feat: CRM Clinicas SaaS - MVP completo

- Auth: Login/Register con creacion de clinica
- Dashboard: KPIs reales, graficas recharts
- Pacientes: CRUD completo con busqueda
- Agenda: FullCalendar, drag-and-drop, vista recepcion
- Expediente: Notas SOAP, signos vitales, CIE-10
- Facturacion: Facturas con IVA, campos CFDI SAT
- Inventario: Productos, stock, movimientos, alertas
- Configuracion: Clinica, equipo, catalogo servicios
- Supabase self-hosted: 18 tablas con RLS multi-tenant
- Docker + Nginx para produccion

Co-Authored-By: claude-flow <ruv@ruv.net>

.claude/commands/analysis/COMMAND_COMPLIANCE_REPORT.md

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+# Analysis Commands Compliance Report
+
+## Overview
+Reviewed all command files in `.claude/commands/analysis/` directory to ensure proper usage of:
+- `mcp__claude-flow__*` tools (preferred)
+- `npx claude-flow` commands (as fallback)
+- No direct implementation calls
+
+## Files Reviewed
+
+### 1. token-efficiency.md
+**Status**: ✅ Updated
+**Changes Made**:
+- Replaced `npx ruv-swarm hook session-end --export-metrics` with proper MCP tool call
+- Updated to: `Tool: mcp__claude-flow__token_usage` with appropriate parameters
+- Maintained result format and context
+
+**Before**:
+```bash
+npx ruv-swarm hook session-end --export-metrics
+```
+
+**After**:
+```
+Tool: mcp__claude-flow__token_usage
+Parameters: {"operation": "session", "timeframe": "24h"}
+```
+
+### 2. performance-bottlenecks.md
+**Status**: ✅ Compliant (No changes needed)
+**Reason**: Already uses proper `mcp__claude-flow__task_results` tool format
+
+## Summary
+
+- **Total files reviewed**: 2
+- **Files updated**: 1
+- **Files already compliant**: 1
+- **Compliance rate after updates**: 100%
+
+## Compliance Patterns Enforced
+
+1. **MCP Tool Usage**: All direct tool calls now use `mcp__claude-flow__*` format
+2. **Parameter Format**: JSON parameters properly structured
+3. **Command Context**: Preserved original functionality and expected results
+4. **Documentation**: Maintained clarity and examples
+
+## Recommendations
+
+1. All analysis commands now follow the proper pattern
+2. No direct bash commands or implementation calls remain
+3. Token usage analysis properly integrated with MCP tools
+4. Performance analysis already using correct tool format
+
+The analysis directory is now fully compliant with the Claude Flow command standards.

.claude/commands/analysis/README.md

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+# Analysis Commands
+
+Commands for analysis operations in Claude Flow.
+
+## Available Commands
+
+- [bottleneck-detect](./bottleneck-detect.md)
+- [token-usage](./token-usage.md)
+- [performance-report](./performance-report.md)

.claude/commands/analysis/bottleneck-detect.md

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+# bottleneck detect
+
+Analyze performance bottlenecks in swarm operations and suggest optimizations.
+
+## Usage
+
+```bash
+npx claude-flow bottleneck detect [options]
+```
+
+## Options
+
+- `--swarm-id, -s <id>` - Analyze specific swarm (default: current)
+- `--time-range, -t <range>` - Analysis period: 1h, 24h, 7d, all (default: 1h)
+- `--threshold <percent>` - Bottleneck threshold percentage (default: 20)
+- `--export, -e <file>` - Export analysis to file
+- `--fix` - Apply automatic optimizations
+
+## Examples
+
+### Basic bottleneck detection
+
+```bash
+npx claude-flow bottleneck detect
+```
+
+### Analyze specific swarm
+
+```bash
+npx claude-flow bottleneck detect --swarm-id swarm-123
+```
+
+### Last 24 hours with export
+
+```bash
+npx claude-flow bottleneck detect -t 24h -e bottlenecks.json
+```
+
+### Auto-fix detected issues
+
+```bash
+npx claude-flow bottleneck detect --fix --threshold 15
+```
+
+## Metrics Analyzed
+
+### Communication Bottlenecks
+
+- Message queue delays
+- Agent response times
+- Coordination overhead
+- Memory access patterns
+
+### Processing Bottlenecks
+
+- Task completion times
+- Agent utilization rates
+- Parallel execution efficiency
+- Resource contention
+
+### Memory Bottlenecks
+
+- Cache hit rates
+- Memory access patterns
+- Storage I/O performance
+- Neural pattern loading
+
+### Network Bottlenecks
+
+- API call latency
+- MCP communication delays
+- External service timeouts
+- Concurrent request limits
+
+## Output Format
+
+```
+🔍 Bottleneck Analysis Report
+━━━━━━━━━━━━━━━━━━━━━━━━━━━
+
+📊 Summary
+├── Time Range: Last 1 hour
+├── Agents Analyzed: 6
+├── Tasks Processed: 42
+└── Critical Issues: 2
+
+🚨 Critical Bottlenecks
+1. Agent Communication (35% impact)
+   └── coordinator → coder-1 messages delayed by 2.3s avg
+
+2. Memory Access (28% impact)
+   └── Neural pattern loading taking 1.8s per access
+
+⚠️ Warning Bottlenecks
+1. Task Queue (18% impact)
+   └── 5 tasks waiting > 10s for assignment
+
+💡 Recommendations
+1. Switch to hierarchical topology (est. 40% improvement)
+2. Enable memory caching (est. 25% improvement)
+3. Increase agent concurrency to 8 (est. 20% improvement)
+
+✅ Quick Fixes Available
+Run with --fix to apply:
+- Enable smart caching
+- Optimize message routing
+- Adjust agent priorities
+```
+
+## Automatic Fixes
+
+When using `--fix`, the following optimizations may be applied:
+
+1. **Topology Optimization**
+
+   - Switch to more efficient topology
+   - Adjust communication patterns
+   - Reduce coordination overhead
+
+2. **Caching Enhancement**
+
+   - Enable memory caching
+   - Optimize cache strategies
+   - Preload common patterns
+
+3. **Concurrency Tuning**
+
+   - Adjust agent counts
+   - Optimize parallel execution
+   - Balance workload distribution
+
+4. **Priority Adjustment**
+   - Reorder task queues
+   - Prioritize critical paths
+   - Reduce wait times
+
+## Performance Impact
+
+Typical improvements after bottleneck resolution:
+
+- **Communication**: 30-50% faster message delivery
+- **Processing**: 20-40% reduced task completion time
+- **Memory**: 40-60% fewer cache misses
+- **Overall**: 25-45% performance improvement
+
+## Integration with Claude Code
+
+```javascript
+// Check for bottlenecks in Claude Code
+mcp__claude-flow__bottleneck_detect {
+  timeRange: "1h",
+  threshold: 20,
+  autoFix: false
+}
+```
+
+## See Also
+
+- `performance report` - Detailed performance analysis
+- `token usage` - Token optimization analysis
+- `swarm monitor` - Real-time monitoring
+- `cache manage` - Cache optimization

