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/optimization/README.md

@@ -0,0 +1,9 @@
+# Optimization Commands
+
+Commands for optimization operations in Claude Flow.
+
+## Available Commands
+
+- [topology-optimize](./topology-optimize.md)
+- [parallel-execute](./parallel-execute.md)
+- [cache-manage](./cache-manage.md)