Mira EMR electronic health information export format

Format version: 2. This page documents the structure and syntax of the file the Mira EMR produces when a practice exports electronic health information for one patient or for its whole patient population (45 CFR 170.315(b)(10)). Every export carries a link back to this page.

File layout

An export is one ZIP archive, or for a large practice several ("volumes", each a complete ZIP of at most about 256 MB of content, named …-part<n>of<m>.zip). manifest.json is in the last volume and says which volume holds each file.

manifest.json                       what the export holds, every file with its volume and SHA-256, and everything left out with the reason
README.txt                          a short pointer to this page
tables/<table>.ndjson               one file per database table that has rows in scope (tables/<table>.<n>.ndjson when a table is split)
documents/<documentId>-<title>      the bytes of each filed document, as the chart serves it
documents/originals/...             organization exports: the unedited original of a document with page edits
attachments/<kind>/...              portal message attachments, pre-check uploads, intake documents, form PDFs, inbound email
organization/<kind>/...             organization exports: report runs, education assets, form templates, signatures, letters, contracts
notes/<noteId>.json                 every signed version of each clinical note
images/index.json                   every imaging study (DICOM StudyInstanceUID) and whether its pixels are included
images/<StudyInstanceUID>.zip       the DICOM study, when included
fhir/<ResourceType>.ndjson          US Core 6.1 FHIR R4 resources (FHIR Bulk Data NDJSON)

manifest.json

{
  "format": "mira-ehi-export",
  "formatVersion": 2,
  "formatDocumentation": "https://miraemr.com/legal/ehi-export",
  "exportId": "uuid",
  "scope": "patient | organization",
  "patientId": "uuid (patient scope only)",
  "organizationId": "uuid",
  "generatedAt": "ISO 8601 instant",
  "volumes": 1,
  "complete": true,
  "tables": [
    {
      "table": "patient_allergies",
      "rows": 3,
      "files": [
        "tables/patient_allergies.ndjson"
      ]
    }
  ],
  "files": [
    {
      "path": "documents/…",
      "volume": 1,
      "bytes": 1234,
      "sha256": "hex"
    }
  ],
  "documents": {
    "included": 4,
    "unavailable": [
      {
        "kind": "document",
        "table": "documents",
        "id": "uuid",
        "reason": "bytes_unavailable"
      }
    ]
  },
  "otherFiles": {
    "unavailable": []
  },
  "notes": {
    "included": 2,
    "unavailable": [
      {
        "kind": "note",
        "id": "string",
        "reason": "note_store_unavailable_after_retries"
      }
    ]
  },
  "images": {
    "studies": 1,
    "included": 0,
    "unavailable": [
      {
        "kind": "imaging",
        "id": "1.2.3",
        "reason": "imaging_store_not_connected"
      }
    ]
  },
  "fhir": {
    "included": true,
    "patients": 1,
    "resourceTypes": [
      "AllergyIntolerance",
      "Patient"
    ],
    "unavailable": []
  },
  "textThreadsWithheld": [
    {
      "kind": "text_thread",
      "id": "uuid",
      "reason": "thread_attribution_unresolved"
    }
  ],
  "incomplete": [
    "every item above that could not be included"
  ],
  "absentTables": [
    "tables classified as EHI that this database does not have"
  ]
}

complete is false when anything the export should hold could not be included; incomplete names each item and why. A document retired because its file was never stored (retired_without_file) is listed in documents.unavailable and does not make the export incomplete: there are no bytes to hold, and its record is in tables/documents.ndjson. tables[].rows counts the lines across that table's files. Every path in the archive except manifest.json itself appears in files with its volume, byte length and SHA-256, so a reader can verify the export is whole.

Reading the NDJSON tables

Each tables/<table>.ndjson file is UTF-8 newline-delimited JSON: one JSON object per line, one line per database row. Keys are the database column names exactly as listed in the dictionary below. Values are JSON-typed:

text, uuid, enum-like text → JSON string
integer, smallint, real, double precision, boolean → JSON number / boolean
bigint and numeric → JSON string (exact decimal, no rounding)
date → YYYY-MM-DD string; timestamp / timestamptz → ISO 8601 string in UTC (2026-10-12T15:04:05.000Z)
jsonb / json → the JSON value as stored
arrays → JSON arrays
bytea → {"base64": "…"}
SQL NULL → JSON null

Rows reference one another by id: a column ending in _id holds the id of a row in another table (encounter_id → encounters.id, patient_id → patients.id). The traversal that decided which rows belong to a patient is published with each table in the inventory below.

Any NDJSON reader works. In Python: [json.loads(line) for line in open("tables/patient_allergies.ndjson")]. In a shell: jq -c . tables/patient_allergies.ndjson. In a spreadsheet, import each file through a JSON-lines importer.

Scope

Single patient: every row the inventory's ownership traversals reach for that patient, the patient's documents, notes and imaging. Nothing about another patient is included.
Organization: every row of every table that holds the practice's patient records or its configuration, all documents, notes and imaging.

Tables that hold no patient information (sign-in sessions, job queues, caches, global code sets) are not exported; the inventory lists each one with its reason.

Column dictionary

569 tables can appear in an export. The dictionary is generated from the database schema on every release.

`admissions`

Patient-owned directly: admissions.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`encounter_id`	uuid
`source_type`	text	yes
`source_event_key`	text	yes
`source_document_id`	uuid
`verification_status`	text	yes
`asserted_by`	text	yes
`asserted_at`	timestamp with time zone	yes
`confirmed_by`	text
`confirmed_at`	timestamp with time zone
`last_asserted_at`	timestamp with time zone	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes
`facility_id`	uuid	yes
`case_id`	uuid
`attending_provider_id`	uuid	yes
`admit_at`	timestamp with time zone	yes
`expected_discharge_at`	timestamp with time zone
`discharged_at`	timestamp with time zone
`admission_type`	text	yes
`bed_room_id`	uuid
`status`	text	yes
`discharge_disposition`	text
`point_of_origin`	text
`discharge_status_code`	text
`ms_drg`	text
`visit_number`	text
`service_code`	text
`arrival_mode`	text
`admit_condition`	text
`level_of_care`	text
`triage_level`	text
`encounter_code`	text
`ed_arrival_at`	timestamp with time zone
`ed_departure_at`	timestamp with time zone
`observation_start_at`	timestamp with time zone
`observation_end_at`	timestamp with time zone
`discharge_disposition_snomed`	text
`admit_reason`	text
`admission_diagnosis_ids`	uuid[]	yes
`discharge_diagnosis_ids`	uuid[]	yes
`discharge_medication_ids`	uuid[]	yes
`discharge_instructions`	text
`discharge_late_entry_reason`	text

`agent_activity`

Patient-owned directly: agent_activity.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid
`event_id`	uuid
`playbook`	text	yes
`step`	text	yes
`command`	text
`receipt`	jsonb
`summary_safe`	text
`status`	text	yes
`principal_type`	text	yes
`on_behalf_of`	text
`dedupe_key`	text
`facility_id`	uuid
`created_at`	timestamp with time zone	yes

`agent_proposals`

Patient-owned directly: agent_proposals.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid
`review_item_id`	uuid
`command`	text	yes
`schema_version`	integer	yes
`input`	jsonb	yes
`basis_hash`	text	yes
`proposal_key`	text	yes
`revision`	integer	yes
`superseded_by_id`	uuid
`summary_safe`	text	yes
`status`	text	yes
`kind`	text	yes
`channel`	text
`encounter_id`	uuid
`dismiss_reason`	text
`created_by_principal`	text	yes
`on_behalf_of`	text
`confirmed_by`	text
`confirmed_at`	timestamp with time zone
`created_at`	timestamp with time zone	yes

`anesthesia_record_entries`

Patient-owned directly: anesthesia_record_entries.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`encounter_id`	uuid
`source_type`	text	yes
`source_event_key`	text	yes
`source_document_id`	uuid
`verification_status`	text	yes
`asserted_by`	text	yes
`asserted_at`	timestamp with time zone	yes
`confirmed_by`	text
`confirmed_at`	timestamp with time zone
`last_asserted_at`	timestamp with time zone	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes
`record_id`	uuid	yes
`case_id`	uuid	yes
`kind`	text	yes
`performed_at`	timestamp with time zone	yes
`entered_at`	timestamp with time zone	yes
`entered_by`	text	yes
`detail`	jsonb	yes
`note`	text
`amends_entry_id`	uuid
`amendment_reason`	text

`anesthesia_records`

Patient-owned directly: anesthesia_records.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`encounter_id`	uuid
`source_type`	text	yes
`source_event_key`	text	yes
`source_document_id`	uuid
`verification_status`	text	yes
`asserted_by`	text	yes
`asserted_at`	timestamp with time zone	yes
`confirmed_by`	text
`confirmed_at`	timestamp with time zone
`last_asserted_at`	timestamp with time zone	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes
`case_id`	uuid	yes
`status`	text	yes
`anesthesia_provider_id`	uuid
`evaluation_status`	text	yes
`evaluation_delivery_id`	uuid
`evaluation_submission_id`	uuid
`evaluation_signed_by`	text
`evaluation_signed_at`	timestamp with time zone
`signed_by`	text
`signed_at`	timestamp with time zone
`sign_attestation`	text
`handoff`	jsonb
`techniques`	text[]
`techniques_attested_by`	text
`techniques_attested_at`	timestamp with time zone
`intentional_hypothermia`	boolean	yes
`intentional_hypothermia_documented_by`	text
`intentional_hypothermia_documented_at`	timestamp with time zone
`intentional_hypothermia_provider_id`	uuid

`appointment_blocks`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`ecw_block_id`	text	yes
`provider_ecw_id`	text
`provider_name`	text
`title`	text	yes
`start_at`	timestamp	yes
`end_at`	timestamp	yes
`block_date`	date	yes
`all_day`	boolean	yes
`block_type`	text
`sync_status`	text	yes
`provider_id`	uuid
`reason`	text
`note`	text
`created_by`	text
`source`	text	yes
`series_id`	uuid
`created_at`	timestamp	yes
`updated_at`	timestamp	yes

`appointment_holds`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`provider_id`	uuid	yes
`weekday`	integer	yes
`start_time`	time	yes
`end_time`	time	yes
`release_hours_before`	integer	yes
`facility_id`	uuid
`label`	text
`active`	boolean	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`appointment_reminders`

Patient-owned through a foreign-key path: appointment_reminders .appointment_id → appointments.id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`appointment_id`	uuid	yes
`label`	text	yes
`scheduled_at`	timestamp with time zone	yes
`status`	text	yes
`recipient_hash`	text	yes
`arrive_early`	boolean	yes
`claimed_at`	timestamp with time zone
`sent_at`	timestamp with time zone
`attempts`	integer	yes
`reason`	text
`provider_message_id`	text
`created_at`	timestamp with time zone	yes

`appointment_types`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`name`	text	yes
`duration_minutes`	integer	yes
`is_new_patient`	boolean	yes
`channel`	text	yes
`same_day_eligible`	boolean	yes
`color`	text
`active`	boolean	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`appointments`

Patient-owned directly: appointments.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`call_id`	uuid
`organization_id`	uuid	yes
`patient_name`	text	yes
`patient_dob`	text
`patient_phone`	text
`patient_id`	uuid
`provider_id`	uuid
`encounter_id`	uuid
`appointment_date`	date	yes
`appointment_time`	time	yes
`appointment_type`	appointment_type	yes
`insurance_name`	text
`is_hmo`	boolean
`ecw_appointment_id`	text
`ecw_patient_id`	text
`sync_status`	text	yes
`provider_name`	text
`reason`	text
`status`	appointment_status	yes
`source`	appointment_source	yes
`confirmation_status`	appointment_confirmation_status	yes
`confirmed_at`	timestamp
`confirmed_by`	text
`cancelled_by`	text
`cancelled_at`	timestamp
`cancellation_initiator`	text
`cancellation_reason_code`	text
`appointment_type_id`	uuid
`facility_id`	uuid
`duration_minutes`	integer
`arrived_at`	timestamp with time zone
`roomed_at`	timestamp with time zone
`with_provider_at`	timestamp with time zone
`checked_out_at`	timestamp with time zone
`xray_pending_at`	timestamp with time zone
`xray_done_at`	timestamp with time zone
`room_id`	uuid
`overbook`	boolean	yes
`created_at`	timestamp	yes
`updated_at`	timestamp	yes

`billing_claim_attachments`

Patient-owned through a foreign-key path: billing_claim_attachments .claim_id → billing_claims.id.

Column	Postgres type	Required
`id`	uuid	yes
`claim_id`	uuid	yes
`organization_id`	uuid	yes
`file_name`	text	yes
`file_size`	integer	yes
`mime_type`	text	yes
`category`	text	yes
`uploaded_by`	text
`created_at`	timestamp	yes

`billing_claim_policy_refs`

Patient-owned through a foreign-key path: billing_claim_policy_refs .claim_id → billing_claims.id or billing_claim_policy_refs .prior_auth_id → billing_prior_auths.id or billing_claim_policy_refs .denial_id → billing_denials.id .claim_id → billing_claims.id.

Column	Postgres type	Required
`id`	uuid	yes
`org_id`	uuid	yes
`claim_id`	uuid
`denial_id`	uuid
`prior_auth_id`	uuid
`policy_id`	text	yes
`policy_title`	text
`policy_version_date`	date
`policybot_plan_id`	text
`context`	text	yes
`cited_excerpt`	text
`long_lived_source_url`	text
`cited_at`	timestamp	yes
`cited_by_user_id`	text

`billing_claims`

Patient-owned directly: billing_claims.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`billing_provider_id`	uuid	yes
`rendering_provider_id`	uuid
`referring_provider_id`	uuid
`payer_id`	text	yes
`payer_name`	text	yes
`transcript_id`	text
`encounter_id`	text
`note_content`	text	yes
`note_date`	timestamp
`date_of_service`	date	yes
`place_of_service`	text
`diagnosis_codes`	jsonb	yes
`service_lines`	jsonb	yes
`charge_amount`	numeric	yes
`paid_amount`	numeric
`paid_date`	timestamp
`adjustment_amount`	numeric
`patient_responsibility`	numeric
`scrubber_score`	integer	yes
`scrubber_issues`	jsonb
`status`	text	yes
`stedi_transaction_id`	text
`submission_date`	timestamp
`submission_response`	jsonb
`acknowledgment_date`	timestamp
`acknowledgment_status`	jsonb
`prior_auth_number`	text
`injury_date`	date
`accident_type`	text
`accident_claim_number`	text
`denial_count`	integer	yes
`reviewed_by`	text
`reviewed_at`	timestamp
`notes`	text
`claim_type`	text	yes
`admission_id`	uuid
`facility_id`	uuid
`type_of_bill`	text
`admission_date`	date
`admission_hour`	text
`admission_type`	text
`admission_source`	text
`discharge_hour`	text
`patient_status`	text
`statement_from`	date
`statement_to`	date
`attending_npi`	text
`operating_npi`	text
`principal_dx`	text
`principal_dx_poa`	text
`other_dx`	jsonb
`principal_procedure`	text
`principal_procedure_date`	date
`other_procedures`	jsonb
`condition_codes`	jsonb
`occurrence_codes`	jsonb
`value_codes`	jsonb
`validation_issues`	jsonb
`pcs_release`	text
`submission_key`	text
`payer_sequence`	text	yes
`prior_claim_id`	uuid
`revision`	integer	yes
`claim_frequency`	text	yes
`replaces_claim_id`	uuid
`created_at`	timestamp	yes
`updated_at`	timestamp	yes

`billing_contract_rates`

Organization configuration and reference: billing_contract_rates .contract_id → billing_contracts.id (organization).

Column	Postgres type	Required
`id`	uuid	yes
`contract_id`	uuid	yes
`cpt_code`	text	yes
`description`	text
`negotiated_rate`	numeric	yes
`national_avg_rate`	numeric
`created_at`	timestamp	yes
`updated_at`	timestamp	yes

`billing_contracts`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`payer_id`	text	yes
`payer_name`	text	yes
`effective_date_start`	date	yes
`effective_date_end`	date
`contract_document_url`	text
`notes`	text
`created_at`	timestamp	yes
`updated_at`	timestamp	yes

`billing_denials`

Patient-owned through a foreign-key path: billing_denials .claim_id → billing_claims.id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`claim_id`	uuid	yes
`denial_date`	date	yes
`denial_reason`	text	yes
`denial_category`	text	yes
`denial_code`	text
`carc_code`	text
`rarc_code`	text
`recommended_path`	text
`appeal_deadline`	text
`p2p_deadline`	text
`p2p_outcome`	text
`escalation_level`	integer
`recovered_amount`	numeric
`denial_insights`	jsonb
`appeal_letter`	text
`appeal_status`	text	yes
`supporting_documents`	jsonb
`resolution_notes`	text
`resolved_at`	timestamp
`created_at`	timestamp	yes
`updated_at`	timestamp	yes

`billing_eligibility_checks`

Patient-owned directly: billing_eligibility_checks.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid
`patient_name`	text
`patient_dob`	date
`subscriber_id`	text
`payer_id`	text
`payer_name`	text
`check_date`	timestamp	yes
`stedi_response`	jsonb
`eligible`	boolean
`plan_name`	text
`deductible`	numeric
`deductible_remaining`	numeric
`out_of_pocket_max`	numeric
`out_of_pocket_remaining`	numeric
`copay`	numeric
`coinsurance_percent`	numeric
`plan_begin_date`	date
`plan_end_date`	date
`created_at`	timestamp	yes

`billing_enrollments`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`provider_id`	uuid	yes
`payer_id`	text	yes
`payer_name`	text	yes
`enrollment_status`	text	yes
`stedi_enrollment_id`	text
`enrolled_date`	date
`notes`	text
`created_at`	timestamp	yes
`updated_at`	timestamp	yes

`billing_patient_ledger`

Patient-owned directly: billing_patient_ledger.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`claim_id`	uuid
`remittance_id`	uuid
`remittance_line_id`	uuid
`statement_id`	uuid
`entry_type`	text	yes
`amount_cents`	integer	yes
`payer_sequence`	text
`payer_name`	text
`source_type`	text	yes
`source_ref`	text	yes
`reverses_entry_id`	uuid
`entry_date`	date	yes
`memo_safe`	text
`posted_by`	text	yes
`posted_at`	timestamp with time zone	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes
`cost_center_id`	uuid
`revenue_code`	text
`patient_class`	text
`facility_id`	uuid
`service_date`	date
`posting_date`	date
`source_event_id`	text
`financial_class`	text
`payer_id`	uuid
`supply_category`	text
`payer_class`	text
`lien_case_ref`	text
`expected_allowed_cents`	integer
`expected_basis`	text
`expected_contract_id`	uuid

`billing_prior_auths`

Patient-owned directly: billing_prior_auths.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`provider_id`	uuid
`payer_id`	text	yes
`payer_name`	text	yes
`cpt_codes`	jsonb	yes
`icd_codes`	jsonb
`status`	text	yes
`auth_number`	text
`auth_expiration_date`	text
`scheduled_dos`	text
`facility_name`	text
`requested_date`	text
`expected_response_date`	text
`submission_channel`	text
`denial_reason`	text
`p2p_deadline`	text
`p2p_outcome`	text
`surgeon_brief`	text
`documentation_checklist`	jsonb
`documents`	jsonb
`notes`	text
`claim_id`	uuid
`stedi_transaction_id`	text
`submission_date`	timestamp
`submission_response`	jsonb
`created_at`	timestamp	yes
`updated_at`	timestamp	yes

`billing_provider_adjustments`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`remittance_id`	uuid	yes
`plb_index`	integer	yes
`reason_code`	text	yes
`reference_id`	text
`fiscal_period_date`	date
`amount_cents`	integer	yes
`disposition`	text	yes
`disposition_note`	text
`ledger_entry_id`	uuid
`decided_by`	text
`decided_at`	timestamp with time zone
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`billing_remittance_lines`

Patient-owned directly: billing_remittance_lines.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`remittance_id`	uuid	yes
`line_index`	integer	yes
`claim_index`	integer	yes
`claim_id`	uuid
`patient_id`	uuid
`claim_service_line_index`	integer
`is_claim_level`	boolean	yes
`patient_control_number`	text	yes
`payer_claim_control_number`	text
`claim_status_code`	text
`service_date`	date
`procedure_code`	text
`modifiers`	text[]
`units`	numeric
`billed_cents`	integer	yes
`allowed_cents`	integer
`paid_cents`	integer	yes
`patient_responsibility_cents`	integer	yes
`contractual_adjustment_cents`	integer	yes
`adjustments`	jsonb	yes
`carc_codes`	text[]	yes
`rarc_codes`	text[]	yes
`is_denial`	boolean	yes
`is_takeback`	boolean	yes
`match_method`	text	yes
`posting_status`	text	yes
`exception_code`	text
`exception_detail`	text
`denial_id`	uuid
`expected_payer_liability_cents`	integer
`variance_cents`	integer
`variance_kind`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`billing_remittances`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`source`	text	yes
`external_transaction_id`	text	yes
`usage_mode`	text	yes
`control_number`	text
`payer_name`	text	yes
`payer_id`	text
`payee_name`	text
`payee_npi`	text
`payment_method`	text
`trace_number`	text
`payment_date`	date
`production_date`	date
`total_paid_cents`	integer	yes
`posted_cents`	integer	yes
`plb_cents`	integer	yes
`suspense_cents`	integer	yes
`status`	text	yes
`claim_count`	integer	yes
`line_count`	integer	yes
`exception_count`	integer	yes
`denial_count`	integer	yes
`payload`	jsonb	yes
`posting_receipt`	jsonb
`reconciliation`	jsonb
`received_at`	timestamp with time zone	yes
`posted_at`	timestamp with time zone
`reconciled_at`	timestamp with time zone
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`billing_statements`

Patient-owned directly: billing_statements.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`statement_number`	text	yes
`run_kind`	text	yes
`run_key`	text	yes
`statement_date`	date	yes
`due_date`	date
`balance_cents`	integer	yes
`held_cents`	integer	yes
`collectible_cents`	integer	yes
`paid_cents`	integer	yes
`basis`	jsonb	yes
`status`	text	yes
`delivery_channel`	text
`delivered_at`	timestamp with time zone
`payment_provider`	text
`payment_provider_ref`	text
`payment_link_url`	text
`payment_link_status`	text
`payment_link_expires_at`	timestamp with time zone
`paid_at`	timestamp with time zone
`superseded_by_id`	uuid
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`call_reviews`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`call_id`	uuid	yes
`verdict`	call_review_verdict	yes
`category`	text
`notes`	text
`reviewed_by`	text
`created_at`	timestamp	yes
`updated_at`	timestamp	yes

`calls`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`retell_call_id`	text
`organization_id`	uuid	yes
`from_number`	text
`to_number`	text
`agent_id`	text
`status`	call_status	yes
`intent_category`	intent_category
`duration_ms`	integer
`transcript`	text
`transcript_with_tool_calls`	jsonb
`call_summary`	text
`user_sentiment`	text
`disconnection_reason`	text
`recording_url`	text
`call_successful`	boolean
`appointment_booked`	boolean
`transfer_requested`	boolean
`insurance_name`	text
`referral_source`	text
`surgical_indicator`	boolean
`not_booked_reason`	text
`acuity_level`	text
`caller_name`	text
`patient_id`	uuid
`caller_type`	text
`patient_phone`	text
`phone_linked`	boolean
`post_call_data`	jsonb
`turn_latencies`	jsonb
`started_at`	timestamp
`ended_at`	timestamp
`created_at`	timestamp	yes

`card_checks`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`created_by_user_id`	uuid
`patient_name`	text
`patient_dob`	text
`input`	jsonb	yes
`provider_name`	text
`provider_npi`	text
`cpt_codes`	jsonb
`surgery_date`	text
`facility`	text
`verdict`	text	yes
`confidence`	text	yes
`reasoning`	jsonb	yes
`status`	text	yes
`verification_note`	text
`overridden_verdict`	text
`created_at`	timestamp	yes
`updated_at`	timestamp	yes

`care_episodes`

Patient-owned directly: care_episodes.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`encounter_id`	uuid
`source_type`	text	yes
`source_event_key`	text	yes
`source_document_id`	uuid
`verification_status`	text	yes
`asserted_by`	text	yes
`asserted_at`	timestamp with time zone	yes
`confirmed_by`	text
`confirmed_at`	timestamp with time zone
`last_asserted_at`	timestamp with time zone	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes
`canonical_region_code`	text	yes
`region_code_system`	text	yes
`region_map_version`	text	yes
`raw_body_site_codings`	jsonb
`laterality`	text	yes
`label`	text
`period_start`	date
`period_end`	date
`status`	text	yes

`case_approvals`

Patient-owned directly: case_approvals.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`case_id`	uuid	yes
`kind`	text	yes
`version_hash`	text	yes
`decision`	text	yes
`conditions`	text
`decided_by`	text	yes
`decided_at`	timestamp with time zone	yes
`request_key`	uuid	yes

`case_change_requests`

Patient-owned directly: case_change_requests.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`case_id`	uuid	yes
`kind`	text	yes
`base_hash`	text	yes
`target_hash`	text	yes
`before_values`	jsonb	yes
`after_values`	jsonb	yes
`reason`	text	yes
`initiator_type`	text
`reason_code`	text
`clinical_change`	boolean	yes
`status`	text	yes
`requested_by`	text	yes
`requested_at`	timestamp with time zone	yes
`request_key`	uuid	yes
`surgeon_approved_by`	text
`surgeon_approved_at`	timestamp with time zone
`decided_by`	text
`decided_at`	timestamp with time zone

`case_creation_receipts`

Patient-owned directly: case_creation_receipts.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`case_id`	uuid	yes
`actor_id`	text	yes
`client_request_id`	uuid	yes
`payload_hash`	text	yes
`created_at`	timestamp with time zone	yes

`case_family_update_notices`

Patient-owned directly: case_family_update_notices.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`case_id`	uuid	yes
`recipient_id`	uuid	yes
`notice_kind`	text	yes
`channel`	text	yes
`source_key`	text	yes
`status`	text	yes
`hold_reason`	text
`skip_reason`	text
`attempts`	integer	yes
`available_at`	timestamp with time zone	yes
`expires_at`	timestamp with time zone	yes
`lease_expires_at`	timestamp with time zone
`lease_token`	uuid
`sent_at`	timestamp with time zone
`last_error_code`	text
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`case_family_update_recipients`

Patient-owned directly: case_family_update_recipients.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`case_id`	uuid	yes
`display_name`	text	yes
`relationship`	text
`channel`	text	yes
`destination`	text	yes
`legal_basis`	text	yes
`recorded_via`	text	yes
`basis_note`	text
`recorded_by`	text	yes
`recorded_at`	timestamp with time zone	yes
`verification_state`	text	yes
`verify_code_hash`	text
`verify_code_expires_at`	timestamp with time zone
`verify_attempts`	integer	yes
`verify_sends`	integer	yes
`verified_at`	timestamp with time zone
`verified_by`	text
`expires_at`	timestamp with time zone	yes
`revoked_at`	timestamp with time zone
`revoked_by`	text
`revoke_reason`	text
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`case_implants`

Patient-owned directly: case_implants.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`encounter_id`	uuid
`source_type`	text	yes
`source_event_key`	text	yes
`source_document_id`	uuid
`verification_status`	text	yes
`asserted_by`	text	yes
`asserted_at`	timestamp with time zone	yes
`confirmed_by`	text
`confirmed_at`	timestamp with time zone
`last_asserted_at`	timestamp with time zone	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes
`case_id`	uuid	yes
`udi`	text
`device_display`	text
`manufacturer`	text
`lot_number`	text
`serial_number`	text
`laterality`	text
`recorded_by`	text
`recorded_at`	timestamp with time zone
`implant_system`	text
`placed_at`	timestamp with time zone
`placed_by_provider_id`	uuid
`inv_lot_id`	uuid
`inv_movement_id`	uuid
`inv_match_status`	text	yes
`expiration_date`	date
`expiration_confirmed_by`	text
`expiration_confirmed_at`	timestamp with time zone
`label_state`	text
`label_missing_reason`	text
`body_site`	text
`surgeon_decision_id`	uuid

`case_notification_preferences`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`user_id`	uuid	yes
`channels`	text[]	yes
`digest_low_priority`	boolean	yes
`event_rules`	jsonb
`cadence`	text	yes
`updated_at`	timestamp with time zone	yes

`case_participants`

Patient-owned through a foreign-key path: case_participants .case_id → surgical_cases.id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`case_id`	uuid	yes
`provider_id`	uuid
`role`	text	yes
`display_name`	text
`created_at`	timestamp with time zone	yes

`case_resource_grants`

Patient-owned directly: case_resource_grants.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`case_id`	uuid	yes
`resource_request_id`	uuid	yes
`revision`	integer	yes
`token_hash`	text	yes
`expires_at`	timestamp with time zone	yes
`used_at`	timestamp with time zone
`decision`	text
`created_by`	text	yes
`created_at`	timestamp with time zone	yes

`case_resource_requests`

Patient-owned directly: case_resource_requests.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`case_id`	uuid	yes
`kind`	text	yes
`vendor_name`	text	yes
`contact_channel`	text	yes
`contact_address`	text	yes
`details`	text
`required`	boolean	yes
`status`	text	yes
`revision`	integer	yes
`version_hash`	text	yes
`requested_by`	text	yes
`requested_at`	timestamp with time zone	yes
`confirmed_by`	text
`confirmed_at`	timestamp with time zone
`updated_at`	timestamp with time zone	yes
`request_key`	uuid	yes
`vendor_group_id`	uuid
`contact_id`	uuid
`group_request_key`	uuid
`completed_by`	text
`completed_at`	timestamp with time zone
`replaces_request_id`	uuid

`case_surgeon_confirmations`

Patient-owned directly: case_surgeon_confirmations.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`case_id`	uuid	yes
`surgeon_provider_id`	uuid	yes
`revision`	text	yes
`procedure_code`	text
`procedure_display`	text
`laterality`	text	yes
`body_site`	text
`levels`	text[]
`basis`	text	yes
`confirmed_by`	text	yes
`confirmed_at`	timestamp with time zone	yes
`source_ref`	text
`invalidated_at`	timestamp with time zone
`invalidated_reason`	text

`case_workflow_notices`

Patient-owned directly: case_workflow_notices.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`case_id`	uuid	yes
`event_key`	text	yes
`kind`	text	yes
`recipient_kind`	text	yes
`recipient_id`	uuid	yes
`channel`	text	yes
`urgency`	text	yes
`status`	text	yes
`available_at`	timestamp with time zone	yes
`created_at`	timestamp with time zone	yes
`lease_until`	timestamp with time zone
`lease_token`	uuid
`sent_at`	timestamp with time zone
`attempts`	integer	yes
`provider_receipt`	text
`last_error_code`	text
`read_at`	timestamp with time zone

`case_workflow_settings`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`facility_id`	uuid	yes
`schedule_approvals`	text[]	yes
`or_approvals`	text[]	yes
`require_resources`	boolean	yes
`turnover_minutes`	integer	yes
`closed_dates`	date[]	yes
`updated_by`	text	yes
`updated_at`	timestamp with time zone	yes

`charge_lines`

Patient-owned directly: charge_lines.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`encounter_id`	uuid
`source_type`	text	yes
`source_event_key`	text	yes
`source_document_id`	uuid
`verification_status`	text	yes
`asserted_by`	text	yes
`asserted_at`	timestamp with time zone	yes
`confirmed_by`	text
`confirmed_at`	timestamp with time zone
`last_asserted_at`	timestamp with time zone	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes
`case_id`	uuid
`facility_id`	uuid	yes
`setting`	text	yes
`rendering_provider_id`	uuid
`cpt`	text	yes
`modifiers`	text[]
`icd10_codes`	text[]
`units`	integer	yes
`fee_cents`	integer
`pricing_strategy`	text	yes
`status`	text	yes
`rationale_safe`	text
`cost_center_id`	uuid
`revenue_code`	text
`patient_class`	text
`service_date`	date
`posting_date`	date
`source_event_id`	text
`place_of_service`	text
`financial_class`	text
`payer_id`	uuid
`payer_name`	text
`unit_cost_cents`	integer
`cost_source`	text
`supply_category`	text
`payer_class`	text
`icd10_categories`	text[]
`coder_review_state`	text	yes
`coder_reviewed_by`	text
`coder_reviewed_at`	timestamp with time zone
`code_origin`	text
`expected_allowed_cents`	integer
`expected_basis`	text
`expected_contract_id`	uuid
`expected_rate_id`	uuid
`expected_unknown_reason`	text
`contribution_id`	text
`contribution_source`	text
`ndc11`	char(11)
`ndc_quantity`	numeric(12, 3)
`ndc_unit`	text

`chart_review_items`

Patient-owned directly: chart_review_items.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid
`reason_code`	text	yes
`status`	text	yes
`priority`	text	yes
`assignee_type`	text
`assignee_id`	text
`resource_type`	text
`resource_id`	text
`review_key`	text	yes
`safe_summary`	text
`received_at`	timestamp with time zone	yes
`due_at`	timestamp with time zone
`resolved_at`	timestamp with time zone
`created_by_principal`	text
`resolved_by`	text
`disposition`	text
`response_document_id`	uuid
`lease_owner`	text
`lease_expires_at`	timestamp with time zone
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`clinical_note_documents`

