The pMD Blog

Welcome to the
pMD Blog...

where we cover interesting and relevant news, insights, events, and more related to the health care industry and pMD. Most importantly, this blog is a fun, engaging way to learn about developments in an ever-changing field that is heavily influenced by technology.

Weekly Byte: Choosing the Right Abstraction
In the software world, when we have some complicated logic that we’ve implemented in code, we often will hide that logic under a layer of abstraction which makes the code easier to understand. For example, let’s say I have an application that does nothing but manipulate squares. If I had some code for calculating the area of a square, I might hide that behind a function called Square.getArea(). This would save the caller from having to think about what is going on “under the hood” to actually perform that calculation.

Sometimes though, new requirements arise that break the abstraction. In our example, let’s imagine I wanted to expand my application to handle circles. Now, because the formula for calculating the area of a circle is different than a square, my getArea() function would now have to take a parameter, isCircle, and then have conditional logic based on the value of that parameter. Our abstraction would be broken. In this case, the fix would be as simple as defining a more generic Shape base class. Shape would have more specific Square and Circle subclasses, both of which would implement the getArea() function in their own way.

At pMD, we’ve offered secure messaging functionality to our customers for about two years. In its earliest days, the product was envisioned as a platform where a provider utilizing pMD’s charge capture software could send an encrypted message to another charge capture user. It has evolved today to be a completely standalone, realtime, mobile secure messaging solution. This is really exciting for us as a company, but of course, this incredible growth has put strains on the original abstractions we put in place when we built the software. Specifically, our concept of what constitutes a “contact” in pMD has evolved from being a charge capture user to anyone who has a smartphone and wants to communicate securely.

Sandi Metz has an interesting blog post called “The Wrong Abstraction.” The title is a bit misleading, because what it’s really about is what to do when you realize that your current abstraction has been stretched past its breaking point. At pMD, we arrived at this realization about our secure messaging contact list recently. Our original concept of a contact was no longer capable of supporting the growing list of requirements we were asking of it. So, we decided to spend this week doing a deep refactor of our implementation.

Our goals in this refactor process were to build an abstraction that, first and foremost, is able to meet the demands we have for new features today, e.g. the ability to add anyone to your contact list. We also wanted it to be as future proof as possible, in order to be able to meet requirements that we think we’ll need to accommodate soon, e.g. the ability for doctors to securely message with their patients. It’s definitely tough to find the right balance, and to not “over engineer” our abstraction, but I think that after several days of whiteboarding and discussions, we’ve arrived at something that we’re all really happy with.

We’ll be spending the next several days implementing and testing our new design. We’re confident that we’ve chosen an abstraction the elegantly encapsulates the functionality that our growing secure messaging product asks of it. We’re excited about how far it will take us!
ACA ACI Advancing Care Information AHCA AHRQ AI Alternative Payment Model Android Apple Artificial Intelligence BCRA Best Places to Work Big Data BPCI BPTW Bundled Payments Care Communities care coordination CDC Charge Capture Charge Capture App Charge Capture Software Charge Capture Solution Charge Capture Statistics Charge Lag CHIP CIO Clinical Communication Clinical Data Registry CMS Conferences custom reports Customer Interaction cybersecurity Developer DHHS dotmed EHR Electronic Charge Capture epidemic FDA Flu fundamentals Goals Health Care Health Care Technology Health Care Web Health Information Exchange Healthcare HIE HIPAA HIPAA-Compliant Hospital Census Hospital Communication IA ICD-10 ICD-11 Improvement Activities Inc Magazine interoperability iOS iOS 8 iOS7 iPad iPhone iPhone 6 MACRA Medical Billing Medical Software Medicare Mentorship messaging MGMA MIPS MIPS Registry mobile Mobile App Mobile Charge Capture Mobile EHR Mobile Health Mobile Messaging Mobile security Mobile Technology Modern Healthcare Native App news NIH OCM Oncology Care Model Patient Patient Care Patient Generated Health Data Patient Handoff Software Patient Information Patient Visits Patient-Centric pmd pMD Team population health Population Health Management PQRS QCDR Quality Scoring Recruiting Reimbursement reports Residents Responsibility Secure Data Secure Messaging Secure Messaging Video Secure Text Messaging SF Biz Times success support TCM Teamwork technology telehealth Text Messaging texting Upgrades VA Value-based care Wearable Device Web App