Add nursing assessment packs, ward board, and nurse performance KPIs.

Seeds NEWS2/Braden/Morse/pain packs with visit vitals and a unit dashboard for MAR, assessments, notes, and handover activity.

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

database/migrations/2026_07_20_160000_create_care_visit_vitals_table.php

@@ -0,0 +1,41 @@
+<?php
+
+use Illuminate\Database\Migrations\Migration;
+use Illuminate\Database\Schema\Blueprint;
+use Illuminate\Support\Facades\Schema;
+
+/**
+ * Visit-scoped vitals for ward nursing (no consultation required).
+ */
+return new class extends Migration
+{
+    public function up(): void
+    {
+        Schema::create('care_visit_vitals', function (Blueprint $table) {
+            $table->id();
+            $table->string('owner_ref')->index();
+            $table->foreignId('organization_id')->constrained('care_organizations')->cascadeOnDelete();
+            $table->foreignId('visit_id')->constrained('care_visits')->cascadeOnDelete();
+            $table->foreignId('patient_id')->constrained('care_patients')->cascadeOnDelete();
+            $table->foreignId('care_unit_id')->nullable()->constrained('care_care_units')->nullOnDelete();
+            $table->unsignedSmallInteger('bp_systolic')->nullable();
+            $table->unsignedSmallInteger('bp_diastolic')->nullable();
+            $table->unsignedSmallInteger('pulse')->nullable();
+            $table->decimal('temperature', 4, 1)->nullable();
+            $table->unsignedSmallInteger('spo2')->nullable();
+            $table->unsignedSmallInteger('respiratory_rate')->nullable();
+            $table->string('recorded_by')->nullable();
+            $table->timestamp('recorded_at');
+            $table->text('notes')->nullable();
+            $table->timestamps();
+
+            $table->index(['visit_id', 'recorded_at']);
+            $table->index(['care_unit_id', 'recorded_at']);
+        });
+    }
+
+    public function down(): void
+    {
+        Schema::dropIfExists('care_visit_vitals');
+    }
+};