Patient-owned directly: clinical_note_documents.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`encounter_id`	uuid	yes
`patient_id`	uuid
`provider_id`	uuid
`source_system`	text	yes
`source_environment`	text	yes
`source_key`	text	yes
`source_user_id`	text	yes
`source_encounter_id`	text
`source_transcription_id`	text
`document_type`	text
`title`	text
`note_date`	date
`patient_name`	text
`patient_dob`	text
`note_text`	text	yes
`text_hash`	text	yes
`search_vector`	tsvector
`clinical_core`	jsonb
`core_text_hash`	text
`core_model`	text
`core_extracted_at`	timestamp
`case_id`	uuid
`case_core_hash`	text
`source_updated_at`	timestamp
`indexed_at`	timestamp	yes
`created_at`	timestamp	yes
`updated_at`	timestamp	yes

`coding_analyses`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`created_by_user_id`	uuid
`title`	text	yes
`specialty`	text
`client_key`	text	yes
`payload`	jsonb	yes
`created_at`	timestamp	yes
`updated_at`	timestamp	yes

`coding_billing_rules`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`created_by_user_id`	uuid
`client_key`	text	yes
`title`	text	yes
`payload`	jsonb	yes
`created_at`	timestamp	yes
`updated_at`	timestamp	yes

`coding_estimates`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`created_by_user_id`	uuid
`title`	text	yes
`client_key`	text	yes
`payload`	jsonb	yes
`created_at`	timestamp	yes
`updated_at`	timestamp	yes

`coding_fee_schedules`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`created_by_user_id`	uuid
`payer_key`	text	yes
`code`	text	yes
`modifier`	text	yes
`rate`	numeric	yes
`description`	text
`created_at`	timestamp	yes
`updated_at`	timestamp	yes

`coding_feedback`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`created_by_user_id`	uuid
`analysis_client_key`	text
`thread_id`	text
`kind`	text	yes
`role`	text
`code`	text
`context`	text
`content`	text	yes
`created_at`	timestamp	yes

`coding_org_domains`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`domain`	text	yes
`organization_id`	uuid	yes
`role`	text	yes
`created_at`	timestamp	yes

`composed_document_templates`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`title`	text	yes
`description`	text
`content`	jsonb	yes
`settings`	jsonb	yes
`purpose`	text	yes
`created_by`	uuid
`created_at`	timestamp	yes
`updated_at`	timestamp	yes

`composed_documents`

Patient-owned directly: composed_documents.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`template_id`	uuid
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`values`	jsonb	yes
`status`	text	yes
`output_ref`	text
`created_at`	timestamp	yes
`updated_at`	timestamp	yes

`concierge_sms`

Patient-owned directly: concierge_sms.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`call_id`	uuid
`patient_id`	uuid
`direction`	text	yes
`from_number`	text	yes
`to_number`	text	yes
`body`	text	yes
`purpose`	text
`provider`	text	yes
`provider_message_id`	text
`created_at`	timestamp	yes

`consent_signatures`

Patient-owned directly: consent_signatures.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`submission_id`	uuid	yes
`patient_id`	uuid
`signer_role`	text	yes
`signer_name`	text	yes
`principal_id`	text
`method`	text	yes
`signed_at`	timestamp with time zone	yes
`form_version_id`	text
`form_content_hash`	text	yes
`witness_staff_id`	text
`affirmation_text`	text
`device_ip`	text
`user_agent`	text
`created_at`	timestamp with time zone	yes

`conservative_care_events`

Patient-owned directly: conservative_care_events.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`encounter_id`	uuid
`source_type`	text	yes
`source_event_key`	text	yes
`source_document_id`	uuid
`verification_status`	text	yes
`asserted_by`	text	yes
`asserted_at`	timestamp with time zone	yes
`confirmed_by`	text
`confirmed_at`	timestamp with time zone
`last_asserted_at`	timestamp with time zone	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes
`episode_id`	uuid
`modality`	text	yes
`start_date`	date	yes
`end_date`	date
`duration_days`	integer
`visit_count`	integer
`evidence_document_id`	uuid
`outcome`	text
`failure_reason`	text

`contact_consents`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`contact_point_id`	uuid	yes
`scope`	contact_consent_scope	yes
`status`	contact_consent_status	yes
`method`	contact_consent_method
`provenance`	jsonb
`granted_at`	timestamp
`revoked_at`	timestamp
`created_at`	timestamp	yes
`updated_at`	timestamp	yes

`contact_points`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`system`	contact_point_system	yes
`value`	text	yes
`label`	text
`verification_state`	contact_verification_state	yes
`verification_method`	text
`verified_at`	timestamp
`summary`	text
`summary_updated_at`	timestamp
`created_at`	timestamp	yes
`updated_at`	timestamp	yes

`conversation_documents`

Patient-owned through a foreign-key path: conversation_documents .document_id → documents.id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`document_id`	uuid	yes
`conversation_id`	uuid	yes
`contact_point_id`	uuid	yes
`source_message_id`	uuid
`caption`	text
`created_at`	timestamp	yes

`conversation_form_requests`

Patient-owned through a foreign-key path: conversation_form_requests .submission_ref → form_submissions.id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`conversation_id`	uuid	yes
`contact_point_id`	uuid	yes
`form_ref`	uuid	yes
`submission_ref`	uuid
`status`	form_request_status	yes
`sent_message_id`	uuid
`completed_at`	timestamp
`created_by_user_id`	uuid
`created_at`	timestamp	yes
`updated_at`	timestamp	yes

`copilot_sessions`

Patient-owned directly: copilot_sessions.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`principal_id`	text	yes
`patient_id`	uuid
`encounter_id`	uuid
`scope_label`	text
`messages`	jsonb	yes
`created_at`	timestamp with time zone	yes
`last_active_at`	timestamp with time zone	yes
`expires_at`	timestamp with time zone	yes

`diagnostic_reports`

Patient-owned directly: diagnostic_reports.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`encounter_id`	uuid
`source_type`	text	yes
`source_event_key`	text	yes
`source_document_id`	uuid
`verification_status`	text	yes
`asserted_by`	text	yes
`asserted_at`	timestamp with time zone	yes
`confirmed_by`	text
`confirmed_at`	timestamp with time zone
`last_asserted_at`	timestamp with time zone	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes
`service_request_id`	uuid
`category`	text	yes
`code`	text
`code_system`	text
`codings`	jsonb
`status`	text	yes
`performed_at`	timestamp with time zone
`issued_at`	timestamp with time zone
`accession_number`	text
`source_facility`	text
`facility_id`	uuid
`abnormal_flag`	boolean	yes
`interpretation`	text
`result_document_id`	uuid
`display_name`	text
`collected_at`	timestamp with time zone
`attributed_provider_id`	uuid
`review_status`	text	yes
`reviewed_by`	text
`reviewed_at`	timestamp with time zone
`supersedes_id`	uuid
`external`	boolean	yes
`foreign_accession`	text
`outside_facility`	text

`document_email_deliveries`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`endpoint_id`	uuid	yes
`provider`	text	yes
`message_id`	text	yes
`raw_storage_ref`	text	yes
`event_sha256`	text	yes
`raw_sha256`	text
`verdicts`	jsonb	yes
`status`	text	yes
`error_code`	text
`attempts`	integer	yes
`lease_token`	uuid
`lease_until`	timestamp with time zone
`received_at`	timestamp with time zone	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`document_email_parts`

Patient-owned through a foreign-key path: document_email_parts .document_id → documents.id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`delivery_id`	uuid	yes
`ordinal`	integer	yes
`filename`	text	yes
`mime_type`	text	yes
`content_sha256`	text	yes
`size_bytes`	integer	yes
`status`	text	yes
`document_id`	uuid
`error_code`	text
`resolution_reason`	text
`attempts`	integer	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`document_extractions`

Patient-owned through a foreign-key path: document_extractions .document_id → documents.id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`document_id`	uuid	yes
`extractor`	text	yes
`extractor_version`	text	yes
`status`	text	yes
`classified_type`	text
`classification_confidence`	numeric
`facts`	jsonb
`normalized_text_sha256`	text
`started_at`	timestamp with time zone	yes
`completed_at`	timestamp with time zone
`error_code`	text

`document_packets`

Patient-owned directly: document_packets.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`template_id`	uuid
`name`	text	yes
`status`	document_packet_status	yes
`triggered_by`	text	yes
`case_id`	uuid
`encounter_id`	uuid
`service_request_id`	uuid
`checklist_item_key`	text
`created_by`	uuid
`created_at`	timestamp	yes
`updated_at`	timestamp	yes

`document_receipts`

Patient-owned through a foreign-key path: document_receipts .document_id → documents.id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`document_id`	uuid	yes
`channel`	text	yes
`provider`	text
`external_receipt_id`	text
`original_filename`	text
`source_contact_point`	text
`received_at`	timestamp with time zone	yes
`received_by_principal`	text	yes
`metadata`	jsonb
`referral_urgency`	text
`referral_urgency_reason`	text
`referral_urgency_set_by`	text
`referral_urgency_set_at`	timestamp with time zone
`created_at`	timestamp with time zone	yes

`document_scan_batches`

Patient-owned through a foreign-key path: document_scan_batches .source_document_id → documents.id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`source_document_id`	uuid	yes
`source_sha256`	text	yes
`page_edits_hash`	text	yes
`page_count`	integer	yes
`separator_pages`	jsonb	yes
`plan_hash`	text	yes
`confirmation_key`	text	yes
`status`	text	yes
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`document_scan_segments`

Patient-owned through a foreign-key path: document_scan_segments .document_id → documents.id or document_scan_segments .batch_id → document_scan_batches.id .source_document_id → documents.id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`batch_id`	uuid	yes
`ordinal`	integer	yes
`from_page`	integer	yes
`to_page`	integer	yes
`title`	text	yes
`document_type`	text	yes
`status`	text	yes
`document_id`	uuid
`error_code`	text
`attempts`	integer	yes
`lease_until`	timestamp with time zone
`lease_token`	uuid
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`document_signature_attestations`

Patient-owned directly: document_signature_attestations.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`task_id`	uuid	yes
`preparation_id`	uuid	yes
`patient_id`	uuid	yes
`provider_id`	uuid	yes
`signer_user_id`	uuid	yes
`signer_principal_id`	text	yes
`signed_at`	timestamp with time zone	yes
`manifest_sha256`	text	yes
`affirmation`	text	yes
`confirmation_key`	text	yes

`document_signature_fax_attempts`

Patient-owned directly: document_signature_fax_attempts.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`attestation_id`	uuid	yes
`recipient_name`	text	yes
`recipient_fax`	text	yes
`recipient_state`	text
`policy_fingerprint`	text	yes
`idempotency_key`	text	yes
`status`	text	yes
`initiated_by`	text	yes
`provider_ref`	text
`last_error_code`	text
`last_checked_at`	timestamp with time zone
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`document_signature_fax_events`

Patient-owned through a foreign-key path: document_signature_fax_events .attempt_id → document_signature_fax_attempts.id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`attempt_id`	uuid	yes
`kind`	text	yes
`receipt`	jsonb	yes
`event_key`	text	yes
`created_at`	timestamp with time zone	yes

`document_signature_preparations`

Patient-owned directly: document_signature_preparations.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`task_id`	uuid	yes
`patient_id`	uuid	yes
`provider_id`	uuid	yes
`signer_user_id`	uuid	yes
`signer_principal_id`	text	yes
`artifact_document_id`	uuid	yes
`artifact_sha256`	text	yes
`source_sha256`	text	yes
`page_edits_hash`	text	yes
`signature_sha256`	text	yes
`placements`	jsonb	yes
`manifest_sha256`	text	yes
`confirmation_key`	text	yes
`prepared_at`	timestamp with time zone	yes

`document_signature_tasks`

Patient-owned directly: document_signature_tasks.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`document_id`	uuid	yes
`provider_id`	uuid	yes
`review_item_id`	uuid	yes
`source_sha256`	text	yes
`page_edits_hash`	text	yes
`category`	text	yes
`status`	text	yes
`request_key`	text	yes
`requested_by`	text	yes
`requested_at`	timestamp with time zone	yes
`completed_at`	timestamp with time zone
`resolution_reason`	text

`documents`

Patient-owned directly: documents.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid
`encounter_id`	uuid
`type`	text	yes
`title`	text
`storage_url`	text	yes
`mime_type`	text
`file_size`	integer
`source`	text
`uploaded_by`	uuid
`content_hash`	text
`status`	document_status	yes
`error`	text
`page_count`	integer
`summary`	text
`ai_type`	text
`ai_confidence`	integer
`ai_fields`	jsonb
`version`	integer	yes
`replaces_document_id`	uuid
`is_active`	boolean	yes
`progress`	jsonb
`tables`	jsonb
`s3_key_tables`	text
`search_tsv`	tsvector
`created_at`	timestamp	yes
`updated_at`	timestamp	yes
`content_sha256`	text
`hash_algorithm`	text
`service_date`	date
`source_document_date`	date
`patient_match_status`	text
`patient_match_method`	text
`patient_match_confidence`	numeric
`possible_duplicate_of_id`	uuid
`extraction_status`	text
`created_by_principal`	text
`archived_at`	timestamp with time zone
`archived_by_principal`	text

`ecw_ma_queue`

Patient-owned through a foreign-key path: ecw_ma_queue .appointment_id → appointments.id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`appointment_id`	uuid
`action`	ecw_ma_queue_action	yes
`status`	ecw_ma_queue_status	yes
`payload`	jsonb	yes
`matched_ecw_appointment_id`	text
`matched_at`	timestamp
`match_method`	text
`matched_by_user_id`	text
`created_at`	timestamp	yes
`updated_at`	timestamp	yes

`ecw_organization_config`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`organization_id`	uuid	yes
`tenant_host`	text	yes
`cloudcruise_workflow_id`	text	yes
`cloudcruise_vault_user_id`	text	yes
`session_did`	text	yes
`tr_user_id`	text	yes
`provider_id`	text	yes
`provider_name`	text	yes
`resource_id`	text
`additional_provider_ids`	text[]	yes
`additional_provider_names`	text[]	yes
`sync_enabled`	boolean	yes
`sync_window_days`	integer	yes
`created_at`	timestamp	yes
`updated_at`	timestamp	yes

`eligibility_checks`

Patient-owned through a foreign-key path: eligibility_checks .form_submission_id → form_submissions.id.

Column	Postgres type	Required
`id`	uuid	yes
`form_submission_id`	uuid	yes
`organization_id`	uuid	yes
`status`	eligibility_status	yes
`trading_partner_service_id`	text
`request_snapshot`	jsonb
`parsed_summary`	jsonb
`response_json`	jsonb
`aaa_error_codes`	text[]
`error_message`	text
`checked_at`	timestamp	yes
`next_recheck_at`	timestamp
`stedi_trace_id`	text

`emr_accounting_periods`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`period_key`	text	yes
`starts_on`	date	yes
`ends_on`	date	yes
`status`	text	yes
`closed_at`	timestamp with time zone
`closed_by`	text
`reopened_at`	timestamp with time zone
`reopened_by`	text
`reopen_reason`	text
`close_note`	text
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_advance_directives`

Patient-owned directly: emr_advance_directives.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`status`	text	yes
`directive_kind`	text
`document_id`	uuid
`recorded_by`	text	yes
`recorded_at`	timestamp with time zone	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_agent_task_events`

Patient-owned directly: emr_agent_task_events.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`task_id`	uuid	yes
`seq`	bigserial	yes
`kind`	text	yes
`step_id`	text
`summary`	text	yes
`detail`	jsonb
`dedupe_key`	text
`patient_id`	uuid
`created_at`	timestamp with time zone	yes

`emr_agent_task_notices`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`task_id`	uuid	yes
`occasion`	text	yes
`notice`	text	yes
`words`	text	yes
`status`	text	yes
`attempts`	integer	yes
`available_at`	timestamp with time zone	yes
`lease_until`	timestamp with time zone
`last_error`	text
`created_at`	timestamp with time zone	yes
`delivered_at`	timestamp with time zone

`emr_agent_task_operations`

Patient-owned directly: emr_agent_task_operations.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`task_id`	uuid	yes
`op_key`	text	yes
`kind`	text	yes
`patient_id`	uuid
`payload`	jsonb	yes
`status`	text	yes
`result`	jsonb
`error_code`	text
`error`	text
`created_at`	timestamp with time zone	yes
`decided_at`	timestamp with time zone

`emr_agent_tasks`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`created_by_user_id`	uuid	yes
`owner_user_id`	uuid	yes
`kind`	text	yes
`title`	text	yes
`goal`	text	yes
`status`	text	yes
`params`	jsonb	yes
`plan`	jsonb	yes
`memory`	jsonb	yes
`waiting_on`	jsonb
`next_check_at`	timestamp with time zone	yes
`paused_at`	timestamp with time zone
`subject_patient_ids`	uuid[]	yes
`subject_case_ids`	uuid[]	yes
`subject_encounter_ids`	uuid[]	yes
`watch_thread_ids`	uuid[]	yes
`watch_proposal_ids`	uuid[]	yes
`step_count`	integer	yes
`step_budget`	integer	yes
`model_calls`	integer	yes
`model_tokens`	integer	yes
`token_budget`	integer	yes
`summary`	text
`last_error`	text
`lease_owner`	text
`lease_expires_at`	timestamp with time zone
`version`	integer	yes
`request_key`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes
`finished_at`	timestamp with time zone

`emr_annotations`

Patient-owned directly: emr_annotations.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`encounter_id`	uuid
`document_id`	uuid	yes
`source`	text	yes
`study_instance_uid`	text
`label`	text	yes
`created_by`	text	yes
`created_at`	timestamp with time zone	yes

`emr_appointment_bindings`

Patient-owned directly: emr_appointment_bindings.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`appointment_id`	uuid	yes
`patient_id`	uuid	yes
`provider_id`	uuid
`facility_id`	uuid
`resolution_method`	text	yes
`created_at`	timestamp with time zone	yes

`emr_appointment_reschedule_flags`

Patient-owned through a foreign-key path: emr_appointment_reschedule_flags .appointment_id → appointments.id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`appointment_id`	uuid	yes
`block_id`	uuid	yes
`series_id`	uuid
`reason`	text	yes
`flagged_by`	text	yes
`flagged_at`	timestamp with time zone	yes
`cleared_at`	timestamp with time zone
`cleared_by`	text
`cleared_reason`	text

`emr_asc_followup_attempts`

Patient-owned directly: emr_asc_followup_attempts.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`case_id`	uuid	yes
`followup_id`	uuid	yes
`attempted_at`	timestamp with time zone	yes
`method`	text	yes
`outcome`	text	yes
`concerns_raised`	boolean
`infection_finding`	text
`note`	text
`late_entry_reason`	text
`recorded_by`	text	yes
`recorded_at`	timestamp with time zone	yes
`request_key`	uuid	yes

`emr_asc_followups`

Patient-owned directly: emr_asc_followups.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`case_id`	uuid	yes
`kind`	text	yes
`due_on`	date	yes
`status`	text	yes
`task_id`	uuid
`escalated_at`	timestamp with time zone
`escalation_reason`	text
`escalation_task_id`	uuid
`outcome`	text
`close_reason`	text
`closed_by`	text
`closed_at`	timestamp with time zone
`filed_by`	text	yes
`filed_at`	timestamp with time zone	yes
`version`	integer	yes

`emr_asc_transfer_contact_attempts`

Patient-owned directly: emr_asc_transfer_contact_attempts.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`case_id`	uuid	yes
`transfer_id`	uuid	yes
`attempted_at`	timestamp with time zone	yes
`contact_name`	text
`contact_relationship`	text
`method`	text	yes
`outcome`	text	yes
`late_entry_reason`	text
`recorded_by`	text	yes
`recorded_at`	timestamp with time zone	yes
`request_key`	uuid	yes

`emr_asc_transfers`

Patient-owned directly: emr_asc_transfers.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`case_id`	uuid	yes
`reason`	text	yes
`decided_at`	timestamp with time zone	yes
`receiving_hospital`	text
`receiving_listed`	boolean
`destination_type`	text	yes
`planned_inpatient_admission`	boolean	yes
`transport_mode`	text
`transport_called_at`	timestamp with time zone
`report_called_at`	timestamp with time zone
`report_given_to`	text
`record_copy_sent_at`	timestamp with time zone
`record_copy_method`	text
`late_entry_reason`	text
`version`	integer	yes
`recorded_by`	text	yes
`recorded_at`	timestamp with time zone	yes
`updated_by`	text	yes
`updated_at`	timestamp with time zone	yes

`emr_board_note_events`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`facility_id`	uuid	yes
`note_id`	uuid	yes
`revision`	integer	yes
`kind`	text	yes
`request_key`	uuid	yes
`before_snapshot`	jsonb
`snapshot`	jsonb	yes
`actor_id`	text	yes
`actor_type`	text	yes
`source_ref`	text
`occurred_at`	timestamp with time zone	yes

`emr_board_notes`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`facility_id`	uuid	yes
`day`	date	yes
`room_id`	uuid
`body`	text	yes
`revision`	integer	yes
`request_key`	uuid	yes
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_by`	text	yes
`updated_at`	timestamp with time zone	yes

`emr_care_team_roles`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`key`	text	yes
`label`	text	yes
`category`	text	yes
`can_own_tasks`	boolean	yes
`member_user_ids`	text[]	yes
`active`	boolean	yes
`sort`	integer	yes
`revision`	integer	yes
`created_by`	text	yes
`updated_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_case_check_reviews`

Patient-owned directly: emr_case_check_reviews.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`case_id`	uuid	yes
`check_key`	text	yes
`fingerprint`	text	yes
`reason`	text	yes
`note`	text
`reviewed_by`	text	yes
`reviewed_at`	timestamp with time zone	yes
`request_key`	uuid	yes

`emr_case_notes`

Patient-owned directly: emr_case_notes.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`case_id`	uuid	yes
`body`	text	yes
`authored_by`	text	yes
`authored_at`	timestamp with time zone	yes
`request_key`	uuid	yes
`shared_with_vendors`	boolean	yes

`emr_case_pathway_assignments`

Patient-owned directly: emr_case_pathway_assignments.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`case_id`	uuid	yes
`pathway_id`	uuid	yes
`pathway_revision`	integer	yes
`status`	text	yes
`request_key`	text	yes
`preop_request_key`	text
`assigned_by`	text	yes
`assigned_at`	timestamp with time zone	yes
`replaced_at`	timestamp with time zone

`emr_case_patient_item_overrides`

Patient-owned directly: emr_case_patient_item_overrides.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`case_id`	uuid	yes
`item_id`	uuid	yes
`due_on`	date	yes
`time_of_day`	text
`reason`	text	yes
`basis`	text	yes
`status`	text	yes
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`ended_by`	text
`ended_at`	timestamp with time zone

`emr_case_request_comments`

Patient-owned directly: emr_case_request_comments.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`case_id`	uuid	yes
`resource_request_id`	uuid	yes
`body`	text	yes
`author_kind`	text	yes
`authored_by`	text	yes
`authored_at`	timestamp with time zone	yes
`request_key`	uuid	yes

`emr_case_request_events`

Patient-owned directly: emr_case_request_events.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`case_id`	uuid	yes
`request_id`	uuid	yes
`kind`	text	yes
`body`	text
`assignee`	text
`actor`	text	yes
`occurred_at`	timestamp with time zone	yes
`request_key`	uuid	yes

`emr_case_specimens`

Patient-owned directly: emr_case_specimens.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`case_id`	uuid	yes
`sequence`	integer	yes
`label_code`	text	yes
`description`	text	yes
`source_site`	text
`laterality`	text	yes
`specimen_kind`	text	yes
`preservation`	text	yes
`destination`	text	yes
`read_back_to_surgeon`	boolean	yes
`observed_at`	timestamp with time zone	yes
`recorded_at`	timestamp with time zone	yes
`collected_by`	text	yes
`late_entry_reason`	text
`request_key`	uuid	yes

`emr_case_tracking_acceptances`

Patient-owned directly: emr_case_tracking_acceptances.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`case_id`	uuid	yes
`patient_id`	uuid	yes
`observation_id`	uuid	yes
`room_event`	text	yes
`observed_at`	timestamp with time zone	yes
`recorded_at`	timestamp with time zone	yes
`amended`	boolean	yes
`amend_reason`	text
`accepted_by`	text	yes
`accepted_at`	timestamp with time zone	yes
`request_key`	uuid	yes
`input_digest`	text	yes

`emr_case_tracking_conflicts`

Patient-owned directly: emr_case_tracking_conflicts.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`case_id`	uuid	yes
`patient_id`	uuid	yes
`milestone`	text	yes
`observation_id`	uuid	yes
`clinical_at`	timestamp with time zone	yes
`observed_at`	timestamp with time zone	yes
`delta_ms`	bigint	yes
`detected_at`	timestamp with time zone	yes

`emr_case_tracking_observations`

Patient-owned directly: emr_case_tracking_observations.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`case_id`	uuid	yes
`patient_id`	uuid	yes
`facility_id`	uuid	yes
`source`	text	yes
`connection_id`	uuid	yes
`event_id`	uuid	yes
`source_event_id`	text	yes
`revision`	bigint	yes
`milestone`	text	yes
`room`	text
`observed_at`	timestamp with time zone	yes
`received_at`	timestamp with time zone	yes
`mapping_id`	uuid	yes
`receipt_id`	uuid	yes
`status`	text	yes
`superseded_at`	timestamp with time zone
`superseded_reason`	text
`created_at`	timestamp with time zone	yes

`emr_case_tracking_status`

Patient-owned directly: emr_case_tracking_status.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`case_id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`facility_id`	uuid	yes
`location_milestone`	text
`location_room`	text
`location_at`	timestamp with time zone
`effective`	jsonb	yes
`open_conflicts`	integer	yes
`recomputed_at`	timestamp with time zone	yes
`version`	integer	yes

`emr_ccda_reconciliations`

Patient-owned directly: emr_ccda_reconciliations.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`document_id`	uuid	yes
`exchange_document_id`	uuid	yes
`content_sha256`	text	yes
`request_key`	uuid	yes
`completed_by`	text	yes
`completed_at`	timestamp with time zone	yes
`decisions`	jsonb	yes
`summary`	jsonb	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_charge_code_decisions`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`anchor_key`	text	yes
`setting`	text	yes
`cpt`	text	yes
`decision`	text	yes
`contribution_id`	text
`decided_by`	text	yes
`decided_at`	timestamp with time zone	yes

`emr_charge_contribution_exclusions`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`anchor_key`	text	yes
`contribution_id`	text	yes
`excluded_by`	text	yes
`excluded_at`	timestamp with time zone	yes
`lifted_by`	text
`lifted_at`	timestamp with time zone

`emr_charge_kept_pairs`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`anchor_key`	text	yes
`contribution_a`	text	yes
`contribution_b`	text	yes
`decided_by`	text	yes
`decided_at`	timestamp with time zone	yes

`emr_charge_master`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`item_code`	text	yes
`description`	text	yes
`item_kind`	text	yes
`unit`	text	yes
`price_cents`	integer
`cost_cents`	integer
`revenue_code`	text
`cost_center_code`	text
`device_match`	text
`supply_category`	text	yes
`version`	integer	yes
`active`	boolean	yes
`source`	text	yes
`effective_from`	date	yes
`effective_to`	date
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_chart_audits`

Patient-owned directly: emr_chart_audits.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`scope_kind`	text	yes
`scope_id`	uuid	yes
`outcome`	text	yes
`audited_by`	text	yes
`audited_at`	timestamp with time zone	yes
`checklist_version`	text	yes
`items`	jsonb	yes
`open_items`	integer	yes
`flagged_items`	integer	yes
`note`	text
`request_key`	uuid	yes
`created_at`	timestamp with time zone	yes

`emr_chart_exports`

Patient-owned directly: emr_chart_exports.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`requested_by`	text	yes
`scope`	jsonb	yes
`status`	text	yes
`state`	jsonb	yes
`document_id`	uuid
`content_sha256`	text
`page_count`	integer
`error_code`	text
`lease_until`	timestamp with time zone
`lease_token`	text
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_chart_note_reviews`

Patient-owned through a foreign-key path: emr_chart_note_reviews .note_id → emr_chart_notes.id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`note_id`	uuid	yes
`reviewed_by`	text	yes
`reviewed_at`	timestamp with time zone	yes
`comment`	text

`emr_chart_notes`

Patient-owned directly: emr_chart_notes.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`kind`	text	yes
`body`	text	yes
`authored_by`	text	yes
`author_role`	text
`authored_at`	timestamp with time zone	yes
`provider_id`	uuid
`requires_review`	boolean	yes
`supersedes_id`	uuid
`correction_reason`	text
`request_key`	uuid	yes

`emr_checklist_definitions`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`version`	integer	yes
`content_hash`	text	yes
`status`	text	yes
`definition`	jsonb	yes
`approved_task_keys`	text[]	yes
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`published_by`	text
`published_at`	timestamp with time zone
`retired_at`	timestamp with time zone

`emr_claim_copies`

Patient-owned through a foreign-key path: emr_claim_copies .claim_id → billing_claims.id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`destination_id`	uuid	yes
`claim_id`	uuid	yes
`claim_type`	text	yes
`transaction_id`	text	yes
`submitted_at`	timestamp with time zone	yes
`remote_filename`	text	yes
`status`	text	yes
`attempts`	integer	yes
`next_attempt_at`	timestamp with time zone	yes
`lease_token`	uuid
`last_error`	text
`sha256`	text
`byte_size`	integer
`delivered_at`	timestamp with time zone
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_claim_copy_destinations`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`name`	text	yes
`host`	text	yes
`port`	integer	yes
`username`	text	yes
`auth_method`	text	yes
`secret_set_at`	timestamp with time zone
`remote_folder`	text	yes
`file_name_pattern`	text	yes
`schedule`	text	yes
`daily_at`	text
`claim_types`	text[]	yes
`payer_ids`	text[]	yes
`include_test_claims`	boolean	yes
`enabled`	boolean	yes
`enabled_at`	timestamp with time zone
`enabled_windows`	tstzmultirange	yes
`host_key_sha256`	text
`host_key_pinned_at`	timestamp with time zone
`host_key_pinned_by`	text
`created_by`	text	yes
`updated_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_clinic_drug_batches`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`facility_id`	uuid
`product_name`	text	yes
`ndc`	text
`ndc11`	char(11)
`lot_number`	text	yes
`expires_on`	date	yes
`container`	text	yes
`opened_at`	timestamp with time zone	yes
`beyond_use_date`	date
`inv_lot_id`	uuid
`ndc_unit`	text
`ndc_unit_amount`	numeric(12, 4)
`entered_by`	text	yes
`created_at`	timestamp with time zone	yes
`retired_at`	timestamp with time zone
`retired_by`	text

`emr_clinic_procedure_candidates`

Patient-owned directly: emr_clinic_procedure_candidates.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`encounter_id`	uuid	yes
`setup_id`	uuid	yes
`setup_version`	integer	yes
`phrase_id`	text	yes
`status`	text	yes
`opened_by`	text	yes
`opened_at`	timestamp with time zone	yes
`resolved_by`	text
`resolved_at`	timestamp with time zone
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_consent_kiosk_sessions`

Patient-owned directly: emr_consent_kiosk_sessions.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`packet_id`	uuid	yes
`patient_id`	uuid	yes
`case_id`	uuid	yes
`token_sha256`	text	yes
`handed_by`	text	yes
`handed_at`	timestamp with time zone	yes
`expires_at`	timestamp with time zone	yes
`identity_confirmed_at`	timestamp with time zone
`identity_attempts`	integer	yes
`finished_at`	timestamp with time zone
`returned_at`	timestamp with time zone
`returned_by`	text
`status`	text	yes
`return_path`	text
`device_user_agent`	text
`returned_proof_sha256`	text
`returned_auth_at`	timestamp with time zone
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_consent_packet_items`

Patient-owned directly: emr_consent_packet_items.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`packet_id`	uuid	yes
`patient_id`	uuid	yes
`case_id`	uuid	yes
`form_definition_id`	uuid	yes
`form_slug`	text	yes
`title`	text	yes
`role`	text	yes
`required`	boolean	yes
`countersign_required`	boolean	yes
`sort_order`	integer	yes
`status`	text	yes
`hold_reason`	text
`form_version_id`	uuid
`delivery_id`	uuid
`submission_id`	uuid
`facts_hash`	text	yes
`prefill_sources`	jsonb	yes
`patient_signed_at`	timestamp with time zone
`patient_signed_via`	text
`kiosk_session_id`	uuid
`handed_by`	text
`countersigned_at`	timestamp with time zone
`countersigned_by`	text
`countersigner_name`	text
`countersign_method`	text
`countersign_statement`	text
`document_id`	uuid
`declined_at`	timestamp with time zone
`declined_by`	text
`decline_reason`	text
`voided_at`	timestamp with time zone
`voided_by`	text
`void_reason`	text
`prepared_at`	timestamp with time zone
`prepared_by`	text
`preparer_name`	text
`prepared_via`	text
`presented_sha256`	text
`discussion_requested_at`	timestamp with time zone
`discussion_sections`	jsonb
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_consent_packets`

