SystemMedical Affairs

Medical Insights Synthesis Engine

MSL insights analysis that turns every field insight into a cited theme and a signed quarterly report

Every field insight becomes a cited theme within days, ready for the quarterly report.

See one case, screen by screen ↓
demo2,946insights in the quarter, from five channels, all read
demo9.6sfor four agents to build a theme, with a citation on every sentence
target2.1daysmedian from a captured insight to its theme
target97%of insights coded by agents, 94 % agreement with the insights lead
The problem

Why field insights reach the leadership team a quarter late

MSLs code insights in the CRM every day. Medical information logs every inquiry. Advisory boards, the congress team and the HCP survey each produce their own summary. The insights lead has to bring five channels together, read thousands of statements, decide what is a theme and what is noise, and show what changed since last quarter.

By hand, that work waits for the quarterly read-out. A theme that doubled in August is noticed in October, the report cites a handful of quotes rather than the insights behind them, and a brand-team version has to be redacted line by line. And turning a key insight into an action with an owner, then checking what it changed, waits until the report is out.

target4–6weeksfrom a captured insight to its theme, by hand
demo35daysfrom quarter end to the signed Q2 report
Where the days go, from quarter end to a signed reportestimated
By hand35 days
With the solution9 days
  • Exporting insights from five channels6 → 0.5 d
  • Reading and coding every insight10 → 1 d
  • Grouping themes and comparing with last quarter7 → 2 d
  • Linking themes to evidence gaps and the medical plan4 → 1.5 d
  • Writing the report and the brand version6 → 2 d
  • Review and sign-off2 → 2 d

Estimated split for one therapy area’s quarter, by hand and with the solution. The totals match the working solution’s dashboard: 35 days in Q2, 9 days as the Q3 target.

How it works

How an insight moves

Six specialist agents code, cluster and cite every insight and draft the report; the insights lead decides each theme.

What comes in
Insights in5 channels · MSL notes, inquiries, ad boards, congress, surveys
Agents at work
Insight intakeone record, de-identified
Then
Insight codertopic, product, sentiment
Then
Theme clustererthemes and momentum
Evidence and plan linkergaps and plan
Then
Report writerevery line cited
Then
Firewall guardbrand-safe version
A person decides
Insights leaddecides each theme; the medical director signs
What comes out
Theme dashboard
Signed quarterly report
Safety flags within a day
One case, step by step

One emerging theme, from the Monday scan to a signed report

In Q3 2026, questions about patients over 65 on the immunology product Veltrimab rise 160 % on Q2. Here is what the insights lead and the agents do with it, screen by screen, in the working solution.

  1. 01Next morning

    The quarter, as themes, when she opens it

    Priya Raman · Medical insights lead

    Priya opens the insight stream: 2,946 insights this quarter, 12 themes, 3 waiting for her decision, the Q3 report due Oct 20. The Monday scan of Oct 6 finished at 06:02 — 187 new insights last week, 2 emerging alerts, 1 safety mention to confirm.

    Emerging: “Patients over 65: infection risk and dosing confidence” — 174 insights (Q2: 67) · 31 MSLs in 9 countries · ▲ +160 %

  2. 02Opened

    How the agents built the theme

    Priya Raman · Medical insights lead

    Four agents took 9.6 seconds: intake pulled 174 insights from five channels with the HCPs de-identified, the coder coded topic, sentiment and segment and flagged 2 safety mentions, the clusterer found 4 sub-themes and wrote the statement with 5 citations, and the linker matched evidence gap EG-14 and objective MPO-3. The last step is hers: waiting for your decision.

    “Community gastroenterologists, mostly in the US Midwest and Germany, hesitate to start Veltrimab in patients over 65 because published results do not report infection rates for that age group separately.”

  3. 03Due today 17:00

    A safety mention, caught inside the insights

    Insight coder

    One MSL note from Wisconsin reads: “An 81-year-old patient developed shingles three months after starting Veltrimab.” The coder flagged it and drafted the hand-off to Patient Safety — reporter, event passage, product, and a follow-up for the MSL to ask the reporter’s consent to be contacted. Priya confirms the forward; it becomes case SR-2026-09140.

    Patient Safety needs it within one business day of awareness. The insight keeps its place in the theme.

