{
"description": "Spire's subspecialty list (RDS SpireSpecialtySubspecialty table), 214 concepts. Each concept carries its parent specialty as a Coding from the national UK Core Practice Setting Code system (the RDS SpecialtyCode column, whose values are the NHS Data Dictionary main specialty codes) and a generalSubspecialty flag (the RDS GeneralSubspecialty column). Displays are the RDS SubspecialtyName values.",
"_filename": "CodeSystem-SpireCore-Subspecialty-CS.json",
"package_name": "spire-healthcare.prod",
"date": null,
"meta": {
"lastUpdated": "2026-10-06T21:31:04.903+00:00"
},
"publisher": "Spire Healthcare",
"jurisdiction": [ {
"coding": [ {
"code": "GB",
"system": "urn:iso:std:iso:3166"
} ]
} ],
"content": "complete",
"property": [ {
"uri": "https://www.spirehealthcare.com/fhir/CodeSystem/SpireCore-Subspecialty#specialty",
"code": "specialty",
"type": "Coding",
"description": "Parent specialty (UKCore-PracticeSettingCode); RDS SpecialtyCode"
}, {
"uri": "https://www.spirehealthcare.com/fhir/CodeSystem/SpireCore-Subspecialty#generalSubspecialty",
"code": "generalSubspecialty",
"type": "boolean",
"description": "True when this is the general (catch-all) subspecialty of its specialty; RDS GeneralSubspecialty"
} ],
"name": "SpireCoreSubspecialtyCS",
"type": null,
"experimental": "false",
"resourceType": "CodeSystem",
"title": "SpireCore Subspecialty",
"package_version": "1.3.0-beta",
"status": "draft",
"id": "cf137b4c-7b75-4e63-a784-3e201235cfa0",
"kind": null,
"count": 214,
"url": "https://www.spirehealthcare.com/fhir/CodeSystem/SpireCore-Subspecialty",
"concept": [ {
"code": "100_00",
"display": "General Surgery",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "100",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "General Surgery"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": true
} ]
}, {
"code": "100_01",
"display": "Colorectal Surgery",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "100",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "General Surgery"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": false
} ]
}, {
"code": "100_02",
"display": "Endocrine Surgery",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "100",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "General Surgery"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": false
} ]
}, {
"code": "100_03",
"display": "Breast Surgery",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "100",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "General Surgery"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": false
} ]
}, {
"code": "100_04",
"display": "Hernia Surgery",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "100",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "General Surgery"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": false
} ]
}, {
"code": "100_05",
"display": "Hepatobiliary Surgery",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "100",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "General Surgery"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": false
} ]
}, {
"code": "100_06",
"display": "Upper Gastrointestinal Surgery",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "100",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "General Surgery"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": false
} ]
}, {
"code": "100_07",
"display": "Bariatric Surgery",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "100",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "General Surgery"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": false
} ]
}, {
"code": "101_00",
"display": "Urology",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "101",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "Urology"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": true
} ]
}, {
"code": "101_01",
"display": "Endourology",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "101",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "Urology"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": false
} ]
}, {
"code": "101_02",
"display": "Urological Oncology",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "101",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "Urology"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": false
} ]
}, {
"code": "101_03",
"display": "Reconstructive Urology",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "101",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "Urology"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": false
} ]
}, {
"code": "101_04",
"display": "Andrology",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "101",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "Urology"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": false
} ]
}, {
"code": "107_00",
"display": "Vascular Surgery",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "107",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "Vascular Surgery"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": true
} ]
}, {
"code": "107_01",
"display": "Varicose Veins",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "107",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "Vascular Surgery"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": false
} ]
}, {
"code": "110_00",
"display": "Trauma & Orthopaedics",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "110",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "Trauma and Orthopaedics"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": true
} ]
}, {
"code": "110_01",
"display": "Elbow Surgery",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "110",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "Trauma and Orthopaedics"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": false
} ]
}, {
"code": "110_02",
"display": "Foot & Ankle Surgery",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "110",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "Trauma and Orthopaedics"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": false
} ]
}, {
"code": "110_03",
"display": "Hand & Wrist Surgery",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "110",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "Trauma and Orthopaedics"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": false
} ]
}, {
"code": "110_04",
"display": "Hip Surgery",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "110",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "Trauma and Orthopaedics"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": false
} ]
}, {
"code": "110_05",
"display": "Knee Surgery",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "110",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "Trauma and Orthopaedics"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": false
} ]
}, {
"code": "110_06",
"display": "Shoulder Surgery",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "110",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "Trauma and Orthopaedics"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": false
} ]
}, {
"code": "110_07",
"display": "Spine or Neck Surgery",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "110",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "Trauma and Orthopaedics"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": false
} ]
}, {
"code": "110_08",
"display": "Bone & Soft Tissue Sarcoma",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "110",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "Trauma and Orthopaedics"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": false
} ]
}, {
"code": "120_00",
"display": "Ear, Nose, and Throat",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "120",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "Ear Nose and Throat"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": true
} ]
}, {
"code": "120_01",
"display": "Sleep Disorders",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "120",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "Ear Nose and Throat"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": false
} ]
}, {
"code": "120_02",
"display": "Otology",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "120",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "Ear Nose and Throat"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": false
} ]
}, {
