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

@@ -0,0 +1,54 @@
+# 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.