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{
  "resourceType": "ConceptMap",
  "id": "SpireCore-AvivaSpecialty-to-Subspecialty",
  "meta": {
    "lastUpdated": "2026-10-06T21:57:25.055+00:00"
  },
  "url": "https://www.spirehealthcare.com/fhir/ConceptMap/SpireCore-AvivaSpecialty-to-Subspecialty",
  "version": "0.1.0",
  "name": "SpireCoreAvivaSpecialtyToSubspecialty",
  "title": "SpireCore Aviva Specialty to Subspecialty",
  "status": "draft",
  "experimental": false,
  "publisher": "Spire Healthcare",
  "description": "Maps Aviva's specialty and subspecialty list to SpireCore subspecialties. Built from the RDS AvivaSpecialtyMapping sheet by matching the Aviva subspecialty name to the master subspecialty names within the same specialty, because the sheet's SubspecialtyCode column follows an older numbering and contradicts the master. Where no subspecialty-level match exists the Aviva concept maps as wider to the general subspecialty of its specialty. Draft: requires data-owner sign-off against the reconciliation report.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "GB"
        }
      ]
    }
  ],
  "sourceCanonical": "https://www.spirehealthcare.com/fhir/ValueSet/SpireCore-AvivaSpecialty",
  "targetCanonical": "https://www.spirehealthcare.com/fhir/ValueSet/SpireCore-Subspecialty",
  "group": [
    {
      "source": "https://www.spirehealthcare.com/fhir/CodeSystem/SpireCore-AvivaSpecialty",
      "target": "https://www.spirehealthcare.com/fhir/CodeSystem/SpireCore-Subspecialty",
      "element": [
        {
          "code": "A001",
          "display": "General Surgery / Breast Surgery",
          "target": [
            {
              "code": "100_03",
              "display": "Breast Surgery",
              "equivalence": "equivalent",
              "comment": "Name-matched (exact); sheet code 100_01 disagreed with the master"
            }
          ]
        },
        {
          "code": "A002",
          "display": "General Surgery / Colorectal",
          "target": [
            {
              "code": "100_01",
              "display": "Colorectal Surgery",
              "equivalence": "equivalent",
              "comment": "Name-matched (core); sheet code 100_02 disagreed with the master"
            }
          ]
        },
        {
          "code": "A003",
          "display": "General Surgery / Endocrine Surgery",
          "target": [
            {
              "code": "100_02",
              "display": "Endocrine Surgery",
              "equivalence": "equivalent",
              "comment": "Name-matched (exact); sheet code 100_03 disagreed with the master"
            }
          ]
        },
        {
          "code": "A004",
          "display": "General Surgery / Hernia",
          "target": [
            {
              "code": "100_04",
              "display": "Hernia Surgery",
              "equivalence": "equivalent",
              "comment": "Name-matched (core); sheet code 100_05 disagreed with the master"
            }
          ]
        },
        {
          "code": "A005",
          "display": "General Surgery / Liver and Pancreas Surgery",
          "target": [
            {
              "code": "100_00",
              "display": "General Surgery",
              "equivalence": "wider",
              "comment": "No subspecialty-level match; rolled up to the general subspecialty of specialty 100"
            }
          ]
        },
        {
          "code": "A006",
          "display": "General Surgery / Upper Gastrointestinal",
          "target": [
            {
              "code": "100_06",
              "display": "Upper Gastrointestinal Surgery",
              "equivalence": "equivalent",
              "comment": "Name-matched (core); sheet code 100_08 disagreed with the master"
            }
          ]
        },
        {
          "code": "A007",
          "display": "Urology / Urology",
          "target": [
            {
              "code": "101_00",
              "display": "Urology",
              "equivalence": "equivalent",
              "comment": "Name-matched (exact); sheet code 101_01 disagreed with the master"
            }
          ]
        },
        {
          "code": "A008",
          "display": "Vascular Surgery / General Vascular",
          "target": [
            {
              "code": "107_00",
              "display": "Vascular Surgery",
              "equivalence": "wider",
              "comment": "No subspecialty-level match; rolled up to the general subspecialty of specialty 107"
            }
          ]
        },
        {
          "code": "A009",
          "display": "Vascular Surgery / Varicose Veins",
          "target": [
            {
              "code": "107_01",
              "display": "Varicose Veins",
              "equivalence": "equivalent",
              "comment": "Name-matched (exact); sheet code 107_02 disagreed with the master"
            }
          ]
        },
        {
          "code": "A010",
          "display": "Orthopaedics And Trauma / Elbow",
          "target": [
            {
              "code": "110_01",
              "display": "Elbow Surgery",
              "equivalence": "equivalent",
              "comment": "Name-matched (core); sheet code 110_02 disagreed with the master"
            }
          ]
        },
        {
          "code": "A011",
          "display": "Orthopaedics And Trauma / Foot And Ankle",
          "target": [
            {
              "code": "110_02",
              "display": "Foot & Ankle Surgery",
              "equivalence": "equivalent",