Patient-owned directly: emr_consent_packets.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`case_id`	uuid	yes
`template_key`	text	yes
`template_version`	integer	yes
`status`	text	yes
`facts`	jsonb	yes
`facts_hash`	text	yes
`assigned_by`	text	yes
`assigned_via`	text	yes
`completed_at`	timestamp with time zone
`voided_at`	timestamp with time zone
`voided_by`	text
`void_reason`	text
`missing_forms`	text[]	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_consent_prints`

Patient-owned directly: emr_consent_prints.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`packet_id`	uuid	yes
`item_id`	uuid	yes
`patient_id`	uuid	yes
`case_id`	uuid	yes
`submission_id`	uuid	yes
`form_version_id`	uuid	yes
`presented_sha256`	text	yes
`facts_hash`	text	yes
`print_ref`	text	yes
`purpose`	text	yes
`printed_by`	text	yes
`printed_at`	timestamp with time zone	yes
`returned_document_id`	uuid
`returned_at`	timestamp with time zone
`returned_by`	text
`signed_at`	timestamp with time zone
`signer_role`	text
`signer_name`	text
`signer_relationship`	text
`snapshot`	jsonb
`snapshot_sha256`	text
`returned_scan_sha256`	text
`returned_page_edits`	jsonb
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_contacts`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`kind`	text	yes
`name`	text	yes
`organization_name`	text
`npi`	text
`specialty`	text
`phone`	text
`fax`	text
`email`	text
`address_line1`	text
`address_line2`	text
`city`	text
`state`	text
`zip`	text
`notes`	text
`direct_address`	text
`preferred_delivery`	text
`preferred_channel`	text
`aliases`	text[]	yes
`active`	boolean	yes
`provenance`	text	yes
`referring_provider_id`	uuid
`title`	text
`supplier_company_id`	uuid
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_coordination_care_team`

Patient-owned directly: emr_coordination_care_team.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`coordination_id`	uuid	yes
`role_key`	text	yes
`ordinal`	integer	yes
`user_id`	text
`provider_id`	uuid
`contact_id`	uuid
`updated_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_coordination_cohort_intervals`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`provider_id`	uuid	yes
`mode`	text	yes
`default_scheduler_user_id`	text
`from_at`	timestamp with time zone	yes
`to_at`	timestamp with time zone
`set_by`	text	yes
`closed_by`	text
`created_at`	timestamp with time zone	yes

`emr_coordination_diagnoses`

Patient-owned directly: emr_coordination_diagnoses.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`coordination_id`	uuid	yes
`clinical_version`	integer	yes
`position`	integer	yes
`icd10`	text	yes
`provenance`	text	yes
`active`	boolean	yes
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_coordination_events`

Patient-owned directly: emr_coordination_events.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`coordination_id`	uuid	yes
`event_id`	text	yes
`kind`	text	yes
`occurrence`	integer	yes
`reason_code`	text
`detail`	jsonb	yes
`actor`	text	yes
`occurred_at`	timestamp with time zone	yes

`emr_coordination_order_links`

Patient-owned directly: emr_coordination_order_links.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`coordination_id`	uuid	yes
`service_request_id`	uuid	yes
`lineage_root_id`	uuid	yes
`role`	text	yes
`state`	text	yes
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_coordination_procedures`

Patient-owned directly: emr_coordination_procedures.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`coordination_id`	uuid	yes
`clinical_version`	integer	yes
`position`	integer	yes
`cpt`	text	yes
`modifiers`	text[]	yes
`side`	text
`body_part`	text
`levels`	text[]	yes
`print_text`	text
`performed`	boolean	yes
`provenance`	text	yes
`approved`	boolean	yes
`active`	boolean	yes
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_coordination_routing`

Patient-owned directly: emr_coordination_routing.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`service_request_id`	uuid	yes
`provider_id`	uuid
`decision`	text	yes
`reason`	text	yes
`mode`	text
`interval_id`	uuid
`order_confirmed_at`	timestamp with time zone	yes
`decided_at`	timestamp with time zone	yes
`decided_by_command`	text	yes
`decided_by`	text	yes
`app_revision`	text
`coordination_id`	uuid
`released_at`	timestamp with time zone
`released_by`	text

`emr_coordination_source_keys`

Patient-owned directly: emr_coordination_source_keys.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`coordination_id`	uuid	yes
`kind`	text	yes
`key`	text	yes
`created_by`	text	yes
`created_at`	timestamp with time zone	yes

`emr_coordination_task_events`

Patient-owned directly: emr_coordination_task_events.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`coordination_id`	uuid	yes
`task_id`	uuid	yes
`kind`	text	yes
`from_value`	text
`to_value`	text
`note_length`	integer
`cause`	text
`actor`	text	yes
`occurred_at`	timestamp with time zone	yes

`emr_coordination_tasks`

Patient-owned directly: emr_coordination_tasks.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`coordination_id`	uuid	yes
`task_key`	text	yes
`occurrence`	integer	yes
`section_key`	text	yes
`section_label`	text	yes
`section_scope`	text	yes
`section_order`	integer	yes
`task_order`	integer	yes
`class`	text	yes
`label`	text	yes
`role_key`	text
`assignee_user_id`	text
`due_on`	date
`due_rule`	jsonb
`due_overridden`	boolean	yes
`na_allowed`	boolean	yes
`decision`	text	yes
`decided_by`	text
`decided_at`	timestamp with time zone
`lifecycle`	text	yes
`condition_applies`	boolean	yes
`note`	text
`custom`	boolean	yes
`generated_by`	text	yes
`version`	integer	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_cost_center_crosswalk`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`system`	text	yes
`entity`	text	yes
`cost_center_code`	text	yes
`external_class`	text
`external_cost_center`	text
`external_partner`	text
`updated_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_cost_centers`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`code`	text	yes
`name`	text	yes
`department`	text	yes
`facility_id`	uuid
`room_rate_cents_per_minute`	integer
`anesthesia_rate_cents_per_minute`	integer
`center_type`	text
`default_revenue_code`	text
`rate_eligible`	boolean	yes
`version`	integer	yes
`active`	boolean	yes
`source`	text	yes
`effective_from`	date	yes
`effective_to`	date
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_cures_checks`

Patient-owned directly: emr_cures_checks.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`prescriber_provider_id`	uuid	yes
`service_request_id`	uuid
`kind`	text	yes
`checked_at`	timestamp with time zone
`pulled_by`	text
`evidence_document_id`	uuid
`cures_request_ref`	text
`case_id`	uuid
`facility_id`	uuid
`days_supply`	integer
`refills`	integer
`licensure_path`	text
`prescription_facts_hash`	text
`recorded_by`	text	yes
`recorded_at`	timestamp with time zone	yes
`request_key`	uuid	yes

`emr_dashboards`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`owner_user_id`	uuid	yes
`name`	text	yes
`visibility`	text	yes
`audience`	text[]	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_direct_accounts`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`direct_address`	text	yes
`provider_id`	uuid
`hisp`	text	yes
`secret_name`	text
`status`	text	yes
`last_polled_at`	timestamp with time zone
`poll_lease_until`	timestamp with time zone
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_direct_messages`

Patient-owned directly: emr_direct_messages.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`account_id`	uuid	yes
`direction`	text	yes
`message_id`	text
`from_address`	text	yes
`to_addresses`	text[]	yes
`subject`	text	yes
`status`	text	yes
`mdn_status`	text
`error_code`	text
`error_detail`	text
`document_ids`	uuid[]	yes
`patient_id`	uuid
`sha256`	text
`payload`	jsonb
`request_reference`	text
`requested_by`	text
`portal_transmission_id`	uuid
`attachment_names`	text[]	yes
`final_delivery`	boolean	yes
`sent_at`	timestamp with time zone
`mdn_at`	timestamp with time zone
`mdn_detail`	text
`acknowledged_at`	timestamp with time zone
`mime_storage_url`	text
`mime_sha256`	text
`attempts`	integer	yes
`next_attempt_at`	timestamp with time zone	yes
`lease_token`	uuid
`lease_until`	timestamp with time zone
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_discharge_authorizations`

Patient-owned directly: emr_discharge_authorizations.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`case_id`	uuid	yes
`responsible_provider_id`	uuid	yes
`written_instructions`	boolean	yes
`teach_back`	boolean	yes
`overnight_supplies`	text	yes
`follow_up`	text	yes
`informed_prescriptions`	boolean	yes
`informed_instructions`	boolean	yes
`informed_contact`	boolean	yes
`responsible_adult_name`	text
`responsible_adult_relationship`	text
`escort_exemption_id`	uuid
`acknowledged_by`	text	yes
`acknowledged_name`	text
`acknowledged_relationship`	text
`evidence`	jsonb	yes
`authorized_at`	timestamp with time zone	yes
`authorized_by`	text	yes
`revoked_at`	timestamp with time zone
`revoked_by`	text
`revoke_reason`	text
`request_key`	uuid	yes

`emr_discharge_escort_exemptions`

Patient-owned directly: emr_discharge_escort_exemptions.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`case_id`	uuid	yes
`attending_provider_id`	uuid	yes
`reason`	text	yes
`recorded_at`	timestamp with time zone	yes
`recorded_by`	text	yes
`request_key`	uuid	yes

`emr_document_packet_context`

Patient-owned directly: emr_document_packet_context.patient_id.

Column	Postgres type	Required
`packet_id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`encounter_id`	uuid
`requires_provider_signature`	boolean	yes
`signed_by`	text
`signer_name`	text
`signed_at`	timestamp with time zone
`signed_content_sha256`	text
`recipient_evidence`	jsonb	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_document_page_edits`

Patient-owned through a foreign-key path: adapter document-page-edits.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`document_id`	uuid	yes
`page`	integer	yes
`rotation`	integer	yes
`split_to_document_id`	uuid
`updated_by`	text	yes
`updated_at`	timestamp with time zone	yes

`emr_document_security_classes`

Patient-owned through a foreign-key path: emr_document_security_classes .document_id → documents.id.

Column	Postgres type	Required
`id`	uuid	yes
`document_id`	uuid	yes
`organization_id`	uuid	yes
`classification`	text	yes
`owner_analysis_id`	uuid	yes
`set_by`	text	yes
`set_at`	timestamp with time zone	yes

`emr_document_tags`

Patient-owned through a foreign-key path: emr_document_tags .document_id → documents.id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`document_id`	uuid	yes
`tag`	text	yes
`created_by`	text	yes
`created_at`	timestamp with time zone	yes

`emr_document_translations`

Patient-owned directly: emr_document_translations.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`document_id`	uuid	yes
`source_document_id`	uuid
`target_language`	text	yes
`method`	text	yes
`critical`	boolean	yes
`status`	text	yes
`reviewed_at`	timestamp with time zone
`reviewed_by`	text
`reviewer_name`	text
`reviewer_identifier`	text
`released_at`	timestamp with time zone
`released_by`	text
`recorded_by`	text	yes
`recorded_at`	timestamp with time zone	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_downtime_episodes`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`facility_id`	uuid	yes
`started_at`	timestamp with time zone	yes
`ended_at`	timestamp with time zone
`reason`	text	yes
`recorded_by`	text	yes
`recorded_at`	timestamp with time zone	yes
`ended_recorded_by`	text
`ended_recorded_at`	timestamp with time zone
`reconciled_by`	text
`reconciled_at`	timestamp with time zone
`reconciliation_note`	text

`emr_downtime_reentries`

Patient-owned directly: emr_downtime_reentries.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`episode_id`	uuid	yes
`patient_id`	uuid	yes
`administration_id`	uuid
`nursing_observation_id`	uuid
`patient_observation_id`	uuid
`care_at`	timestamp with time zone	yes
`entered_at`	timestamp with time zone	yes
`entered_by`	text	yes
`duplicate_checked_ids`	uuid[]	yes

`emr_downtime_reports`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`facility_id`	uuid	yes
`trigger`	text	yes
`generated_by`	text	yes
`generated_at`	timestamp with time zone	yes
`as_of`	timestamp with time zone	yes
`content`	jsonb	yes
`content_hash`	text	yes
`patient_ids`	uuid[]	yes
`patient_count`	integer	yes

`emr_drug_billing_settings`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`waste_modifiers`	text	yes
`updated_by`	text	yes
`updated_at`	timestamp with time zone	yes

`emr_drug_prices`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`hcpcs`	text	yes
`fee_cents_per_unit`	integer	yes
`label`	text
`updated_by`	text	yes
`updated_at`	timestamp with time zone	yes
`created_at`	timestamp with time zone	yes
`retired_at`	timestamp with time zone

`emr_dsi_feedback`

Patient-owned directly: emr_dsi_feedback.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid
`intervention_key`	text	yes
`intervention_title`	text	yes
`intervention_kind`	text	yes
`action`	text	yes
`override_reason`	text
`feedback_text`	text
`rating`	smallint
`user_id`	text	yes
`user_name`	text
`facility_id`	uuid
`location`	text	yes
`created_at`	timestamp with time zone	yes

`emr_dsi_interventions`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`intervention_key`	text	yes
`kind`	text	yes
`source_attributes`	jsonb	yes
`additional_attributes`	jsonb	yes
`active`	boolean	yes
`updated_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_dsi_rules`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`seed_key`	text
`title`	text	yes
`data_class`	text	yes
`criteria`	jsonb	yes
`message`	text	yes
`source_attributes`	jsonb	yes
`enabled`	boolean	yes
`created_by`	text	yes
`updated_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_ecqm_imports`

Patient-owned directly: emr_ecqm_imports.matched_patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`file_name`	text	yes
`sha256`	text	yes
`qdm_patient`	jsonb	yes
`warnings`	jsonb	yes
`matched_patient_id`	uuid
`matched_by`	text
`matched_at`	timestamp with time zone
`created_by`	text	yes
`created_at`	timestamp with time zone	yes

`emr_ecqm_patient_results`

Patient-owned through a foreign-key path: emr_ecqm_patient_results .patient_id → patients.id or emr_ecqm_patient_results .import_id → emr_ecqm_imports.id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`run_id`	uuid	yes
`subject_id`	uuid	yes
`patient_id`	uuid
`import_id`	uuid
`measure_id`	text	yes
`cms_id`	text	yes
`population_set_id`	text	yes
`stratum_id`	text
`populations`	jsonb	yes
`episode_results`	jsonb	yes
`observations`	jsonb	yes

`emr_ecqm_run_subjects`

Patient-owned through a foreign-key path: emr_ecqm_run_subjects .patient_id → patients.id or emr_ecqm_run_subjects .import_id → emr_ecqm_imports.id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`run_id`	uuid	yes
`patient_id`	uuid
`import_id`	uuid
`qdm_patient`	jsonb	yes

`emr_ecqm_runs`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`measures`	text[]	yes
`period_start`	timestamp with time zone	yes
`period_end`	timestamp with time zone	yes
`include_imports`	boolean	yes
`status`	text	yes
`requested_by`	text	yes
`requested_at`	timestamp with time zone	yes
`request_key`	uuid	yes
`lease_until`	timestamp with time zone
`attempts`	integer	yes
`started_at`	timestamp with time zone
`finished_at`	timestamp with time zone
`engine_generation`	text
`bundle_version`	text
`subject_count`	integer
`error_code`	text
`summary`	jsonb
`time_zone`	text

`emr_education_assets`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`kind`	text	yes
`storage_key`	text	yes
`content_type`	text	yes
`byte_size`	integer	yes
`file_name`	text
`created_by`	text	yes
`created_at`	timestamp with time zone	yes

`emr_education_shares`

Patient-owned directly: emr_education_shares.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`encounter_id`	uuid
`sheet_id`	uuid	yes
`document_id`	uuid	yes
`shared_to_portal`	boolean	yes
`printed`	boolean	yes
`shared_by`	text	yes
`shared_at`	timestamp with time zone	yes

`emr_education_sheets`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid
`slug`	text	yes
`title`	text	yes
`body_markdown`	text	yes
`body_html`	text
`attachments`	jsonb	yes
`procedure_tags`	text[]	yes
`language`	text	yes
`video_links`	jsonb	yes
`kind`	text	yes
`active`	boolean	yes
`owner_user_id`	text
`updated_by`	text
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_eligibility_results`

Patient-owned directly: emr_eligibility_results.patient_id.

Column	Postgres type	Required
`id`	uuid
`organization_id`	uuid
`patient_id`	uuid
`source`	text
`status`	text
`payer_name`	text
`trading_partner_service_id`	text
`member_id`	text
`copay_cents`	integer
`coinsurance_percent`	numeric
`deductible_cents`	integer
`deductible_remaining_cents`	integer
`oop_max_cents`	integer
`oop_max_remaining_cents`	integer
`plan_begin`	date
`plan_end`	date
`parsed_summary`	jsonb
`response_snapshot`	jsonb
`aaa_error_codes`	text[]
`error_message`	text
`stedi_trace_id`	text
`checked_by`	text
`checked_at`	timestamp
`expires_at`	timestamp
`created_at`	timestamp

`emr_encounter_abstracts`

Patient-owned directly: emr_encounter_abstracts.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`facility_id`	uuid	yes
`kind`	text	yes
`case_id`	uuid
`admission_id`	uuid
`status`	text	yes
`principal_diagnosis`	jsonb
`other_diagnoses`	jsonb	yes
`external_causes`	jsonb	yes
`principal_procedure`	jsonb
`other_procedures`	jsonb	yes
`absorbed_cases`	jsonb	yes
`no_bill_generated`	boolean	yes
`type_of_care`	text
`route_of_admission`	text
`code_status_attestation`	text
`seeded_from`	text
`seeded_at`	timestamp with time zone
`revision`	integer	yes
`reviewed_by`	text
`reviewed_at`	timestamp with time zone
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_by`	text	yes
`updated_at`	timestamp with time zone	yes

`emr_erx_attempts`

Patient-owned directly: emr_erx_attempts.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`attempt_key`	text	yes
`organization_id`	uuid	yes
`binding_id`	uuid	yes
`service_request_id`	uuid	yes
`patient_id`	uuid	yes
`prescriber_provider_id`	uuid	yes
`vendor_clinician_id`	text	yes
`vendor_patient_id`	text
`vendor_prescription_id`	text
`op`	text	yes
`phase`	text	yes
`return_to`	text	yes
`lease_token`	uuid
`lease_until`	timestamp with time zone
`version`	integer	yes
`uncertain_since`	timestamp with time zone
`last_vendor_status`	text
`last_checked_at`	timestamp with time zone
`next_check_at`	timestamp with time zone	yes
`signer`	jsonb
`final`	jsonb
`conflict`	jsonb
`abandoned_by`	text
`abandoned_at`	timestamp with time zone
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_erx_clinic_bindings`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`vendor`	text	yes
`vendor_env`	text	yes
`clinic_id`	text	yes
`status`	text	yes
`created_by`	text	yes
`created_at`	timestamp with time zone	yes

`emr_erx_launches`

Patient-owned directly: emr_erx_launches.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`binding_id`	uuid	yes
`attempt_id`	uuid
`patient_id`	uuid
`login_uid`	text	yes
`view`	text	yes
`launched_at`	timestamp with time zone	yes

`emr_erx_patient_provisioning`

Patient-owned directly: emr_erx_patient_provisioning.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`binding_id`	uuid	yes
`patient_id`	uuid	yes
`state`	text	yes
`vendor_patient_id`	text
`lease_token`	uuid
`lease_until`	timestamp with time zone
`version`	integer	yes
`uncertain_since`	timestamp with time zone
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_erx_prescribers`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`binding_id`	uuid	yes
`provider_id`	uuid	yes
`vendor_clinician_id`	text
`npi`	text
`first_name`	text
`last_name`	text
`license_number`	text
`license_state`	text
`license_expires_on`	date
`dea_number`	text
`dea_state`	text
`dea_expires_on`	date
`credential_hash`	text
`nppes_checked_at`	timestamp with time zone
`nppes_snapshot`	jsonb
`dea_verified_by`	text
`dea_verified_at`	timestamp with time zone
`license_verified_by`	text
`license_verified_at`	timestamp with time zone
`license_verification_source`	text
`date_of_birth`	date
`epcs_requested`	boolean	yes
`enrollment_state`	text	yes
`registration_status`	text
`registration_checked_at`	timestamp with time zone
`enabled_by`	text
`enabled_at`	timestamp with time zone
`disabled_at`	timestamp with time zone
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_erx_vendor_imports`

Patient-owned directly: emr_erx_vendor_imports.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`binding_id`	uuid	yes
`vendor_prescription_id`	text	yes
`patient_id`	uuid	yes
`outcome`	text	yes
`method`	text
`imported_at`	timestamp with time zone	yes
`patient_medication_id`	uuid
`linked_service_request_id`	uuid

`emr_erx_webhook_events`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`binding_id`	uuid	yes
`body_hash`	text	yes
`event_type`	text	yes
`vendor_patient_id`	text
`vendor_prescription_id`	text
`vendor_clinic_id`	text
`received_at`	timestamp with time zone	yes
`processed_at`	timestamp with time zone
`outcome`	text

`emr_esignature_acceptances`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`user_id`	uuid	yes
`statement_version`	text	yes
`statement_sha256`	text	yes
`accepted_at`	timestamp with time zone	yes
`auth_time`	timestamp with time zone

`emr_estimates`

Patient-owned directly: emr_estimates.patient_id.

Column	Postgres type	Required
`id`	uuid
`organization_id`	uuid
`patient_id`	uuid
`encounter_id`	uuid
`case_id`	uuid
`status`	text
`lines`	jsonb
`professional_total_cents`	integer
`facility_total_cents`	integer
`facility_pending`	boolean
`eligibility_result_id`	uuid
`basis`	jsonb
`created_by`	text
`created_at`	timestamp
`updated_at`	timestamp

`emr_external_case_ids`

Patient-owned directly: emr_external_case_ids.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`facility_id`	uuid	yes
`connection_id`	uuid	yes
`vendor`	text	yes
`vendor_tenant`	text	yes
`source_facility`	text	yes
`assigning_system`	text	yes
`external_id`	text	yes
`case_id`	uuid	yes
`patient_id`	uuid	yes
`version`	integer	yes
`status`	text	yes
`basis`	text	yes
`supersedes_id`	uuid
`superseded_at`	timestamp with time zone
`reason`	text
`episode_reason`	text
`mapped_by`	text	yes
`mapped_at`	timestamp with time zone	yes

`emr_facility_notice_versions`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`facility_id`	uuid	yes
`kind`	text	yes
`language`	text	yes
`version`	integer	yes
`title`	text	yes
`body`	text	yes
`complaint_agency_name`	text
`complaint_agency_address`	text
`complaint_agency_phone`	text
`ombudsman_url`	text
`has_physician_owners`	boolean
`physician_owners`	jsonb
`form_number`	text
`emergency_coverage`	text
`translates_version_id`	uuid
`verification_source`	text	yes
`content_hash`	text	yes
`published_by`	text	yes
`published_at`	timestamp with time zone	yes

`emr_family_caregiver_events`

Patient-owned directly: emr_family_caregiver_events.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`admission_id`	uuid	yes
`facility_id`	uuid	yes
`event`	text	yes
`occurred_at`	timestamp with time zone	yes
`answer`	text
`caregiver_name`	text
`caregiver_relationship`	text
`caregiver_contact`	text
`designation_id`	uuid
`method`	text
`reached`	boolean
`language`	text
`interpreter_used`	boolean
`medications_covered`	boolean
`questions_invited`	boolean
`late_entry_reason`	text
`recorded_by`	text	yes
`recorded_at`	timestamp with time zone	yes
`entered_in_error_at`	timestamp with time zone
`entered_in_error_by`	text
`entered_in_error_reason`	text
`request_key`	uuid	yes

`emr_fee_schedule_charge_prices`

Patient-owned through a foreign-key path: emr_fee_schedule_charge_prices .charge_line_id → charge_lines.id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`charge_line_id`	uuid	yes
`schedule_line_id`	uuid	yes
`created_at`	timestamp with time zone	yes

`emr_fee_schedule_lines`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`version_id`	uuid	yes
`code_system`	text	yes
`code`	text	yes
`modifier`	text	yes
`description`	text	yes
`amount_cents`	integer	yes
`revenue_account`	text

`emr_fee_schedule_versions`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`schedule_id`	uuid	yes
`version`	integer	yes
`effective_start`	date	yes
`effective_end`	date
`created_by`	text	yes
`created_at`	timestamp with time zone	yes

`emr_fee_schedules`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`name`	text	yes
`type`	text	yes
`payer_id`	uuid
`financial_class`	text
`is_default`	boolean	yes
`created_by`	text	yes
`created_at`	timestamp with time zone	yes

`emr_fhir_projects`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`medplum_project_id`	uuid	yes
`sync_client_id`	uuid	yes
`secret_name`	text	yes
`base_url`	text	yes
`status`	text	yes
`patient_policy_id`	uuid
`practitioner_policy_id`	uuid
`created_by`	text	yes
`created_at`	timestamp with time zone	yes

`emr_follow_up_links`

Patient-owned directly: emr_follow_up_links.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`encounter_id`	uuid
`appointment_type_id`	uuid	yes
`provider_id`	uuid	yes
`window_from`	date	yes
`window_to`	date	yes
`token_sha256`	text	yes
`expires_at`	timestamp with time zone	yes
`revoked_at`	timestamp with time zone
`revoked_reason`	text
`dob_failures`	integer	yes
`locked_at`	timestamp with time zone
`verified_at`	timestamp with time zone
`session_sha256`	text
`session_expires_at`	timestamp with time zone
`used_at`	timestamp with time zone
`appointment_id`	uuid
`booking_request_key`	text
`request_key`	text	yes
`text_status`	text
`text_reason`	text
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_form_assignments`

Patient-owned directly: emr_form_assignments.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`case_id`	uuid	yes
`form_version_id`	uuid	yes
`request_key`	uuid	yes
`request_hash`	text	yes
`label`	text	yes
`anchor`	text	yes
`offset_value`	integer	yes
`offset_unit`	text	yes
`time_zone`	text	yes
`anchor_at`	timestamp with time zone
`due_at`	timestamp with time zone
`status`	text	yes
`delivery_id`	uuid
`cancelled_reason`	text
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_form_definitions`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`slug`	text	yes
`title`	text	yes
`status`	text	yes
`pdf_backed`	boolean	yes
`current_version_id`	uuid
`source_form_id`	uuid
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_form_deliveries`

Patient-owned directly: emr_form_deliveries.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`form_version_id`	uuid	yes
`patient_id`	uuid	yes
`channel`	text	yes
`status`	text	yes
`sent_by`	text	yes
`sent_at`	timestamp with time zone	yes
`opened_at`	timestamp with time zone
`completed_at`	timestamp with time zone
`expires_at`	timestamp with time zone	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_form_field_bindings`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`form_version_id`	uuid	yes
`field_key`	text	yes
`fact_key`	text	yes
`source`	text	yes
`confidence`	numeric
`set_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_form_outcomes`

Patient-owned directly: emr_form_outcomes.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`submission_id`	uuid	yes
`form_version_id`	uuid	yes
`group_key`	text	yes
`instrument_id`	text	yes
`scorer_version`	text	yes
`schema_hash`	text	yes
`answers_hash`	text	yes
`snapshot`	jsonb	yes
`effective_at`	timestamp with time zone	yes
`status`	text	yes
`reviewed_by`	text
`reviewed_at`	timestamp with time zone
`created_at`	timestamp with time zone	yes

`emr_form_submissions`

Patient-owned directly: emr_form_submissions.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`delivery_id`	uuid	yes
`form_version_id`	uuid	yes
`patient_id`	uuid	yes
`answers`	jsonb	yes
`status`	text	yes
`submitted_at`	timestamp with time zone
`signed_document_id`	uuid
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_form_versions`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`form_id`	uuid	yes
`version`	integer	yes
`schema`	jsonb	yes
`pdf_template`	jsonb
`published_at`	timestamp with time zone
`source_form_version_id`	uuid
`created_by`	text	yes
`created_at`	timestamp with time zone	yes

`emr_gl_account_crosswalk`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`system`	text	yes
`entity`	text	yes
`account_number`	text	yes
`external_account_name`	text	yes
`external_class`	text
`external_account_number`	text
`parent_account_name`	text
`external_cost_center`	text
`external_partner`	text
`updated_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_gl_accounts`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`account_number`	text	yes
`name`	text	yes
`kind`	text	yes
`version`	integer	yes
`active`	boolean	yes
`source`	text	yes
`effective_from`	date	yes
`effective_to`	date
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_gl_batch_lines`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`batch_id`	uuid	yes
`ledger_entry_id`	uuid
`journal_line_id`	uuid
`journal_entry_id`	uuid
`source_type`	text	yes
`source_ref`	text	yes
`entry_type`	text	yes
`account_number`	text	yes
`side`	text	yes
`amount_cents`	integer	yes
`cost_center_code`	text
`partner_code`	text
`revenue_code`	text
`patient_class`	text
`entry_date`	date	yes
`posted_date`	date	yes
`late_entry`	boolean	yes
`memo_safe`	text
`entity`	text	yes
`resolved_class`	text
`resolved_cost_center`	text
`resolved_partner`	text

`emr_gl_batches`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`period_id`	uuid	yes
`batch_number`	text	yes
`status`	text	yes
`debit_total_cents`	integer	yes
`credit_total_cents`	integer	yes
`entry_count`	integer	yes
`late_entry_count`	integer	yes
`control_totals`	jsonb	yes
`built_by`	text	yes
`built_at`	timestamp with time zone	yes
`exported_at`	timestamp with time zone
`export_format`	text

`emr_gl_exports`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`system`	text	yes
`period_key`	text	yes
`batch_ids`	uuid[]	yes
`format`	text	yes
`file_hash`	text	yes
`line_count`	integer	yes
`debit_total_cents`	integer	yes
`credit_total_cents`	integer	yes
`unmapped_accounts`	text[]	yes
`re_export_reason`	text
`exported_by`	text	yes
`exported_at`	timestamp with time zone	yes
`file_body`	text

`emr_gl_mappings`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`cost_center_code`	text	yes
`entry_type`	text	yes
`revenue_code`	text
`financial_class`	text
`supply_category`	text
`payer_class`	text
`debit_account`	text	yes
`credit_account`	text	yes
`version`	integer	yes
`active`	boolean	yes
`source`	text	yes
`effective_from`	date	yes
`effective_to`	date
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_hcai_payer_map_revisions`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`version`	integer	yes
`saved_by`	text	yes
`saved_at`	timestamp with time zone	yes
`changes`	jsonb	yes
`entries`	jsonb	yes

`emr_homeless_discharge_items`

Patient-owned directly: emr_homeless_discharge_items.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`admission_id`	uuid	yes
`facility_id`	uuid	yes
`item`	text	yes
`answer`	text	yes
`detail`	text
`occurred_at`	timestamp with time zone	yes
`late_entry_reason`	text
`recorded_by`	text	yes
`recorded_at`	timestamp with time zone	yes
`entered_in_error_at`	timestamp with time zone
`entered_in_error_by`	text
`entered_in_error_reason`	text
`request_key`	uuid	yes

`emr_implant_decisions`

Patient-owned directly: emr_implant_decisions.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`case_id`	uuid	yes
`concern`	text	yes
`decision`	text	yes
`udi`	text	yes
`lot_number`	text
`expiration_date`	date
`rationale`	text	yes
`decided_by`	text	yes
`decided_at`	timestamp with time zone	yes
`request_key`	uuid	yes

`emr_injury_case_surgeries`

Patient-owned directly: emr_injury_case_surgeries.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`surgical_case_id`	uuid	yes
`injury_case_id`	uuid
`linked_by`	text	yes
`linked_at`	timestamp with time zone	yes

`emr_injury_case_visits`

Patient-owned directly: emr_injury_case_visits.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`encounter_id`	uuid	yes
`injury_case_id`	uuid
`linked_by`	text	yes
`linked_at`	timestamp with time zone	yes

`emr_injury_cases`

Patient-owned directly: emr_injury_cases.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`kind`	text	yes
`related_cause`	text	yes
`billing_basis`	text	yes
`status`	text	yes
`injury_date`	date	yes
`state`	text
`claim_number`	text
`payer_id`	uuid
`carrier_name`	text
`employer_name`	text
`adjuster_name`	text
`adjuster_phone`	text
`adjuster_email`	text
`adjuster_fax`	text
`attorney_name`	text
`attorney_firm`	text
`attorney_phone`	text
`body_parts`	text[]	yes
`accepted_diagnoses`	text[]	yes
`authorization_status`	text	yes
`authorization_number`	text
`created_by`	text	yes
`updated_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes
`request_key`	uuid	yes

`emr_interpreter_uses`

Patient-owned directly: emr_interpreter_uses.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`encounter_id`	uuid
`case_id`	uuid
`language`	text	yes
`interpreter_kind`	text	yes
`interpreter_name`	text
`interpreter_identifier`	text
`modality`	text	yes
`purpose`	text
`used_at`	timestamp with time zone	yes
`ended_at`	timestamp with time zone
`recorded_by`	text	yes
`recorded_at`	timestamp with time zone	yes
`entered_in_error_at`	timestamp with time zone
`entered_in_error_by`	text
`entered_in_error_reason`	text
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_inventory_valuation_snapshot_lines`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`snapshot_id`	uuid	yes
`item_id`	uuid	yes
`item_code`	text	yes
`item_description`	text	yes
`location_id`	uuid	yes
`location_name`	text	yes
`facility_id`	uuid	yes
`cost_center_code`	text
`supply_category`	text	yes
`category`	text	yes
`units`	integer	yes
`unknown_units`	integer	yes
`unit_cost_cents`	integer
`value_cents`	integer	yes

