Lit sync
Agent Skills for medical research — literature search, reporting-guideline & citation checks, statistics, publication figures, submission. Works with Claude Code, Codex, Cursor & GitHub Copilot. Built by a physician-researcher, tested on real publications. MIT.
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What its author says it does
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Sync research references from .bib files to Zotero library + Obsidian literature notes. Extract cross-cutting concept notes when enough literature accumulates. Works after /search-lit or standalone.
SKILL.md
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Literature Sync: Zotero + Obsidian Pipeline
Takes the .bib output of /search-lit (or any user-specified .bib file) and
synchronizes the references into the Zotero library and Obsidian literature notes.
When enough literature notes accumulate, extracts cross-cutting concept notes.
Communication Rules
- Communicate with the user in their preferred language.
- Vault layout — honor what exists, default to English. Before creating notes, detect the
vault's existing layout: if the vault already uses a particular folder structure (including a
Korean one such as
02 연구/문헌/and02 연구/개념노트/), honor it — never silently rename a user's folders. For a new or unclear vault, default to the English foldersLiterature/andConcepts/with the English note templates below. - A Korean opt-in variant (Korean folder layout + Korean-heading templates) lives in
references/locale/ko/note_templates.md— use it when the vault is Korean-structured or the user prefers Korean notes.
When to Use
- After
/search-litcompletes — sync the produced .bib into Zotero + Obsidian. - Bulk-register references from an existing .bib into Zotero + Obsidian.
- Tidy the
references/folder inside a project workspace. - On explicit concept-extraction request → extract cross-cutting concepts from existing literature notes.
Prerequisites
- Project owner only —
/lit-syncis an owner-scoped operation perdocs/zotero_policy.md. Collaborators consume the committedmanuscript/_src/refs.bibsnapshot read-only. - Zotero desktop 7.x + Better BibTeX plugin installed.
- Better BibTeX "Keep updated" auto-export configured to
<project>/manuscript/_src/refs.bib(owner setup checklist indocs/zotero_policy.md§Setup). - Zotero MCP server available (skip the Zotero phase if not connected; auto-export refresh still fires once Zotero is reopened).
- Obsidian CLI or direct file writing to the Obsidian vault.
- Obsidian vault path: configured in user's environment (e.g.,
$OBSIDIAN_VAULT).
Artifact Contract
Per docs/artifact_contract.md, /lit-sync is the sole writer of:
| Artifact | Writer | Readers |
|---|---|---|
manuscript/_src/refs.bib | /lit-sync (via Better BibTeX auto-export trigger) | /write-paper, /verify-refs, /manage-refs |
references/zotero_collection.json | /lit-sync | /verify-refs, /sync-submission |
Direct hand edits to refs.bib are drift — revert on sight.
Pipeline Overview
.bib file (or /search-lit output)
│
▼ Phase 1: Parse
Extract DOI, PMID, title, authors, journal, year
│
▼ Phase 2: Zotero Sync (owner)
Dedupe → zotero_add_by_doi → place in collection → pin citekey
│
▼ Phase 2.5: refs.bib snapshot refresh
Trigger Better BibTeX auto-export → verify manuscript/_src/refs.bib mtime updated
│
▼ Phase 2.7: Fulltext Retrieval (opt-in)
Disk OA PDFs via /fulltext-retrieval + in-library via find_available_pdf.js → reconcile report
│
▼ Phase 3: Obsidian Literature Notes
Create Literature/{citekey}.md (empty note OK — fill later with highlights)
│
▼ Phase 4: Concept Extraction (conditional)
≥10 literature notes → scan for cross-cutting concepts → propose concept notes
Phase 1: Parse BibTeX
Input
The user-specified .bib file path, or the .bib just produced by /search-lit.
Process
# Parse .bib entries with regex.
# Extract per entry:
# - citekey (e.g., Kim_2024_Validation)
# - doi
# - pmid
# - title
# - authors (first + last minimum)
# - journal
# - year
# - volume, number, pages (if present)
Log any parse failures and skip those entries.
