elevenlabs-webhook-nodejs 1.0.0

package/nestjs/prisma/migrations/20260409161536_add_message_metadata_fields/migration.sql

@@ -0,0 +1,1746 @@
+-- CreateEnum
+CREATE TYPE "UserRole" AS ENUM ('superadmin', 'sales', 'owner', 'admin', 'doctor', 'receptionist');
+
+-- CreateEnum
+CREATE TYPE "PostCallStrategy" AS ENUM ('summarize', 'none');
+
+-- CreateEnum
+CREATE TYPE "CallDirection" AS ENUM ('inbound', 'outbound');
+
+-- CreateEnum
+CREATE TYPE "CallStatus" AS ENUM ('completed', 'failed', 'no_answer', 'voicemail', 'transferred');
+
+-- CreateEnum
+CREATE TYPE "Sentiment" AS ENUM ('positive', 'neutral', 'negative');
+
+-- CreateEnum
+CREATE TYPE "OutboundCampaignStatus" AS ENUM ('draft', 'scheduled', 'running', 'paused', 'completed');
+
+-- CreateEnum
+CREATE TYPE "CampaignEntryStatus" AS ENUM ('pending', 'calling', 'completed', 'failed', 'no_answer', 'voicemail');
+
+-- CreateEnum
+CREATE TYPE "SessionStatus" AS ENUM ('waiting', 'active', 'resolved');
+
+-- CreateEnum
+CREATE TYPE "SessionResolvedBy" AS ENUM ('human', 'ai_timeout', 'timeout', 'manual');
+
+-- CreateEnum
+CREATE TYPE "MessageSender" AS ENUM ('contact', 'ai', 'human', 'system');
+
+-- CreateEnum
+CREATE TYPE "OperatorRequestStatus" AS ENUM ('pending', 'responded', 'expired', 'cancelled');
+
+-- CreateEnum
+CREATE TYPE "LeadStatus" AS ENUM ('new_lead', 'contacted', 'appointment_scheduled', 'completed', 'lost', 'expired');
+
+-- CreateEnum
+CREATE TYPE "AppointmentStatus" AS ENUM ('scheduled', 'confirmed', 'in_progress', 'completed', 'cancelled', 'no_show');
+
+-- CreateEnum
+CREATE TYPE "AppointmentSource" AS ENUM ('whatsapp', 'voice_call', 'dashboard', 'walk_in');
+
+-- CreateEnum
+CREATE TYPE "AppointmentType" AS ENUM ('appointment', 'walk_in', 'follow_up', 'consultation');
+
+-- CreateEnum
+CREATE TYPE "BatchStatus" AS ENUM ('draft', 'submitted', 'in_progress', 'completed', 'cancelled');
+
+-- CreateEnum
+CREATE TYPE "EntryCallStatus" AS ENUM ('pending', 'calling', 'completed', 'failed', 'no_answer', 'voicemail');
+
+-- CreateEnum
+CREATE TYPE "ValidationResult" AS ENUM ('confirmed', 'cancelled', 'reschedule', 'unresolved');
+
+-- CreateEnum
+CREATE TYPE "BillingEventType" AS ENUM ('call_charge', 'subscription', 'top_up', 'refund');
+
+-- CreateEnum
+CREATE TYPE "PaymentType" AS ENUM ('subscription', 'top_up');
+
+-- CreateEnum
+CREATE TYPE "PaymentMethod" AS ENUM ('cash', 'bank_transfer', 'other');
+
+-- CreateEnum
+CREATE TYPE "AlertType" AS ENUM ('usage_75', 'usage_90', 'usage_100', 'period_expiring');
+
+-- CreateEnum
+CREATE TYPE "AlertService" AS ENUM ('inbound_minutes', 'inbound_calls', 'wa_chats', 'billing_period');
+
+-- CreateEnum
+CREATE TYPE "ChatChannel" AS ENUM ('whatsapp', 'instagram');
+
+-- CreateEnum
+CREATE TYPE "PhoneNumberPurpose" AS ENUM ('whatsapp', 'inbound_call', 'outbound_call');
+
+-- CreateEnum
+CREATE TYPE "PhoneNumberProvider" AS ENUM ('meta_business', 'elevenlabs');
+
+-- CreateEnum
+CREATE TYPE "MigrationStatus" AS ENUM ('success', 'failed');
+
+-- CreateEnum
+CREATE TYPE "NotificationDeliveryStatus" AS ENUM ('pending', 'sending', 'sent', 'failed');
+
+-- CreateEnum
+CREATE TYPE "TranscriptionProcessingStatus" AS ENUM ('pending', 'summarizing', 'summarized', 'notified', 'failed');
+
+-- CreateEnum
+CREATE TYPE "AvailabilityBlockType" AS ENUM ('holiday', 'leave', 'break_time', 'other');
+
+-- CreateEnum
+CREATE TYPE "TreatmentPlanStatus" AS ENUM ('active', 'completed', 'cancelled');
+
+-- CreateEnum
+CREATE TYPE "TreatmentPlanItemStatus" AS ENUM ('planned', 'scheduled', 'in_progress', 'completed', 'cancelled');
+
+-- CreateTable
+CREATE TABLE "tenants" (
+    "tenant_id" TEXT NOT NULL,
+    "tenant_name" TEXT NOT NULL,
+    "tenant_plan_id" TEXT,
+    "tenant_enabled_features" TEXT[] DEFAULT ARRAY[]::TEXT[],
+    "tenant_is_active" BOOLEAN NOT NULL DEFAULT true,
+    "tenant_deleted_at" TIMESTAMP(3),
+    "tenant_kvkk_consent" BOOLEAN NOT NULL DEFAULT false,
+    "tenant_max_clinics" INTEGER NOT NULL DEFAULT 1,
+    "tenant_max_users" INTEGER NOT NULL DEFAULT 5,
+    "tenant_max_doctors" INTEGER NOT NULL DEFAULT 2,
+    "tenant_max_patients" INTEGER NOT NULL DEFAULT 500,
+    "tenant_created_at" TIMESTAMP(3) NOT NULL DEFAULT CURRENT_TIMESTAMP,
+    "tenant_updated_at" TIMESTAMP(3) NOT NULL,
+
+    CONSTRAINT "tenants_pkey" PRIMARY KEY ("tenant_id")
+);
+
+-- CreateTable
+CREATE TABLE "clinics" (
+    "clinic_id" TEXT NOT NULL,
+    "clinic_tenant_id" TEXT NOT NULL,
+    "clinic_name" TEXT NOT NULL,
+    "clinic_slug" TEXT NOT NULL,
+    "clinic_address" TEXT NOT NULL DEFAULT '',
+    "clinic_phone" TEXT NOT NULL DEFAULT '',
+    "clinic_email" TEXT NOT NULL DEFAULT '',
+    "clinic_timezone" TEXT NOT NULL DEFAULT 'Europe/Istanbul',
+    "clinic_is_default" BOOLEAN NOT NULL DEFAULT false,
+    "clinic_is_active" BOOLEAN NOT NULL DEFAULT true,
+    "clinic_language" TEXT NOT NULL DEFAULT 'tr',
+    "clinic_ai_provider" TEXT NOT NULL DEFAULT 'openai',
+    "clinic_ai_model" TEXT NOT NULL DEFAULT '',
+    "clinic_grace_period_seconds" INTEGER NOT NULL DEFAULT 180,
+    "clinic_operator_phone" TEXT,
+    "clinic_operator_prefix" TEXT NOT NULL DEFAULT 'R',
+    "clinic_operator_timeout_hours" INTEGER NOT NULL DEFAULT 24,
+    "clinic_ai_shift_enabled" BOOLEAN NOT NULL DEFAULT false,
+    "clinic_ai_shift_schedule" JSONB NOT NULL DEFAULT '[]',
+    "clinic_blacklisted_numbers" TEXT[] DEFAULT ARRAY[]::TEXT[],
+    "clinic_fixed_first_message" TEXT,
+    "clinic_sms_enabled" BOOLEAN NOT NULL DEFAULT false,
+    "clinic_sms_phones" TEXT[] DEFAULT ARRAY[]::TEXT[],
+    "clinic_notification_phones" TEXT[] DEFAULT ARRAY[]::TEXT[],
+    "clinic_message_retention_days" INTEGER NOT NULL DEFAULT 7,
+    "clinic_created_at" TIMESTAMP(3) NOT NULL DEFAULT CURRENT_TIMESTAMP,
+    "clinic_updated_at" TIMESTAMP(3) NOT NULL,
+
+    CONSTRAINT "clinics_pkey" PRIMARY KEY ("clinic_id")
+);
+
+-- CreateTable
+CREATE TABLE "clinic_calendar_connections" (
+    "calcn_id" TEXT NOT NULL,
+    "calcn_clinic_id" TEXT NOT NULL,
+    "calcn_google_email" TEXT,
+    "calcn_encrypted_refresh_token" TEXT,
+    "calcn_calendar_id" TEXT,
+    "calcn_calendar_name" TEXT,
+    "calcn_appointment_duration" INTEGER NOT NULL DEFAULT 30,
+    "calcn_working_hours" JSONB NOT NULL DEFAULT '[]',
+    "calcn_blocked_dates" JSONB NOT NULL DEFAULT '[]',
+    "calcn_connected_at" TIMESTAMP(3),
+    "calcn_created_at" TIMESTAMP(3) NOT NULL DEFAULT CURRENT_TIMESTAMP,
+    "calcn_updated_at" TIMESTAMP(3) NOT NULL,
+
+    CONSTRAINT "clinic_calendar_connections_pkey" PRIMARY KEY ("calcn_id")
+);
+
+-- CreateTable
+CREATE TABLE "clinic_meta_connections" (
+    "meta_id" TEXT NOT NULL,
+    "meta_clinic_id" TEXT NOT NULL,
+    "meta_type" TEXT NOT NULL,
+    "meta_label" TEXT NOT NULL DEFAULT '',
+    "meta_waba_id" TEXT,
+    "meta_phone_number_id" TEXT,
+    "meta_display_phone" TEXT,
+    "meta_instagram_page_id" TEXT,
+    "meta_facebook_page_id" TEXT,
+    "meta_encrypted_access_token" TEXT,
+    "meta_token_expires_at" TIMESTAMP(3),
+    "meta_token_refreshed_at" TIMESTAMP(3),
+    "meta_is_active" BOOLEAN NOT NULL DEFAULT true,
+    "meta_connected_at" TIMESTAMP(3),
+    "meta_created_at" TIMESTAMP(3) NOT NULL DEFAULT CURRENT_TIMESTAMP,
+    "meta_updated_at" TIMESTAMP(3) NOT NULL,
+
+    CONSTRAINT "clinic_meta_connections_pkey" PRIMARY KEY ("meta_id")
+);
+
+-- CreateTable
+CREATE TABLE "phone_numbers" (
+    "phone_id" TEXT NOT NULL,
+    "phone_tenant_id" TEXT NOT NULL,
+    "phone_clinic_id" TEXT,
+    "phone_number" TEXT NOT NULL,
+    "phone_label" TEXT NOT NULL DEFAULT '',
+    "phone_purpose" "PhoneNumberPurpose" NOT NULL,
+    "phone_provider" "PhoneNumberProvider" NOT NULL,
+    "phone_external_account_id" TEXT,
+    "phone_elevenlabs_phone_id" TEXT,
+    "phone_elevenlabs_agent_id" TEXT,
+    "phone_agent_id" TEXT,
+    "phone_wa_connected" BOOLEAN NOT NULL DEFAULT false,
+    "phone_wa_connected_at" TIMESTAMP(3),
+    "phone_wa_bridge_provider" TEXT,
+    "phone_schedule_enabled" BOOLEAN NOT NULL DEFAULT false,
+    "phone_schedule_mode" TEXT NOT NULL DEFAULT 'active_hours',
+    "phone_schedule" JSONB NOT NULL DEFAULT '[]',
+    "phone_agent_assigned" BOOLEAN NOT NULL DEFAULT false,
+    "phone_is_active" BOOLEAN NOT NULL DEFAULT true,
+    "phone_created_at" TIMESTAMP(3) NOT NULL DEFAULT CURRENT_TIMESTAMP,
+    "phone_updated_at" TIMESTAMP(3) NOT NULL,
+
+    CONSTRAINT "phone_numbers_pkey" PRIMARY KEY ("phone_id")
+);
+
+-- CreateTable
+CREATE TABLE "users" (
+    "user_id" TEXT NOT NULL,
+    "user_tenant_id" TEXT,
+    "user_email" TEXT NOT NULL,
+    "user_password_hash" TEXT NOT NULL,
+    "user_role" "UserRole" NOT NULL DEFAULT 'receptionist',
+    "user_first_name" TEXT NOT NULL,
+    "user_last_name" TEXT NOT NULL,
+    "user_phone" TEXT,
+    "user_is_active" BOOLEAN NOT NULL DEFAULT true,
+    "user_custom_permissions" JSONB NOT NULL DEFAULT '[]',
+    "user_last_login_at" TIMESTAMP(3),
+    "user_created_at" TIMESTAMP(3) NOT NULL DEFAULT CURRENT_TIMESTAMP,
+    "user_updated_at" TIMESTAMP(3) NOT NULL,
+
+    CONSTRAINT "users_pkey" PRIMARY KEY ("user_id")
+);
+
+-- CreateTable
+CREATE TABLE "user_clinic_assignments" (
+    "assign_id" TEXT NOT NULL,
+    "assign_user_id" TEXT NOT NULL,
+    "assign_clinic_id" TEXT NOT NULL,
+    "assign_created_at" TIMESTAMP(3) NOT NULL DEFAULT CURRENT_TIMESTAMP,
+
+    CONSTRAINT "user_clinic_assignments_pkey" PRIMARY KEY ("assign_id")
+);
+
+-- CreateTable
+CREATE TABLE "refresh_tokens" (
+    "token_id" TEXT NOT NULL,
+    "token_user_id" TEXT NOT NULL,
+    "token_value" TEXT NOT NULL,
+    "token_expires_at" TIMESTAMP(3) NOT NULL,
+    "token_created_at" TIMESTAMP(3) NOT NULL DEFAULT CURRENT_TIMESTAMP,
+
+    CONSTRAINT "refresh_tokens_pkey" PRIMARY KEY ("token_id")