`emr_inventory_valuation_snapshots`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`period_id`	uuid	yes
`period_key`	text	yes
`as_of`	date	yes
`method`	text	yes
`units`	integer	yes
`unknown_units`	integer	yes
`value_cents`	integer	yes
`layer_value_cents`	integer
`layer_unknown_units`	integer	yes
`gl_account_number`	text
`gl_balance_cents`	integer
`difference_cents`	integer
`taken_by`	text	yes
`taken_at`	timestamp with time zone	yes
`source_event_key`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_journal_entries`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`entry_type`	text	yes
`effective_date`	date	yes
`recorded_at`	timestamp with time zone	yes
`period_key`	text	yes
`late_entry`	boolean	yes
`status`	text	yes
`source_type`	text	yes
`source_ref`	text	yes
`reversal_of_id`	uuid
`reversed_by_id`	uuid
`revision_of_entry_id`	uuid
`posted_by`	text	yes
`approved_by`	text
`memo_safe`	text
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_journal_lines`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`entry_id`	uuid	yes
`line_no`	integer	yes
`account_number`	text	yes
`side`	text	yes
`amount_cents`	integer	yes
`cost_center_code`	text
`memo_safe`	text
`external_ref`	text
`superseded_at`	timestamp with time zone

`emr_journal_pending`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`source_type`	text	yes
`source_ref`	text	yes
`entry_type`	text	yes
`amount_cents`	integer
`cost_center_code`	text
`reason`	text	yes
`resolved_at`	timestamp with time zone
`resolved_entry_id`	uuid
`created_at`	timestamp with time zone	yes

`emr_lab_compendium`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`interface_id`	uuid	yes
`version`	integer	yes
`order_code`	text	yes
`display`	text	yes
`loinc`	text
`cpt`	text
`specimen`	text
`container`	text
`aoe`	jsonb	yes
`active`	boolean	yes
`imported_at`	timestamp with time zone	yes

`emr_lab_interfaces`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`lab_id`	text	yes
`vendor`	text	yes
`transport`	text	yes
`hl7_version`	text	yes
`sending_application`	text	yes
`sending_facility`	text	yes
`receiving_application`	text	yes
`receiving_facility`	text	yes
`processing_id`	text	yes
`timezone`	text	yes
`secret_name`	text	yes
`status`	text	yes
`allow_cpt_fallback`	boolean	yes
`ack_deadline_minutes`	integer	yes
`last_outbound_at`	timestamp with time zone
`last_inbound_at`	timestamp with time zone
`last_error_code`	text
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_lab_messages`

Patient-owned directly: emr_lab_messages.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`interface_id`	uuid	yes
`direction`	text	yes
`message_type`	text	yes
`control_id`	text	yes
`binding_id`	uuid
`delivery_id`	uuid
`patient_id`	uuid
`diagnostic_report_ids`	uuid[]	yes
`document_id`	uuid
`content_sha256`	text	yes
`file_name`	text
`status`	text	yes
`archived_at`	timestamp with time zone
`attempts`	integer	yes
`next_attempt_at`	timestamp with time zone
`lease_token`	uuid
`lease_until`	timestamp with time zone
`version`	integer	yes
`ack_due_at`	timestamp with time zone
`error_code`	text
`error_detail`	text
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_lab_order_bindings`

Patient-owned directly: emr_lab_order_bindings.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`interface_id`	uuid	yes
`service_request_id`	uuid	yes
`patient_id`	uuid	yes
`placer_order_number`	text	yes
`compendium_item`	jsonb
`created_at`	timestamp with time zone	yes

`emr_letter_drafts`

Patient-owned directly: emr_letter_drafts.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`encounter_id`	uuid	yes
`case_id`	uuid
`source`	text	yes
`source_item_id`	text
`source_item_type`	text
`source_text`	text
`template_id`	uuid
`template_version`	text
`template_snapshot`	jsonb
`title`	text	yes
`recipient`	text
`content`	jsonb	yes
`filled_values`	jsonb	yes
`computed_dates`	jsonb	yes
`revision`	integer	yes
`edited`	boolean	yes
`basis_note_hash`	text
`status`	text	yes
`filing_claimed_at`	timestamp with time zone
`signed_at`	timestamp with time zone
`signed_by`	text
`filed_document_id`	uuid
`filed_at`	timestamp with time zone
`filed_by`	text
`discarded_at`	timestamp with time zone
`discarded_by`	text
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_by`	text	yes
`updated_at`	timestamp with time zone	yes

`emr_medication_dispenses`

Patient-owned directly: emr_medication_dispenses.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`encounter_id`	uuid
`source_type`	text	yes
`source_event_key`	text	yes
`source_document_id`	uuid
`verification_status`	text	yes
`asserted_by`	text	yes
`asserted_at`	timestamp with time zone	yes
`confirmed_by`	text
`confirmed_at`	timestamp with time zone
`last_asserted_at`	timestamp with time zone	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes
`service_request_id`	uuid	yes
`status`	text	yes
`fill_type`	text
`handed_over_at`	timestamp with time zone
`quantity_value`	numeric
`quantity_unit`	text
`days_supply`	integer
`pharmacy_name`	text
`pharmacy_ncpdp_id`	text
`status_reason`	text

`emr_medication_equivalence`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`product_code_system`	text	yes
`formulary_product_id`	text	yes
`ndc11`	char(11)	yes
`approved_by`	text	yes
`approved_at`	timestamp with time zone	yes
`retired_at`	timestamp with time zone
`retired_by`	text
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_medication_waste`

Patient-owned directly: emr_medication_waste.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`administration_id`	uuid	yes
`service_request_id`	uuid	yes
`quantity`	numeric	yes
`unit`	text	yes
`reason`	text
`wasted_at`	timestamp with time zone	yes
`recorded_at`	timestamp with time zone	yes
`recorded_by`	text	yes
`witnessed_by`	text	yes
`late_entry_reason`	text
`corrects_id`	uuid
`correction_reason`	text
`entered_in_error`	boolean	yes
`source_event_key`	text	yes

`emr_member_access`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`organization_id`	uuid	yes
`user_id`	uuid	yes
`preset`	text
`presets`	text[]
`version`	integer	yes
`updated_at`	timestamp with time zone	yes
`updated_by`	text

`emr_memory_rules`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`scope`	text	yes
`provider_id`	uuid
`kind`	text	yes
`text`	text	yes
`structured`	jsonb
`active`	boolean	yes
`source`	text	yes
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes
`last_applied_at`	timestamp with time zone

`emr_note_context_snapshots`

Patient-owned directly: emr_note_context_snapshots.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`encounter_id`	uuid	yes
`snapshot_id`	text	yes
`preview_snapshot_id`	text
`format_version`	integer	yes
`purpose`	text	yes
`chart_context_sent`	boolean	yes
`prior_notes_mode`	text	yes
`clinical_cutoff`	timestamp with time zone	yes
`since_at`	timestamp with time zone
`sources`	jsonb	yes
`exclusions`	jsonb	yes
`statements`	jsonb	yes
`text_sha256`	text	yes
`token_estimate`	integer	yes
`recorded_by`	text	yes
`recorded_at`	timestamp with time zone	yes
`idempotency_key`	text	yes

`emr_note_drafts`

Patient-owned directly: emr_note_drafts.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid
`encounter_id`	uuid	yes
`transcription_id`	text	yes
`source_owner_uid`	text
`generation_encounter_id`	text
`html`	text	yes
`plain_text`	text	yes
`content_sha256`	text	yes
`revision`	integer	yes
`status`	text	yes
`document_type`	text
`note_display_name`	text
`generation_id`	text
`upstream_text_updated_at`	text
`generation_requested_at`	timestamp with time zone
`upstream_synced_revision`	integer
`engine_signed_version`	integer
`generation_attempt`	text
`generation_handed_off_at`	timestamp with time zone
`engine_metadata`	jsonb
`engine_lease_owner`	text
`engine_lease_until`	timestamp with time zone
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_by`	text	yes
`updated_at`	timestamp with time zone	yes

`emr_note_versions`

Patient-owned directly: emr_note_versions.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid
`encounter_id`	uuid	yes
`transcription_id`	text	yes
`version`	integer	yes
`html`	text	yes
`plain_text`	text	yes
`content_sha256`	text	yes
`finalized_by`	text	yes
`finalized_at`	timestamp with time zone	yes
`amendment_reason`	text
`source_owner_uid`	text
`upstream_key`	text
`origin`	text	yes
`draft_revision`	integer
`idempotency_key`	text	yes
`created_at`	timestamp with time zone	yes

`emr_nursing_risk_scores`

Patient-owned directly: emr_nursing_risk_scores.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`admission_id`	uuid	yes
`instrument`	text	yes
`instrument_version`	integer	yes
`components`	jsonb
`observed_at`	timestamp with time zone	yes
`recorded_at`	timestamp with time zone	yes
`recorded_by`	text	yes
`late_entry_reason`	text
`corrects_id`	uuid
`correction_reason`	text
`request_key`	uuid	yes

`emr_office_members`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`office_id`	uuid	yes
`user_id`	uuid	yes
`active`	boolean	yes
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_by`	text	yes
`updated_at`	timestamp with time zone	yes

`emr_office_surgeons`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`office_id`	uuid	yes
`provider_id`	uuid	yes
`active`	boolean	yes
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_by`	text	yes
`updated_at`	timestamp with time zone	yes

`emr_offices`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`name`	text	yes
`active`	boolean	yes
`revision`	integer	yes
`request_key`	uuid	yes
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_by`	text	yes
`updated_at`	timestamp with time zone	yes

`emr_or_count_attestations`

Patient-owned directly: emr_or_count_attestations.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`case_id`	uuid	yes
`count_id`	uuid	yes
`role`	text	yes
`attested_by`	text	yes
`attested_at`	timestamp with time zone	yes
`request_key`	uuid	yes

`emr_or_count_conclusions`

Patient-owned directly: emr_or_count_conclusions.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`case_id`	uuid	yes
`conclusion`	text	yes
`state_hash`	text	yes
`observed_at`	timestamp with time zone	yes
`recorded_at`	timestamp with time zone	yes
`recorded_by`	text	yes
`late_entry_reason`	text
`request_key`	uuid	yes

`emr_or_count_discrepancy_steps`

Patient-owned directly: emr_or_count_discrepancy_steps.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`case_id`	uuid	yes
`item_class`	text	yes
`step`	text	yes
`opened_step_id`	uuid
`reason`	text
`outcome`	text
`note`	text
`observed_at`	timestamp with time zone	yes
`recorded_at`	timestamp with time zone	yes
`recorded_by`	text	yes
`late_entry_reason`	text
`request_key`	uuid	yes

`emr_or_counts`

Patient-owned directly: emr_or_counts.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`case_id`	uuid	yes
`item_class`	text	yes
`count_phase`	text	yes
`quantity`	integer
`observed_at`	timestamp with time zone	yes
`recorded_at`	timestamp with time zone	yes
`recorded_by`	text	yes
`recorded_role`	text	yes
`late_entry_reason`	text
`corrects_id`	uuid
`correction_reason`	text
`request_key`	uuid	yes

`emr_order_acknowledgments`

Patient-owned directly: emr_order_acknowledgments.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`service_request_id`	uuid	yes
`version_hash`	text	yes
`acknowledged_by`	text	yes
`acknowledged_at`	timestamp with time zone	yes

`emr_order_countersigns`

Patient-owned directly: emr_order_countersigns.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`service_request_id`	uuid	yes
`facility_id`	uuid	yes
`origin`	text	yes
`ordering_provider_id`	uuid	yes
`entered_by`	text	yes
`entered_at`	timestamp with time zone	yes
`received_role`	text
`received_at`	timestamp with time zone
`read_back_at`	timestamp with time zone
`standing_order_version_id`	uuid
`countersign_hours`	integer	yes
`countersign_basis`	text	yes
`countersign_rule_key`	text
`countersign_due_at`	timestamp with time zone	yes
`state`	text	yes
`decided_by`	text
`decided_at`	timestamp with time zone
`rejection_reason`	text
`flagged_administration_ids`	uuid[]	yes
`request_key`	text	yes

`emr_order_deliveries`

Patient-owned directly: emr_order_deliveries.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`service_request_id`	uuid	yes
`method`	text	yes
`destination_contact_id`	uuid
`artifact_document_id`	uuid
`state`	text	yes
`attempts`	integer	yes
`provider_job_id`	text
`error`	text
`requested_by`	text	yes
`sent_at`	timestamp with time zone
`delivered_at`	timestamp with time zone
`failed_at`	timestamp with time zone
`last_checked_at`	timestamp with time zone
`released_at`	timestamp with time zone
`released_by`	text
`fax_number`	text
`packet_document_id`	uuid
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_order_print_choices`

Patient-owned directly: emr_order_print_choices.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`confirmation_key`	text	yes
`print_on_sign`	boolean	yes
`set_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_order_set_legacy_keys`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`legacy_key`	text	yes
`order_set_id`	uuid	yes
`created_at`	timestamp with time zone	yes

`emr_order_set_revisions`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`order_set_id`	uuid	yes
`revision`	integer	yes
`content`	jsonb	yes
`created_by`	text	yes
`created_at`	timestamp with time zone	yes

`emr_order_sets`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`scope`	text	yes
`owner_user_id`	text
`name`	text	yes
`category`	text	yes
`setting`	text	yes
`order_class`	text	yes
`match`	jsonb
`match_priority`	integer	yes
`outpatient_alternative_id`	uuid
`description`	text
`sections`	jsonb	yes
`status`	text	yes
`revision`	integer	yes
`published_revision`	integer
`source`	text	yes
`source_key`	text
`needs_review`	boolean	yes
`has_unresolved`	boolean	yes
`forked_from`	jsonb
`created_by`	text	yes
`updated_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_order_tracking_events`

Patient-owned directly: emr_order_tracking_events.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`service_request_id`	uuid	yes
`kind`	text	yes
`requirement`	text
`code`	text
`document_id`	uuid
`occurred_on`	date
`reason`	text
`recorded_by`	text	yes
`request_key`	uuid	yes
`seq`	integer
`created_at`	timestamp with time zone	yes

`emr_order_usage`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`user_id`	text	yes
`kind`	text	yes
`code`	text	yes
`code_system`	text	yes
`fields_hash`	text	yes
`fields`	text	yes
`destination_contact_id`	text	yes
`count`	integer	yes
`last_used_at`	timestamp with time zone	yes
`created_at`	timestamp with time zone	yes

`emr_ospitek_connections`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`facility_id`	uuid	yes
`enabled`	boolean	yes
`vendor_tenant`	text	yes
`source_facility`	text	yes
`case_id_system`	text	yes
`mrn_authority`	text
`delegate_user_id`	uuid
`config_version`	integer	yes
`retired_at`	timestamp with time zone
`retired_by`	text
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_by`	text	yes
`updated_at`	timestamp with time zone	yes

`emr_ospitek_feed_channels`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`connection_id`	uuid	yes
`channel`	text	yes
`enabled`	boolean	yes
`config_version`	integer	yes
`s3_bucket`	text
`s3_prefix`	text
`webhook_endpoint_id`	uuid
`webhook_config`	jsonb
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_by`	text	yes
`updated_at`	timestamp with time zone	yes

`emr_ospitek_review_item_patients`

Patient-owned directly: emr_ospitek_review_item_patients.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`review_item_id`	uuid	yes
`patient_id`	uuid	yes
`created_at`	timestamp with time zone	yes

`emr_ospitek_review_items`

Patient-owned directly: emr_ospitek_review_items.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`facility_id`	uuid	yes
`connection_id`	uuid	yes
`kind`	text	yes
`receipt_id`	uuid
`row_index`	integer
`event_id`	uuid
`external_case_id`	text
`case_id`	uuid
`patient_id`	uuid
`other_case_id`	uuid
`other_patient_id`	uuid
`candidate_case_ids`	uuid[]	yes
`status`	text	yes
`resolution`	text
`resolution_note`	text
`resolved_by`	text
`resolved_at`	timestamp with time zone
`dedupe_key`	text	yes
`service_date`	date
`created_at`	timestamp with time zone	yes

`emr_ospitek_staff_ids`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`connection_id`	uuid	yes
`external_staff_id`	text	yes
`user_id`	uuid	yes
`status`	text	yes
`mapped_by`	text	yes
`mapped_at`	timestamp with time zone	yes
`retired_by`	text
`retired_at`	timestamp with time zone

`emr_ospitek_webhook_keys`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`channel_id`	uuid	yes
`key_id`	text	yes
`status`	text	yes
`activated_by`	text	yes
`activated_at`	timestamp with time zone	yes
`retired_by`	text
`retired_at`	timestamp with time zone

`emr_packet_template_rules`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`template_id`	uuid	yes
`organization_id`	uuid	yes
`requires_provider_signature`	boolean	yes
`updated_by`	text
`updated_at`	timestamp with time zone	yes

`emr_pacu_scores`

Patient-owned directly: emr_pacu_scores.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`case_id`	uuid	yes
`instrument`	text	yes
`instrument_version`	integer	yes
`components`	jsonb
`observed_at`	timestamp with time zone	yes
`recorded_at`	timestamp with time zone	yes
`recorded_by`	text	yes
`late_entry_reason`	text
`corrects_id`	uuid
`correction_reason`	text
`request_key`	uuid	yes

`emr_partners`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`code`	text	yes
`name`	text	yes
`kind`	text	yes
`provider_id`	uuid
`entity`	text	yes
`active`	boolean	yes
`source`	text	yes
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_pathway_patient_items`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`pathway_id`	uuid	yes
`item_key`	text	yes
`item_kind`	text	yes
`body`	text
`sheet_id`	uuid
`anchor`	text	yes
`timing`	text	yes
`offset_days`	integer	yes
`offset_minutes`	integer	yes
`time_of_day`	text
`until_days`	integer
`patient_facing`	boolean	yes
`owner_user_id`	text
`owner_name`	text
`phase_label`	text
`restrictions`	text
`sort_order`	integer	yes
`revision`	integer	yes
`status`	text	yes
`source`	jsonb
`needs_review`	boolean	yes
`sheet_snapshot`	jsonb
`approved_by`	text
`approved_at`	timestamp with time zone
`created_by`	text	yes
`updated_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_pathway_revisions`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`pathway_id`	uuid	yes
`revision`	integer	yes
`content`	jsonb	yes
`created_by`	text	yes
`created_at`	timestamp with time zone	yes

`emr_pathways`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`scope`	text	yes
`owner_user_id`	text
`name`	text	yes
`specialty`	text	yes
`setting`	text	yes
`match`	jsonb	yes
`match_priority`	integer	yes
`phases`	jsonb	yes
`instructions`	text	yes
`follow_ups`	jsonb	yes
`status`	text	yes
`revision`	integer	yes
`published_revision`	integer
`source`	text	yes
`source_key`	text
`needs_review`	boolean	yes
`forked_from`	jsonb
`created_by`	text	yes
`updated_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_patient_amendments`

Patient-owned directly: emr_patient_amendments.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`review_item_id`	uuid	yes
`affected_kind`	text	yes
`affected_id`	text
`affected_label`	text	yes
`requested_change`	text	yes
`decision`	text	yes
`amendment_text`	text
`denial_reason`	text
`disagreement_statement`	text
`disagreement_at`	timestamp with time zone
`disagreement_by`	text
`decided_by`	text	yes
`decided_at`	timestamp with time zone	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_patient_care_team`

Patient-owned directly: emr_patient_care_team.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`role`	text	yes
`referring_provider_id`	uuid
`display_name`	text	yes
`set_by`	text	yes
`set_at`	timestamp with time zone	yes

`emr_patient_care_team_members`

Patient-owned directly: emr_patient_care_team_members.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`name`	text	yes
`function_system`	text	yes
`function_code`	text	yes
`function_display`	text	yes
`npi`	text
`practice_name`	text
`phone`	text
`email`	text
`added_by`	text	yes
`added_at`	timestamp with time zone	yes

`emr_patient_grievances`

Patient-owned directly: emr_patient_grievances.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`facility_id`	uuid	yes
`case_id`	uuid
`received_at`	timestamp with time zone	yes
`received_by`	text	yes
`received_via`	text	yes
`submitted_by`	text	yes
`category`	text	yes
`abuse_or_neglect`	boolean	yes
`summary`	text	yes
`late_entry_reason`	text
`acknowledge_due_at`	timestamp with time zone	yes
`decision_due_at`	timestamp with time zone	yes
`authority_report_due_at`	timestamp with time zone
`status`	text	yes
`acknowledged_at`	timestamp with time zone
`acknowledged_by`	text
`acknowledgment_method`	text
`authority_reported_at`	timestamp with time zone
`authority_reported_by`	text
`authority_person`	text
`investigation_started_at`	timestamp with time zone
`investigation_started_by`	text
`investigation_steps`	text
`substantiated`	boolean
`state_reported_at`	timestamp with time zone
`state_reported_by`	text
`state_agency`	text
`resolved_at`	timestamp with time zone
`resolved_by`	text
`resolution_results`	text
`contact_person`	text
`completed_on`	date
`written_notice_sent_at`	timestamp with time zone
`written_notice_method`	text
`decision_document_id`	uuid
`version`	integer	yes
`updated_by`	text	yes
`updated_at`	timestamp with time zone	yes
`request_key`	uuid	yes

`emr_patient_guarantors`

Patient-owned directly: emr_patient_guarantors.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`relationship`	text	yes
`same_as_patient`	boolean	yes
`name`	text
`date_of_birth`	text
`phone`	text
`address_line1`	text
`address_line2`	text
`city`	text
`state`	text
`zip`	text
`set_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_patient_identity_events`

Patient-owned directly: emr_patient_identity_events.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`candidate_id`	uuid
`document_id`	uuid
`source_event_id`	uuid
`actor_id`	text	yes
`request_key`	uuid	yes
`event_key`	text	yes
`request_hash`	text	yes
`kind`	text	yes
`reason`	text	yes
`details`	jsonb	yes
`created_at`	timestamp with time zone	yes

`emr_patient_language`

Patient-owned directly: emr_patient_language.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`preferred_language`	text
`dialect`	text
`interpreter_needed`	text	yes
`language_declined`	boolean	yes
`recorded_by`	text	yes
`recorded_at`	timestamp with time zone	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_patient_messaging_preferences`

Patient-owned directly: emr_patient_messaging_preferences.patient_id.

Column	Postgres type	Required
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`secure_default`	boolean	yes
`version`	integer	yes
`set_by`	text
`set_at`	timestamp with time zone
`standing_portal_thread_id`	uuid
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_patient_notice_deliveries`

Patient-owned directly: emr_patient_notice_deliveries.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`case_id`	uuid
`admission_id`	uuid
`facility_id`	uuid	yes
`kind`	text	yes
`notice_version_id`	uuid	yes
`recipient`	text	yes
`representative_relationship`	text
`verbal_at`	timestamp with time zone
`verbal_language`	text
`interpreter_used`	boolean
`written_at`	timestamp with time zone	yes
`written_method`	text	yes
`acknowledgment_document_id`	uuid
`understood_confirmed`	boolean	yes
`im_copy`	text
`signature`	text
`late_entry_reason`	text
`recorded_by`	text	yes
`recorded_at`	timestamp with time zone	yes
`entered_in_error_at`	timestamp with time zone
`entered_in_error_by`	text
`entered_in_error_reason`	text
`request_key`	uuid	yes

`emr_patient_pharmacies`

Patient-owned directly: emr_patient_pharmacies.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`binding_id`	uuid	yes
`vendor_pharmacy_id`	text	yes
`name`	text	yes
`address`	jsonb	yes
`phone`	text
`fax`	text
`ncpdp_id`	text
`is_preferred`	boolean	yes
`status`	text	yes
`added_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_patient_readiness_items`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`item_key`	text	yes
`patient_facing`	boolean	yes
`updated_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_patient_registration_receipts`

Patient-owned directly: emr_patient_registration_receipts.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`actor_id`	text	yes
`request_key`	uuid	yes
`request_hash`	text	yes
`patient_id`	uuid	yes
`created`	boolean	yes
`created_at`	timestamp with time zone	yes

`emr_patient_restriction_requests`

Patient-owned directly: emr_patient_restriction_requests.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`request_reference`	text	yes
`review_item_id`	uuid
`requested_by_principal`	text	yes
`requested_by_grant_id`	uuid
`requested_by_relationship`	text	yes
`data_scope`	text	yes
`recipient`	text	yes
`reason`	text
`status`	text	yes
`decided_by`	text
`decided_at`	timestamp with time zone
`decision_reason`	text
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_payer_contract_rates`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`contract_id`	uuid	yes
`code_system`	text	yes
`code`	text	yes
`modifier`	text	yes
`allowed_cents`	integer	yes
`units_basis`	text	yes
`effective_start`	date	yes
`effective_end`	date
`review_state`	text	yes
`origin`	text	yes
`confidence`	numeric(4, 3)
`source_line_text`	text
`reviewed_by`	text
`reviewed_at`	timestamp with time zone
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_payer_contracts`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`organization_payer_id`	uuid	yes
`name`	text	yes
`basis`	text	yes
`percent`	numeric(7, 3)
`rate_cents`	integer
`multiple_procedure_percent`	numeric(7, 3)
`bilateral_percent`	numeric(7, 3)
`setting`	text	yes
`status`	text	yes
`effective_start`	date	yes
`effective_end`	date
`source_document_id`	uuid
`source_ref`	text
`notes_safe`	text
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_phone_calls`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`credential_id`	uuid	yes
`room_name`	text	yes
`sip_call_id`	text	yes
`sip_trunk_id`	text	yes
`caller_number`	text
`dialed_number`	text	yes
`metadata_sha256`	text	yes
`started_at`	timestamp with time zone	yes
`ended_at`	timestamp with time zone
`end_reason`	text
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_phone_grants`

Patient-owned directly: emr_phone_grants.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`call_id`	uuid	yes
`kind`	text	yes
`actor`	text	yes
`patient_id`	uuid
`referral_id`	uuid
`attempt_id`	uuid
`appointment_id`	uuid
`operations`	text[]	yes
`proxy_name`	text
`proxy_relationship`	text
`handle_sha256`	text	yes
`issued_at`	timestamp with time zone	yes
`expires_at`	timestamp with time zone	yes
`revoked_at`	timestamp with time zone
`revoke_reason`	text
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_phone_identity_failures`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`scope`	text	yes
`key`	text	yes
`failures`	integer	yes
`window_started_at`	timestamp with time zone	yes
`last_failed_at`	timestamp with time zone
`cooloff_until`	timestamp with time zone
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_phone_offer_sets`

Patient-owned through a foreign-key path: emr_phone_offer_sets .grant_id → emr_phone_grants.id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`call_id`	uuid	yes
`grant_id`	uuid
`options`	jsonb	yes
`expires_at`	timestamp with time zone	yes
`created_at`	timestamp with time zone	yes

`emr_phone_operations`

Patient-owned through a foreign-key path: emr_phone_operations .grant_id → emr_phone_grants.id or emr_phone_operations .appointment_id → appointments.id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`call_id`	uuid	yes
`operation_key`	text	yes
`operation`	text	yes
`request_sha256`	text	yes
`grant_id`	uuid
`credential_id`	uuid	yes
`appointment_id`	uuid
`result`	jsonb	yes
`dispatch_lease_until`	timestamp with time zone
`dispatch_lease_token`	uuid
`created_at`	timestamp with time zone	yes

`emr_phone_provenance`

Patient-owned directly: emr_phone_provenance.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`phone_digits`	text	yes
`source`	text	yes
`source_ref`	text
`recorded_by`	text	yes
`recorded_at`	timestamp with time zone	yes

`emr_phone_requests`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`credential_id`	uuid	yes
`call_id`	text	yes
`item_ref`	text	yes
`revision`	integer	yes
`amended_at`	timestamp with time zone
`correction_of`	text
`correction_of_request_id`	uuid
`request_sha256`	text	yes
`hash_version`	integer	yes
`kind`	text	yes
`caller_phone`	text
`callback_phone`	text
`reason`	text	yes
`preferred_location`	text
`preferred_time`	text
`caller_name`	text
`stated_is_patient`	boolean
`stated_is_new_patient`	boolean
`received_at`	timestamp with time zone	yes
`transcript_url`	text
`status`	text	yes
`outcome`	text
`outcome_note`	text
`handled_at`	timestamp with time zone
`handled_by`	text
`assignee_type`	text
`assignee_id`	text
`assigned_at`	timestamp with time zone
`assigned_by`	text
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_portal_transmissions`

Patient-owned directly: emr_portal_transmissions.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`request_reference`	text	yes
`requested_by_principal`	text	yes
`requested_by_grant_id`	uuid
`method`	text	yes
`to_address`	text	yes
`subject`	text	yes
`range_from`	date
`range_to`	date
`attachments`	jsonb	yes
`status`	text	yes
`status_detail`	text
`transport`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_practice_phrases`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`trigger`	text	yes
`label`	text	yes
`category`	text
`expansion`	text	yes
`html`	text
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_by`	text	yes
`updated_at`	timestamp with time zone	yes
`retired_at`	timestamp with time zone
`retired_by`	text

`emr_privacy_policies`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`version`	integer	yes
`settings`	jsonb	yes
`reviewed_by`	text	yes
`reviewed_at`	timestamp with time zone	yes

`emr_privacy_reviews`

Patient-owned directly: emr_privacy_reviews.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`revision`	bigserial	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`resource_type`	text	yes
`resource_id`	text	yes
`content_version`	text	yes
`sources`	jsonb	yes
`outside_record`	boolean	yes
`identity_verified`	boolean	yes
`minor_reviewed`	boolean	yes
`reviewed_by`	text	yes
`reviewed_at`	timestamp with time zone	yes

`emr_procedure_setups`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`scope`	text	yes
`owner_id`	text
`phrase_id`	text	yes
`version`	integer	yes
`active`	boolean	yes
`label`	text	yes
`kind`	text	yes
`cpt`	text	yes
`modifiers`	text[]	yes
`units`	integer	yes
`body_site`	text	yes
`laterality`	text	yes
`guidance`	text	yes
`drugs`	jsonb	yes
`frequency`	jsonb
`created_by`	text	yes
`created_at`	timestamp with time zone	yes

`emr_provider_coverage`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`provider_id`	uuid	yes
`covering_provider_id`	uuid	yes
`starts_at`	timestamp with time zone	yes
`ends_at`	timestamp with time zone	yes
`scope`	text	yes
`note`	text
`cancelled_at`	timestamp with time zone
`cancelled_by`	text
`created_by`	text	yes
`updated_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes
`request_key`	uuid	yes

`emr_reason_codes`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`list`	text	yes
`code`	text	yes
`label`	text	yes
`semantics`	jsonb	yes
`active`	boolean	yes
`sort`	integer	yes
`revision`	integer	yes
`created_by`	text	yes
`updated_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_record_drs_exceptions`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`record_table`	text	yes
`record_id`	uuid	yes
`entity_key`	text	yes
`revision`	integer	yes
`in_drs`	boolean
`reason`	text	yes
`approved_by`	text	yes
`approved_at`	timestamp with time zone	yes
`request_key`	uuid	yes

`emr_record_governance_policies`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`version`	integer	yes
`settings`	jsonb	yes
`approved_by`	text	yes
`approved_at`	timestamp with time zone	yes
`request_key`	uuid	yes

`emr_record_governance_requests`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`organization_id`	uuid	yes
`request_key`	uuid	yes
`command`	text	yes
`actor_id`	text	yes
`input_sha256`	text	yes
`result`	jsonb	yes
`created_at`	timestamp with time zone	yes

`emr_record_provenance`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`record_table`	text	yes
`record_id`	uuid	yes
`authoring_facility_id`	uuid
`custodial_facility_id`	uuid
`provenance_status`	text	yes
`derivation`	text	yes
`revision`	integer	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_record_provenance_history`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`provenance_id`	uuid	yes
`record_table`	text	yes
`record_id`	uuid	yes
`revision`	integer	yes
`authoring_facility_id`	uuid
`custodial_facility_id`	uuid
`provenance_status`	text	yes
`derivation`	text	yes
`reason`	text
`actor_id`	text
`request_key`	uuid
`created_at`	timestamp with time zone	yes

`emr_recording_sessions`

Patient-owned directly: emr_recording_sessions.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`encounter_id`	uuid
`case_id`	uuid
`admission_id`	uuid
`recorder`	text	yes
`mode`	text	yes
`status`	text	yes
`paperwork_submission_id`	uuid
`paperwork_signed_at`	timestamp with time zone
`participants`	jsonb
`consent_revision`	integer	yes
`started_at`	timestamp with time zone	yes
`started_by`	text	yes
`confirmed_at`	timestamp with time zone
`paused_at`	timestamp with time zone
`pause_reason`	text
`ended_at`	timestamp with time zone
`ended_by`	text
`revoked_at`	timestamp with time zone
`revoked_by`	text
`revoke_reason`	text
`request_key`	uuid	yes
`consent_basis`	text
`attestation_version`	text
`attestation_sha256`	text
`attested_at`	timestamp with time zone

