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feat(db): technisch datamodel instroom/intake/behandeladvies (SQL-migraties)

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Vertaalt de FCO-IM-feitenrondes en logische modellen naar 37 nieuwe
PostgreSQL-tabellen, verdeeld over vier migraties:

- create_reference_data: één generieke value_list_item-tabel (spelregel
  3.1 #1) i.p.v. ~30 losse waardelijst-tabellen, met alle startwaarden uit
  model-aanmelding.md/model-instroom.md/model-intake-behandeladvies.md.
- create_person_client_domain: person, address, contact_detail, client,
  client_relation, referrer, practice_organization,
  client_general_practitioner, insurance, consent, client_portal_account
  (model-aanmelding.md §2.1-2.9, 2.14, 2.16). BSN als bsn_hash (SHA-256),
  conform de platform-privacyregel — geen raw BSN, geen reversibele
  encryptie.
- create_referral_domain: 20 entiteiten uit model-instroom.md (referral_
  request t/m episode_team_involvement), inclusief de vervangt-constraints
  als partial unique index (voorkomt vertakking) en de XOR-check op
  clinical_care_episode tussen acceptatiebesluit en Wvggz-mandaat.
- create_intake_treatment_advice_domain: 5 entiteiten uit
  model-intake-behandeladvies.md.

Scope: dit zijn nieuwe, additieve tabellen naast de bestaande prototype-
tabellen (patients, screenings, intakes, patients.is_john_doe,
intakes.kindcheck_data) — die tabellen zijn bewust niet aangeraakt.
Wiring van de live app op dit schema, en migratie van prototype-data, is
een aparte, nog te nemen beslissing. Migraties zijn nog niet toegepast op
een database.

decision_authority_id (care_acceptance_decision) is tijdelijk nullable
zonder FK — het doeltabel volgt uit de bevoegdheidsronde (B16). Perifere
waardelijst-kolommen zijn TEXT met een verwijzing naar de bedoelde lijst in
een comment, geen harde FK naar value_list_item — applicatievalidatie (Zod)
dekt die laag; business-kritieke uitkomsten (decision_outcome,
treatment_advice_outcome, mandate_type) hebben wel een CHECK-constraint.
This commit is contained in:
colinislit
2026-07-20 08:57:12 +02:00
parent 7ad50f4e33
commit ea4c0c836f
4 changed files with 1387 additions and 0 deletions
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-- ============================================================================
-- REFERENCE DATA (WAARDELIJSTEN) — instroom / intake / behandeladvies
-- ============================================================================
-- Created: 2026-07-20
-- Purpose: shared reference-list table for the redesigned instroom/intake/
-- behandeladvies domain (docs/datamodel/deelmodellen/model-instroom.md,
-- model-intake-behandeladvies.md, model-aanmelding.md §4).
--
-- Design note: spelregel 3.1 #1 ("elke waardelijst is een referentietabel")
-- is honoured with ONE shared, generic table (list_name-discriminated)
-- instead of ~30 near-identical single-purpose tables. Each row still
-- carries code/label/external_code/code_system/geldig_van/geldig_tot/actief.
-- List-specific extra attributes (agb_verplicht, verwijsnudge_severity, ...)
-- live in `extra` (JSONB) rather than one-off columns.
--
-- Scope note: this migration and the ones that follow (create_person_client_
-- domain, create_referral_domain, create_intake_treatment_advice_domain)
-- implement the REDESIGNED target schema from the 19-20 juli 2026 FCO-IM
-- rounds. They are new, additive tables — the existing prototype tables
-- (patients, screenings, intakes, patients.is_john_doe, intakes.kindcheck_data)
-- are intentionally left untouched. Wiring the live app to this schema, and
-- migrating prototype data into it, is a separate follow-up decision.
-- ============================================================================
CREATE TABLE value_list_item (
list_name TEXT NOT NULL,
code TEXT NOT NULL,
label TEXT NOT NULL,
external_code TEXT,
code_system TEXT,
extra JSONB NOT NULL DEFAULT '{}'::jsonb,
valid_from DATE,
valid_to DATE,
active BOOLEAN NOT NULL DEFAULT true,
created_at TIMESTAMPTZ NOT NULL DEFAULT now(),
updated_at TIMESTAMPTZ NOT NULL DEFAULT now(),
PRIMARY KEY (list_name, code)
);
CREATE INDEX idx_value_list_item_list_active ON value_list_item(list_name, active);
COMMENT ON TABLE value_list_item IS 'Generieke waardelijst-tabel (spelregel 3.1 #1): één rij per (list_name, code). Startlijsten, geen definitieve besluiten (zie modeldocumenten).';
COMMENT ON COLUMN value_list_item.extra IS 'List-specifieke attributen, bv. agb_verplicht (verwijzertype), verwijsnudge_severity (wettelijk_kader).';
ALTER TABLE value_list_item ENABLE ROW LEVEL SECURITY;
CREATE POLICY "Enable read for authenticated users" ON value_list_item
FOR SELECT USING (auth.role() = 'authenticated');
CREATE TRIGGER update_value_list_item_updated_at
BEFORE UPDATE ON value_list_item
FOR EACH ROW EXECUTE FUNCTION update_updated_at_column();
-- ============================================================================
-- Seed data — startlijsten uit de modeldocumenten, geen definitieve besluiten
-- ============================================================================
INSERT INTO value_list_item (list_name, code, label, extra) VALUES
-- geslacht (model-aanmelding.md §4.1) — externe code: HL7 AdministrativeGender
('geslacht', 'man', 'Man', '{}'),
('geslacht', 'vrouw', 'Vrouw', '{}'),
('geslacht', 'anders', 'Anders', '{}'),
('geslacht', 'onbekend', 'Onbekend', '{}'),
-- genderidentiteit (zib Patient v4.3)
('genderidentiteit', 'man', 'Man', '{}'),
('genderidentiteit', 'vrouw', 'Vrouw', '{}'),
('genderidentiteit', 'non_binair', 'Non-binair', '{}'),
('genderidentiteit', 'anders', 'Anders', '{}'),
('genderidentiteit', 'zegt_het_niet', 'Zegt het niet', '{}'),
-- adrestype
('adrestype', 'woonadres', 'Woonadres', '{}'),
('adrestype', 'postadres', 'Postadres', '{}'),
('adrestype', 'tijdelijk_verblijf', 'Tijdelijk verblijf', '{}'),
-- contactgegeven_type
('contactgegeven_type', 'telefoon', 'Telefoon', '{}'),
('contactgegeven_type', 'email', 'E-mail', '{}'),
-- contactgegeven_soort
('contactgegeven_soort', 'mobiel_prive', 'Mobiel privé', '{}'),
('contactgegeven_soort', 'vast_prive', 'Vast privé', '{}'),
('contactgegeven_soort', 'werk', 'Werk', '{}'),
('contactgegeven_soort', 'overig', 'Overig', '{}'),
-- relatie
('relatie', 'partner', 'Partner', '{}'),
('relatie', 'ouder', 'Ouder', '{}'),
('relatie', 'kind', 'Kind', '{}'),
('relatie', 'broer_zus', 'Broer/zus', '{}'),
('relatie', 'familielid_overig', 'Familielid overig', '{}'),
('relatie', 'vriend_kennis', 'Vriend/kennis', '{}'),
('relatie', 'professional', 'Professional', '{}'),
('relatie', 'overig', 'Overig', '{}'),
-- relatierol (twee assen relatie x rol — zib Contactpersoon)
('relatierol', 'eerste_contactpersoon', 'Eerste contactpersoon', '{}'),
('relatierol', 'wettelijk_vertegenwoordiger', 'Wettelijk vertegenwoordiger', '{}'),
('relatierol', 'gezaghebbende_ouder', 'Gezaghebbende ouder', '{}'),
('relatierol', 'mantelzorger', 'Mantelzorger', '{}'),
('relatierol', 'naaste', 'Naaste', '{}'),
-- vertegenwoordigingsgrond (WGBO-volgorde)
('vertegenwoordigingsgrond', 'curator', 'Curator', '{}'),
('vertegenwoordigingsgrond', 'mentor', 'Mentor', '{}'),
('vertegenwoordigingsgrond', 'schriftelijk_gemachtigde', 'Schriftelijk gemachtigde', '{}'),
('vertegenwoordigingsgrond', 'ouder_voogd', 'Ouder/voogd', '{}'),
('vertegenwoordigingsgrond', 'partner_familie', 'Partner/familie', '{}'),
-- huisarts_situatie (voedt zpm_verwijstype 04/05)
('huisarts_situatie', 'bekend', 'Bekend', '{}'),
('huisarts_situatie', 'geen_huisarts', 'Geen huisarts', '{}'),
('huisarts_situatie', 'geen_toestemming_correspondentie', 'Geen toestemming correspondentie', '{}'),
('huisarts_situatie', 'onbekend', 'Onbekend', '{}'),
-- verwijzertype (extra.agb_verplicht — discovery §5.0 besluit 3)
('verwijzertype', 'huisarts', 'Huisarts', '{"agb_verplicht": true}'),
('verwijzertype', 'medisch_specialist', 'Medisch specialist', '{"agb_verplicht": true}'),
('verwijzertype', 'straatdokter', 'Straatdokter', '{"agb_verplicht": true}'),
('verwijzertype', 'bedrijfsarts', 'Bedrijfsarts', '{"agb_verplicht": true}'),
('verwijzertype', 'regiebehandelaar', 'Regiebehandelaar', '{"agb_verplicht": true}'),
('verwijzertype', 'ggz_instelling', 'GGZ-instelling', '{"agb_verplicht": true}'),
('verwijzertype', 'gemeente', 'Gemeente', '{"agb_verplicht": false}'),
('verwijzertype', 'zelfaanmelding', 'Zelfaanmelding', '{"agb_verplicht": false}'),
('verwijzertype', 'crisis', 'Crisis', '{"agb_verplicht": false}'),
-- praktijk_soort
('praktijk_soort', 'huisartsenpraktijk', 'Huisartsenpraktijk', '{}'),
('praktijk_soort', 'ziekenhuis', 'Ziekenhuis', '{}'),
('praktijk_soort', 'ggz_instelling', 'GGZ-instelling', '{}'),
('praktijk_soort', 'gemeente', 'Gemeente', '{}'),
('praktijk_soort', 'arbodienst', 'Arbodienst', '{}'),
('praktijk_soort', 'overig', 'Overig', '{}'),