.claude/commands/analysis/performance-bottlenecks.md

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+# Performance Bottleneck Analysis
+
+## Purpose
+Identify and resolve performance bottlenecks in your development workflow.
+
+## Automated Analysis
+
+### 1. Real-time Detection
+The post-task hook automatically analyzes:
+- Execution time vs. complexity
+- Agent utilization rates
+- Resource constraints
+- Operation patterns
+
+### 2. Common Bottlenecks
+
+**Time Bottlenecks:**
+- Tasks taking > 5 minutes
+- Sequential operations that could parallelize
+- Redundant file operations
+
+**Coordination Bottlenecks:**
+- Single agent for complex tasks
+- Unbalanced agent workloads
+- Poor topology selection
+
+**Resource Bottlenecks:**
+- High operation count (> 100)
+- Memory constraints
+- I/O limitations
+
+### 3. Improvement Suggestions
+
+```
+Tool: mcp__claude-flow__task_results
+Parameters: {"taskId": "task-123", "format": "detailed"}
+
+Result includes:
+{
+  "bottlenecks": [
+    {
+      "type": "coordination",
+      "severity": "high",
+      "description": "Single agent used for complex task",
+      "recommendation": "Spawn specialized agents for parallel work"
+    }
+  ],
+  "improvements": [
+    {
+      "area": "execution_time",
+      "suggestion": "Use parallel task execution",
+      "expectedImprovement": "30-50% time reduction"
+    }
+  ]
+}
+```
+
+## Continuous Optimization
+The system learns from each task to prevent future bottlenecks!

.claude/commands/analysis/performance-report.md

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+# performance-report
+
+Generate comprehensive performance reports for swarm operations.
+
+## Usage
+```bash
+npx claude-flow analysis performance-report [options]
+```
+
+## Options
+- `--format <type>` - Report format (json, html, markdown)
+- `--include-metrics` - Include detailed metrics
+- `--compare <id>` - Compare with previous swarm
+
+## Examples
+```bash
+# Generate HTML report
+npx claude-flow analysis performance-report --format html
+
+# Compare swarms
+npx claude-flow analysis performance-report --compare swarm-123
+
+# Full metrics report
+npx claude-flow analysis performance-report --include-metrics --format markdown
+```

.claude/commands/analysis/token-efficiency.md

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+# Token Usage Optimization
+
+## Purpose
+Reduce token consumption while maintaining quality through intelligent coordination.
+
+## Optimization Strategies
+
+### 1. Smart Caching
+- Search results cached for 5 minutes
+- File content cached during session
+- Pattern recognition reduces redundant searches
+
+### 2. Efficient Coordination
+- Agents share context automatically
+- Avoid duplicate file reads
+- Batch related operations
+
+### 3. Measurement & Tracking
+
+```bash
+# Check token savings after session
+Tool: mcp__claude-flow__token_usage
+Parameters: {"operation": "session", "timeframe": "24h"}
+
+# Result shows:
+{
+  "metrics": {
+    "tokensSaved": 15420,
+    "operations": 45,
+    "efficiency": "343 tokens/operation"
+  }
+}
+```
+
+## Best Practices
+1. **Use Task tool** for complex searches
+2. **Enable caching** in pre-search hooks
+3. **Batch operations** when possible
+4. **Review session summaries** for insights
+
+## Token Reduction Results
+- 📉 32.3% average token reduction
+- 🎯 More focused operations
+- 🔄 Intelligent result reuse
+- 📊 Cumulative improvements

.claude/commands/analysis/token-usage.md

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+# token-usage
+
+Analyze token usage patterns and optimize for efficiency.
+
+## Usage
+```bash
+npx claude-flow analysis token-usage [options]
+```
+
+## Options
+- `--period <time>` - Analysis period (1h, 24h, 7d, 30d)
+- `--by-agent` - Break down by agent
+- `--by-operation` - Break down by operation type
+
+## Examples
+```bash
+# Last 24 hours token usage
+npx claude-flow analysis token-usage --period 24h
+
+# By agent breakdown
+npx claude-flow analysis token-usage --by-agent
+
+# Export detailed report
+npx claude-flow analysis token-usage --period 7d --export tokens.csv
+```