Content updates

Our clinical team are continuously broadening, updating, and refining the Concentric ontology (i.e. the treatment templates), and updates are released every few weeks.

Most healthcare organisations use the main (‘master’) version of the Concentric ontology – those using this version will see updates as per the below release notes. Deployments using a locally modified version of the Concentric ontology sometimes receive updates on different dates to the main version, and the content of the updates can be different – including further local modifications requested.

Release notes for the last 6 content updates are presented in reverse chronology (most recent first). Earlier release notes are available on request. The list of all the treatment templates available within Concentric, presented by specialty, is maintained in our treatment template list.

Each release goes through a thorough release process, as outlined within our release process page. These release notes highlight the recent areas of focus, listing new treatment templates made available and reviews undertaken, but do not detail every change within a release. Our reviews involve a review of the existing template alongside clinician feedback received, a review of the published evidence-base, and insights gathered from real-world use of the template – for example patterns in terms of risks modified or added.

If you don’t currently have access to Concentric but would like to see the Concentric ontology in context within the application please contact us to request demo access.

Release 52 - 22 Jul 2024

New templates released

• Radiology: Diagnostic angiography of arteriovenous fistula, Angioplasty of arteriovenous fistula, Superior mesenteric artery angioplasty, Gastroduodenal artery embolisation, Venoplasty, Coeliac artery embolisation, Percutaneous liver cyst drainage, Ultrasound guided drainage, Diagnostic angiography of the external/common iliac artery, Tunnelled ascitic drain insertion, Percutaneous drainage of perihepatic fluid

• Gender-affirming surgery: Vaginoplasty, Vulvoplasty, Mastectomy, Nipple reconstruction, Chest liposuction

• Medicine: Fresh Frozen Plasma transfusion, Platelet transfusion, Oral/IV methotrexate

• Cardiothoracics: Minimally invasive mitral valve surgery

• Ophthalmology: Excision biopsy of an upper/lower eyelid lesion

• Oncology: Sacituzumab govitecan

• Orthopaedics: Revision total shoulder replacement

Release 51 - 30 May 2024

New templates released

• Radiology: Nephrostomy tube removal, Biliary drain removal, Percutaneous cholecystostomy, Inferior/Superior vena cava stent insertion, Thrombin injection into femoral artery pseudoaneurysm, Parotid/Sublingual/Submandibular sialogram, Parotid/Sublingual/Submandibular sialoplasty, External/Common iliac artery angioplasty

Release 50 - 10 May 2024

New templates released

• Radiology: Ultrasound guided intra-articular injections (multiple sites), Large joint arthrocentesis (multiple sites), Seroma aspiration, Tubogram, Diagnostic venogram

• Orthopaedics: Wrist denervation, Open reduction and internal fixation of a periprosthetic fracture, Arthrosamid injection into the knee, Excision of Morton’s neuroma, Medial patellofemoral ligament autograft reconstruction, Proximal medial gastrocnemius release, Terminalisation/replantation of a finger, Distal femoral osteotomy, Open plantar fasciotomy, Medial/Lateral collateral ligament repair, Posterior cruciate ligament reconstruction, Tibial tubercle transfer osteotomy

• Maxillofacial: Anterior craniofacial resection

• Plastics: Facelift, Brow lift

• Ophthalmology: Subtenon’s steroid injection

• General Surgery: Insertion/Change of a vacuum assisted closure (VAC) dressing

• Gynaecology: Cervical/Vaginal wall polyp/cyst removal

• Medicine: Adalimumab

Release 49 - 1 May 2024

New templates released

• Urology: Nephrostomy tube exchange, Transperineal MRI-US fusion biopsies of the prostate gland

• General surgery: Open/Laparoscopic ventral hernia repair, Laparoscopic excision of a gastric gastrointestinal stromal tumour

• Cardiology: Temporary transvenous pacing, Temporary transcutaneous pacing

• ENT: Biopsy of tonsil/adenoid/tongue/posterior tongue, Rigid oesophagoscopy and balloon dilatation

• Medicine: Midline insertion

• Dermatology: Topical/Oral PUVA phototherapy

• Neurosurgery: Incision and drainage of a spinal epidural/subdural abscess, Incision and drainage of a spinal cord abscess, Evacuation of a spinal extradural/intradural extramedullary haematoma

Release 48 - 12 Apr 2024

New templates released

• Obstetrics and Gynaecology: MyoSure hysteroscopic procedure.

• Orthopaedics: Extracorporeal shockwave therapy for musculoskeletal conditions, Tibialis anterior tendon transfer for club foot, Percutaneous Achilles tenotomy for club foot.

Reviews conducted: Large loop excision of the transformation zone of the cervix (LLETZ), Transvaginal/Open/Laparoscopic insertion of a transvaginal cervical stitch/cerclage

Release 47 - 9 Mar 2024

New templates released

• Interventional radiology Endovascular stent-assisted coiling of a cerebral aneurysm, Endovascular insertion of an endosaccular flow disruption device for a cerebral aneurysm.

• Ophthalmology: Viscocanalostomy, Supramid suture removal from aqueous shunt implant, Goniotomy, Trabeculectomy +/- mitomycin C / 5-FU, Open globe injury repair, Supraciliary drainage implant (MINIject) insertion, Subconjunctival 5-Fluorouracil injection following trabeculectomy, Bleb revision.

Reviews conducted: OGD/gastroscopy, EUS, ERCP, capsule endoscopy, and flexible bronchoscopy.

Release 46 - 25 Feb 2024

Area of focus: No changes to ontology content but new additional consents (BSUG database, BOFAS registry and CMR Surgical’s Registry and Versius Video platform), released alongside release 75 of the Concentric application.

Release 45 - 25 Feb 2024

Area of focus: No changes to ontology content but new anaesthetic options (conscious sedation, anxiolysis), released alongside release 75 of the Concentric application.

Release 44 - 4 Feb 2024

New templates released

• Ophthalmology: Endoscopic cyclophotocoagulation, Anterior chamber washout, Bleb needling, Cataract surgery with multifocal or extended depth of field lens.

• Pain medicine: Saddle neurolytic block, Botulinum toxin injection for myofascial pain syndrome, Quadratus lumborum block, Lumbar paravertebral block, Abdominal trigger point injection.

• Medicine: Belimumab, Erenumab, Fremanezumab.

• Radiology: Right heart ventricular angiography, Aortogram.

• Maxillofacial: Submental intubation.

• Obstetrics and Gynaecology: Cervical smear, Robot-assisted laparoscopic salpingectomy

• General surgery: Robot-assisted laparoscopic cholecystectomy, Robot-assisted laparoscopic inguinal/femoral hernia repair.

Reviews conducted: Holmium laser enucleation of the prostate, External direct current cardioversion.