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Attention-deficit hyperactivity disorder (ADHD)

F90.9 · Mental health

Clinical summary

Developmentally inappropriate inattention, hyperactivity, or impulsivity causing functional impairment.

Category context

Conditions affecting mood, anxiety, thinking, or behaviour — insurers still need duty-impact evidence, not diagnosis alone.

Common symptoms

Low mood Anxiety Poor concentration Fatigue Insomnia Panic attacks

Relevant clinicians

Roles commonly involved in assessment and treatment for this condition.

Linked medicines (SA)

Methylphenidate

6 brands

Stimulant for ADHD — appetite suppression and insomnia; controlled prescription.

Brands: Ritalin (methylphenidate), Ritalin LA (methylphenidate LA), Concerta (methylphenidate ER), Medikinet LA (methylphenidate LA), Rubifen (methylphenidate), Attenta (methylphenidate)

SA strengths: 5 mg tablet · 10 mg tablet · 20 mg tablet · 10 mg LA capsule · 20 mg LA capsule · 30 mg LA capsule · 40 mg LA capsule · 18 mg ER tablet · 27 mg ER tablet · 36 mg ER tablet · 54 mg ER tablet

Typical dosing: IR (Ritalin/Rubifen/Attenta): 5–20 mg mane and/or lunchtime titrated; LA (Ritalin LA/Medikinet LA): 10–40 mg mane; OROS ER (Concerta): 18–54 mg mane per response.

Atomoxetine

1 brand

Non-stimulant ADHD treatment — may take weeks for full effect; less abuse potential.

Brands: Strattera (atomoxetine)

SA strengths: 10 mg capsule · 18 mg capsule · 25 mg capsule · 40 mg capsule · 60 mg capsule · 80 mg capsule · 100 mg capsule

Typical dosing: Weight-based titration to target dose per paediatric/adult protocols.

Prescribed therapy

Session-based referrals — not medicines. Therapy directory

Psychotherapy / CBT

Psychotherapy & counselling

Structured talking therapy (e.g. CBT) for mental health and adjustment.

Session formats: 50 min session · 60 min session

Typical plan: Typically 50–60 min weekly or fortnightly sessions.

Occupational therapy

Occupational therapy

Functional rehabilitation — workplace pacing, ergonomics, ADL retraining.

Session formats: 45 min session · 60 min session

Typical plan: 45–60 min sessions per treating plan.

Therapy references

Data quality & linkage

Core ingest — feeds Library, Clinical Atlas, compiler
Domain Records Completeness Accuracy Cross-refs Linkage Notes
ICD-10 conditions 106 Hand-curated MVP WHO ICD-10 aligned Condition↔med rules WHO API ingest planned Sync source for Clinical Atlas / Library
SA medications 87 Curated brands/strengths SAHPRA/MIMS target Condition generic maps Schedule badges linked SAHPRA register ingest planned

Official sources & ingest

Authority feeds — master ingest in Core ZA (coreza.riskatlas.co.za)
Domain Official source Feed type API / access Refresh Synced to Status
Medical Schemes & PMB Council for Medical Schemes — PMB HTML / portal www.medicalschemes.co.za/resources/pmb/ Daily cache Library · Clinical Atlas Ingested
Medical Schemes & PMB CMS Industry Report 2023 HTML / portal www.medicalschemes.co.za/media-centre/the… Annual Library · Clinical Atlas Ingested
Medical Schemes & PMB PMB conditions spreadsheet (CMS) XLSX download www.medicalschemes.co.za/download/2032/pr… When CMS updates Library · Clinical Atlas Ingested
Medical Schemes & PMB CDL treatment algorithms HTML / portal www.medicalschemes.co.za/publications/#20… When CDL revised Library · Clinical Atlas Ingested
Clinical Atlas WHO ICD-10 HTML / portal icd.who.int/browse10/2019/en Per atlas release Library · Clinical Atlas Curated / partial API
Clinical Atlas SAHPRA HTML / portal www.sahpra.org.za/ Per atlas release Library · Clinical Atlas Curated / partial API
Clinical Atlas MIMS / SA package inserts Reference www.mims.co.za/ Per atlas release Library · Clinical Atlas Curated / partial API
Clinical Atlas SA Essential Medicines List (EML) Reference www.health.gov.za/ Per atlas release Library · Clinical Atlas Curated / partial API
Clinical Atlas ClaimBuddy curated Reference Internal Per atlas release Library · Clinical Atlas Curated / partial API
Social security (shared) ISSA Country Profiles HTML database www.issa.int/databases/country-profiles Two-year regional cycle Core · Compass ZA Primary — structure
News & conduct NFOSA press releases WordPress REST + RSS nfosa.co.za/wp-json/wp/v2/posts Hourly cache Library · compiler Live — master in Core
News & conduct FSCA media releases RSS / HTML www.fsca.co.za/ Daily Library news Planned structured ingest
Practitioners HPCSA i-register Live HTTP iregister.hpcsa.co.za/ 5-min cache Clinical Atlas · compiler HPCSA lookup Live proxy
Life insurers NFO Life Insurance Division participants HTML register www.nfosa.co.za/participants/life-insuran… When NFO updates the participant list Library life-insurers directory · intake autocomplete Curated — Library directory live
Conduct & complaints NFO Life Insurance Division case reports HTML case reports nfosa.co.za/category/case-reports/ When NFO publishes (curated holdings in Library) Library language map · wiki · precedent pages Curated — CR403, CR356, CR351, CR276, CR72, CR259 live in Library

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