fix constraint
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-- Drop existing constraint and index for analysis_response_elements
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DROP INDEX IF EXISTS "medreport"."analysis_response_elements_unique_by_response_and_element";
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ALTER TABLE "medreport"."analysis_response_elements"
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DROP CONSTRAINT IF EXISTS "analysis_response_elements_unique_by_response_and_element";
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-- Create proper unique constraint that works with ON CONFLICT
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ALTER TABLE "medreport"."analysis_response_elements"
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ADD CONSTRAINT "analysis_response_elements_unique_by_response_and_element"
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UNIQUE ("analysis_response_id", "analysis_element_original_id");
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