+);
+
+-- CreateTable
+CREATE TABLE "plans" (
+    "plan_id" TEXT NOT NULL,
+    "plan_name" TEXT NOT NULL,
+    "plan_slug" TEXT NOT NULL,
+    "plan_price" DECIMAL(65,30) NOT NULL,
+    "plan_overage_rate" DECIMAL(65,30) NOT NULL,
+    "plan_included_inbound_minutes" INTEGER NOT NULL DEFAULT 0,
+    "plan_included_inbound_calls" INTEGER NOT NULL DEFAULT 0,
+    "plan_included_outbound_minutes" INTEGER NOT NULL DEFAULT 0,
+    "plan_included_outbound_calls" INTEGER NOT NULL DEFAULT 0,
+    "plan_included_wa_chats" INTEGER NOT NULL DEFAULT 0,
+    "plan_is_active" BOOLEAN NOT NULL DEFAULT true,
+    "plan_sort_order" INTEGER NOT NULL DEFAULT 0,
+    "plan_created_at" TIMESTAMP(3) NOT NULL DEFAULT CURRENT_TIMESTAMP,
+    "plan_updated_at" TIMESTAMP(3) NOT NULL,
+
+    CONSTRAINT "plans_pkey" PRIMARY KEY ("plan_id")
+);
+
+-- CreateTable
+CREATE TABLE "agents" (
+    "agent_id" TEXT NOT NULL,
+    "agent_tenant_id" TEXT NOT NULL,
+    "agent_clinic_id" TEXT,
+    "agent_elevenlabs_id" TEXT NOT NULL,
+    "agent_name" TEXT NOT NULL DEFAULT '',
+    "agent_description" TEXT NOT NULL DEFAULT '',
+    "agent_voice_id" TEXT NOT NULL DEFAULT '',
+    "agent_language" TEXT NOT NULL DEFAULT 'tr',
+    "agent_greeting" TEXT NOT NULL DEFAULT '',
+    "agent_system_prompt" TEXT NOT NULL DEFAULT '',
+    "agent_ai_provider" TEXT,
+    "agent_ai_model" TEXT,
+    "agent_post_call_strategy" "PostCallStrategy" NOT NULL DEFAULT 'summarize',
+    "agent_post_call_wa_notify" BOOLEAN NOT NULL DEFAULT true,
+    "agent_post_call_sms_notify" BOOLEAN NOT NULL DEFAULT false,
+    "agent_summary_prompt" TEXT NOT NULL DEFAULT '',
+    "agent_wa_message_template" TEXT NOT NULL DEFAULT '',
+    "agent_extra_config" JSONB NOT NULL DEFAULT '{}',
+    "agent_is_active" BOOLEAN NOT NULL DEFAULT true,
+    "agent_created_at" TIMESTAMP(3) NOT NULL DEFAULT CURRENT_TIMESTAMP,
+    "agent_updated_at" TIMESTAMP(3) NOT NULL,
+
+    CONSTRAINT "agents_pkey" PRIMARY KEY ("agent_id")
+);
+
+-- CreateTable
+CREATE TABLE "calls" (
+    "call_id" TEXT NOT NULL,
+    "call_tenant_id" TEXT NOT NULL,
+    "call_clinic_id" TEXT NOT NULL,
+    "call_patient_id" TEXT,
+    "call_agent_id" TEXT NOT NULL,
+    "call_campaign_id" TEXT,
+    "call_conversation_id" TEXT,
+    "call_direction" "CallDirection" NOT NULL,
+    "call_caller_number" TEXT NOT NULL,
+    "call_callee_number" TEXT NOT NULL,
+    "call_duration_seconds" INTEGER NOT NULL DEFAULT 0,
+    "call_start_time" TIMESTAMP(3),
+    "call_end_time" TIMESTAMP(3),
+    "call_termination_reason" TEXT,
+    "call_cost" DECIMAL(65,30),
+    "call_language" TEXT,
+    "call_elevenlabs_status" TEXT,
+    "call_status" "CallStatus" NOT NULL,
+    "call_sentiment" "Sentiment",
+    "call_categories" TEXT[] DEFAULT ARRAY[]::TEXT[],
+    "call_wa_notification_sent" BOOLEAN NOT NULL DEFAULT false,
+    "call_created_at" TIMESTAMP(3) NOT NULL DEFAULT CURRENT_TIMESTAMP,
+    "call_updated_at" TIMESTAMP(3) NOT NULL,
+
+    CONSTRAINT "calls_pkey" PRIMARY KEY ("call_id")
+);
+
+-- CreateTable
+CREATE TABLE "call_details" (
+    "detail_id" TEXT NOT NULL,
+    "detail_call_id" TEXT NOT NULL,
+    "detail_transcript" TEXT NOT NULL DEFAULT '',
+    "detail_llm_summary" TEXT,
+    "detail_extracted_data" JSONB,
+    "detail_recording_url" TEXT,
+    "detail_recording_key" TEXT,
+    "detail_analysis" JSONB,
+    "detail_created_at" TIMESTAMP(3) NOT NULL DEFAULT CURRENT_TIMESTAMP,
+    "detail_updated_at" TIMESTAMP(3) NOT NULL,
+
+    CONSTRAINT "call_details_pkey" PRIMARY KEY ("detail_id")
+);
+
+-- CreateTable
+CREATE TABLE "leads" (
+    "lead_id" TEXT NOT NULL,
+    "lead_tenant_id" TEXT NOT NULL,
+    "lead_clinic_id" TEXT NOT NULL,
+    "lead_patient_id" TEXT,
+    "lead_call_id" TEXT,
+    "lead_session_id" TEXT,
+    "lead_chat_id" TEXT,
+    "lead_name" TEXT,
+    "lead_phone" TEXT NOT NULL,
+    "lead_service_of_interest" TEXT,
+    "lead_status" "LeadStatus" NOT NULL DEFAULT 'new_lead',
+    "lead_categories" TEXT[] DEFAULT ARRAY[]::TEXT[],
+    "lead_summary" TEXT,
+    "lead_created_at" TIMESTAMP(3) NOT NULL DEFAULT CURRENT_TIMESTAMP,
+    "lead_updated_at" TIMESTAMP(3) NOT NULL,
+
+    CONSTRAINT "leads_pkey" PRIMARY KEY ("lead_id")
+);
+
+-- CreateTable
+CREATE TABLE "outbound_campaigns" (
+    "campaign_id" TEXT NOT NULL,
+    "campaign_tenant_id" TEXT NOT NULL,
+    "campaign_clinic_id" TEXT NOT NULL,
+    "campaign_agent_id" TEXT NOT NULL,
+    "campaign_name" TEXT NOT NULL,
+    "campaign_description" TEXT NOT NULL DEFAULT '',
+    "campaign_status" "OutboundCampaignStatus" NOT NULL DEFAULT 'draft',
+    "campaign_agent_config" JSONB NOT NULL DEFAULT '{}',
+    "campaign_schedule" JSONB NOT NULL,
+    "campaign_phone_id" TEXT,
+    "campaign_stats" JSONB NOT NULL DEFAULT '{}',
+    "campaign_created_at" TIMESTAMP(3) NOT NULL DEFAULT CURRENT_TIMESTAMP,
+    "campaign_updated_at" TIMESTAMP(3) NOT NULL,
+
+    CONSTRAINT "outbound_campaigns_pkey" PRIMARY KEY ("campaign_id")
+);
+
+-- CreateTable
+CREATE TABLE "outbound_campaign_entries" (
+    "centry_id" TEXT NOT NULL,
+    "centry_campaign_id" TEXT NOT NULL,
+    "centry_phone" TEXT NOT NULL,
+    "centry_contact_name" TEXT NOT NULL DEFAULT '',
+    "centry_custom_data" JSONB NOT NULL DEFAULT '{}',
+    "centry_status" "CampaignEntryStatus" NOT NULL DEFAULT 'pending',
+    "centry_attempts" INTEGER NOT NULL DEFAULT 0,
+    "centry_max_attempts" INTEGER NOT NULL DEFAULT 3,
+    "centry_last_attempt_at" TIMESTAMP(3),
+    "centry_conversation_id" TEXT,
+    "centry_call_id" TEXT,
+    "centry_call_duration_secs" INTEGER NOT NULL DEFAULT 0,
+    "centry_extracted_data" JSONB,
+    "centry_summary" TEXT,
+    "centry_called_at" TIMESTAMP(3),
+    "centry_completed_at" TIMESTAMP(3),
+    "centry_created_at" TIMESTAMP(3) NOT NULL DEFAULT CURRENT_TIMESTAMP,
+    "centry_updated_at" TIMESTAMP(3) NOT NULL,
+
+    CONSTRAINT "outbound_campaign_entries_pkey" PRIMARY KEY ("centry_id")
+);
+
+-- CreateTable
+CREATE TABLE "whatsapp_chats" (
+    "chat_id" TEXT NOT NULL,
+    "chat_tenant_id" TEXT NOT NULL,
+    "chat_clinic_id" TEXT NOT NULL,
+    "chat_patient_id" TEXT,
+    "chat_channel" "ChatChannel" NOT NULL DEFAULT 'whatsapp',
+    "chat_external_id" TEXT NOT NULL,
+    "chat_phone_id" TEXT,
+    "chat_contact_name" TEXT NOT NULL DEFAULT 'Bilinmiyor',
+    "chat_contact_phone" TEXT NOT NULL DEFAULT '',
+    "chat_is_closed" BOOLEAN NOT NULL DEFAULT false,
+    "chat_active_session_id" TEXT,
+    "chat_last_message_at" TIMESTAMP(3) NOT NULL DEFAULT CURRENT_TIMESTAMP,
+    "chat_last_message_preview" TEXT NOT NULL DEFAULT '',
+    "chat_message_count" INTEGER NOT NULL DEFAULT 0,
+    "chat_assigned_to_id" TEXT,
+    "chat_assigned_by_id" TEXT,
+    "chat_assigned_at" TIMESTAMP(3),
+    "chat_deleted_at" TIMESTAMP(3),
+    "chat_created_at" TIMESTAMP(3) NOT NULL DEFAULT CURRENT_TIMESTAMP,
+    "chat_updated_at" TIMESTAMP(3) NOT NULL,
+
+    CONSTRAINT "whatsapp_chats_pkey" PRIMARY KEY ("chat_id")
+);
+
+-- CreateTable
+CREATE TABLE "whatsapp_sessions" (
+    "session_id" TEXT NOT NULL,
+    "session_chat_id" TEXT NOT NULL,
+    "session_tenant_id" TEXT NOT NULL,
+    "session_clinic_id" TEXT NOT NULL,
+    "session_status" "SessionStatus" NOT NULL DEFAULT 'waiting',
+    "session_resolved_by" "SessionResolvedBy",
+    "session_started_at" TIMESTAMP(3) NOT NULL DEFAULT CURRENT_TIMESTAMP,
+    "session_resolved_at" TIMESTAMP(3),
+    "session_grace_deadline" TIMESTAMP(3),
+    "session_taken_over_by_id" TEXT,
+    "session_taken_over_at" TIMESTAMP(3),
+    "session_el_conversation_id" TEXT,
+    "session_el_prev_conversation_ids" TEXT[] DEFAULT ARRAY[]::TEXT[],
+    "session_el_conversation_created" TIMESTAMP(3),
+    "session_el_last_interaction" TIMESTAMP(3),
+    "session_el_cost" DECIMAL(65,30),
+    "session_ref_code" TEXT,
+    "session_awaiting_operator" BOOLEAN NOT NULL DEFAULT false,
+    "session_message_count" INTEGER NOT NULL DEFAULT 0,
+    "session_llm_summary" TEXT,
+    "session_sentiment" "Sentiment",
+    "session_categories" TEXT[] DEFAULT ARRAY[]::TEXT[],
+    "session_created_at" TIMESTAMP(3) NOT NULL DEFAULT CURRENT_TIMESTAMP,
+    "session_updated_at" TIMESTAMP(3) NOT NULL,
+
+    CONSTRAINT "whatsapp_sessions_pkey" PRIMARY KEY ("session_id")
+);
+
+-- CreateTable
+CREATE TABLE "whatsapp_messages" (
+    "msg_id" TEXT NOT NULL,
+    "msg_chat_id" TEXT NOT NULL,
+    "msg_session_id" TEXT,
+    "msg_tenant_id" TEXT NOT NULL,
+    "msg_external_id" TEXT,
+    "msg_sender" "MessageSender" NOT NULL,
+    "msg_sender_name" TEXT NOT NULL DEFAULT '',
+    "msg_sender_user_id" TEXT,
+    "msg_text" TEXT NOT NULL,
+    "msg_media_type" TEXT,
+    "msg_media_key" TEXT,
+    "msg_media_url" TEXT,
+    "msg_media_mime" TEXT,
+    "msg_media_filename" TEXT,
+    "msg_ad_context" JSONB,
+    "msg_metadata" JSONB,
+    "msg_sent_via_bridge" BOOLEAN NOT NULL DEFAULT false,
+    "msg_quoted_text" TEXT,
+    "msg_created_at" TIMESTAMP(3) NOT NULL DEFAULT CURRENT_TIMESTAMP,
+
+    CONSTRAINT "whatsapp_messages_pkey" PRIMARY KEY ("msg_id")
+);
+
+-- CreateTable
+CREATE TABLE "operator_requests" (
+    "opreq_id" TEXT NOT NULL,
+    "opreq_tenant_id" TEXT NOT NULL,
+    "opreq_clinic_id" TEXT NOT NULL,
+    "opreq_session_id" TEXT NOT NULL,
+    "opreq_chat_id" TEXT NOT NULL,
+    "opreq_ref_code" TEXT NOT NULL,
+    "opreq_request_type" TEXT NOT NULL DEFAULT 'general',
+    "opreq_request_message" TEXT,
+    "opreq_status" "OperatorRequestStatus" NOT NULL DEFAULT 'pending',
+    "opreq_forwarded_media_types" TEXT[] DEFAULT ARRAY[]::TEXT[],
+    "opreq_forwarded_count" INTEGER NOT NULL DEFAULT 0,
+    "opreq_failed_count" INTEGER NOT NULL DEFAULT 0,
+    "opreq_forwarded_at" TIMESTAMP(3) NOT NULL DEFAULT CURRENT_TIMESTAMP,
