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/automation/smart-spawn.md

@@ -0,0 +1,25 @@
+# smart-spawn
+
+Intelligently spawn agents based on workload analysis.
+
+## Usage
+```bash
+npx claude-flow automation smart-spawn [options]
+```
+
+## Options
+- `--analyze` - Analyze before spawning
+- `--threshold <n>` - Spawn threshold
+- `--topology <type>` - Preferred topology
+
+## Examples
+```bash
+# Smart spawn with analysis
+npx claude-flow automation smart-spawn --analyze
+
+# Set spawn threshold
+npx claude-flow automation smart-spawn --threshold 5
+
+# Force topology
+npx claude-flow automation smart-spawn --topology hierarchical
+```