Cover all floor roles in specialty CTA ability gating.

8a5330d already keyed Start/stage/vitals on CarePermissions for every
role; add receptionist, lab, pharmacist, and GP-without-module-manage
tests so we never regress to nurse-only branching.

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

app/Http/Controllers/Care/SpecialtyModuleController.php

@@ -637,7 +637,8 @@ class SpecialtyModuleController extends Controller
         $services = $shell->provisionedServices($organization, $module);
 
         $permissions = app(\App\Services\Care\CarePermissions::class);
-        // Match every ability that mutate routes actually check — module canManage alone is not enough.
+        // Ability-based for every role (doctor, nurse, receptionist, lab, pharmacist, …).
+        // Module canManage alone is not enough — flags must match what mutate routes authorize.
         $canConsult = $permissions->can($member, 'consultations.manage') && $canManageSpecialty;
         $canAdvanceStage = $canConsult;
         $canStartConsultation = $canConsult;