Diagnosis Treatment Pairs (DTPs)

PMB conditions linking diagnosis to mandated treatment — from CMS Annexure A / coded list.

Browse by system

BRAIN AND NERVOUS SYSTEM (38) HAEMATOLOGICAL, INFECTIOUS AND MISCELLANEOUS SYSTEMIC CONDITIONS (35) HEART AND VASCULATURE (33) GASTRO-INTESTINAL SYSTEM (24) FEMALE REPRODUCTIVE SYSTEM (20) EAR, NOSE, MOUTH AND THROAT (19) URINARY AND MALE GENITAL SYSTEM (15) MUSCULOSKELETAL SYSTEM; TRAUMA NOS (14) ENDOCRINE, METABOLIC AND NUTRITIONAL (13) RESPIRATORY SYSTEM (12) SKIN AND BREAST (12) LIVER, PANCREAS AND SPLEEN (11) PREGNANCY AND CHILDBIRTH (11) MENTAL ILLNESS (9)

Code	Diagnosis	Treatment
236K	Iron deficiency; vitamin and other nutritional deficiencies – life-threatening	Medical management
30K	Benign neoplasm of islets of Langerhans	Excision of tumour; medical management
31K	Hypoglycemic coma; hyperglycemia; diabetic ketoacidosis	Medical management
331K	Acute thyroiditis	Medical management
447K	Disorders of parathyroid gland; benign neoplasm of parathyroid gland	Medical and surgical management
61K	Congenital hypothyroidism	Medical management
901K	Life-threatening congenital abnormalities of carbohydrate, lipid, protein and amino acid metabolism	Medical management
902K	Disorder of adrenal secretion NOS	Medical management; adrenalectomy
903K	Life-threatening disorders of fluid and electrolyte balance, NOS	Medical management
904K	Hyper and hypothyroidism with life-threatening complications or requiring surgery	Medical management Surgery
950K	Cancer of endocrine system, excluding thyroid - treatable	Medical and surgical management, which includes chemotherapy and radiation therapy
951K	Benign and malignant tumours of pituitary gland with/without hypersecretion syndromes	Medical and surgical management; radiation therapy
952K	Cancer of thyroid - treatable; carcinoid syndrome	Medical and surgical management, which includes chemotherapy and radiation therapy

Data quality & linkage

Core ingest — feeds Library, Clinical Atlas, compiler

Domain	Records	Completeness	Accuracy	Cross-refs	Linkage	Notes
CMS registered schemes	71	2023 Industry Report	Manual PDF extract	ClinicalAtlas schemes dir	Open/restricted typed	Diff job pending on new CMS report
DTP diagnosis–treatment pairs	266	CMS XLS ingest	CMS Annexure A	CDL heuristic + body system	266 coded pairs	Scheduled diff on CMS publish
CDL chronic conditions	26	CMS + Gazette algorithms	Curated from CMS PMB	ICD atlas_slug 26/26	100%	Mapping workbench in Core

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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