Clinical Document Store

Overview

Document database storing unstructured clinical data including provider notes, consent forms, clinical attachments, and imported documents from external sources.

Document Types

  • Clinical Notes: Provider documentation - SOAP notes, progress notes, discharge summaries
  • Consent Forms: Signed patient consent forms and authorizations
  • Attachments: Scanned documents, images, PDFs uploaded to patient chart
  • External Records: CCD documents from other healthcare organizations via HIE

Technical Details

Specifications:

  • Version: MongoDB 6.x
  • Deployment: Replica set with 3 nodes
  • Storage: 500 GB
  • Indexes: Text search on clinical notes, date-based indexes
  • Backup: Continuous backup with point-in-time recovery

Collections

{
// Clinical Notes Collection
"clinical_notes": {
"patient_id": "string",
"encounter_id": "string",
"note_type": "soap | progress | discharge",
"provider_id": "string",
"note_date": "ISODate",
"content": {
"subjective": "string",
"objective": "string",
"assessment": "string",
"plan": "string"
},
"signed": "boolean",
"signed_date": "ISODate"
},
// Document Attachments
"attachments": {
"patient_id": "string",
"file_name": "string",
"file_type": "pdf | jpg | png",
"storage_path": "S3 URL",
"upload_date": "ISODate",
"uploaded_by": "string",
"metadata": {}
}
}