Sentrix Digital coreza.riskatlas.co.za Core ZA

← Medical schemes & PMBs

Diagnosis Treatment Pairs (DTPs)

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

Browse by system

CodeDiagnosisTreatment
112J Toxic epidermal necrolysis and staphylococcal scalded skin syndrome; Stevens-Johnson syndrome Medical management
349J Cellulitis and abscesses with risk of organ or limb damage or septiceamia if untreated; necrotizing fasciitis Medical and surgical management
356J Pyoderma; body, deep-seated fungal infections Medical management
373J Non-superficial open wounds – non life-threatening Repair
465J Acute lymphadenitis Incision and drainage; medical management
900J Burns, greater than 10% of body surface, or more than 5% involving head, neck, hands, perineum Debridement; free skin graft; medical management
901J Disseminated bullous skin disease, including pemphigus, pemphigoid, epidermolysis bullosa, epidermolytic hyperkeratosis Medical management
950J Cancer of breast - treatable Medical and surgical management, which includes chemotherapy and radiation therapy
951J Lethal midline granuloma Medical management, which includes radiation therapy
952J Cancer of soft tissue, including sarcomas and malignancies of the adnexa - treatable Medical and surgical management, which includes chemotherapy and radiation therapy
953J Malignant melanoma of skin - treatable Medical and surgical management, which includes radiation therapy
954J Cancer of skin, excluding malignant melanoma - treatable If histologically confirmed, Medical and surgical management, which includes 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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