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/auto-topology.md

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+# Automatic Topology Selection
+
+## Purpose
+Automatically select the optimal swarm topology based on task complexity analysis.
+
+## How It Works
+
+### 1. Task Analysis
+The system analyzes your task description to determine:
+- Complexity level (simple/medium/complex)
+- Required agent types
+- Estimated duration
+- Resource requirements
+
+### 2. Topology Selection
+Based on analysis, it selects:
+- **Star**: For simple, centralized tasks
+- **Mesh**: For medium complexity with flexibility needs
+- **Hierarchical**: For complex tasks requiring structure
+- **Ring**: For sequential processing workflows
+
+### 3. Example Usage
+
+**Simple Task:**
+```
+Tool: mcp__claude-flow__task_orchestrate
+Parameters: {"task": "Fix typo in README.md"}
+Result: Automatically uses star topology with single agent
+```
+
+**Complex Task:**
+```
+Tool: mcp__claude-flow__task_orchestrate
+Parameters: {"task": "Refactor authentication system with JWT, add tests, update documentation"}
+Result: Automatically uses hierarchical topology with architect, coder, and tester agents
+```
+
+## Benefits
+- 🎯 Optimal performance for each task type
+- 🤖 Automatic agent assignment
+- ⚡ Reduced setup time
+- 📊 Better resource utilization
+
+## Hook Configuration
+The pre-task hook automatically handles topology selection:
+```json
+{
+  "command": "npx claude-flow hook pre-task --optimize-topology"
+}
+```
+
+## Direct Optimization
+```
+Tool: mcp__claude-flow__topology_optimize
+Parameters: {"swarmId": "current"}
+```
+
+## CLI Usage
+```bash
+# Auto-optimize topology via CLI
+npx claude-flow optimize topology
+```