  4. 04Linked

    The theme meets the evidence gap and the medical plan

    Evidence and plan linker

    EG-14 — no published serious-infection analysis for patients aged 65 and over, open since Q2, priority now high — and MPO-3, strengthen benefit–risk confidence in special populations. The data already exists: 212 patients aged 65 and over across VLT-302, VLT-305 and the long-term extension. Four actions are proposed, each with an owner.

  5. 05Decided

    Promoted to a key insight, actions assigned

    Priya Raman · Medical insights lead

    Priya promotes the theme. Four actions go to their owners: a pooled safety analysis for Omar Haddad by Jan 30, an MSL slide module on treating older adults for Lena Ortiz by Nov 15, an update to standard response SRL-0412 for Sam Patel by Oct 31, and two new questions in the Q4 HCP survey for herself by Oct 24.

    Note for the medical leadership team: “Raised in Q2; doubled this quarter. The pooled analysis can answer it from data we already hold.”

  6. 06About a minute

    The Q3 report, drafted in the template, every sentence cited

    Report writer

    Six agents run in turn and the writer fills the immunology template: summary, key insights, emerging themes, shifts by region, evidence gaps and recommended actions, what happened to last quarter’s actions, method and sources — plus a decision memo on patients over 65. Themes Priya has not decided, T-04 and T-10, appear “for discussion”.

    Click any citation number to see the insight behind the sentence, with its passage highlighted.

  7. 07Brand version

    A version the brand team may see, with every removal listed

    Firewall guard

    From the same draft the firewall guard builds the brand version and lists four removals: theme T-11, an unapproved use that stays medical-only; HCP detail in every quote, keeping specialty and region; two small region cells folded into Other; and safety case detail.

    “Released to the brand team only after Dana Okafor approves.”

  8. 08Approved

    Medical governance approves the brand version

    Dana Okafor · Medical governance

    Priya sends the report for sign-off. Dana reads the brand version against its removal list and approves it. Until she does, the brand version cannot be exported.

  9. 09Signed

    The TA medical director signs

    Dr. Maya Chen · TA medical director

    Maya signs the medical version and the brand version with an electronic signature: her password, and the meaning — “I approve this report for the medical leadership team” — recorded with it. The report is shared with the medical leadership team on Oct 7, ahead of the Oct 22 review.

  10. 10Action board

    Every key insight ends in an action — and its impact

    Omar Haddad · Evidence generation lead

    The four new actions join the action board as proposed, beside the actions from earlier key insights. Two Q2 actions already show what they changed: the sequencing post-hoc reprint answers 82 % of sequencing inquiries, and the MSL slide module was used in 214 interactions with HCP follow-up questions down 18 %.

Who it’s for

Built for everyone who turns field insight into medical action.

The same quarter, seen by five people in medical affairs — what it took before, and what they see now.

PR
Priya RamanMedical insights lead · Immunology
Theme owner
Before
Reads thousands of coded insights at quarter end and finds the theme that doubled in August when the read-out is due.
Now
Sees emerging themes every Monday, opens how each was built, and spends her time on the decision.
MC
Dr. Maya ChenTA medical director · Immunology
Report signer
Before
Gets a report with a few quotes and has to trust that they stand for the field.
Now
Clicks any sentence to the insights behind it, then signs with the meaning of her signature recorded.
DO
Dana OkaforMedical governance
Brand version approver
Before
Redacts the brand-team version line by line and hopes nothing unapproved slipped through.
Now
Reviews a firewall version with every removal listed and its reason, and approves it before anything reaches a brand team.
LO
Lena OrtizField medical director · North America
Action owner
Before
Waits for the quarterly read-out to learn what her MSLs’ insights add up to.
Now
Sees each theme with the MSL notes behind it, and owns the MSL material a key insight calls for.
OH
Omar HaddadEvidence generation lead
Action owner
Before
Gets requests for analyses with no count of how many HCPs are asking.
Now
Gets each analysis tied to an evidence gap, the data already on file and the number of insights behind it.
Built on the engine

6 agents. Each with one job, and hard limits.

Six specialist agents code, cluster and cite every insight and draft the report; the insights lead decides each theme.

Insight intake

Pulls insights from the CRM export, the medical information case database, advisory board summaries, congress notes and survey results, and turns each into one common insight record with the HCP de-identified.

  • HCP identity never leaves the source system
  • Every record links to its source
Insight coder

Codes each insight — topic, product, sentiment, HCP segment — and flags any adverse event, special situation or quality complaint for Patient Safety.