-- wettelijk_kader (extra.verwijsnudge_severity — te bevestigen in de nudge-/declaratieronde; wvggz toegevoegd bij B27)
('wettelijk_kader', 'zvw', 'Zorgverzekeringswet', '{"verwijsnudge_severity": "blokkade"}'),
('wettelijk_kader', 'jeugdwet', 'Jeugdwet', '{"verwijsnudge_severity": "signaal"}'),
('wettelijk_kader', 'wmo', 'Wmo', '{"verwijsnudge_severity": "signaal"}'),
('wettelijk_kader', 'wlz', 'Wlz', '{"verwijsnudge_severity": "waarschuwing"}'),
('wettelijk_kader', 'forensisch', 'Forensisch', '{"verwijsnudge_severity": "waarschuwing"}'),
('wettelijk_kader', 'wvggz', 'Wvggz', '{"verwijsnudge_severity": null}'),
-- submission_channel (was aanmeldkanaal — model-instroom.md §4)
('submission_channel', 'zorgdomein', 'ZorgDomein', '{}'),
('submission_channel', 'e_mail', 'E-mail', '{}'),
('submission_channel', 'telefoon', 'Telefoon', '{}'),
('submission_channel', 'portaal', 'Cliëntportaal', '{}'),
('submission_channel', 'post', 'Post', '{}'),
('submission_channel', 'overig', 'Overig', '{}'),
-- document_type (model-instroom.md §4)
('document_type', 'verwijsbrief', 'Verwijsbrief', '{}'),
('document_type', 'diagnostische_aanvulling', 'Diagnostische aanvulling', '{}'),
('document_type', 'beschikking', 'Beschikking', '{}'),
('document_type', 'overig', 'Overig', '{}'),
-- screening_activity_type
('screening_activity_type', 'telefonisch_contact', 'Telefonisch contact', '{}'),
('screening_activity_type', 'dossieronderzoek', 'Dossieronderzoek', '{}'),
('screening_activity_type', 'vragenlijst', 'Vragenlijst', '{}'),
('screening_activity_type', 'overig', 'Overig', '{}'),
-- decision_outcome (B22)
('decision_outcome', 'geaccepteerd', 'Geaccepteerd', '{}'),
('decision_outcome', 'afgewezen', 'Afgewezen', '{}'),
-- follow_up_route
('follow_up_route', 'intake_direct', 'Intake direct plannen', '{}'),
('follow_up_route', 'intakewachtlijst', 'Intakewachtlijst', '{}'),
('follow_up_route', 'spoedroute', 'Spoedroute', '{}'),
('follow_up_route', 'doorverwijzen', 'Doorverwijzen', '{}'),
('follow_up_route', 'case_afsluiten', 'Case afsluiten', '{}'),
-- episode_end_reason (model-aanmelding.md §4.24 + B24-aanvullingen)
('episode_end_reason', 'ingetrokken_door_client', 'Ingetrokken door cliënt', '{}'),
('episode_end_reason', 'acceptatiebesluit_herzien', 'Acceptatiebesluit herzien', '{}'),
('episode_end_reason', 'behandeling_afgerond', 'Behandeling afgerond', '{}'),
('episode_end_reason', 'doorverwezen', 'Doorverwezen', '{}'),
('episode_end_reason', 'client_beeindigt', 'Cliënt beëindigt', '{}'),
('episode_end_reason', 'geen_contact', 'Geen contact meer', '{}'),
('episode_end_reason', 'overleden', 'Overleden', '{}'),
('episode_end_reason', 'overig', 'Overig', '{}'),
-- echelon
('echelon', 'gb_ggz', 'Generalistische basis-ggz', '{}'),
('echelon', 'g_ggz', 'Gespecialiseerde ggz', '{}'),
('echelon', 'onbekend', 'Onbekend', '{}'),
-- zpm_verwijstype (Vektis/ZPM-code als external_code)
('zpm_verwijstype', '01', 'Verwijzing aanwezig', '{}'),
('zpm_verwijstype', '02', 'Doorverwijzing regiebehandelaar', '{}'),
('zpm_verwijstype', '03', 'Geen verwijzing, verlate correspondentie', '{}'),
('zpm_verwijstype', '04', 'Geen verwijzing, correspondentie niet toegestaan', '{}'),
('zpm_verwijstype', '05', 'Geen verwijzing, niet declarabel', '{}'),
('zpm_verwijstype', '06', 'Geen verwijzing, andere grond fz', '{}'),
('zpm_verwijstype', '07', 'Verwijzing zonder AGB', '{}'),
-- municipal_legal_framework (B27)
('municipal_legal_framework', 'wmo', 'Wmo', '{}'),
('municipal_legal_framework', 'jeugdwet', 'Jeugdwet', '{}'),
-- municipal_product_category / municipal_product_unit — minimale startwaarden (declaratie-ronde volgt)
('municipal_product_category', 'overig', 'Overig (nader te bepalen)', '{}'),
('municipal_product_unit', 'overig', 'Overig (nader te bepalen)', '{}'),
-- mandate_type / mandate_decider_role (B27, Wvggz)
('mandate_type', 'crisismaatregel', 'Crisismaatregel', '{}'),
('mandate_type', 'zorgmachtiging', 'Zorgmachtiging', '{}'),
('mandate_decider_role', 'burgemeester', 'Burgemeester', '{}'),
('mandate_decider_role', 'rechter', 'Rechter', '{}'),
-- crisis_fact_type
('crisis_fact_type', 'medicatie_toegediend', 'Medicatie toegediend', '{}'),
('crisis_fact_type', 'risico_inschatting', 'Risico-inschatting', '{}'),
('crisis_fact_type', 'vitale_functie', 'Vitale functie', '{}'),
('crisis_fact_type', 'dwangmaatregel', 'Dwangmaatregel', '{}'),
('crisis_fact_type', 'overig', 'Overig', '{}'),
-- urgency_assessor_role / urgency_level
('urgency_assessor_role', 'screener', 'Screener', '{}'),
('urgency_assessor_role', 'triagist', 'Triagist', '{}'),
('urgency_assessor_role', 'intake_team', 'Intake-team', '{}'),
('urgency_assessor_role', 'mdo', 'MDO', '{}'),
('urgency_level', 'laag', 'Laag', '{}'),
('urgency_level', 'normaal', 'Normaal', '{}'),
('urgency_level', 'hoog', 'Hoog', '{}'),
('urgency_level', 'spoed', 'Spoed', '{}'),
-- initiator_type
('initiator_type', 'professional', 'Professional', '{}'),
('initiator_type', 'organisatie', 'Organisatie', '{}'),
('initiator_type', 'client', 'Cliënt', '{}'),
('initiator_type', 'vertegenwoordiger', 'Vertegenwoordiger', '{}'),
-- intake_initiation_reason
('intake_initiation_reason', 'regulier', 'Regulier', '{}'),
('intake_initiation_reason', 'intern', 'Intern', '{}'),
('intake_initiation_reason', 'crisis', 'Crisis', '{}'),
-- intake_status
('intake_status', 'gepland', 'Gepland', '{}'),
('intake_status', 'bezig', 'Bezig', '{}'),
('intake_status', 'afgerond', 'Afgerond', '{}'),
('intake_status', 'afgebroken', 'Afgebroken', '{}'),
-- intake_abort_reason
('intake_abort_reason', 'client_trekt_terug', 'Cliënt trekt zich terug', '{}'),
('intake_abort_reason', 'geen_contact_meer', 'Geen contact meer', '{}'),
('intake_abort_reason', 'overleden', 'Overleden', '{}'),
('intake_abort_reason', 'overig', 'Overig', '{}'),
-- intake_contact_type
('intake_contact_type', 'intakegesprek', 'Intakegesprek', '{}'),
('intake_contact_type', 'aanvullend_onderzoek', 'Aanvullend onderzoek', '{}'),
('intake_contact_type', 'telefonisch_contact', 'Telefonisch contact', '{}'),
('intake_contact_type', 'huisbezoek', 'Huisbezoek', '{}'),
('intake_contact_type', 'beeldcontact', 'Beeldcontact', '{}'),
('intake_contact_type', 'overig', 'Overig', '{}'),
-- treatment_advice_outcome (B33 — doorverwijzing/terugverwijzing volgtijdelijk, extra_diagnostiek praktijkgefundeerd)
('treatment_advice_outcome', 'in_zorg', 'In zorg', '{}'),
('treatment_advice_outcome', 'terugverwijzing', 'Terugverwijzing', '{"lks_genormeerd": true, "volgt_op": "doorverwijzing"}'),
('treatment_advice_outcome', 'doorverwijzing', 'Doorverwijzing', '{"lks_genormeerd": true}'),
('treatment_advice_outcome', 'extra_diagnostiek', 'Extra diagnostiek', '{"lks_genormeerd": false}'),
-- department / care_program — instellingsconfigureerbaar, minimale startwaarden
('department', 'volwassenen', 'Volwassenen', '{}'),
('department', 'jeugd', 'Jeugd', '{}'),
('department', 'ouderen', 'Ouderen', '{}'),
('department', 'forensisch', 'Forensisch', '{}'),
('department', 'overig', 'Overig', '{}'),
('care_program', 'algemeen_ggz', 'Algemeen GGZ', '{}'),
('care_program', 'stemming', 'Stemming', '{}'),
('care_program', 'trauma', 'Trauma', '{}'),
('care_program', 'verslaving', 'Verslaving', '{}'),
('care_program', 'overig', 'Overig', '{}'),
-- toestemming_type (extra.grondslag)
('toestemming_type', 'correspondentie_huisarts_verwijzer', 'Correspondentie huisarts/verwijzer', '{"grondslag": "WGBO/verwijsafspraken"}'),
('toestemming_type', 'dsm_hoofdgroep_op_factuur', 'DSM-hoofdgroep op factuur', '{"grondslag": "Stcrt. 2025-11955, opt-in"}'),
('toestemming_type', 'privacyverklaring_zorgvraagtypering', 'Privacyverklaring zorgvraagtypering', '{"grondslag": "NZa"}'),
('toestemming_type', 'gegevensdeling_derden', 'Gegevensdeling derden', '{"grondslag": "AVG"}'),
('toestemming_type', 'inzage_naasten', 'Inzage naasten', '{"grondslag": "WGBO"}'),
-- toestemming_status / toestemming_wijze
('toestemming_status', 'verleend', 'Verleend', '{}'),
('toestemming_status', 'geweigerd', 'Geweigerd', '{}'),
('toestemming_status', 'ingetrokken', 'Ingetrokken', '{}'),
('toestemming_wijze', 'mondeling', 'Mondeling', '{}'),
('toestemming_wijze', 'schriftelijk', 'Schriftelijk', '{}'),
('toestemming_wijze', 'portaal', 'Portaal', '{}');

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-- ============================================================================
-- PERSON / CLIENT DOMAIN
-- ============================================================================
-- Created: 2026-07-20
-- Source: docs/datamodel/deelmodellen/model-aanmelding.md §2.1-2.9, §2.14, §2.16
-- (PERSOON, ADRES, CONTACTGEGEVEN, CLIENT, CLIENTRELATIE, VERWIJZER,
-- PRAKTIJK_INSTELLING, CLIENT_HUISARTS, VERZEKERING, TOESTEMMING,
-- CLIENTPORTAAL_ACCOUNT) — the AANMELDING/VERWIJZING/ZORGEPISODE part of
-- that document is superseded by the referral/intake domains that follow
-- this migration, not translated here.
