Outline
Structures the case observation into IMRaD. Suggests scope per target journal. The resident sees the structure first, the prose second.
Research
The manuscript module, the residency-training-program supervisor, the sovereign clinical-trial bench. All inside LUMEN.
The Research feature inside LUMEN is the preserved MedScribe legacy: six manuscript agents (Outline, Methods, Results, Discussion, References, Polish) that turn a residency case observation into a publishable manuscript, supervised end to end by a senior attending. De-identified cohorts. Reproducible trials. Sovereign data governance. The hospital builds the cohort, runs the protocol, publishes the result, and never exports raw data.
The Research module · six manuscript agents
Methods
Validates the statistical approach against the cohort. Cites the methodology source publication. Flags inclusion/exclusion drift. Senior supervisor signs the methods section before submission.
Results
Renders the analysis with the audit-chain reference attached to every figure. Every result is reproducible from the cohort definition. No ghost data.
Discussion
Bounds the claim against the literature. Surfaces alternative interpretations. The senior supervisor edits the discussion in the same Counsel-style review surface.
References
Citation traced to the source publication, with date and DOI. No fabricated citations. Every reference verifiable in PubMed or the corresponding registry.
Polish
Final-pass copy-edit per target journal style guide. The supervisor's signature lands at the bottom of the manuscript before submission.
The RTP supervision workflow
Residency-training-program supervision through LUMEN: resident observes a case, drafts a case report inside the Research module, the senior supervisor reviews via the same Counsel-style deliberation surface used for clinical decisions. Each manuscript agent comments on a specific dimension (clinical accuracy, statistical method, novelty, references). The resident sees the supervisor's signature on each section. The supervision is visible, recorded, and reviewable. Twenty-eight years of bedside instinct teaches by demonstration, not by lecture.
The publication workflow, end to end
Case observation logged in Research. Draft generated by the six manuscript agents. Senior supervisor reviews and countersigns. Target journal selected (with the agents flagging journal-fit signals). Submission packet generated: cover letter, manuscript, figures, statement of authorship, conflict-of-interest disclosure, IRB reference, data-availability statement (with the audit-chain export reference). Revisions tracked through the same Counsel-style review surface. Final version archived with full audit-chain traceability. The reviewer at the journal sees a manuscript whose every claim cites a source and whose every figure traces to a hospital-owned audit entry.
How research changes
Cohorts
Built inside the hospital. Never export raw data. The substrate carries the cohort, not a CSV. Cohort SQL is signed and version-controlled on the audit chain.
Trials
Protocol fidelity, audited end to end. Every step on the chain. Every protocol deviation documented and signed. IRB-ready audit trail by construction.
Publication
Reproducible artifacts attached to every result. Citation discipline. No ghost data. No fabricated references. Every figure traces to its underlying data and the cohort that produced it.
Governance
Sovereign jurisdiction. Ethics review on file. Patient consent surfaced in the chain. Tri-Council Policy Statement (TCPS 2) alignment for Canadian deployments; equivalent regulator alignment per jurisdiction.
The reproducibility contract
Same cohort definition, same protocol, same result. The artifact survives the trial: cohort SQL, model card, protocol PDF, signed consent ledger, audit excerpt. A reviewer with the same hospital deployment reproduces the result, not the screenshot. The audit-chain export format (Patent 207 with selective disclosure) lets the journal verify reproducibility without raw patient data ever leaving the hospital.
- 0
- raw patient-data exports outside the hospital
- 100%
- protocol steps recorded on the audit chain
- 1
- sovereign jurisdiction per deployment
- 6
- manuscript agents in the Research module
Why the hospital is the lab
The research bench is the unit. The senior consultant who runs the trial signs the protocol, the inclusion, the analysis, the publication. The instrument is the substrate, not the lab notebook. The resident learns by watching the senior consultant sign, not by being lectured. Twenty-eight years of pattern recognition becomes portable, reproducible, and citable.
MedScribe legacy preserved
The Research module preserves the original MedScribe AI manuscript-writing workflow as a feature inside LUMEN. The six manuscript agents are the canonical authors of that legacy. MedScribe AI Inc. is not a separate entity any more; the manuscript surface lives where it always belonged, alongside the bedside surface, both deliberating on the same Patent 134 holographic patient-state substrate.
Research-grade clinical AI, on the hospital's own server.
Manuscript module. RTP supervision. Reproducible trials. Sovereign data governance.
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