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/optimizer.md

@@ -0,0 +1,54 @@
+# SPARC Optimizer Mode
+
+## Purpose
+Performance optimization with systematic analysis and improvements.
+
+## Activation
+
+### Option 1: Using MCP Tools (Preferred in Claude Code)
+```javascript
+mcp__claude-flow__sparc_mode {
+  mode: "optimizer",
+  task_description: "optimize application performance",
+  options: {
+    profile: true,
+    benchmark: 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 optimizer "optimize application performance"
+
+# For alpha features
+npx claude-flow@alpha sparc run optimizer "optimize application performance"
+```
+
+### Option 3: Local Installation
+```bash
+# If claude-flow is installed locally
+./claude-flow sparc run optimizer "optimize application performance"
+```
+
+## Core Capabilities
+- Performance profiling
+- Code optimization
+- Resource optimization
+- Algorithm improvement
+- Scalability enhancement
+
+## Optimization Areas
+- Execution speed
+- Memory usage
+- Network efficiency
+- Database queries
+- Bundle size
+
+## Systematic Approach
+1. Baseline measurement
+2. Bottleneck identification
+3. Optimization implementation
+4. Impact verification
+5. Continuous monitoring