`emr_referral_booking_links`

Patient-owned directly: emr_referral_booking_links.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`referral_id`	uuid	yes
`token_sha256`	text	yes
`generation`	integer	yes
`created_via`	text	yes
`expires_at`	timestamp with time zone	yes
`revoked_at`	timestamp with time zone
`revoked_reason`	text
`texted_at`	timestamp with time zone
`text_status`	text
`text_reason`	text
`provider_message_id`	text
`verified_at`	timestamp with time zone
`session_sha256`	text
`session_expires_at`	timestamp with time zone
`used_at`	timestamp with time zone
`appointment_id`	uuid
`patient_id`	uuid
`booking_request_key`	text
`booking_request_hash`	text
`contact_email`	text
`request_key`	text
`texted_to`	text
`text_body`	text
`offers_call`	boolean	yes
`replaced_link_id`	uuid
`dispatch_started_at`	timestamp with time zone
`reply_reviewed_through_seq`	integer
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_referral_call_consents`

Patient-owned through a foreign-key path: emr_referral_call_consents .link_id → emr_referral_booking_links.id or emr_referral_call_consents .referral_id → emr_referrals.id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`referral_id`	uuid	yes
`link_id`	uuid	yes
`phone_e164`	text	yes
`replied_to_text`	text	yes
`text_sent_at`	timestamp with time zone	yes
`text_sent_by`	text	yes
`reply_text`	text	yes
`replied_at`	timestamp with time zone	yes
`source`	text	yes
`inbound_message_id`	uuid
`recorded_by`	text	yes
`recorded_at`	timestamp with time zone	yes
`review_item_id`	uuid
`withdrawn_at`	timestamp with time zone
`withdrawn_reason`	text
`withdrawn_by`	text
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_referrals`

Patient-owned directly: emr_referrals.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`document_id`	uuid	yes
`routing_status`	text	yes
`classification`	text
`evidence`	jsonb	yes
`face_sheet`	jsonb	yes
`face_sheet_flags`	text[]	yes
`proposed_date_of_birth`	date
`face_sheet_phone_digits`	text
`face_sheet_phone_role`	text
`face_sheet_phone_provenance`	text	yes
`external_mrn_issuer`	text
`external_mrn_value`	text
`referrer_zip`	text
`referrer_zip_source`	text
`region`	text
`patient_id`	uuid
`identity_settled_via`	text
`identity_settled_at`	timestamp with time zone
`identity_settled_by`	text
`identity_receipt`	jsonb
`fax_filed_at`	timestamp with time zone
`review_item_id`	uuid
`hold_for_review`	boolean	yes
`hold_released_at`	timestamp with time zone
`hold_released_by`	text
`status`	text	yes
`close_reason`	text
`closed_at`	timestamp with time zone
`closed_by`	text
`fulfillment_appointment_id`	uuid
`booked_via`	text
`contact_outcome`	text
`contact_at`	timestamp with time zone
`contact_by`	text
`contact_attempts`	integer	yes
`dob_failures`	integer	yes
`dob_locked_at`	timestamp with time zone
`call_consent_cutoff_at`	timestamp with time zone
`outreach_status`	text	yes
`outreach_reason`	text
`version`	integer	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_referring_providers`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`name`	text	yes
`npi`	text
`specialty`	text
`practice_name`	text
`phone`	text
`fax`	text
`address_line1`	text
`city`	text
`state`	text
`zip`	text
`active`	boolean	yes
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_release_governance_reviews`

Patient-owned through a foreign-key path: emr_release_governance_reviews .request_id → him_record_requests.id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`request_id`	uuid	yes
`manifest_sha256`	text	yes
`reason`	text	yes
`record_table`	text	yes
`record_id`	uuid	yes
`created_by`	text	yes
`created_at`	timestamp with time zone	yes

`emr_report_deliveries`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`definition_id`	text	yes
`owner_user_id`	uuid	yes
`occurrence_key`	text	yes
`occurrence_at`	timestamp with time zone	yes
`schedule_sha256`	text	yes
`report_snapshot`	jsonb	yes
`recipient_count`	integer	yes
`status`	text	yes
`created_at`	timestamp with time zone	yes
`completed_at`	timestamp with time zone
`read_at`	timestamp with time zone

`emr_report_delivery_recipients`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`delivery_id`	uuid	yes
`recipient_email`	text	yes
`recipient_user_id`	uuid
`status`	text	yes
`export_job_id`	uuid
`run_id`	uuid
`reason_code`	text
`provider_receipt`	text
`lease_owner`	uuid
`lease_expires_at`	timestamp with time zone
`attempts`	integer	yes
`available_at`	timestamp with time zone	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_report_export_jobs`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`user_id`	uuid	yes
`definition_id`	text	yes
`request_key`	uuid	yes
`report_snapshot`	jsonb	yes
`format`	text	yes
`surface`	text	yes
`status`	text	yes
`phase`	text	yes
`snapshot`	jsonb
`row_count`	integer	yes
`cursor`	integer	yes
`byte_count`	integer	yes
`pending_csv`	text	yes
`upload_id`	text
`parts`	jsonb	yes
`lease_owner`	uuid
`lease_expires_at`	timestamp with time zone
`attempts`	integer	yes
`available_at`	timestamp with time zone	yes
`run_id`	uuid
`error_code`	text
`read_at`	timestamp with time zone
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes
`expires_at`	timestamp with time zone	yes

`emr_report_refresh_grants`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`definition_id`	text	yes
`user_id`	uuid	yes
`token_sha256`	text	yes
`created_at`	timestamp with time zone	yes
`expires_at`	timestamp with time zone	yes
`revoked_at`	timestamp with time zone

`emr_report_runs`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`definition_id`	text	yes
`run_by`	uuid	yes
`trigger`	text	yes
`plan`	jsonb	yes
`plan_sha256`	text	yes
`content_sha256`	text	yes
`artifact_sha256`	text
`facility_scope`	jsonb	yes
`required_capabilities`	jsonb	yes
`as_of`	timestamp with time zone	yes
`resolved_from`	text
`resolved_to`	text
`date_basis`	text
`watermark`	text
`control_totals`	jsonb	yes
`row_count`	integer	yes
`format`	text	yes
`storage_ref`	text
`executor_version`	text	yes
`dataset_version`	text	yes
`status`	text	yes
`expires_at`	timestamp with time zone	yes
`created_at`	timestamp with time zone	yes

`emr_restraint_checks`

Patient-owned directly: emr_restraint_checks.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`episode_id`	uuid	yes
`observed_at`	timestamp with time zone	yes
`recorded_at`	timestamp with time zone	yes
`recorded_by`	text	yes
`findings`	jsonb	yes
`note`	text
`late_entry_reason`	text
`request_key`	uuid	yes

`emr_restraint_death_reports`

Patient-owned directly: emr_restraint_death_reports.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`episode_id`	uuid	yes
`died_at`	timestamp with time zone	yes
`relation`	text	yes
`contributed`	boolean
`obligation`	text	yes
`due_at`	timestamp with time zone	yes
`death_recorded_by`	text	yes
`death_recorded_at`	timestamp with time zone	yes
`reported_at`	timestamp with time zone
`reported_by`	text
`report_reference`	text
`report_recorded_at`	timestamp with time zone
`request_key`	uuid	yes

`emr_restraint_episodes`

Patient-owned directly: emr_restraint_episodes.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`admission_id`	uuid	yes
`category`	text	yes
`devices`	text[]	yes
`age_band`	text	yes
`started_at`	timestamp with time zone	yes
`started_by`	text	yes
`recorded_at`	timestamp with time zone	yes
`late_entry_reason`	text
`ended_at`	timestamp with time zone
`ended_by`	text
`end_reason`	text
`end_note`	text
`end_recorded_at`	timestamp with time zone
`request_key`	uuid	yes

`emr_restraint_face_to_face`

Patient-owned directly: emr_restraint_face_to_face.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`episode_id`	uuid	yes
`evaluator_role`	text	yes
`evaluator_provider_id`	uuid
`training_attested`	boolean	yes
`evaluated_at`	timestamp with time zone	yes
`immediate_situation`	text	yes
`reaction`	text	yes
`condition`	text	yes
`decision`	text	yes
`attending_provider_id`	uuid
`attending_consulted_at`	timestamp with time zone
`attending_consult_recorded_by`	text
`recorded_at`	timestamp with time zone	yes
`recorded_by`	text	yes
`late_entry_reason`	text
`request_key`	uuid	yes

`emr_restraint_orders`

Patient-owned directly: emr_restraint_orders.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`episode_id`	uuid	yes
`order_id`	uuid	yes
`authorized_from`	timestamp with time zone	yes
`authorized_until`	timestamp with time zone	yes
`limit_hours`	integer	yes
`in_person_assessed_at`	timestamp with time zone
`linked_by`	text	yes
`linked_at`	timestamp with time zone	yes

`emr_restricted_chart_access_requests`

Patient-owned directly: emr_restricted_chart_access_requests.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`requester_user_id`	uuid	yes
`reason`	text	yes
`status`	text	yes
`requested_at`	timestamp with time zone	yes
`expires_at`	timestamp with time zone	yes
`decided_by_user_id`	uuid
`decided_at`	timestamp with time zone
`grant_id`	uuid
`grant_expires_at`	timestamp with time zone
`updated_at`	timestamp with time zone	yes

`emr_restricted_chart_grants`

Patient-owned directly: emr_restricted_chart_grants.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`user_id`	uuid	yes
`granted_by`	text	yes
`granted_at`	timestamp with time zone	yes
`revoked_at`	timestamp with time zone
`revoked_by`	text
`expires_at`	timestamp with time zone

`emr_room_block_series`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`facility_id`	uuid	yes
`room_id`	uuid	yes
`provider_id`	uuid	yes
`pattern`	text	yes
`weekday`	smallint	yes
`week_of_month`	smallint
`start_time`	time	yes
`end_time`	time	yes
`first_day`	date	yes
`last_day`	date	yes
`time_zone`	text	yes
`note`	text
`status`	text	yes
`revision`	integer	yes
`request_key`	uuid	yes
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_by`	text	yes
`updated_at`	timestamp with time zone	yes

`emr_room_blocks`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`facility_id`	uuid	yes
`room_id`	uuid	yes
`starts_at`	timestamp with time zone	yes
`ends_at`	timestamp with time zone	yes
`time_zone`	text	yes
`status`	text	yes
`revision`	integer	yes
`request_key`	uuid	yes
`change_reason`	text	yes
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_by`	text	yes
`updated_at`	timestamp with time zone	yes
`provider_id`	uuid	yes
`series_id`	uuid
`note`	text
`release_reason`	text

`emr_room_capacity_events`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`facility_id`	uuid	yes
`room_id`	uuid	yes
`owner_kind`	text	yes
`block_id`	uuid
`staffed_interval_id`	uuid
`revision`	integer	yes
`kind`	text	yes
`request_key`	uuid	yes
`reason`	text	yes
`before_snapshot`	jsonb
`snapshot`	jsonb	yes
`actor_id`	text	yes
`actor_type`	text	yes
`source_ref`	text
`occurred_at`	timestamp with time zone	yes

`emr_room_hold_events`

Patient-owned through a foreign-key path: adapter room-hold-events.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`facility_id`	uuid	yes
`room_id`	uuid	yes
`hold_id`	uuid	yes
`revision`	integer	yes
`kind`	text	yes
`request_key`	uuid	yes
`before_snapshot`	jsonb
`snapshot`	jsonb	yes
`actor_id`	text	yes
`actor_type`	text	yes
`source_ref`	text
`occurred_at`	timestamp with time zone	yes

`emr_room_holds`

Patient-owned directly: emr_room_holds.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`facility_id`	uuid	yes
`room_id`	uuid	yes
`provider_id`	uuid
`patient_id`	uuid
`starts_at`	timestamp with time zone	yes
`ends_at`	timestamp with time zone	yes
`time_zone`	text	yes
`reason`	text	yes
`note`	text
`visibility`	text	yes
`expires_at`	timestamp with time zone	yes
`status`	text	yes
`revision`	integer	yes
`request_key`	uuid	yes
`change_reason`	text
`requested_case_id`	uuid
`converted_case_id`	uuid
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_by`	text	yes
`updated_at`	timestamp with time zone	yes

`emr_specimen_events`

Patient-owned directly: emr_specimen_events.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`case_id`	uuid	yes
`specimen_id`	uuid	yes
`kind`	text	yes
`recorded_by`	text	yes
`observed_at`	timestamp with time zone	yes
`recorded_at`	timestamp with time zone	yes
`copies`	integer
`reprint_reason`	text
`recipient_kind`	text
`recipient_name`	text
`handoff_id`	uuid
`reason`	text
`late_entry_reason`	text
`request_key`	uuid	yes

`emr_staff_cost_allocation_inputs`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`run_id`	uuid	yes
`interval_id`	uuid	yes
`revision_id`	uuid	yes
`staff_user_id`	uuid	yes
`role_code`	text	yes
`case_id`	uuid
`case_mapping_id`	uuid
`clipped_start`	timestamp with time zone	yes
`clipped_end`	timestamp with time zone	yes

`emr_staff_cost_allocation_lines`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`run_id`	uuid	yes
`staff_user_id`	uuid	yes
`role_code`	text	yes
`case_id`	uuid
`allocated_seconds`	integer	yes
`shared_seconds`	integer	yes
`rate_id`	uuid
`hourly_rate_cents`	integer
`cost_cents`	bigint

`emr_staff_cost_allocation_rules`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`version`	integer	yes
`overlap_rule`	text	yes
`rate_basis`	text	yes
`effective_from`	date	yes
`created_by`	text	yes
`created_at`	timestamp with time zone	yes

`emr_staff_cost_allocation_runs`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`facility_id`	uuid	yes
`period_start`	date	yes
`period_end`	date	yes
`rule_id`	uuid	yes
`interval_count`	integer	yes
`observed_seconds`	bigint	yes
`allocated_seconds`	bigint	yes
`unrated_seconds`	bigint	yes
`cost_cents`	bigint	yes
`input_digest`	text	yes
`request_key`	uuid	yes
`request_digest`	text	yes
`computed_by`	text	yes
`computed_at`	timestamp with time zone	yes

`emr_staff_cost_rates`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`facility_id`	uuid
`subject_kind`	text	yes
`staff_user_id`	uuid
`role_code`	text
`effective_from`	date	yes
`effective_to`	date
`hourly_rate_cents`	integer	yes
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`closed_by`	text
`closed_at`	timestamp with time zone

`emr_staff_cost_run_exclusions`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`run_id`	uuid	yes
`interval_id`	uuid	yes
`reason`	text	yes

`emr_staff_cost_run_flags`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`run_id`	uuid	yes
`interval_id`	uuid	yes
`reason`	text	yes
`created_at`	timestamp with time zone	yes

`emr_staff_credentials`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`user_id`	uuid	yes
`kind`	text	yes
`credential_label`	text
`identifier`	text
`issuing_state`	text
`expires_on`	date	yes
`verification_method`	text	yes
`verified_by`	text	yes
`verified_at`	timestamp with time zone	yes
`recorded_by`	text	yes
`recorded_at`	timestamp with time zone	yes
`retired_at`	timestamp with time zone
`retired_by`	text
`retire_reason`	text

`emr_staff_handoffs`

Patient-owned through a foreign-key path: emr_staff_handoffs .thread_id → emr_staff_threads.id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`thread_id`	uuid	yes
`message_seq`	integer	yes
`service_inbox_id`	uuid	yes
`from_user_id`	uuid	yes
`to_user_id`	uuid	yes
`request_key`	uuid	yes
`request_hash`	text	yes
`status`	text	yes
`accepted_by`	uuid
`accepted_at`	timestamp with time zone
`batch_id`	uuid
`declined_at`	timestamp with time zone
`declined_by`	uuid
`decline_note_seq`	integer
`created_at`	timestamp with time zone	yes

`emr_staff_mentions`

Patient-owned directly: emr_staff_mentions.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`thread_id`	uuid	yes
`message_seq`	integer	yes
`patient_id`	uuid
`mentioned_user_id`	uuid	yes
`author_user_id`	uuid	yes
`position`	smallint	yes
`added_as_recipient`	boolean	yes
`created_at`	timestamp with time zone	yes
`read_at`	timestamp with time zone
`cleared_at`	timestamp with time zone

`emr_staff_message_agent_origins`

Patient-owned through a foreign-key path: emr_staff_message_agent_origins .message_id → emr_staff_messages.id .thread_id → emr_staff_threads.id.

Column	Postgres type	Required
`message_id`	uuid	yes
`organization_id`	uuid	yes
`thread_id`	uuid	yes
`task_id`	uuid	yes
`on_behalf_of_user_id`	uuid	yes
`agent`	text	yes
`created_at`	timestamp with time zone	yes

`emr_staff_messages`

Patient-owned through a foreign-key path: emr_staff_messages .thread_id → emr_staff_threads.id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`thread_id`	uuid	yes
`seq`	integer	yes
`author_user_id`	uuid	yes
`client_key`	uuid	yes
`body`	text	yes
`tier`	text	yes
`created_at`	timestamp with time zone	yes

`emr_staff_notification_outbox`

Patient-owned through a foreign-key path: emr_staff_notification_outbox .thread_id → emr_staff_threads.id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`thread_id`	uuid	yes
`message_seq`	integer	yes
`recipient_user_id`	uuid	yes
`kind`	text	yes
`status`	text	yes
`available_at`	timestamp with time zone	yes
`lease_token`	uuid
`lease_until`	timestamp with time zone
`attempts`	integer	yes
`accepted_at`	timestamp with time zone
`last_error_code`	text
`created_at`	timestamp with time zone	yes

`emr_staff_notification_preferences`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`user_id`	uuid	yes
`push_enabled`	boolean	yes
`digest_routine`	boolean	yes
`quiet_start`	integer	yes
`quiet_end`	integer	yes
`urgent_during_quiet`	boolean	yes
`escalation_minutes`	integer	yes
`sms_enabled`	boolean	yes
`sms_include_message`	boolean	yes
`sms_phone`	text
`sms_verified_phone`	text
`sms_phone_verified_at`	timestamp with time zone
`updated_at`	timestamp with time zone	yes

`emr_staff_thread_receipts`

Patient-owned through a foreign-key path: emr_staff_thread_receipts .thread_id → emr_staff_threads.id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`thread_id`	uuid	yes
`user_id`	uuid	yes
`read_seq`	integer	yes
`presence`	text	yes
`last_seen_at`	timestamp with time zone	yes

`emr_staff_thread_recipients`

Patient-owned through a foreign-key path: emr_staff_thread_recipients .thread_id → emr_staff_threads.id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`thread_id`	uuid	yes
`kind`	text	yes
`user_id`	uuid
`inbox_id`	uuid
`added_at`	timestamp with time zone	yes
`via_mention`	boolean	yes

`emr_staff_threads`

Patient-owned directly: emr_staff_threads.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid
`subject`	text	yes
`urgency`	text	yes
`status`	text	yes
`assigned_inbox_id`	uuid
`assigned_user_id`	uuid
`created_by_user_id`	uuid	yes
`request_key`	uuid	yes
`request_hash`	text	yes
`last_seq`	integer	yes
`version`	integer	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes
`resolved_at`	timestamp with time zone

`emr_staff_time_case_links`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`interval_id`	uuid	yes
`revision_id`	uuid	yes
`external_case_id`	text	yes
`case_id`	uuid
`linked_by`	text	yes
`reason`	text	yes
`linked_at`	timestamp with time zone	yes

`emr_staff_time_conflict_adjudications`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`interval_id`	uuid	yes
`adopted_revision_id`	uuid	yes
`adjudicated_by`	text	yes
`reason`	text	yes
`adjudicated_at`	timestamp with time zone	yes

`emr_staff_time_interval_revisions`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`interval_id`	uuid	yes
`revision`	bigint	yes
`disposition`	text	yes
`external_staff_id`	text
`external_case_id`	text
`staff_user_id`	uuid
`case_id`	uuid
`role_code`	text	yes
`started_at`	timestamp with time zone	yes
`ended_at`	timestamp with time zone
`voided`	boolean	yes
`content_hash`	text	yes
`receipt_id`	uuid
`row_index`	integer
`recorded_by`	text	yes
`reason`	text
`recorded_at`	timestamp with time zone	yes

`emr_staff_time_interval_subjects`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`interval_id`	uuid	yes
`subject_kind`	text	yes
`subject_id`	uuid	yes
`first_seen_at`	timestamp with time zone	yes

`emr_staff_time_intervals`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`facility_id`	uuid	yes
`source`	text	yes
`connection_id`	uuid
`source_interval_id`	text	yes
`current_revision_id`	uuid
`current_revision`	bigint
`status`	text	yes
`staff_user_id`	uuid
`role_code`	text
`case_id`	uuid
`started_at`	timestamp with time zone
`ended_at`	timestamp with time zone
`resolution`	text	yes
`case_resolution`	text	yes
`case_mapping_id`	uuid
`candidate_case_id`	uuid
`has_conflict`	boolean	yes
`review_required`	boolean	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes
`version`	integer	yes

`emr_staff_time_receipt_rows`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`receipt_id`	uuid	yes
`row_index`	integer	yes
`interval_id`	uuid
`outcome`	text	yes
`reason`	text
`original_reason`	text
`routed_connection_id`	uuid
`decided_by`	text
`updated_at`	timestamp with time zone	yes

`emr_staffed_room_intervals`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`facility_id`	uuid	yes
`room_id`	uuid	yes
`starts_at`	timestamp with time zone	yes
`ends_at`	timestamp with time zone	yes
`time_zone`	text	yes
`status`	text	yes
`revision`	integer	yes
`request_key`	uuid	yes
`change_reason`	text	yes
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_by`	text	yes
`updated_at`	timestamp with time zone	yes

`emr_standing_order_approvals`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`version_id`	uuid	yes
`domain`	text	yes
`approved_by`	text	yes
`approved_at`	timestamp with time zone	yes

`emr_standing_order_versions`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`protocol_key`	text	yes
`version`	integer	yes
`title`	text	yes
`order_template`	jsonb	yes
`template_hash`	text	yes
`effective_at`	timestamp with time zone	yes
`review_due_at`	timestamp with time zone	yes
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`retired_at`	timestamp with time zone
`retired_by`	text
`retired_reason`	text

`emr_surgery_coordinations`

Patient-owned directly: emr_surgery_coordinations.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`status`	text	yes
`surgeon_provider_id`	uuid	yes
`dos`	date
`start_time`	text
`arrival_time`	text
`facility_id`	uuid
`outside_facility_contact_id`	uuid
`case_length_minutes`	integer
`admission_type`	text
`emergency`	boolean	yes
`priority`	text
`insurance_type`	text
`preop_tests`	text[]	yes
`description`	text
`draft_reason_code`	text
`draft_follow_up_on`	date
`draft_note`	text
`blocker_code`	text
`cancel_reason_code`	text
`canceled_at`	timestamp with time zone
`canceled_by`	text
`performed_at`	timestamp with time zone
`performed_by`	text
`completed_at`	timestamp with time zone
`completed_by`	text
`source`	text	yes
`confirmed_by`	text
`surgical_case_id`	uuid
`checklist_definition_id`	uuid
`delivery_mode`	text	yes
`clinical_version`	integer	yes
`row_version`	integer	yes
`created_by`	text	yes
`updated_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_time_out_attestations`

Patient-owned directly: emr_time_out_attestations.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`case_id`	uuid	yes
`role`	text	yes
`attested_by`	text	yes
`attested_at`	timestamp with time zone	yes
`time_out_at`	timestamp with time zone	yes
`statement_hash`	text	yes
`late_entry_reason`	text
`request_key`	uuid	yes

`emr_transfusion_determinations`

Patient-owned directly: emr_transfusion_determinations.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`case_id`	uuid	yes
`provider_id`	uuid	yes
`determined_by`	text	yes
`determined_at`	timestamp with time zone	yes
`transfusion_possible`	boolean	yes
`predonation_exception`	text
`suggested_possible`	boolean	yes
`suggestion_basis`	text
`supersedes_id`	uuid
`request_key`	uuid	yes

`emr_transfusion_notices`

Patient-owned directly: emr_transfusion_notices.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`case_id`	uuid	yes
`determination_id`	uuid	yes
`kind`	text	yes
`recipient`	text	yes
`occurred_at`	timestamp with time zone	yes
`summary_edition`	text
`document_id`	uuid
`given_by_provider_id`	uuid
`recorded_by`	text	yes
`recorded_at`	timestamp with time zone	yes
`request_key`	uuid	yes

`emr_unit_intake_nurses`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`facility_id`	uuid	yes
`unit`	text	yes
`user_id`	uuid	yes
`designated_by`	text	yes
`designated_at`	timestamp with time zone	yes
`ended_at`	timestamp with time zone
`ended_by`	text

`emr_unit_transfers`

Patient-owned directly: emr_unit_transfers.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`case_id`	uuid	yes
`facility_id`	uuid	yes
`from_phase`	text	yes
`destination`	text	yes
`destination_note`	text
`unit`	text
`receiver_user_id`	uuid
`handoff_id`	uuid
`status`	text	yes
`requested_by`	text	yes
`requested_at`	timestamp with time zone	yes
`accepted_by`	text
`accepted_at`	timestamp with time zone
`admission_id`	uuid
`bed_room_id`	uuid
`returned_by`	text
`returned_at`	timestamp with time zone
`cancelled_by`	text
`cancelled_at`	timestamp with time zone
`cancel_reason`	text
`notice_thread_id`	uuid
`request_key`	uuid	yes

`emr_user_facility_grants`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`user_id`	uuid	yes
`facility_id`	uuid	yes
`granted_by`	text	yes
`granted_at`	timestamp with time zone	yes
`revoked_at`	timestamp with time zone
`revoked_by`	text

`emr_user_links`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`firebase_uid`	text	yes
`provider_id`	uuid
`display_name`	text
`active`	boolean	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_vendor_group_members`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`group_id`	uuid	yes
`contact_id`	uuid	yes
`contact_channel`	text	yes
`active`	boolean	yes
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_by`	text	yes
`updated_at`	timestamp with time zone	yes

`emr_vendor_groups`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`name`	text	yes
`active`	boolean	yes
`revision`	integer	yes
`request_key`	uuid	yes
`purpose`	text	yes
`supplier_company_id`	uuid
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_by`	text	yes
`updated_at`	timestamp with time zone	yes

`emr_vendor_users`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`user_id`	uuid	yes
`contact_id`	uuid	yes
`active`	boolean	yes
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_by`	text	yes
`updated_at`	timestamp with time zone	yes

`emr_visit_confirmations`

Patient-owned directly: emr_visit_confirmations.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`appointment_id`	uuid	yes
`patient_id`	uuid	yes
`state`	text	yes
`missing`	text[]	yes
`identity_document_id`	uuid
`coverage_id`	uuid
`eligibility_result_id`	uuid
`payment_basis`	text
`payment_basis_by`	text
`payment_basis_at`	timestamp with time zone
`override_reason`	text
`override_by`	text
`override_at`	timestamp with time zone
`confirmed_at`	timestamp with time zone
`frozen_at`	timestamp with time zone
`computed_at`	timestamp with time zone	yes
`revision`	integer	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_visit_links`

Patient-owned directly: emr_visit_links.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`appointment_id`	uuid	yes
`patient_id`	uuid	yes
`token_sha256`	text	yes
`generation`	integer	yes
`expires_at`	timestamp with time zone	yes
`revoked_at`	timestamp with time zone
`revoked_reason`	text
`dob_failures`	integer	yes
`locked_at`	timestamp with time zone
`verified_at`	timestamp with time zone
`session_sha256`	text
`session_expires_at`	timestamp with time zone
`documents_received`	jsonb	yes
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`emr_visit_signoffs`

Patient-owned directly: emr_visit_signoffs.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`encounter_id`	uuid	yes
`signed_by`	text	yes
`signed_by_provider_id`	uuid	yes
`signed_at`	timestamp with time zone	yes
`basis`	jsonb	yes
`created_at`	timestamp with time zone	yes

`emr_visit_text_sends`

Patient-owned directly: emr_visit_text_sends.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`appointment_id`	uuid	yes
`patient_id`	uuid	yes
`link_id`	uuid
`kind`	text	yes
`trigger`	text	yes
`client_key`	text	yes
`status`	text	yes
`reason`	text
`provider_message_id`	text
`recipient_sha256`	text
`channel`	text	yes
`sent_by`	text	yes
`created_at`	timestamp with time zone	yes

`emr_web_booking_requests`

Patient-owned directly: emr_web_booking_requests.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`idempotency_key`	text	yes
`request_hash`	text	yes
`confirmation_code`	text	yes
`patient_id`	uuid
`appointment_id`	uuid
`patient_created`	boolean	yes
`contact_email`	text
`created_at`	timestamp with time zone	yes

`emr_wristbands`

Patient-owned directly: emr_wristbands.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`admission_id`	uuid
`case_id`	uuid
`token`	char(10)	yes
`issued_at`	timestamp with time zone	yes
`issued_by`	text	yes
`revoked_at`	timestamp with time zone
`revoked_by`	text
`revoke_reason`	text
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`encounter_policy_evaluations`

Patient-owned through a foreign-key path: encounter_policy_evaluations .encounter_id → encounters.id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`encounter_id`	uuid	yes
`organization_payer_id`	uuid	yes
`requested_by_user_id`	uuid	yes
`status`	text	yes
`selection_method`	text	yes
`policybot_plan_id`	text	yes
`policybot_plan_name`	text
`policybot_company_name`	text
`plan_state`	text
`line_of_business`	text
`result`	jsonb
`evaluator_version`	text	yes
`error_code`	text
`error_message`	text
`guidance`	jsonb
`started_at`	timestamp	yes
`completed_at`	timestamp
`created_at`	timestamp	yes

`encounter_policy_note_assists`

Patient-owned through a foreign-key path: encounter_policy_note_assists .encounter_id → encounters.id or encounter_policy_note_assists .evaluation_id → encounter_policy_evaluations.id .encounter_id → encounters.id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`encounter_id`	uuid	yes
`evaluation_id`	uuid	yes
`inserted_by_user_id`	uuid	yes
`procedure_id`	text	yes
`criterion_id`	text	yes
`criterion_label`	text	yes
`policy_title`	text
`policy_version_date`	text
`transcript_evidence`	jsonb	yes
`inserted_html`	text	yes
`before_note_html`	text	yes
`after_note_html`	text	yes
`created_at`	timestamp	yes

`encounters`

Patient-owned directly: encounters.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid
`provider_id`	uuid
`encounter_date`	date
`type`	text
`status`	text	yes
`reason`	text
`dynamo_encounter_id`	text
`source`	text
`period_start`	timestamp with time zone
`period_end`	timestamp with time zone
`facility_id`	uuid
`late_entry_reason`	text
`created_at`	timestamp	yes
`updated_at`	timestamp	yes

`erp_ap_invoice_lines`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`invoice_id`	uuid	yes
`line_no`	integer	yes
`description`	text	yes
`quantity`	integer	yes
`unit_price_cents`	integer	yes
`amount_cents`	integer	yes
`po_line_id`	uuid
`receipt_line_id`	uuid
`gl_account_number`	text
`cost_center_code`	text
`item_id`	uuid

`erp_ap_invoices`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`supplier_id`	uuid	yes
`invoice_number`	text	yes
`invoice_date`	date	yes
`due_date`	date	yes
`status`	text	yes
`subtotal_cents`	integer	yes
`tax_cents`	integer	yes
`freight_cents`	integer	yes
`total_cents`	integer	yes
`paid_cents`	integer	yes
`po_id`	uuid
`match_status`	text	yes
`match_exceptions`	jsonb	yes
`matched_at`	timestamp with time zone
`approved_by`	text
`approved_at`	timestamp with time zone
`override_reason`	text
`scheduled_run_id`	uuid
`document_id`	uuid
`journal_entry_id`	uuid
`memo`	text
`void_reason`	text
`voided_at`	timestamp with time zone
`voided_by`	text
`source_event_key`	text	yes
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`erp_bank_accounts`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`name`	text	yes
`gl_account_number`	text	yes
`last4`	text
`active`	boolean	yes
`opening_balance_cents`	integer	yes
`opening_balance_on`	date
`source_event_key`	text	yes
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`erp_bank_match_allocations`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`statement_line_id`	uuid	yes
`cash_movement_id`	uuid	yes
`amount_cents`	integer	yes
`matched_by`	text	yes
`matched_at`	timestamp with time zone	yes

`erp_bank_statement_lines`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`statement_id`	uuid	yes
`line_no`	integer	yes
`posted_on`	date	yes
`amount_cents`	integer	yes
`description`	text
`reference`	text
`match_status`	text	yes
`match_method`	text
`matched_by`	text
`matched_at`	timestamp with time zone
`exclude_reason`	text
`resolved_at`	timestamp with time zone
`resolved_by`	text
`resolve_reason`	text