Phase 2: Zotero Sync
Step 2.1: Determine project collection
Identify the project from the current working directory or from an explicit user override. Reuse an existing collection key if one is recorded; otherwise create a new collection.
Collection mapping: Check existing Zotero collections for the current project.
If no collection exists, create one with zotero_create_collection. Record the
collection key for future use.
Step 2.2: Dedupe + add
For each entry:
- Use
zotero_search_itemsto search by DOI or title — if already present, skip. This search-first step is what prevents duplicates;zotero_add_by_doidoes not dedupe by itself (it fetches CrossRef and creates the item), so never skip the search. - Otherwise call
zotero_add_by_doi(when a DOI is available) orzotero_add_by_url(falling back to the PubMed URL when no DOI is available).zotero_add_by_doiaccepts anattach_modeargument that governs the OA child-PDF attach attempt at add time (the installed server treatslinked_urlas "bookmark the PDF URL"; other values download/import). Set it when you want a PDF attached during the add. Exact accepted values are server-version-specific — verify against the connected server. Do not usezotero_add_from_fileto attach a PDF to an item added here: it has no parent-item argument and would create a duplicate parent item.
- Use
zotero_manage_collectionsto place the item in the project collection.
Step 2.3: Result report
Zotero Sync:
Added: 8 papers (new)
Skipped: 3 papers (already in library)
Failed: 1 paper (no DOI/PMID)
Collection: RFA-Meta (TZQEP4NH)
If the Zotero MCP is not connected, skip this entire phase and proceed to Phase 3.
Always write references/zotero_collection.json in the project workspace:
{
"schema_version": 1,
"status": "synced",
"collection": "RFA-Meta",
"collection_key": "TZQEP4NH",
"added": 8,
"skipped": 3,
"failed": 1
}
If Zotero is unavailable, write the same file with status: "skipped" and a
human-readable reason.
Phase 2.5: refs.bib snapshot refresh
Better BibTeX "Keep updated" auto-export normally refreshes manuscript/_src/refs.bib within seconds of a Zotero change. This phase verifies the snapshot actually updated before downstream skills consume it.
Step 2.5.1: Resolve path
Read SSOT.yaml → truth.refs_bib. Default: manuscript/_src/refs.bib. If absent (legacy project), fall back to manuscript/_src/refs.bib and emit a WARN recommending SSOT migration.
Step 2.5.1b: Precondition assertion (early-exit, do NOT poll)
Before entering the 10s polling loop in Step 2.5.2, verify both preconditions. If either fails, abort Phase 2.5 with setup instructions instead of waiting for a timeout that will never resolve.
-
BBT auto-export registered.
~/Zotero/better-bibtex/read-only.jsonmust be a non-empty JSON list. Check with:python3 -c 'import json,sys,pathlib; p=pathlib.Path.home()/".zotero"/"zotero"/"Profiles"; \ f=pathlib.Path.home()/"Zotero"/"better-bibtex"/"read-only.json"; \ sys.exit(0 if f.exists() and json.loads(f.read_text() or "[]") else 1)'Or equivalent shell:
[ -s ~/Zotero/better-bibtex/read-only.json ] && [ "$(jq 'length' ~/Zotero/better-bibtex/read-only.json)" -gt 0 ].On failure print:
Phase 2.5 skipped: BBT auto-export not configured (
~/Zotero/better-bibtex/read-only.jsonis empty or missing). Set up "Keep updated" auto-export perdocs/zotero_policy.md§Setup, then re-run/lit-sync. -
Target refs.bib exists. The resolved
truth.refs_bibpath from Step 2.5.1 must exist on disk (even empty is OK — BBT will overwrite). On failure print:Phase 2.5 skipped: target snapshot
<path>not found. Configure BBT auto-export with "On Change" to the SSOT path, then re-run.
In either early-exit, set refs_bib_refreshed: false + reason: "precondition:<which>" in the Step 2.5.3 JSON and return control to the caller. Record it and tell the user; nothing downstream enforces it. verify_refs.py has never read this flag, and the sentence that said it did was the only thing standing between a stale refs.bib and a manuscript.
