OK.  I'm gonna make a couple of guesses here:

1:  clinicaldocuments.patientidentifier is an int8 and you're running
7.4 or before.

-- nope int4  and 8.1

2: There are more rows with clinicaldocuments.patientidentifier= 123
than with documentversions.documentstatus = 'AC'.

-- nope generally speaking all statuses are 'AC'

3: documentversions.documentidentifier and
clinicaldocuments.dssdocumentidentifier are not the same type.

-- nope both int4

Any of those things true?

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