              "comment": "Name-matched (core); sheet code 110_03 disagreed with the master"
            }
          ]
        },
        {
          "code": "A012",
          "display": "Orthopaedics And Trauma / Hand Or Wrist",
          "target": [
            {
              "code": "110_03",
              "display": "Hand & Wrist Surgery",
              "equivalence": "equivalent",
              "comment": "Name-matched (core); sheet code 110_04 disagreed with the master"
            }
          ]
        },
        {
          "code": "A013",
          "display": "Orthopaedics And Trauma / Hip",
          "target": [
            {
              "code": "110_04",
              "display": "Hip Surgery",
              "equivalence": "equivalent",
              "comment": "Name-matched (core); sheet code 110_05 disagreed with the master"
            }
          ]
        },
        {
          "code": "A014",
          "display": "Orthopaedics And Trauma / Knee",
          "target": [
            {
              "code": "110_05",
              "display": "Knee Surgery",
              "equivalence": "equivalent",
              "comment": "Name-matched (core); sheet code 110_06 disagreed with the master"
            }
          ]
        },
        {
          "code": "A015",
          "display": "Orthopaedics And Trauma / Shoulder",
          "target": [
            {
              "code": "110_06",
              "display": "Shoulder Surgery",
              "equivalence": "equivalent",
              "comment": "Name-matched (core); sheet code 110_07 disagreed with the master"
            }
          ]
        },
        {
          "code": "A016",
          "display": "Orthopaedics And Trauma / Spine Or Neck",
          "target": [
            {
              "code": "110_07",
              "display": "Spine or Neck Surgery",
              "equivalence": "equivalent",
              "comment": "Name-matched (core); sheet code 110_08 disagreed with the master"
            }
          ]
        },
        {
          "code": "A017",
          "display": "Ear Nose And Throat / Ear Nose And Throat",
          "target": [
            {
              "code": "120_00",
              "display": "Ear, Nose, and Throat",
              "equivalence": "equivalent",
              "comment": "Name-matched (exact); sheet code 120_01 disagreed with the master"
            }
          ]
        },
        {
          "code": "A018",
          "display": "Ophthalmology / Cataracts",
          "target": [
            {
              "code": "130_00",
              "display": "Ophthalmology",
              "equivalence": "wider",
              "comment": "No subspecialty-level match; rolled up to the general subspecialty of specialty 130"
            }
          ]
        },
        {
          "code": "A019",
          "display": "Ophthalmology / General Ophthalmology",
          "target": [
            {
              "code": "130_00",
              "display": "Ophthalmology",
              "equivalence": "wider",
              "comment": "No subspecialty-level match; rolled up to the general subspecialty of specialty 130"
            }
          ]
        },
        {
          "code": "A020",
          "display": "Ophthalmology / Retinal",
          "target": [
            {
              "code": "130_00",
              "display": "Ophthalmology",
              "equivalence": "wider",
              "comment": "No subspecialty-level match; rolled up to the general subspecialty of specialty 130"
            }
          ]
        },
        {
          "code": "A021",
          "display": "Oral And Maxillofacial Surgery / Oral And Maxillofacial Surgery",
          "target": [
            {
              "code": "145_00",
              "display": "Oral & Maxillofacial Surgery",
              "equivalence": "equivalent",
              "comment": "Name-matched (exact); sheet code 145_01 disagreed with the master"
            }
          ]
        },
        {
          "code": "A022",
          "display": "Neuro Surgery / Cranial",
          "target": [
            {
              "code": "150_00",
              "display": "Neurosurgery",
              "equivalence": "wider",
              "comment": "No subspecialty-level match; rolled up to the general subspecialty of specialty 150"
            }
          ]
        },
        {
          "code": "A023",
          "display": "Neuro Surgery / Spinal Or Neck",
          "target": [
            {
              "code": "150_00",
              "display": "Neurosurgery",
              "equivalence": "wider",
              "comment": "No subspecialty-level match; rolled up to the general subspecialty of specialty 150"
            }
          ]
        },
        {
          "code": "A024",
          "display": "Plastic Surgery / Breast Reconstruction",
          "target": [
            {
              "code": "160_00",
              "display": "Plastic Surgery",
              "equivalence": "wider",
              "comment": "No subspecialty-level match; rolled up to the general subspecialty of specialty 160"
            }
          ]
        },
        {
          "code": "A025",
          "display": "Plastic Surgery / General Plastic Surgery",
          "target": [
            {
              "code": "160_00",
              "display": "Plastic Surgery",
              "equivalence": "wider",
              "comment": "No subspecialty-level match; rolled up to the general subspecialty of specialty 160"
            }
          ]
        },
        {
          "code": "A026",
          "display": "Plastic Surgery / Hand",
          "target": [
            {
