Add specialty clinical records on the shared shell (Phase 3).

Visit-scoped structured forms for Emergency triage, Blood Bank requests,
and Dentistry odontogram with derived alerts, document upload, and KPI counts.

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

database/migrations/2026_07_18_120000_create_care_specialty_clinical_records_table.php

@@ -0,0 +1,40 @@
+<?php
+
+use Illuminate\Database\Migrations\Migration;
+use Illuminate\Database\Schema\Blueprint;
+use Illuminate\Support\Facades\Schema;
+
+return new class extends Migration
+{
+    public function up(): void
+    {
+        Schema::create('care_specialty_clinical_records', function (Blueprint $table) {
+            $table->id();
+            $table->uuid('uuid')->unique();
+            $table->string('owner_ref', 64)->index();
+            $table->foreignId('organization_id')->constrained('care_organizations')->cascadeOnDelete();
+            $table->foreignId('branch_id')->nullable()->constrained('care_branches')->nullOnDelete();
+            $table->foreignId('visit_id')->constrained('care_visits')->cascadeOnDelete();
+            $table->foreignId('patient_id')->constrained('care_patients')->cascadeOnDelete();
+            $table->foreignId('consultation_id')->nullable()->constrained('care_consultations')->nullOnDelete();
+            $table->string('module_key', 64)->index();
+            $table->string('record_type', 64);
+            $table->string('status', 32)->default('draft')->index();
+            $table->string('stage_code', 64)->nullable();
+            $table->json('payload')->nullable();
+            $table->json('alerts')->nullable();
+            $table->string('recorded_by')->nullable();
+            $table->timestamp('recorded_at')->nullable();
+            $table->timestamps();
+            $table->softDeletes();
+
+            $table->unique(['visit_id', 'module_key', 'record_type'], 'care_specialty_clinical_unique');
+            $table->index(['organization_id', 'module_key', 'status']);
+        });
+    }
+
+    public function down(): void
+    {
+        Schema::dropIfExists('care_specialty_clinical_records');
+    }
+};