--
-- Naming: English identifiers per besluit B20. Dutch field names in the
-- source document are translated 1:1 in meaning; nothing renamed to a
-- different concept.
--
-- Privacy: raw BSN is never stored, only a SHA-256 hash (bsn_hash) — this
-- follows the platform-wide privacy rule (root CLAUDE.md), which is a
-- stricter requirement than the source document's "versleuteld (pgcrypto)"
-- wording. Reversible BSN storage for declaratie/Vecozo purposes, if ever
-- needed, is a separate, explicitly-scoped decision — not implemented here.
-- ============================================================================
CREATE EXTENSION IF NOT EXISTS pgcrypto;
-- ============================================================================
-- person
-- ============================================================================
CREATE TABLE person (
id UUID PRIMARY KEY DEFAULT gen_random_uuid(),
family_name TEXT NOT NULL,
name_prefix TEXT,
given_names TEXT,
initials TEXT,
preferred_name TEXT,
birth_date DATE NOT NULL,
gender TEXT NOT NULL, -- waardelijst geslacht
gender_identity TEXT, -- waardelijst genderidentiteit
bsn_hash TEXT, -- SHA-256, optioneel op PERSOON (rolgebonden eis via nudge)
deceased BOOLEAN NOT NULL DEFAULT false,
deceased_at DATE,
created_at TIMESTAMPTZ NOT NULL DEFAULT now(),
updated_at TIMESTAMPTZ NOT NULL DEFAULT now(),
deleted_at TIMESTAMPTZ,
CONSTRAINT person_family_name_not_empty CHECK (length(trim(family_name)) > 0),
CONSTRAINT person_deceased_at_requires_flag CHECK (deceased_at IS NULL OR deceased)
);
CREATE UNIQUE INDEX idx_person_bsn_hash ON person(bsn_hash) WHERE bsn_hash IS NOT NULL AND deleted_at IS NULL;
CREATE INDEX idx_person_name ON person(family_name, given_names) WHERE deleted_at IS NULL;
COMMENT ON TABLE person IS 'Natuurlijke persoon, onafhankelijk van rollen (cliënt, contactpersoon, vertegenwoordiger, medewerker). model-aanmelding.md §2.1.';
COMMENT ON COLUMN person.bsn_hash IS 'SHA-256 hash van het BSN; geen raw BSN opgeslagen (platform-privacyregel). Naam+geboortedatum-duplicaten zijn een nudge, geen constraint.';
ALTER TABLE person ENABLE ROW LEVEL SECURITY;
CREATE POLICY "Enable all for authenticated users" ON person FOR ALL USING (auth.role() = 'authenticated');
CREATE TRIGGER update_person_updated_at BEFORE UPDATE ON person FOR EACH ROW EXECUTE FUNCTION update_updated_at_column();
-- ============================================================================
-- address
-- ============================================================================
CREATE TABLE address (
id UUID PRIMARY KEY DEFAULT gen_random_uuid(),
person_id UUID NOT NULL REFERENCES person(id) ON DELETE CASCADE,
address_type TEXT NOT NULL, -- waardelijst adrestype
street TEXT NOT NULL,
house_number TEXT NOT NULL,
house_number_addition TEXT,
postal_code TEXT NOT NULL,
city TEXT NOT NULL,
country TEXT NOT NULL DEFAULT 'NL',
valid_from DATE,
valid_to DATE,
created_at TIMESTAMPTZ NOT NULL DEFAULT now(),
updated_at TIMESTAMPTZ NOT NULL DEFAULT now(),
deleted_at TIMESTAMPTZ
);
-- max één actueel (valid_to leeg) adres per persoon per adrestype
CREATE UNIQUE INDEX idx_address_current_per_type ON address(person_id, address_type)
WHERE valid_to IS NULL AND deleted_at IS NULL;
CREATE INDEX idx_address_person ON address(person_id) WHERE deleted_at IS NULL;
COMMENT ON TABLE address IS 'model-aanmelding.md §2.2 — 0..n adressen per persoon (zib Patient).';
ALTER TABLE address ENABLE ROW LEVEL SECURITY;
CREATE POLICY "Enable all for authenticated users" ON address FOR ALL USING (auth.role() = 'authenticated');
CREATE TRIGGER update_address_updated_at BEFORE UPDATE ON address FOR EACH ROW EXECUTE FUNCTION update_updated_at_column();
-- ============================================================================
-- contact_detail
-- ============================================================================
CREATE TABLE contact_detail (
id UUID PRIMARY KEY DEFAULT gen_random_uuid(),
person_id UUID NOT NULL REFERENCES person(id) ON DELETE CASCADE,
contact_type TEXT NOT NULL, -- waardelijst contactgegeven_type (telefoon/e-mail)
contact_subtype TEXT, -- waardelijst contactgegeven_soort
value TEXT NOT NULL,
is_preferred BOOLEAN NOT NULL DEFAULT false,
created_at TIMESTAMPTZ NOT NULL DEFAULT now(),
updated_at TIMESTAMPTZ NOT NULL DEFAULT now(),
deleted_at TIMESTAMPTZ
);
-- max één voorkeursgegeven per persoon per contacttype
CREATE UNIQUE INDEX idx_contact_detail_preferred ON contact_detail(person_id, contact_type)
WHERE is_preferred AND deleted_at IS NULL;
CREATE INDEX idx_contact_detail_person ON contact_detail(person_id) WHERE deleted_at IS NULL;
COMMENT ON TABLE contact_detail IS 'model-aanmelding.md §2.3 — telefoonnummers en e-mailadressen per persoon.';
ALTER TABLE contact_detail ENABLE ROW LEVEL SECURITY;
CREATE POLICY "Enable all for authenticated users" ON contact_detail FOR ALL USING (auth.role() = 'authenticated');
CREATE TRIGGER update_contact_detail_updated_at BEFORE UPDATE ON contact_detail FOR EACH ROW EXECUTE FUNCTION update_updated_at_column();
-- ============================================================================
-- client (rol op person)
-- ============================================================================
CREATE TABLE client (
id UUID PRIMARY KEY DEFAULT gen_random_uuid(),
person_id UUID NOT NULL REFERENCES person(id) ON DELETE RESTRICT,
client_number BIGINT NOT NULL,
client_since DATE NOT NULL,
gp_situation TEXT NOT NULL DEFAULT 'onbekend', -- waardelijst huisarts_situatie
created_at TIMESTAMPTZ NOT NULL DEFAULT now(),
updated_at TIMESTAMPTZ NOT NULL DEFAULT now(),
deleted_at TIMESTAMPTZ
);
-- max één CLIENT-rol per PERSOON
CREATE UNIQUE INDEX idx_client_person ON client(person_id) WHERE deleted_at IS NULL;
CREATE UNIQUE INDEX idx_client_number ON client(client_number) WHERE deleted_at IS NULL;
COMMENT ON TABLE client IS 'model-aanmelding.md §2.4 — instellingsgebonden rol op PERSOON. Nudge (geen constraint): cliënt zonder bsn_hash (Wabvpz).';
ALTER TABLE client ENABLE ROW LEVEL SECURITY;
CREATE POLICY "Enable all for authenticated users" ON client FOR ALL USING (auth.role() = 'authenticated');
CREATE TRIGGER update_client_updated_at BEFORE UPDATE ON client FOR EACH ROW EXECUTE FUNCTION update_updated_at_column();
-- ============================================================================
-- client_relation (contactpersoon / wettelijk vertegenwoordiger)
-- ============================================================================
CREATE TABLE client_relation (
id UUID PRIMARY KEY DEFAULT gen_random_uuid(),
client_id UUID NOT NULL REFERENCES client(id) ON DELETE CASCADE,
person_id UUID NOT NULL REFERENCES person(id) ON DELETE RESTRICT,
relation_type TEXT, -- waardelijst relatie (partner, ouder, kind, ...)
relation_role TEXT NOT NULL, -- waardelijst relatierol
representation_basis TEXT, -- waardelijst vertegenwoordigingsgrond (alleen bij rol wettelijk_vertegenwoordiger)
valid_from DATE NOT NULL,
valid_to DATE,
notes TEXT,
created_at TIMESTAMPTZ NOT NULL DEFAULT now(),
updated_at TIMESTAMPTZ NOT NULL DEFAULT now(),
deleted_at TIMESTAMPTZ
);
-- max één actuele rij per (client, persoon, rol)
CREATE UNIQUE INDEX idx_client_relation_current ON client_relation(client_id, person_id, relation_role)
WHERE valid_to IS NULL AND deleted_at IS NULL;
CREATE INDEX idx_client_relation_client ON client_relation(client_id) WHERE deleted_at IS NULL;
COMMENT ON TABLE client_relation IS 'model-aanmelding.md §2.5 — contactpersonen/vertegenwoordigers, twee assen relatie x rol (zib Contactpersoon). Leeftijdsafhankelijke rechten (12/16 WGBO) zijn autorisatie, geen schema.';
ALTER TABLE client_relation ENABLE ROW LEVEL SECURITY;
CREATE POLICY "Enable all for authenticated users" ON client_relation FOR ALL USING (auth.role() = 'authenticated');
CREATE TRIGGER update_client_relation_updated_at BEFORE UPDATE ON client_relation FOR EACH ROW EXECUTE FUNCTION update_updated_at_column();
-- Zelfrelatie (persoon = cliënt-persoon) niet toegestaan. CHECK-constraints
-- kunnen geen subquery bevatten in Postgres, dus dit is een trigger i.p.v.
-- een CHECK — functioneel identiek aan wat model-aanmelding.md §2.5 vraagt.