+    "opreq_forwarded_to_phone" TEXT NOT NULL,
+    "opreq_operator_response" TEXT,
+    "opreq_response_media_type" TEXT,
+    "opreq_response_message_id" TEXT,
+    "opreq_responded_at" TIMESTAMP(3),
+    "opreq_patient_message_ids" TEXT[] DEFAULT ARRAY[]::TEXT[],
+    "opreq_expires_at" TIMESTAMP(3) NOT NULL,
+    "opreq_created_at" TIMESTAMP(3) NOT NULL DEFAULT CURRENT_TIMESTAMP,
+    "opreq_updated_at" TIMESTAMP(3) NOT NULL,
+
+    CONSTRAINT "operator_requests_pkey" PRIMARY KEY ("opreq_id")
+);
+
+-- CreateTable
+CREATE TABLE "appointments" (
+    "appt_id" TEXT NOT NULL,
+    "appt_tenant_id" TEXT NOT NULL,
+    "appt_clinic_id" TEXT NOT NULL,
+    "appt_patient_id" TEXT NOT NULL,
+    "appt_doctor_id" TEXT,
+    "appt_treatment_id" TEXT,
+    "appt_treatment_plan_item_id" TEXT,
+    "appt_chat_id" TEXT,
+    "appt_session_id" TEXT,
+    "appt_google_event_id" TEXT,
+    "appt_patient_name" TEXT NOT NULL,
+    "appt_patient_phone" TEXT NOT NULL,
+    "appt_start_time" TIMESTAMP(3) NOT NULL,
+    "appt_end_time" TIMESTAMP(3) NOT NULL,
+    "appt_duration_minutes" INTEGER NOT NULL,
+    "appt_type" "AppointmentType" NOT NULL DEFAULT 'appointment',
+    "appt_status" "AppointmentStatus" NOT NULL DEFAULT 'scheduled',
+    "appt_source" "AppointmentSource" NOT NULL DEFAULT 'dashboard',
+    "appt_notes" TEXT NOT NULL DEFAULT '',
+    "appt_conversation_id" TEXT,
+    "appt_reminder_sent_24h" BOOLEAN NOT NULL DEFAULT false,
+    "appt_reminder_sent_2h" BOOLEAN NOT NULL DEFAULT false,
+    "appt_cancelled_at" TIMESTAMP(3),
+    "appt_completed_at" TIMESTAMP(3),
+    "appt_created_at" TIMESTAMP(3) NOT NULL DEFAULT CURRENT_TIMESTAMP,
+    "appt_updated_at" TIMESTAMP(3) NOT NULL,
+
+    CONSTRAINT "appointments_pkey" PRIMARY KEY ("appt_id")
+);
+
+-- CreateTable
+CREATE TABLE "appointment_validation_batches" (
+    "batch_id" TEXT NOT NULL,
+    "batch_tenant_id" TEXT NOT NULL,
+    "batch_clinic_id" TEXT NOT NULL,
+    "batch_created_by_id" TEXT NOT NULL,
+    "batch_name" TEXT NOT NULL,
+    "batch_status" "BatchStatus" NOT NULL DEFAULT 'draft',
+    "batch_el_batch_id" TEXT,
+    "batch_agent_id" TEXT,
+    "batch_phone_id" TEXT,
+    "batch_column_mapping" JSONB NOT NULL,
+    "batch_call_schedule" JSONB NOT NULL,
+    "batch_stats" JSONB NOT NULL DEFAULT '{}',
+    "batch_created_at" TIMESTAMP(3) NOT NULL DEFAULT CURRENT_TIMESTAMP,
+    "batch_updated_at" TIMESTAMP(3) NOT NULL,
+
+    CONSTRAINT "appointment_validation_batches_pkey" PRIMARY KEY ("batch_id")
+);
+
+-- CreateTable
+CREATE TABLE "appointment_validation_entries" (
+    "bentry_id" TEXT NOT NULL,
+    "bentry_batch_id" TEXT NOT NULL,
+    "bentry_appointment_id" TEXT,
+    "bentry_row_index" INTEGER NOT NULL,
+    "bentry_external_id" TEXT NOT NULL DEFAULT '',
+    "bentry_patient_name" TEXT NOT NULL,
+    "bentry_patient_phone" TEXT NOT NULL,
+    "bentry_appointment_date" TEXT NOT NULL,
+    "bentry_appointment_time" TEXT NOT NULL,
+    "bentry_doctor_name" TEXT NOT NULL DEFAULT '',
+    "bentry_department" TEXT NOT NULL DEFAULT '',
+    "bentry_notes" TEXT NOT NULL DEFAULT '',
+    "bentry_raw_data" JSONB NOT NULL DEFAULT '{}',
+    "bentry_call_status" "EntryCallStatus" NOT NULL DEFAULT 'pending',
+    "bentry_attempts" INTEGER NOT NULL DEFAULT 0,
+    "bentry_conversation_id" TEXT,
+    "bentry_validation_result" "ValidationResult",
+    "bentry_reschedule_request" TEXT,
+    "bentry_patient_message" TEXT,
+    "bentry_call_duration_secs" INTEGER NOT NULL DEFAULT 0,
+    "bentry_called_at" TIMESTAMP(3),
+    "bentry_result_at" TIMESTAMP(3),
+    "bentry_created_at" TIMESTAMP(3) NOT NULL DEFAULT CURRENT_TIMESTAMP,
+    "bentry_updated_at" TIMESTAMP(3) NOT NULL,
+
+    CONSTRAINT "appointment_validation_entries_pkey" PRIMARY KEY ("bentry_id")
+);
+
+-- CreateTable
+CREATE TABLE "billing_events" (
+    "billing_id" TEXT NOT NULL,
+    "billing_tenant_id" TEXT NOT NULL,
+    "billing_clinic_id" TEXT,
+    "billing_type" "BillingEventType" NOT NULL,
+    "billing_amount" DECIMAL(65,30) NOT NULL,
+    "billing_currency" TEXT NOT NULL DEFAULT 'TRY',
+    "billing_call_id" TEXT,
+    "billing_description" TEXT NOT NULL DEFAULT '',
+    "billing_created_at" TIMESTAMP(3) NOT NULL DEFAULT CURRENT_TIMESTAMP,
+
+    CONSTRAINT "billing_events_pkey" PRIMARY KEY ("billing_id")
+);
+
+-- CreateTable
+CREATE TABLE "payments" (
+    "payment_id" TEXT NOT NULL,
+    "payment_tenant_id" TEXT NOT NULL,
+    "payment_type" "PaymentType" NOT NULL DEFAULT 'subscription',
+    "payment_plan_slug" TEXT NOT NULL,
+    "payment_plan_name" TEXT NOT NULL,
+    "payment_amount" DECIMAL(65,30) NOT NULL,
+    "payment_extra_minutes" INTEGER NOT NULL DEFAULT 0,
+    "payment_period_start" TIMESTAMP(3) NOT NULL,
+    "payment_period_end" TIMESTAMP(3) NOT NULL,
+    "payment_method" "PaymentMethod" NOT NULL DEFAULT 'cash',
+    "payment_notes" TEXT NOT NULL DEFAULT '',
+    "payment_recorded_by_id" TEXT NOT NULL,
+    "payment_created_at" TIMESTAMP(3) NOT NULL DEFAULT CURRENT_TIMESTAMP,
+    "payment_updated_at" TIMESTAMP(3) NOT NULL,
+
+    CONSTRAINT "payments_pkey" PRIMARY KEY ("payment_id")
+);
+
+-- CreateTable
+CREATE TABLE "billing_period_snapshots" (
+    "snapshot_id" TEXT NOT NULL,
+    "snapshot_tenant_id" TEXT NOT NULL,
+    "snapshot_payment_id" TEXT NOT NULL,
+    "snapshot_plan_id" TEXT,
+    "snapshot_period_start" TIMESTAMP(3) NOT NULL,
+    "snapshot_period_end" TIMESTAMP(3) NOT NULL,
+    "snapshot_total_calls" INTEGER NOT NULL DEFAULT 0,
+    "snapshot_inbound_calls" INTEGER NOT NULL DEFAULT 0,
+    "snapshot_inbound_minutes" DECIMAL(65,30) NOT NULL DEFAULT 0,
+    "snapshot_outbound_calls" INTEGER NOT NULL DEFAULT 0,
+    "snapshot_outbound_minutes" DECIMAL(65,30) NOT NULL DEFAULT 0,
+    "snapshot_total_charges" DECIMAL(65,30) NOT NULL DEFAULT 0,
+    "snapshot_wa_billable_chats" INTEGER NOT NULL DEFAULT 0,
+    "snapshot_wa_total_sessions" INTEGER NOT NULL DEFAULT 0,
+    "snapshot_wa_total_messages" INTEGER NOT NULL DEFAULT 0,
+    "snapshot_wa_ai_messages" INTEGER NOT NULL DEFAULT 0,
+    "snapshot_wa_el_cost" DECIMAL(65,30) NOT NULL DEFAULT 0,
+    "snapshot_wa_stt_count" INTEGER NOT NULL DEFAULT 0,
+    "snapshot_wa_stt_seconds" DECIMAL(65,30) NOT NULL DEFAULT 0,
+    "snapshot_created_at" TIMESTAMP(3) NOT NULL DEFAULT CURRENT_TIMESTAMP,
+
+    CONSTRAINT "billing_period_snapshots_pkey" PRIMARY KEY ("snapshot_id")
+);
+
+-- CreateTable
+CREATE TABLE "billing_alerts" (
+    "alert_id" TEXT NOT NULL,
+    "alert_tenant_id" TEXT NOT NULL,
+    "alert_type" "AlertType" NOT NULL,
+    "alert_service" "AlertService" NOT NULL,
+    "alert_payment_id" TEXT NOT NULL,
+    "alert_created_at" TIMESTAMP(3) NOT NULL DEFAULT CURRENT_TIMESTAMP,
+
+    CONSTRAINT "billing_alerts_pkey" PRIMARY KEY ("alert_id")
+);
+
+-- CreateTable
+CREATE TABLE "stt_usages" (
+    "stt_id" TEXT NOT NULL,
+    "stt_tenant_id" TEXT NOT NULL,
+    "stt_clinic_id" TEXT,
+    "stt_chat_id" TEXT NOT NULL DEFAULT '',
+    "stt_message_id" TEXT NOT NULL DEFAULT '',
+    "stt_duration_seconds" DECIMAL(65,30) NOT NULL,
+    "stt_character_count" INTEGER NOT NULL,
+    "stt_language" TEXT NOT NULL DEFAULT 'tr',
+    "stt_created_at" TIMESTAMP(3) NOT NULL DEFAULT CURRENT_TIMESTAMP,
+
+    CONSTRAINT "stt_usages_pkey" PRIMARY KEY ("stt_id")
+);
+
+-- CreateTable
+CREATE TABLE "logs" (
+    "log_id" TEXT NOT NULL,
+    "log_level" TEXT NOT NULL,
+    "log_message" TEXT NOT NULL,
+    "log_service" TEXT NOT NULL DEFAULT 'api',
+    "log_meta" JSONB NOT NULL DEFAULT '{}',
+    "log_request_id" TEXT,
+    "log_tenant_id" TEXT,
+    "log_clinic_id" TEXT,
+    "log_user_id" TEXT,
+    "log_timestamp" TIMESTAMP(3) NOT NULL DEFAULT CURRENT_TIMESTAMP,
+
+    CONSTRAINT "logs_pkey" PRIMARY KEY ("log_id")
+);
+
+-- CreateTable
+CREATE TABLE "audit_logs" (
+    "audit_id" TEXT NOT NULL,
+    "audit_tenant_id" TEXT,
+    "audit_clinic_id" TEXT,
+    "audit_user_id" TEXT,
+    "audit_user_email" TEXT,
+    "audit_user_role" TEXT,
+    "audit_action" TEXT NOT NULL,
+    "audit_entity" TEXT NOT NULL,
+    "audit_entity_id" TEXT NOT NULL,
+    "audit_changes" JSONB,
+    "audit_metadata" JSONB,
+    "audit_created_at" TIMESTAMP(3) NOT NULL DEFAULT CURRENT_TIMESTAMP,
+
+    CONSTRAINT "audit_logs_pkey" PRIMARY KEY ("audit_id")
+);
+
+-- CreateTable
+CREATE TABLE "tool_execution_logs" (
+    "toollog_id" TEXT NOT NULL,
+    "toollog_tenant_id" TEXT NOT NULL,
+    "toollog_clinic_id" TEXT,
+    "toollog_tool_name" TEXT NOT NULL,
+    "toollog_channel" TEXT NOT NULL,
+    "toollog_patient_phone" TEXT NOT NULL DEFAULT '',
+    "toollog_conversation_id" TEXT,
+    "toollog_parameters" JSONB NOT NULL DEFAULT '{}',
+    "toollog_result" JSONB NOT NULL DEFAULT '{}',
+    "toollog_is_error" BOOLEAN NOT NULL DEFAULT false,
+    "toollog_duration_ms" INTEGER NOT NULL DEFAULT 0,
+    "toollog_created_at" TIMESTAMP(3) NOT NULL DEFAULT CURRENT_TIMESTAMP,
+
+    CONSTRAINT "tool_execution_logs_pkey" PRIMARY KEY ("toollog_id")
+);
+
+-- CreateTable
+CREATE TABLE "migrations" (
+    "migration_id" TEXT NOT NULL,
+    "migration_name" TEXT NOT NULL,
+    "migration_ran_at" TIMESTAMP(3) NOT NULL,
+    "migration_duration_ms" INTEGER NOT NULL,
+    "migration_status" "MigrationStatus" NOT NULL,
+    "migration_error" TEXT,
+    "migration_created_at" TIMESTAMP(3) NOT NULL DEFAULT CURRENT_TIMESTAMP,
+    "migration_updated_at" TIMESTAMP(3) NOT NULL,
+
+    CONSTRAINT "migrations_pkey" PRIMARY KEY ("migration_id")
+);
+
+-- CreateTable
+CREATE TABLE "transcriptions" (
+    "tx_id" TEXT NOT NULL,
+    "tx_conversation_id" TEXT NOT NULL,
+    "tx_agent_id" TEXT NOT NULL,
+    "tx_agent_name" TEXT,
+    "tx_user_id" TEXT,
+    "tx_event_type" TEXT NOT NULL DEFAULT 'post_call_transcription',
