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/github/github-swarm.md

@@ -0,0 +1,121 @@
+# github swarm
+
+Create a specialized swarm for GitHub repository management.
+
+## Usage
+
+```bash
+npx claude-flow github swarm [options]
+```
+
+## Options
+
+- `--repository, -r <owner/repo>` - Target GitHub repository
+- `--agents, -a <number>` - Number of specialized agents (default: 5)
+- `--focus, -f <type>` - Focus area: maintenance, development, review, triage
+- `--auto-pr` - Enable automatic pull request enhancements
+- `--issue-labels` - Auto-categorize and label issues
+- `--code-review` - Enable AI-powered code reviews
+
+## Examples
+
+### Basic GitHub swarm
+
+```bash
+npx claude-flow github swarm --repository owner/repo
+```
+
+### Maintenance-focused swarm
+
+```bash
+npx claude-flow github swarm -r owner/repo -f maintenance --issue-labels
+```
+
+### Development swarm with PR automation
+
+```bash
+npx claude-flow github swarm -r owner/repo -f development --auto-pr --code-review
+```
+
+### Full-featured triage swarm
+
+```bash
+npx claude-flow github swarm -r owner/repo -a 8 -f triage --issue-labels --auto-pr
+```
+
+## Agent Types
+
+### Issue Triager
+
+- Analyzes and categorizes issues
+- Suggests labels and priorities
+- Identifies duplicates and related issues
+
+### PR Reviewer
+
+- Reviews code changes
+- Suggests improvements
+- Checks for best practices
+
+### Documentation Agent
+
+- Updates README files
+- Creates API documentation
+- Maintains changelog
+
+### Test Agent
+
+- Identifies missing tests
+- Suggests test cases
+- Validates test coverage
+
+### Security Agent
+
+- Scans for vulnerabilities
+- Reviews dependencies
+- Suggests security improvements
+
+## Workflows
+
+### Issue Triage Workflow
+
+1. Scan all open issues
+2. Categorize by type and priority
+3. Apply appropriate labels
+4. Suggest assignees
+5. Link related issues
+
+### PR Enhancement Workflow
+
+1. Analyze PR changes
+2. Suggest missing tests
+3. Improve documentation
+4. Format code consistently
+5. Add helpful comments
+
+### Repository Health Check
+
+1. Analyze code quality metrics
+2. Review dependency status
+3. Check test coverage
+4. Assess documentation completeness
+5. Generate health report
+
+## Integration with Claude Code
+
+Use in Claude Code with MCP tools:
+
+```javascript
+mcp__claude-flow__github_swarm {
+  repository: "owner/repo",
+  agents: 6,
+  focus: "maintenance"
+}
+```
+
+## See Also
+
+- `repo analyze` - Deep repository analysis
+- `pr enhance` - Enhance pull requests
+- `issue triage` - Intelligent issue management
+- `code review` - Automated reviews