 2024.
Version 1.0 live since 2012 - now in version 2.8 since 2023
Diabetes Reality live since November 2022 in New Zealand
Live since May 2024 as version 4.1
Version 4.0 live since 1 October 2023
Version 3.0 live since 2021
New users of Reality Apps since March 2024
Background
RenalReality is an innovative software application created by Dr. Allister Williams, a distinguished Consultant Renal Physician with qualifications including MBChB MPhil from Stellenbosch, MRCP from London, and FRACP from Australasia.
This application boasts a user interface meticulously tailored to mirror the thought processes of healthcare professionals, enabling comprehensive management of renal and diabetic patients from their initial interaction with medical services to the entire spectrum of end-organ failure, encompassing conservative care. RenalReality was first introduced on May 4, 2014, within the Taranaki District Health Board in New Zealand and later on August 31, 2020, in the Northland DHB, New Zealand. Our cloud-based platform commenced operations in Fiji in February 2021 and Samoa October 2023.
RenalReality's outstanding contributions were acknowledged when it secured the runner-up prize at the NZ Innovative Health Ideas HINZ 2014 competition and earned a guest presentation slot during the Dubai Year of Innovation in 2015.
In 2023, we are proud to be recognized as a top healthcare solutions provider in New Zealand.
RenalReality and Diabetes Reality now extend their services to three distinct sites, offering automated surveillance and care plans for patients dealing with Chronic Kidney Disease (CKD) and Diabetes Mellitus (DM). You can explore the presentation slides for more insights into our cutting-edge solutions.
The team
Simcart Limited specializes in delivering specialized services and cutting-edge solutions in the field of medicine. As part of our portfolio, we own and operate several software applications, notably RenalReality and DiabetesReality. These Reality Apps are meticulously designed and constructed using a robust multi-tier architecture comprising of multi-tier MVC/WCF/SQL Server stack, with data seamlessly imported from patient management systems and pathology results databases via regular SSIS ETL extracts. Furthermore, our applications are intricately configured to access and retrieve data from the DXC WebPAS and Sysmex Eclair diagnostic results repository.
One of the core features of our solution is a comprehensive database that supports the long-term analysis of medical records for diabetic and renal patients. This database plays a pivotal role in facilitating predictive insights for the demands of renal and diabetic care.
In line with the latest technological advancements, our cloud-based offering, RR3+, is developed using Angular and hosted on Microsoft Azure. Microsoft Azure is a versatile cloud platform comprising over 200 products and services, tailored to bring innovative solutions to life, address contemporary challenges, and shape the future.
At Simcart, our dedicated team of professionals, including software partners, engineers, and developers, actively develop and maintain these applications. We are continually enhancing our offerings, with ongoing projects focused on Power BI dashboards, Diabetes Reality, and the development of a mobile application known as HealthCart, aimed at enhancing the healthcare experience for our patients.
One of the core features of our solution is a comprehensive database that supports the long-term analysis of medical records for diabetic and renal patients. This database plays a pivotal role in facilitating predictive insights for the demands of renal and diabetic care.
In line with the latest technological advancements, our cloud-based offering, RR3+, is developed using Angular and hosted on Microsoft Azure. Microsoft Azure is a versatile cloud platform comprising over 200 products and services, tailored to bring innovative solutions to life, address contemporary challenges, and shape the future.
At Simcart, our dedicated team of professionals, including software partners, engineers, and developers, actively develop and maintain these applications. We are continually enhancing our offerings, with ongoing projects focused on Power BI dashboards, Diabetes Reality, and the development of a mobile application known as HealthCart, aimed at enhancing the healthcare experience for our patients.
Background
Diabetes Reality is a software application created to assist in the management of diabetic patients. It covers every stage of diabetes, from the initial engagement with medical services to conservative care. The application was developed by Dr. Allister Williams, a renowned consultant renal physician with impressive qualifications, including MBChB MPhil from Stellenbosch, MRCP from London, and FRACP from Australasia.
The user interface of Diabetes Reality has been meticulously designed to align with the mindset of diabetic patients. The application was launched on November 27, 2022, at Te Whatu Ora Taranaki in New Zealand, and has since received valuable feedback from users.
In an effort to improve service delivery, we are planning to implement PowerBI dashboards to render data "live and interactive" at the service level. This strategic move will enable healthcare providers to manage diabetes within our community more effectively, gaining valuable insights into the progress and outcomes achieved within our region. In 2024, we started adding AI capabilities. AI-powered tools are revolutionizing healthcare by helping clinicians manage patient data and create personalized care plans. These systems can:
Streamline Data Management: AI can organize, analyze, and retrieve patient records efficiently, reducing administrative workload and minimizing errors.
