Igual no se define entre el tipo Nullable <Int32> y Int32

Estoy escribiendo una aplicación aburrida para manejar a los pacientes y su historial clínico. Utilicé SQLite combinado con las bibliotecas DbLinq y la utilidad de generación de código DbMetal. Aquí hay dos clases del código generado extraído de la base de datos subyacente:

[Table(Name="main.Patients")]
public partial class Patient : System.ComponentModel.INotifyPropertyChanging, System.ComponentModel.INotifyPropertyChanged
{

    private static System.ComponentModel.PropertyChangingEventArgs emptyChangingEventArgs = new System.ComponentModel.PropertyChangingEventArgs("");

    private long _birthday;

    private string _firstName;

    private int _hasChildren;

    private System.Nullable<int> _id;

    private int _isMarried;

    private string _lastName;

    private string _profession;

    private EntitySet<ClinicCase> _clinicCases;

    private EntitySet<PatientAddress> _patientsAddresses;

    private EntitySet<PatientPhoneNumber> _patientsPhoneNumbers;

    #region Extensibility Method Declarations
    partial void OnCreated();

    partial void OnBirthdayChanged();

    partial void OnBirthdayChanging(long value);

    partial void OnFirstNameChanged();

    partial void OnFirstNameChanging(string value);

    partial void OnHasChildrenChanged();

    partial void OnHasChildrenChanging(int value);

    partial void OnIDChanged();

    partial void OnIDChanging(System.Nullable<int> value);

    partial void OnIsMarriedChanged();

    partial void OnIsMarriedChanging(int value);

    partial void OnLastNameChanged();

    partial void OnLastNameChanging(string value);

    partial void OnProfessionChanged();

    partial void OnProfessionChanging(string value);
    #endregion


    public Patient()
    {
        _clinicCases = new EntitySet<ClinicCase>(new Action<ClinicCase>(this.ClinicCases_Attach), new Action<ClinicCase>(this.ClinicCases_Detach));
        _patientsAddresses = new EntitySet<PatientAddress>(new Action<PatientAddress>(this.PatientsAddresses_Attach), new Action<PatientAddress>(this.PatientsAddresses_Detach));
        _patientsPhoneNumbers = new EntitySet<PatientPhoneNumber>(new Action<PatientPhoneNumber>(this.PatientsPhoneNumbers_Attach), new Action<PatientPhoneNumber>(this.PatientsPhoneNumbers_Detach));
        this.OnCreated();
    }

    [Column(Storage="_birthday", Name="Birthday", DbType="integer", AutoSync=AutoSync.Never, CanBeNull=false)]
    [DebuggerNonUserCode()]
    public long BirthdayBinaryDate
    {
        get
        {
            return this._birthday;
        }
        set
        {
            if ((_birthday != value))
            {
                this.OnBirthdayChanging(value);
                this.SendPropertyChanging();
                this._birthday = value;
                this.SendPropertyChanged("Birthday");
                this.OnBirthdayChanged();
            }
        }
    }

    [Column(Storage="_firstName", Name="FirstName", DbType="text", AutoSync=AutoSync.Never, CanBeNull=false)]
    [DebuggerNonUserCode()]
    public string FirstName
    {
        get
        {
            return this._firstName;
        }
        set
        {
            if (((_firstName == value) 
                        == false))
            {
                this.OnFirstNameChanging(value);
                this.SendPropertyChanging();
                this._firstName = value;
                this.SendPropertyChanged("FirstName");
                this.OnFirstNameChanged();
            }
        }
    }

    [Column(Storage="_hasChildren", Name="HasChildren", DbType="integer", AutoSync=AutoSync.Never, CanBeNull=false)]
    [DebuggerNonUserCode()]
    public int HasChildren
    {
        get
        {
            return this._hasChildren;
        }
        set
        {
            if ((_hasChildren != value))
            {
                this.OnHasChildrenChanging(value);
                this.SendPropertyChanging();
                this._hasChildren = value;
                this.SendPropertyChanged("HasChildren");
                this.OnHasChildrenChanged();
            }
        }
    }

    [Column(Storage="_id", Name="ID", DbType="integer", IsPrimaryKey=true, IsDbGenerated=true, AutoSync=AutoSync.OnInsert)]
    [DebuggerNonUserCode()]
    public System.Nullable<int> ID
    {
        get
        {
            return this._id;
        }
        set
        {
            if ((_id != value))
            {
                this.OnIDChanging(value);
                this.SendPropertyChanging();
                this._id = value;
                this.SendPropertyChanged("ID");
                this.OnIDChanged();
            }
        }
    }

