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/orchestrator.md

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+# SPARC Orchestrator Mode
+
+## Purpose
+Multi-agent task orchestration with TodoWrite/TodoRead/Task/Memory using MCP tools.
+
+## Activation
+
+### Option 1: Using MCP Tools (Preferred in Claude Code)
+```javascript
+mcp__claude-flow__sparc_mode {
+  mode: "orchestrator",
+  task_description: "coordinate feature development"
+}
+```
+
+### 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 orchestrator "coordinate feature development"
+
+# For alpha features
+npx claude-flow@alpha sparc run orchestrator "coordinate feature development"
+```
+
+### Option 3: Local Installation
+```bash
+# If claude-flow is installed locally
+./claude-flow sparc run orchestrator "coordinate feature development"
+```
+
+## Core Capabilities
+- Task decomposition
+- Agent coordination
+- Resource allocation
+- Progress tracking
+- Result synthesis
+
+## Integration Examples
+
+### Using MCP Tools (Preferred)
+```javascript
+// Initialize orchestration swarm
+mcp__claude-flow__swarm_init {
+  topology: "hierarchical",
+  strategy: "auto",
+  maxAgents: 8
+}
+
+// Spawn coordinator agent
+mcp__claude-flow__agent_spawn {
+  type: "coordinator",
+  capabilities: ["task-planning", "resource-management"]
+}
+
+// Orchestrate tasks
+mcp__claude-flow__task_orchestrate {
+  task: "feature development",
+  strategy: "parallel",
+  dependencies: ["auth", "ui", "api"]
+}
+```
+
+### Using NPX CLI (Fallback)
+```bash
+# Initialize orchestration swarm
+npx claude-flow swarm init --topology hierarchical --strategy auto --max-agents 8
+
+# Spawn coordinator agent
+npx claude-flow agent spawn --type coordinator --capabilities "task-planning,resource-management"
+
+# Orchestrate tasks
+npx claude-flow task orchestrate --task "feature development" --strategy parallel --deps "auth,ui,api"
+```
+
+## Orchestration Patterns
+- Hierarchical coordination
+- Parallel execution
+- Sequential pipelines
+- Event-driven flows
+- Adaptive strategies
+
+## Coordination Tools
+- TodoWrite for planning
+- Task for agent launch
+- Memory for sharing
+- Progress monitoring
+- Result aggregation
+
+## Workflow Example
+
+### Using MCP Tools (Preferred)
+```javascript
+// 1. Initialize orchestration swarm
+mcp__claude-flow__swarm_init {
+  topology: "hierarchical",
+  maxAgents: 10
+}
+
+// 2. Create workflow
+mcp__claude-flow__workflow_create {
+  name: "feature-development",
+  steps: ["design", "implement", "test", "deploy"]
+}
+
+// 3. Execute orchestration
+mcp__claude-flow__sparc_mode {
+  mode: "orchestrator",
+  options: {parallel: true, monitor: true},
+  task_description: "develop user management system"
+}
+
+// 4. Monitor progress
+mcp__claude-flow__swarm_monitor {
+  swarmId: "current",
+  interval: 5000
+}
+```
+
+### Using NPX CLI (Fallback)
+```bash
+# 1. Initialize orchestration swarm
+npx claude-flow swarm init --topology hierarchical --max-agents 10
+
+# 2. Create workflow
+npx claude-flow workflow create --name "feature-development" --steps "design,implement,test,deploy"
+
+# 3. Execute orchestration
+npx claude-flow sparc run orchestrator "develop user management system" --parallel --monitor
+
+# 4. Monitor progress
+npx claude-flow swarm monitor --interval 5000
+```