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>

supabase/migrations/004_medical_records.sql

@@ -0,0 +1,75 @@
+CREATE TABLE medical_records (
+  id UUID PRIMARY KEY DEFAULT uuid_generate_v4(),
+  clinic_id UUID NOT NULL REFERENCES clinics(id) ON DELETE CASCADE,
+  patient_id UUID NOT NULL REFERENCES patients(id) ON DELETE CASCADE,
+  family_history JSONB DEFAULT '[]',
+  personal_history JSONB DEFAULT '[]',
+  surgical_history JSONB DEFAULT '[]',
+  current_medications JSONB DEFAULT '[]',
+  immunizations JSONB DEFAULT '[]',
+  created_at TIMESTAMPTZ NOT NULL DEFAULT NOW(),
+  updated_at TIMESTAMPTZ NOT NULL DEFAULT NOW(),
+  UNIQUE(patient_id)
+);
+
+CREATE TABLE consultation_notes (
+  id UUID PRIMARY KEY DEFAULT uuid_generate_v4(),
+  clinic_id UUID NOT NULL REFERENCES clinics(id) ON DELETE CASCADE,
+  patient_id UUID NOT NULL REFERENCES patients(id) ON DELETE CASCADE,
+  doctor_id UUID NOT NULL REFERENCES users(id),
+  appointment_id UUID REFERENCES appointments(id),
+  subjective TEXT,
+  objective TEXT,
+  assessment TEXT,
+  plan TEXT,
+  vital_signs JSONB,
+  diagnoses JSONB DEFAULT '[]',
+  is_signed BOOLEAN NOT NULL DEFAULT FALSE,
+  signed_at TIMESTAMPTZ,
+  created_at TIMESTAMPTZ NOT NULL DEFAULT NOW()
+);
+
+CREATE INDEX idx_consultations_patient ON consultation_notes(patient_id, created_at DESC);
+CREATE INDEX idx_consultations_doctor ON consultation_notes(doctor_id, created_at DESC);
+
+CREATE TABLE prescriptions (
+  id UUID PRIMARY KEY DEFAULT uuid_generate_v4(),
+  clinic_id UUID NOT NULL REFERENCES clinics(id) ON DELETE CASCADE,
+  consultation_id UUID NOT NULL REFERENCES consultation_notes(id) ON DELETE CASCADE,
+  patient_id UUID NOT NULL REFERENCES patients(id),
+  doctor_id UUID NOT NULL REFERENCES users(id),
+  items JSONB NOT NULL DEFAULT '[]',
+  pharmacy_notes TEXT,
+  pdf_url TEXT,
+  created_at TIMESTAMPTZ NOT NULL DEFAULT NOW()
+);
+
+CREATE TABLE medical_files (
+  id UUID PRIMARY KEY DEFAULT uuid_generate_v4(),
+  clinic_id UUID NOT NULL REFERENCES clinics(id) ON DELETE CASCADE,
+  patient_id UUID NOT NULL REFERENCES patients(id) ON DELETE CASCADE,
+  consultation_id UUID REFERENCES consultation_notes(id),
+  file_name TEXT NOT NULL,
+  file_type TEXT NOT NULL DEFAULT 'other' CHECK (file_type IN ('lab_result','imaging','referral','other')),
+  storage_path TEXT NOT NULL,
+  uploaded_by UUID REFERENCES users(id),
+  created_at TIMESTAMPTZ NOT NULL DEFAULT NOW()
+);
+
+ALTER TABLE medical_records ENABLE ROW LEVEL SECURITY;
+CREATE POLICY "View clinic records" ON medical_records FOR SELECT USING (clinic_id = auth.clinic_id());
+CREATE POLICY "Insert clinic records" ON medical_records FOR INSERT WITH CHECK (clinic_id = auth.clinic_id());
+CREATE POLICY "Update clinic records" ON medical_records FOR UPDATE USING (clinic_id = auth.clinic_id());
+
+ALTER TABLE consultation_notes ENABLE ROW LEVEL SECURITY;
+CREATE POLICY "View clinic notes" ON consultation_notes FOR SELECT USING (clinic_id = auth.clinic_id());
+CREATE POLICY "Insert clinic notes" ON consultation_notes FOR INSERT WITH CHECK (clinic_id = auth.clinic_id());
+CREATE POLICY "Update own notes" ON consultation_notes FOR UPDATE USING (clinic_id = auth.clinic_id() AND doctor_id = auth.uid());
+
+ALTER TABLE prescriptions ENABLE ROW LEVEL SECURITY;
+CREATE POLICY "View clinic prescriptions" ON prescriptions FOR SELECT USING (clinic_id = auth.clinic_id());
+CREATE POLICY "Insert clinic prescriptions" ON prescriptions FOR INSERT WITH CHECK (clinic_id = auth.clinic_id());
+
+ALTER TABLE medical_files ENABLE ROW LEVEL SECURITY;
+CREATE POLICY "View clinic files" ON medical_files FOR SELECT USING (clinic_id = auth.clinic_id());
+CREATE POLICY "Insert clinic files" ON medical_files FOR INSERT WITH CHECK (clinic_id = auth.clinic_id());