Add patient management, deployment scripts, and Docker fixes

api/Dockerfile

@@ -12,10 +12,11 @@ WORKDIR /app
 # Copy package files
 COPY package*.json ./
 
-# Install dependencies
-RUN npm ci --only=production
+# Install dependencies (rebuild native modules for Linux)
+RUN npm ci --only=production && \
+    npm rebuild better-sqlite3
 
-# Copy application code
+# Copy application code (excluding node_modules via .dockerignore)
 COPY . .
 
 # Create data directories