Just trying to clarify some of the data modelling in my mind. How do post-coordinated SNOMED expressions get used within FHIR?
When storing a CodeableConcept, do you store both the root code and qualifier codes in there? Also what do you do if the qualifier has overlap with concepts stored in FHIR?
So the obvious first-case is recording laterality. Would you place both the code for the condition and the qualifier code for laterality in the codeableconcept?
Then to give a real-world example of where there may be overlap, I need to record 'suspected stroke' early on as the chief complaint for the episode (because the data we are recording relates to modelling a suspected stroke clinical pathway, where patients are treated by a stroke team until the diagnosis is confirmed or refuted.
So - I create a Condition object I can use the verification status to indicate provisional/refuted.
Would you use the SNOMED code 230690007 (cerebrovascular accident, disorder), with a qualifier value (415684004) as two stored codes within the clinicalconcept? Or just the condition without the qualifier?
I'd definitely appreciate a few pointers on this area!