`erp_bank_statements`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`bank_account_id`	uuid	yes
`statement_date`	date	yes
`opening_cents`	integer	yes
`closing_cents`	integer	yes
`format`	text	yes
`imported_by`	text	yes
`file_document_id`	uuid
`status`	text	yes
`reconciled_by`	text
`reconciled_at`	timestamp with time zone
`reconciliation`	jsonb
`source_event_key`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`erp_budget_lines`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`budget_id`	uuid	yes
`period_key`	text	yes
`cost_center_code`	text	yes
`gl_account_number`	text	yes
`amount_cents`	integer	yes

`erp_budgets`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`fiscal_year`	integer	yes
`name`	text	yes
`status`	text	yes
`approved_by`	text
`approved_at`	timestamp with time zone
`locked_by`	text
`locked_at`	timestamp with time zone
`source_event_key`	text	yes
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`erp_cash_movements`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`bank_account_id`	uuid
`occurred_on`	date	yes
`amount_cents`	integer	yes
`kind`	text	yes
`source_type`	text	yes
`source_ref`	text	yes
`journal_entry_id`	uuid
`reference`	text
`memo_safe`	text
`created_by`	text	yes
`created_at`	timestamp with time zone	yes

`erp_depreciation_entries`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`asset_id`	uuid	yes
`period_key`	text	yes
`amount_cents`	integer	yes
`journal_entry_id`	uuid
`created_by`	text	yes
`created_at`	timestamp with time zone	yes

`erp_fixed_assets`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`asset_number`	text	yes
`description`	text	yes
`category`	text	yes
`acquired_on`	date	yes
`in_service_on`	date	yes
`cost_cents`	integer	yes
`salvage_cents`	integer	yes
`useful_life_months`	integer	yes
`method`	text	yes
`cost_center_code`	text
`asset_gl_account`	text	yes
`accumulated_gl_account`	text	yes
`expense_gl_account`	text	yes
`po_id`	uuid
`ap_invoice_id`	uuid
`serial_number`	text
`location_id`	uuid
`status`	text	yes
`disposed_on`	date
`disposal_proceeds_cents`	integer
`disposal_journal_entry_id`	uuid
`source_event_key`	text	yes
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`erp_invoice_receipt_allocations`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`invoice_line_id`	uuid	yes
`receipt_line_id`	uuid
`po_line_id`	uuid
`quantity`	integer	yes
`unit_cost_cents`	integer	yes
`created_at`	timestamp with time zone	yes

`erp_par_levels`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`location_id`	uuid	yes
`item_id`	uuid	yes
`min_qty`	integer	yes
`max_qty`	integer	yes
`reorder_qty`	integer
`preferred_supplier_id`	uuid
`source_event_key`	text	yes
`version`	integer	yes
`active`	boolean	yes
`source`	text	yes
`effective_from`	date	yes
`effective_to`	date
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`erp_payment_runs`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`run_number`	text	yes
`status`	text	yes
`pay_date`	date	yes
`method`	text	yes
`bank_account_id`	uuid	yes
`total_cents`	integer	yes
`approved_by`	text
`approved_at`	timestamp with time zone
`check_start_number`	integer
`recorded_by`	text
`recorded_at`	timestamp with time zone
`void_reason`	text
`voided_at`	timestamp with time zone
`memo`	text
`source_event_key`	text	yes
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`erp_payments`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`run_id`	uuid	yes
`invoice_id`	uuid	yes
`supplier_id`	uuid	yes
`amount_cents`	integer	yes
`method`	text	yes
`reference`	text
`paid_at`	date	yes
`journal_entry_id`	uuid
`cash_movement_id`	uuid
`void_reason`	text
`voided_at`	timestamp with time zone
`voided_by`	text
`void_journal_entry_id`	uuid
`created_at`	timestamp with time zone	yes

`erp_payroll_hours`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`entry_id`	uuid
`provider`	text	yes
`pay_date`	date	yes
`employee_ref`	text
`department`	text
`position`	text
`hours_regular`	numeric(8, 2)	yes
`hours_overtime`	numeric(8, 2)	yes
`hours_double`	numeric(8, 2)	yes
`hours_shift`	numeric(8, 2)	yes
`hours_pto`	numeric(8, 2)	yes
`hours_holiday`	numeric(8, 2)	yes
`hours_sick`	numeric(8, 2)	yes
`hours_other_leave`	numeric(8, 2)	yes
`row_hash`	text	yes
`created_by`	text	yes
`created_at`	timestamp with time zone	yes

`erp_purchase_order_lines`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`po_id`	uuid	yes
`line_no`	integer	yes
`item_id`	uuid	yes
`supplier_item_id`	uuid
`quantity_ordered`	integer	yes
`quantity_received`	integer	yes
`unit_price_cents`	integer	yes
`unit_of_measure`	text	yes
`cost_center_code`	text
`gl_account_number`	text
`requisition_line_id`	uuid
`source_event_key`	text	yes

`erp_purchase_orders`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`po_number`	text	yes
`supplier_id`	uuid	yes
`status`	text	yes
`ship_to_location_id`	uuid	yes
`ordered_at`	timestamp with time zone
`expected_at`	date
`subtotal_cents`	integer	yes
`tax_cents`	integer	yes
`freight_cents`	integer	yes
`total_cents`	integer	yes
`approved_by`	text
`approved_at`	timestamp with time zone
`sent_at`	timestamp with time zone
`sent_via`	text
`sent_document_id`	uuid
`sent_reference`	text
`closed_at`	timestamp with time zone
`cancelled_at`	timestamp with time zone
`cancel_reason`	text
`note`	text
`created_by`	text	yes
`source_event_key`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`erp_receipt_lines`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`receipt_id`	uuid	yes
`po_line_id`	uuid	yes
`item_id`	uuid	yes
`lot_id`	uuid	yes
`lot_number`	text	yes
`serial_number`	text
`expires_on`	date
`quantity`	integer	yes
`unit_cost_cents`	integer	yes
`location_id`	uuid	yes
`movement_id`	uuid	yes
`reversal_movement_id`	uuid
`variance_reason`	text
`source_event_key`	text	yes

`erp_receipts`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`receipt_number`	text	yes
`po_id`	uuid	yes
`received_by`	text	yes
`received_at`	timestamp with time zone	yes
`packing_slip`	text
`status`	text	yes
`reversed_by`	text
`reversed_at`	timestamp with time zone
`reversal_reason`	text
`source_event_key`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`erp_requisition_lines`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`requisition_id`	uuid	yes
`line_no`	integer	yes
`item_id`	uuid	yes
`quantity`	integer	yes
`unit_of_measure`	text	yes
`note`	text
`supplier_item_id`	uuid
`po_line_id`	uuid
`source_event_key`	text	yes

`erp_requisitions`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`requisition_number`	text	yes
`requested_by`	text	yes
`location_id`	uuid	yes
`status`	text	yes
`needed_by`	date
`note`	text
`submitted_at`	timestamp with time zone
`approved_by`	text
`approved_at`	timestamp with time zone
`rejection_reason`	text
`source_event_key`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`erp_supplier_companies`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`key`	text	yes
`name`	text	yes
`aliases`	text[]	yes
`active`	boolean	yes
`revision`	integer	yes
`source`	text	yes
`source_event_key`	text	yes
`created_by`	text	yes
`updated_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`erp_supplier_items`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`supplier_id`	uuid	yes
`item_id`	uuid	yes
`supplier_catalog_number`	text
`unit_of_measure`	text	yes
`pack_size`	integer	yes
`unit_price_cents`	integer
`lead_time_days`	integer
`preferred`	boolean	yes
`source_event_key`	text	yes
`version`	integer	yes
`active`	boolean	yes
`source`	text	yes
`effective_from`	date	yes
`effective_to`	date
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`erp_suppliers`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`code`	text	yes
`name`	text	yes
`contact`	jsonb	yes
`remit_to`	jsonb	yes
`payment_terms_days`	integer	yes
`tax_id_last4`	text
`w9_on_file`	boolean	yes
`is_1099`	boolean	yes
`company_id`	uuid
`source_event_key`	text	yes
`version`	integer	yes
`active`	boolean	yes
`source`	text	yes
`effective_from`	date	yes
`effective_to`	date
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`exchange_connections`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`vendor`	text	yes
`status`	text	yes
`public_id`	uuid	yes
`credential_id`	uuid
`vendor_organization_id`	text
`facility_map`	jsonb	yes
`settings`	jsonb	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`exchange_contributions`

Patient-owned directly: exchange_contributions.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`source_kind`	text	yes
`source_ref`	text	yes
`content_sha256`	text	yes
`status`	text	yes
`hold_reason`	text
`vendor_document_id`	text
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`exchange_documents`

Patient-owned directly: exchange_documents.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`query_id`	uuid
`vendor`	text	yes
`vendor_document_id`	text	yes
`document_id`	uuid
`source_org_name`	text
`source_org_oid`	text
`loinc`	text
`type_label`	text
`title`	text
`service_start`	text
`service_end`	text
`authored_at`	text
`mime_type`	text
`size_bytes`	integer
`status`	text	yes
`attempts`	integer	yes
`lease_owner`	text
`lease_expires_at`	timestamp with time zone
`retry_at`	timestamp with time zone
`last_error_code`	text
`identity_check`	jsonb
`identity_binding`	jsonb
`source_header`	jsonb
`content_sha256`	text
`identity_confirmed_by`	text
`identity_confirmed_at`	timestamp with time zone
`identity_basis`	text
`confidentiality`	jsonb	yes
`ccda_validation`	jsonb
`first_seen_at`	timestamp with time zone	yes
`seen_by`	text
`seen_at`	timestamp with time zone
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`exchange_patient_preferences`

Patient-owned directly: exchange_patient_preferences.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`query_opt_out`	boolean	yes
`share_opt_out`	boolean	yes
`recorded_by_principal`	text	yes
`recorded_at`	timestamp with time zone	yes
`basis`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`exchange_queries`

Patient-owned directly: exchange_queries.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`connection_id`	uuid	yes
`facility_id`	uuid	yes
`trigger`	text	yes
`treatment_basis`	jsonb
`purpose_of_use`	text	yes
`requested_by_principal`	text	yes
`idempotency_key`	text	yes
`vendor_patient_id`	text
`vendor_request_id`	text
`status`	text	yes
`ingest_status`	text	yes
`send_attempt`	integer	yes
`poll_errors`	integer	yes
`lease_owner`	text
`lease_expires_at`	timestamp with time zone
`policy_version`	text	yes
`refusal_code`	text
`documents_listed`	integer	yes
`documents_new`	integer	yes
`queued_at`	timestamp with time zone	yes
`sent_at`	timestamp with time zone
`completed_at`	timestamp with time zone
`last_polled_at`	timestamp with time zone
`error_code`	text
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`exchange_readiness_requests`

Patient-owned directly: exchange_readiness_requests.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`case_id`	uuid	yes
`item_key`	text	yes
`request_id`	uuid	yes
`channel`	text	yes
`contact_source`	text
`contact_id`	uuid
`contact_label`	text	yes
`needed_by`	date
`status`	text	yes
`sent_at`	timestamp with time zone
`reply_document_id`	uuid
`reply_matched_by`	text
`reply_at`	timestamp with time zone
`satisfied_at`	timestamp with time zone
`satisfied_by`	text
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`exchange_record_request_emails`

Patient-owned directly: exchange_record_request_emails.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`request_id`	uuid	yes
`actor_id`	text	yes
`request_key`	uuid	yes
`request_hash`	text	yes
`policy_fingerprint`	text	yes
`status`	text	yes
`lease_until`	timestamp with time zone
`provider_ref`	text
`last_error_code`	text
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`exchange_record_request_events`

Patient-owned directly: exchange_record_request_events.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`request_id`	uuid	yes
`actor_id`	text	yes
`request_key`	uuid	yes
`request_hash`	text	yes
`kind`	text	yes
`exchange_document_id`	uuid
`source_event_id`	uuid
`content_sha256`	text
`reason`	text	yes
`created_at`	timestamp with time zone	yes

`exchange_record_request_faxes`

Patient-owned directly: exchange_record_request_faxes.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`request_id`	uuid	yes
`actor_id`	text	yes
`request_key`	uuid	yes
`request_hash`	text	yes
`policy_fingerprint`	text	yes
`status`	text	yes
`lease_until`	timestamp with time zone
`provider_ref`	text
`last_error_code`	text
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`exchange_record_requests`

Patient-owned directly: exchange_record_requests.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`actor_id`	text	yes
`request_key`	uuid	yes
`request_hash`	text	yes
`source_organization`	text	yes
`recipient_fax`	text
`recipient_email`	text
`channel`	text	yes
`contact_source`	text
`contact_id`	uuid
`recipient_state`	text	yes
`requested_scope`	text	yes
`basis`	text	yes
`authorization_id`	uuid
`authorization_sha256`	text
`artifact_document_id`	uuid	yes
`artifact_sha256`	text	yes
`created_at`	timestamp with time zone	yes

`external_resource_links`

Patient-owned through a foreign-key path: adapter external-resource-links.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`resource_type`	text	yes
`resource_id`	text	yes
`system`	text	yes
`external_id`	text	yes
`external_mrn`	text
`identifier_type`	text	yes
`source_instance`	text
`assigning_authority`	text
`source_scope_key`	text	yes
`status`	text	yes
`superseded_at`	timestamp
`connection_id`	uuid
`verified_by`	text
`verified_at`	timestamp
`source`	text	yes
`notes`	text
`created_at`	timestamp	yes
`updated_at`	timestamp	yes

`facilities`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`slug`	text	yes
`name`	text	yes
`kind`	text	yes
`time_zone`	text	yes
`billing_provider_id`	uuid
`active`	boolean	yes
`regulatory_profile`	text
`cms_certified`	boolean
`accreditor`	text
`ca_licensure_path`	text
`settings`	jsonb	yes
`profile_updated_at`	timestamp with time zone
`profile_updated_by`	text
`reporting_ids`	jsonb	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`facility_licensing_surveys`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`facility_id`	uuid	yes
`survey_kind`	text	yes
`surveyed_on`	date	yes
`recorded_by`	text	yes
`recorded_at`	timestamp with time zone	yes

`form_bundles`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`name`	text	yes
`form_ids`	jsonb	yes
`mode`	form_send_mode	yes
`note`	text
`created_by`	text
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`form_data_templates`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`form_id`	uuid	yes
`organization_id`	uuid	yes
`name`	text	yes
`description`	text
`data`	jsonb	yes
`created_by`	text
`created_at`	timestamp	yes
`updated_at`	timestamp	yes

`form_events`

Patient-owned through a foreign-key path: form_events .submission_id → form_submissions.id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`form_id`	uuid	yes
`submission_id`	uuid
`message_log_id`	uuid
`client_nonce`	text
`kind`	form_event_kind	yes
`meta`	jsonb
`at`	timestamp	yes

`form_fill_templates`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid
`library_key`	text
`source_template_id`	uuid
`content_hash`	text	yes
`title`	text	yes
`category`	text	yes
`file_ref`	text	yes
`mime_type`	text
`page_count`	integer	yes
`kind`	text	yes
`fields`	jsonb	yes
`pages`	jsonb	yes
`detect_model`	text
`last_used_at`	timestamp
`created_at`	timestamp	yes

`form_fills`

Patient-owned directly: form_fills.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`template_id`	uuid	yes
`created_by`	uuid
`status`	text	yes
`values`	jsonb	yes
`extra_stamps`	jsonb	yes
`context_notes`	text
`context_refs`	jsonb
`output_ref`	text
`chargeable`	boolean	yes
`error`	text
`created_at`	timestamp	yes
`completed_at`	timestamp
`downloaded_at`	timestamp

`form_folders`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`name`	text	yes
`sort_order`	integer
`created_at`	timestamp	yes
`updated_at`	timestamp	yes

`form_message_log`

Patient-owned through a foreign-key path: form_message_log .submission_id → form_submissions.id or form_message_log .reminder_id → form_reminders.id .submission_id → form_submissions.id.

Column	Postgres type	Required
`id`	uuid	yes
`submission_id`	uuid	yes
`organization_id`	uuid	yes
`reminder_id`	uuid
`channel`	text	yes
`recipient`	text	yes
`subject`	text
`body`	text	yes
`status`	text	yes
`provider_message_id`	text
`sent_at`	timestamp with time zone	yes
`error_message`	text

`form_practice_assets`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`organization_id`	uuid	yes
`object_key`	text	yes
`recorded_by`	text	yes
`created_at`	timestamp with time zone	yes

`form_published_versions`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`form_id`	uuid	yes
`version`	integer	yes
`source_version`	integer	yes
`title`	text	yes
`description`	text
`category`	text	yes
`schema`	jsonb	yes
`settings`	jsonb
`blocks`	jsonb
`content_hash`	text	yes
`published_by`	text	yes
`published_at`	timestamp with time zone	yes
`created_at`	timestamp with time zone	yes

`form_reminders`

Patient-owned through a foreign-key path: form_reminders .submission_id → form_submissions.id.

Column	Postgres type	Required
`id`	uuid	yes
`submission_id`	uuid	yes
`organization_id`	uuid	yes
`channel`	text	yes
`recipient_hash`	text	yes
`scheduled_at`	timestamp with time zone	yes
`status`	text	yes
`reason`	text
`label`	text
`sent_at`	timestamp with time zone
`created_at`	timestamp with time zone	yes

`form_renewals`

Patient-owned directly: form_renewals.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`source_form_id`	uuid
`source_submission_id`	uuid
`due_form_id`	uuid	yes
`due_at`	timestamp with time zone	yes
`status`	form_renewal_status	yes
`sent_submission_id`	uuid
`sent_at`	timestamp with time zone
`closed_at`	timestamp with time zone
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`form_sends`

Patient-owned directly: form_sends.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid
`created_by`	text
`mode`	form_send_mode	yes
`status`	form_send_status	yes
`form_ids`	jsonb	yes
`next_position`	integer	yes
`patient_name`	text	yes
`contact`	text	yes
`channel`	text	yes
`date_of_birth`	text
`appointment_at`	timestamp with time zone
`cadence`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`form_short_links`

Patient-owned through a foreign-key path: form_short_links .submission_id → form_submissions.id.

Column	Postgres type	Required
`token`	text	yes
`submission_id`	uuid	yes
`created_at`	timestamp with time zone	yes
`expires_at`	timestamp with time zone

`form_submission_signing_evidence`

Patient-owned through a foreign-key path: form_submission_signing_evidence .submission_id → form_submissions.id.

Column	Postgres type	Required
`id`	uuid	yes
`submission_id`	uuid	yes
`signed`	boolean	yes
`signature_lines`	text[]	yes
`schema_had_signature`	boolean	yes
`basis`	text	yes
`recorded_at`	timestamp with time zone	yes

`form_submissions`

Patient-owned directly: form_submissions.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`form_id`	uuid	yes
`form_version`	integer	yes
`patient_id`	uuid
`submitted_by`	uuid
`respondent_name`	text
`respondent_email`	text
`respondent_phone`	text
`data`	jsonb	yes
`status`	submission_status	yes
`starred`	boolean	yes
`pdf_url`	text
`source`	submission_source	yes
`metadata`	jsonb
`generated_chart_note`	text
`generated_chart_note_at`	timestamp
`send_id`	uuid
`send_position`	integer
`created_at`	timestamp	yes
`updated_at`	timestamp	yes
`completed_at`	timestamp

`form_upload_receipts`

Patient-owned directly: form_upload_receipts.patient_id.

Column	Postgres type	Required
`ref`	text	yes
`organization_id`	uuid
`uploaded_by`	text	yes
`patient_id`	uuid
`submission_id`	uuid
`created_at`	timestamp with time zone	yes
`claimed_at`	timestamp with time zone

`forms`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`created_by`	text
`title`	text	yes
`description`	text
`category`	form_category	yes
`schema`	jsonb	yes
`version`	integer	yes
`status`	form_status	yes
`settings`	jsonb
`sort_order`	integer
`folder_id`	uuid
`created_at`	timestamp	yes
`updated_at`	timestamp	yes

`him_authorizations`

Patient-owned directly: him_authorizations.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`document_id`	uuid
`form_version`	text
`signed_by_role`	text	yes
`representative_authority`	text
`representative_authority_document_id`	uuid
`signed_at`	timestamp with time zone
`expires_at`	timestamp with time zone
`expiration_event`	text
`information_described`	text
`recipient_name`	text
`recipient_org`	text
`purpose`	text
`sensitive_categories_named`	text[]
`checklist`	jsonb
`validated_by`	text
`validated_at`	timestamp with time zone
`revoked_at`	timestamp with time zone
`revoked_by`	text
`revocation_document_id`	uuid
`known_falsity_flag`	boolean	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`him_completeness_rules`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`rule_key`	text	yes
`version`	integer	yes
`applies_to`	jsonb	yes
`items`	jsonb	yes
`active`	boolean	yes
`created_by`	text
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`him_deficiencies`

Patient-owned directly: him_deficiencies.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`scope_kind`	text	yes
`scope_id`	uuid	yes
`rule_key`	text	yes
`rule_version`	integer	yes
`rule_item_key`	text	yes
`label`	text	yes
`state`	text	yes
`responsible_provider_id`	uuid
`responsible_role`	text
`due_at`	timestamp with time zone
`status`	text	yes
`resolved_by_ref`	jsonb
`resolved_at`	timestamp with time zone
`waived_by`	text
`waive_reason`	text
`task_id`	uuid
`occurrence_key`	text	yes
`first_detected_at`	timestamp with time zone	yes
`last_evaluated_at`	timestamp with time zone	yes
`last_reminded_at`	timestamp with time zone
`reminder_count`	integer	yes
`escalated_at`	timestamp with time zone
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`him_delivery_attempts`

Patient-owned through a foreign-key path: him_delivery_attempts .request_id → him_record_requests.id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`request_id`	uuid	yes
`approval_id`	uuid
`attempt_key`	text	yes
`channel`	text	yes
`destination`	jsonb	yes
`destination_verified_by`	text
`status`	text	yes
`provider_ref`	text
`sent_at`	timestamp with time zone
`failed_at`	timestamp with time zone
`last_error_code`	text
`lease_until`	timestamp with time zone
`lease_token`	text
`last_checked_at`	timestamp with time zone
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`him_disclosure_events`

Patient-owned through a foreign-key path: him_disclosure_events .disclosure_id → him_disclosures.id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`disclosure_id`	uuid	yes
`at`	timestamp with time zone	yes
`kind`	text	yes
`detail`	jsonb
`created_at`	timestamp with time zone	yes

`him_disclosures`

Patient-owned directly: him_disclosures.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`request_id`	uuid
`disclosed_at`	timestamp with time zone	yes
`disclosed_by_principal`	text	yes
`recipient_name`	text	yes
`recipient_org`	text
`recipient_address`	text
`purpose`	text
`basis`	text	yes
`accountable`	boolean	yes
`description`	text
`channel`	text	yes
`delivery_attempt_id`	uuid
`approval_id`	uuid
`packet_sha256`	text
`created_at`	timestamp with time zone	yes

`him_packet_grants`

Patient-owned through a foreign-key path: him_packet_grants .request_id → him_record_requests.id or him_packet_grants .packet_document_id → documents.id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`request_id`	uuid	yes
`approval_id`	uuid
`packet_document_id`	uuid	yes
`packet_sha256`	text	yes
`recipient_name`	text	yes
`recipient_channel`	text	yes
`recipient_address`	text	yes
`second_channel`	text	yes
`second_address`	text	yes
`token_hash`	text	yes
`delivery_attempt_id`	uuid
`code_hash`	text
`code_expires_at`	timestamp with time zone
`code_verified_at`	timestamp with time zone
`pickup_session_hash`	text
`notification_state`	text	yes
`notification_receipts`	jsonb
`expires_at`	timestamp with time zone	yes
`max_downloads`	integer	yes
`download_count`	integer	yes
`failed_code_count`	integer	yes
`locked_at`	timestamp with time zone
`revoked_at`	timestamp with time zone
`revoked_by`	text
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`him_record_requests`

Patient-owned directly: him_record_requests.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`request_number`	text	yes
`patient_id`	uuid
`requester_type`	text	yes
`requester_name`	text	yes
`requester_org`	text
`requester_contact`	jsonb
`purpose`	text	yes
`received_via`	text	yes
`received_at`	timestamp with time zone	yes
`due_at`	timestamp with time zone
`due_basis`	text
`scope`	jsonb	yes
`authorization_id`	uuid
`authorization_status`	text	yes
`request_class`	text	yes
`identity_verified_by`	text
`identity_verified_at`	timestamp with time zone
`identity_method`	text
`status`	text	yes
`denial_reason`	text
`sensitive_flags`	jsonb
`fee_cents`	integer
`fee_basis`	text
`assigned_to`	text
`packet_id`	uuid
`release_build`	jsonb
`release_reviews`	jsonb
`approved_by`	text
`approved_at`	timestamp with time zone
`source_document_id`	uuid
`site`	text	yes
`service_line`	text	yes
`triage_provenance`	jsonb
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`him_release_approvals`

Patient-owned through a foreign-key path: him_release_approvals .request_id → him_record_requests.id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`request_id`	uuid	yes
`manifest`	jsonb	yes
`manifest_sha256`	text	yes
`approved_by`	text	yes
`approved_at`	timestamp with time zone	yes
`invalidated_at`	timestamp with time zone
`invalidated_reason`	text
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`him_request_attachments`

Patient-owned through a foreign-key path: him_request_attachments .request_id → him_record_requests.id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`request_id`	uuid	yes
`delivery_id`	uuid	yes
`submission_id`	uuid
`proposed_patient_id`	uuid
`status`	text	yes
`sent_at`	timestamp with time zone	yes
`sent_by`	text	yes
`received_at`	timestamp with time zone
`has_photo_id`	boolean	yes
`confirmed_by`	text
`confirmed_at`	timestamp with time zone
`authorization_id`	uuid
`rejected_reason`	text
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`him_request_events`

Patient-owned through a foreign-key path: him_request_events .request_id → him_record_requests.id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`request_id`	uuid	yes
`at`	timestamp with time zone	yes
`actor_principal`	text	yes
`kind`	text	yes
`detail`	jsonb
`created_at`	timestamp with time zone	yes

`idr_determination_letters`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`created_by_user_id`	uuid
`file_name`	text	yes
`s3_key`	text
`mime_type`	text
`payer_name`	text
`service_codes`	jsonb
`determination_date`	text
`idre_name`	text
`prevailing_party`	text
`award_amount`	double precision
`award_pct_qpa`	double precision
`extracted`	jsonb
`notes`	text
`created_at`	timestamp	yes
`updated_at`	timestamp	yes

`idr_payer_dossiers`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`payer_name`	text	yes
`negotiation_history`	text
`contracted_rates`	jsonb
`notes`	text
`created_at`	timestamp	yes
`updated_at`	timestamp	yes

`idr_surgeon_profiles`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`surgeon_name`	text	yes
`npi`	text
`credentials`	text
`experience`	text
`outcomes`	text
`created_at`	timestamp	yes
`updated_at`	timestamp	yes

`imaging_report_details`

Patient-owned directly: imaging_report_details.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`encounter_id`	uuid
`source_type`	text	yes
`source_event_key`	text	yes
`source_document_id`	uuid
`verification_status`	text	yes
`asserted_by`	text	yes
`asserted_at`	timestamp with time zone	yes
`confirmed_by`	text
`confirmed_at`	timestamp with time zone
`last_asserted_at`	timestamp with time zone	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes
`report_id`	uuid	yes
`modality`	text	yes
`body_part`	text
`laterality`	text	yes
`report_text`	text
`impression`	text

`inv_case_picks`

Patient-owned directly: inv_case_picks.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`case_id`	uuid	yes
`patient_id`	uuid	yes
`item_id`	uuid	yes
`lot_id`	uuid
`location_id`	uuid
`card_id`	uuid
`planned_quantity`	integer	yes
`reserved_quantity`	integer	yes
`picked_quantity`	integer	yes
`used_quantity`	integer	yes
`returned_quantity`	integer	yes
`wasted_quantity`	integer	yes
`source_event_key`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`inv_count_lines`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`session_id`	uuid	yes
`lot_id`	uuid	yes
`expected_quantity`	integer	yes
`counted_quantity`	integer
`counted_by`	text
`counted_at`	timestamp with time zone
`recount_quantity`	integer
`recount_by`	text
`recount_at`	timestamp with time zone
`adjustment_movement_id`	uuid
`approved_by`	text
`approved_at`	timestamp with time zone
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`inv_count_sessions`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`location_id`	uuid	yes
`status`	text	yes
`blind`	boolean	yes
`opened_by`	text	yes
`opened_at`	timestamp with time zone	yes
`closed_by`	text
`closed_at`	timestamp with time zone
`note`	text
`source_event_key`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`inv_items`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`internal_code`	text	yes
`manufacturer`	text
`catalog_number`	text
`gtin`	text
`description`	text	yes
`category`	text	yes
`unit_of_measure`	text	yes
`is_implant`	boolean	yes
`lot_tracked`	boolean	yes
`serial_tracked`	boolean	yes
`is_medication`	boolean	yes
`supply_category`	text	yes
`par_threshold`	integer
`reorder_qty`	integer
`cost_basis_cents`	integer
`cost_effective_from`	date
`version`	integer	yes
`active`	boolean	yes
`source`	text	yes
`effective_from`	date	yes
`effective_to`	date
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`inv_locations`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`facility_id`	uuid	yes
`kind`	text	yes
`name`	text	yes
`bin`	text
`owner`	text	yes
`active`	boolean	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`inv_lots`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`item_id`	uuid	yes
`lot_number`	text	yes
`serial_number`	text
`expires_on`	date
`quarantined`	boolean	yes
`quarantine_reason`	text
`recall_reference`	text
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`inv_movement_allocations`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`movement_id`	uuid	yes
`layer_id`	uuid	yes
`quantity`	integer	yes
`unit_cost_cents`	integer
`created_at`	timestamp with time zone	yes

`inv_movements`

Patient-owned directly: inv_movements.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`kind`	text	yes
`item_id`	uuid	yes
`lot_id`	uuid	yes
`from_location_id`	uuid
`to_location_id`	uuid
`quantity`	integer	yes
`reason`	text
`supply_category`	text
`case_id`	uuid
`patient_id`	uuid
`reverses_id`	uuid
`journal_entry_id`	uuid
`actor_id`	text	yes
`occurred_at`	timestamp with time zone	yes
`source_ref`	text
`source_event_key`	text	yes
`created_at`	timestamp with time zone	yes

`inv_preference_card_items`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`card_id`	uuid	yes
`item_id`	uuid	yes
`planned_quantity`	integer	yes
`optional`	boolean	yes
`note`	text

`inv_preference_cards`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`surgeon_provider_id`	uuid	yes
`procedure_code`	text	yes
`procedure_display`	text	yes
`note`	text
`version`	integer	yes
`active`	boolean	yes
`source`	text	yes
`effective_from`	date	yes
`effective_to`	date
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`inv_receipt_layers`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`lot_id`	uuid	yes
`receipt_line_id`	uuid
`movement_id`	uuid	yes
`source`	text	yes
`quantity`	integer	yes
`remaining_quantity`	integer	yes
`unit_cost_cents`	integer
`received_at`	timestamp with time zone	yes
`created_at`	timestamp with time zone	yes

`inv_stock`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`location_id`	uuid	yes
`lot_id`	uuid	yes
`on_hand`	integer	yes
`reserved`	integer	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`knowledge_base_sources`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`retell_source_id`	text
`category`	kb_category	yes
`source_type`	kb_source_type	yes
`mime_type`	text
`title`	text	yes
`file_name`	text
`file_size`	integer
`file_url`	text
`content`	text
`always_load`	boolean	yes
`status`	kb_status	yes
`created_at`	timestamp	yes
`updated_at`	timestamp	yes

`lab_result_observations`

Patient-owned directly: lab_result_observations.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`encounter_id`	uuid
`source_type`	text	yes
`source_event_key`	text	yes
`source_document_id`	uuid
`verification_status`	text	yes
`asserted_by`	text	yes
`asserted_at`	timestamp with time zone	yes
`confirmed_by`	text
`confirmed_at`	timestamp with time zone
`last_asserted_at`	timestamp with time zone	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes
`report_id`	uuid	yes
`panel`	text
`analyte_display`	text	yes
`analyte_code`	text
`code_system`	text
`value_type`	text	yes
`value_numeric`	numeric
`value_text`	text
`unit`	text
`reference_low`	numeric
`reference_high`	numeric
`reference_text`	text
`abnormal_flag`	text
`status`	text	yes
`raw_flag`	text
`sub_id`	text
`notes`	text[]	yes
`collected_at`	timestamp with time zone
`resulted_at`	timestamp with time zone
`position`	integer	yes