+    "tx_event_timestamp" INTEGER,
+    "tx_status" TEXT NOT NULL DEFAULT 'done',
+    "tx_transcript" JSONB NOT NULL DEFAULT '[]',
+    "tx_metadata" JSONB,
+    "tx_analysis" JSONB,
+    "tx_processing_status" "TranscriptionProcessingStatus" NOT NULL DEFAULT 'pending',
+    "tx_processing_error" TEXT,
+    "tx_raw_payload" JSONB,
+    "tx_created_at" TIMESTAMP(3) NOT NULL DEFAULT CURRENT_TIMESTAMP,
+    "tx_updated_at" TIMESTAMP(3) NOT NULL,
+
+    CONSTRAINT "transcriptions_pkey" PRIMARY KEY ("tx_id")
+);
+
+-- CreateTable
+CREATE TABLE "summaries" (
+    "summary_id" TEXT NOT NULL,
+    "summary_transcription_id" TEXT NOT NULL,
+    "summary_conversation_id" TEXT NOT NULL,
+    "summary_text" TEXT NOT NULL,
+    "summary_title" TEXT,
+    "summary_key_points" TEXT[] DEFAULT ARRAY[]::TEXT[],
+    "summary_detected_intent" TEXT,
+    "summary_sentiment" "Sentiment",
+    "summary_ai_provider" TEXT NOT NULL,
+    "summary_ai_model" TEXT,
+    "summary_token_usage" JSONB,
+    "summary_notification_status" "NotificationDeliveryStatus" NOT NULL DEFAULT 'pending',
+    "summary_notified_recipients" JSONB NOT NULL DEFAULT '[]',
+    "summary_language" TEXT NOT NULL DEFAULT 'tr',
+    "summary_created_at" TIMESTAMP(3) NOT NULL DEFAULT CURRENT_TIMESTAMP,
+    "summary_updated_at" TIMESTAMP(3) NOT NULL,
+
+    CONSTRAINT "summaries_pkey" PRIMARY KEY ("summary_id")
+);
+
+-- CreateTable
+CREATE TABLE "patients" (
+    "patient_id" TEXT NOT NULL,
+    "patient_tenant_id" TEXT NOT NULL,
+    "patient_clinic_id" TEXT,
+    "patient_phone" TEXT NOT NULL,
+    "patient_email" TEXT,
+    "patient_first_name" TEXT NOT NULL DEFAULT '',
+    "patient_last_name" TEXT NOT NULL DEFAULT '',
+    "patient_display_name" TEXT NOT NULL DEFAULT '',
+    "patient_date_of_birth" TIMESTAMP(3),
+    "patient_gender" TEXT,
+    "patient_id_number" TEXT,
+    "patient_blood_type" TEXT,
+    "patient_preferred_language" TEXT NOT NULL DEFAULT 'tr',
+    "patient_source" TEXT,
+    "patient_source_detail" TEXT,
+    "patient_tags" TEXT[] DEFAULT ARRAY[]::TEXT[],
+    "patient_ai_summary" TEXT NOT NULL DEFAULT '',
+    "patient_is_active" BOOLEAN NOT NULL DEFAULT true,
+    "patient_first_contact_at" TIMESTAMP(3) NOT NULL DEFAULT CURRENT_TIMESTAMP,
+    "patient_last_contact_at" TIMESTAMP(3) NOT NULL DEFAULT CURRENT_TIMESTAMP,
+    "patient_total_sessions" INTEGER NOT NULL DEFAULT 0,
+    "patient_total_appointments" INTEGER NOT NULL DEFAULT 0,
+    "patient_created_at" TIMESTAMP(3) NOT NULL DEFAULT CURRENT_TIMESTAMP,
+    "patient_updated_at" TIMESTAMP(3) NOT NULL,
+
+    CONSTRAINT "patients_pkey" PRIMARY KEY ("patient_id")
+);
+
+-- CreateTable
+CREATE TABLE "patient_medical_histories" (
+    "history_id" TEXT NOT NULL,
+    "history_patient_id" TEXT NOT NULL,
+    "history_allergies" TEXT NOT NULL DEFAULT '',
+    "history_chronic_conditions" TEXT NOT NULL DEFAULT '',
+    "history_current_medications" TEXT NOT NULL DEFAULT '',
+    "history_past_surgeries" TEXT NOT NULL DEFAULT '',
+    "history_pregnancy_status" TEXT,
+    "history_smoking" BOOLEAN,
+    "history_alcohol" BOOLEAN,
+    "history_notes" TEXT NOT NULL DEFAULT '',
+    "history_anamnesis_completed" BOOLEAN NOT NULL DEFAULT false,
+    "history_anamnesis_date" TIMESTAMP(3),
+    "history_created_at" TIMESTAMP(3) NOT NULL DEFAULT CURRENT_TIMESTAMP,
+    "history_updated_at" TIMESTAMP(3) NOT NULL,
+
+    CONSTRAINT "patient_medical_histories_pkey" PRIMARY KEY ("history_id")
+);
+
+-- CreateTable
+CREATE TABLE "patient_documents" (
+    "doc_id" TEXT NOT NULL,
+    "doc_patient_id" TEXT NOT NULL,
+    "doc_tenant_id" TEXT NOT NULL,
+    "doc_clinic_id" TEXT NOT NULL,
+    "doc_appointment_id" TEXT,
+    "doc_type" TEXT NOT NULL DEFAULT 'other',
+    "doc_name" TEXT NOT NULL,
+    "doc_media_key" TEXT NOT NULL,
+    "doc_content_type" TEXT NOT NULL,
+    "doc_size_bytes" INTEGER NOT NULL DEFAULT 0,
+    "doc_uploaded_by" TEXT,
+    "doc_notes" TEXT NOT NULL DEFAULT '',
+    "doc_created_at" TIMESTAMP(3) NOT NULL DEFAULT CURRENT_TIMESTAMP,
+
+    CONSTRAINT "patient_documents_pkey" PRIMARY KEY ("doc_id")
+);
+
+-- CreateTable
+CREATE TABLE "patient_notes" (
+    "note_id" TEXT NOT NULL,
+    "note_patient_id" TEXT NOT NULL,
+    "note_tenant_id" TEXT NOT NULL,
+    "note_clinic_id" TEXT NOT NULL,
+    "note_author_id" TEXT NOT NULL,
+    "note_text" TEXT NOT NULL,
+    "note_is_pinned" BOOLEAN NOT NULL DEFAULT false,
+    "note_created_at" TIMESTAMP(3) NOT NULL DEFAULT CURRENT_TIMESTAMP,
+    "note_updated_at" TIMESTAMP(3) NOT NULL,
+
+    CONSTRAINT "patient_notes_pkey" PRIMARY KEY ("note_id")
+);
+
+-- CreateTable
+CREATE TABLE "treatments" (
+    "treatment_id" TEXT NOT NULL,
+    "treatment_tenant_id" TEXT NOT NULL,
+    "treatment_clinic_id" TEXT,
+    "treatment_name" TEXT NOT NULL,
+    "treatment_category" TEXT NOT NULL DEFAULT '',
+    "treatment_description" TEXT NOT NULL DEFAULT '',
+    "treatment_duration_minutes" INTEGER NOT NULL DEFAULT 30,
+    "treatment_price" DECIMAL(65,30),
+    "treatment_currency" TEXT NOT NULL DEFAULT 'TRY',
+    "treatment_is_active" BOOLEAN NOT NULL DEFAULT true,
+    "treatment_sort_order" INTEGER NOT NULL DEFAULT 0,
+    "treatment_recall_days" INTEGER,
+    "treatment_created_at" TIMESTAMP(3) NOT NULL DEFAULT CURRENT_TIMESTAMP,
+    "treatment_updated_at" TIMESTAMP(3) NOT NULL,
+
+    CONSTRAINT "treatments_pkey" PRIMARY KEY ("treatment_id")
+);
+
+-- CreateTable
+CREATE TABLE "treatment_plans" (
+    "tplan_id" TEXT NOT NULL,
+    "tplan_tenant_id" TEXT NOT NULL,
+    "tplan_clinic_id" TEXT NOT NULL,
+    "tplan_patient_id" TEXT NOT NULL,
+    "tplan_doctor_id" TEXT,
+    "tplan_name" TEXT NOT NULL,
+    "tplan_status" "TreatmentPlanStatus" NOT NULL DEFAULT 'active',
+    "tplan_notes" TEXT NOT NULL DEFAULT '',
+    "tplan_created_at" TIMESTAMP(3) NOT NULL DEFAULT CURRENT_TIMESTAMP,
+    "tplan_updated_at" TIMESTAMP(3) NOT NULL,
+
+    CONSTRAINT "treatment_plans_pkey" PRIMARY KEY ("tplan_id")
+);
+
+-- CreateTable
+CREATE TABLE "treatment_plan_items" (
+    "tpitem_id" TEXT NOT NULL,
+    "tpitem_plan_id" TEXT NOT NULL,
+    "tpitem_treatment_id" TEXT,
+    "tpitem_appointment_id" TEXT,
+    "tpitem_name" TEXT NOT NULL,
+    "tpitem_tooth_number" TEXT,
+    "tpitem_status" "TreatmentPlanItemStatus" NOT NULL DEFAULT 'planned',
+    "tpitem_notes" TEXT NOT NULL DEFAULT '',
+    "tpitem_sort_order" INTEGER NOT NULL DEFAULT 0,
+    "tpitem_completed_at" TIMESTAMP(3),
+    "tpitem_created_at" TIMESTAMP(3) NOT NULL DEFAULT CURRENT_TIMESTAMP,
+    "tpitem_updated_at" TIMESTAMP(3) NOT NULL,
+
+    CONSTRAINT "treatment_plan_items_pkey" PRIMARY KEY ("tpitem_id")
+);
+
+-- CreateTable
+CREATE TABLE "doctor_profiles" (
+    "dprofile_id" TEXT NOT NULL,
+    "dprofile_user_id" TEXT NOT NULL,
+    "dprofile_specialty" TEXT NOT NULL DEFAULT '',
+    "dprofile_title" TEXT NOT NULL DEFAULT '',
+    "dprofile_bio" TEXT NOT NULL DEFAULT '',
+    "dprofile_working_hours" JSONB NOT NULL DEFAULT '[]',
+    "dprofile_appointment_duration" INTEGER NOT NULL DEFAULT 30,
+    "dprofile_color" TEXT NOT NULL DEFAULT '',
+    "dprofile_is_accepting" BOOLEAN NOT NULL DEFAULT true,
+    "dprofile_blocked_dates" JSONB NOT NULL DEFAULT '[]',
+    "dprofile_google_email" TEXT,
+    "dprofile_google_encrypted_token" TEXT,
+    "dprofile_google_calendar_id" TEXT,
+    "dprofile_google_calendar_name" TEXT,
+    "dprofile_google_connected_at" TIMESTAMP(3),
+    "dprofile_created_at" TIMESTAMP(3) NOT NULL DEFAULT CURRENT_TIMESTAMP,
+    "dprofile_updated_at" TIMESTAMP(3) NOT NULL,
+
+    CONSTRAINT "doctor_profiles_pkey" PRIMARY KEY ("dprofile_id")
+);
+
+-- CreateTable
+CREATE TABLE "patient_photo_sets" (
+    "photoset_id" TEXT NOT NULL,
+    "photoset_patient_id" TEXT NOT NULL,
+    "photoset_tenant_id" TEXT NOT NULL,
+    "photoset_clinic_id" TEXT NOT NULL,
+    "photoset_treatment_plan_id" TEXT,
+    "photoset_type" TEXT NOT NULL,
+    "photoset_label" TEXT NOT NULL DEFAULT '',
+    "photoset_taken_at" TIMESTAMP(3) NOT NULL DEFAULT CURRENT_TIMESTAMP,
+    "photoset_taken_by" TEXT,
+    "photoset_notes" TEXT NOT NULL DEFAULT '',
+    "photoset_created_at" TIMESTAMP(3) NOT NULL DEFAULT CURRENT_TIMESTAMP,
+    "photoset_updated_at" TIMESTAMP(3) NOT NULL,
+
+    CONSTRAINT "patient_photo_sets_pkey" PRIMARY KEY ("photoset_id")
+);
+
+-- CreateTable
+CREATE TABLE "patient_photos" (
+    "photo_id" TEXT NOT NULL,
+    "photo_set_id" TEXT NOT NULL,
+    "photo_angle" TEXT NOT NULL DEFAULT '',
+    "photo_media_key" TEXT NOT NULL,
+    "photo_thumbnail_key" TEXT,
+    "photo_caption" TEXT NOT NULL DEFAULT '',
+    "photo_sort_order" INTEGER NOT NULL DEFAULT 0,
+    "photo_created_at" TIMESTAMP(3) NOT NULL DEFAULT CURRENT_TIMESTAMP,
+
+    CONSTRAINT "patient_photos_pkey" PRIMARY KEY ("photo_id")
+);
+
+-- CreateTable
+CREATE TABLE "examination_records" (
+    "exam_id" TEXT NOT NULL,
+    "exam_appointment_id" TEXT,
+    "exam_patient_id" TEXT NOT NULL,
+    "exam_doctor_id" TEXT NOT NULL,
+    "exam_clinic_id" TEXT NOT NULL,
+    "exam_tenant_id" TEXT NOT NULL,
+    "exam_findings" TEXT NOT NULL DEFAULT '',
+    "exam_diagnosis" TEXT NOT NULL DEFAULT '',
+    "exam_procedure_notes" TEXT NOT NULL DEFAULT '',
+    "exam_prescription" TEXT NOT NULL DEFAULT '',
+    "exam_instructions" TEXT NOT NULL DEFAULT '',
+    "exam_created_at" TIMESTAMP(3) NOT NULL DEFAULT CURRENT_TIMESTAMP,
+    "exam_updated_at" TIMESTAMP(3) NOT NULL,
+
+    CONSTRAINT "examination_records_pkey" PRIMARY KEY ("exam_id")
+);
+
+-- CreateTable
+CREATE TABLE "availability_blocks" (
+    "block_id" TEXT NOT NULL,
+    "block_tenant_id" TEXT NOT NULL,
+    "block_clinic_id" TEXT NOT NULL,
+    "block_doctor_id" TEXT,