              "code": "160_02",
              "display": "Hand Surgery",
              "equivalence": "equivalent",
              "comment": "Name-matched (core); sheet code 160_03 disagreed with the master"
            }
          ]
        },
        {
          "code": "A027",
          "display": "Cardiothoracic Surgery / Cardiac",
          "target": [
            {
              "code": "170_02",
              "display": "Cardiac Surgery",
              "equivalence": "equivalent",
              "comment": "Name-matched (core); sheet code 170_01 disagreed with the master"
            }
          ]
        },
        {
          "code": "A028",
          "display": "Cardiothoracic Surgery / Thoracic",
          "target": [
            {
              "code": "170_01",
              "display": "Thoracic Surgery",
              "equivalence": "equivalent",
              "comment": "Name-matched (core); sheet code 170_02 disagreed with the master"
            }
          ]
        },
        {
          "code": "A029",
          "display": "Paediatric Surgery / ENT",
          "target": [
            {
              "code": "171_00",
              "display": "Paediatric Surgery",
              "equivalence": "wider",
              "comment": "No subspecialty-level match; rolled up to the general subspecialty of specialty 171"
            }
          ]
        },
        {
          "code": "A030",
          "display": "Paediatric Surgery / General Paediatric Surgery",
          "target": [
            {
              "code": "171_00",
              "display": "Paediatric Surgery",
              "equivalence": "wider",
              "comment": "No subspecialty-level match; rolled up to the general subspecialty of specialty 171"
            }
          ]
        },
        {
          "code": "A031",
          "display": "Paediatric Surgery / Ophthalmology",
          "target": [
            {
              "code": "171_00",
              "display": "Paediatric Surgery",
              "equivalence": "wider",
              "comment": "No subspecialty-level match; rolled up to the general subspecialty of specialty 171"
            }
          ]
        },
        {
          "code": "A032",
          "display": "Paediatric Surgery / Orthopaedics",
          "target": [
            {
              "code": "171_00",
              "display": "Paediatric Surgery",
              "equivalence": "wider",
              "comment": "No subspecialty-level match; rolled up to the general subspecialty of specialty 171"
            }
          ]
        },
        {
          "code": "A033",
          "display": "Paediatric Surgery / Paediatric Urology",
          "target": [
            {
              "code": "171_09",
              "display": "Paediatric Urology",
              "equivalence": "equivalent",
              "comment": "Name-matched (exact); sheet code 171_10 disagreed with the master"
            }
          ]
        },
        {
          "code": "A034",
          "display": "Paediatrics / Plastics",
          "target": [
            {
              "code": "171_00",
              "display": "Paediatric Surgery",
              "equivalence": "wider",
              "comment": "No subspecialty-level match; rolled up to the general subspecialty of specialty 171"
            }
          ]
        },
        {
          "code": "A035",
          "display": "Accident and Emergency / Accident And Emergency",
          "target": [
            {
              "code": "180_00",
              "display": "Emergency Medicine",
              "equivalence": "wider",
              "comment": "No subspecialty-level match; rolled up to the general subspecialty of specialty 180"
            }
          ]
        },
        {
          "code": "A036",
          "display": "Anaesthesia",
          "target": [
            {
              "code": "190_00",
              "display": "Anaesthetics",
              "equivalence": "wider",
              "comment": "No subspecialty-level match; rolled up to the general subspecialty of specialty 190"
            }
          ]
        },
        {
          "code": "A037",
          "display": "Anaesthesia / Anaesthesia",
          "target": [
            {
              "code": "190_00",
              "display": "Anaesthetics",
              "equivalence": "wider",
              "comment": "No subspecialty-level match; rolled up to the general subspecialty of specialty 190"
            }
          ]
        },
        {
          "code": "A038",
          "display": "Anaesthesia / Paediatrics",
          "target": [
            {
              "code": "190_00",
              "display": "Anaesthetics",
              "equivalence": "wider",
              "comment": "No subspecialty-level match; rolled up to the general subspecialty of specialty 190"
            }
          ]
        },
        {
          "code": "A039",
          "display": "Pain Management / Pain Management",
          "target": [
            {
              "code": "190_03",
              "display": "Pain Management",
              "equivalence": "equivalent",
              "comment": "Name-matched (exact); sheet code 190_04 disagreed with the master"
            }
          ]
        },
        {
          "code": "A040",
          "display": "Intensive Care Medicine / Intensive Care Medicine",
          "target": [
            {
              "code": "192_00",
              "display": "Intensive Care Medicine",
              "equivalence": "equivalent",
              "comment": "Name-matched (exact); sheet code 192_01 disagreed with the master"
            }
