diff --git a/Migrations/20241213124817_Patients got messages.Designer.cs b/Migrations/20241213124817_Patients got messages.Designer.cs
new file mode 100644
index 0000000..ed1c3f0
--- /dev/null
+++ b/Migrations/20241213124817_Patients got messages.Designer.cs	
@@ -0,0 +1,170 @@
+// <auto-generated />
+using System;
+using Microsoft.EntityFrameworkCore;
+using Microsoft.EntityFrameworkCore.Infrastructure;
+using Microsoft.EntityFrameworkCore.Migrations;
+using Microsoft.EntityFrameworkCore.Storage.ValueConversion;
+using SimpleLIS;
+
+#nullable disable
+
+namespace SimpleLIS.Migrations
+{
+    [DbContext(typeof(HL7DbContext))]
+    [Migration("20241213124817_Patients got messages")]
+    partial class Patientsgotmessages
+    {
+        /// <inheritdoc />
+        protected override void BuildTargetModel(ModelBuilder modelBuilder)
+        {
+#pragma warning disable 612, 618
+            modelBuilder.HasAnnotation("ProductVersion", "8.0.11");
+
+            modelBuilder.Entity("SimpleLIS.Models.Message", b =>
+                {
+                    b.Property<int>("MessageId")
+                        .ValueGeneratedOnAdd()
+                        .HasColumnType("INTEGER");
+
+                    b.Property<string>("ControlId")
+                        .IsRequired()
+                        .HasColumnType("TEXT");
+
+                    b.Property<string>("MessageType")
+                        .IsRequired()
+                        .HasColumnType("TEXT");
+
+                    b.Property<int>("PatientId")
+                        .HasColumnType("INTEGER");
+
+                    b.Property<string>("ReceivingApp")
+                        .IsRequired()
+                        .HasColumnType("TEXT");
+
+                    b.Property<string>("ReceivingFacility")
+                        .IsRequired()
+                        .HasColumnType("TEXT");
+
+                    b.Property<string>("SendingApp")
+                        .IsRequired()
+                        .HasColumnType("TEXT");
+
+                    b.Property<string>("SendingFacility")
+                        .IsRequired()
+                        .HasColumnType("TEXT");
+
+                    b.Property<DateTime>("Timestamp")
+                        .HasColumnType("TEXT");
+
+                    b.Property<string>("Version")
+                        .IsRequired()
+                        .HasColumnType("TEXT");
+
+                    b.HasKey("MessageId");
+
+                    b.HasIndex("PatientId");
+
+                    b.ToTable("Messages");
+                });
+
+            modelBuilder.Entity("SimpleLIS.Models.Observation", b =>
+                {
+                    b.Property<int>("ObservationId")
+                        .ValueGeneratedOnAdd()
+                        .HasColumnType("INTEGER");
+
+                    b.Property<string>("AbnormalFlag")
+                        .IsRequired()
+                        .HasColumnType("TEXT");
+
+                    b.Property<int>("MessageId")
+                        .HasColumnType("INTEGER");
+
+                    b.Property<string>("ObservationCode")
+                        .IsRequired()
+                        .HasColumnType("TEXT");
+
+                    b.Property<string>("ObservationValue")
+                        .IsRequired()
+                        .HasColumnType("TEXT");
+
+                    b.Property<string>("ResultStatus")
+                        .IsRequired()
+                        .HasColumnType("TEXT");
+
+                    b.Property<string>("Units")
+                        .IsRequired()
+                        .HasColumnType("TEXT");
+
+                    b.HasKey("ObservationId");
+
+                    b.HasIndex("MessageId");
+
+                    b.ToTable("Observations");
+                });
+
+            modelBuilder.Entity("SimpleLIS.Models.Patient", b =>
+                {
+                    b.Property<int>("PatientId")
+                        .ValueGeneratedOnAdd()
+                        .HasColumnType("INTEGER");
+
+                    b.Property<DateTime>("DateOfBirth")
+                        .HasColumnType("TEXT");
+
+                    b.Property<string>("FirstName")
+                        .IsRequired()
+                        .HasColumnType("TEXT");
+
+                    b.Property<string>("Gender")
+                        .IsRequired()
+                        .HasColumnType("TEXT");
+
+                    b.Property<string>("HL7PatientId")
+                        .IsRequired()
+                        .HasColumnType("TEXT");
+
+                    b.Property<string>("LastName")
+                        .IsRequired()
+                        .HasColumnType("TEXT");
+
+                    b.HasKey("PatientId");
+
+                    b.ToTable("Patients");
+                });
+
+            modelBuilder.Entity("SimpleLIS.Models.Message", b =>
+                {
+                    b.HasOne("SimpleLIS.Models.Patient", "Patient")
+                        .WithMany("Messages")
+                        .HasForeignKey("PatientId")
+                        .OnDelete(DeleteBehavior.Cascade)
+                        .IsRequired();
+
+                    b.Navigation("Patient");
+                });
+
+            modelBuilder.Entity("SimpleLIS.Models.Observation", b =>
+                {
+                    b.HasOne("SimpleLIS.Models.Message", "Message")
+                        .WithMany("Observations")
+                        .HasForeignKey("MessageId")
+                        .OnDelete(DeleteBehavior.Cascade)
+                        .IsRequired();
+
+                    b.Navigation("Message");
+                });
+
+            modelBuilder.Entity("SimpleLIS.Models.Message", b =>
+                {
+                    b.Navigation("Observations");
+                });
+
+            modelBuilder.Entity("SimpleLIS.Models.Patient", b =>
+                {
+                    b.Navigation("Messages");
+                });
+#pragma warning restore 612, 618
+        }
+    }
+}
diff --git a/Migrations/20241213124817_Patients got messages.cs b/Migrations/20241213124817_Patients got messages.cs
new file mode 100644
index 0000000..8423967
--- /dev/null
+++ b/Migrations/20241213124817_Patients got messages.cs	
@@ -0,0 +1,50 @@
+using Microsoft.EntityFrameworkCore.Migrations;
+
+#nullable disable
+
+namespace SimpleLIS.Migrations
+{
+    /// <inheritdoc />
+    public partial class Patientsgotmessages : Migration
+    {
+        /// <inheritdoc />
+        protected override void Up(MigrationBuilder migrationBuilder)
+        {
+            migrationBuilder.AddColumn<int>(
+                name: "PatientId",
+                table: "Messages",
+                type: "INTEGER",
+                nullable: false,
+                defaultValue: 0);
+
+            migrationBuilder.CreateIndex(
+                name: "IX_Messages_PatientId",
+                table: "Messages",
+                column: "PatientId");
+
+            migrationBuilder.AddForeignKey(
+                name: "FK_Messages_Patients_PatientId",
+                table: "Messages",
+                column: "PatientId",
+                principalTable: "Patients",
+                principalColumn: "PatientId",
+                onDelete: ReferentialAction.Cascade);
+        }
+
+        /// <inheritdoc />
+        protected override void Down(MigrationBuilder migrationBuilder)
+        {
+            migrationBuilder.DropForeignKey(
+                name: "FK_Messages_Patients_PatientId",
+                table: "Messages");
+
+            migrationBuilder.DropIndex(
+                name: "IX_Messages_PatientId",
+                table: "Messages");
+
+            migrationBuilder.DropColumn(
+                name: "PatientId",
+                table: "Messages");
+        }
+    }
+}
diff --git a/Migrations/HL7DbContextModelSnapshot.cs b/Migrations/HL7DbContextModelSnapshot.cs
index 6f5269e..97dbc8b 100644
--- a/Migrations/HL7DbContextModelSnapshot.cs
+++ b/Migrations/HL7DbContextModelSnapshot.cs
@@ -31,6 +31,9 @@ namespace SimpleLIS.Migrations
                         .IsRequired()
                         .HasColumnType("TEXT");
 