+    "block_title" TEXT NOT NULL,
+    "block_type" "AvailabilityBlockType" NOT NULL DEFAULT 'holiday',
+    "block_start_date" DATE NOT NULL,
+    "block_end_date" DATE NOT NULL,
+    "block_all_day" BOOLEAN NOT NULL DEFAULT true,
+    "block_start_time" TEXT,
+    "block_end_time" TEXT,
+    "block_recurring" BOOLEAN NOT NULL DEFAULT false,
+    "block_notes" TEXT NOT NULL DEFAULT '',
+    "block_created_by" TEXT,
+    "block_created_at" TIMESTAMP(3) NOT NULL DEFAULT CURRENT_TIMESTAMP,
+
+    CONSTRAINT "availability_blocks_pkey" PRIMARY KEY ("block_id")
+);
+
+-- CreateIndex
+CREATE INDEX "idx_tenants_plan" ON "tenants"("tenant_plan_id");
+
+-- CreateIndex
+CREATE INDEX "idx_clinics_tenant" ON "clinics"("clinic_tenant_id");
+
+-- CreateIndex
+CREATE INDEX "idx_clinics_operator" ON "clinics"("clinic_tenant_id", "clinic_operator_phone");
+
+-- CreateIndex
+CREATE UNIQUE INDEX "clinics_clinic_tenant_id_clinic_slug_key" ON "clinics"("clinic_tenant_id", "clinic_slug");
+
+-- CreateIndex
+CREATE UNIQUE INDEX "clinic_calendar_connections_calcn_clinic_id_key" ON "clinic_calendar_connections"("calcn_clinic_id");
+
+-- CreateIndex
+CREATE INDEX "idx_meta_clinic" ON "clinic_meta_connections"("meta_clinic_id");
+
+-- CreateIndex
+CREATE INDEX "idx_meta_clinic_type" ON "clinic_meta_connections"("meta_clinic_id", "meta_type");
+
+-- CreateIndex
+CREATE INDEX "idx_meta_phone_number" ON "clinic_meta_connections"("meta_phone_number_id");
+
+-- CreateIndex
+CREATE INDEX "idx_meta_instagram_page" ON "clinic_meta_connections"("meta_instagram_page_id");
+
+-- CreateIndex
+CREATE INDEX "idx_phones_tenant_purpose" ON "phone_numbers"("phone_tenant_id", "phone_purpose");
+
+-- CreateIndex
+CREATE INDEX "idx_phones_clinic" ON "phone_numbers"("phone_clinic_id");
+
+-- CreateIndex
+CREATE INDEX "idx_phones_provider_external" ON "phone_numbers"("phone_provider", "phone_external_account_id");
+
+-- CreateIndex
+CREATE UNIQUE INDEX "phone_numbers_phone_tenant_id_phone_number_phone_purpose_key" ON "phone_numbers"("phone_tenant_id", "phone_number", "phone_purpose");
+
+-- CreateIndex
+CREATE UNIQUE INDEX "users_user_email_key" ON "users"("user_email");
+
+-- CreateIndex
+CREATE INDEX "idx_users_tenant" ON "users"("user_tenant_id");
+
+-- CreateIndex
+CREATE INDEX "idx_assign_user" ON "user_clinic_assignments"("assign_user_id");
+
+-- CreateIndex
+CREATE INDEX "idx_assign_clinic" ON "user_clinic_assignments"("assign_clinic_id");
+
+-- CreateIndex
+CREATE UNIQUE INDEX "user_clinic_assignments_assign_user_id_assign_clinic_id_key" ON "user_clinic_assignments"("assign_user_id", "assign_clinic_id");
+
+-- CreateIndex
+CREATE UNIQUE INDEX "refresh_tokens_token_value_key" ON "refresh_tokens"("token_value");
+
+-- CreateIndex
+CREATE INDEX "idx_tokens_user" ON "refresh_tokens"("token_user_id");
+
+-- CreateIndex
+CREATE INDEX "idx_tokens_expires" ON "refresh_tokens"("token_expires_at");
+
+-- CreateIndex
+CREATE UNIQUE INDEX "plans_plan_slug_key" ON "plans"("plan_slug");
+
+-- CreateIndex
+CREATE INDEX "idx_agents_tenant" ON "agents"("agent_tenant_id");
+
+-- CreateIndex
+CREATE INDEX "idx_agents_clinic" ON "agents"("agent_clinic_id");
+
+-- CreateIndex
+CREATE INDEX "idx_agents_elevenlabs" ON "agents"("agent_elevenlabs_id");
+
+-- CreateIndex
+CREATE INDEX "idx_calls_tenant_date" ON "calls"("call_tenant_id", "call_created_at" DESC);
+
+-- CreateIndex
+CREATE INDEX "idx_calls_clinic_date" ON "calls"("call_clinic_id", "call_created_at" DESC);
+
+-- CreateIndex
+CREATE INDEX "idx_calls_campaign_status" ON "calls"("call_campaign_id", "call_status");
+
+-- CreateIndex
+CREATE INDEX "idx_calls_tenant_direction_date" ON "calls"("call_tenant_id", "call_direction", "call_created_at" DESC);
+
+-- CreateIndex
+CREATE INDEX "idx_calls_conversation" ON "calls"("call_conversation_id");
+
+-- CreateIndex
+CREATE INDEX "idx_calls_tenant_callee" ON "calls"("call_tenant_id", "call_callee_number");
+
+-- CreateIndex
+CREATE INDEX "idx_calls_patient_date" ON "calls"("call_patient_id", "call_created_at" DESC);
+
+-- CreateIndex
+CREATE UNIQUE INDEX "call_details_detail_call_id_key" ON "call_details"("detail_call_id");
+
+-- CreateIndex
+CREATE INDEX "idx_leads_tenant_date" ON "leads"("lead_tenant_id", "lead_created_at" DESC);
+
+-- CreateIndex
+CREATE INDEX "idx_leads_tenant_status" ON "leads"("lead_tenant_id", "lead_status");
+
+-- CreateIndex
+CREATE INDEX "idx_leads_call" ON "leads"("lead_call_id");
+
+-- CreateIndex
+CREATE INDEX "idx_leads_session" ON "leads"("lead_session_id");
+
+-- CreateIndex
+CREATE INDEX "idx_leads_patient" ON "leads"("lead_patient_id");
+
+-- CreateIndex
+CREATE INDEX "idx_campaigns_tenant_status" ON "outbound_campaigns"("campaign_tenant_id", "campaign_status");
+
+-- CreateIndex
+CREATE INDEX "idx_campaigns_clinic" ON "outbound_campaigns"("campaign_clinic_id");
+
+-- CreateIndex
+CREATE INDEX "idx_centries_campaign_status" ON "outbound_campaign_entries"("centry_campaign_id", "centry_status");
+
+-- CreateIndex
+CREATE INDEX "idx_centries_conversation" ON "outbound_campaign_entries"("centry_conversation_id");
+
+-- CreateIndex
+CREATE INDEX "idx_chats_tenant_clinic" ON "whatsapp_chats"("chat_tenant_id", "chat_clinic_id");
+
+-- CreateIndex
+CREATE INDEX "idx_chats_tenant_lastmsg" ON "whatsapp_chats"("chat_tenant_id", "chat_last_message_at" DESC);
+
+-- CreateIndex
+CREATE INDEX "idx_chats_tenant_phone" ON "whatsapp_chats"("chat_tenant_id", "chat_contact_phone");
+
+-- CreateIndex
+CREATE UNIQUE INDEX "whatsapp_chats_chat_tenant_id_chat_external_id_key" ON "whatsapp_chats"("chat_tenant_id", "chat_external_id");
+
+-- CreateIndex
+CREATE INDEX "idx_sessions_chat_status" ON "whatsapp_sessions"("session_chat_id", "session_status");
+
+-- CreateIndex
+CREATE INDEX "idx_sessions_status_grace" ON "whatsapp_sessions"("session_status", "session_grace_deadline");
+
+-- CreateIndex
+CREATE INDEX "idx_sessions_tenant_status" ON "whatsapp_sessions"("session_tenant_id", "session_status");
+
+-- CreateIndex
+CREATE INDEX "idx_sessions_clinic_status" ON "whatsapp_sessions"("session_clinic_id", "session_status");
+
+-- CreateIndex
+CREATE INDEX "idx_sessions_status_updated" ON "whatsapp_sessions"("session_status", "session_updated_at");
+
+-- CreateIndex
+CREATE INDEX "idx_sessions_ref_tenant" ON "whatsapp_sessions"("session_ref_code", "session_tenant_id");
+
+-- CreateIndex
+CREATE INDEX "idx_msgs_chat_date" ON "whatsapp_messages"("msg_chat_id", "msg_created_at");
+
+-- CreateIndex
+CREATE INDEX "idx_msgs_session_date" ON "whatsapp_messages"("msg_session_id", "msg_created_at");
+
+-- CreateIndex
+CREATE INDEX "idx_msgs_tenant_date" ON "whatsapp_messages"("msg_tenant_id", "msg_created_at" DESC);
+
+-- CreateIndex
+CREATE INDEX "idx_opreqs_session_status" ON "operator_requests"("opreq_session_id", "opreq_status");
+
+-- CreateIndex
+CREATE INDEX "idx_opreqs_status_expires" ON "operator_requests"("opreq_status", "opreq_expires_at");
+
+-- CreateIndex
+CREATE UNIQUE INDEX "operator_requests_opreq_tenant_id_opreq_ref_code_key" ON "operator_requests"("opreq_tenant_id", "opreq_ref_code");
+
+-- CreateIndex
+CREATE INDEX "idx_appts_tenant_start" ON "appointments"("appt_tenant_id", "appt_start_time");
+
+-- CreateIndex
+CREATE INDEX "idx_appts_clinic_start" ON "appointments"("appt_clinic_id", "appt_start_time");
+
+-- CreateIndex
+CREATE INDEX "idx_appts_patient_start" ON "appointments"("appt_patient_id", "appt_start_time");
+
+-- CreateIndex
+CREATE INDEX "idx_appts_doctor_start" ON "appointments"("appt_doctor_id", "appt_start_time");
+
+-- CreateIndex
+CREATE INDEX "idx_appts_tenant_status" ON "appointments"("appt_tenant_id", "appt_status");
+
+-- CreateIndex
+CREATE INDEX "idx_appts_google_event" ON "appointments"("appt_google_event_id");
+
+-- CreateIndex
+CREATE INDEX "idx_batches_tenant_date" ON "appointment_validation_batches"("batch_tenant_id", "batch_created_at" DESC);
+
+-- CreateIndex
+CREATE INDEX "idx_batches_el" ON "appointment_validation_batches"("batch_el_batch_id");
+
+-- CreateIndex
+CREATE INDEX "idx_batches_clinic" ON "appointment_validation_batches"("batch_clinic_id");
+
+-- CreateIndex
+CREATE INDEX "idx_bentries_batch_status" ON "appointment_validation_entries"("bentry_batch_id", "bentry_call_status");
+
+-- CreateIndex
+CREATE INDEX "idx_bentries_conversation" ON "appointment_validation_entries"("bentry_conversation_id");
+
+-- CreateIndex
+CREATE INDEX "idx_billing_tenant_date" ON "billing_events"("billing_tenant_id", "billing_created_at" DESC);
+
+-- CreateIndex
+CREATE INDEX "idx_payments_tenant" ON "payments"("payment_tenant_id");
+
+-- CreateIndex
+CREATE INDEX "idx_payments_tenant_period" ON "payments"("payment_tenant_id", "payment_period_end" DESC);
+
+-- CreateIndex
+CREATE INDEX "idx_snapshots_tenant_period" ON "billing_period_snapshots"("snapshot_tenant_id", "snapshot_period_start" DESC);
+
+-- CreateIndex
+CREATE UNIQUE INDEX "billing_alerts_alert_tenant_id_alert_type_alert_service_ale_key" ON "billing_alerts"("alert_tenant_id", "alert_type", "alert_service", "alert_payment_id");
+
+-- CreateIndex
+CREATE INDEX "idx_stt_tenant_date" ON "stt_usages"("stt_tenant_id", "stt_created_at" DESC);
+
+-- CreateIndex
+CREATE INDEX "idx_logs_level" ON "logs"("log_level");
+
+-- CreateIndex
+CREATE INDEX "idx_logs_timestamp" ON "logs"("log_timestamp");
+
+-- CreateIndex
+CREATE INDEX "idx_logs_level_timestamp" ON "logs"("log_level", "log_timestamp" DESC);
+
+-- CreateIndex
+CREATE INDEX "idx_logs_tenant_timestamp" ON "logs"("log_tenant_id", "log_timestamp" DESC);
+
+-- CreateIndex
+CREATE INDEX "idx_logs_request" ON "logs"("log_request_id");
+
+-- CreateIndex
+CREATE INDEX "idx_logs_service_timestamp" ON "logs"("log_service", "log_timestamp" DESC);
+
+-- CreateIndex
