diff --git a/src/entity/emr/emr_vital_signs.ts b/src/entity/emr/emr_vital_signs.ts
index e7d597e..1aaadfe 100644
--- a/src/entity/emr/emr_vital_signs.ts
+++ b/src/entity/emr/emr_vital_signs.ts
@@ -7,19 +7,25 @@ import {
     DeleteDateColumn,
     JoinColumn,
     OneToOne,
+    ManyToOne,
 } from "typeorm";
 
 import { consciousness } from "../../enum/consciousness";
-import { EmrRegistrationOutpatient } from "./emr_registration_outpatient";
+import { EmrRegistration } from "./emr_registration";
+import { EmrPatient } from "./emr_patient";
 
 @Entity("emr_vital_signs", { schema: "emr" })
 export class EmrVitalSigns {
     @PrimaryGeneratedColumn("uuid")
     id: string;
 
-    @OneToOne(() => EmrRegistrationOutpatient, { onDelete: "CASCADE" })
+    @OneToOne(() => EmrRegistration, { onDelete: "CASCADE" })
     @JoinColumn()
-    registration_outpatient: EmrRegistrationOutpatient;
+    registration: EmrRegistration;
+
+    @ManyToOne(() => EmrPatient, { onDelete: "CASCADE" })
+    @JoinColumn()
+    patient: EmrPatient;
 
     @Column({ nullable: true, length: 64 })
     blood_pressure: string;