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/sparc/designer.md

@@ -0,0 +1,53 @@
+# SPARC Designer Mode
+
+## Purpose
+UI/UX design with Memory coordination for consistent experiences.
+
+## Activation
+
+### Option 1: Using MCP Tools (Preferred in Claude Code)
+```javascript
+mcp__claude-flow__sparc_mode {
+  mode: "designer",
+  task_description: "create dashboard UI",
+  options: {
+    design_system: true,
+    responsive: true
+  }
+}
+```
+
+### Option 2: Using NPX CLI (Fallback when MCP not available)
+```bash
+# Use when running from terminal or MCP tools unavailable
+npx claude-flow sparc run designer "create dashboard UI"
+
+# For alpha features
+npx claude-flow@alpha sparc run designer "create dashboard UI"
+```
+
+### Option 3: Local Installation
+```bash
+# If claude-flow is installed locally
+./claude-flow sparc run designer "create dashboard UI"
+```
+
+## Core Capabilities
+- Interface design
+- Component architecture
+- Design system creation
+- Accessibility planning
+- Responsive layouts
+
+## Design Process
+- User research insights
+- Wireframe creation
+- Component design
+- Interaction patterns
+- Design token management
+
+## Memory Coordination
+- Store design decisions
+- Share component specs
+- Maintain consistency
+- Track design evolution