Wolfgang, Thanks. That works nicely. I do have a followup question. I wrote the
following query:
rule "Find patient taking Atorvastin (Lipitor)"
dialect "mvel"
when
$p: PatientRecord($meds: medications)
MedicationRecord(getCode("RxNorm").contains("617314")) from $meds
then
System.out.println("Found a patient taking Lipitor:
"+$p.medical_record_number);
results.addResult(new Result("test",$p.medical_record_number,"Found
Patient Taking Lipitor","now"));
end
The problem is that a patient record may have multiple times where this was prescribed.
How would I change the query so that it does not repeat the find so that it is logically:
“If the patient ever took Lipitor… or if there is any record of the patient taking Lipitor
then flag then…” instead of flagging for each hit?? So it only flags a patient with at
least one medication record indicating Lipitor…
Thanks,
Ray
On Jan 2, 2014, at 12:36 PM, Wolfgang Laun <wolfgang.laun(a)gmail.com> wrote:
As you describe it, here's the way to refer to a particular
medication:
Patient( $meds: medications )
Medication( drugCode == "55749-003-01" ) from $meds
This rule determines whether the patient has this particular
medication. There are other operators that might be useful:
Medication( drugCode str[startsWith] "55749-003" ) from $meds
Inserting the Medication objects with a backlink to the Patient can
simplify rule evaluation, which may depend on the number and
complexity of the rules. Compare:
Patient( $meds: medications )
Medication( drugCode == "55749-003-01" ) from $meds
Medication( drugCode == "55799-565-01" ) from $meds
with
$p: Patient()
Medication( drugCode == "55749-003-01", patient == $p )
Medication( drugCode == "55799-565-01", patient == $p )
Much depends on the number of facts you'll need to process.
To answer your question, "Takes" was a class name I invented to refer
to the relation as an object, and "this" is Java's "this",
referring
to the matching object.
-W
On 02/01/2014, Ray Hooker <ray.hooker(a)me.com> wrote:
> Wolfgang, So in your case you were envisioning the possibility of a Takes
> object that matched between a particular medication and the patient.
> Actually we are fairly close in the case of medications.
>
> As you probably know MongoDB allows for documents. In this case, the
> patient’s document contains subdocuments. In the case of medications, this
> semantically means “as of the date of this patient document, the patient is
> taking the following medicine listed by the applicable code and text
> description”.
>
> When read from the DB, you actually have a Java object Patient (or “Record”)
> that has a method “medications” that returns a set of “Medication” objects.
> The parent knows about the medication through the set “medications”. I
> certainly could assert each patient/ record and for each of those assert
> each subdocument, inserting a key back to the parent.
>
> So the rule would need to identify, for example, any case where a particular
> had a medication object where the drug code matched a particular code or set
> of codes.
>
> Any suggestions are appreciated. Also in the example below, is “Takes” a
> function and what does “this” refer to?
>
> Thanks,
>
> Ray
> On Jan 2, 2014, at 2:01 AM, Wolfgang Laun <wolfgang.laun(a)gmail.com> wrote:
>
>> Ideally, a relation is represented by separate objects. Then you might
>> have
>> a rule
>>
>> $p: Patient()
>> $p: Takes( patient == $p, $m: medication )
>> Medication( this == $m )
>>
>> and this rule will fire for each medication of the patient.
>>
>> Answering such questions without details about the actual data model
>> is impossible.
>>
>> -W
>>
>> On 02/01/2014, Ray Hooker <ray.hooker(a)me.com> wrote:
>>> I am trying to figure out how to work with an existing model. The data
>>> is
>>> in
>>> MongoDB with embedded documents. It is about patients would have
>>> sub-documents. For example. An individual patient may have multiple
>>> allergies. Also a patient has multiple medications. So it is as
>>> follows:
>>>
>>> - Patient.medications ---> multiple Medication objects
>>>
>>> So I see where you have a simple one to one. Typically perhaps you
>>> might
>>> have the medication record know that it is associated with the patient,
>>> but
>>> that is not how it is currently organized. So the question is can I
>>> write
>>> rules when patients.medications returns a set/ collection of medications
>>> associated with the patient. I want to write a rule such as "if a
>>> patient
>>> is
>>> taking medication=xxx...."
>>>
>>> Thanks for your help.
>>>
>>> Ray Hooker
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