Conditions, medicines & care pathways
Australian ICD-10-AM conditions, PBS medicines, private health funds, prescribed therapies, and AHPRA-registered clinician roles — template in place; data ingestion forthcoming via the National Clinical Terminology Service (NCTS) and the PBS Public API.
This is the Australian ClinicalAtlas template, nested under RiskAtlas. The directory structure matches ClinicalAtlas ZA. Ingest is recorded on Core AU (ICD-10-AM, PBS, TGA, AHPRA, private health funds) — not here. Conditions are planned to draw on the National Clinical Terminology Service (NCTS) — SNOMED CT-AU, AMT, and ICD-10-AM mapping — with MedServe (Australian Digital Health Agency, open source) as a candidate terminology-server implementation. Medicines are planned to draw on the PBS Public API v3 (free subscription key, no NCTS dependency) — client built in pbs_api.py, not yet wired to live data. ClaimBuddy can draw on this layer once Core AU is populated.
Conditions
0 ICD-10-AM · 0 categoriesMedicines
0 entries · 0 types · PBS / TGAPrescribed therapy
Full directory →Private health funds
Full directory →Clinicians & practices
Directory →Data sources — terminology & medicines
Core AU registry →Medicine scheduling (Poisons Standard)
| Schedule | Summary | Claim angle |
|---|---|---|
| Schedule 2 | Pharmacy Medicine | OTC does not mean irrelevant — insurers may ask about self-medication, side-effects, and whether you could function with… |
| Schedule 3 | Pharmacist Only Medicine | Capture pharmacist records if the insurer disputes the treatment timeline or medicine use before cover. |
| Schedule 4 | Prescription Only Medicine | Insurers may accept the diagnosis but dispute sedation, cognitive slowing, or attendance effects — link each medicine to… |
| Schedule 8 | Controlled Drug | Insurers frequently query long-term use, sedation, driving, and safety-critical work — pair script history (state-based … |
| Schedule 9 | Prohibited Substance | Rare on standard IP/TPD files — document any government authority or clinical-trial approval if it appears. |
| Not scheduled | Referral service | Document referral letter, session frequency, provider registration (AHPRA), and functional goals. |