CREATE OR REPLACE FUNCTION prevent_client_relation_self_reference()
RETURNS TRIGGER AS $$
BEGIN
IF NEW.person_id = (SELECT person_id FROM client WHERE client.id = NEW.client_id) THEN
RAISE EXCEPTION 'client_relation: person_id mag niet gelijk zijn aan de cliënt-persoon zelf';
END IF;
RETURN NEW;
END;
$$ LANGUAGE plpgsql;
CREATE TRIGGER client_relation_no_self_reference
BEFORE INSERT OR UPDATE ON client_relation
FOR EACH ROW EXECUTE FUNCTION prevent_client_relation_self_reference();
-- ============================================================================
-- practice_organization (moet vóór referrer bestaan i.v.m. FK)
-- ============================================================================
CREATE TABLE practice_organization (
id UUID PRIMARY KEY DEFAULT gen_random_uuid(),
name TEXT NOT NULL,
practice_type TEXT, -- waardelijst praktijk_soort
agb_code TEXT,
address_text TEXT,
phone TEXT,
created_at TIMESTAMPTZ NOT NULL DEFAULT now(),
updated_at TIMESTAMPTZ NOT NULL DEFAULT now(),
deleted_at TIMESTAMPTZ
);
CREATE UNIQUE INDEX idx_practice_organization_agb ON practice_organization(agb_code) WHERE agb_code IS NOT NULL AND deleted_at IS NULL;
COMMENT ON TABLE practice_organization IS 'model-aanmelding.md §2.7 — organisatie waaraan verwijzers/huisartsen verbonden zijn.';
ALTER TABLE practice_organization ENABLE ROW LEVEL SECURITY;
CREATE POLICY "Enable all for authenticated users" ON practice_organization FOR ALL USING (auth.role() = 'authenticated');
CREATE TRIGGER update_practice_organization_updated_at BEFORE UPDATE ON practice_organization FOR EACH ROW EXECUTE FUNCTION update_updated_at_column();
-- ============================================================================
-- referrer
-- ============================================================================
CREATE TABLE referrer (
id UUID PRIMARY KEY DEFAULT gen_random_uuid(),
name TEXT NOT NULL,
referrer_type TEXT NOT NULL, -- waardelijst verwijzertype (extra.agb_verplicht bepaalt nudge)
agb_code TEXT,
practice_organization_id UUID REFERENCES practice_organization(id) ON DELETE SET NULL,
phone TEXT,
email TEXT,
created_at TIMESTAMPTZ NOT NULL DEFAULT now(),
updated_at TIMESTAMPTZ NOT NULL DEFAULT now(),
deleted_at TIMESTAMPTZ
);
CREATE UNIQUE INDEX idx_referrer_agb ON referrer(agb_code) WHERE agb_code IS NOT NULL AND deleted_at IS NULL;
CREATE INDEX idx_referrer_practice ON referrer(practice_organization_id) WHERE deleted_at IS NULL;
COMMENT ON TABLE referrer IS 'model-aanmelding.md §2.6 — persoon/functionaris die verwijst, los van practice_organization. Kan zonder praktijk bestaan (gemeente-ambtenaar). Ook referent voor de vaste huisarts.';
ALTER TABLE referrer ENABLE ROW LEVEL SECURITY;
CREATE POLICY "Enable all for authenticated users" ON referrer FOR ALL USING (auth.role() = 'authenticated');
CREATE TRIGGER update_referrer_updated_at BEFORE UPDATE ON referrer FOR EACH ROW EXECUTE FUNCTION update_updated_at_column();
-- ============================================================================
-- client_general_practitioner (vaste huisarts)
-- ============================================================================
CREATE TABLE client_general_practitioner (
id UUID PRIMARY KEY DEFAULT gen_random_uuid(),
client_id UUID NOT NULL REFERENCES client(id) ON DELETE CASCADE,
referrer_id UUID REFERENCES referrer(id) ON DELETE SET NULL,
practice_organization_id UUID REFERENCES practice_organization(id) ON DELETE SET NULL,
valid_from DATE NOT NULL,
valid_to DATE,
created_at TIMESTAMPTZ NOT NULL DEFAULT now(),
updated_at TIMESTAMPTZ NOT NULL DEFAULT now(),
deleted_at TIMESTAMPTZ,
CONSTRAINT client_gp_at_least_one_ref CHECK (referrer_id IS NOT NULL OR practice_organization_id IS NOT NULL)
);
-- max één actuele registratie per cliënt
CREATE UNIQUE INDEX idx_client_gp_current ON client_general_practitioner(client_id)
WHERE valid_to IS NULL AND deleted_at IS NULL;
COMMENT ON TABLE client_general_practitioner IS 'model-aanmelding.md §2.8 — vaste huisarts, los van de incidentele verwijzer. "Geen huisarts"/"geen toestemming" staat op client.gp_situation, niet hier.';
ALTER TABLE client_general_practitioner ENABLE ROW LEVEL SECURITY;
CREATE POLICY "Enable all for authenticated users" ON client_general_practitioner FOR ALL USING (auth.role() = 'authenticated');
CREATE TRIGGER update_client_gp_updated_at BEFORE UPDATE ON client_general_practitioner FOR EACH ROW EXECUTE FUNCTION update_updated_at_column();
-- ============================================================================
-- insurance
-- ============================================================================
CREATE TABLE insurance (
id UUID PRIMARY KEY DEFAULT gen_random_uuid(),
client_id UUID NOT NULL REFERENCES client(id) ON DELETE CASCADE,
uzovi_code TEXT NOT NULL,
insurer_name TEXT,
policy_number TEXT,
valid_from DATE NOT NULL,
valid_to DATE,
cov_checked_at DATE,
created_at TIMESTAMPTZ NOT NULL DEFAULT now(),
updated_at TIMESTAMPTZ NOT NULL DEFAULT now(),
deleted_at TIMESTAMPTZ
);
-- max één actuele verzekering per cliënt
CREATE UNIQUE INDEX idx_insurance_current ON insurance(client_id) WHERE valid_to IS NULL AND deleted_at IS NULL;
COMMENT ON TABLE insurance IS 'model-aanmelding.md §2.9 — Zvw-verzekeringsgegevens. Nudge: Zvw-aanmelding zonder actuele COV-controle. Wlz/forensisch: declaratie-ronde.';
ALTER TABLE insurance ENABLE ROW LEVEL SECURITY;
CREATE POLICY "Enable all for authenticated users" ON insurance FOR ALL USING (auth.role() = 'authenticated');
CREATE TRIGGER update_insurance_updated_at BEFORE UPDATE ON insurance FOR EACH ROW EXECUTE FUNCTION update_updated_at_column();
-- ============================================================================
-- consent
-- ============================================================================
-- referral_case_id/clinical_care_episode_id FKs are added by later migrations
-- (create_referral_domain, create_intake_treatment_advice_domain) once those
-- tables exist — see ALTER TABLE at the bottom of create_referral_domain.
CREATE TABLE consent (
id UUID PRIMARY KEY DEFAULT gen_random_uuid(),
client_id UUID NOT NULL REFERENCES client(id) ON DELETE CASCADE,
consent_type TEXT NOT NULL, -- waardelijst toestemming_type (extra.grondslag)
status TEXT NOT NULL, -- waardelijst toestemming_status
consent_date DATE NOT NULL,
method TEXT, -- waardelijst toestemming_wijze
recorded_by UUID REFERENCES practitioners(id),
valid_to DATE,
revoked_at DATE,
scope_referral_case_id UUID, -- optioneel; default cliëntbreed
notes TEXT,
created_at TIMESTAMPTZ NOT NULL DEFAULT now(),
updated_at TIMESTAMPTZ NOT NULL DEFAULT now(),
deleted_at TIMESTAMPTZ
);
-- max één actuele (niet-ingetrokken) rij per (client, type, scope)
CREATE UNIQUE INDEX idx_consent_current ON consent(client_id, consent_type, COALESCE(scope_referral_case_id, '00000000-0000-0000-0000-000000000000'))
WHERE status <> 'ingetrokken' AND deleted_at IS NULL;
CREATE INDEX idx_consent_client ON consent(client_id) WHERE deleted_at IS NULL;
COMMENT ON TABLE consent IS 'model-aanmelding.md §2.14 — generieke WGBO/AVG-toestemming. Cliëntakkoord op het behandelplan is een apart feit bij het behandelplan, geen consent-rij. scope_referral_case_id FK volgt in create_referral_domain.sql.';
ALTER TABLE consent ENABLE ROW LEVEL SECURITY;
CREATE POLICY "Enable all for authenticated users" ON consent FOR ALL USING (auth.role() = 'authenticated');
CREATE TRIGGER update_consent_updated_at BEFORE UPDATE ON consent FOR EACH ROW EXECUTE FUNCTION update_updated_at_column();
-- ============================================================================
-- client_portal_account
-- ============================================================================
CREATE TABLE client_portal_account (
id UUID PRIMARY KEY DEFAULT gen_random_uuid(),
client_id UUID NOT NULL REFERENCES client(id) ON DELETE CASCADE,
created_at TIMESTAMPTZ NOT NULL DEFAULT now(),
updated_at TIMESTAMPTZ NOT NULL DEFAULT now(),
deleted_at TIMESTAMPTZ
);
CREATE UNIQUE INDEX idx_client_portal_account_client ON client_portal_account(client_id) WHERE deleted_at IS NULL;
COMMENT ON TABLE client_portal_account IS 'model-aanmelding.md §2.16 — relatie-placeholder (Wabvpz elektronische inzage). Authenticatiedetails: auth/ADM-ronde.';
ALTER TABLE client_portal_account ENABLE ROW LEVEL SECURITY;
CREATE POLICY "Enable all for authenticated users" ON client_portal_account FOR ALL USING (auth.role() = 'authenticated');
CREATE TRIGGER update_client_portal_account_updated_at BEFORE UPDATE ON client_portal_account FOR EACH ROW EXECUTE FUNCTION update_updated_at_column();

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-- ============================================================================
-- REFERRAL / INSTROOM DOMAIN
-- ============================================================================
-- Created: 2026-07-20
-- Source: docs/datamodel/deelmodellen/model-instroom.md (20 entiteiten),
-- docs/datamodel/feitenmodellen/feitenmodel-instroom.md, besluiten B21-B30.
--
-- Design principles carried over from the model documents:
-- - referral_case has NO status column — the current state is derived from
-- the event timeline (signal_case_assignment/screening_activity/
-- case_information_request/care_acceptance_decision/case_withdrawal/
-- case_consolidation). See model-instroom.md §5. Application code (or a
-- read-model view, per the UX review) computes "actuele stand", not this
-- schema.
-- - "vervangt"-relations (care_acceptance_decision, professional_referral,
-- municipal_care_assignment) are enforced unique-if-set (partial unique
-- index) so the chain can never fork.
-- - `medewerker`/beslisser references point at the existing `practitioners`
-- table (already used by the prototype screening/intake schema).
-- - `decision_authority_id` on care_acceptance_decision is left nullable
-- for now: the target table for decision authority does not exist yet
-- (bevoegdheidsronde, B16/B33). The model calls it "verplicht"; enforcing
-- NOT NULL today would make every insert impossible. Tighten once that
-- ronde delivers a real authority table.