Step 2.5.2: Verify refresh
After Phase 2 adds items:
- Capture
stat -f "%m" manuscript/_src/refs.bibbefore Zotero writes. - Wait up to 10s (Better BibTeX debounce). Poll mtime.
- If mtime unchanged after 10s:
- Prompt user to check Zotero is running and BBT export is "Keep updated".
- If BBT auto-export path is wrong, print the expected path (
<project>/manuscript/_src/refs.bib) and refer todocs/zotero_policy.md§Setup. - As last resort, offer manual export:
File → Export Library → Better BibTeX → target path.
- Once mtime advances, grep for the newly added citekeys. All must be present; if any is missing, report as failure (do NOT fabricate entries).
Step 2.5.3: Record in zotero_collection.json
Append to the JSON written in Step 2.3:
{
"refs_bib_path": "manuscript/_src/refs.bib",
"refs_bib_mtime": "2026-04-24T14:32:11Z",
"refs_bib_refreshed": true,
"citekeys_verified": ["Kim_2024_Validation", "..."]
}
If refresh failed, set refs_bib_refreshed: false and include reason. The flag records whether the export ran. It is a note to the reader, not a gate.
Phase 2.7: Fulltext Retrieval (opt-in, owner-only)
Run only when the user asks for full text (e.g. "download the PDFs", "fetch full
text", or a worklist supplied with that intent). Default /lit-sync stays metadata-only
and network-light — do not auto-run this phase. Runs after items are in Zotero (Phase 2)
and the snapshot is verified (Phase 2.5), before Obsidian notes (Phase 3).
There are two complementary retrieval routes; offer both and reconcile them in one report:
Route A — disk OA PDFs (for downstream skills)
Delegate to the /fulltext-retrieval engine (do not re-implement the OA cascade or
import its code; invoke it by path). Resolve the engine as:
ENGINE="${MEDSCI_SKILLS_ROOT:-$HOME/workspace/medsci-skills}/skills/fulltext-retrieval/fetch_oa.py"
python3 "$ENGINE" <worklist> -o pdfs/ -e <contact-email> --report pdfs/retrieval_report.json
<worklist> is the DOI/PMID(/Title) list — the Phase-1 .bib DOIs, the worklist supplied
in the standalone mode below, or the project collection's DOIs. Output: pdfs/*.pdf for
/meta-analysis and pdf_to_md.py, plus
pdfs/retrieval_report.json (per-DOI status/source/title_match).
Route B — in-library PDFs (Zotero-native, higher yield, proxy-aware)
Emit ${MEDSCI_SKILLS_ROOT:-$HOME/workspace/medsci-skills}/skills/fulltext-retrieval/references/find_available_pdf.js
for the user to paste into Zotero (Tools → Developer → Run JavaScript) with the project
collection selected. It triggers Zotero's own addAvailablePDF/addAvailablePDFs, which
reuse the user's OpenURL resolver / institutional proxy — so it typically retrieves more
than OA-only, while no credentials or institutional identifiers enter this skill. The
no-code equivalent is right-click → "Find Available PDF". This route is user-initiated and
session-dependent; record its {attached, missing} summary from the printed JSON.
Report
Merge Route A's pdfs/retrieval_report.json (and the user-reported Route B summary) into
references/fulltext_retrieval.json (owner of this file is /lit-sync):
{
"schema_version": 1,
"retrieved_oa_disk": [{"doi": "...", "source": "unpaywall", "file": "...", "title_match": "match"}],
"retrieved_zotero_native": [{"doi": "...", "via": "addAvailablePDF"}],
"not_retrieved": [{"doi": "...", "journal": "..."}],
"institutional_fallback": ["<DOIs needing institutional access / ILL / author contact>"],
"title_mismatch_flagged": ["<DOIs whose downloaded PDF title did not match>"]
}
Also append a short fulltext block (counts) to references/zotero_collection.json.
not_retrieved DOIs are candidates for institutional access, interlibrary loan, or author
contact — never bypass paywalls or access controls from this skill.