+CREATE INDEX "idx_audit_tenant_date" ON "audit_logs"("audit_tenant_id", "audit_created_at" DESC);
+
+-- CreateIndex
+CREATE INDEX "idx_audit_clinic_date" ON "audit_logs"("audit_clinic_id", "audit_created_at" DESC);
+
+-- CreateIndex
+CREATE INDEX "idx_audit_entity" ON "audit_logs"("audit_entity", "audit_entity_id");
+
+-- CreateIndex
+CREATE INDEX "idx_audit_user_date" ON "audit_logs"("audit_user_id", "audit_created_at" DESC);
+
+-- CreateIndex
+CREATE INDEX "idx_audit_action_date" ON "audit_logs"("audit_action", "audit_created_at" DESC);
+
+-- CreateIndex
+CREATE INDEX "idx_toollog_tenant_date" ON "tool_execution_logs"("toollog_tenant_id", "toollog_created_at" DESC);
+
+-- CreateIndex
+CREATE INDEX "idx_toollog_tool_date" ON "tool_execution_logs"("toollog_tool_name", "toollog_created_at" DESC);
+
+-- CreateIndex
+CREATE INDEX "idx_toollog_conversation" ON "tool_execution_logs"("toollog_conversation_id");
+
+-- CreateIndex
+CREATE UNIQUE INDEX "migrations_migration_name_key" ON "migrations"("migration_name");
+
+-- CreateIndex
+CREATE UNIQUE INDEX "transcriptions_tx_conversation_id_key" ON "transcriptions"("tx_conversation_id");
+
+-- CreateIndex
+CREATE INDEX "idx_tx_agent" ON "transcriptions"("tx_agent_id");
+
+-- CreateIndex
+CREATE INDEX "idx_tx_user" ON "transcriptions"("tx_user_id");
+
+-- CreateIndex
+CREATE INDEX "idx_tx_processing" ON "transcriptions"("tx_processing_status");
+
+-- CreateIndex
+CREATE INDEX "idx_tx_date" ON "transcriptions"("tx_created_at" DESC);
+
+-- CreateIndex
+CREATE UNIQUE INDEX "summaries_summary_transcription_id_key" ON "summaries"("summary_transcription_id");
+
+-- CreateIndex
+CREATE INDEX "idx_summary_conversation" ON "summaries"("summary_conversation_id");
+
+-- CreateIndex
+CREATE INDEX "idx_patients_tenant_lastcontact" ON "patients"("patient_tenant_id", "patient_last_contact_at" DESC);
+
+-- CreateIndex
+CREATE INDEX "idx_patients_clinic" ON "patients"("patient_clinic_id");
+
+-- CreateIndex
+CREATE INDEX "idx_patients_tenant_name" ON "patients"("patient_tenant_id", "patient_last_name", "patient_first_name");
+
+-- CreateIndex
+CREATE UNIQUE INDEX "patients_patient_tenant_id_patient_phone_key" ON "patients"("patient_tenant_id", "patient_phone");
+
+-- CreateIndex
+CREATE UNIQUE INDEX "patient_medical_histories_history_patient_id_key" ON "patient_medical_histories"("history_patient_id");
+
+-- CreateIndex
+CREATE INDEX "idx_docs_patient_date" ON "patient_documents"("doc_patient_id", "doc_created_at" DESC);
+
+-- CreateIndex
+CREATE INDEX "idx_docs_tenant_type" ON "patient_documents"("doc_tenant_id", "doc_type");
+
+-- CreateIndex
+CREATE INDEX "idx_notes_patient_date" ON "patient_notes"("note_patient_id", "note_created_at" DESC);
+
+-- CreateIndex
+CREATE INDEX "idx_treatments_tenant_active" ON "treatments"("treatment_tenant_id", "treatment_is_active");
+
+-- CreateIndex
+CREATE INDEX "idx_treatments_tenant_category" ON "treatments"("treatment_tenant_id", "treatment_category");
+
+-- CreateIndex
+CREATE INDEX "idx_treatments_clinic" ON "treatments"("treatment_clinic_id");
+
+-- CreateIndex
+CREATE INDEX "idx_tplans_patient_status" ON "treatment_plans"("tplan_patient_id", "tplan_status");
+
+-- CreateIndex
+CREATE INDEX "idx_tplans_tenant_status" ON "treatment_plans"("tplan_tenant_id", "tplan_status");
+
+-- CreateIndex
+CREATE INDEX "idx_tplans_doctor" ON "treatment_plans"("tplan_doctor_id");
+
+-- CreateIndex
+CREATE INDEX "idx_tplans_clinic" ON "treatment_plans"("tplan_clinic_id");
+
+-- CreateIndex
+CREATE INDEX "idx_tpitems_plan_order" ON "treatment_plan_items"("tpitem_plan_id", "tpitem_sort_order");
+
+-- CreateIndex
+CREATE INDEX "idx_tpitems_appointment" ON "treatment_plan_items"("tpitem_appointment_id");
+
+-- CreateIndex
+CREATE UNIQUE INDEX "doctor_profiles_dprofile_user_id_key" ON "doctor_profiles"("dprofile_user_id");
+
+-- CreateIndex
+CREATE INDEX "idx_photosets_patient_date" ON "patient_photo_sets"("photoset_patient_id", "photoset_taken_at" DESC);
+
+-- CreateIndex
+CREATE INDEX "idx_photosets_plan" ON "patient_photo_sets"("photoset_treatment_plan_id");
+
+-- CreateIndex
+CREATE INDEX "idx_photosets_tenant_type" ON "patient_photo_sets"("photoset_tenant_id", "photoset_type");
+
+-- CreateIndex
+CREATE INDEX "idx_photos_set_order" ON "patient_photos"("photo_set_id", "photo_sort_order");
+
+-- CreateIndex
+CREATE UNIQUE INDEX "examination_records_exam_appointment_id_key" ON "examination_records"("exam_appointment_id");
+
+-- CreateIndex
+CREATE INDEX "idx_exam_patient_date" ON "examination_records"("exam_patient_id", "exam_created_at" DESC);
+
+-- CreateIndex
+CREATE INDEX "idx_exam_doctor_date" ON "examination_records"("exam_doctor_id", "exam_created_at" DESC);
+
+-- CreateIndex
+CREATE INDEX "idx_blocks_clinic_date" ON "availability_blocks"("block_tenant_id", "block_clinic_id", "block_start_date");
+
+-- CreateIndex
+CREATE INDEX "idx_blocks_doctor_date" ON "availability_blocks"("block_doctor_id", "block_start_date");
+
+-- AddForeignKey
+ALTER TABLE "tenants" ADD CONSTRAINT "tenants_tenant_plan_id_fkey" FOREIGN KEY ("tenant_plan_id") REFERENCES "plans"("plan_id") ON DELETE SET NULL ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "clinics" ADD CONSTRAINT "clinics_clinic_tenant_id_fkey" FOREIGN KEY ("clinic_tenant_id") REFERENCES "tenants"("tenant_id") ON DELETE CASCADE ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "clinic_calendar_connections" ADD CONSTRAINT "clinic_calendar_connections_calcn_clinic_id_fkey" FOREIGN KEY ("calcn_clinic_id") REFERENCES "clinics"("clinic_id") ON DELETE CASCADE ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "clinic_meta_connections" ADD CONSTRAINT "clinic_meta_connections_meta_clinic_id_fkey" FOREIGN KEY ("meta_clinic_id") REFERENCES "clinics"("clinic_id") ON DELETE CASCADE ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "phone_numbers" ADD CONSTRAINT "phone_numbers_phone_tenant_id_fkey" FOREIGN KEY ("phone_tenant_id") REFERENCES "tenants"("tenant_id") ON DELETE CASCADE ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "phone_numbers" ADD CONSTRAINT "phone_numbers_phone_clinic_id_fkey" FOREIGN KEY ("phone_clinic_id") REFERENCES "clinics"("clinic_id") ON DELETE SET NULL ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "phone_numbers" ADD CONSTRAINT "phone_numbers_phone_agent_id_fkey" FOREIGN KEY ("phone_agent_id") REFERENCES "agents"("agent_id") ON DELETE SET NULL ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "users" ADD CONSTRAINT "users_user_tenant_id_fkey" FOREIGN KEY ("user_tenant_id") REFERENCES "tenants"("tenant_id") ON DELETE CASCADE ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "user_clinic_assignments" ADD CONSTRAINT "user_clinic_assignments_assign_user_id_fkey" FOREIGN KEY ("assign_user_id") REFERENCES "users"("user_id") ON DELETE CASCADE ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "user_clinic_assignments" ADD CONSTRAINT "user_clinic_assignments_assign_clinic_id_fkey" FOREIGN KEY ("assign_clinic_id") REFERENCES "clinics"("clinic_id") ON DELETE CASCADE ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "refresh_tokens" ADD CONSTRAINT "refresh_tokens_token_user_id_fkey" FOREIGN KEY ("token_user_id") REFERENCES "users"("user_id") ON DELETE CASCADE ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "agents" ADD CONSTRAINT "agents_agent_tenant_id_fkey" FOREIGN KEY ("agent_tenant_id") REFERENCES "tenants"("tenant_id") ON DELETE CASCADE ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "agents" ADD CONSTRAINT "agents_agent_clinic_id_fkey" FOREIGN KEY ("agent_clinic_id") REFERENCES "clinics"("clinic_id") ON DELETE SET NULL ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "calls" ADD CONSTRAINT "calls_call_tenant_id_fkey" FOREIGN KEY ("call_tenant_id") REFERENCES "tenants"("tenant_id") ON DELETE CASCADE ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "calls" ADD CONSTRAINT "calls_call_clinic_id_fkey" FOREIGN KEY ("call_clinic_id") REFERENCES "clinics"("clinic_id") ON DELETE RESTRICT ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "calls" ADD CONSTRAINT "calls_call_patient_id_fkey" FOREIGN KEY ("call_patient_id") REFERENCES "patients"("patient_id") ON DELETE SET NULL ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "calls" ADD CONSTRAINT "calls_call_agent_id_fkey" FOREIGN KEY ("call_agent_id") REFERENCES "agents"("agent_id") ON DELETE RESTRICT ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "calls" ADD CONSTRAINT "calls_call_campaign_id_fkey" FOREIGN KEY ("call_campaign_id") REFERENCES "outbound_campaigns"("campaign_id") ON DELETE SET NULL ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "call_details" ADD CONSTRAINT "call_details_detail_call_id_fkey" FOREIGN KEY ("detail_call_id") REFERENCES "calls"("call_id") ON DELETE CASCADE ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "leads" ADD CONSTRAINT "leads_lead_tenant_id_fkey" FOREIGN KEY ("lead_tenant_id") REFERENCES "tenants"("tenant_id") ON DELETE CASCADE ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "leads" ADD CONSTRAINT "leads_lead_clinic_id_fkey" FOREIGN KEY ("lead_clinic_id") REFERENCES "clinics"("clinic_id") ON DELETE RESTRICT ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "leads" ADD CONSTRAINT "leads_lead_patient_id_fkey" FOREIGN KEY ("lead_patient_id") REFERENCES "patients"("patient_id") ON DELETE SET NULL ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "leads" ADD CONSTRAINT "leads_lead_call_id_fkey" FOREIGN KEY ("lead_call_id") REFERENCES "calls"("call_id") ON DELETE SET NULL ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "leads" ADD CONSTRAINT "leads_lead_session_id_fkey" FOREIGN KEY ("lead_session_id") REFERENCES "whatsapp_sessions"("session_id") ON DELETE SET NULL ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "leads" ADD