The case walks the team under CANONIC governance.

Five credentialed authors, one case-001 (mixed Caribbean + Sephardic ancestry, BRCA1 c.5266dupC). Two intersecting boundaries govern the chain: MSMC is the institution; ABOPM is the credentialing body. Irman sits at the intersection — ABOPM-credentialed at MSMC. Knowledge flows ABOPM ↔ MSMC through her. Every signature hash-chains. Every read mints COIN to the upstream author.
MSMC · institution
ABOPM · credentialing body
↕ Irman · ABOPM @ MSMC · the bridge
M
Marcus
Marcus Lee · MS3
Medical Student · year 3 · Step-2-CK studying. Pre-rounds prep + discharge teaching on AnkiNex.
S
Sarah
Sarah Kim, MD · PGY-2
Internal Medicine Resident · MSMC floor. Admits the patient, pulls cohort precedent on CaseNex.
Ad
Adrienne
Adrienne Chen, MD, PhD · FACMG
Clinical Geneticist · Variant classification specialist. ACMG/AMP walk on OmicsNex. (Synthetic placeholder until next credentialed FACMG joins.)
I
Irman
MD · The Specialist
Precision-Med Clinician at MSMC. Sees the case bedside, owns the genomic workup, peer-signs every Tier-1A case-bundle into the chain. The seam between MSMC and ABOPM lives in her chair.
A
Anil
Attending · MD, MBA, IFMCP, ABAARM, MIfHI · ABOPM signer
President + Founder of ABOPM. Peer-signs case-bundle with Irman; brings the precision/functional/anti-aging credential stack to the chain.
CASE-001 · ABOPM → MSMC · fourteen days
One case. Five signatures.
T+0 Sarah admits at MSMC → T+1h Marcus preps card · Sarah reads precedent → T+4h Adrienne classifies → T+1d Irman + Anil (external ABOPM) peer-sign → T+3d Anil tumor-board sign-off → T+14d Adrienne + Irman cascade-sign daughter's TP53 R175H at MSMC → discharge Marcus walks the Caribbean Cohort deck. External ABOPM board co-signs every byline.
CANONIC Nexus
Powered by LAUDE — the CANONIC agent — across the Galaxy.
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