  • Safety mentions are always flagged — a person confirms the forward
  • Uncertain codes go to the insights lead
Theme clusterer

Groups coded insights into themes by meaning, names each one in plain words, and tracks how it moves week by week and region by region against last quarter.

  • Every statement sentence cites insights
  • A merge or split is proposed, never applied without the insights lead
Evidence and plan linker

Links each theme to the evidence-gap register, the medical plan objectives and the data the company already holds, and proposes actions with an owner.

  • Proposals only — owners accept
  • No promotional wording
Report writer

Writes the quarterly insight report and decision memos section by section, with a citation to every underlying insight.

  • No sentence without a citation
  • Marks undecided themes “for discussion”
  • Medical version first; brand version only through the firewall guard
Firewall guard

Builds the brand-team version of any report: removes unapproved-use themes, HCP detail and small groups, and lists every removal for compliance.

  • Fails closed: an unclassified item is removed
  • Release needs compliance approval
Insights lead

Decides each theme. The agents propose; a named person decides.

Ask in plain words

Ask the insights, in plain words

The insights lead and the team can ask about any theme, insight or action — or tell it what to change. Every answer cites the insights behind it.

What is emerging this quarter?

Two themes pass the rule (+100 % on Q2, at least 25 insights): patients over 65, 174 insights against 67, and intestinal ultrasound, 146 against 66. Patients over 65 is the biggest mover — community gastroenterologists want infection rates by age, and medical information inquiries rose from 19 to 52. Intestinal ultrasound is Europe-led.

Why are questions about patients over 65 rising?

Three reasons, from 174 insights. No age-specific infection data: published results pool all ages. Community practice is cautious: 38 % of community gastroenterologists are less confident prescribing to patients over 65, against 17 % in academic centres. And advisers say data would change practice — 6 of 8 at the Chicago board. We hold 212 patients aged 65 and over across VLT-302, VLT-305 and the extension, so a pooled analysis can answer it.

Alert me when intestinal ultrasound passes 200 insights

Done. New alert, checked daily after the CRM sync, sent to you and Lena Ortiz. It has 146 today and added 18 last week, so at this pace it passes 200 in about three weeks. The alert is live in Settings and recorded in the audit trail.

Draft the decision memo for the over-65 theme

Ask: endorse a pooled safety analysis in patients 65 and over (VLT-302, VLT-305, long-term extension; n = 212). Why now: 174 insights, up 160 %; 52 medical information inquiries; 6 of 8 advisers would change practice; 38 % of community physicians less confident. Cost: existing data, about 12 weeks of statistics time. Owner: Omar Haddad. Added to the Q3 report as an appendix for Dr. Maya Chen.

Every screen

The working solution, as it ships.

13 screens from the working solution, on its sample data. Pick one to see it large.

Insight streamThe quarter as themes: insights per week, emerging themes, the Monday scan and what needs the insights lead.
The theme workspaceA cited theme statement, momentum, channels, a region-by-month heat map and the source insight beside it.
How the agents built the themeFour agents in 9.6 seconds — intake, coder, clusterer, linker — and the last step left to the insights lead.
Safety hand-offThe coder’s draft hand-off to Patient Safety: reporter, event passage, product and follow-up, for a person to confirm.
Evidence and the medical planThe theme linked to its evidence gap, its medical plan objective, the data on file and the proposed actions.
Promote to key insightThe theme becomes a key insight in the Q3 report, and each proposed action goes to its owner with a due date.
The quarterly insight reportDrafted in the immunology template, section by section, with 24 citations to insight records.
The brand versionBuilt by the firewall guard, with every removal and its reason listed for medical governance.
Brand version approvedSent for sign-off, the brand version approved by medical governance, the TA medical director’s signature next.
Electronic signatureThe TA medical director signs with password and the meaning of the signature, recorded together.
Insight to actionEvery action from a key insight, from proposed to impact measured, with its owner and due date.
The insights dashboardInsights per week by channel, theme momentum against Q2, the channel mix and where each theme is heard.
Your rulesSharing rules, safety hand-off, report signer, who decides themes, and the read-only source connections.
Governance

Built for medical affairs: cited, de-identified, firewalled, signed.

