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.

Release 23

20 Feb 2023

The added templates are:

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

The added templates are:

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

The added templates are:

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

The added templates are:

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

The added templates are:

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