+                    b.Property<int>("PatientId")
+                        .HasColumnType("INTEGER");
+
                     b.Property<string>("ReceivingApp")
                         .IsRequired()
                         .HasColumnType("TEXT");
@@ -56,6 +59,8 @@ namespace SimpleLIS.Migrations
 
                     b.HasKey("MessageId");
 
+                    b.HasIndex("PatientId");
+
                     b.ToTable("Messages");
                 });
 
@@ -125,6 +130,17 @@ namespace SimpleLIS.Migrations
                     b.ToTable("Patients");
                 });
 
+            modelBuilder.Entity("SimpleLIS.Models.Message", b =>
+                {
+                    b.HasOne("SimpleLIS.Models.Patient", "Patient")
+                        .WithMany("Messages")
+                        .HasForeignKey("PatientId")
+                        .OnDelete(DeleteBehavior.Cascade)
+                        .IsRequired();
+
+                    b.Navigation("Patient");
+                });
+
             modelBuilder.Entity("SimpleLIS.Models.Observation", b =>
                 {
                     b.HasOne("SimpleLIS.Models.Message", "Message")
@@ -140,6 +156,11 @@ namespace SimpleLIS.Migrations
                 {
                     b.Navigation("Observations");
                 });
+
+            modelBuilder.Entity("SimpleLIS.Models.Patient", b =>
+                {
+                    b.Navigation("Messages");
+                });
 #pragma warning restore 612, 618
         }
     }