          ]
        },
        {
          "code": "A041",
          "display": "General Medicine / General Medicine",
          "target": [
            {
              "code": "300_00",
              "display": "General Internal Medicine",
              "equivalence": "wider",
              "comment": "No subspecialty-level match; rolled up to the general subspecialty of specialty 300"
            }
          ]
        },
        {
          "code": "A042",
          "display": "Respiratory Medicine / Sleep Disorders",
          "target": [
            {
              "code": "300_01",
              "display": "Sleep Disorders",
              "equivalence": "equivalent",
              "comment": "Name-matched (exact); sheet code 300_02 disagreed with the master"
            }
          ]
        },
        {
          "code": "A043",
          "display": "Gastroenterology / General Gi",
          "target": [
            {
              "code": "301_00",
              "display": "Gastroenterology",
              "equivalence": "wider",
              "comment": "No subspecialty-level match; rolled up to the general subspecialty of specialty 301"
            }
          ]
        },
        {
          "code": "A044",
          "display": "Gastroenterology / Hepatology",
          "target": [
            {
              "code": "301_01",
              "display": "Hepatology",
              "equivalence": "equivalent",
              "comment": "Name-matched (exact); sheet code 301_02 disagreed with the master"
            }
          ]
        },
        {
          "code": "A045",
          "display": "Endocrinology / Endocrinology",
          "target": [
            {
              "code": "302_00",
              "display": "Endocrinology",
              "equivalence": "equivalent",
              "comment": "Name-matched (exact); sheet code 302_01 disagreed with the master"
            }
          ]
        },
        {
          "code": "A046",
          "display": "Pharmacology / Pharmacology",
          "target": [
            {
              "code": "305_00",
              "display": "Clinical Pharmacology",
              "equivalence": "wider",
              "comment": "No subspecialty-level match; rolled up to the general subspecialty of specialty 305"
            }
          ]
        },
        {
          "code": "A047",
          "display": "Audiological Medicine / Audiological Medicine",
          "target": [
            {
              "code": "310_00",
              "display": "Audio-Vestibular Medicine",
              "equivalence": "wider",
              "comment": "No subspecialty-level match; rolled up to the general subspecialty of specialty 310"
            }
          ]
        },
        {
          "code": "A048",
          "display": "Palliative Medicine / Palliative Medicine",
          "target": [
            {
              "code": "315_00",
              "display": "Palliative Medicine",
              "equivalence": "equivalent",
              "comment": "Name-matched (exact); sheet code 315_01 disagreed with the master"
            }
          ]
        },
        {
          "code": "A049",
          "display": "Immunology And Allergy / Immunology And Allergy",
          "target": [
            {
              "code": "317_00",
              "display": "Allergy",
              "equivalence": "wider",
              "comment": "No subspecialty-level match; rolled up to the general subspecialty of specialty 317"
            }
          ]
        },
        {
          "code": "A050",
          "display": "Cardiology / Electro Cardiology",
          "target": [
            {
              "code": "320_00",
              "display": "Cardiology",
              "equivalence": "wider",
              "comment": "No subspecialty-level match; rolled up to the general subspecialty of specialty 320"
            }
          ]
        },
        {
          "code": "A051",
          "display": "Cardiology / General Cardiology",
          "target": [
            {
              "code": "320_00",
              "display": "Cardiology",
              "equivalence": "wider",
              "comment": "No subspecialty-level match; rolled up to the general subspecialty of specialty 320"
            }
          ]
        },
        {
          "code": "A052",
          "display": "Cardiology / Interventional Cardiology",
          "target": [
            {
              "code": "320_02",
              "display": "Interventional Cardiology",
              "equivalence": "equivalent",
              "comment": "Name-matched (exact); sheet code 320_03 disagreed with the master"
            }
          ]
        },
        {
          "code": "A053",
          "display": "Paediatrics / Cardiology",
          "target": [
            {
              "code": "321_00",
              "display": "Paedicatric Cardiology",
              "equivalence": "wider",
              "comment": "No subspecialty-level match; rolled up to the general subspecialty of specialty 321"
            }
          ]
        },
        {
          "code": "A054",
          "display": "Sports And Exercise Medicine / Sports And Exercise Medicine",
          "target": [
            {
              "code": "325_00",
              "display": "Sport & Exercise Medicine",
              "equivalence": "equivalent",
              "comment": "Name-matched (core); sheet code 325_01 disagreed with the master"
            }
          ]
        },
        {
          "code": "A055",
          "display": "Dermatology / Dermatology",
          "target": [
            {