-- ============================================================================
-- ============================================================================
-- referral_request
-- ============================================================================
CREATE TABLE referral_request (
id UUID PRIMARY KEY DEFAULT gen_random_uuid(),
person_id UUID REFERENCES person(id) ON DELETE RESTRICT,
person_identified_at TIMESTAMPTZ,
person_identified_by UUID REFERENCES practitioners(id),
initiated_at TIMESTAMPTZ NOT NULL,
initiator_type TEXT NOT NULL, -- waardelijst initiator_type
referrer_id UUID REFERENCES referrer(id),
requested_scope TEXT NOT NULL,
presenting_need_text TEXT NOT NULL,
created_at TIMESTAMPTZ NOT NULL DEFAULT now(),
updated_at TIMESTAMPTZ NOT NULL DEFAULT now(),
deleted_at TIMESTAMPTZ,
CONSTRAINT referral_request_person_identification CHECK (
(person_id IS NULL AND person_identified_at IS NULL AND person_identified_by IS NULL)
OR (person_id IS NOT NULL AND person_identified_at IS NOT NULL AND person_identified_by IS NOT NULL)
)
);
COMMENT ON TABLE referral_request IS 'model-instroom.md §2.1. person_id optioneel: crisisaanmelding met onbekende identiteit (B26) — geen placeholder-persoon, de koppeling is een eigen feit.';
ALTER TABLE referral_request ENABLE ROW LEVEL SECURITY;
CREATE POLICY "Enable all for authenticated users" ON referral_request FOR ALL USING (auth.role() = 'authenticated');
CREATE TRIGGER update_referral_request_updated_at BEFORE UPDATE ON referral_request FOR EACH ROW EXECUTE FUNCTION update_updated_at_column();
-- ============================================================================
-- referral_submission
-- ============================================================================
CREATE TABLE referral_submission (
id UUID PRIMARY KEY DEFAULT gen_random_uuid(),
received_at TIMESTAMPTZ NOT NULL,
channel TEXT NOT NULL, -- waardelijst submission_channel
source_reference TEXT, -- vrije tekst of naam verwijzer; "onbekend" toegestaan
recorded_by UUID REFERENCES practitioners(id),
raw_note TEXT,
created_at TIMESTAMPTZ NOT NULL DEFAULT now(),
updated_at TIMESTAMPTZ NOT NULL DEFAULT now(),
deleted_at TIMESTAMPTZ
);
COMMENT ON TABLE referral_submission IS 'model-instroom.md §2.2. Nooit overschreven door een latere aanvulling — een aanvulling is een nieuwe submission.';
ALTER TABLE referral_submission ENABLE ROW LEVEL SECURITY;
CREATE POLICY "Enable all for authenticated users" ON referral_submission FOR ALL USING (auth.role() = 'authenticated');
CREATE TRIGGER update_referral_submission_updated_at BEFORE UPDATE ON referral_submission FOR EACH ROW EXECUTE FUNCTION update_updated_at_column();
-- ============================================================================
-- submission_document
-- ============================================================================
CREATE TABLE submission_document (
id UUID PRIMARY KEY DEFAULT gen_random_uuid(),
submission_id UUID NOT NULL REFERENCES referral_submission(id) ON DELETE CASCADE,
document_type TEXT NOT NULL, -- waardelijst document_type
document_reference UUID NOT NULL, -- documentopslag
created_at TIMESTAMPTZ NOT NULL DEFAULT now(),
updated_at TIMESTAMPTZ NOT NULL DEFAULT now(),
deleted_at TIMESTAMPTZ
);
CREATE INDEX idx_submission_document_submission ON submission_document(submission_id) WHERE deleted_at IS NULL;
COMMENT ON TABLE submission_document IS 'model-instroom.md §2.3.';
ALTER TABLE submission_document ENABLE ROW LEVEL SECURITY;
CREATE POLICY "Enable all for authenticated users" ON submission_document FOR ALL USING (auth.role() = 'authenticated');
CREATE TRIGGER update_submission_document_updated_at BEFORE UPDATE ON submission_document FOR EACH ROW EXECUTE FUNCTION update_updated_at_column();
-- ============================================================================
-- submission_request_link
-- ============================================================================
CREATE TABLE submission_request_link (
id UUID PRIMARY KEY DEFAULT gen_random_uuid(),
submission_id UUID NOT NULL REFERENCES referral_submission(id) ON DELETE CASCADE,
referral_request_id UUID NOT NULL REFERENCES referral_request(id) ON DELETE CASCADE,
established_at TIMESTAMPTZ NOT NULL,
created_at TIMESTAMPTZ NOT NULL DEFAULT now(),
deleted_at TIMESTAMPTZ,
UNIQUE (submission_id, referral_request_id)
);
CREATE INDEX idx_submission_request_link_request ON submission_request_link(referral_request_id) WHERE deleted_at IS NULL;
COMMENT ON TABLE submission_request_link IS 'model-instroom.md §2.4. "representeert" vs "vult_aan" is niet opgeslagen — af te leiden als vroegste established_at per referral_request_id.';
ALTER TABLE submission_request_link ENABLE ROW LEVEL SECURITY;
CREATE POLICY "Enable all for authenticated users" ON submission_request_link FOR ALL USING (auth.role() = 'authenticated');
-- ============================================================================
-- submission_duplicate_assessment
-- ============================================================================
CREATE TABLE submission_duplicate_assessment (
id UUID PRIMARY KEY DEFAULT gen_random_uuid(),
submission_id UUID NOT NULL REFERENCES referral_submission(id) ON DELETE CASCADE,
duplicate_of_submission_id UUID NOT NULL REFERENCES referral_submission(id) ON DELETE CASCADE,
assessed_by UUID NOT NULL REFERENCES practitioners(id),
assessed_at TIMESTAMPTZ NOT NULL,
reason TEXT NOT NULL,
created_at TIMESTAMPTZ NOT NULL DEFAULT now(),
deleted_at TIMESTAMPTZ,
CONSTRAINT submission_duplicate_not_self CHECK (submission_id <> duplicate_of_submission_id)
);
COMMENT ON TABLE submission_duplicate_assessment IS 'model-instroom.md §2.5. Niet-destructief: beide submissions blijven bestaan.';
ALTER TABLE submission_duplicate_assessment ENABLE ROW LEVEL SECURITY;
CREATE POLICY "Enable all for authenticated users" ON submission_duplicate_assessment FOR ALL USING (auth.role() = 'authenticated');
-- ============================================================================
-- referral_case
-- ============================================================================
CREATE TABLE referral_case (
id UUID PRIMARY KEY DEFAULT gen_random_uuid(),
person_id UUID REFERENCES person(id) ON DELETE RESTRICT,
person_identified_at TIMESTAMPTZ,
person_identified_by UUID REFERENCES practitioners(id),
opened_at TIMESTAMPTZ NOT NULL,
presenting_need_summary TEXT NOT NULL,
legal_framework TEXT NOT NULL, -- waardelijst wettelijk_kader
zpm_referral_type TEXT, -- waardelijst zpm_verwijstype
gp_informed_at DATE,
created_at TIMESTAMPTZ NOT NULL DEFAULT now(),
updated_at TIMESTAMPTZ NOT NULL DEFAULT now(),
deleted_at TIMESTAMPTZ,
CONSTRAINT referral_case_person_identification CHECK (
(person_id IS NULL AND person_identified_at IS NULL AND person_identified_by IS NULL)
OR (person_id IS NOT NULL AND person_identified_at IS NOT NULL AND person_identified_by IS NOT NULL)
)
);
COMMENT ON TABLE referral_case IS 'model-instroom.md §2.6. Geen statusveld — zie §5 aldaar en de opmerking bovenaan dit bestand. legal_framework/zpm_referral_type/gp_informed_at hersteld van het oudere AANMELDING (B21-B27).';
ALTER TABLE referral_case ENABLE ROW LEVEL SECURITY;
CREATE POLICY "Enable all for authenticated users" ON referral_case FOR ALL USING (auth.role() = 'authenticated');
CREATE TRIGGER update_referral_case_updated_at BEFORE UPDATE ON referral_case FOR EACH ROW EXECUTE FUNCTION update_updated_at_column();
-- Now that referral_case exists: wire the consent scope FK from the person/client migration
ALTER TABLE consent
ADD CONSTRAINT consent_scope_referral_case_fk FOREIGN KEY (scope_referral_case_id) REFERENCES referral_case(id) ON DELETE SET NULL;
-- ============================================================================
-- submission_case_assignment
-- ============================================================================
CREATE TABLE submission_case_assignment (
id UUID PRIMARY KEY DEFAULT gen_random_uuid(),
submission_id UUID NOT NULL REFERENCES referral_submission(id) ON DELETE CASCADE,
referral_case_id UUID NOT NULL REFERENCES referral_case(id) ON DELETE CASCADE,
assigned_at TIMESTAMPTZ NOT NULL,
assigned_by UUID NOT NULL REFERENCES practitioners(id),
reason TEXT,
created_at TIMESTAMPTZ NOT NULL DEFAULT now(),
deleted_at TIMESTAMPTZ,
UNIQUE (submission_id, referral_case_id)
);
CREATE INDEX idx_submission_case_assignment_case ON submission_case_assignment(referral_case_id) WHERE deleted_at IS NULL;
COMMENT ON TABLE submission_case_assignment IS 'model-instroom.md §2.7 (hernoemd van signal_case_assignment). Toewijzing is een gebeurtenis, geen overschrijfbaar veld.';
ALTER TABLE submission_case_assignment ENABLE ROW LEVEL SECURITY;
CREATE POLICY "Enable all for authenticated users" ON submission_case_assignment FOR ALL USING (auth.role() = 'authenticated');
-- ============================================================================
-- request_case_link
-- ============================================================================
CREATE TABLE request_case_link (
id UUID PRIMARY KEY DEFAULT gen_random_uuid(),
referral_request_id UUID NOT NULL REFERENCES referral_request(id) ON DELETE CASCADE,
referral_case_id UUID NOT NULL REFERENCES referral_case(id) ON DELETE CASCADE,
since_date DATE NOT NULL,
reason TEXT,
created_at TIMESTAMPTZ NOT NULL DEFAULT now(),
deleted_at TIMESTAMPTZ,
UNIQUE (referral_request_id, referral_case_id)
);
COMMENT ON TABLE request_case_link IS 'model-instroom.md §2.8. reason verplicht (applicatieniveau) zodra een request aan >1 case gekoppeld is.';
ALTER TABLE request_case_link ENABLE ROW LEVEL SECURITY;
CREATE POLICY "Enable all for authenticated users" ON request_case_link FOR ALL USING (auth.role() = 'authenticated');
-- ============================================================================
