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/cache-manage.md

@@ -0,0 +1,25 @@
+# cache-manage
+
+Manage operation cache for performance.
+
+## Usage
+```bash
+npx claude-flow optimization cache-manage [options]
+```
+
+## Options
+- `--action <type>` - Action (view, clear, optimize)
+- `--max-size <mb>` - Maximum cache size
+- `--ttl <seconds>` - Time to live
+
+## Examples
+```bash
+# View cache stats
+npx claude-flow optimization cache-manage --action view
+
+# Clear cache
+npx claude-flow optimization cache-manage --action clear
+
+# Set limits
+npx claude-flow optimization cache-manage --max-size 100 --ttl 3600
+```