`medication_administrations`

Patient-owned directly: medication_administrations.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`encounter_id`	uuid
`source_type`	text	yes
`source_event_key`	text	yes
`source_document_id`	uuid
`verification_status`	text	yes
`asserted_by`	text	yes
`asserted_at`	timestamp with time zone	yes
`confirmed_by`	text
`confirmed_at`	timestamp with time zone
`last_asserted_at`	timestamp with time zone	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes
`service_request_id`	uuid	yes
`admission_id`	uuid
`due_at`	timestamp with time zone
`administered_at`	timestamp with time zone	yes
`recorded_at`	timestamp with time zone	yes
`status`	text	yes
`dose_quantity`	numeric
`dose_unit`	text
`route`	text
`site`	text
`administered_by`	text	yes
`recorded_by`	text
`administered_by_role`	text
`administering_attestation`	text
`administering_attested_at`	timestamp with time zone
`case_id`	uuid
`care_phase`	text
`prn`	boolean
`prn_indication`	text
`prn_indication_score`	numeric
`witnessed_by`	text
`reason`	text
`scanned_code`	text
`scanned_band_token`	text
`scanned_ndc11`	char(11)
`scanned_lot`	text
`scanned_expiry`	date
`scan_result`	text	yes
`scan_findings`	jsonb
`scan_override_reason`	text
`scan_override_by`	text
`verification_override_by`	text
`verification_override_reason`	text
`reassessment_due_at`	timestamp with time zone
`reassessment_at`	timestamp with time zone
`reassessment_note`	text
`reassessment_interval_minutes`	integer
`reassessment_score`	numeric
`reassessment_effect`	text
`reassessed_by`	text
`dose_check`	jsonb
`dose_deviation_reason`	text
`late_entry_reason`	text
`corrects_id`	uuid
`correction_reason`	text
`procedure_event_id`	uuid
`clinic_drug_batch_id`	uuid

`medication_reconciliation_items`

Patient-owned directly: medication_reconciliation_items.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`encounter_id`	uuid
`source_type`	text	yes
`source_event_key`	text	yes
`source_document_id`	uuid
`verification_status`	text	yes
`asserted_by`	text	yes
`asserted_at`	timestamp with time zone	yes
`confirmed_by`	text
`confirmed_at`	timestamp with time zone
`last_asserted_at`	timestamp with time zone	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes
`reconciliation_id`	uuid	yes
`source_medication_id`	uuid	yes
`medication_text`	text	yes
`dose_text`	text
`route_text`	text
`frequency_text`	text
`captured_source_type`	text	yes
`captured_asserted_at`	timestamp with time zone	yes
`decision`	text
`decision_reason`	text
`resume_condition`	text
`substitution`	text
`formulary_version`	text
`formulary_product_id`	text
`formulary_generic`	text
`formulary_brand`	text
`formulary_strength`	text
`formulary_form`	text
`inpatient_sig`	text
`service_request_id`	uuid
`decided_by`	text
`decided_at`	timestamp with time zone

`medication_reconciliations`

Patient-owned directly: medication_reconciliations.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`encounter_id`	uuid
`source_type`	text	yes
`source_event_key`	text	yes
`source_document_id`	uuid
`verification_status`	text	yes
`asserted_by`	text	yes
`asserted_at`	timestamp with time zone	yes
`confirmed_by`	text
`confirmed_at`	timestamp with time zone
`last_asserted_at`	timestamp with time zone	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes
`admission_id`	uuid	yes
`status`	text	yes
`home_list_state`	text	yes
`formulary_version`	text	yes
`started_by`	text	yes
`started_at`	timestamp with time zone	yes
`completed_by`	text
`completed_at`	timestamp with time zone

`medication_transition_reconciliation_items`

Patient-owned directly: medication_transition_reconciliation_items.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`reconciliation_id`	uuid	yes
`source_medication_id`	uuid
`service_request_id`	uuid
`medication_text`	text	yes
`dose_text`	text
`route_text`	text
`frequency_text`	text
`captured_at`	timestamp with time zone	yes
`decision`	text
`decision_reason`	text
`resume_condition`	text
`last_dose_at`	timestamp with time zone
`decided_by`	text
`decided_at`	timestamp with time zone
`removed_at`	timestamp with time zone
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`medication_transition_reconciliations`

Patient-owned directly: medication_transition_reconciliations.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`kind`	text	yes
`case_id`	uuid
`admission_id`	uuid
`home_list_state`	text	yes
`status`	text	yes
`started_by`	text	yes
`started_at`	timestamp with time zone	yes
`completed_by`	text
`completed_at`	timestamp with time zone
`source_event_key`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`message_drafts`

Patient-owned through a foreign-key path: adapter text-message-drafts.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`conversation_id`	uuid	yes
`body`	text	yes
`model_meta`	jsonb
`superseded_at`	timestamp
`used_in_message_id`	uuid
`created_at`	timestamp	yes

`messages`

Patient-owned directly: messages.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`call_id`	uuid
`organization_id`	uuid	yes
`patient_name`	text
`patient_dob`	text
`patient_phone`	text
`patient_id`	uuid
`provider_id`	uuid
`category`	message_category	yes
`summary`	text
`details`	text
`metadata`	jsonb
`medication_name`	text
`medication_dosage`	text
`medication_frequency`	text
`pharmacy_name`	text
`urgency`	urgency	yes
`status`	action_status	yes
`assigned_to`	text
`notes`	text
`notes_by`	text
`notes_at`	timestamp
`created_at`	timestamp	yes
`updated_at`	timestamp	yes

`messaging_call_offers`

Patient-owned through a foreign-key path: messaging_call_offers .conversation_id → messaging_conversations.id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`conversation_id`	uuid	yes
`call_ref`	text	yes
`first_name`	text	yes
`reason`	text	yes
`caller_id`	text	yes
`status`	text	yes
`call_at`	timestamp with time zone
`silence_until`	timestamp with time zone
`cutoff_at`	timestamp with time zone
`kind`	text	yes
`result`	jsonb
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`messaging_conversations`

Patient-owned directly: messaging_conversations.subject_patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`messaging_line_id`	uuid	yes
`contact_point_id`	uuid	yes
`subject_patient_id`	uuid
`status`	text	yes
`urgency`	messaging_urgency	yes
`automation_state`	messaging_automation_state	yes
`last_message_at`	timestamp
`last_patient_message_at`	timestamp
`last_seq`	integer	yes
`resolved_at`	timestamp
`subject`	text
`topic`	messaging_topic
`topic_set_by`	text
`topic_triaged_seq`	integer
`claims_extracted_seq`	integer
`flagged_at`	timestamp with time zone
`assigned_inbox_id`	uuid
`assigned_user_id`	uuid
`assigned_at`	timestamp
`assigned_by_user_id`	uuid
`assignment_version`	integer	yes
`created_at`	timestamp	yes
`updated_at`	timestamp	yes

`messaging_delivery_events`

Patient-owned through a foreign-key path: adapter text-message-events.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid
`message_id`	uuid
`aws_message_id`	text	yes
`event_type`	text	yes
`payload`	jsonb
`occurred_at`	timestamp	yes
`dedupe_key`	text
`created_at`	timestamp	yes

`messaging_inboxes`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`name`	text	yes
`kind`	messaging_inbox_kind	yes
`provider_user_id`	uuid
`provider_id`	uuid
`slug`	text
`settings`	jsonb	yes
`created_at`	timestamp	yes
`deleted_at`	timestamp

`messaging_lines`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`phone_number`	text	yes
`aws_origination_id`	text
`active`	boolean	yes
`shared`	boolean	yes
`created_at`	timestamp	yes

`messaging_mention_outbox`

Patient-owned through a foreign-key path: messaging_mention_outbox .text_mention_id → messaging_text_mentions.id or messaging_mention_outbox .staff_mention_id → emr_staff_mentions.id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`source_kind`	text	yes
`text_mention_id`	uuid
`staff_mention_id`	uuid
`recipient_user_id`	uuid	yes
`event_key`	text	yes
`status`	text	yes
`available_at`	timestamp with time zone	yes
`lease_token`	uuid
`lease_until`	timestamp with time zone
`attempts`	integer	yes
`accepted_at`	timestamp with time zone
`last_error_code`	text
`created_at`	timestamp with time zone	yes

`messaging_messages`

Patient-owned through a foreign-key path: adapter text-messages.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`conversation_id`	uuid	yes
`direction`	messaging_direction	yes
`seq`	integer
`client_key`	text
`body`	text	yes
`message_purpose`	message_purpose	yes
`sender_type`	messaging_sender_type	yes
`sender_user_id`	uuid
`sender_label`	text
`ai_involvement`	ai_involvement	yes
`reviewed_by_user_id`	uuid
`reviewer_license_snapshot`	jsonb
`ai_draft_body`	text
`tier`	message_tier	yes
`delivery_status`	messaging_delivery_status
`aws_message_id`	text
`delivery_channel`	text
`inbound_provider_message_id`	text
`created_at`	timestamp	yes

`messaging_portal_attachments`

Patient-owned directly: messaging_portal_attachments.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`thread_id`	uuid
`message_id`	uuid
`uploaded_by_grant_id`	uuid
`uploaded_by_kind`	text	yes
`uploaded_by`	text	yes
`storage_ref`	text
`content_sha256`	text
`byte_size`	integer
`document_ref`	uuid
`declared_type`	text
`content_type`	text
`state`	text	yes
`scan_state`	text	yes
`reject_reason`	text
`created_at`	timestamp with time zone	yes
`validated_at`	timestamp with time zone
`bound_at`	timestamp with time zone

`messaging_portal_messages`

Patient-owned through a foreign-key path: messaging_portal_messages .thread_id → messaging_portal_threads.id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`thread_id`	uuid	yes
`seq`	integer	yes
`client_key`	text	yes
`purpose`	text	yes
`author_kind`	text	yes
`author_grant_id`	uuid
`author_user_id`	uuid
`author_principal`	text	yes
`body`	text	yes
`payload_fingerprint`	text
`created_at`	timestamp with time zone	yes

`messaging_portal_participants`

Patient-owned through a foreign-key path: messaging_portal_participants .grant_id → patient_identity_links.id or messaging_portal_participants .thread_id → messaging_portal_threads.id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`thread_id`	uuid	yes
`grant_id`	uuid	yes
`relationship`	text	yes
`first_seq`	integer	yes
`added_at`	timestamp with time zone	yes

`messaging_portal_reads`

Patient-owned through a foreign-key path: messaging_portal_reads .thread_id → messaging_portal_threads.id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`thread_id`	uuid	yes
`actor_kind`	text	yes
`actor_id`	text	yes
`last_read_seq`	integer	yes
`read_at`	timestamp with time zone	yes
`archived_at`	timestamp with time zone

`messaging_portal_threads`

Patient-owned directly: messaging_portal_threads.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`topic`	text	yes
`subject`	text	yes
`chosen_provider_id`	uuid
`assigned_inbox_id`	uuid
`assigned_user_id`	uuid
`routed_by`	text	yes
`routing_reason`	text	yes
`urgency`	text	yes
`urgency_source`	text	yes
`urgent_signals`	text[]	yes
`urgent_card_shown`	boolean	yes
`urgent_ack_due_at`	timestamp with time zone
`acknowledged_at`	timestamp with time zone
`acknowledged_by`	text
`escalation_level`	integer	yes
`escalated_at`	timestamp with time zone
`work_item_id`	uuid
`status`	text	yes
`closed_at`	timestamp with time zone
`closed_by`	text
`encounter_id`	uuid
`ai_proposed_topic`	messaging_topic
`ai_proposed_at`	timestamp with time zone
`last_seq`	integer	yes
`last_message_at`	timestamp with time zone
`last_patient_message_at`	timestamp with time zone
`last_staff_message_at`	timestamp with time zone
`created_by`	text	yes
`created_by_grant_id`	uuid
`request_key`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`messaging_snippets`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`title`	text	yes
`body`	text	yes
`shortcut`	text
`secure`	boolean	yes
`created_by_user_id`	uuid
`created_at`	timestamp	yes
`updated_at`	timestamp	yes
`deleted_at`	timestamp

`messaging_text_mentions`

Patient-owned directly: messaging_text_mentions.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`conversation_id`	uuid	yes
`message_id`	uuid	yes
`patient_id`	uuid
`mentioned_user_id`	uuid	yes
`author_user_id`	uuid	yes
`position`	smallint	yes
`created_at`	timestamp with time zone	yes
`read_at`	timestamp with time zone
`cleared_at`	timestamp with time zone

`note_finalization_events`

Patient-owned through a foreign-key path: note_finalization_events .encounter_id → encounters.id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`source_encounter_id`	text	yes
`encounter_id`	uuid
`note_version`	text	yes
`note_content_sha256`	text
`author_principal`	text
`finalized_at`	timestamp with time zone	yes
`created_at`	timestamp with time zone	yes

`note_metadata`

Patient-owned directly: note_metadata.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`user_id`	text	yes
`organization_id`	uuid
`transcription_id`	text	yes
`encounter_id`	text
`patient_name`	text
`patient_dob`	date
`patient_id`	uuid
`encounter_date`	date
`body_region`	text
`laterality`	text
`digit`	text
`procedure_category`	text
`diagnosis_category`	text
`billing_codes`	jsonb
`created_at`	timestamp	yes
`extracted_at`	timestamp	yes

`nursing_answer_suggestions`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`phase`	text	yes
`field_key`	text	yes
`answer_text`	text	yes
`answer_norm`	text	yes
`first_definition_key`	text	yes
`times_typed`	integer	yes
`first_typed_by`	text	yes
`first_typed_at`	timestamp with time zone	yes
`last_typed_at`	timestamp with time zone	yes
`status`	text	yes
`decided_by`	text
`decided_at`	timestamp with time zone
`promoted_definition_key`	text
`promoted_option_value`	text
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`nursing_assignments`

Patient-owned directly: nursing_assignments.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`facility_id`	uuid	yes
`patient_id`	uuid	yes
`admission_id`	uuid
`case_id`	uuid
`nurse_user_id`	uuid	yes
`acuity`	text
`assigned_by`	text	yes
`assigned_at`	timestamp with time zone	yes
`released_by`	text
`released_at`	timestamp with time zone
`release_reason`	text
`unit`	text
`unit_type`	text
`licensure_category`	text
`ratio_limit`	integer
`over_ratio`	boolean	yes
`staffing_emergency_id`	uuid
`staffing_efforts`	text

`nursing_charting_exception_policies`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`facility_id`	uuid	yes
`version`	integer	yes
`status`	text	yes
`policy`	jsonb
`content_hash`	text	yes
`source_reference`	text	yes
`loaded_by`	text	yes
`loaded_at`	timestamp with time zone	yes

`nursing_definition_versions`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`phase`	text	yes
`definition_key`	text	yes
`base_key`	text	yes
`definition`	jsonb	yes
`content_hash`	text	yes
`change_note`	text
`created_by`	text	yes
`created_at`	timestamp with time zone	yes

`nursing_handoffs`

Patient-owned directly: nursing_handoffs.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`encounter_id`	uuid
`source_type`	text	yes
`source_event_key`	text	yes
`source_document_id`	uuid
`verification_status`	text	yes
`asserted_by`	text	yes
`asserted_at`	timestamp with time zone	yes
`confirmed_by`	text
`confirmed_at`	timestamp with time zone
`last_asserted_at`	timestamp with time zone	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes
`case_id`	uuid
`admission_id`	uuid
`from_phase`	text	yes
`to_phase`	text	yes
`window_start`	timestamp with time zone	yes
`window_end`	timestamp with time zone	yes
`summary`	jsonb	yes
`source_ref`	text
`sent_by`	text	yes
`sent_at`	timestamp with time zone	yes
`received_by`	text
`received_at`	timestamp with time zone
`status`	text	yes

`nursing_observations`

Patient-owned directly: nursing_observations.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`encounter_id`	uuid
`source_type`	text	yes
`source_event_key`	text	yes
`source_document_id`	uuid
`verification_status`	text	yes
`asserted_by`	text	yes
`asserted_at`	timestamp with time zone	yes
`confirmed_by`	text
`confirmed_at`	timestamp with time zone
`last_asserted_at`	timestamp with time zone	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes
`record_id`	uuid
`case_id`	uuid
`admission_id`	uuid
`phase`	text	yes
`kind`	text	yes
`code`	text	yes
`label`	text	yes
`value_type`	text	yes
`value_numeric`	numeric
`value_text`	text
`value_code`	text
`unit`	text
`laterality`	text
`performed_at`	timestamp with time zone	yes
`recorded_at`	timestamp with time zone	yes
`late_entry`	boolean	yes
`late_entry_reason`	text
`corrects_id`	uuid
`correction_reason`	text
`source`	text	yes
`entry_method`	text	yes
`note`	text

`nursing_records`

Patient-owned directly: nursing_records.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`encounter_id`	uuid
`source_type`	text	yes
`source_event_key`	text	yes
`source_document_id`	uuid
`verification_status`	text	yes
`asserted_by`	text	yes
`asserted_at`	timestamp with time zone	yes
`confirmed_by`	text
`confirmed_at`	timestamp with time zone
`last_asserted_at`	timestamp with time zone	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes
`case_id`	uuid
`admission_id`	uuid
`phase`	text	yes
`definition_key`	text	yes
`version`	integer	yes
`content`	jsonb	yes
`carried_forward`	jsonb	yes
`status`	text	yes
`signed_by`	text
`signed_at`	timestamp with time zone
`amendments`	jsonb	yes

`nursing_shift_staffing`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`facility_id`	uuid	yes
`unit`	text	yes
`unit_type`	text	yes
`shift_start`	timestamp with time zone	yes
`shift_end`	timestamp with time zone	yes
`census`	integer	yes
`required_rn`	integer	yes
`required_lvn`	integer	yes
`required_psych_tech`	integer	yes
`ratio_floor`	integer	yes
`actual_rn`	integer	yes
`actual_lvn`	integer	yes
`actual_psych_tech`	integer	yes
`variance_rn`	integer
`variance_lvn`	integer
`variance_psych_tech`	integer
`recorded_by`	text	yes
`recorded_at`	timestamp with time zone	yes
`revision`	integer	yes
`correction_reason`	text

`nursing_staffing_emergencies`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`facility_id`	uuid	yes
`unit`	text	yes
`description`	text	yes
`declared_by`	text	yes
`declared_at`	timestamp with time zone	yes
`ended_by`	text
`ended_at`	timestamp with time zone

`nursing_tasks`

Patient-owned directly: nursing_tasks.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`encounter_id`	uuid
`source_type`	text	yes
`source_event_key`	text	yes
`source_document_id`	uuid
`verification_status`	text	yes
`asserted_by`	text	yes
`asserted_at`	timestamp with time zone	yes
`confirmed_by`	text
`confirmed_at`	timestamp with time zone
`last_asserted_at`	timestamp with time zone	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes
`case_id`	uuid
`admission_id`	uuid
`service_request_id`	uuid	yes
`occurrence_key`	text	yes
`responsible_role`	text	yes
`status`	text	yes
`performed_at`	timestamp with time zone
`reason`	text
`completed_by`	text	yes
`completed_at`	timestamp with time zone	yes
`reassess_at`	timestamp with time zone

`nursing_voice_batches`

Patient-owned directly: nursing_voice_batches.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`record_id`	uuid	yes
`case_id`	uuid
`admission_id`	uuid
`record_version`	integer	yes
`definition_key`	text	yes
`definition_hash`	text	yes
`definition_snapshot`	jsonb	yes
`record_snapshot`	jsonb	yes
`transcript_id`	uuid	yes
`transcript`	text	yes
`performed_at`	timestamp with time zone	yes
`proposals`	jsonb	yes
`dropped_count`	integer	yes
`status`	text	yes
`accepted_values`	jsonb	yes
`accepted_keys`	jsonb	yes
`resource_ids`	jsonb	yes
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`consumed_by`	text
`consumed_at`	timestamp with time zone

`orderable_requests`

Patient-owned directly: orderable_requests.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`requested_by`	text	yes
`patient_id`	uuid
`encounter_id`	uuid
`text`	text	yes
`kind_guess`	text
`code_guess`	text
`status`	text	yes
`answered_by`	text
`answered_at`	timestamp with time zone
`orderable_id`	text
`created_at`	timestamp with time zone	yes

`org_messaging_settings`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`ai_first_responder`	boolean	yes
`auto_ack`	boolean	yes
`auto_assign_on_mention`	boolean	yes
`quiet_hours_start`	integer	yes
`quiet_hours_end`	integer	yes
`disclosure_policy_version`	text	yes
`terms_url`	text
`updated_at`	timestamp	yes

`org_routing_directory`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`label`	text	yes
`context`	text	yes
`destination_type`	text	yes
`transfer_number`	text
`extension`	text
`message_category`	text
`category`	text
`collect_info`	text
`enabled`	boolean	yes
`sort_order`	integer	yes
`created_at`	timestamp	yes
`updated_at`	timestamp	yes

`org_team_members`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`name`	text	yes
`role`	text
`phone`	text	yes
`extension`	text
`active`	boolean	yes
`created_at`	timestamp	yes
`updated_at`	timestamp	yes

`organization_inbound_endpoints`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`channel`	text	yes
`endpoint_identity`	text	yes
`label`	text
`provider`	text
`active`	boolean	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`organization_members`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`user_id`	uuid	yes
`organization_id`	uuid	yes
`role`	text	yes
`is_active`	boolean	yes
`created_at`	timestamp	yes
`updated_at`	timestamp	yes

`organization_modules`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`module`	text	yes
`enabled`	boolean	yes
`config`	jsonb
`enabled_at`	timestamp
`disabled_at`	timestamp
`created_at`	timestamp	yes
`updated_at`	timestamp	yes

`organization_payers`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`display_name`	text	yes
`policybot_plan_id`	text
`policybot_company_name`	text
`policybot_plan_name`	text
`state`	text
`line_of_business`	text
`aliases`	text[]
`stedi_payer_id`	text
`match_confidence`	text
`confirmed_by_user_id`	uuid
`confirmed_at`	timestamp
`is_active`	boolean	yes
`sort_order`	integer	yes
`source`	text	yes
`professional_billing_entity`	text	yes
`institutional_billing_entity`	text	yes
`created_at`	timestamp	yes
`updated_at`	timestamp	yes

`organizations`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`name`	text	yes
`slug`	text
`npi`	text
`tax_id`	text
`address_line1`	text
`address_line2`	text
`city`	text
`state`	text
`zip`	text
`phone_number`	text
`fax`	text
`timezone`	text	yes
`clinic_days`	jsonb
`insurance_accepted`	jsonb
`insurance_rejected`	jsonb
`insurance_hmo`	jsonb
`retell_agent_id`	text
`system_prompt`	text
`voice_id`	text
`agent_name`	text
`greeting`	text
`modules`	jsonb
`appointment_durations`	jsonb
`knowledge_base_id`	text
`voice_settings`	jsonb
`keypad_actions`	jsonb
`notification_emails`	jsonb
`notification_mode`	text	yes
`escalation_phone`	text
`settings`	jsonb	yes
`logo_url`	text
`primary_color`	text
`accent_color`	text
`heading_font`	text
`body_font`	text
`pdf_header_tint`	text
`pdf_push_channel`	text
`pdf_push_destination`	text
`chart_note_template`	text
`intent_schema`	jsonb
`priority_categories`	jsonb	yes
`scheduling_fulfillment_mode`	scheduling_fulfillment_mode	yes
`audio_retention_days`	integer
`legal_hold`	boolean	yes
`data_lifecycle`	jsonb	yes
`is_active`	boolean	yes
`is_demo`	boolean	yes
`created_at`	timestamp	yes
`updated_at`	timestamp	yes

`pa_activity`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`org_id`	uuid	yes
`case_id`	uuid
`request_id`	uuid
`activity_type`	text	yes
`correlation_key`	text
`milestone`	text
`payload`	jsonb	yes
`occurred_at`	timestamp with time zone	yes
`observed_at`	timestamp with time zone	yes
`actor`	text
`billable`	boolean	yes
`cost_usd`	numeric(10, 6)
`tokens_in`	integer
`tokens_out`	integer
`model`	text
`duration_ms`	integer
`created_at`	timestamp with time zone	yes

`pa_answers`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`org_id`	uuid	yes
`request_id`	uuid	yes
`question_key`	text	yes
`status`	text	yes
`value`	jsonb
`evidence_ref`	jsonb
`evidence_sha256`	text
`confidence`	numeric
`answered_by`	text
`override_reason`	text
`answered_at`	timestamp with time zone
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`pa_cases`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`org_id`	uuid	yes
`surgimate_case_id`	text	yes
`patient_name`	text
`patient_account`	text
`patient_dob`	text
`scheduled_at`	timestamp with time zone
`surgeon`	text
`facility`	text
`source_status`	text
`procedures`	jsonb	yes
`procedure_text`	jsonb	yes
`admission_type`	text
`participants`	jsonb	yes
`order_facts`	jsonb	yes
`diagnoses`	jsonb	yes
`coverage`	jsonb	yes
`checklist`	jsonb	yes
`overrides`	jsonb	yes
`trigger_state`	text	yes
`trigger_reason`	text
`input_fingerprint`	text
`source_version`	text
`last_seen_at`	timestamp with time zone	yes
`released_at`	timestamp with time zone
`released_by`	text
`lease_owner`	text
`lease_until`	timestamp with time zone
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`pa_documents`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`org_id`	uuid	yes
`case_id`	uuid	yes
`source`	text	yes
`external_id`	text
`name`	text	yes
`content_type`	text
`file_size`	integer
`s3_key`	text
`sha256`	text
`requirement_key`	text
`classified_by`	text
`classification_confidence`	numeric
`service_date`	text
`suggested_name`	text
`weakens_request`	boolean	yes
`weakens_reason`	text
`packet_override`	text
`packet_override_by`	text
`packet_override_at`	timestamp
`uploaded_by`	text
`upload_state`	text	yes
`created_at`	timestamp with time zone	yes

`pa_requests`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`org_id`	uuid	yes
`case_id`	uuid	yes
`destination`	text	yes
`channel`	text	yes
`scope`	jsonb	yes
`state`	text	yes
`blockers`	jsonb	yes
`priority_score`	numeric
`next_action_at`	timestamp with time zone
`lease_owner`	text
`lease_expires_at`	timestamp with time zone
`attempt_count`	integer	yes
`version`	integer	yes
`external_ref`	text
`auth_number`	text
`carelon_order_id`	text
`approved`	jsonb
`valid_from`	timestamp with time zone
`valid_to`	timestamp with time zone
`requirement_set_id`	uuid
`determination`	text
`determined_at`	timestamp with time zone
`authoritative_responder`	jsonb
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`pa_tenant_config`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`org_id`	uuid	yes
`surgimate`	jsonb	yes
`modmed`	jsonb	yes
`routing`	jsonb	yes
`staff`	jsonb	yes
`discovered_at`	timestamp with time zone
`updated_at`	timestamp with time zone	yes

`packet_items`

Patient-owned through a foreign-key path: packet_items .document_packet_id → document_packets.id.

Column	Postgres type	Required
`id`	uuid	yes
`document_packet_id`	uuid	yes
`kind`	packet_item_kind	yes
`title`	text	yes
`source_id`	uuid	yes
`result_id`	uuid
`required`	boolean	yes
`recipient_role`	packet_recipient_role	yes
`recipient_label`	text
`recipient_contact`	text
`delivery_channel`	packet_delivery_channel	yes
`status`	packet_item_status	yes
`confidence_score`	integer
`sent_at`	timestamp
`completed_at`	timestamp
`error`	text
`created_at`	timestamp	yes
`updated_at`	timestamp	yes

`packet_templates`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`name`	text	yes
`description`	text
`trigger_rule`	jsonb
`items`	jsonb	yes
`active`	boolean	yes
`status`	packet_template_status	yes
`created_by`	uuid
`created_at`	timestamp	yes
`updated_at`	timestamp	yes

`patient_address_history`

Patient-owned directly: patient_address_history.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`address_line1`	text
`address_line2`	text
`city`	text
`state`	text
`zip`	text
`replaced_at`	timestamp with time zone	yes
`replaced_by`	text	yes

`patient_allergies`

Patient-owned directly: patient_allergies.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`encounter_id`	uuid
`source_type`	text	yes
`source_event_key`	text	yes
`source_document_id`	uuid
`verification_status`	text	yes
`asserted_by`	text	yes
`asserted_at`	timestamp with time zone	yes
`confirmed_by`	text
`confirmed_at`	timestamp with time zone
`last_asserted_at`	timestamp with time zone	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes
`substance_text`	text	yes
`substance_codings`	jsonb
`reaction_text`	text
`reaction_codings`	jsonb
`severity`	text
`clinical_status`	text	yes
`onset_date`	date
`is_no_known_allergies`	boolean	yes
`match_key`	text	yes

`patient_care_plans`

Patient-owned directly: patient_care_plans.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`encounter_id`	uuid
`source_type`	text	yes
`source_event_key`	text	yes
`source_document_id`	uuid
`verification_status`	text	yes
`asserted_by`	text	yes
`asserted_at`	timestamp with time zone	yes
`confirmed_by`	text
`confirmed_at`	timestamp with time zone
`last_asserted_at`	timestamp with time zone	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes
`status`	text	yes
`title`	text
`assessment`	text
`plan`	text	yes
`period_start`	date
`period_end`	date

`patient_conditions`

Patient-owned directly: patient_conditions.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`encounter_id`	uuid
`source_type`	text	yes
`source_event_key`	text	yes
`source_document_id`	uuid
`verification_status`	text	yes
`asserted_by`	text	yes
`asserted_at`	timestamp with time zone	yes
`confirmed_by`	text
`confirmed_at`	timestamp with time zone
`last_asserted_at`	timestamp with time zone	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes
`episode_id`	uuid
`category`	text	yes
`sdoh`	boolean	yes
`code`	text	yes
`code_system`	text	yes
`codings`	jsonb
`body_site_code`	text
`laterality`	text
`concern_text`	text
`polarity`	text	yes
`clinical_status`	text	yes
`onset_date`	date
`abatement_date`	date
`match_key`	text	yes

`patient_contact_prefs`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`contact_hash`	text	yes
`channel`	text	yes
`organization_id`	uuid
`opted_out_at`	timestamp with time zone	yes
`source`	text	yes

`patient_coverage`

Patient-owned directly: patient_coverage.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`patient_id`	uuid	yes
`organization_id`	uuid	yes
`payer_name`	text
`plan_name`	text
`member_id`	text
`group_number`	text
`subscriber_name`	text
`subscriber_dob`	date
`subscriber_gender`	text
`subscriber_address`	jsonb
`relationship_to_subscriber`	text
`claim_filing_indicator`	text
`coverage_type`	text
`payer_id`	uuid
`priority`	text	yes
`effective_start`	date
`effective_end`	date
`is_active`	boolean	yes
`created_at`	timestamp	yes
`updated_at`	timestamp	yes

`patient_deactivations`

Patient-owned directly: patient_deactivations.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`reason`	text	yes
`note`	text
`deactivated_by`	text	yes
`deactivated_at`	timestamp with time zone	yes
`reactivated_by`	text
`reactivated_at`	timestamp with time zone
`created_at`	timestamp with time zone	yes

`patient_document_extractions`

Patient-owned directly: patient_document_extractions.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`patient_document_id`	uuid	yes
`patient_id`	uuid	yes
`facts`	jsonb	yes
`doc_type`	document_type	yes
`captured_at`	timestamp	yes
`extracted_at`	timestamp	yes
`model`	text
`status`	text	yes
`error`	text

`patient_documents`

Patient-owned directly: patient_documents.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`patient_id`	uuid	yes
`form_submission_id`	uuid
`type`	document_type	yes
`title`	text	yes
`file_url`	text	yes
`mime_type`	text
`file_size`	integer
`uploaded_by`	uuid
`source`	document_source	yes
`created_at`	timestamp	yes

`patient_duplicate_candidates`

Patient-owned directly: patient_duplicate_candidates.patient_a_id or patient_duplicate_candidates.patient_b_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_a_id`	uuid	yes
`patient_b_id`	uuid	yes
`score`	numeric
`signals`	jsonb
`status`	text	yes
`decided_by`	text
`decided_at`	timestamp with time zone
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`patient_facts`

Patient-owned directly: patient_facts.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid
`contact_point_id`	uuid
`category`	patient_fact_category	yes
`fact`	text	yes
`status`	patient_fact_status	yes
`source_type`	patient_fact_source	yes
`source_ref`	text
`superseded_by`	uuid
`created_at`	timestamp	yes
`updated_at`	timestamp	yes

`patient_goals`

Patient-owned directly: patient_goals.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`encounter_id`	uuid
`source_type`	text	yes
`source_event_key`	text	yes
`source_document_id`	uuid
`verification_status`	text	yes
`asserted_by`	text	yes
`asserted_at`	timestamp with time zone	yes
`confirmed_by`	text
`confirmed_at`	timestamp with time zone
`last_asserted_at`	timestamp with time zone	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes
`description`	text	yes
`code`	text
`code_system`	text
`lifecycle_status`	text	yes
`sdoh`	boolean	yes
`start_date`	date
`target_date`	date
`addresses_condition_id`	uuid
`expressed_by`	text

`patient_identity_documents`

Patient-owned directly: patient_identity_documents.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`document_id`	uuid	yes
`back_document_id`	uuid
`kind`	text	yes
`source`	text	yes
`read_status`	text	yes
`read_first_name`	text
`read_last_name`	text
`read_date_of_birth`	date
`expires_on`	date
`match_state`	text	yes
`card_outcome`	text
`coverage_id`	uuid
`reviewed_by`	text
`reviewed_at`	timestamp with time zone
`captured_at`	timestamp with time zone	yes
`created_by`	text	yes
`created_at`	timestamp with time zone	yes

