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/helpers/pattern-consolidator.sh

@@ -0,0 +1,86 @@
+#!/bin/bash
+# Claude Flow V3 - Pattern Consolidator Worker
+# Deduplicates patterns, prunes old ones, improves quality scores
+
+set -euo pipefail
+
+SCRIPT_DIR="$(cd "$(dirname "${BASH_SOURCE[0]}")" && pwd)"
+PROJECT_ROOT="$(cd "$SCRIPT_DIR/../.." && pwd)"
+PATTERNS_DB="$PROJECT_ROOT/.claude-flow/learning/patterns.db"
+METRICS_DIR="$PROJECT_ROOT/.claude-flow/metrics"
+LAST_RUN_FILE="$METRICS_DIR/.consolidator-last-run"
+
+mkdir -p "$METRICS_DIR"
+
+should_run() {
+  if [ ! -f "$LAST_RUN_FILE" ]; then return 0; fi
+  local last_run=$(cat "$LAST_RUN_FILE" 2>/dev/null || echo "0")
+  local now=$(date +%s)
+  [ $((now - last_run)) -ge 900 ]  # 15 minutes
+}
+
+consolidate_patterns() {
+  if [ ! -f "$PATTERNS_DB" ] || ! command -v sqlite3 &>/dev/null; then
+    echo "[$(date +%H:%M:%S)] No patterns database found"
+    return 0
+  fi
+
+  echo "[$(date +%H:%M:%S)] Consolidating patterns..."
+
+  # Count before
+  local before=$(sqlite3 "$PATTERNS_DB" "SELECT COUNT(*) FROM short_term_patterns" 2>/dev/null || echo "0")
+
+  # Remove duplicates (keep highest quality)
+  sqlite3 "$PATTERNS_DB" "
+    DELETE FROM short_term_patterns
+    WHERE rowid NOT IN (
+      SELECT MIN(rowid) FROM short_term_patterns
+      GROUP BY strategy, domain
+    )
+  " 2>/dev/null || true
+
+  # Prune old low-quality patterns (older than 7 days, quality < 0.3)
+  sqlite3 "$PATTERNS_DB" "
+    DELETE FROM short_term_patterns
+    WHERE quality < 0.3
+    AND created_at < datetime('now', '-7 days')
+  " 2>/dev/null || true
+
+  # Promote high-quality patterns to long-term (quality > 0.8, used > 5 times)
+  sqlite3 "$PATTERNS_DB" "
+    INSERT OR IGNORE INTO long_term_patterns (strategy, domain, quality, source)
+    SELECT strategy, domain, quality, 'consolidated'
+    FROM short_term_patterns
+    WHERE quality > 0.8
+  " 2>/dev/null || true
+
+  # Decay quality of unused patterns
+  sqlite3 "$PATTERNS_DB" "
+    UPDATE short_term_patterns
+    SET quality = quality * 0.95
+    WHERE updated_at < datetime('now', '-1 day')
+  " 2>/dev/null || true
+
+  # Count after
+  local after=$(sqlite3 "$PATTERNS_DB" "SELECT COUNT(*) FROM short_term_patterns" 2>/dev/null || echo "0")
+  local removed=$((before - after))
+
+  echo "[$(date +%H:%M:%S)] ✓ Consolidated: $before → $after patterns (removed $removed)"
+
+  date +%s > "$LAST_RUN_FILE"
+}
+
+case "${1:-check}" in
+  "run"|"consolidate") consolidate_patterns ;;
+  "check") should_run && consolidate_patterns || echo "[$(date +%H:%M:%S)] Skipping (throttled)" ;;
+  "force") rm -f "$LAST_RUN_FILE"; consolidate_patterns ;;
+  "status")
+    if [ -f "$PATTERNS_DB" ] && command -v sqlite3 &>/dev/null; then
+      local short=$(sqlite3 "$PATTERNS_DB" "SELECT COUNT(*) FROM short_term_patterns" 2>/dev/null || echo "0")
+      local long=$(sqlite3 "$PATTERNS_DB" "SELECT COUNT(*) FROM long_term_patterns" 2>/dev/null || echo "0")
+      local avg_q=$(sqlite3 "$PATTERNS_DB" "SELECT ROUND(AVG(quality), 2) FROM short_term_patterns" 2>/dev/null || echo "0")
+      echo "Patterns: $short short-term, $long long-term, avg quality: $avg_q"
+    fi
+    ;;
+  *) echo "Usage: $0 [run|check|force|status]" ;;
+esac