feat(MED-168): keep medipost response data unique, no need for duplicate rows

lib/services/analysis-order.service.ts

@@ -18,16 +18,32 @@ export async function getExistingAnalysisResponseElements({
   return data as AnalysisResponseElement[];
 }
 
-export async function createAnalysisResponseElement({
+export async function upsertAnalysisResponseElement({
   element,
 }: {
   element: Omit<AnalysisResponseElement, 'created_at' | 'updated_at' | 'id'>;
 }) {
-  await getSupabaseServerAdminClient()
+  const { data } = await getSupabaseServerAdminClient()
     .schema('medreport')
     .from('analysis_response_elements')
-    .insert(element)
+    .upsert(
+      element,
+      { 
+        onConflict: 'analysis_response_id,analysis_element_original_id', 
+        ignoreDuplicates: false 
+      }
+    )
+    .select('id')
     .throwOnError();
+
+  const analysisResponseElementId = data?.[0]?.id;
+  if (!analysisResponseElementId) {
+    throw new Error(
+      `Failed to insert or update analysis response element (response id: ${element.analysis_response_id}, element id: ${element.analysis_element_original_id})`
+    );
+  }
+
+  return { analysisResponseElementId };
 }
 
 export async function upsertAnalysisResponse({