The Importance of Component Codings

Oct 13, 2025 by wbrum.org 59 views

Understanding the Issue

Working with MU testing today, we found that home BP readings we wrote back to the EMR - separate systolic and diastolic readings - were transformed when read back into a single panel Observation with those systolic and diastolic elements now appearing in the component element. This issue highlights the importance of considering component codings when panel and no top-level codings match.

The Problem with Top-Level Codings

The code on the Observation was 85354-9, a basic LOINC panel coding that they had tagged as an Office code. This top-level coding was used to identify the panel, but it did not provide any information about the individual components within the panel. As a result, the individual component elements, though, they still retained their SBP Home and DBP Home codings, and could be used to differentiate.

The Importance of Component Codings

Component codings are essential when working with panels, as they provide a way to identify and differentiate individual components within a panel. In this case, the SBP Home and DBP Home codings were used to identify the systolic and diastolic readings, respectively. These codings were retained even when the panel was transformed, allowing us to differentiate between the two readings.

Update BP Source Logic to Consider Component Codings

To resolve this issue, we need to update the BP source logic to consider component codings if panel and no top-level codings match. This can be achieved by modifying the logic to check for component codings in addition to top-level codings. Here is an example of how this can be done:

Modified BP Source Logic

def update_bp_source_logic(panel_code, component_codes):
    # Check if panel code matches
    if panel_code == '85354-9':
        # Check if component codes match
        if component_codes == ['SBP Home', 'DBP Home']:
            # Update BP source logic to consider component codings
            # ...
        else:
            # Handle mismatched component codes
            # ...
    else:
        # Handle mismatched panel code
        # ...

Benefits of Updating BP Source Logic

Updating the BP source logic to consider component codings if panel and no top-level codings match has several benefits. These include:

Improved accuracy: By considering component codings, we can improve the accuracy of our BP source logic and ensure that we are correctly identifying and differentiating between individual components within a panel.
Enhanced flexibility: Updating the BP source logic to consider component codings allows us to handle a wider range of scenarios and panel configurations.
Better support for MU testing: By considering component codings, we can better support MU testing and ensure that our BP source logic is compatible with the latest testing requirements.

Conclusion

In conclusion, updating the BP source logic to consider component codings if panel and no top-level codings match is essential for improving the accuracy and flexibility of our BP source logic. By modifying the logic to check for component codings in addition to top-level codings, we can ensure that we are correctly identifying and differentiating between individual components within a panel. This update will also better support MU testing and ensure that our BP source logic is compatible with the latest testing requirements.

Future Work

Future work will focus on further refining and optimizing the BP source logic to ensure that it is compatible with a wide range of panel configurations and testing requirements. This will involve ongoing testing and evaluation of the updated logic to ensure that it meets the needs of our users and stakeholders.

Recommendations

Based on our findings, we recommend that the BP source logic be updated to consider component codings if panel and no top-level codings match. This update will improve the accuracy and flexibility of our BP source logic and ensure that it is compatible with the latest testing requirements.

Implementation Plan

The implementation plan for updating the BP source logic will involve the following steps:

Modify the BP source logic: Update the BP source logic to check for component codings in addition to top-level codings.
Test and evaluate: Test and evaluate the updated logic to ensure that it meets the needs of our users and stakeholders.
Deploy the updated logic: Deploy the updated logic to production and ensure that it is compatible with the latest testing requirements.

Timeline

The timeline for implementing the updated BP source logic is as follows:

Week 1-2: Modify the BP source logic to check for component codings in addition to top-level codings.
Week 3-4: Test and evaluate the updated logic.
Week 5: Deploy the updated logic to production.

Conclusion

Q: What is the issue with the current BP source logic?

A: The current BP source logic does not consider component codings when panel and no top-level codings match. This can lead to inaccurate identification and differentiation of individual components within a panel.

Q: What are component codings?

A: Component codings are used to identify and differentiate individual components within a panel. In the case of blood pressure readings, component codings can be used to identify the systolic and diastolic readings.

Q: Why is it important to consider component codings?

A: Considering component codings is essential for improving the accuracy and flexibility of the BP source logic. By checking for component codings in addition to top-level codings, we can ensure that we are correctly identifying and differentiating between individual components within a panel.

Q: How can we update the BP source logic to consider component codings?

A: We can update the BP source logic by modifying the logic to check for component codings in addition to top-level codings. This can be achieved by adding a new condition to the logic that checks for component codings.

Q: What are the benefits of updating the BP source logic?

A: The benefits of updating the BP source logic include:

Improved accuracy: By considering component codings, we can improve the accuracy of our BP source logic and ensure that we are correctly identifying and differentiating between individual components within a panel.
Enhanced flexibility: Updating the BP source logic to consider component codings allows us to handle a wider range of scenarios and panel configurations.
Better support for MU testing: By considering component codings, we can better support MU testing and ensure that our BP source logic is compatible with the latest testing requirements.

Q: What is the implementation plan for updating the BP source logic?

A: The implementation plan for updating the BP source logic involves the following steps:

Modify the BP source logic: Update the BP source logic to check for component codings in addition to top-level codings.
Test and evaluate: Test and evaluate the updated logic to ensure that it meets the needs of our users and stakeholders.
Deploy the updated logic: Deploy the updated logic to production and ensure that it is compatible with the latest testing requirements.

Q: What is the timeline for implementing the updated BP source logic?

A: The timeline for implementing the updated BP source logic is as follows:

Week 1-2: Modify the BP source logic to check for component codings in addition to top-level codings.
Week 3-4: Test and evaluate the updated logic.
Week 5: Deploy the updated logic to production.

Q: What are the next steps after implementing the updated BP source logic?

A: After implementing the updated BP source logic, we will continue to monitor and evaluate its performance to ensure that it meets the needs of our users and stakeholders. We will also continue to refine and optimize the logic to ensure that it is compatible with the latest testing requirements.

Q: How can we ensure that the updated BP source logic is compatible with the latest testing requirements?

A: We can ensure that the updated BP source logic is compatible with the latest testing requirements by:

Regularly testing and evaluating the logic: We will regularly test and evaluate the updated logic to ensure that it meets the needs of our users and stakeholders.
Staying up-to-date with the latest testing requirements: We will stay up-to-date with the latest testing requirements and make any necessary updates to the logic to ensure that it is compatible.

Q: What are the benefits of staying up-to-date with the latest testing requirements?

A: The benefits of staying up-to-date with the latest testing requirements include:

Improved accuracy: By staying up-to-date with the latest testing requirements, we can improve the accuracy of our BP source logic and ensure that it meets the needs of our users and stakeholders.
Enhanced flexibility: Staying up-to-date with the latest testing requirements allows us to handle a wider range of scenarios and panel configurations.
Better support for MU testing: By staying up-to-date with the latest testing requirements, we can better support MU testing and ensure that our BP source logic is compatible with the latest testing requirements.