Enhance Decision-Making: Machine learning models can identify patterns, predict health risks, and recommend treatments based on historical data and patient-specific factors.
Personalized Care Plans: AI can generate tailored care plans by considering patient history, genetics, lifestyle, and current health status, ensuring more effective treatments.
Improve Efficiency: Automated alerts, predictive analytics, and AI-assisted documentation help clinicians focus more on patient care rather than paperwork.
Support Interdisciplinary Collaboration: AI tools facilitate seamless communication and data sharing among different healthcare professionals, ensuring coordinated care.
The user interface of Diabetes Reality has been meticulously designed to align with the mindset of diabetic patients. The application was launched on November 27, 2022, at Te Whatu Ora Taranaki in New Zealand, and has since received valuable feedback from users.
In an effort to improve service delivery, we are planning to implement PowerBI dashboards to render data "live and interactive" at the service level. This strategic move will enable healthcare providers to manage diabetes within our community more effectively, gaining valuable insights into the progress and outcomes achieved within our region. In 2024, we started adding AI capabilities. AI-powered tools are revolutionizing healthcare by helping clinicians manage patient data and create personalized care plans. These systems can:
Streamline Data Management: AI can organize, analyze, and retrieve patient records efficiently, reducing administrative workload and minimizing errors.
Enhance Decision-Making: Machine learning models can identify patterns, predict health risks, and recommend treatments based on historical data and patient-specific factors.
Personalized Care Plans: AI can generate tailored care plans by considering patient history, genetics, lifestyle, and current health status, ensuring more effective treatments.
Improve Efficiency: Automated alerts, predictive analytics, and AI-assisted documentation help clinicians focus more on patient care rather than paperwork.
Support Interdisciplinary Collaboration: AI tools facilitate seamless communication and data sharing among different healthcare professionals, ensuring coordinated care.
Our updates and upgrades since 2012
2012 RenalReality 1.0 went live in Taranaki DHB, New Zealand
2014 RenalReality 1.5 was released in Taranaki DHB, New Zealand
2015 Complete the development of HealthCart and presented at HINZ
2018 RenalReality approved by Health Alliance as a Renal IT solution
2020 RenalReality 2.1 went live in Northland DHB, New Zealand
2021 RenalReality 2.5 went live in Northland DHB, New Zealand2021, RenalReality 3.0 Cloud-based RR went live at The Kidney Hub, Fiji
2022, RenalReality 2.6 went live In Northland on 26 September 2022
2022, RenalReality 2.6.5 went live in Taranaki on 6 November 2022
2022, Diabetes Reality (RdR) GoLive 27 November 20222022, Cloud application RR 3.1.30 upgraded for Kidney Hub, Fiji, August 2022
2023, RealityApps version 2.7.1 - several enhancements added
2023 - National Kidney Foundation of Samoa since October 2023
2024, Renocare and Simcart ltd releasing Reality Apps in South Africa (HealthPlus Medical South Africa)
2025 - AI tools - you can now AskReality anything
Several AI tools added like AI letters, referrals and careplans
You can also AskReality anything about guidelines, ie EPO
AskReality also able to do scripts, patient advice and guidance
.jpeg "Get a full overview of all CKD patients in your community")
From a service point of view, Reality Apps give you an overview of all your modality trends, alerts, and clinicians' caseloads on an easy to manipulate Landing Page.
At an individual patient level, Reality Apps gives a concise summary page of the latest patient status, alerts, and care plans, with Advanced Tabs to individualize patient care.
.jpeg "Real-time Renal Event entry accumulates to a Live interactive Timeline")
From the Summary Page of an individual patient, you can view and edit the latest clinical events and notes, accessible and updated for all other users to view.
.jpeg "Data analysis and reports allow you to manage patients as RRT groups")
Reality Apps prepares up-to-date Modality Monthly reports in Anaemia, eGFR, and CKD MBD management, with the latest alerts for each patient in each modality.
Our vision with Reality Apps "helping hand in health"
"Patients taking ownership of their Chronic Kidney Disease (CKD) can allow for a cost-effective method of managing both progression of CKD and overall maintenance of patient well-being." HINZ 2014
However, as with all other medical practitioners, we need to adapt and use the advances made in Information Technology to deliver a platform to the patient through which the patient can share personalized healthcare information, enabling them to take ownership of their CKD disease through individualized care plans - called Automated Personalized Plans-of-care (APPs)
This platform should consist of automated information, advice, and guidance about the progress of their kidney disease and the associated organ-specific complications. Information technology (IT) advances enable this redesign of healthcare processes based on using and integrating electronic communication at all levels. New communication technologies can now support a transition from institution-centric to patient-centric applications and allow patients and clinical staff to take renal and diabetes care into their own hands.
