Mongoid doesn't have has_many :through or an equivalent feature. It would not be so useful with MongoDB because it does not support join queries so even if you could reference a related collection via another it would still require multiple queries.
https://github.com/mongoid/mongoid/issues/544
Normally if you have a many-many relationship in a RDBMS you would model that differently in MongoDB using a field containing an array of 'foreign' keys on either side. For example:
class Physician
include Mongoid::Document
has_and_belongs_to_many :patients
end
class Patient
include Mongoid::Document
has_and_belongs_to_many :physicians
end
In other words you would eliminate the join table and it would have a similar effect to has_many :through in terms of access to the 'other side'. But in your case thats probably not appropriate because your join table is an Appointment class which carries some extra information, not just the association.
How you model this depends to some extent on the queries that you need to run but it seems as though you will need to add the Appointment model and define associations to Patient and Physician something like this:
class Physician
include Mongoid::Document
has_many :appointments
end
class Appointment
include Mongoid::Document
belongs_to :physician
belongs_to :patient
end
class Patient
include Mongoid::Document
has_many :appointments
end
With relationships in MongoDB you always have to make a choice between embedded or associated documents. In your model I would guess that MeetingNotes are a good candidate for an embedded relationship.
class Appointment
include Mongoid::Document
embeds_many :meeting_notes
end
class MeetingNote
include Mongoid::Document
embedded_in :appointment
end
This means that you can retrieve the notes together with an appointment all together, whereas you would need multiple queries if this was an association. You just have to bear in mind the 16MB size limit for a single document which might come into play if you have a very large number of meeting notes.
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