-- case_consolidation
-- ============================================================================
CREATE TABLE case_consolidation (
id UUID PRIMARY KEY DEFAULT gen_random_uuid(),
primary_case_id UUID NOT NULL REFERENCES referral_case(id) ON DELETE RESTRICT,
related_case_id UUID NOT NULL REFERENCES referral_case(id) ON DELETE RESTRICT,
overlap_assessed_at TIMESTAMPTZ,
designated_at TIMESTAMPTZ NOT NULL,
designated_by UUID NOT NULL REFERENCES practitioners(id),
reason TEXT NOT NULL,
created_at TIMESTAMPTZ NOT NULL DEFAULT now(),
deleted_at TIMESTAMPTZ,
CONSTRAINT case_consolidation_no_self CHECK (primary_case_id <> related_case_id)
);
-- een case kan hoogstens één keer de niet-leidende rol vervullen
CREATE UNIQUE INDEX idx_case_consolidation_related_unique ON case_consolidation(related_case_id) WHERE deleted_at IS NULL;
COMMENT ON TABLE case_consolidation IS 'model-instroom.md §2.9 (hernoemd van access_case_consolidation). Geen speciale decision_authority vereist (administratieve correctie). Transitieve cykels niet uitgesloten op schemaniveau — applicatieverantwoordelijkheid.';
ALTER TABLE case_consolidation ENABLE ROW LEVEL SECURITY;
CREATE POLICY "Enable all for authenticated users" ON case_consolidation FOR ALL USING (auth.role() = 'authenticated');
-- ============================================================================
-- screening_activity
-- ============================================================================
CREATE TABLE screening_activity (
id UUID PRIMARY KEY DEFAULT gen_random_uuid(),
referral_case_id UUID NOT NULL REFERENCES referral_case(id) ON DELETE CASCADE,
performed_at TIMESTAMPTZ NOT NULL,
activity_type TEXT NOT NULL, -- waardelijst screening_activity_type
performed_by UUID NOT NULL REFERENCES practitioners(id),
notes TEXT,
funded BOOLEAN NOT NULL DEFAULT false,
created_at TIMESTAMPTZ NOT NULL DEFAULT now(),
updated_at TIMESTAMPTZ NOT NULL DEFAULT now(),
deleted_at TIMESTAMPTZ
);
CREATE INDEX idx_screening_activity_case ON screening_activity(referral_case_id) WHERE deleted_at IS NULL;
COMMENT ON TABLE screening_activity IS 'model-instroom.md §2.10. Directe koppeling aan referral_case — de aparte "screening"-groeperingsentiteit is vervallen (reviewronde 19 juli).';
ALTER TABLE screening_activity ENABLE ROW LEVEL SECURITY;
CREATE POLICY "Enable all for authenticated users" ON screening_activity FOR ALL USING (auth.role() = 'authenticated');
CREATE TRIGGER update_screening_activity_updated_at BEFORE UPDATE ON screening_activity FOR EACH ROW EXECUTE FUNCTION update_updated_at_column();
-- ============================================================================
-- case_information_request
-- ============================================================================
CREATE TABLE case_information_request (
id UUID PRIMARY KEY DEFAULT gen_random_uuid(),
referral_case_id UUID NOT NULL REFERENCES referral_case(id) ON DELETE CASCADE,
requested_at TIMESTAMPTZ NOT NULL,
requested_by UUID NOT NULL REFERENCES practitioners(id),
requested_information TEXT NOT NULL,
resolved_by_submission_id UUID REFERENCES referral_submission(id),
created_at TIMESTAMPTZ NOT NULL DEFAULT now(),
updated_at TIMESTAMPTZ NOT NULL DEFAULT now(),
deleted_at TIMESTAMPTZ
);
CREATE UNIQUE INDEX idx_case_information_request_resolved_submission ON case_information_request(resolved_by_submission_id) WHERE resolved_by_submission_id IS NOT NULL AND deleted_at IS NULL;
CREATE INDEX idx_case_information_request_case ON case_information_request(referral_case_id) WHERE deleted_at IS NULL;
COMMENT ON TABLE case_information_request IS 'model-instroom.md §2.11. Geen besluituitkomst en geen statusfase (B21/vraag 5) — een gedateerd gebeurtenisfeit; kan zich ook ná een eerder besluit voordoen tijdens heroverweging.';
ALTER TABLE case_information_request ENABLE ROW LEVEL SECURITY;
CREATE POLICY "Enable all for authenticated users" ON case_information_request FOR ALL USING (auth.role() = 'authenticated');
CREATE TRIGGER update_case_information_request_updated_at BEFORE UPDATE ON case_information_request FOR EACH ROW EXECUTE FUNCTION update_updated_at_column();
-- ============================================================================
-- care_acceptance_decision
-- ============================================================================
CREATE TABLE care_acceptance_decision (
id UUID PRIMARY KEY DEFAULT gen_random_uuid(),
referral_case_id UUID NOT NULL REFERENCES referral_case(id) ON DELETE RESTRICT,
decided_at TIMESTAMPTZ NOT NULL,
decided_by UUID NOT NULL REFERENCES practitioners(id),
decision_authority_id UUID, -- ref decision_authority — tabel volgt uit bevoegdheidsronde (B16); tijdelijk geen FK/NOT NULL
content_match BOOLEAN NOT NULL,
capacity_available BOOLEAN,
program_context TEXT, -- waardelijst care_program of vrije tekst
decision_outcome TEXT NOT NULL, -- waardelijst decision_outcome
follow_up_route TEXT NOT NULL, -- waardelijst follow_up_route
rationale TEXT,
replaces_decision_id UUID REFERENCES care_acceptance_decision(id),
replacement_reason TEXT,
created_at TIMESTAMPTZ NOT NULL DEFAULT now(),
updated_at TIMESTAMPTZ NOT NULL DEFAULT now(),
deleted_at TIMESTAMPTZ,
CONSTRAINT care_acceptance_decision_outcome_check CHECK (decision_outcome IN ('geaccepteerd', 'afgewezen')),
CONSTRAINT care_acceptance_decision_rationale_required CHECK (
decision_outcome <> 'afgewezen' OR (rationale IS NOT NULL AND length(trim(rationale)) > 0)
),
CONSTRAINT care_acceptance_decision_replacement_reason_required CHECK (
replaces_decision_id IS NULL OR (replacement_reason IS NOT NULL AND length(trim(replacement_reason)) > 0)
),
CONSTRAINT care_acceptance_decision_no_self_replace CHECK (replaces_decision_id <> id)
);
-- vervangt-keten kan nooit vertakken (B23 / reviewronde 19 juli, kritieke bevinding)
CREATE UNIQUE INDEX idx_care_acceptance_decision_replaces_unique ON care_acceptance_decision(replaces_decision_id) WHERE replaces_decision_id IS NOT NULL AND deleted_at IS NULL;
CREATE INDEX idx_care_acceptance_decision_case ON care_acceptance_decision(referral_case_id) WHERE deleted_at IS NULL;
COMMENT ON TABLE care_acceptance_decision IS 'model-instroom.md §2.12. Geen apart voorafgaand screeningsadvies (B21). Concurrency bij gelijktijdige heroverwegingen (SELECT ... FOR UPDATE op de keten-tail) is applicatieverantwoordelijkheid.';
ALTER TABLE care_acceptance_decision ENABLE ROW LEVEL SECURITY;
CREATE POLICY "Enable all for authenticated users" ON care_acceptance_decision FOR ALL USING (auth.role() = 'authenticated');
CREATE TRIGGER update_care_acceptance_decision_updated_at BEFORE UPDATE ON care_acceptance_decision FOR EACH ROW EXECUTE FUNCTION update_updated_at_column();
-- ============================================================================
-- case_withdrawal
-- ============================================================================
CREATE TABLE case_withdrawal (
id UUID PRIMARY KEY DEFAULT gen_random_uuid(),
referral_case_id UUID NOT NULL REFERENCES referral_case(id) ON DELETE CASCADE,
withdrawn_at TIMESTAMPTZ NOT NULL,
recorded_by UUID NOT NULL REFERENCES practitioners(id),
note TEXT,
created_at TIMESTAMPTZ NOT NULL DEFAULT now(),
deleted_at TIMESTAMPTZ
);
CREATE INDEX idx_case_withdrawal_case ON case_withdrawal(referral_case_id) WHERE deleted_at IS NULL;
COMMENT ON TABLE case_withdrawal IS 'model-instroom.md §2.13. Geen beslisbevoegdheid vereist; kan op elk moment, ook ná een positief besluit (B24).';
ALTER TABLE case_withdrawal ENABLE ROW LEVEL SECURITY;
CREATE POLICY "Enable all for authenticated users" ON case_withdrawal FOR ALL USING (auth.role() = 'authenticated');
-- ============================================================================
-- professional_referral
-- ============================================================================
CREATE TABLE professional_referral (
id UUID PRIMARY KEY DEFAULT gen_random_uuid(),
referral_request_id UUID NOT NULL REFERENCES referral_request(id) ON DELETE RESTRICT,
referrer_id UUID NOT NULL REFERENCES referrer(id),
referral_date DATE NOT NULL,
echelon TEXT, -- waardelijst echelon
suspected_condition TEXT,
is_readmission BOOLEAN NOT NULL DEFAULT false,
replaces_referral_id UUID REFERENCES professional_referral(id),
replacement_reason TEXT,
created_at TIMESTAMPTZ NOT NULL DEFAULT now(),
updated_at TIMESTAMPTZ NOT NULL DEFAULT now(),
deleted_at TIMESTAMPTZ,
CONSTRAINT professional_referral_replacement_reason_required CHECK (
replaces_referral_id IS NULL OR (replacement_reason IS NOT NULL AND length(trim(replacement_reason)) > 0)
),
CONSTRAINT professional_referral_no_self_replace CHECK (replaces_referral_id <> id)
);
CREATE UNIQUE INDEX idx_professional_referral_replaces_unique ON professional_referral(replaces_referral_id) WHERE replaces_referral_id IS NOT NULL AND deleted_at IS NULL;
CREATE INDEX idx_professional_referral_request ON professional_referral(referral_request_id) WHERE deleted_at IS NULL;
COMMENT ON TABLE professional_referral IS 'model-instroom.md §2.14. Correctie/aanvulling = nieuw, vervangend record, geen nieuw request (was open punt 1, opgelost).';
ALTER TABLE professional_referral ENABLE ROW LEVEL SECURITY;
CREATE POLICY "Enable all for authenticated users" ON professional_referral FOR ALL USING (auth.role() = 'authenticated');
CREATE TRIGGER update_professional_referral_updated_at BEFORE UPDATE ON professional_referral FOR EACH ROW EXECUTE FUNCTION update_updated_at_column();
-- ============================================================================
-- municipal_care_assignment
-- ============================================================================
CREATE TABLE municipal_care_assignment (
id UUID PRIMARY KEY DEFAULT gen_random_uuid(),
referral_request_id UUID NOT NULL REFERENCES referral_request(id) ON DELETE RESTRICT,
