Add CONTRIBUTING.md with clear developer guidelines

.env.example

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+# Django Configuration
+DEBUG=True
+SECRET_KEY=your-secret-key-here-change-in-production
+ALLOWED_HOSTS=localhost,127.0.0.1,0.0.0.0
+
+# Database Configuration
+DB_ENGINE=django.db.backends.postgresql
+DB_NAME=opencare_africa
+DB_USER=opencare_user
+DB_PASSWORD=your-db-password
+DB_HOST=localhost
+DB_PORT=5432
+
+# Redis Configuration
+REDIS_URL=redis://localhost:6379/0
+REDIS_HOST=localhost
+REDIS_PORT=6379
+REDIS_DB=0
+
+# Email Configuration
+EMAIL_BACKEND=django.core.mail.backends.smtp.EmailBackend
+EMAIL_HOST=smtp.gmail.com
+EMAIL_PORT=587
+EMAIL_USE_TLS=True
+EMAIL_HOST_USER=your-email@gmail.com
+EMAIL_HOST_PASSWORD=your-app-password
+
+# AWS S3 Configuration (for file storage)
+AWS_ACCESS_KEY_ID=your-aws-access-key
+AWS_SECRET_ACCESS_KEY=your-aws-secret-key
+AWS_STORAGE_BUCKET_NAME=opencare-africa-storage
+AWS_S3_REGION_NAME=us-east-1
+AWS_S3_CUSTOM_DOMAIN=your-custom-domain.com
+
+# JWT Configuration
+JWT_SECRET_KEY=your-jwt-secret-key
+JWT_ACCESS_TOKEN_LIFETIME=5
+JWT_REFRESH_TOKEN_LIFETIME=1
+
+# Health Data Standards
+FHIR_SERVER_URL=https://hapi.fhir.org/baseR4
+OPENMRS_URL=http://localhost:8080/openmrs
+
+# Analytics & Monitoring
+SENTRY_DSN=your-sentry-dsn
+METABASE_URL=http://localhost:3000
+SUPERSET_URL=http://localhost:8088
+
+# Mobile App Configuration
+MOBILE_APP_API_URL=http://localhost:8000/api/v1
+MOBILE_APP_VERSION=1.0.0
+
+# Security
+CORS_ALLOWED_ORIGINS=http://localhost:3000,http://localhost:8080
+CSRF_TRUSTED_ORIGINS=http://localhost:3000,http://localhost:8080
+
+# Development Settings
+USE_DEBUG_TOOLBAR=True
+USE_SILK_PROFILER=False
+ENABLE_LOGGING=True
+
+# Internationalization
+LANGUAGE_CODE=en-us
+TIME_ZONE=UTC
+USE_I18N=True
+USE_L10N=True
+USE_TZ=True
+
+# Static and Media Files
+STATIC_URL=/static/
+MEDIA_URL=/media/
+STATIC_ROOT=staticfiles/
+MEDIA_ROOT=media/
+
+# Celery Configuration
+CELERY_BROKER_URL=redis://localhost:6379/0
+CELERY_RESULT_BACKEND=redis://localhost:6379/0
+CELERY_ACCEPT_CONTENT=json
+CELERY_TASK_SERIALIZER=json
+CELERY_RESULT_SERIALIZER=json
+CELERY_TIMEZONE=UTC

.gitignore

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+# Byte-compiled / optimized / DLL files
+__pycache__/
+*.py[cod]
+*$py.class
+
+# C extensions
+*.so
+
+# Distribution / packaging
+.Python
+build/
+develop-eggs/
+dist/
+downloads/
+eggs/
+.eggs/
+lib/
+lib64/
+parts/
+sdist/
+var/
+wheels/
+pip-wheel-metadata/
+share/python-wheels/
+*.egg-info/
+.installed.cfg
+*.egg
+MANIFEST
+
+# PyInstaller
+*.manifest
+*.spec
+
+# Installer logs
+pip-log.txt
+pip-delete-this-directory.txt
+
+# Unit test / coverage reports
+htmlcov/
+.tox/
+.nox/
+.coverage
+.coverage.*
+.cache
+nosetests.xml
+coverage.xml
+*.cover
+*.py,cover
+.hypothesis/
+.pytest_cache/
+
+# Translations
+*.mo
+*.pot
+
+# Django stuff:
+*.log
+local_settings.py
+db.sqlite3
+db.sqlite3-journal
+
+# Flask stuff:
+instance/
+.webassets-cache
+
+# Scrapy stuff:
+.scrapy
+
+# Sphinx documentation
+docs/_build/
+
+# PyBuilder
+target/
+
+# Jupyter Notebook
+.ipynb_checkpoints
+
+# IPython
+profile_default/
+ipython_config.py
+
+# pyenv
+.python-version
+
+# pipenv
+Pipfile.lock
+
+# PEP 582
+__pycache__/
+*.py[cod]
+*$py.class
+
+# Celery stuff
+celerybeat-schedule
+celerybeat.pid
+
+# SageMath parsed files
+*.sage.py
+
+# Environments
+.env
+.venv
+env/
+venv/
+ENV/
+env.bak/
+venv.bak/
+
+# Spyder project settings
+.spyderproject
+.spyderworkspace
+
+# Rope project settings
+.ropeproject
+
+# mkdocs documentation
+/site
+
+# mypy
+.mypy_cache/
+.dmypy.json
+dmypy.json
+
+# Pyre type checker
+.pyre/
+
+# Django
+*.log
+local_settings.py
+db.sqlite3
+db.sqlite3-journal
+
+# Django static files
+staticfiles/
+static/
+
+# Django media files
+media/
+
+# Django migrations
+*/migrations/*.py
+!*/migrations/__init__.py
+
+# IDE
+.vscode/
+.idea/
+*.swp
+*.swo
+*~
+
+# OS
+.DS_Store
+.DS_Store?
+._*
+.Spotlight-V100
+.Trashes
+ehthumbs.db
+Thumbs.db
+
+# Node.js (for mobile app)
+node_modules/
+npm-debug.log*
+yarn-debug.log*
+yarn-error.log*
+
+# React Native
+.expo/
+dist/
+web-build/
+
+# Android
+android/app/build/
+android/build/
+android/gradle/
+android/local.properties
+android/.gradle/
+
+# iOS
+ios/build/
+ios/Pods/
+ios/Podfile.lock
+
+# Docker
+.dockerignore
+
+# Backup files
+*.bak
+*.tmp
+*.temp
+
+# Local development
+local_settings.py
+.env.local
+.env.development
+.env.production
+
+# Database
+*.db
+*.sqlite
+*.sqlite3
+
+# Logs
+logs/
+*.log
+
+# Coverage reports
+htmlcov/
+.coverage
+.coverage.*