Connect the Participant Journey Without Rebuilding the Clinical Stack.

MinervaLedger sits between the systems, teams, and participant events that already run your study.

Step 1

Connect Existing Systems

Integrate selected sources such as:

EHR/FHIR endpoints recruitment systems EDC CTMS eConsent ePRO/eCOA DCT systems payment platforms

Step 2

Represent Participant State

Create a common operational understanding of where the participant is in the journey.

Examples:

identified

contacted

pre-screened

consented

evidence ready

screened

randomized

milestone completed

payment eligible

paid

withdrawn

Step 3

Apply Consent and Permission

Use current participant permission state to govern selected workflow actions.

Step 4

Orchestrate the Next Action

Assign ownership.

Trigger tasks.

Route exceptions.

Update downstream status.

Step 5

Verify Participant Events

Use relevant source-system evidence to determine whether the qualifying activity occurred.

Step 6

Trigger the Downstream Workflow

For example:

likely eligible → site action

consent → permitted data access

remote activity → study status

verified milestone → payment workflow

Step 7

Measure the Handoff

Track:

conversion

delay

manual intervention

exception rate

participant burden

economic impact

The Goal Is Not Maximum Automation.

It Is Fewer Unnecessary Handoffs.

Routine workflows can move automatically.

Exceptions can remain human-reviewed.

Sensitive decisions stay with qualified clinical personnel.