`patient_identity_links`

Patient-owned directly: patient_identity_links.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`source_type`	text	yes
`source_id`	text	yes
`relationship`	text	yes
`method`	text	yes
`source`	text
`verified_by`	text
`verified_at`	timestamp
`expires_at`	timestamp
`active`	boolean	yes
`created_at`	timestamp	yes

`patient_immunizations`

Patient-owned directly: patient_immunizations.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`encounter_id`	uuid
`source_type`	text	yes
`source_event_key`	text	yes
`source_document_id`	uuid
`verification_status`	text	yes
`asserted_by`	text	yes
`asserted_at`	timestamp with time zone	yes
`confirmed_by`	text
`confirmed_at`	timestamp with time zone
`last_asserted_at`	timestamp with time zone	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes
`cvx_code`	text	yes
`vaccine_display`	text	yes
`ndc_code`	text
`status`	text	yes
`status_reason_code`	text
`status_reason_text`	text
`occurred_on`	date	yes
`primary_source`	boolean	yes
`report_origin`	text
`lot_number`	text
`expiration_date`	date
`manufacturer`	text
`site`	text
`route`	text
`dose_quantity`	numeric
`dose_unit`	text
`performer_name`	text
`note`	text

`patient_implants`

Patient-owned directly: patient_implants.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`encounter_id`	uuid
`source_type`	text	yes
`source_event_key`	text	yes
`source_document_id`	uuid
`verification_status`	text	yes
`asserted_by`	text	yes
`asserted_at`	timestamp with time zone	yes
`confirmed_by`	text
`confirmed_at`	timestamp with time zone
`last_asserted_at`	timestamp with time zone	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes
`case_implant_id`	uuid
`udi`	text
`issuing_agency`	text
`device_identifier`	text
`lot_number`	text
`serial_number`	text
`expiration_date`	date
`manufacture_date`	date
`distinct_identification_code`	text
`device_description`	text	yes
`gmdn_pt_name`	text
`brand_name`	text
`version_model_number`	text
`company_name`	text
`mri_safety_status`	text
`labeled_contains_nrl`	boolean
`gudid_checked_at`	timestamp with time zone
`implanted_on`	date
`body_site`	text
`list_status`	text	yes
`status_changed_by`	text
`status_changed_at`	timestamp with time zone

`patient_insights`

Patient-owned directly: patient_insights.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`user_id`	text	yes
`organization_id`	uuid
`patient_id`	uuid
`encounter_id`	text	yes
`transcription_id`	text	yes
`patient_name`	text	yes
`patient_dob`	text
`encounter_date`	date
`patient_status`	text
`surgery_readiness_tags`	text[]
`comorbidity_tags`	text[]
`pending_requirements`	jsonb
`planned_procedure`	text
`laterality`	text
`payer_type`	text
`payer_name`	text
`auth_status`	text
`target_window`	text
`facility_preference`	text
`confidence`	numeric(3, 2)
`extraction_reasoning`	text
`created_at`	timestamp	yes
`updated_at`	timestamp	yes

`patient_medications`

Patient-owned directly: patient_medications.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`encounter_id`	uuid
`source_type`	text	yes
`source_event_key`	text	yes
`source_document_id`	uuid
`verification_status`	text	yes
`asserted_by`	text	yes
`asserted_at`	timestamp with time zone	yes
`confirmed_by`	text
`confirmed_at`	timestamp with time zone
`last_asserted_at`	timestamp with time zone	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes
`code`	text
`code_system`	text
`codings`	jsonb
`medication_text`	text	yes
`dose_text`	text
`route_text`	text
`frequency_text`	text
`status`	text	yes
`started_on`	date
`stopped_on`	date
`match_key`	text	yes

`patient_merges`

Patient-owned directly: patient_merges.survivor_patient_id or patient_merges.merged_patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`survivor_patient_id`	uuid	yes
`merged_patient_id`	uuid	yes
`status`	text	yes
`evidence`	jsonb
`field_choices`	jsonb
`merged_by`	text	yes
`merged_at`	timestamp with time zone	yes
`reversed_by`	text
`reversed_at`	timestamp with time zone
`reverse_reason`	text
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`patient_name_aliases`

Patient-owned directly: patient_name_aliases.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`first_name`	text	yes
`middle_name`	text
`last_name`	text	yes
`name_use`	text	yes
`ended_on`	date
`active`	boolean	yes
`created_at`	timestamp	yes
`updated_at`	timestamp	yes

`patient_observations`

Patient-owned directly: patient_observations.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`encounter_id`	uuid
`source_type`	text	yes
`source_event_key`	text	yes
`source_document_id`	uuid
`verification_status`	text	yes
`asserted_by`	text	yes
`asserted_at`	timestamp with time zone	yes
`confirmed_by`	text
`confirmed_at`	timestamp with time zone
`last_asserted_at`	timestamp with time zone	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes
`code`	text	yes
`code_system`	text	yes
`value_type`	text	yes
`value_numeric`	numeric
`value_text`	text
`value_code`	text
`value_code_system`	text
`unit`	text
`laterality`	text
`effective_at`	timestamp with time zone	yes
`late_entry_reason`	text

`patient_passports`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`contact_hash`	text	yes
`contact_method`	passport_contact_method	yes
`data`	jsonb	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`patient_procedures`

Patient-owned directly: patient_procedures.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`encounter_id`	uuid
`source_type`	text	yes
`source_event_key`	text	yes
`source_document_id`	uuid
`verification_status`	text	yes
`asserted_by`	text	yes
`asserted_at`	timestamp with time zone	yes
`confirmed_by`	text
`confirmed_at`	timestamp with time zone
`last_asserted_at`	timestamp with time zone	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes
`episode_id`	uuid
`code`	text	yes
`code_system`	text	yes
`codings`	jsonb
`body_site_code`	text
`laterality`	text
`performed_date`	date
`performed_at`	timestamp with time zone
`performed_end_at`	timestamp with time zone
`outcome_text`	text
`match_key`	text	yes
`setting`	text
`procedure_kind`	text
`procedure_event_id`	uuid
`setup_id`	uuid
`setup_version`	integer
`service_request_id`	uuid
`performed_by`	text
`performed_by_provider_id`	uuid
`billing_intent`	jsonb
`correction_reason`	text
`corrected_by`	text
`corrected_at`	timestamp with time zone

`patient_related_persons`

Patient-owned directly: patient_related_persons.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`encounter_id`	uuid
`source_type`	text	yes
`source_event_key`	text	yes
`source_document_id`	uuid
`verification_status`	text	yes
`asserted_by`	text	yes
`asserted_at`	timestamp with time zone	yes
`confirmed_by`	text
`confirmed_at`	timestamp with time zone
`last_asserted_at`	timestamp with time zone	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes
`name`	text	yes
`relationship`	text	yes
`phone`	text
`email`	text
`address_line1`	text
`address_line2`	text
`city`	text
`state`	text
`zip`	text
`active`	boolean	yes

`patient_reporting_demographics`

Patient-owned directly: patient_reporting_demographics.patient_id.

Column	Postgres type	Required
`patient_id`	uuid	yes
`organization_id`	uuid	yes
`race_codes`	text[]
`ethnicity`	text
`sex_assigned_at_birth`	text
`gender_identity`	text
`sexual_orientation`	text
`disability_domains`	text[]
`no_publicity`	boolean	yes
`state_restricted`	boolean	yes
`nursing_home_resident`	boolean	yes
`prisoner`	boolean	yes
`race_detail_codes`	text[]
`ethnicity_detail_codes`	text[]
`tribal_affiliation_code`	text
`tribal_affiliation_display`	text
`tribal_enrolled`	boolean
`occupation_text`	text
`occupation_code`	text
`industry_text`	text
`industry_code`	text
`occupation_start`	date
`date_of_death`	date
`preliminary_cause_of_death`	text
`mobile_phone`	text
`updated_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`patient_telecoms`

Patient-owned directly: patient_telecoms.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`encounter_id`	uuid
`source_type`	text	yes
`source_event_key`	text	yes
`source_document_id`	uuid
`verification_status`	text	yes
`asserted_by`	text	yes
`asserted_at`	timestamp with time zone	yes
`confirmed_by`	text
`confirmed_at`	timestamp with time zone
`last_asserted_at`	timestamp with time zone	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes
`system`	text	yes
`value`	text	yes
`use`	text
`active`	boolean	yes

`patients`

Patient-owned directly: patients.id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`first_name`	text	yes
`last_name`	text	yes
`middle_name`	text
`suffix`	text
`date_of_birth`	date
`gender`	text
`medicare_id`	text
`group_number`	text
`subscriber_group_name`	text
`address_line1`	text
`address_line2`	text
`city`	text
`state`	text
`zip`	text
`phone`	text
`email`	text
`chart_number`	text
`is_active`	boolean	yes
`restricted`	boolean	yes
`merged_into_patient_id`	uuid
`created_at`	timestamp	yes
`updated_at`	timestamp	yes

`pdmp_lookups`

Patient-owned directly: pdmp_lookups.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`requested_by`	text	yes
`requested_by_type`	text	yes
`requested_at`	timestamp with time zone	yes
`entrance`	text	yes
`medications`	jsonb	yes
`source`	text	yes
`report_date`	date	yes
`report`	jsonb	yes
`mme_per_day`	integer	yes
`prescriber_count`	integer	yes
`pharmacy_count`	integer	yes
`flags`	jsonb	yes
`attestations`	jsonb	yes
`service_request_id`	uuid
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`portal_access_requests`

Patient-owned directly: portal_access_requests.requester_patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`reference`	text	yes
`person_id`	uuid	yes
`requester_grant_id`	uuid	yes
`requester_patient_id`	uuid	yes
`requester_contact`	text	yes
`request_key`	text	yes
`subject_name`	text	yes
`subject_date_of_birth`	date	yes
`relationship`	text	yes
`reason`	text
`attested`	boolean	yes
`status`	text	yes
`outcome_reason`	text
`closed_by`	text
`closed_at`	timestamp with time zone
`work_item_id`	uuid
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`portal_addresses`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`practice_key`	text	yes
`active`	boolean	yes
`created_at`	timestamp with time zone	yes
`retired_at`	timestamp with time zone

`portal_appointment_requests`

Patient-owned directly: portal_appointment_requests.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`reference`	text	yes
`patient_id`	uuid	yes
`grant_id`	uuid	yes
`request_key`	text	yes
`payload_fingerprint`	text	yes
`appointment_type_id`	uuid
`provider_id`	uuid
`facility_id`	uuid
`preferred_times`	text	yes
`preferred_weekdays`	smallint[]	yes
`earliest_on`	date
`reason`	text
`status`	text	yes
`owner_kind`	text	yes
`owner_id`	text	yes
`respond_by`	timestamp with time zone	yes
`expires_at`	timestamp with time zone	yes
`work_item_id`	uuid
`decided_by`	text
`decided_at`	timestamp with time zone
`decline_reason`	text
`appointment_id`	uuid
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`portal_contacts`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`person_id`	uuid	yes
`kind`	text	yes
`subject_key`	text	yes
`verified_at`	timestamp with time zone	yes
`created_at`	timestamp with time zone	yes
`retired_at`	timestamp with time zone

`portal_grant_actions`

Patient-owned directly: portal_grant_actions.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`grant_id`	uuid	yes
`action`	text	yes
`granted_by`	text	yes
`granted_at`	timestamp with time zone	yes
`revoked_at`	timestamp with time zone
`revoked_by`	text

`portal_home_watermarks`

Patient-owned directly: portal_home_watermarks.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`person_id`	uuid	yes
`patient_id`	uuid	yes
`grant_id`	uuid	yes
`session_id`	uuid	yes
`since_at`	timestamp with time zone
`last_seen_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`portal_invite_sends`

Patient-owned directly: portal_invite_sends.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`invite_id`	uuid	yes
`kind`	text	yes
`channels`	text	yes
`created_by`	text	yes
`created_at`	timestamp with time zone	yes

`portal_invites`

Patient-owned directly: portal_invites.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`target_kind`	text
`target_id`	uuid
`origin`	text	yes
`channels`	text	yes
`status`	text	yes
`hold_reason`	text
`last_error_code`	text
`email_token_hash`	text
`sms_token_hash`	text
`email_subject_hash`	text
`sms_subject_hash`	text
`token_expires_at`	timestamp with time zone
`sends`	integer	yes
`reminders_sent`	integer	yes
`last_sent_at`	timestamp with time zone
`next_reminder_at`	timestamp with time zone
`opened_at`	timestamp with time zone
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`portal_library_fill_bindings`

Patient-owned directly: portal_library_fill_bindings.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`delivery_id`	uuid	yes
`form_version_id`	uuid	yes
`patient_id`	uuid	yes
`submission_id`	uuid	yes
`created_by`	text	yes
`created_at`	timestamp with time zone	yes

`portal_notification_consents`

Patient-owned directly: portal_notification_consents.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`grant_id`	uuid	yes
`purpose`	text	yes
`channel`	text	yes
`status`	text	yes
`hide_practice_name`	boolean	yes
`destination_key`	text
`terms_version`	text
`method`	text	yes
`recorded_by`	text	yes
`recorded_at`	timestamp with time zone	yes

`portal_notification_outbox`

Patient-owned directly: portal_notification_outbox.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`grant_id`	uuid	yes
`thread_id`	uuid
`message_id`	uuid
`purpose`	text	yes
`subject_kind`	text
`subject_id`	uuid
`channel`	text	yes
`status`	text	yes
`hold_reason`	text
`skip_reason`	text
`attempts`	integer	yes
`available_at`	timestamp with time zone	yes
`expires_at`	timestamp with time zone	yes
`lease_expires_at`	timestamp with time zone
`lease_token`	uuid
`sent_at`	timestamp with time zone
`last_error_code`	text
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`portal_payment_checkouts`

Patient-owned directly: portal_payment_checkouts.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`statement_id`	uuid	yes
`grant_id`	uuid	yes
`provider`	text	yes
`session_ref`	text	yes
`kind`	text	yes
`amount_cents`	integer	yes
`outstanding_cents`	integer	yes
`status`	text	yes
`expires_at`	timestamp with time zone
`payment_ref`	text
`ledger_entry_id`	uuid
`paid_at`	timestamp with time zone
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`portal_people`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`session_epoch`	integer	yes
`identity_failures`	integer	yes
`identity_locked_until`	timestamp with time zone
`created_at`	timestamp with time zone	yes

`portal_person_preferences`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`person_id`	uuid	yes
`language`	text
`quiet_start_minute`	integer
`quiet_end_minute`	integer
`updated_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`portal_precheck`

Patient-owned directly: portal_precheck.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`target_kind`	text	yes
`target_id`	uuid	yes
`target_at`	timestamp with time zone
`steps`	jsonb	yes
`status`	text	yes
`finished_at`	timestamp with time zone
`finished_by_grant_id`	uuid
`version`	integer	yes
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`portal_precheck_items`

Patient-owned directly: portal_precheck_items.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`precheck_id`	uuid	yes
`kind`	text	yes
`item_key`	text	yes
`critical`	boolean	yes
`reviewer_role`	text	yes
`due_at`	timestamp with time zone	yes
`proposal_id`	uuid
`review_item_id`	uuid
`evidence`	jsonb
`submitted_by_grant_id`	uuid	yes
`created_at`	timestamp with time zone	yes

`portal_precheck_uploads`

Patient-owned directly: portal_precheck_uploads.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`precheck_id`	uuid	yes
`uploaded_by_grant_id`	uuid	yes
`kind`	text	yes
`storage_key`	text	yes
`mime_type`	text	yes
`byte_size`	integer	yes
`sha256`	text	yes
`status`	text	yes
`rejection_code`	text
`validated_at`	timestamp with time zone
`created_at`	timestamp with time zone	yes

`portal_scheduling_actions`

Patient-owned directly: portal_scheduling_actions.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`grant_id`	uuid	yes
`request_key`	text	yes
`kind`	text	yes
`payload_fingerprint`	text	yes
`appointment_id`	uuid	yes
`created_by`	text	yes
`created_at`	timestamp with time zone	yes

`portal_share_links`

Patient-owned directly: portal_share_links.patient_id.

Column	Postgres type	Required
`id`	uuid
`organization_id`	uuid
`patient_id`	uuid
`grant_id`	uuid
`portal_address_id`	uuid
`item_kind`	text
`item_id`	uuid
`token_hash`	text
`access_code_hash`	text
`code_failures`	smallint
`recipient_label`	text
`request_key_hash`	text
`payload_fingerprint`	text
`replay_box`	text
`expires_at`	timestamptz
`opens_count`	integer
`last_opened_at`	timestamptz
`window_started_at`	timestamptz
`window_hits`	integer
`locked_at`	timestamptz
`revoked_at`	timestamptz
`revoked_by`	text
`created_by`	text
`created_at`	timestamptz
`updated_at`	timestamptz
`REFERENCES`	patients(id

`pre_service_checks`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`created_by_user_id`	text
`patient_name`	text
`card_check_id`	uuid
`input`	jsonb	yes
`extraction`	jsonb
`readiness`	jsonb
`policy_results`	jsonb
`status`	text	yes
`created_at`	timestamp	yes
`updated_at`	timestamp	yes

`privacy_labels`

Patient-owned through a foreign-key path: privacy_labels .review_id → emr_privacy_reviews.id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`review_id`	uuid	yes
`label`	text	yes
`source`	text	yes
`consent_ref`	text
`set_by`	text	yes
`set_at`	timestamp with time zone	yes

`provider_facility_affiliations`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`provider_id`	uuid	yes
`facility_id`	uuid	yes
`role`	text	yes
`privileges_note`	text
`active`	boolean	yes
`created_at`	timestamp with time zone	yes

`provider_schedule_templates`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`provider_id`	uuid	yes
`facility_id`	uuid
`weekday`	integer	yes
`start_time`	time	yes
`end_time`	time	yes
`slot_minutes`	integer	yes
`reservations`	jsonb	yes
`effective_from`	date	yes
`effective_to`	date
`active`	boolean	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`providers`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`user_id`	uuid
`entity_type`	text	yes
`first_name`	text	yes
`last_name`	text	yes
`display_name`	text
`npi`	text
`specialty`	text
`credentials`	text
`scheduling_notes`	text
`pre_visit_instructions`	text
`name_pronunciation`	text
`name_pronunciation_ipa`	text
`license_number`	text
`license_type`	text
`license_state`	text
`license_status`	text
`license_expires_at`	timestamp
`settings`	jsonb	yes
`phone`	text
`fax`	text
`address`	jsonb
`tax_id`	text
`payer_contracts`	jsonb	yes
`aliases`	text[]	yes
`source`	text	yes
`verified_at`	timestamp
`is_active`	boolean	yes
`created_at`	timestamp	yes
`updated_at`	timestamp	yes

`reg_extract_runs`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`obligation_id`	uuid
`extract_key`	text	yes
`mapping_version`	text	yes
`period_start`	date	yes
`period_end`	date	yes
`status`	text	yes
`refusal_reason`	text
`row_count`	integer
`control_totals`	jsonb	yes
`file_hash`	text
`file_format`	text	yes
`source_snapshot`	jsonb	yes
`run_by`	text	yes
`run_at`	timestamp with time zone	yes
`filing_eligible`	boolean
`filing_block_reason`	text

`reg_facility_program_identities`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`facility_id`	uuid	yes
`program`	text	yes
`identifiers`	jsonb	yes
`spec_version`	text
`revision`	integer	yes
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_by`	text	yes
`updated_at`	timestamp with time zone	yes

`reg_facility_reporting_profiles`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`facility_id`	uuid	yes
`offers_inpatient`	boolean
`offers_outpatient_surgery`	boolean
`participation`	jsonb	yes
`program_list_recorded`	boolean	yes
`program_list_decision_ref`	text
`program_list_recorded_by`	text
`program_list_recorded_at`	timestamp with time zone
`counsel_decisions`	jsonb	yes
`revision`	integer	yes
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_by`	text	yes
`updated_at`	timestamp with time zone	yes

`reg_measure_definitions`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`program`	text	yes
`measure_id`	text	yes
`version`	text	yes
`title`	text	yes
`numerator_text`	text	yes
`denominator_text`	text	yes
`required_fields`	jsonb	yes
`source`	text	yes
`active`	boolean	yes
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes

`reg_obligation_history`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`obligation_id`	uuid	yes
`event`	text	yes
`from_status`	text
`to_status`	text
`acceptance_receipt`	text
`related_obligation_id`	uuid
`actor_id`	text	yes
`occurred_at`	timestamp with time zone	yes
`detail`	jsonb	yes
`identity`	jsonb

`reg_obligations`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`facility_id`	uuid
`program`	text	yes
`title`	text	yes
`authority`	text
`period_start`	date
`period_end`	date
`due_on`	date
`owner_user_id`	uuid
`required_fields`	jsonb	yes
`source_system`	text	yes
`retained_system`	text
`submission_method`	text
`status`	text	yes
`acceptance_receipt`	text
`retention_years`	integer
`notes_safe`	text
`source_event_key`	text	yes
`status_changed_at`	timestamp with time zone
`status_changed_by`	text
`created_by`	text	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes
`reporting_scope`	text
`entity_key`	text
`reporting_program`	text
`spec_version`	text
`derived_from_obligation_id`	uuid
`superseded_at`	timestamp with time zone
`superseded_by`	text

`research_documents`

Organization configuration and reference: research_documents .study_id → research_studies.id (organization).

Column	Postgres type	Required
`id`	uuid	yes
`study_id`	uuid	yes
`filename`	text	yes
`mime_type`	text
`kind`	text	yes
`byte_size`	integer
`status`	text	yes
`parsed_text`	text
`row_count`	integer
`error`	text
`created_at`	timestamp	yes

`research_extractions`

Patient-owned through a foreign-key path: research_extractions .subject_id → research_subjects.id.

Column	Postgres type	Required
`id`	uuid	yes
`study_id`	uuid	yes
`subject_id`	uuid	yes
`factor_id`	text	yes
`factor_version`	integer	yes
`value`	text
`numeric_value`	numeric
`confidence`	text	yes
`source`	jsonb
`source_text`	text
`extracted_by`	text	yes
`model_version`	text
`is_current`	boolean	yes
`superseded_by_id`	uuid
`reviewed_by`	uuid
`reviewed_at`	timestamp
`created_at`	timestamp	yes

`research_note_evaluations`

Patient-owned through a foreign-key path: research_note_evaluations .note_document_id → clinical_note_documents.id.

Column	Postgres type	Required
`id`	uuid	yes
`study_id`	uuid	yes
`note_document_id`	uuid	yes
`note_text_hash`	text	yes
`rule_hash`	text
`subject_key`	text
`verdict`	text	yes
`stage`	text	yes
`criteria`	jsonb
`reason`	text
`model`	text
`created_at`	timestamp	yes
`updated_at`	timestamp	yes

`research_studies`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`owner_user_id`	uuid	yes
`title`	text	yes
`summary`	text
`thesis`	text
`factors`	jsonb	yes
`inclusion_criteria`	text
`inclusion_rule`	jsonb
`meta`	jsonb
`mode`	text	yes
`status`	text	yes
`created_at`	timestamp	yes
`updated_at`	timestamp	yes

`research_subjects`

Patient-owned directly: research_subjects.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`study_id`	uuid	yes
`patient_id`	uuid
`encounter_id`	uuid
`subject_key`	text	yes
`label`	text
`enrolled_via`	text	yes
`status`	text	yes
`review_status`	text	yes
`enrolled_at`	timestamp	yes

`reusable_blocks`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`name`	text	yes
`type`	text	yes
`surface`	text	yes
`config`	jsonb	yes
`created_at`	timestamp	yes
`updated_at`	timestamp	yes

`rooms`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`facility_id`	uuid	yes
`name`	text	yes
`kind`	text	yes
`unit`	text
`sort_order`	integer	yes
`active`	boolean	yes
`created_at`	timestamp with time zone	yes

`sched_clusters`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	text	yes
`organization_id`	uuid	yes
`name`	text	yes
`short_name`	text	yes
`scheduling_email`	text	yes
`followers`	jsonb	yes
`created_at`	timestamp	yes

`sched_constraints`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`kind`	text	yes
`text`	text	yes
`scope`	jsonb	yes
`payload`	jsonb	yes
`strength`	sched_constraint_strength	yes
`weight`	integer
`enabled`	boolean	yes
`source`	sched_constraint_source	yes
`order_index`	integer	yes
`created_at`	timestamp	yes
`updated_at`	timestamp	yes

`sched_direct_swaps`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`shift_id`	uuid	yes
`from_surgeon_id`	text	yes
`to_surgeon_id`	text	yes
`note`	text	yes
`performed_by_firebase_uid`	text
`hospital_email_sent`	boolean	yes
`created_at`	timestamp	yes

`sched_schedules`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`status`	sched_schedule_status	yes
`range_start`	date	yes
`range_end`	date	yes
`regularity_index`	integer	yes
`fairness_index`	integer	yes
`inferred_rules`	jsonb	yes
`regularity_weight`	integer	yes
`solver_seed`	integer	yes
`structure_priority`	integer	yes
`fairness_threshold`	integer	yes
`rules_hash`	text
`objective_breakdown`	jsonb
`generated_at`	timestamp	yes
`published_at`	timestamp
`archived_at`	timestamp

`sched_shifts`

Organization configuration and reference: sched_shifts .schedule_id → sched_schedules.id (organization).

Column	Postgres type	Required
`id`	uuid	yes
`schedule_id`	uuid	yes
`date`	date	yes
`window`	jsonb	yes
`cluster_id`	text	yes
`group_key`	text	yes
`assignee_id`	text	yes
`source_template_id`	text
`produced_by_rule_id`	uuid
`explanation`	text	yes

`sched_surgeons`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	text	yes
`organization_id`	uuid	yes
`firebase_uid`	text
`provider_id`	uuid
`name`	text	yes
`initials`	text	yes
`email`	text
`phone`	text
`groups`	jsonb	yes
`capabilities`	jsonb	yes
`regularity_profile`	jsonb	yes
`is_admin`	boolean	yes
`is_active`	boolean	yes
`created_at`	timestamp	yes
`updated_at`	timestamp	yes

`sched_swap_bidders`

Organization configuration and reference: sched_swap_bidders .request_id → sched_swap_requests.id (organization).

Column	Postgres type	Required
`request_id`	uuid	yes
`surgeon_id`	text	yes
`response`	sched_bid_response	yes
`responded_at`	timestamp	yes

`sched_swap_requests`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`shift_id`	uuid	yes
`from_surgeon_id`	text	yes
`partial_start`	text
`partial_end`	text
`note`	text	yes
`status`	sched_swap_status	yes
`picked_bidder_id`	text
`created_at`	timestamp	yes
`applied_at`	timestamp

`service_requests`

Patient-owned directly: service_requests.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`encounter_id`	uuid
`source_type`	text	yes
`source_event_key`	text	yes
`source_document_id`	uuid
`verification_status`	text	yes
`asserted_by`	text	yes
`asserted_at`	timestamp with time zone	yes
`confirmed_by`	text
`confirmed_at`	timestamp with time zone
`last_asserted_at`	timestamp with time zone	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes
`episode_id`	uuid
`intent`	text	yes
`category`	text	yes
`code`	text	yes
`code_system`	text	yes
`codings`	jsonb
`body_site_code`	text
`laterality`	text
`reason`	text
`requested_date`	date
`priority`	text	yes
`ordering_provider_id`	uuid	yes
`facility_id`	uuid
`performed_at`	timestamp with time zone
`in_progress_at`	timestamp with time zone
`status_reason`	text
`status`	text	yes
`details`	jsonb
`details_schema_version`	text
`confirmation_principal`	text	yes
`confirmation_at`	timestamp with time zone	yes
`confirmation_key`	text	yes
`signed_by`	text
`signed_at`	timestamp with time zone
`order_document_id`	uuid
`pa_packet`	jsonb
`linked_order_id`	uuid
`not_billable`	boolean	yes
`medication_code`	text
`medication_code_system`	text
`dose_quantity`	numeric
`dose_unit`	text
`route`	text
`schedule`	jsonb
`start_at`	timestamp with time zone
`stop_at`	timestamp with time zone
`indication`	text
`hold_until`	timestamp with time zone
`pharmacy_verification`	text	yes
`pharmacy_verified_by`	text
`pharmacy_verified_at`	timestamp with time zone
`ndc11_hints`	text[]

`staff_signatures`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`user_id`	uuid	yes
`file_ref`	text	yes
`created_at`	timestamp	yes

`submission_pushes`

Patient-owned through a foreign-key path: submission_pushes .submission_id → form_submissions.id.

Column	Postgres type	Required
`id`	uuid	yes
`submission_id`	uuid	yes
`organization_id`	uuid	yes
`channel`	push_channel	yes
`destination`	text	yes
`status`	push_status	yes
`provider_message_id`	text
`fax_message_id`	uuid
`pages`	integer
`error_message`	text
`attempts`	integer	yes
`created_at`	timestamp with time zone	yes
`sent_at`	timestamp with time zone
`delivered_at`	timestamp with time zone

`surgical_case_checklist_events`

Patient-owned directly: surgical_case_checklist_events.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`case_id`	uuid	yes
`list`	text
`item_key`	text
`action`	text	yes
`from_status`	text
`to_status`	text
`summary`	text	yes
`recorded_by`	text	yes
`recorded_at`	timestamp with time zone	yes

`surgical_case_checklist_items`

Patient-owned directly: surgical_case_checklist_items.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`case_id`	uuid	yes
`list`	text	yes
`item_key`	text	yes
`status`	text	yes
`required`	boolean
`note`	text
`owner_user_id`	text
`due_on`	date
`details`	jsonb	yes
`version`	integer	yes
`updated_by`	text	yes
`updated_at`	timestamp with time zone	yes
`created_at`	timestamp with time zone	yes

`surgical_case_orders`

Patient-owned directly: surgical_case_orders.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`case_id`	uuid	yes
`service_request_id`	uuid	yes
`role`	text	yes
`linked_at`	timestamp with time zone	yes
`linked_by`	text	yes
`unlinked_at`	timestamp with time zone
`unlinked_by`	text
`unlink_reason`	text
`filled_facts`	jsonb

`surgical_cases`

Patient-owned directly: surgical_cases.patient_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`patient_id`	uuid	yes
`encounter_id`	uuid
`source_type`	text	yes
`source_event_key`	text	yes
`source_document_id`	uuid
`verification_status`	text	yes
`asserted_by`	text	yes
`asserted_at`	timestamp with time zone	yes
`confirmed_by`	text
`confirmed_at`	timestamp with time zone
`last_asserted_at`	timestamp with time zone	yes
`created_at`	timestamp with time zone	yes
`updated_at`	timestamp with time zone	yes
`episode_id`	uuid
`service_request_id`	uuid
`facility_id`	uuid	yes
`room_id`	uuid
`setting`	text	yes
`primary_surgeon_provider_id`	uuid	yes
`anesthesia_type`	text
`procedure_code`	text
`procedure_display`	text
`body_site_snomed`	text
`laterality`	text	yes
`status`	text	yes
`phase`	text	yes
`scheduled_start`	timestamp with time zone
`scheduled_duration_minutes`	integer
`preop_at`	timestamp with time zone
`in_or_at`	timestamp with time zone
`pacu_at`	timestamp with time zone
`completed_at`	timestamp with time zone
`room_arrived_at`	timestamp with time zone
`room_arrived_by`	text
`room_departed_at`	timestamp with time zone
`room_departed_by`	text
`pacu_received_at`	timestamp with time zone
`pacu_received_by`	text
`departed_at`	timestamp with time zone
`departed_by`	text
`departure_disposition`	text
`departure_authorization_id`	uuid
`room_event_corrections`	jsonb
`booking_sheet`	jsonb
`preop_checklist`	jsonb
`time_out`	jsonb
`consent_invalidated_at`	timestamp with time zone
`consent_reviewed_at`	timestamp with time zone
`consent_reviewed_by`	text
`consent_reviewed_document_id`	uuid
`pathway_id`	uuid
`pathway_revision`	integer
`checklist_override`	jsonb
`confirmation_requirement`	text	yes
`origin`	text
`created_by`	text
`body_site`	text
`levels`	text[]
`booking_evaluation`	jsonb
`visit_number`	text
`discharge_disposition_code`	text
`discharge_destination_type`	text
`discharge_destination_name`	text
`disposition_recorded_at`	timestamp with time zone
`surgical_decision`	text
`assigned_to`	text
`hospital_confirmed_on`	date
`hospital_confirmed_at`	timestamp with time zone
`hospital_confirmed_by`	text

`user_groups`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`organization_id`	uuid	yes
`name`	text	yes
`created_by`	text
`created_at`	timestamp	yes
`updated_at`	timestamp	yes

`user_modules`

Organization configuration and reference: organization_id.

Column	Postgres type	Required
`id`	uuid	yes
`user_id`	uuid	yes
`capability`	text	yes
`organization_id`	uuid
`enabled`	boolean	yes
`granted_by`	uuid
`granted_at`	timestamp
`revoked_at`	timestamp
`created_at`	timestamp	yes
`updated_at`	timestamp	yes