"code": "120_03",
"display": "Rhinology",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "120",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "Ear Nose and Throat"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": false
} ]
}, {
"code": "120_04",
"display": "Laryngology",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "120",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "Ear Nose and Throat"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": false
} ]
}, {
"code": "120_05",
"display": "Head and Neck Surgery",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "120",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "Ear Nose and Throat"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": false
} ]
}, {
"code": "120_06",
"display": "Facial Plastics",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "120",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "Ear Nose and Throat"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": false
} ]
}, {
"code": "120_07",
"display": "Paediatric ENT",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "120",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "Ear Nose and Throat"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": false
} ]
}, {
"code": "130_00",
"display": "Ophthalmology",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "130",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "Ophthalmology"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": true
} ]
}, {
"code": "130_01",
"display": "Ophthalmic Surgery",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "130",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "Ophthalmology"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": false
} ]
}, {
"code": "130_02",
"display": "Retinal Disorders",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "130",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "Ophthalmology"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": false
} ]
}, {
"code": "130_03",
"display": "Oculoplastic Surgery",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "130",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "Ophthalmology"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": false
} ]
}, {
"code": "140_00",
"display": "Oral Surgery",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "140",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "Oral Surgery"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": true
} ]
}, {
"code": "141_00",
"display": "Restorative Dentistry",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "141",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "Restorative Dentistry"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": true
} ]
}, {
"code": "142_00",
"display": "Paediatric Dentistry",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "142",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "Paediatric Dentistry"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": true
} ]
}, {
"code": "143_00",
"display": "Orthodontics",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "143",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "Orthodontics"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": true
} ]
}, {
"code": "145_00",
"display": "Oral & Maxillofacial Surgery",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "145",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "Oral and Maxillofacial Surgery"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": true
} ]
}, {
"code": "146_00",
"display": "Endodontics",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "146",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "Endodontics"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": true
} ]
}, {
"code": "147_00",
"display": "Periodontics",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "147",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "Periodontics"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": true
} ]
}, {
"code": "148_00",
"display": "Prosthodontics",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "148",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "Prosthodontics"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": true
} ]
}, {
"code": "149_00",
"display": "Surgical Dentistry",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "149",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "Surgical Dentistry"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": true
} ]
}, {
"code": "150_00",
"display": "Neurosurgery",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "150",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "Neurosurgery"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": true
} ]
}, {
"code": "150_01",
"display": "Spine or Neck Surgery",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "150",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "Neurosurgery"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": false
} ]
}, {
"code": "150_02",
"display": "Cranial Neurosurgery",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "150",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "Neurosurgery"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": false
} ]
}, {
"code": "160_00",
"display": "Plastic Surgery",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "160",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "Plastic Surgery"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": true
} ]
}, {
"code": "160_01",
"display": "Breast Surgery",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "160",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "Plastic Surgery"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": false
} ]
}, {
"code": "160_02",
"display": "Hand Surgery",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "160",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "Plastic Surgery"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": false
} ]
}, {
"code": "160_03",
"display": "Oculoplastic Surgery",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "160",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "Plastic Surgery"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": false
} ]
}, {
"code": "160_04",
"display": "Reconstructive Surgery",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "160",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "Plastic Surgery"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": false
} ]
}, {
"code": "160_05",
"display": "Burns and Trauma",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "160",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "Plastic Surgery"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": false
} ]
}, {
"code": "160_06",
"display": "Craniofacial Surgery",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "160",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "Plastic Surgery"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": false
} ]
}, {
"code": "160_07",
"display": "Paediatric Plastic Surgery",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "160",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "Plastic Surgery"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": false
} ]
}, {
"code": "160_08",
"display": "Microsurgery",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "160",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "Plastic Surgery"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": false
} ]
}, {
"code": "160_09",
"display": "Cosmetic Surgery",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "160",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "Plastic Surgery"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": false
} ]
}, {
"code": "160_10",
"display": "Skin Cancer",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "160",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "Plastic Surgery"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": false
} ]
}, {
"code": "170_00",
"display": "Cardiothoracic Surgery",
"property": [ {
"code": "specialty",
"valueCoding": {
"code": "170",
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"display": "Cardiothoracic Surgery"
}
}, {
"code": "generalSubspecialty",
"valueBoolean": true
} ]
}, {
"code": "170_01",
"display": "Thoracic Surgery",
"property": [ {
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