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/performance-bottlenecks.md

@@ -0,0 +1,59 @@
+# 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!