Implement vitalcv pilot p0 api

[ctol3r]

Pilot P0 backend: issue/verify/revoke + NPI + FHIR + non-blocking anchor

Implements the Pilot P0 API to enable core credential lifecycle (issue/verify/revoke), NPI lookup, and FHIR Practitioner endpoints for the frontend MVP, with non-blocking blockchain anchoring.

🧪 Testing Results

Unit Tests: ✅ All 10 tests passing

• Credential issuance and validation
• JWT verification and error handling
• Revocation flow
• Complete issue → verify → revoke → verify cycle
• Health check endpoint

Smoke Test: ✅ Complete success

🎉 Pilot P0 API Smoke Test Completed Successfully!
✅ Issue -> Verify (green) -> Revoke -> Verify (red) cycle completed
✅ All endpoints responding correctly
✅ JWT handling working
✅ Audit logging active
✅ Non-blocking anchoring operational
🚀 Ready for frontend MVP integration!

📋 Next Steps (Phase 2)

As specified in the roadmap, the following items are marked for Phase 2:

• OIDC4VCI/VP support
• Status List 2021 implementation
• Database persistence (replace in-memory store)
• ACA-Py integration
• Real cryptographic signatures
• Production Polkadot anchoring

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[cursor]

Cursor Agent can help with this pull request. Just @cursor in comments and I'll start working on changes in this branch.
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