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Hi all - qq what object are you using for provider visit notes?

Hi <@1039681876367003648>  that's a great question. Clinical notes come in a lot of different shapes and sizes. In general we've been following the US Core Guidelines (https://build.fhir.org/ig/HL7/US-Core/clinical-notes.html) by using a `DocumentReference` as the root resource, with the `DocumentReference.content.url` property pointing to the notes content.

There is still some debate in the community on how to represent the note contents. 
 - U.S. core recommends storing the content of the note as a raw `Binary` resources, and you can see an example here (https://github.com/medplum/foomedical-provider/blob/102d4c2b296b18d30a16d0310c6cf6cffa1117ff/src/pages/PatientPage.tsx#L101-L108). When pulling notes from other systems, this might be necessary. 
- However, we think think that leads to poor data hygiene by proliferating unstructured text. When possible, we recommend clients store the note contents as either a  `ClinicalImpression`  or  `Composition` resource