feat: fix DDMA eligibility — patient list, name extraction, PDF page, OTP session

- Filter patient list by userId so each user sees only their own patients
- Sort patients by updatedAt DESC so recently checked patients appear first
- Add updatedAt field to Patient model (DB migration via raw SQL + db:generate)
- Fix DDMA name extraction: read from detail page "Name:" label, not search
  results row text which included appended dates
- Fix PDF capture: use driver.get() instead of click() to avoid race condition
  that was saving the search results page instead of the patient detail page
- Strip trailing bare dates from extracted names (e.g. "Rodriguez 04/27/2026")
- Handle "Last, First" comma format and single-word last names in splitName
- Normalize insuranceId consistently in createOrUpdatePatientByInsuranceId
- Fix OTP persistent session: stop clearing LocalStorage/IndexedDB on startup
  (these hold the DDMA device trust token that skips OTP on subsequent logins)
- Increase post-navigation wait time for full page render before PDF generation

Co-Authored-By: Claude Sonnet 4.6 <noreply@anthropic.com>

packages/db/shared/schemas/results/PatientAggregateResult.schema.ts

@@ -19,6 +19,7 @@ export const PatientAggregateResultSchema = z.object({  _count: z.object({
     status: z.number(),
     userId: z.number(),
     createdAt: z.number(),
+    updatedAt: z.number(),
     user: z.number(),
     appointments: z.number(),
     procedures: z.number(),
@@ -54,7 +55,8 @@ export const PatientAggregateResultSchema = z.object({  _count: z.object({
     allergies: z.string().nullable(),
     medicalConditions: z.string().nullable(),
     userId: z.number().int().nullable(),
-    createdAt: z.date().nullable()
+    createdAt: z.date().nullable(),
+    updatedAt: z.date().nullable()
   }).nullable().optional(),
   _max: z.object({
     id: z.number().int().nullable(),
@@ -74,5 +76,6 @@ export const PatientAggregateResultSchema = z.object({  _count: z.object({
     allergies: z.string().nullable(),
     medicalConditions: z.string().nullable(),
     userId: z.number().int().nullable(),
-    createdAt: z.date().nullable()
+    createdAt: z.date().nullable(),
+    updatedAt: z.date().nullable()
   }).nullable().optional()});

packages/db/shared/schemas/results/PatientCreateResult.schema.ts

@@ -19,6 +19,7 @@ export const PatientCreateResultSchema = z.object({
   status: z.unknown(),
   userId: z.number().int(),
   createdAt: z.date(),
+  updatedAt: z.date(),
   user: z.unknown(),
   appointments: z.array(z.unknown()),
   procedures: z.array(z.unknown()),

packages/db/shared/schemas/results/PatientDeleteResult.schema.ts

@@ -19,6 +19,7 @@ export const PatientDeleteResultSchema = z.nullable(z.object({
   status: z.unknown(),
   userId: z.number().int(),
   createdAt: z.date(),
+  updatedAt: z.date(),
   user: z.unknown(),
   appointments: z.array(z.unknown()),
   procedures: z.array(z.unknown()),

packages/db/shared/schemas/results/PatientFindFirstResult.schema.ts

@@ -19,6 +19,7 @@ export const PatientFindFirstResultSchema = z.nullable(z.object({
   status: z.unknown(),
   userId: z.number().int(),
   createdAt: z.date(),
+  updatedAt: z.date(),
   user: z.unknown(),
   appointments: z.array(z.unknown()),
   procedures: z.array(z.unknown()),

packages/db/shared/schemas/results/PatientFindManyResult.schema.ts

@@ -20,6 +20,7 @@ export const PatientFindManyResultSchema = z.object({
   status: z.unknown(),
   userId: z.number().int(),
   createdAt: z.date(),
+  updatedAt: z.date(),
   user: z.unknown(),
   appointments: z.array(z.unknown()),
   procedures: z.array(z.unknown()),

packages/db/shared/schemas/results/PatientFindUniqueResult.schema.ts

@@ -19,6 +19,7 @@ export const PatientFindUniqueResultSchema = z.nullable(z.object({
   status: z.unknown(),
   userId: z.number().int(),
   createdAt: z.date(),
+  updatedAt: z.date(),
   user: z.unknown(),
   appointments: z.array(z.unknown()),
   procedures: z.array(z.unknown()),

packages/db/shared/schemas/results/PatientGroupByResult.schema.ts

@@ -18,6 +18,7 @@ export const PatientGroupByResultSchema = z.array(z.object({
   medicalConditions: z.string(),
   userId: z.number().int(),
   createdAt: z.date(),
+  updatedAt: z.date(),
   _count: z.object({
     id: z.number(),
     firstName: z.number(),
@@ -38,6 +39,7 @@ export const PatientGroupByResultSchema = z.array(z.object({
     status: z.number(),
     userId: z.number(),
     createdAt: z.number(),
+    updatedAt: z.number(),
     user: z.number(),
     appointments: z.number(),
     procedures: z.number(),
@@ -73,7 +75,8 @@ export const PatientGroupByResultSchema = z.array(z.object({
     allergies: z.string().nullable(),
     medicalConditions: z.string().nullable(),
     userId: z.number().int().nullable(),
-    createdAt: z.date().nullable()
+    createdAt: z.date().nullable(),
+    updatedAt: z.date().nullable()
   }).nullable().optional(),
   _max: z.object({
     id: z.number().int().nullable(),
@@ -93,6 +96,7 @@ export const PatientGroupByResultSchema = z.array(z.object({
     allergies: z.string().nullable(),
     medicalConditions: z.string().nullable(),
     userId: z.number().int().nullable(),
-    createdAt: z.date().nullable()
+    createdAt: z.date().nullable(),
+    updatedAt: z.date().nullable()
   }).nullable().optional()
 }));

packages/db/shared/schemas/results/PatientUpdateResult.schema.ts

@@ -19,6 +19,7 @@ export const PatientUpdateResultSchema = z.nullable(z.object({
   status: z.unknown(),
   userId: z.number().int(),
   createdAt: z.date(),
+  updatedAt: z.date(),
   user: z.unknown(),
   appointments: z.array(z.unknown()),
   procedures: z.array(z.unknown()),

packages/db/shared/schemas/results/PatientUpsertResult.schema.ts

@@ -19,6 +19,7 @@ export const PatientUpsertResultSchema = z.object({
   status: z.unknown(),
   userId: z.number().int(),
   createdAt: z.date(),
+  updatedAt: z.date(),
   user: z.unknown(),
   appointments: z.array(z.unknown()),
   procedures: z.array(z.unknown()),