Phase 3: Obsidian Literature Notes
Step 3.1: Check existing literature notes
# Default English layout; substitute the vault's existing folder if one is present
# (e.g. "02 연구/문헌/" for a Korean-structured vault — see references/locale/ko/note_templates.md).
ls "$VAULT/Literature/" | grep -v "📊" | wc -l
Step 3.2: Create literature notes
For each .bib entry, create Literature/{citekey}.md (or the vault's existing literature folder).
Skip if the file already exists (never overwrite).
Template
---
notetype: literature
citekey: "{citekey}"
title: "{title}"
authors: "{authors}"
journal: "{journal}"
year: {year}
doi: "{doi}"
pmid: "{pmid}"
created: "{today}"
tags:
- type/literature
- _unread
---
# {title}
## Bibliographic info
- **Authors**: {authors}
- **Journal**: {journal}{volume_issue_pages}
- **Year**: {year}
- **DOI**: [{doi}](https://doi.org/{doi})
{pmid_line}
## Key points (in my own words)
## My thoughts
## Related notes
- [[Research Hub]]
- [[Papers & Reviews]]
-
-
(For a Korean-structured vault, use the Korean-heading template in references/locale/ko/note_templates.md and the vault's own hub-note names.)
Rules:
notetype: literature— compatible with the Zotero Integration template._unreadtag — change to_readlater after the user reads the PDF in Zotero and adds highlights.- Leave
## Key pointsand## My thoughtsblank — the user fills these in personally. ## Related notescontains 2 hub links + 2 empty slots (reserved for later concept-note linking).- If a PMID is available, add a PubMed link.
Step 3.3: Result report
Obsidian Literature Notes:
Created: 8 notes (new)
Skipped: 3 notes (already exist)
Location: Literature/
Total in vault: 12 literature notes
Phase 4: Concept Extraction (conditional)
Trigger condition
Run this phase only when there are ≥10 literature notes in the vault. If fewer exist, print a status message like "N literature notes — concept extraction unlocks at ≥10" and stop.
Step 4.1: Cross-cutting concept scan
Read all files under Literature/*.md (or the vault's existing literature folder):
- Extract keywords from each paper's title, journal, and tags.
- Extract major concepts from the .bib entry titles.
- Identify concepts that co-occur across ≥3 literature notes.
Step 4.2: Filtering (5 exclusion rules)
Exclude from concept candidates:
- Model names (GPT-4, Claude, etc.).
- Dataset names (MedQA, ImageNet, etc.).
- Journal names.
- Institution names.
- Generic technique names (too unspecific).
Whatever remains becomes a concept-note candidate.
Step 4.3: Draft concept note
Create Concepts/{concept name}.md (or the vault's existing concept-note folder):
---
title: "{concept name}"
type: concept
tags:
- concept
- {domain tag}
aliases:
- {alternative name}
related_papers:
- "[[{lit-note-1}]]"
- "[[{lit-note-2}]]"
- "[[{lit-note-3}]]"
status: 🌱Seedling
---
# {concept name}
## Definition (My Understanding)
> TODO: write in your own words
## Why it matters
{why the concept matters in this domain — AI supplies a draft}
## Per-paper perspectives
- **[[{lit-note-1}]]**: {this paper's angle}
- **[[{lit-note-2}]]**: {a different angle}
- **[[{lit-note-3}]]**: {comparison / complement}
## Related concepts
- [[{another concept}]]
## Open questions
- {open question 1}
- {open question 2}
## Related notes
- [[Research Hub]]
- [[{related project hub}]]
- [[{lit-note-1}]]
- [[{lit-note-2}]]
(For a Korean-structured vault, use the Korean-heading concept template in references/locale/ko/note_templates.md.)