              "code": "330_00",
              "display": "Dermatology",
              "equivalence": "equivalent",
              "comment": "Name-matched (exact); sheet code 330_01 disagreed with the master"
            }
          ]
        },
        {
          "code": "A056",
          "display": "Respiratory Medicine / General Respiratory",
          "target": [
            {
              "code": "340_00",
              "display": "Respiratory Medicine",
              "equivalence": "wider",
              "comment": "No subspecialty-level match; rolled up to the general subspecialty of specialty 340"
            }
          ]
        },
        {
          "code": "A057",
          "display": "Infectious Diseases / Infectious Diseases",
          "target": [
            {
              "code": "350_00",
              "display": "Infectious Diseases",
              "equivalence": "equivalent",
              "comment": "Name-matched (exact); sheet code 350_01 disagreed with the master"
            }
          ]
        },
        {
          "code": "A058",
          "display": "Tropical Medicine / Tropical Medicine",
          "target": [
            {
              "code": "352_00",
              "display": "Tropical Medicine",
              "equivalence": "equivalent",
              "comment": "Name-matched (exact); sheet code 352_01 disagreed with the master"
            }
          ]
        },
        {
          "code": "A059",
          "display": "Genito-Urinary Medicine / Genitourinary Medicine",
          "target": [
            {
              "code": "360_00",
              "display": "Genitourinary Medicine",
              "equivalence": "equivalent",
              "comment": "Name-matched (exact); sheet code 360_01 disagreed with the master"
            }
          ]
        },
        {
          "code": "A060",
          "display": "Nephrology / Renal Medicine Or Nephrology",
          "target": [
            {
              "code": "361_00",
              "display": "Nephrology",
              "equivalence": "wider",
              "comment": "No subspecialty-level match; rolled up to the general subspecialty of specialty 361"
            }
          ]
        },
        {
          "code": "A061",
          "display": "Nuclear Medicine / Nuclear Medicine",
          "target": [
            {
              "code": "371_00",
              "display": "Nuclear Medicine",
              "equivalence": "equivalent",
              "comment": "Name-matched (exact); sheet code 371_01 disagreed with the master"
            }
          ]
        },
        {
          "code": "A062",
          "display": "Radiology / Nuclear Radiology",
          "target": [
            {
              "code": "371_01",
              "display": "Nuclear Radiology",
              "equivalence": "equivalent",
              "comment": "Name-matched (exact); sheet code 371_02 disagreed with the master"
            }
          ]
        },
        {
          "code": "A063",
          "display": "Neurology / Neurology",
          "target": [
            {
              "code": "400_00",
              "display": "Neurology",
              "equivalence": "equivalent",
              "comment": "Name-matched (exact); sheet code 400_01 disagreed with the master"
            }
          ]
        },
        {
          "code": "A064",
          "display": "Neurology / NEUROPHYSIOLOGY",
          "target": [
            {
              "code": "400_01",
              "display": "Neurophysiology",
              "equivalence": "equivalent",
              "comment": "Name-matched (exact); sheet code 400_02 disagreed with the master"
            }
          ]
        },
        {
          "code": "A065",
          "display": "Neurophysiology / NEUROPHYSIOLOGY",
          "target": [
            {
              "code": "401_00",
              "display": "Clinical Neurophysiology",
              "equivalence": "wider",
              "comment": "No subspecialty-level match; rolled up to the general subspecialty of specialty 401"
            }
          ]
        },
        {
          "code": "A066",
          "display": "Rheumatology / Rheumatology",
          "target": [
            {
              "code": "410_00",
              "display": "Rheumatology",
              "equivalence": "equivalent",
              "comment": "Name-matched (exact); sheet code 410_01 disagreed with the master"
            }
          ]
        },
        {
          "code": "A067",
          "display": "Neonatology / Neonatology",
          "target": [
            {
              "code": "420_00",
              "display": "Paediatrics",
              "equivalence": "wider",
              "comment": "No subspecialty-level match; rolled up to the general subspecialty of specialty 420"
            }
          ]
        },
        {
          "code": "A068",
          "display": "Paediatrics / Endocrine",
          "target": [
            {
              "code": "420_00",
              "display": "Paediatrics",
              "equivalence": "wider",
              "comment": "No subspecialty-level match; rolled up to the general subspecialty of specialty 420"
            }
          ]
        },
        {
          "code": "A069",
          "display": "Paediatrics / Gastroenterology",
          "target": [
            {
              "code": "420_00",
              "display": "Paediatrics",
              "equivalence": "wider",
              "comment": "No subspecialty-level match; rolled up to the general subspecialty of specialty 420"
            }
          ]
        },
        {
          "code": "A070",
