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So the code we currently have for the patient is already a high level concept in the Product hierarchy in SNOMED CT. A parent concept for this would be 90614001 | beta-Lactam antibiotic (product) |, but this will subsume cephalosporins as well ( while there is a potential cross allergy to this class, many patients can tolerate them). So we will use the code '6369005', and it just happens to be the same as the code in the patient record in this particular case. l

Let's just use an 'equals' operator for now in the last line:

     Let penicillinProductSCT: CD = CD {code = '6369005', 
                                        codeSystem = '2.16.840.1.113883.6.1', 
                                        codeSystemName ='SNOMED-CT'}

     vmr.allergies.oclIsDefined() and 
       vmr.allergies->exists(a | a.allergenCode = penicillinProductSCT)

Here's the result:

Image Added

The last line can become

     vmr.allergies->select(a|a.allergenCode.implies(penicillinProductSCT).asBoolean())->size()>0

or

     vmr.allergies->exists(a|a.allergenCode.implies(penicillinProductSCT).asBoolean())

and this is different for a couple of reasons. Firstly and importantly we are now using the implies method which looks for parent-child subsumption in the SNOMED CT ontology ( in this case defaulting to "=" as the codes are the same); and secondly with respect to syntax we are using a select  or exists operator on the collection of allergies. The syntax can look a bit daunting the first time, but this is an example of some GELLO code you can cut and paste and then modify for new uses. Also the implies method may not work in your system depending on whether we have hooked our SNOMED CT server up for you or not.

The setting up of the local CD variable can also be changed and shortened if you wish:

     Let penicillinProductSCT: CD = factory.CD_SNOMED_CT('6369005')

 In any case we need to make this a GLIF Decision, so modify the last line by saying

     Let hasPenicillinAllergy: Boolean =  

ahead of what is there and then insert a GLIFDecisionResult-typed result as in this screenshot:

Image Added

So now we save all that and then copy this gello into the "no' arrow and modify the GLIF Decision result code so we get a corresponding boolean "no" in that executed decision arrow. This section for the "no" arrow becomes:

 Let q: String = "Is patient allergic to penicillin?"
 Let aWeight: Integer = 50
 
 Let result:GLIFDecisionResult =
 
     if not vmr.allergies.oclIsDefined()  then
       GLIFDecisionResult{Question  = q,Answer = unknown, Reason = "No allergies information",Weight = aWeight}
     else
       If not hasPenicillinAllergy
      then
         GLIFDecisionResult{Question  = q,Answer = true, Reason = "Patient is not allergic to penicillin",Weight = aWeight}
       else
         GLIFDecisionResult{Question  = q,Answer = false, Reason = "Patient is allergic to penicillin",Weight = aWeight}
       endif
     endif 
 
 result