Elasticsearch Querying Double Nested Object, Match Multiple Rows in Query Within Parent - elasticsearch

Question

My data model is related to patient records. At the highest level is the Patient, then their information such as Lab Panels and the individual rows of the results of the panel. So it looks like this: {Patient:{Labs:[{Results:[{}]}]}}
I am able to successfully create the two nested objects Labs nested in Patient and Results nested in Labs, populate it, and query it. What I am unable to successfully do is create a query that constrains the results to a single Lab, and then match by more than one row in the Results object.
An example is attached, where I only want labs that are "Lipid Panel" and the results are HDL <= 46 and LDL >= 140.
Any suggestions?
Example Index
PUT localhost:9200/testpipeline
{
"aliases": {},
"mappings": {
"dynamic": "false",
"properties": {
"ageAtFirstEncounter": {
"type": "float"
},
"dateOfBirth": {
"type": "date"
},
"gender": {
"type": "keyword"
},
"id": {
"type": "float"
},
"labs": {
"type": "nested",
"properties": {
"ageOnDateOfService": {
"type": "float"
},
"date": {
"type": "date"
},
"encounterId": {
"type": "keyword"
},
"id": {
"type": "keyword"
},
"isEdVisit": {
"type": "boolean"
},
"labPanelName": {
"type": "keyword"
},
"labPanelNameId": {
"type": "float"
},
"labPanelSourceName": {
"type": "text",
"store": true
},
"personId": {
"type": "keyword"
},
"processingLogId": {
"type": "float"
},
"results": {
"type": "nested",
"properties": {
"dataType": {
"type": "keyword"
},
"id": {
"type": "float"
},
"labTestName": {
"type": "keyword"
},
"labTestNameId": {
"type": "float"
},
"resultAsNumber": {
"type": "float"
},
"resultAsText": {
"type": "keyword"
},
"sourceName": {
"type": "text",
"store": true
},
"unit": {
"type": "keyword"
}
}
}
}
},
"personId": {
"type": "keyword"
},
"processingLogId": {
"type": "float"
},
"race": {
"type": "keyword"
}
}
}
}
Example Document
PUT localhost:9200/testpipeline/_doc/274746
{
"id": 274746,
"personId": "10005786.000000",
"processingLogId": 51,
"gender": "Female",
"dateOfBirth": "1945-01-01T00:00:00",
"ageAtFirstEncounter": 76,
"labs": [
{
"isEdVisit": false,
"labPanelSourceName": "Lipid Panel",
"dataType": "LAB",
"ageOnDateOfService": 76.9041,
"results": [
{
"unit": "mg/dL",
"labTestNameId": 160,
"labTestName": "HDL",
"sourceName": "HDL",
"resultAsNumber": 46.0,
"resultAsText": "46",
"id": 2150284
},
{
"unit": "mg/dL",
"labTestNameId": 158,
"labTestName": "LDL",
"sourceName": "LDL",
"resultAsNumber": 144.0,
"resultAsText": "144.00",
"id": 2150286
}
],
"id": "9ab9ba84-580b-f2d2-4d32-25658ea5f1bf",
"sourceId": 2150278,
"personId": "10003783.000000",
"encounterId": "39617217.000000",
"processingLogId": 51,
"date": "2021-11-08T00:00:00"
}
],
"lastModified": "2022-03-24T10:21:29.8682784-05:00"
}
Example Query
POST localhost:9200/testpipeline/_search
{
"fields": [
"personId",
"processingLogId",
"id",
"gender",
"ageAtFirstDOS",
"dateOfBirth"
],
"from": 0,
"query": {
"bool": {
"should": [
{
"constant_score": {
"boost": 200,
"filter": {
"bool": {
"_name": "CriteriaFilterId:2068,CriteriaId:1,CriteriaClassId:1,Points:200,T5:False,SoftScore:200",
"should": [
{
"bool": {
"must": [
{
"nested": {
"path": "labs",
"inner_hits": {
"size": 3,
"name": "labs,CriteriaFilterId:2068,CriteriaId:1,CriteriaClassId:1,Points:200,T5:False,guid:8b41f346-2861-4099-b3c0-fcd6393c367b"
},
"query": {
"bool": {
"must": [
{
"bool": {
"must": [
{
"match_phrase": {
"labs.labPanelSourceName": {
"_name": "CriteriaFilterId:2068,Pipeline.Labs.LabPanelSourceName,es_match_phrase=>'Lipid Panel' found in text",
"query": "Lipid Panel",
"slop": 100
}
}
},
{
"nested": {
"path": "labs.results",
"inner_hits": {
"size": 3,
"name": "labs.results,CriteriaFilterId:2068,CriteriaId:1,CriteriaClassId:1,Points:200,T5:False,guid:3564e83f-958b-4fe8-848e-f9edb5d7f3b2"
},
"query": {
"bool": {
"must": [
{
"bool": {
"should": [
{
"bool": {
"must": [
{
"range": {
"labs.results.resultAsNumber": {
"lte": 46
}
}
},
{
"term": {
"labs.results.labTestNameId": {
"value": 160
}
}
}
]
}
},
{
"bool": {
"must": [
{
"range": {
"labs.results.resultAsNumber": {
"gte": 140.0
}
}
},
{
"term": {
"labs.results.labTestNameId": {
"value": 158
}
}
}
]
}
}
],
"minimum_should_match": 2
}
}
]
}
}
}
}
]
}
}
]
}
}
}
}
]
}
}
]
}
}
}
}
],
"minimum_should_match": 1,
"filter": [
]
}
},
"size": 10,
"sort": [
{
"_score": {
"order": "desc"
}
},
{
"processingLogId": {
"order": "asc"
}
},
{
"personId": {
"order": "asc"
}
}
],
"_source": false
}