          "display": "Paediatrics / Paediatric Dermatology",
          "target": [
            {
              "code": "420_03",
              "display": "Paediatric Dermatology",
              "equivalence": "equivalent",
              "comment": "Name-matched (exact); sheet code 420_04 disagreed with the master"
            }
          ]
        },
        {
          "code": "A071",
          "display": "Paediatrics / Paediatric Medicine",
          "target": [
            {
              "code": "420_00",
              "display": "Paediatrics",
              "equivalence": "wider",
              "comment": "No subspecialty-level match; rolled up to the general subspecialty of specialty 420"
            }
          ]
        },
        {
          "code": "A072",
          "display": "Paediatrics / Paediatric Oncology",
          "target": [
            {
              "code": "420_05",
              "display": "Paediatric Oncology",
              "equivalence": "equivalent",
              "comment": "Name-matched (exact); sheet code 420_06 disagreed with the master"
            }
          ]
        },
        {
          "code": "A073",
          "display": "Paediatrics / Paediatric Respiratory",
          "target": [
            {
              "code": "420_00",
              "display": "Paediatrics",
              "equivalence": "wider",
              "comment": "No subspecialty-level match; rolled up to the general subspecialty of specialty 420"
            }
          ]
        },
        {
          "code": "A074",
          "display": "Paediatrics / Paediatric Rheumatology",
          "target": [
            {
              "code": "420_07",
              "display": "Paediatric Rheumatology",
              "equivalence": "equivalent",
              "comment": "Name-matched (exact); sheet code 420_09 disagreed with the master"
            }
          ]
        },
        {
          "code": "A075",
          "display": "Paediatrics / Radiology",
          "target": [
            {
              "code": "420_00",
              "display": "Paediatrics",
              "equivalence": "wider",
              "comment": "No subspecialty-level match; rolled up to the general subspecialty of specialty 420"
            }
          ]
        },
        {
          "code": "A076",
          "display": "Paediatrics / Paediatric Neurology",
          "target": [
            {
              "code": "421_00",
              "display": "Paediatric Neurology",
              "equivalence": "equivalent",
              "comment": "Name-matched (exact); sheet code 421_01 disagreed with the master"
            }
          ]
        },
        {
          "code": "A077",
          "display": "Geriatrics / Geriatrics",
          "target": [
            {
              "code": "430_00",
              "display": "Geriatric Medicine",
              "equivalence": "wider",
              "comment": "No subspecialty-level match; rolled up to the general subspecialty of specialty 430"
            }
          ]
        },
        {
          "code": "A078",
          "display": "Obstetrics And Gynaecology / Abnormal Pregnancy",
          "target": [
            {
              "code": "500_00",
              "display": "Obstetrics & Gynaecology",
              "equivalence": "wider",
              "comment": "No subspecialty-level match; rolled up to the general subspecialty of specialty 500"
            }
          ]
        },
        {
          "code": "A079",
          "display": "Obstetrics And Gynaecology / Oncology",
          "target": [
            {
              "code": "500_00",
              "display": "Obstetrics & Gynaecology",
              "equivalence": "wider",
              "comment": "No subspecialty-level match; rolled up to the general subspecialty of specialty 500"
            }
          ]
        },
        {
          "code": "A080",
          "display": "Obstetrics And Gynaecology / Uro Gynae",
          "target": [
            {
              "code": "500_00",
              "display": "Obstetrics & Gynaecology",
              "equivalence": "wider",
              "comment": "No subspecialty-level match; rolled up to the general subspecialty of specialty 500"
            }
          ]
        },
        {
          "code": "A081",
          "display": "Obstetrics And Gynaecology / Obstetrics Or Pregnancy",
          "target": [
            {
              "equivalence": "unmatched",
              "comment": "No match and specialty 501 has no general subspecialty"
            }
          ]
        },
        {
          "code": "A082",
          "display": "Obstetrics And Gynaecology / General Gynae",
          "target": [
            {
              "equivalence": "unmatched",
              "comment": "No match and specialty 502 has no general subspecialty"
            }
          ]
        },
        {
          "code": "A083",
          "display": "Psychiatry / Old Age",
          "target": [
            {
              "code": "715_00",
              "display": "Psychiatry",
              "equivalence": "wider",
              "comment": "No subspecialty-level match; rolled up to the general subspecialty of specialty 715"
            }
          ]
        },
        {
          "code": "A084",
          "display": "Oncology / Anal",
          "target": [
            {
              "code": "800_00",
              "display": "Oncology",
              "equivalence": "wider",
              "comment": "No subspecialty-level match; rolled up to the general subspecialty of specialty 800"
            }
          ]
        },
        {
