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POST /api/patients

Create a new patient. The PHI fields are encrypted at rest with AES-256. Phone and email are stored both encrypted and hashed (for search). Mount stack: resolveDeploymentScope, authenticateToken, setTenantContext, sessionTimeoutMiddleware, phiAuditMiddleware, consentGate, purposeBasedAccess('patients', 'TREATMENT', 'PAYMENT', 'OPERATIONS', 'EMERGENCY')

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