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/topology-optimize.md

@@ -0,0 +1,25 @@
+# topology-optimize
+
+Optimize swarm topology for current workload.
+
+## Usage
+```bash
+npx claude-flow optimization topology-optimize [options]
+```
+
+## Options
+- `--analyze-first` - Analyze before optimizing
+- `--target <metric>` - Optimization target
+- `--apply` - Apply optimizations
+
+## Examples
+```bash
+# Analyze and suggest
+npx claude-flow optimization topology-optimize --analyze-first
+
+# Optimize for speed
+npx claude-flow optimization topology-optimize --target speed
+
+# Apply changes
+npx claude-flow optimization topology-optimize --target efficiency --apply
+```