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/token-efficiency.md

@@ -0,0 +1,45 @@
+# 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