          "code": "A085",
          "display": "Oncology / Bone and Soft Tissue Sarcoma",
          "target": [
            {
              "code": "800_01",
              "display": "Bone & Soft Tissue Sarcoma",
              "equivalence": "equivalent",
              "comment": "Name-matched (exact); sheet code 800_02 disagreed with the master"
            }
          ]
        },
        {
          "code": "A086",
          "display": "Oncology / Brachytherapy",
          "target": [
            {
              "code": "800_02",
              "display": "Brachytherapy",
              "equivalence": "equivalent",
              "comment": "Name-matched (exact); sheet code 800_03 disagreed with the master"
            }
          ]
        },
        {
          "code": "A087",
          "display": "Oncology / Brain and Central Nervous System",
          "target": [
            {
              "code": "800_00",
              "display": "Oncology",
              "equivalence": "wider",
              "comment": "No subspecialty-level match; rolled up to the general subspecialty of specialty 800"
            }
          ]
        },
        {
          "code": "A088",
          "display": "Oncology / Breast",
          "target": [
            {
              "code": "800_00",
              "display": "Oncology",
              "equivalence": "wider",
              "comment": "No subspecialty-level match; rolled up to the general subspecialty of specialty 800"
            }
          ]
        },
        {
          "code": "A089",
          "display": "Oncology / Colorectal Cancer",
          "target": [
            {
              "code": "800_05",
              "display": "Colorectal Cancer",
              "equivalence": "equivalent",
              "comment": "Name-matched (exact); sheet code 800_06 disagreed with the master"
            }
          ]
        },
        {
          "code": "A090",
          "display": "Oncology / Endocrine Cancer",
          "target": [
            {
              "code": "800_06",
              "display": "Endocrine Cancer",
              "equivalence": "equivalent",
              "comment": "Name-matched (exact); sheet code 800_07 disagreed with the master"
            }
          ]
        },
        {
          "code": "A091",
          "display": "Oncology / Genito-urinary  non-prostate",
          "target": [
            {
              "code": "800_00",
              "display": "Oncology",
              "equivalence": "wider",
              "comment": "No subspecialty-level match; rolled up to the general subspecialty of specialty 800"
            }
          ]
        },
        {
          "code": "A092",
          "display": "Oncology / Germ Cell",
          "target": [
            {
              "code": "800_00",
              "display": "Oncology",
              "equivalence": "wider",
              "comment": "No subspecialty-level match; rolled up to the general subspecialty of specialty 800"
            }
          ]
        },
        {
          "code": "A093",
          "display": "Oncology / Gynaecological",
          "target": [
            {
              "code": "800_00",
              "display": "Oncology",
              "equivalence": "wider",
              "comment": "No subspecialty-level match; rolled up to the general subspecialty of specialty 800"
            }
          ]
        },
        {
          "code": "A094",
          "display": "Oncology / Haematology & Lymphoma",
          "target": [
            {
              "code": "800_00",
              "display": "Oncology",
              "equivalence": "wider",
              "comment": "No subspecialty-level match; rolled up to the general subspecialty of specialty 800"
            }
          ]
        },
        {
          "code": "A095",
          "display": "Oncology / Head And Neck",
          "target": [
            {
              "code": "800_00",
              "display": "Oncology",
              "equivalence": "wider",
              "comment": "No subspecialty-level match; rolled up to the general subspecialty of specialty 800"
            }
          ]
        },
        {
          "code": "A096",
          "display": "Oncology / Immunosuppression - related",
          "target": [
            {
              "code": "800_12",
              "display": "Immunosuppression-related Cancer",
              "equivalence": "equivalent",
              "comment": "Name-matched (fuzzy); sheet code 800_13 disagreed with the master"
            }
          ]
        },
        {
          "code": "A097",
          "display": "Oncology / Lung & Thoracic",
          "target": [
            {
              "code": "800_00",
              "display": "Oncology",
              "equivalence": "wider",
              "comment": "No subspecialty-level match; rolled up to the general subspecialty of specialty 800"
            }
          ]
        },
        {
          "code": "A098",
          "display": "Oncology / Prostate",
          "target": [
            {
              "code": "800_00",
              "display": "Oncology",
              "equivalence": "wider",
              "comment": "No subspecialty-level match; rolled up to the general subspecialty of specialty 800"
            }
          ]
        },
        {
          "code": "A099",
          "display": "Oncology / Radiotherapy",
          "target": [
            {
              "code": "800_15",
              "display": "Radiotherapy",
              "equivalence": "equivalent",
              "comment": "Name-matched (exact); sheet code 800_16 disagreed with the master"
