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 |
|---|---|---|
| 124F | Acute vascular insufficiency of intestine | Colectomy |
| 20F | Intestinal obstruction without mention of hernia; symptomatic foreign body in stomach, intestines, colon & rectum | Excision; surgery; medical management |
| 214F | Oesophageal stricture | Dilatation; surgery |
| 232F | Paralytic ileus | Medical management |
| 254F | Acute diverticulitis of colon | Medical and surgical management, including colon resection |
| 264F | Anal and rectal polyp | Excision of polyp |
| 292F | Regional enteritis; idiopathic proctocolitis – acute exacerbations and complications only | Medical and surgical management |
| 337F | Amoebiasis; typhoid | Medical management |
| 3F | Peritonitis, regardless of cause | Medical and surgical management |
| 41F | Abscess of intestine | Drain abscess; medical management |
| 489F | Acquired hypertrophic pyloric stenosis and other disorders of the stomach and duodenum | Surgical management |
| 498F | Peritoneal adhesion | Surgical management |
| 507F | Thrombosed and complicated haemorrhoids | Haemorrhoidectomy; incision |
| 516F | Oesophageal varices | Medical management; surgical shunt; sclerotherapy |
| 555F | Rectal prolapse | Partial colectomy |
| 6F | Hernia with obstruction and/or gangrene; uncomplicated hernias under age 18 | Repair; bowel resection |
| 900F | Rupture of intra-abdominal organ | Repair; splenectomy; resection |
| 901F | Gastroenteritis and colitis with life-threatening haemorrhage or dehydration, regardless of cause | Medical management |
| 902F | Gastric or intestinal ulcers with hemorrhage or perforation | Surgery; endoscopic diagnosis; medical management |
| 920F | Anal Fissure; Anal fistula | Fissurectomy ; Fistulectomy; medical management |
| 950C | Cancer of the gastro-intestinal tract, including oesophagus, stomach, bowel, rectum, anus - treatable | Medical and surgical management, which includes chemotherapy and radiation therapy |
| 952F | Cancer of retroperitoneum, peritoneum, omentum & mesentery - treatable | Medical and surgical management, which includes chemotherapy and radiation therapy |
| 95F | Congenital anomalies of upper alimentary tract – excluding tongue | Medical and surgical management |
| 9F | Appendicitis | Appendectomy |
Data quality & linkage
| 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
| 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 |