ensureAssessmentCatalog was re-running AssessmentTemplateSeeder whenever
nursing packs were missing; the seeder hard-deleted questions and blew up
on FK care_assessment_answers. Upsert questions by code, only drop unused
orphans, and never let catalog ensure throw on web requests.
Co-authored-by: Cursor <cursoragent@cursor.com>
Add a template-driven assessment system with universal intake, clinical
pathways, disease instruments (stroke MVP + extended, diabetes, and ten
specialty packs), scoring, patient outcome trends, REST/API + FHIR
export, and Enterprise org-level assessment analytics. Seed packs and
design/licensing docs ship for deploy and pre-GA review.
