Content updates

Our clinical team are continuously broadening, updating, and refining the Concentric ontology (i.e. the treatment templates), and release updates every week or so.

Most of our deployments use the main version of the Concentric ontology, and therefore updates will reflect the updates below, but in some cases organsiations have a slightly altered version of the ontology, with updates not necessarily done at the same time as the main version.

These release notes are listed with the most recent first, and start from January 2023 when we began releasing content release information publicly. The list of all the treatment templates available within Concentric, presented by specialty, is maintained in our treatment template list. You can also click any of the specialty titles below to go to the relevant sheet for that specialty.

Each release goes through a thorough release process, as outlined within our release process page. These release notes highlight the recent areas of focus, and lists new treatment templates made available, but do not detail each change that is made within the ontology for each release.

If you don’t currently have access to Concentric but would like to see the Concentric ontology in context within the application please email us at hello@concentric.health.

If you’re looking for our product release notes - outlining the key updates with each software release, visit our product release notes page.

Release 41 - 14 Nov 2023

Maxillofacial:

  • mandibular osteotomy
  • bimaxillary osteotomy
  • segmental maxillary osteotomy / surgically assisted rapid palatal expansion

ENT:

  • epiplate nasal reconstruction
  • total/partial rhinectomy

Cardiology:

  • contrast echocardiogram

Obstetrics and Gynaecology:

  • outpatient hysteroscopy review

Release 40 - 8 Nov 2023

Endoscopy:

  • endoscopic/fluoroscopic colonic/upper GI dilatation / stent insertion / tissue sampling
  • endoscopic prophylactic treatment of varices / variceal band ligation

ENT:

  • Neck dissection review, with addition of extended radical neck dissection

Release 39 - 15 Oct 2023

Removal of COVID-19 pandemic risk across the Concentric ontology, following consultation with the clinical teams across our user-base.


Release 38 - 27 Sep 2023

Orthopaedics / Plastic surgery:

  • excision of a nerve lesion
  • primary nerve repair
  • nerve grafts
  • nerve transfers
  • two-stage flexor tendon reconstruction

Maxillofacial:

  • maxillary osteotomy

Obstetrics and Gynaecology / Urology:

  • pelvic lymph node dissection

Endoscopy:

  • oesophageal manometry with 24 hour oesophageal pH monitoring

Release 37 - 15 Sep 2023

Colorectal:

  • video assisted anal fistula treatment
  • laser ablation of an anal fistula
  • laser ablation of a pilonidal sinus
  • completion proctectomy and ileal pouch–anal anastomosis with loop ileostomy formation
  • total mesorectal excision with colo anal anastomosis

Endoscopy:

  • endoscopic large bowel dilatation
  • endoscopic small bowel dilatation
  • endoscopic small bowel stent insertion
  • endoscopic colonic stent insertion
  • pouchoscopy

Urology:

  • extracorporeal shock wave therapy for Peyronie’s disease
  • low dose rate brachytherapy treatment to the prostate

ENT:

  • excision of a neck lump
  • rigid/flexible nasal endoscopy
  • pharyngeal biopsy with a flexible nasal endoscope
  • oropharyngeal incisional biopsy

Orthopaedics:

  • shoulder hydrodistension

Pain medicine:

  • thoracic sympathetic chain block

Upper GI

  • laparoscopic mesh-augmented hiatoplasty without fundoplication

Release 36 - 7 Sep 2023

Urology:

  • simple orchidectomy (+/- silicone testicle insertion)
  • holmium laser bladder neck incision (HoLBNI)

Release 35 - 6 Sep 2023

Endoscopy:

  • endoscopic Botox injection for achalasia

Oncology/Radiotherapy:

  • external beam radiotherapy to the pancreas
  • external beam radiotherapy for prostate cancer
  • stereotactic ablative body radiotherapy to the thorax
  • external beam radiotherapy to the thorax
  • external beam radiotherapy to the oesophagus
  • external beam radiotherapy for rectal cancer

Release 34 - 15 Aug 2023

Endoscopy:

  • endoscopic argon plasma coagulation of the lower GI tract
  • banding of gastric antral vascular ectasia
  • banding of upper gastrointestinal tract varices
  • ileoscopy

Orthopaedics:

  • Open / arthroscopic elbow debridement
  • Open / arthroscopic biceps tenotomy

Release 33 - 4 Aug 2023

Hepatobiliary:

  • Frey’s procedure
  • Puestow procedure
  • radiofrequency assisted liver partition with portal vein ligation

ENT:

  • meatoplasty of the ear canal
  • septal biopsy
  • insertion of septal button
  • removal of septal button
  • auditory brainstem response test
  • examination of the ear under anaesthesia

Endoscopy:

  • endoscopic removal of bile duct stone

Cardiology:

  • cardiac device lead revision

Dentistry:

  • fixed appliances orthodontic treatment

Radiology:

  • diagnostic angiography of the lower limb
  • diagnostic angiography of the upper limb

Pain medicine:

  • shoulder trigger point injection

Neurosurgery / Spinal Surgery:

  • cauda equina decompression

Orthopaedics:

  • manipulation under anaesthesia of a knee joint

Release 32 - 20 Jul 2023

Urology:

  • transurethral laser ablation (TULA)
  • dorsal slit of the foreskin
  • epididymectomy

Pain medicine:

  • superior hypogastric plexus block
  • lumbar sympathetic plexus block
  • thoracic sympathectomy
  • sphenopalatine ganglion block
  • cervical trigger point injection

Cardiothoracics

  • open excision of a thoracic parathyroid adenoma
  • video-assisted thoracoscopic parathyroidectomy

Hepatobiliary

  • total pancreatectomy
  • left hepatic trisectionectomy
  • associating liver partition and portal vein ligation for staged hepatectomy (ALPPS)
  • laparoscopic/open gastrojejunostomy
  • open hepatico-jejunostomy

Gynaecology:

  • robot-assisted total laparoscopic hysterectomy

Cardiology:

  • percutaneous coronary intervention for coronary artery chronic total occlusion

Orthopaedics:

  • forearm bone grafts
  • open/traction tenolysis of the hand
  • first metacarpophalangeal joint collateral ligament repair
  • hand contracture releases
  • washout of a flexor/extensor sheath of the hand
  • scapholunate ligament reconstruction

Release 31 - 19 Jun 2023

Cardiology:

  • aortic valve balloon valvuloplasty

Urology:

  • meatotomy

Oncology:

  • infliximab
  • cemiplimab

Medicine:

  • ponesimod

Orthopaedics:

  • injection of steroid into the webspace of the foot
  • soft tissue steroid injection for trigger finger
  • intra-articular injection into the elbow joint
  • soft tissue steroid injection of the first dorsal compartment of wrist extensors
  • carpal tunnel steroid injection
  • prepatellar bursa injection
  • soft tissue steroid injection of the medial/lateral elbow
  • manipulation under anaesthesia of phalangeal fracture
  • manipulation under anaesthesia of a metacarpal fracture
  • excision/ligature of an accessory digit
  • syndactyly release
  • open reduction external fixation of phalangeal fracture
  • open reduction external fixation of a metacarpal fracture

Gynaecology:

  • subdermal hormone implant capsule/rod insertion/change
  • transvaginal uterosacral ligament suspension
  • laparoscopic uterosacral ligament suspension

Endoscopy

  • colonoscopic cold/hot snare polypectomy
  • endoscopic upper GI cold/hot snare polypectomy

Pain medicine:

  • pulsed radiofrequency treatment to a cervical/thoracic/lumbar nerve root

Release 30 - 2 Jun 2023

Gynaecology:

  • transcervical MyoSure resection of endometrial pathology

Plastic surgery:

  • excision of hidradenitis suppurativa local transposition flap reconstruction

Medicine:

  • iron infusion
  • CT pulmonary angiogram during pregnancy

Radiology:

  • embolisation of a spinal tumour
  • embolisation of a cerebral tumour
  • endovascular embolisation of a brain arteriovenous fistula
  • cerebral artery balloon angioplasty with or without stent placement
  • cerebral artery balloon occlusion test with or without parent vessel occlusion
  • cerebral artery chemical angioplasty with or without balloon angioplasty
  • cerebral venography and pressure measurement with or without stent placement
  • lower limb peripheral angiogram
  • inferior vena cava filter removal
  • repair of endoleak
  • microwave ablation for liver cancer
  • microwave ablation of the kidney
  • fluoroscopy guided oesophageal dilatation
  • fluoroscopy guided oesophageal / pyloric / duodenal stent insertion
  • fluoroscopy guided colon stent insertion
  • fluoroscopy guided nasogastric / nasojejunal tube insertion

Pain medicine:

  • dorsal scapular nerve block
  • lateral femoral cutaneous nerve of the thigh block
  • piriformis muscle injection
  • lumbar plexus block
  • coeliac plexus block
  • transversus abdominis plane block rectus sheath block

Neurosurgery / Spinal Surgery:

  • anterior / VATS anterior thoracic decompression
  • anterior / VATS anterior thoracic discectomy
  • anterior / VATS anterior thoracic fusion
  • posterior thoracic fusion
  • lateral / VATS lateral thoracic fusion

Release 29 - 24 Apr 2023

Radiology:

  • cerebral aneurysm flow diversion stent insertion
  • diagnostic spinal angiogram

Pain medicine:

  • capsaicin patch therapy
  • intravenous lidocaine infusion
  • greater splanchnic nerve block for the treatment of pain
  • spinal cord stimulator trial
  • spinal cord stimulator removal
  • spinal cord stimulator revision
  • spinal cord stimulator battery replacement

Plastic surgery:

  • botulinum toxin injection for axillary hyperhidrosis
  • LYMPHA procedure
  • superior gluteal artery perforator flap perineal reconstruction
  • inferior gluteal artery perforator flap perineal reconstruction

Neurosurgery / Spinal Surgery:

  • anterior lumbar interbody fusion
  • direct lumbar interbody fusion
  • oblique lumbar interbody fusion

Release 28 - 14 Apr 2023

General surgery:

  • open/laparoscopic umbilical hernia repair
  • laparoscopic paraumbilical hernia repair

Gynaecology:

  • single-incision mini-sling insertion
  • mesh sling division
  • removal of part/all of the vaginal portion of a retropubic mesh sling

Release 27 - 28 Mar 2023

Oncology:

  • DVTd
  • CVD
  • Escalated BEACOPDac
  • thalidomide
  • obinutuzumab
  • isatuximab
  • pomalidomide

Endoscopy

  • Cytosponge

Vascular:

  • ambulatory phlebectomy of the lower limb

ENT:

  • transnasal flexible laryngo-oesophagoscopy

Colorectal:

  • haemorrhoidal artery ligation operation
  • transanal haemorrhoidal artery devascularisation
  • haemorrhoidal artery ligation and rectoanal repair

Radiology:

  • Myelogram / CT myelogram

Orthopaedics / Lower Limb:

  • arthroscopic meniscectomy

Release 26 - 17 Mar 2023

Orthopaedics / Lower Limb:

  • flatfoot reconstruction
  • open/arthroscopic lateral ankle ligament reconstruction
  • open/arthroscopic medial ankle ligament reconstruction
  • Achilles tendon repair with SpeedBridge
  • open/endoscopic debridement of the Achilles tendon
  • open/endoscopic debridement of a Haglund’s deformity

Neurosurgery / Spinal Surgery:

  • posterior lumbar interbody fusion
  • transforaminal lumbar interbody fusion

Release 25 - 13 Mar 2023

Oncology:

  • FOLFIRI
  • FOLFOX
  • R-Bendamustine
  • modified de Gramont regimen
  • bortezomib, cyclophosphamide, and dexamethasone (VCD)
  • Phesgo (trastuzumab and pertuzumab)
  • DA (Daunorubicin and Cytarabine)
  • R-CHOP
  • IVE
  • R-CVP
  • taxotere and cyclophosphamide (TC)
  • epirubicin and cyclophosphamide (EC)
  • EC-Docetaxel
  • FEC / FEC-P / FEC-T
  • irinotecan and capecitabine (XELIRI, CAPIRI, IrCap)
  • MVCarbo
  • MVP
  • pertuzumab, trastuzumab, and docetaxel (TPH)
  • TCH
  • oxaliplatin and capecitabine (XELOX)
  • prednisolone
  • azacitidine
  • subcutaneous rituximab injection
  • dasatinib
  • venetoclax
  • ifosfamide
  • cytarabine
  • daunorubicin
  • zanubrutinib
  • virus specific cytotoxic T-Cell lymphocyte infusion (EBV, BK, CMV, Adenovirus, HHV6)

Pain medicine:

  • acupunture
  • spinal cord stimulator insertion

Neurosurgery:

  • intrathecal pump insertion

Breast:

  • ultrasound guided fine needle aspiration of an axillary lymph node

GAS:

  • gender-affirming laparoscopic bilateral salpingo-oophorectomy / robot-assisted

Radiology:

  • paediatric MRI scan under sedation

Orthopaedics:

  • ulnar shortening osteotomy
  • arthroscopic excision of a ganglion cyst
  • open excision of a ganglion cyst
  • aspiration of a ganglion cyst
  • arthroscopic repair of a tear of the glenoid labrum

Release 24 - 27 Feb 2023

Oncology:

  • hydroxycarbamide
  • vincristine
  • bortezomib
  • daratumumab
  • temozolomide
  • ixazomib
  • lenalidomide
  • bone marrow stem cell harvesting
  • donor lymphocyte infusion
  • mesenchymal stem cell infusion

Orthopaedics:

  • open excision of distal clavicle
  • arthroscopic excision of the distal clavicle
  • arthroscopic excision of calcific tendonitis
  • sagittal band surgery
  • primary tendon repair of the hand
  • tendon transfer/grafting of the hand
  • volar plate release of proximal interphalangeal joint

GAS:

  • gender-affirming total laparoscopic hysterectomy / robot-assisted
  • gender-affirming monsplasty

Pain medicine:

  • peripheral electrical nerve stimulation

Ophthalmology:

  • faricimab intravitreal injection

Release 23 - 20 Feb 2023

Orthopaedics:

  • MR/CT/XR arthrogram of the glenohumeral / hip / knee joint
  • MR/CT/XR arthrogram of a joint (generic)
  • Intra-articular injections of the hand/wrist and foot/ankle

Pain medicine:

  • Peripheral nerve block
  • Genicular nerve block
  • Thermal / Pulsed radiofrequency treatment - genicular nerve(s) / sacroiliac joint / occipital nerve / thoracic facet joint / lumbar facet joint
  • Thermal / pulsed radiofrequency treatment to a peripheral nerve (generic)
  • CT / fluoroscopy guided sacral/thoracic nerve root injection

ENT:

  • Rigid pharyngoscopy and upper oesophagoscopy
  • Partial parotidectomy
  • Completion thyroidectomy

Spinal:

  • Lumbar intersegmental decompression

Release 22 - 6 Feb 2023

Orthopaedics:

  • joint aspiration (without image guidance) (generic)
  • X-ray/CT guided/ultrasound guided joint aspiration (generic)
  • X-ray/CT guided/ultrasound guided intra-articular injection (generic)
  • CT guided/ultrasound guided bursa/cyst injection (generic)
  • CT guided/ultrasound guided aspiration of a bursa/cyst (generic)

Pain medicine:

  • occipital nerve injection for treatment of pain
  • thermal radiofrequency ablation of a peripheral nerve (generic)

Oncology:

  • imatinib
  • acalabrutinib

Release 21 - 29 Jan 2023

Orthopaedics - Upper limb:

  • Dermofasciectomy
  • Dupuytren’s fasciectomy of the finger
  • Shoulder manipulation under anaesthesia
  • Arthroscopic capsular release for frozen shoulder
  • Aspiration of a ganglion cyst of the wrist
  • Open/Arthroscopic excision of a ganglion cyst of the wrist
  • Fusion of trapeziometacarpal joint
  • Metacarpophalangeal/Interphalangeal joint arthroplasties
  • Thumb metacarpophalangeal / carpometacarpal / interphalangeal joint replacement
  • Open/Arthroscopic proximal biceps tenodesis
  • ORIF/CRPP of a phalangeal/metacarpal fracture of the finger
  • Phalangeal/Metacarpal osteotomy
  • Excision of a benign soft tissue tumour/bone tumour of the hand/wrist

Orthopaedics - Lower limb:

  • Forefoot reconstruction

Neurosurgery / Spinal:

  • Elevation of a depressed skull fracture
  • Occipitocervical fusion
  • Extradural tumour resection
  • Extramedullary intradural tumour resection
  • Intramedullary tumour resection

Release 20 - 22 Jan 2023

Pain medicine:

  • Intercostal nerve / Stellate ganglion / Ganglion of impar block for the treatment of pain
  • Pulsed radiofrequency treatment to the intercostal nerve / sacrococcygeal joint / occipital nerve / suprascapular nerve
  • Caudal block
  • Lumbar epidural for chronic pain
  • Cervical epidural for the treatment of pain

Orthopaedics - Upper limb:

  • Diagnostic elbow arthroscopy
  • Arthroscopic elbow surgery
  • Arthroscopic osteocapsular release of the elbow
  • Column procedure
  • Total elbow replacement
  • Distal humeral hemiarthroplasty
  • Lateral resurfacing procedure of the elbow

Orthopaedics - Lower limb:

  • Total ankle replacement

Spinal:

  • Posterior thoracic decompression
  • Posterior thoracic discectomy

Oral surgery:

  • Enucleation of a mandibular/maxillary jaw cyst

Release 19 - 11 Jan 2023

Obstetrics and Gynaecology:

  • planned caesarean birth with bilateral tubal ligation

Pain medicine:

  • pudendal nerve block for treatment of pain
  • anterior cutaneous abdominal nerve block for treatment of pain
  • genitofemoral nerve block for treatment of pain
  • ilioinguinal nerve block for treatment of pain
  • thermal radiofrequency denervation of a thoracic facet joint

Gender-affirming surgery:

  • metoidioplasty
  • modification of vaginal introitus
  • scrotoplasty
  • vaginectomy
  • bilateral prosthetic testicle insertion
  • urethral lengthening with/without urethral hook-up

Neurosurgery / Spinal:

  • radiofrequency / MRI guided focused ultrasound thalamotomy
  • trigeminal neuralgia injection
  • vagal nerve stimulator insertion

ENT:

  • frontal sinus trephination
  • examination of the nose under anaesthesia
  • non-selective laryngeal reinnervation
  • medialisation thyroplasty

Further reading

Release notes

Our release notes summarise the key improvements and changes made to the Concentric application with each release.

Read

Release processes

A guide to the different types of Concentric releases, and the process followed for each.

Read