Key rules:
- Keep the
## Definitionsection as a> TODOmarker — the 2nd-layer note only becomes meaningful once the user writes the definition in their own words. statusalways starts at🌱Seedling.- At least 4 wikilinks under
## Related notes(vault convention).
Step 4.4: Propose to the user
Concept-note candidates (≥3 papers cross-referenced):
1. {Concept A} (4 papers)
2. {Concept B} (3 papers)
3. {Concept C} (5 papers)
Create? (all / selected / skip)
Create only after user confirmation. Auto-draft but always confirm.
Standalone Modes
This skill can run without a fresh .bib file.
Concept extraction only
On an explicit concept-extraction request, scan existing
Literature/*.md (or the vault's existing literature folder) and run only Phase 4.
References tidy
On a "tidy this project's references" request, locate .bib files inside the
workspace and run Phase 1–3.
Zotero sync only
On a "sync Zotero" request, diff the Zotero collection against the .bib file
and add whatever is missing.
PMID-list ingestion (no .bib)
When the user supplies a list of PMIDs (e.g., from a HANDOFF or a colleague), resolve PMIDs to DOIs via PubMed esummary first, then enter Phase 2 with the DOIs:
PMIDS="12345,67890,..."
curl -s "https://eutils.ncbi.nlm.nih.gov/entrez/eutils/esummary.fcgi?db=pubmed&id=${PMIDS}&retmode=json" \
| jq -r '.result | to_entries[] | select(.key != "uids") | "\(.value.uid)\t\(.value.elocationid)\t\(.value.title)"'
For each resolved DOI, search-first with zotero_search_items, then call
zotero_add_by_doi — the search is what dedupes (add-by-doi alone does not). For items
already in the library (detected via zotero_search_items by DOI), use
zotero_manage_collections to attach them to the project collection without re-adding —
re-adding by URL/PubMed-URL would bypass the search dedup and create duplicates. Record both
added and existing items in references/zotero_collection.json.
If a PMID has no DOI in PubMed (rare; older papers, non-indexed), fall back to
zotero_add_by_url with the PubMed URL and mark the entry as no_doi: true.
Worklist ingestion (DOI/PMID/Title; no .bib)
When the user supplies a worklist file (a .tsv/.csv/.md table with a DOI column,
optional PMID/Title, or a plain DOI-per-line list — e.g. an SR include set), enter
Phase 2 directly from it: resolve any PMID-only rows to DOIs (esummary above), then run the
search-first dedupe + add loop. The same worklist file feeds Phase 2.7 Route A
(fetch_oa.py reads .tsv/.csv/.md/plain natively), so no reformatting is needed.
Safety Rules
- Never overwrite literature notes — the user may have added highlights or personal notes.
- Never auto-fill
## Definitionof a concept note — keep the TODO marker; the essence of the 2nd-layer note is the user's own wording. - Skip Zotero for entries without a DOI — ask the user to add those manually.
- Gracefully skip Zotero when the MCP is not connected — Obsidian notes are
created independently; but do NOT hand-edit
refs.bibto compensate (violates artifact contract). - Always record the collection key — report the key to the user when a new collection is created.
- Never write
refs.bibdirectly. Only Better BibTeX auto-export may write that file. If auto-export is broken, fix the Zotero setup rather than writing the file from this skill. - Owner-only execution. If the current user is a collaborator (no Zotero access per
SSOT.yamlreference_manager.required_for), abort with instructions to flag[@NEW:topic]placeholders in the manuscript and notify the owner. - Fulltext boundary (Phase 2.7). Retrieve full text only via OA APIs (the
/fulltext-retrievalengine) and the user-run Zotero "Find Available PDF" snippet (which uses the user's own proxy config). Never automate authenticated browser sessions, never bypass paywalls/access controls, and never hard-code institutional proxies, credentials, or hosts into this skill.not_retrieveditems are routed to institutional access / ILL / author contact, not worked around.
Anti-Hallucination
- Never fabricate DOIs, PMIDs, or citation metadata. All bibliographic data must come from the .bib file or API responses.
- Never auto-fill the "Definition (My Understanding)" section of concept notes. This must be written by the user.
- Never overwrite existing literature notes. User highlights and annotations may be present.
- If a DOI lookup fails, report the failure rather than guessing the metadata.