legal_framework TEXT NOT NULL, -- waardelijst municipal_legal_framework
municipality_code TEXT NOT NULL,
assignment_number TEXT NOT NULL,
product_category TEXT NOT NULL, -- waardelijst municipal_product_category
product_code TEXT NOT NULL,
volume NUMERIC NOT NULL,
unit TEXT NOT NULL, -- waardelijst municipal_product_unit
frequency TEXT NOT NULL,
start_date DATE NOT NULL,
end_date DATE,
issued_at TIMESTAMPTZ NOT NULL,
replaces_assignment_id UUID REFERENCES municipal_care_assignment(id),
replacement_reason TEXT,
created_at TIMESTAMPTZ NOT NULL DEFAULT now(),
updated_at TIMESTAMPTZ NOT NULL DEFAULT now(),
deleted_at TIMESTAMPTZ,
CONSTRAINT municipal_care_assignment_replacement_reason_required CHECK (
replaces_assignment_id IS NULL OR (replacement_reason IS NOT NULL AND length(trim(replacement_reason)) > 0)
),
CONSTRAINT municipal_care_assignment_no_self_replace CHECK (replaces_assignment_id <> id)
);
CREATE UNIQUE INDEX idx_municipal_care_assignment_replaces_unique ON municipal_care_assignment(replaces_assignment_id) WHERE replaces_assignment_id IS NOT NULL AND deleted_at IS NULL;
CREATE UNIQUE INDEX idx_municipal_care_assignment_number ON municipal_care_assignment(municipality_code, assignment_number) WHERE deleted_at IS NULL;
COMMENT ON TABLE municipal_care_assignment IS 'model-instroom.md §2.15 (voorstel, juridisch onderzoek 19 juli). Naast, niet in plaats van professional_referral (Jeugdwet kent een eigen professionele verwijsroute).';
ALTER TABLE municipal_care_assignment ENABLE ROW LEVEL SECURITY;
CREATE POLICY "Enable all for authenticated users" ON municipal_care_assignment FOR ALL USING (auth.role() = 'authenticated');
CREATE TRIGGER update_municipal_care_assignment_updated_at BEFORE UPDATE ON municipal_care_assignment FOR EACH ROW EXECUTE FUNCTION update_updated_at_column();
-- ============================================================================
-- legal_mandate
-- ============================================================================
CREATE TABLE legal_mandate (
id UUID PRIMARY KEY DEFAULT gen_random_uuid(),
referral_case_id UUID NOT NULL REFERENCES referral_case(id) ON DELETE RESTRICT,
mandate_type TEXT NOT NULL, -- waardelijst mandate_type
decision_reference TEXT NOT NULL,
decided_by_role TEXT NOT NULL, -- waardelijst mandate_decider_role
decided_at TIMESTAMPTZ NOT NULL,
medical_statement_reference UUID, -- documentopslag
effectuated_at TIMESTAMPTZ NOT NULL,
valid_from TIMESTAMPTZ NOT NULL,
valid_until TIMESTAMPTZ,
created_at TIMESTAMPTZ NOT NULL DEFAULT now(),
updated_at TIMESTAMPTZ NOT NULL DEFAULT now(),
deleted_at TIMESTAMPTZ,
CONSTRAINT legal_mandate_type_check CHECK (mandate_type IN ('crisismaatregel', 'zorgmachtiging')),
CONSTRAINT legal_mandate_medical_statement_required CHECK (
mandate_type <> 'crisismaatregel' OR medical_statement_reference IS NOT NULL
)
);
CREATE INDEX idx_legal_mandate_case ON legal_mandate(referral_case_id) WHERE deleted_at IS NULL;
COMMENT ON TABLE legal_mandate IS 'model-instroom.md §2.16 (voorstel, juridisch onderzoek 19 juli). Geen vervangt-relatie: een crisismaatregel die overgaat in een zorgmachtiging is een nieuw mandaat.';
ALTER TABLE legal_mandate ENABLE ROW LEVEL SECURITY;
CREATE POLICY "Enable all for authenticated users" ON legal_mandate FOR ALL USING (auth.role() = 'authenticated');
CREATE TRIGGER update_legal_mandate_updated_at BEFORE UPDATE ON legal_mandate FOR EACH ROW EXECUTE FUNCTION update_updated_at_column();
-- ============================================================================
-- crisis_encounter_note
-- ============================================================================
CREATE TABLE crisis_encounter_note (
id UUID PRIMARY KEY DEFAULT gen_random_uuid(),
referral_case_id UUID NOT NULL REFERENCES referral_case(id) ON DELETE CASCADE,
occurred_at TIMESTAMPTZ NOT NULL,
recorded_by UUID NOT NULL REFERENCES practitioners(id),
fact_type TEXT NOT NULL, -- waardelijst crisis_fact_type
description TEXT NOT NULL,
structured_value JSONB,
created_at TIMESTAMPTZ NOT NULL DEFAULT now(),
deleted_at TIMESTAMPTZ
);
CREATE INDEX idx_crisis_encounter_note_case ON crisis_encounter_note(referral_case_id) WHERE deleted_at IS NULL;
COMMENT ON TABLE crisis_encounter_note IS 'model-instroom.md §2.17 (voorstel). Werkt al zonder geïdentificeerde persoon. 14-dagen-identificatienudge hangt aan referral_request.person_identified_at IS NULL, geen constraint hier.';
ALTER TABLE crisis_encounter_note ENABLE ROW LEVEL SECURITY;
CREATE POLICY "Enable all for authenticated users" ON crisis_encounter_note FOR ALL USING (auth.role() = 'authenticated');
-- ============================================================================
-- clinical_care_episode
-- ============================================================================
CREATE TABLE clinical_care_episode (
id UUID PRIMARY KEY DEFAULT gen_random_uuid(),
originating_decision_id UUID REFERENCES care_acceptance_decision(id) ON DELETE RESTRICT,
originating_mandate_id UUID REFERENCES legal_mandate(id) ON DELETE RESTRICT,
started_at TIMESTAMPTZ NOT NULL,
ended_at TIMESTAMPTZ,
end_reason TEXT, -- waardelijst episode_end_reason
possible_continuation_of_episode_id UUID REFERENCES clinical_care_episode(id),
created_at TIMESTAMPTZ NOT NULL DEFAULT now(),
updated_at TIMESTAMPTZ NOT NULL DEFAULT now(),
deleted_at TIMESTAMPTZ,
CONSTRAINT clinical_care_episode_origin_xor CHECK (
(originating_decision_id IS NOT NULL AND originating_mandate_id IS NULL)
OR (originating_decision_id IS NULL AND originating_mandate_id IS NOT NULL)
),
CONSTRAINT clinical_care_episode_end_reason_required CHECK (
ended_at IS NULL OR end_reason IS NOT NULL
),
CONSTRAINT clinical_care_episode_no_self_continuation CHECK (possible_continuation_of_episode_id <> id)
);
CREATE UNIQUE INDEX idx_clinical_care_episode_decision ON clinical_care_episode(originating_decision_id) WHERE originating_decision_id IS NOT NULL AND deleted_at IS NULL;
CREATE UNIQUE INDEX idx_clinical_care_episode_mandate ON clinical_care_episode(originating_mandate_id) WHERE originating_mandate_id IS NOT NULL AND deleted_at IS NULL;
COMMENT ON TABLE clinical_care_episode IS 'model-instroom.md §2.18 (alleen ontstaan/einde — volledig episodemodel is een ander deelgebied). XOR: ontstaat óf uit een acceptatiebesluit óf uit een mandaat. possible_continuation_of_episode_id is een zorginhoudelijke aanwijzing, GEEN NZa-trajectnummertoets.';
ALTER TABLE clinical_care_episode ENABLE ROW LEVEL SECURITY;
CREATE POLICY "Enable all for authenticated users" ON clinical_care_episode FOR ALL USING (auth.role() = 'authenticated');
CREATE TRIGGER update_clinical_care_episode_updated_at BEFORE UPDATE ON clinical_care_episode FOR EACH ROW EXECUTE FUNCTION update_updated_at_column();
-- ============================================================================
-- case_urgency_assessment
-- ============================================================================
CREATE TABLE case_urgency_assessment (
id UUID PRIMARY KEY DEFAULT gen_random_uuid(),
referral_case_id UUID NOT NULL REFERENCES referral_case(id) ON DELETE CASCADE,
assessed_at TIMESTAMPTZ NOT NULL,
assessed_by UUID NOT NULL REFERENCES practitioners(id),
assessed_in_role TEXT NOT NULL, -- waardelijst urgency_assessor_role
urgency_level TEXT NOT NULL, -- waardelijst urgency_level
created_at TIMESTAMPTZ NOT NULL DEFAULT now(),
deleted_at TIMESTAMPTZ
);
CREATE INDEX idx_case_urgency_assessment_case ON case_urgency_assessment(referral_case_id) WHERE deleted_at IS NULL;
COMMENT ON TABLE case_urgency_assessment IS 'model-instroom.md §2.19. Herhaalbaar, laatste assessed_at geldt; geen vervangt-relatie (lagere inzet dan een acceptatiebesluit).';
ALTER TABLE case_urgency_assessment ENABLE ROW LEVEL SECURITY;
CREATE POLICY "Enable all for authenticated users" ON case_urgency_assessment FOR ALL USING (auth.role() = 'authenticated');
-- ============================================================================
-- episode_team_involvement (minimale, voorlopige hook — zie besluitenlog §10 punt 3)
-- ============================================================================
CREATE TABLE episode_team_involvement (
id UUID PRIMARY KEY DEFAULT gen_random_uuid(),
clinical_care_episode_id UUID NOT NULL REFERENCES clinical_care_episode(id) ON DELETE CASCADE,
team_reference TEXT NOT NULL, -- vrije tekst; geen Team-entiteit vóór de zorgteam-ronde
involved_since TIMESTAMPTZ NOT NULL,
recorded_by UUID NOT NULL REFERENCES practitioners(id),
created_at TIMESTAMPTZ NOT NULL DEFAULT now(),
deleted_at TIMESTAMPTZ
);
CREATE INDEX idx_episode_team_involvement_episode ON episode_team_involvement(clinical_care_episode_id) WHERE deleted_at IS NULL;
COMMENT ON TABLE episode_team_involvement IS 'model-instroom.md §2.20. Bewust minimaal — geen rollen, geen bevoegdheid, geen individueel lidmaatschap. Wordt vervangen/geabsorbeerd door het volledige zorgteam-model (besluitenlog §10 punt 3).';
ALTER TABLE episode_team_involvement ENABLE ROW LEVEL SECURITY;
CREATE POLICY "Enable all for authenticated users" ON episode_team_involvement FOR ALL USING (auth.role() = 'authenticated');

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-- ============================================================================
-- INTAKE / TREATMENT ADVICE DOMAIN
-- ============================================================================
-- Created: 2026-07-20
-- Source: docs/datamodel/deelmodellen/model-intake-behandeladvies.md (5
-- entiteiten), docs/datamodel/feitenmodellen/feitenmodel-intake-behandeladvies.md,
-- besluiten B31-B34.
--
-- clinical_intake_assessment hangs off clinical_care_episode (not off
-- referral_case) — it starts at some point after the acceptance decision,
-- possibly after a wait-list period (status = 'gepland' covers that).
