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Breast cancer

C50.9 · Oncology

Clinical summary

Breast cancer. ICD-10: C50.9. Cancer and related conditions — treatment side effects often drive work incapacity.

Category context

Cancer and related conditions — treatment side effects often drive work incapacity.

Common symptoms

Fatigue Nausea Chronic pain Reduced stamina

Relevant clinicians

Roles commonly involved in assessment and treatment for this condition.

Linked medicines (SA)

Tramadol

2 brands

Weak opioid analgesic — seizure risk with SSRIs/SNRIs; sedation affects safety-critical work.

Brands: Tramadol, Tramal (tramadol)

SA strengths: 50 mg capsule · 100 mg SR tablet

Typical dosing: Often 50–100 mg qid PRN or SR 100–200 mg BD — max daily dose per insert.

Codeine

1 brand

Opioid analgesic — often combined with paracetamol; dependence and constipation risk.

Brands: Codeine phosphate

SA strengths: 30 mg tablet · 60 mg tablet

Typical dosing: Combo products: limit tablets per 24 h per package insert (e.g. Stilpane, Myprodol).

Prednisone

1 brand

Reduces inflammation — insomnia, mood changes, and blood sugar effects.

Brands: Prednisone

SA strengths: 5 mg tablet · 20 mg tablet

Typical dosing: Dose per treating clinician script and package insert.

Methylprednisolone

1 brand

Reduces inflammation — insomnia, mood changes, and blood sugar effects.

Brands: Medrol (methylprednisolone)

SA strengths: 4 mg tablet

Typical dosing: Dose per treating clinician script and package insert.

Prescribed therapy

Session-based referrals — not medicines. Therapy directory

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.

Physiotherapy (prescribed)

Physiotherapy

Prescribed rehabilitation for pain, injury, and mobility restoration.

Session formats: 30 min session · 45 min session · 60 min session

Typical plan: Usually 30–60 min sessions weekly to thrice weekly per referral.

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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