- handle contact PATCH failures by checking model save result and returning HTTP 400 with the model error message
- update ContactDetailModel nested updates to enforce active-detail checks and use model update() with explicit failure propagation
- extend contact patch assertions and align test-create variants expectations to status=success for POST responses
- refresh composer lock metadata/dependency constraints and include generated docs/data/test files updated during normalization
- impact: API contract unchanged except clearer 400 error responses on invalid contact detail updates
Rename legacy boolean helpers to is* naming across test definitions, patient models, and infrastructure data to match rest of backend.
Update controllers, models, migrations, seeders, tests, and OpenAPI docs/bundled spec so contracts and runtime align.