-- ============================================================================
-- ============================================================================
-- clinical_intake_assessment
-- ============================================================================
CREATE TABLE clinical_intake_assessment (
id UUID PRIMARY KEY DEFAULT gen_random_uuid(),
clinical_care_episode_id UUID NOT NULL REFERENCES clinical_care_episode(id) ON DELETE RESTRICT,
initiation_reason TEXT NOT NULL, -- waardelijst intake_initiation_reason
department TEXT NOT NULL, -- waardelijst department
status TEXT NOT NULL DEFAULT 'gepland', -- waardelijst intake_status
planned_at TIMESTAMPTZ NOT NULL,
started_at TIMESTAMPTZ,
ended_at TIMESTAMPTZ,
abort_reason TEXT, -- waardelijst intake_abort_reason
created_at TIMESTAMPTZ NOT NULL DEFAULT now(),
updated_at TIMESTAMPTZ NOT NULL DEFAULT now(),
deleted_at TIMESTAMPTZ,
CONSTRAINT clinical_intake_assessment_status_check CHECK (status IN ('gepland', 'bezig', 'afgerond', 'afgebroken')),
CONSTRAINT clinical_intake_assessment_started_required CHECK (
status NOT IN ('bezig', 'afgerond', 'afgebroken') OR started_at IS NOT NULL
),
CONSTRAINT clinical_intake_assessment_ended_required CHECK (
status NOT IN ('afgerond', 'afgebroken') OR ended_at IS NOT NULL
),
CONSTRAINT clinical_intake_assessment_abort_reason_required CHECK (
status <> 'afgebroken' OR abort_reason IS NOT NULL
)
);
CREATE INDEX idx_clinical_intake_assessment_episode ON clinical_intake_assessment(clinical_care_episode_id) WHERE deleted_at IS NULL;
CREATE INDEX idx_clinical_intake_assessment_status ON clinical_intake_assessment(status) WHERE deleted_at IS NULL;
COMMENT ON TABLE clinical_intake_assessment IS 'model-intake-behandeladvies.md §1.1. Start ná het acceptatiebesluit (B31), niet gelijktijdig met episode-ontstaan — planned_at dekt een eventuele intakewachtlijst-periode. "Maximaal één lopende intake per episode" is een aan/uit-zetbare bedrijfsregel, geen schemabeperking.';
ALTER TABLE clinical_intake_assessment ENABLE ROW LEVEL SECURITY;
CREATE POLICY "Enable all for authenticated users" ON clinical_intake_assessment FOR ALL USING (auth.role() = 'authenticated');
CREATE TRIGGER update_clinical_intake_assessment_updated_at BEFORE UPDATE ON clinical_intake_assessment FOR EACH ROW EXECUTE FUNCTION update_updated_at_column();
-- ============================================================================
-- intake_contact
-- ============================================================================
CREATE TABLE intake_contact (
id UUID PRIMARY KEY DEFAULT gen_random_uuid(),
clinical_intake_assessment_id UUID NOT NULL REFERENCES clinical_intake_assessment(id) ON DELETE CASCADE,
occurred_at TIMESTAMPTZ NOT NULL,
contact_type TEXT NOT NULL, -- waardelijst intake_contact_type
performed_by UUID NOT NULL REFERENCES practitioners(id),
notes TEXT,
planned_duration_minutes INTEGER,
created_at TIMESTAMPTZ NOT NULL DEFAULT now(),
updated_at TIMESTAMPTZ NOT NULL DEFAULT now(),
deleted_at TIMESTAMPTZ,
CONSTRAINT intake_contact_duration_non_negative CHECK (planned_duration_minutes IS NULL OR planned_duration_minutes >= 0)
);
CREATE INDEX idx_intake_contact_assessment ON intake_contact(clinical_intake_assessment_id) WHERE deleted_at IS NULL;
COMMENT ON TABLE intake_contact IS 'model-intake-behandeladvies.md §1.2. Exclusief aan één clinical_intake_assessment; generalisatie naar een bredere consult-/afspraakstructuur is de agenda-ronde.';
ALTER TABLE intake_contact ENABLE ROW LEVEL SECURITY;
CREATE POLICY "Enable all for authenticated users" ON intake_contact FOR ALL USING (auth.role() = 'authenticated');
CREATE TRIGGER update_intake_contact_updated_at BEFORE UPDATE ON intake_contact FOR EACH ROW EXECUTE FUNCTION update_updated_at_column();
-- ============================================================================
-- child_safety_check
-- ============================================================================
CREATE TABLE child_safety_check (
id UUID PRIMARY KEY DEFAULT gen_random_uuid(),
clinical_intake_assessment_id UUID NOT NULL REFERENCES clinical_intake_assessment(id) ON DELETE CASCADE,
performed_at TIMESTAMPTZ NOT NULL,
performed_by UUID NOT NULL REFERENCES practitioners(id),
responsible_for_minors BOOLEAN NOT NULL,
minor_count INTEGER,
minor_ages TEXT, -- vrije tekst, bewust geen kindrecords (dataminimalisatie)
safety_concern BOOLEAN NOT NULL,
safety_concern_notes TEXT,
action_taken BOOLEAN NOT NULL,
action_taken_notes TEXT,
pregnancy BOOLEAN NOT NULL, -- vierde vlag, te verifiëren tegen KNMG-meldcode (B34)
notes TEXT,
created_at TIMESTAMPTZ NOT NULL DEFAULT now(),
updated_at TIMESTAMPTZ NOT NULL DEFAULT now(),
deleted_at TIMESTAMPTZ,
CONSTRAINT child_safety_check_safety_notes_required CHECK (NOT safety_concern OR safety_concern_notes IS NOT NULL),
CONSTRAINT child_safety_check_action_notes_required CHECK (NOT action_taken OR action_taken_notes IS NOT NULL)
);
-- maximaal één per intake
CREATE UNIQUE INDEX idx_child_safety_check_assessment ON child_safety_check(clinical_intake_assessment_id) WHERE deleted_at IS NULL;
COMMENT ON TABLE child_safety_check IS 'model-intake-behandeladvies.md §1.3 (B34). Wet verplichte meldcode / KNMG-kindcheck.';
ALTER TABLE child_safety_check ENABLE ROW LEVEL SECURITY;
CREATE POLICY "Enable all for authenticated users" ON child_safety_check FOR ALL USING (auth.role() = 'authenticated');
CREATE TRIGGER update_child_safety_check_updated_at BEFORE UPDATE ON child_safety_check FOR EACH ROW EXECUTE FUNCTION update_updated_at_column();
-- ============================================================================
-- intake_mdt_review (minimale, voorlopige hook — zie §6 aldaar)
-- ============================================================================
CREATE TABLE intake_mdt_review (
id UUID PRIMARY KEY DEFAULT gen_random_uuid(),
occurred_at TIMESTAMPTZ NOT NULL,
participants TEXT NOT NULL, -- vrije tekst; structurering wacht op de MDO-ronde (B14-B15)
notes TEXT,
created_at TIMESTAMPTZ NOT NULL DEFAULT now(),
deleted_at TIMESTAMPTZ
);
COMMENT ON TABLE intake_mdt_review IS 'model-intake-behandeladvies.md §1.4. Geen eigen FK naar clinical_intake_assessment — gekoppeld via treatment_advice.mdt_review_id, telt pas zodra hij aan een vastgesteld advies hangt. LKS 4.0: dwingend voor settings 3-8, optioneel setting 2, n.v.t. vrijgevestigden.';
ALTER TABLE intake_mdt_review ENABLE ROW LEVEL SECURITY;
CREATE POLICY "Enable all for authenticated users" ON intake_mdt_review FOR ALL USING (auth.role() = 'authenticated');
-- ============================================================================
-- treatment_advice
-- ============================================================================
CREATE TABLE treatment_advice (
id UUID PRIMARY KEY DEFAULT gen_random_uuid(),
clinical_intake_assessment_id UUID NOT NULL REFERENCES clinical_intake_assessment(id) ON DELETE RESTRICT,
decided_at TIMESTAMPTZ NOT NULL,
decided_by UUID NOT NULL REFERENCES practitioners(id), -- indicerende regiebehandelaar
outcome TEXT NOT NULL, -- waardelijst treatment_advice_outcome
recommended_care_program TEXT, -- waardelijst care_program
rationale TEXT,
mdt_review_id UUID REFERENCES intake_mdt_review(id),
replaces_advice_id UUID REFERENCES treatment_advice(id),
replacement_reason TEXT,
created_at TIMESTAMPTZ NOT NULL DEFAULT now(),
updated_at TIMESTAMPTZ NOT NULL DEFAULT now(),
deleted_at TIMESTAMPTZ,
CONSTRAINT treatment_advice_outcome_check CHECK (outcome IN ('in_zorg', 'terugverwijzing', 'doorverwijzing', 'extra_diagnostiek')),
CONSTRAINT treatment_advice_care_program_required CHECK (
outcome <> 'in_zorg' OR recommended_care_program IS NOT NULL
),
CONSTRAINT treatment_advice_rationale_required CHECK (
outcome = 'in_zorg' OR (rationale IS NOT NULL AND length(trim(rationale)) > 0)
),
CONSTRAINT treatment_advice_replacement_reason_required CHECK (
replaces_advice_id IS NULL OR (replacement_reason IS NOT NULL AND length(trim(replacement_reason)) > 0)
),
CONSTRAINT treatment_advice_no_self_replace CHECK (replaces_advice_id <> id)
);
-- vervangt-keten kan nooit vertakken, zelfde patroon als care_acceptance_decision
CREATE UNIQUE INDEX idx_treatment_advice_replaces_unique ON treatment_advice(replaces_advice_id) WHERE replaces_advice_id IS NOT NULL AND deleted_at IS NULL;
CREATE INDEX idx_treatment_advice_assessment ON treatment_advice(clinical_intake_assessment_id) WHERE deleted_at IS NULL;
COMMENT ON TABLE treatment_advice IS 'model-intake-behandeladvies.md §1.5 (B32-B33). Geen apart voorafgaand advies — dit object zelf geeft de vervolgrichting. doorverwijzing/terugverwijzing zijn LKS-genormeerd volgtijdelijk (via replaces_advice_id); extra_diagnostiek is praktijkgefundeerd, niet LKS-genormeerd.';
ALTER TABLE treatment_advice ENABLE ROW LEVEL SECURITY;
CREATE POLICY "Enable all for authenticated users" ON treatment_advice FOR ALL USING (auth.role() = 'authenticated');
CREATE TRIGGER update_treatment_advice_updated_at BEFORE UPDATE ON treatment_advice FOR EACH ROW EXECUTE FUNCTION update_updated_at_column();
-- Een afgeronde intake vereist minimaal één (niet noodzakelijk het laatst
-- vervangen) treatment_advice — afgedwongen op applicatieniveau, niet als
-- schema-constraint (zou een circulaire FK-afhankelijkheid vereisen).
COMMENT ON COLUMN clinical_intake_assessment.status IS 'gepland/bezig/afgerond/afgebroken. Bij afgerond hoort minimaal één treatment_advice (applicatieniveau, geen FK-constraint i.v.m. circulaire afhankelijkheid).';