    [Column(Storage="_isMarried", Name="IsMarried", DbType="integer", AutoSync=AutoSync.Never, CanBeNull=false)]
    [DebuggerNonUserCode()]
    public int IsMarried
    {
        get
        {
            return this._isMarried;
        }
        set
        {
            if ((_isMarried != value))
            {
                this.OnIsMarriedChanging(value);
                this.SendPropertyChanging();
                this._isMarried = value;
                this.SendPropertyChanged("IsMarried");
                this.OnIsMarriedChanged();
            }
        }
    }

    [Column(Storage="_lastName", Name="LastName", DbType="text", AutoSync=AutoSync.Never, CanBeNull=false)]
    [DebuggerNonUserCode()]
    public string LastName
    {
        get
        {
            return this._lastName;
        }
        set
        {
            if (((_lastName == value) 
                        == false))
            {
                this.OnLastNameChanging(value);
                this.SendPropertyChanging();
                this._lastName = value;
                this.SendPropertyChanged("LastName");
                this.OnLastNameChanged();
            }
        }
    }

    [Column(Storage="_profession", Name="Profession", DbType="text", AutoSync=AutoSync.Never)]
    [DebuggerNonUserCode()]
    public string Profession
    {
        get
        {
            return this._profession;
        }
        set
        {
            if (((_profession == value) 
                        == false))
            {
                this.OnProfessionChanging(value);
                this.SendPropertyChanging();
                this._profession = value;
                this.SendPropertyChanged("Profession");
                this.OnProfessionChanged();
            }
        }
    }

    #region Children
    [Association(Storage="_clinicCases", OtherKey="PatientID", ThisKey="ID", Name="fk_ClinicCases_0")]
    [DebuggerNonUserCode()]
    public EntitySet<ClinicCase> ClinicCases
    {
        get
        {
            return this._clinicCases;
        }
        set
        {
            this._clinicCases = value;
        }
    }

    [Association(Storage="_patientsAddresses", OtherKey="PatientID", ThisKey="ID", Name="fk_PatientsAddresses_0")]
    [DebuggerNonUserCode()]
    public EntitySet<PatientAddress> Addresses
    {
        get
        {
            return this._patientsAddresses;
        }
        set
        {
            this._patientsAddresses = value;
        }
    }

    [Association(Storage="_patientsPhoneNumbers", OtherKey="PatientID", ThisKey="ID", Name="fk_PatientsPhoneNumbers_0")]
    [DebuggerNonUserCode()]
    public EntitySet<PatientPhoneNumber> PhoneNumbers
    {
        get
        {
            return this._patientsPhoneNumbers;
        }
        set
        {
            this._patientsPhoneNumbers = value;
        }
    }
    #endregion

    public event System.ComponentModel.PropertyChangingEventHandler PropertyChanging;

    public event System.ComponentModel.PropertyChangedEventHandler PropertyChanged;

    protected virtual void SendPropertyChanging()
    {
        System.ComponentModel.PropertyChangingEventHandler h = this.PropertyChanging;
        if ((h != null))
        {
            h(this, emptyChangingEventArgs);
        }
    }

    protected virtual void SendPropertyChanged(string propertyName)
    {
        System.ComponentModel.PropertyChangedEventHandler h = this.PropertyChanged;
        if ((h != null))
        {
            h(this, new System.ComponentModel.PropertyChangedEventArgs(propertyName));
        }
    }

    #region Attachment handlers
    private void ClinicCases_Attach(ClinicCase entity)
    {
        this.SendPropertyChanging();
        entity.Patient = this;
    }

    private void ClinicCases_Detach(ClinicCase entity)
    {
        this.SendPropertyChanging();
        entity.Patient = null;
    }

    private void PatientsAddresses_Attach(PatientAddress entity)
    {
        this.SendPropertyChanging();
        entity.Patient = this;
    }

    private void PatientsAddresses_Detach(PatientAddress entity)
    {
        this.SendPropertyChanging();
        entity.Patient = null;
    }

    private void PatientsPhoneNumbers_Attach(PatientPhoneNumber entity)
    {
        this.SendPropertyChanging();
        entity.Patient = this;
    }

    private void PatientsPhoneNumbers_Detach(PatientPhoneNumber entity)
    {
        this.SendPropertyChanging();
        entity.Patient = null;
    }
    #endregion
}

[Table(Name="main.PatientsAddresses")]
public partial class PatientAddress : System.ComponentModel.INotifyPropertyChanging, System.ComponentModel.INotifyPropertyChanged
{

    private static System.ComponentModel.PropertyChangingEventArgs emptyChangingEventArgs = new System.ComponentModel.PropertyChangingEventArgs("");

    private string _address;

    private string _domicileStatus;

    private System.Nullable<int> _patientID;

    private EntityRef<Patient> _patients = new EntityRef<Patient>();

