Replace Maternity with Women's Health (OB/GYN) and configurable service lines.

Keeps Fertility as a separate specialty, adds OB/GYN and fertility staff roles, and migrates live org settings from maternity → womens_health.

Co-authored-by: Cursor <cursoragent@cursor.com>

tests/Feature/DemoSeedCommandTest.php

@@ -447,7 +447,9 @@ class DemoSeedCommandTest extends TestCase
         $this->assertSame((int) $member->branch_id, (int) $linked->first()->branch_id);
 
         $modules = app(\App\Services\Care\SpecialtyModuleService::class);
-        $this->assertTrue($modules->isDeskSpecialist($org, $member));
+        // Dedicated specialist roles (dentist) use primary apps, not legacy desk-specialist matching.
+        $this->assertFalse($modules->isDeskSpecialist($org, $member));
+        $this->assertSame(['dentistry'], app(\App\Services\Care\CarePermissions::class)->primaryAppsFor($member));
         $keys = collect($modules->enabledModulesForMember($org, $member))->pluck('key')->all();
         $this->assertSame(['dentistry'], $keys);
     }