            }
          ]
        },
        {
          "code": "A100",
          "display": "Oncology / Skin",
          "target": [
            {
              "code": "800_00",
              "display": "Oncology",
              "equivalence": "wider",
              "comment": "No subspecialty-level match; rolled up to the general subspecialty of specialty 800"
            }
          ]
        },
        {
          "code": "A101",
          "display": "Oncology / Stereotactic Radiotherapy - Surgery",
          "target": [
            {
              "code": "800_17",
              "display": "Stereotactic Radiotherapy",
              "equivalence": "equivalent",
              "comment": "Name-matched (core); sheet code 800_18 disagreed with the master"
            }
          ]
        },
        {
          "code": "A102",
          "display": "Oncology / Unknown Primary",
          "target": [
            {
              "code": "800_00",
              "display": "Oncology",
              "equivalence": "wider",
              "comment": "No subspecialty-level match; rolled up to the general subspecialty of specialty 800"
            }
          ]
        },
        {
          "code": "A103",
          "display": "Oncology / Upper GI & Hepatobiliary",
          "target": [
            {
              "code": "800_19",
              "display": "Upper GI & Hepatobiliary Cancer",
              "equivalence": "equivalent",
              "comment": "Name-matched (fuzzy); sheet code 800_20 disagreed with the master"
            }
          ]
        },
        {
          "code": "A104",
          "display": "Radiotherapy / General Radiotherapy",
          "target": [
            {
              "code": "800_00",
              "display": "Oncology",
              "equivalence": "wider",
              "comment": "No subspecialty-level match; rolled up to the general subspecialty of specialty 800"
            }
          ]
        },
        {
          "code": "A105",
          "display": "Radiology",
          "target": [
            {
              "code": "810_00",
              "display": "Radiology",
              "equivalence": "wider",
              "comment": "No subspecialty-level match; rolled up to the general subspecialty of specialty 810"
            }
          ]
        },
        {
          "code": "A106",
          "display": "Radiology / Interventional Radiology",
          "target": [
            {
              "code": "810_02",
              "display": "Interventional Radiology",
              "equivalence": "equivalent",
              "comment": "Name-matched (exact); sheet code 810_01 disagreed with the master"
            }
          ]
        },
        {
          "code": "A107",
          "display": "Radiology / Neuro Radiology",
          "target": [
            {
              "code": "810_01",
              "display": "Neuroradiology",
              "equivalence": "equivalent",
              "comment": "Name-matched (compact); sheet code 810_02 disagreed with the master"
            }
          ]
        },
        {
          "code": "A108",
          "display": "Radiology / Noninterventional",
          "target": [
            {
              "code": "810_00",
              "display": "Radiology",
              "equivalence": "wider",
              "comment": "No subspecialty-level match; rolled up to the general subspecialty of specialty 810"
            }
          ]
        },
        {
          "code": "A109",
          "display": "Radiology / Ultrasound",
          "target": [
            {
              "code": "810_00",
              "display": "Radiology",
              "equivalence": "wider",
              "comment": "No subspecialty-level match; rolled up to the general subspecialty of specialty 810"
            }
          ]
        },
        {
          "code": "A110",
          "display": "Pathology / Biochemistry",
          "target": [
            {
              "equivalence": "unmatched",
              "comment": "No match and specialty 822 has no general subspecialty"
            }
          ]
        },
        {
          "code": "A111",
          "display": "Haematology / Haematology",
          "target": [
            {
              "code": "823_00",
              "display": "Haematology",
              "equivalence": "equivalent",
              "comment": "Name-matched (exact); sheet code 823_01 disagreed with the master"
            }
          ]
        },
        {
          "code": "A112",
          "display": "Pathology / Histopathology",
          "target": [
            {
              "code": "824_00",
              "display": "Histopathology",
              "equivalence": "equivalent",
              "comment": "Name-matched (exact); sheet code 824_02 disagreed with the master"
            }
          ]
        },
        {
          "code": "A113",
          "display": "Medical Microbiology / Medical Microbiology",
          "target": [
            {
              "code": "833_00",
              "display": "Medical Microbiology",
              "equivalence": "equivalent",
              "comment": "Name-matched (exact); sheet code 833_01 disagreed with the master"
            }
          ]
        },
        {
          "code": "A114",
          "display": "Acupuncture / Acupuncture",
          "target": [
            {
              "code": "960_07",
              "display": "Acupuncture",
              "equivalence": "equivalent",
              "comment": "Name-matched (exact); sheet code 960_08 disagreed with the master"
            }
          ]
        }
      ]
    }
  ]
}