re = /(\bONLY\h+)(.+)(\R.*?fk)_\S+(.+?\bREFERENCES\h+)([^(]+)/
str = 'ALTER TABLE ONLY document_labels
ADD CONSTRAINT fk_g71qgs6l2ufr3170u44j5fpk3 FOREIGN KEY (label_id) REFERENCES application_value(id);
ALTER TABLE ONLY rule_group_functionality_mapping
ADD CONSTRAINT fk_g8twyunj9bm096sqywdi8rcx8 FOREIGN KEY (rule_group) REFERENCES application_value(id);
ALTER TABLE ONLY time_track
ADD CONSTRAINT fk_gmpyguqbpm1ndjjsxvt03wq4g FOREIGN KEY (user_id) REFERENCES user_account(user_id);'
subst = '$1$2$3_$2_$5$4$5'
result = str.gsub(re, subst)
# Print the result of the substitution
puts result
Please keep in mind that these code samples are automatically generated and are not guaranteed to work. If you find any syntax errors, feel free to submit a bug report. For a full regex reference for Ruby, please visit: http://ruby-doc.org/core-2.2.0/Regexp.html