Search for clinical impression by code
# support
c
What is the best way to search for a specific Clinical Impression by coding?
r
Hmm, it seems like there isn't a default search parameter for ClinicalImpression.code. Do you mind explaining what you're modeling with ClinicalImpressions? I might be able to suggest an alternative approach
c
We are modeling daily touchpoints with them I believe. A questionnaire or encounter might work better.
cc: @codejenn
c
We have a daily “question” where we ask how a patient is feeling. We were using code to track it distinctly as it doesn’t feel like finding code is the right thing to use. In our current system they go as a message but we want to move away from that. Like Charlie said thinking that a questionnaire and then tracking a daily response might work better at this point
r
Are these questions LOINC-able? (e.g. https://loinc.org/44249-1) if so - Observation may be worth a look
r
Expanding on @reshma 's answer, here's a breakdown of how to think about a few resources: - Questionnaire: The set of questions you will ask. You will typically only have 1 instance of this resource for the daily check-in - QuestionnaireResponse: This is the resource that stores a patient's response to the form for a given Questionnaire. You'll have one of these per-patient-per-day - Observation: This is a workhorse resource that represents a "point in time clinical reading for a patient." This can be used for both qualitative and quantitative values. More details (https://www.medplum.com/docs/charting/capturing-vital-signs) - Clinical Impression: The FHIR folks don't give the best guidance on how to use this one, but we generall recommend using this as an Encounter note
c
Thank you for this additional information! I was out on PTO so sorry for the delay in follow-up. We'll definitely be taking all of this into consideration when we get to this task in earnest.
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