CONSTRAINT "leads_lead_chat_id_fkey" FOREIGN KEY ("lead_chat_id") REFERENCES "whatsapp_chats"("chat_id") ON DELETE SET NULL ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "outbound_campaigns" ADD CONSTRAINT "outbound_campaigns_campaign_tenant_id_fkey" FOREIGN KEY ("campaign_tenant_id") REFERENCES "tenants"("tenant_id") ON DELETE CASCADE ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "outbound_campaigns" ADD CONSTRAINT "outbound_campaigns_campaign_clinic_id_fkey" FOREIGN KEY ("campaign_clinic_id") REFERENCES "clinics"("clinic_id") ON DELETE RESTRICT ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "outbound_campaigns" ADD CONSTRAINT "outbound_campaigns_campaign_agent_id_fkey" FOREIGN KEY ("campaign_agent_id") REFERENCES "agents"("agent_id") ON DELETE RESTRICT ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "outbound_campaigns" ADD CONSTRAINT "outbound_campaigns_campaign_phone_id_fkey" FOREIGN KEY ("campaign_phone_id") REFERENCES "phone_numbers"("phone_id") ON DELETE SET NULL ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "outbound_campaign_entries" ADD CONSTRAINT "outbound_campaign_entries_centry_campaign_id_fkey" FOREIGN KEY ("centry_campaign_id") REFERENCES "outbound_campaigns"("campaign_id") ON DELETE CASCADE ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "outbound_campaign_entries" ADD CONSTRAINT "outbound_campaign_entries_centry_call_id_fkey" FOREIGN KEY ("centry_call_id") REFERENCES "calls"("call_id") ON DELETE SET NULL ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "whatsapp_chats" ADD CONSTRAINT "whatsapp_chats_chat_tenant_id_fkey" FOREIGN KEY ("chat_tenant_id") REFERENCES "tenants"("tenant_id") ON DELETE CASCADE ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "whatsapp_chats" ADD CONSTRAINT "whatsapp_chats_chat_clinic_id_fkey" FOREIGN KEY ("chat_clinic_id") REFERENCES "clinics"("clinic_id") ON DELETE RESTRICT ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "whatsapp_chats" ADD CONSTRAINT "whatsapp_chats_chat_patient_id_fkey" FOREIGN KEY ("chat_patient_id") REFERENCES "patients"("patient_id") ON DELETE SET NULL ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "whatsapp_chats" ADD CONSTRAINT "whatsapp_chats_chat_phone_id_fkey" FOREIGN KEY ("chat_phone_id") REFERENCES "phone_numbers"("phone_id") ON DELETE SET NULL ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "whatsapp_chats" ADD CONSTRAINT "whatsapp_chats_chat_assigned_to_id_fkey" FOREIGN KEY ("chat_assigned_to_id") REFERENCES "users"("user_id") ON DELETE SET NULL ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "whatsapp_chats" ADD CONSTRAINT "whatsapp_chats_chat_assigned_by_id_fkey" FOREIGN KEY ("chat_assigned_by_id") REFERENCES "users"("user_id") ON DELETE SET NULL ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "whatsapp_sessions" ADD CONSTRAINT "whatsapp_sessions_session_tenant_id_fkey" FOREIGN KEY ("session_tenant_id") REFERENCES "tenants"("tenant_id") ON DELETE CASCADE ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "whatsapp_sessions" ADD CONSTRAINT "whatsapp_sessions_session_clinic_id_fkey" FOREIGN KEY ("session_clinic_id") REFERENCES "clinics"("clinic_id") ON DELETE RESTRICT ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "whatsapp_sessions" ADD CONSTRAINT "whatsapp_sessions_session_chat_id_fkey" FOREIGN KEY ("session_chat_id") REFERENCES "whatsapp_chats"("chat_id") ON DELETE CASCADE ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "whatsapp_sessions" ADD CONSTRAINT "whatsapp_sessions_session_taken_over_by_id_fkey" FOREIGN KEY ("session_taken_over_by_id") REFERENCES "users"("user_id") ON DELETE SET NULL ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "whatsapp_messages" ADD CONSTRAINT "whatsapp_messages_msg_tenant_id_fkey" FOREIGN KEY ("msg_tenant_id") REFERENCES "tenants"("tenant_id") ON DELETE CASCADE ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "whatsapp_messages" ADD CONSTRAINT "whatsapp_messages_msg_chat_id_fkey" FOREIGN KEY ("msg_chat_id") REFERENCES "whatsapp_chats"("chat_id") ON DELETE CASCADE ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "whatsapp_messages" ADD CONSTRAINT "whatsapp_messages_msg_session_id_fkey" FOREIGN KEY ("msg_session_id") REFERENCES "whatsapp_sessions"("session_id") ON DELETE SET NULL ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "whatsapp_messages" ADD CONSTRAINT "whatsapp_messages_msg_sender_user_id_fkey" FOREIGN KEY ("msg_sender_user_id") REFERENCES "users"("user_id") ON DELETE SET NULL ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "operator_requests" ADD CONSTRAINT "operator_requests_opreq_tenant_id_fkey" FOREIGN KEY ("opreq_tenant_id") REFERENCES "tenants"("tenant_id") ON DELETE CASCADE ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "operator_requests" ADD CONSTRAINT "operator_requests_opreq_clinic_id_fkey" FOREIGN KEY ("opreq_clinic_id") REFERENCES "clinics"("clinic_id") ON DELETE RESTRICT ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "operator_requests" ADD CONSTRAINT "operator_requests_opreq_session_id_fkey" FOREIGN KEY ("opreq_session_id") REFERENCES "whatsapp_sessions"("session_id") ON DELETE RESTRICT ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "operator_requests" ADD CONSTRAINT "operator_requests_opreq_chat_id_fkey" FOREIGN KEY ("opreq_chat_id") REFERENCES "whatsapp_chats"("chat_id") ON DELETE RESTRICT ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "appointments" ADD CONSTRAINT "appointments_appt_tenant_id_fkey" FOREIGN KEY ("appt_tenant_id") REFERENCES "tenants"("tenant_id") ON DELETE CASCADE ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "appointments" ADD CONSTRAINT "appointments_appt_clinic_id_fkey" FOREIGN KEY ("appt_clinic_id") REFERENCES "clinics"("clinic_id") ON DELETE RESTRICT ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "appointments" ADD CONSTRAINT "appointments_appt_patient_id_fkey" FOREIGN KEY ("appt_patient_id") REFERENCES "patients"("patient_id") ON DELETE RESTRICT ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "appointments" ADD CONSTRAINT "appointments_appt_doctor_id_fkey" FOREIGN KEY ("appt_doctor_id") REFERENCES "users"("user_id") ON DELETE SET NULL ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "appointments" ADD CONSTRAINT "appointments_appt_treatment_id_fkey" FOREIGN KEY ("appt_treatment_id") REFERENCES "treatments"("treatment_id") ON DELETE SET NULL ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "appointments" ADD CONSTRAINT "appointments_appt_treatment_plan_item_id_fkey" FOREIGN KEY ("appt_treatment_plan_item_id") REFERENCES "treatment_plan_items"("tpitem_id") ON DELETE SET NULL ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "appointments" ADD CONSTRAINT "appointments_appt_chat_id_fkey" FOREIGN KEY ("appt_chat_id") REFERENCES "whatsapp_chats"("chat_id") ON DELETE SET NULL ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "appointments" ADD CONSTRAINT "appointments_appt_session_id_fkey" FOREIGN KEY ("appt_session_id") REFERENCES "whatsapp_sessions"("session_id") ON DELETE SET NULL ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "appointment_validation_batches" ADD CONSTRAINT "appointment_validation_batches_batch_tenant_id_fkey" FOREIGN KEY ("batch_tenant_id") REFERENCES "tenants"("tenant_id") ON DELETE CASCADE ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "appointment_validation_batches" ADD CONSTRAINT "appointment_validation_batches_batch_clinic_id_fkey" FOREIGN KEY ("batch_clinic_id") REFERENCES "clinics"("clinic_id") ON DELETE RESTRICT ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "appointment_validation_batches" ADD CONSTRAINT "appointment_validation_batches_batch_created_by_id_fkey" FOREIGN KEY ("batch_created_by_id") REFERENCES "users"("user_id") ON DELETE RESTRICT ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "appointment_validation_batches" ADD CONSTRAINT "appointment_validation_batches_batch_agent_id_fkey" FOREIGN KEY ("batch_agent_id") REFERENCES "agents"("agent_id") ON DELETE SET NULL ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "appointment_validation_batches" ADD CONSTRAINT "appointment_validation_batches_batch_phone_id_fkey" FOREIGN KEY ("batch_phone_id") REFERENCES "phone_numbers"("phone_id") ON DELETE SET NULL ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "appointment_validation_entries" ADD CONSTRAINT "appointment_validation_entries_bentry_batch_id_fkey" FOREIGN KEY ("bentry_batch_id") REFERENCES "appointment_validation_batches"("batch_id") ON DELETE CASCADE ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "appointment_validation_entries" ADD CONSTRAINT "appointment_validation_entries_bentry_appointment_id_fkey" FOREIGN KEY ("bentry_appointment_id") REFERENCES "appointments"("appt_id") ON DELETE SET NULL ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "billing_events" ADD CONSTRAINT "billing_events_billing_tenant_id_fkey" FOREIGN KEY ("billing_tenant_id") REFERENCES "tenants"("tenant_id") ON DELETE CASCADE ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "billing_events" ADD CONSTRAINT "billing_events_billing_clinic_id_fkey" FOREIGN KEY ("billing_clinic_id") REFERENCES "clinics"("clinic_id") ON DELETE SET NULL ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "billing_events" ADD CONSTRAINT "billing_events_billing_call_id_fkey" FOREIGN KEY ("billing_call_id") REFERENCES "calls"("call_id") ON DELETE SET NULL ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "payments" ADD CONSTRAINT "payments_payment_tenant_id_fkey" FOREIGN KEY ("payment_tenant_id") REFERENCES "tenants"("tenant_id") ON DELETE CASCADE ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "payments" ADD CONSTRAINT "payments_payment_recorded_by_id_fkey" FOREIGN KEY ("payment_recorded_by_id") REFERENCES "users"("user_id") ON DELETE RESTRICT ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "billing_period_snapshots" ADD CONSTRAINT "billing_period_snapshots_snapshot_tenant_id_fkey" FOREIGN KEY ("snapshot_tenant_id") REFERENCES "tenants"("tenant_id") ON DELETE CASCADE ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "billing_period_snapshots" ADD CONSTRAINT "billing_period_snapshots_snapshot_payment_id_fkey" FOREIGN KEY ("snapshot_payment_id") REFERENCES "payments"("payment_id") ON DELETE RESTRICT ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "billing_period_snapshots" ADD CONSTRAINT "billing_period_snapshots_snapshot_plan_id_fkey" FOREIGN KEY ("snapshot_plan_id") REFERENCES "plans"("plan_id") ON DELETE SET NULL ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "billing_alerts" ADD CONSTRAINT "billing_alerts_alert_tenant_id_fkey" FOREIGN KEY ("alert_tenant_id") REFERENCES "tenants"("tenant_id") ON DELETE CASCADE ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "billing_alerts" ADD CONSTRAINT "billing_alerts_alert_payment_id_fkey" FOREIGN KEY ("alert_payment_id") REFERENCES "payments"("payment_id") ON DELETE RESTRICT ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "stt_usages" ADD CONSTRAINT "stt_usages_stt_tenant_id_fkey" FOREIGN KEY ("stt_tenant_id") REFERENCES "tenants"("tenant_id") ON DELETE CASCADE ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "stt_usages" ADD CONSTRAINT "stt_usages_stt_clinic_id_fkey" FOREIGN KEY ("stt_clinic_id") REFERENCES "clinics"("clinic_id") ON DELETE SET NULL ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "summaries" ADD CONSTRAINT "summaries_summary_transcription_id_fkey" FOREIGN KEY ("summary_transcription_id") REFERENCES "transcriptions"("tx_id") ON DELETE RESTRICT ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "patients" ADD CONSTRAINT "patients_patient_tenant_id_fkey" FOREIGN KEY ("patient_tenant_id") REFERENCES "tenants"("tenant_id") ON DELETE CASCADE ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "patients" ADD CONSTRAINT "patients_patient_clinic_id_fkey" FOREIGN KEY ("patient_clinic_id") REFERENCES "clinics"("clinic_id") ON DELETE SET NULL ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "patient_medical_histories" ADD CONSTRAINT "patient_medical_histories_history_patient_id_fkey" FOREIGN KEY ("history_patient_id") REFERENCES "patients"("patient_id") ON DELETE CASCADE ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "patient_documents" ADD CONSTRAINT "patient_documents_doc_patient_id_fkey" FOREIGN KEY ("doc_patient_id") REFERENCES "patients"("patient_id") ON DELETE CASCADE ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "patient_documents" ADD CONSTRAINT "patient_documents_doc_tenant_id_fkey" FOREIGN KEY ("doc_tenant_id") REFERENCES "tenants"("tenant_id") ON DELETE RESTRICT ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "patient_documents" ADD CONSTRAINT "patient_documents_doc_clinic_id_fkey" FOREIGN KEY ("doc_clinic_id") REFERENCES "clinics"("clinic_id") ON DELETE RESTRICT ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "patient_documents" ADD CONSTRAINT "patient_documents_doc_appointment_id_fkey" FOREIGN KEY ("doc_appointment_id") REFERENCES "appointments"("appt_id") ON DELETE SET NULL ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "patient_documents" ADD CONSTRAINT "patient_documents_doc_uploaded_by_fkey" FOREIGN KEY ("doc_uploaded_by") REFERENCES "users"("user_id") ON DELETE SET NULL ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "patient_notes" ADD CONSTRAINT "patient_notes_note_patient_id_fkey" FOREIGN KEY ("note_patient_id") REFERENCES "patients"("patient_id") ON DELETE CASCADE ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "patient_notes" ADD CONSTRAINT "patient_notes_note_tenant_id_fkey" FOREIGN KEY ("note_tenant_id") REFERENCES "tenants"("tenant_id") ON DELETE RESTRICT ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "patient_notes" ADD CONSTRAINT "patient_notes_note_clinic_id_fkey" FOREIGN KEY ("note_clinic_id") REFERENCES "clinics"("clinic_id") ON DELETE RESTRICT ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "patient_notes" ADD CONSTRAINT "patient_notes_note_author_id_fkey" FOREIGN KEY ("note_author_id") REFERENCES "users"("user_id") ON DELETE RESTRICT ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "treatments" ADD CONSTRAINT "treatments_treatment_tenant_id_fkey" FOREIGN KEY ("treatment_tenant_id") REFERENCES "tenants"("tenant_id") ON DELETE CASCADE ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "treatments" ADD CONSTRAINT "treatments_treatment_clinic_id_fkey" FOREIGN KEY ("treatment_clinic_id") REFERENCES "clinics"("clinic_id") ON DELETE SET NULL ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "treatment_plans" ADD CONSTRAINT "treatment_plans_tplan_tenant_id_fkey" FOREIGN KEY ("tplan_tenant_id") REFERENCES "tenants"("tenant_id") ON DELETE CASCADE ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "treatment_plans" ADD CONSTRAINT "treatment_plans_tplan_clinic_id_fkey" FOREIGN KEY ("tplan_clinic_id") REFERENCES "clinics"("clinic_id") ON DELETE RESTRICT ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "treatment_plans" ADD CONSTRAINT "treatment_plans_tplan_patient_id_fkey" FOREIGN KEY ("tplan_patient_id") REFERENCES "patients"("patient_id") ON DELETE RESTRICT ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "treatment_plans" ADD CONSTRAINT "treatment_plans_tplan_doctor_id_fkey" FOREIGN KEY ("tplan_doctor_id") REFERENCES "users"("user_id") ON DELETE SET NULL ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "treatment_plan_items" ADD CONSTRAINT "treatment_plan_items_tpitem_plan_id_fkey" FOREIGN KEY ("tpitem_plan_id") REFERENCES "treatment_plans"("tplan_id") ON DELETE CASCADE ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "treatment_plan_items" ADD CONSTRAINT "treatment_plan_items_tpitem_treatment_id_fkey" FOREIGN KEY ("tpitem_treatment_id") REFERENCES "treatments"("treatment_id") ON DELETE SET NULL ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "treatment_plan_items" ADD CONSTRAINT "treatment_plan_items_tpitem_appointment_id_fkey" FOREIGN KEY ("tpitem_appointment_id") REFERENCES "appointments"("appt_id") ON DELETE SET NULL ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "doctor_profiles" ADD CONSTRAINT "doctor_profiles_dprofile_user_id_fkey" FOREIGN KEY ("dprofile_user_id") REFERENCES "users"("user_id") ON DELETE CASCADE ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "patient_photo_sets" ADD CONSTRAINT "patient_photo_sets_photoset_patient_id_fkey" FOREIGN KEY ("photoset_patient_id") REFERENCES "patients"("patient_id") ON DELETE CASCADE ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "patient_photo_sets" ADD CONSTRAINT "patient_photo_sets_photoset_tenant_id_fkey" FOREIGN KEY ("photoset_tenant_id") REFERENCES "tenants"("tenant_id") ON DELETE RESTRICT ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "patient_photo_sets" ADD CONSTRAINT "patient_photo_sets_photoset_clinic_id_fkey" FOREIGN KEY ("photoset_clinic_id") REFERENCES "clinics"("clinic_id") ON DELETE RESTRICT ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "patient_photo_sets" ADD CONSTRAINT "patient_photo_sets_photoset_treatment_plan_id_fkey" FOREIGN KEY ("photoset_treatment_plan_id") REFERENCES "treatment_plans"("tplan_id") ON DELETE SET NULL ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "patient_photo_sets" ADD CONSTRAINT "patient_photo_sets_photoset_taken_by_fkey" FOREIGN KEY ("photoset_taken_by") REFERENCES "users"("user_id") ON DELETE SET NULL ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "patient_photos" ADD CONSTRAINT "patient_photos_photo_set_id_fkey" FOREIGN KEY ("photo_set_id") REFERENCES "patient_photo_sets"("photoset_id") ON DELETE CASCADE ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "examination_records" ADD CONSTRAINT "examination_records_exam_appointment_id_fkey" FOREIGN KEY ("exam_appointment_id") REFERENCES "appointments"("appt_id") ON DELETE CASCADE ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "examination_records" ADD CONSTRAINT "examination_records_exam_patient_id_fkey" FOREIGN KEY ("exam_patient_id") REFERENCES "patients"("patient_id") ON DELETE RESTRICT ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "examination_records" ADD CONSTRAINT "examination_records_exam_doctor_id_fkey" FOREIGN KEY ("exam_doctor_id") REFERENCES "users"("user_id") ON DELETE RESTRICT ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "examination_records" ADD CONSTRAINT "examination_records_exam_clinic_id_fkey" FOREIGN KEY ("exam_clinic_id") REFERENCES "clinics"("clinic_id") ON DELETE RESTRICT ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "examination_records" ADD CONSTRAINT "examination_records_exam_tenant_id_fkey" FOREIGN KEY ("exam_tenant_id") REFERENCES "tenants"("tenant_id") ON DELETE CASCADE ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "availability_blocks" ADD CONSTRAINT "availability_blocks_block_tenant_id_fkey" FOREIGN KEY ("block_tenant_id") REFERENCES "tenants"("tenant_id") ON DELETE CASCADE ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "availability_blocks" ADD CONSTRAINT "availability_blocks_block_clinic_id_fkey" FOREIGN KEY ("block_clinic_id") REFERENCES "clinics"("clinic_id") ON DELETE RESTRICT ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "availability_blocks" ADD CONSTRAINT "availability_blocks_block_doctor_id_fkey" FOREIGN KEY ("block_doctor_id") REFERENCES "users"("user_id") ON DELETE SET NULL ON UPDATE CASCADE;
+
+-- AddForeignKey
+ALTER TABLE "availability_blocks" ADD CONSTRAINT "availability_blocks_block_created_by_fkey" FOREIGN KEY ("block_created_by") REFERENCES "users"("user_id") ON DELETE SET NULL ON UPDATE CASCADE;