    #region Extensibility Method Declarations
    partial void OnCreated();

    partial void OnAddressChanged();

    partial void OnAddressChanging(string value);

    partial void OnDomicileStatusChanged();

    partial void OnDomicileStatusChanging(string value);

    partial void OnPatientIDChanged();

    partial void OnPatientIDChanging(System.Nullable<int> value);
    #endregion


    public PatientAddress()
    {
        this.OnCreated();
    }

    [Column(Storage="_address", Name="Address", DbType="text", IsPrimaryKey=true, AutoSync=AutoSync.Never)]
    [DebuggerNonUserCode()]
    public string Address
    {
        get
        {
            return this._address;
        }
        set
        {
            if (((_address == value) 
                        == false))
            {
                this.OnAddressChanging(value);
                this.SendPropertyChanging();
                this._address = value;
                this.SendPropertyChanged("Address");
                this.OnAddressChanged();
            }
        }
    }

    [Column(Storage="_domicileStatus", Name="DomicileStatus", DbType="text", AutoSync=AutoSync.Never)]
    [DebuggerNonUserCode()]
    public string DomicileStatus
    {
        get
        {
            return this._domicileStatus;
        }
        set
        {
            if (((_domicileStatus == value) 
                        == false))
            {
                this.OnDomicileStatusChanging(value);
                this.SendPropertyChanging();
                this._domicileStatus = value;
                this.SendPropertyChanged("DomicileStatus");
                this.OnDomicileStatusChanged();
            }
        }
    }

    [Column(Storage="_patientID", Name="PatientID", DbType="integer", IsPrimaryKey=true, IsDbGenerated=true, AutoSync=AutoSync.Never)]
    [DebuggerNonUserCode()]
    public System.Nullable<int> PatientID
    {
        get
        {
            return this._patientID;
        }
        set
        {
            if ((_patientID != value))
            {
                if (_patients.HasLoadedOrAssignedValue)
                {
                    throw new System.Data.Linq.ForeignKeyReferenceAlreadyHasValueException();
                }
                this.OnPatientIDChanging(value);
                this.SendPropertyChanging();
                this._patientID = value;
                this.SendPropertyChanged("PatientID");
                this.OnPatientIDChanged();
            }
        }
    }

    #region Parents
    [Association(Storage="_patients", OtherKey="ID", ThisKey="PatientID", Name="fk_PatientsAddresses_0", IsForeignKey=true)]
    [DebuggerNonUserCode()]
    public Patient Patient
    {
        get
        {
            return this._patients.Entity;
        }
        set
        {
            if (((this._patients.Entity == value) 
                        == false))
            {
                if ((this._patients.Entity != null))
                {
                    Patient previousPatients = this._patients.Entity;
                    this._patients.Entity = null;
                    previousPatients.Addresses.Remove(this);
                }
                this._patients.Entity = value;
                if ((value != null))
                {
                    value.Addresses.Add(this);
                    _patientID = value.ID;
                }
                else
                {
                    _patientID = null;
                }
            }
        }
    }
    #endregion

    public event System.ComponentModel.PropertyChangingEventHandler PropertyChanging;

    public event System.ComponentModel.PropertyChangedEventHandler PropertyChanged;

    protected virtual void SendPropertyChanging()
    {
        System.ComponentModel.PropertyChangingEventHandler h = this.PropertyChanging;
        if ((h != null))
        {
            h(this, emptyChangingEventArgs);
        }
    }

    protected virtual void SendPropertyChanged(string propertyName)
    {
        System.ComponentModel.PropertyChangedEventHandler h = this.PropertyChanged;
        if ((h != null))
        {
            h(this, new System.ComponentModel.PropertyChangedEventArgs(propertyName));
        }
    }
}

Utilizo el siguiente código para agregar una dirección a un paciente:

PatientAddress address = new PatientAddress();
address.Address = txtAddress.Text;
address.DomicileStatus = cmbDomicileStatus.Text;
currentPatient.Addresses.Add(address);

Database.Source.PatientsAddresses.InsertOnSubmit(address);
Database.Source.SubmitChanges();

Database.Source es una instancia de la clase que extiende DataContext en el código generado. En SubmitChanges, recibo esta excepción:

"El operador igual no se define entre Nullable (Of Int32) e Int32".

El mensaje no se reporta palabra por palabra, pero el significado es el mismo. El punto de rastreo de la pila al código DbLinq, más precisamente a la línea 709 del archivo fuente DbLinq.Data.Linq.DataContext.cs. Puedes encontrar los archivos fuente aquí:http://dblinq.codeplex.com/SourceControl/changeset/view/16800#314775 (bajo el cuerpo del método SetEntityRefQueries (entidad objeto)). Veo que el problema surge al comparar un valor de clave externa con una constante en un árbol de expresiones, pero no consigo obtener otra información sobre eso. ¿Puedes ayudarme a encontrar el problema?

N.B .: la dirección del campo. ID de paciente (clave externa) se establece realmente en el valor correcto antes de la invocación de SubmitChanges.

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