Abstract: An advanced primary nurse care system and process is disclosed which is client-driven for processing a number of clients in a timely manner with enhanced healthcare outcomes. The system and process are sized to provide an optimum patient flow and healthcare. The system includes a computer network having a central system computer. A computer program resides on the system computer for creating a real-time client record as the client proceeds through the system and process. There is a client station connected in the computer network where the client record is initially created and accessed on subsequent visits using a unique client ID code. A client station display monitor displays medical questions regarding the client's health state whereupon the client inputs responses to the questions into the client record. A nurse station is connected in the computer network for receiving the client in the healthcare flow for collecting vital signs and other laboratory information.