re the appointments tables, why is there a healthcare_provider_id on 
appointment_type ?  Appointment_type is supposed to be A, B, C and has
has a duration attached to it, so maybe it should be 
appointment_duration_type,   and  appointment_category could
be appointment_service_type (pap smear, procedure, health assessment, medical 
report, gp medical management,  etc)   , to be less ambiguous in naming .

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