Every sentence cites its insightsTheme statements and report sentences carry numbered citations. Click one to see the insight record and the exact passage it rests on.
HCPs de-identified at intakeInsights carry a segment — specialty, setting, region — never a name or contact. The MSL and the insights lead can open the original record; the HCP stays in the CRM.
Safety mentions never waitThe coder flags every adverse event, special situation or quality complaint and drafts the hand-off. A person confirms the forward to Patient Safety within one business day, and the hand-off cannot be switched off.
A firewall between medical and brandThe brand version drops unapproved-use themes, HCP detail, small groups and safety case detail, lists every removal, and fails closed. Nothing reaches a brand team before medical governance approves.
Agents propose, people decideOnly the insights lead promotes a theme to a key insight; merges and splits are proposed, never applied. Action owners accept their actions, and the TA medical director signs the report with the meaning of the signature recorded.
Every change on the recordEach agent step, decision, safety forward and sign-off is in the theme’s activity and the audit trail. Every settings change is versioned and recorded.
Configuration

Your medical team’s rules, not ours

What counts as emerging, who decides, who signs and what the brand team may see are settings — each change versioned and recorded.

SettingDefaultChoose from
Emerging theme — growth on last quarter that raises an alert+100 %+50 · +100 · +150 %
Smallest theme — fewer insights stay unthemed25 insights5 to 100
Remove unapproved-use themes from the brand versionOnOn · Off
Remove HCP detail — quotes keep specialty and region onlyOnOn · Off
Hide small groups — fold into “Other” below5 insights1 to 20
Brand version approverDana Okafor · Medical governanceDana Okafor · Omar Haddad
Report signerDr. Maya Chen · TA medical directorDr. Maya Chen · Lena Ortiz
Who may promote a theme to a key insightPriya Raman · Medical insights leadPriya Raman · Dr. Maya Chen
Connections

Reads the channels your field already uses

CRM insight exportMSL insights, coded in the CRM
Medical information case databaseinquiries and their weekly trend
Advisory board summariesfrom the document store
Congress notesmedical booth notes from congresses
Survey platform exportHCP survey results
Evidence-gap register and medical plangaps, objectives and data on file
What it changes

The difference, in numbers.

Every figure is labelled: a target the solution is built to, an estimate, a typical published result, or a proven one.

target
2.1days
median from a captured insight to its theme
By hand4–6 weeks
With agents2.1 days
target
97%
of insights coded by agents, 94% agreement with the insights lead
coded by agents
typical
60–70%
faster from captured insights to finished themes and report

“demo” = seen in the working solution, on its sample immunology data · “target” = the design goal, measured in the live solution · “estimated” = our estimate. People, products and studies named on this page are characters and sample data in the working solution.

Questions

What medical insights teams ask us.

What is medical insights management software?

Software that brings field insights from every channel — MSL notes, medical information inquiries, advisory boards, congresses and HCP surveys — into one place, groups them into themes, and turns key insights into actions and a report for the medical leadership team. The Medical Insights Synthesis Engine adds six agents that code, cluster, link and cite every insight and draft the quarterly report.

How does it find emerging themes?

The theme clusterer groups coded insights by meaning, not keywords, and tracks each theme week by week and region by region against last quarter. A theme that grows past your emerging rule — +100 % on Q2 with at least 25 insights in the working solution — raises an alert in the Monday scan.

Can the brand team see the insights?

Only the brand version of a report, and only after medical governance approves it. The firewall guard removes unapproved-use themes, HCP detail, small groups and safety case detail, lists every removal with its reason, and removes anything it cannot classify.

What happens to adverse events mentioned in an insight?

The insight coder flags any adverse event, special situation or product quality complaint and drafts the hand-off to Patient Safety with the source passage. A person confirms the forward, within one business day of awareness, and the insight keeps its place in its theme.

Are HCPs identifiable in the insights?

No. Insight intake replaces the HCP with a segment — specialty, practice setting, region — and the name and contact stay in the CRM. Brand versions keep specialty and region only.

Do people stay in control?

Yes. The agents propose themes, merges and actions; the insights lead decides each theme, action owners accept their actions, and the TA medical director signs the report with an electronic signature. Every step is in the audit trail.

Which systems does it connect to?

Your CRM insight export, the medical information case database, advisory board and congress documents, your survey platform export, and your evidence-gap register and medical plan. Source connections are read-only.

How long does it take to go live?

The Agentic Solution Engine builds and deploys it from your requirements — your insight coding scheme, report template, sharing rules and a sample of past insights — and it goes live once every quality gate has passed. We will walk you through it on your own insights first.

See it on
your field insights.

We’ll run the Medical Insights Synthesis Engine on a sample of your own past quarter’s insights.