Introduction to Dialogos em Documentos Médicos

Dialogos em Documentos Médicos is designed to transform unstructured conversations between doctors and patients into structured medical documents, specifically tailored for telemedicine. Utilizing speech-to-text technology, it converts recorded conversations into text and organizes the information into a standardized medical record format. This structured format includes sections such as Current Medical History, Past Medical History, Family Medical History, Physical Examination, Diagnostic Hypotheses (with ICD codes), and Conduct. This process aims to facilitate case understanding for other medical professionals who may attend to the patient later, ensuring effective and informed continuity of care.

Main Functions of Dialogos em Documentos Médicos

  • Speech-to-Text Conversion

    Example Example

    A recorded telemedicine session between a patient and doctor is converted into text.

    Example Scenario

    During a telemedicine session, a patient discusses their symptoms with their doctor. The conversation is recorded and then transcribed using speech-to-text technology, producing a written record of the interaction.

  • Structured Medical Document Creation

    Example Example

    The transcribed text is organized into predefined sections of a medical record.

    Example Scenario

    After transcribing the conversation, the system organizes the text into sections such as Current Medical History, Past Medical History, and Diagnostic Hypotheses, ensuring that the information is easily accessible and comprehensible for future reference.

  • Continuity of Care

    Example Example

    Ensuring that medical information is easily shared and understood by different healthcare providers.

    Example Scenario

    A patient with a chronic condition has multiple telemedicine sessions with different specialists. The structured medical documents created from these sessions help each specialist understand the patient's history and current status, facilitating coordinated and continuous care.

Ideal Users of Dialogos em Documentos Médicos

  • Telemedicine Providers

    Healthcare providers who offer medical consultations remotely. They benefit from having structured, easily accessible medical records generated from telemedicine sessions, improving the quality and continuity of care.

  • Healthcare Organizations

    Hospitals, clinics, and healthcare networks that need efficient documentation systems to manage patient records. These organizations benefit from streamlined record-keeping processes and enhanced communication among healthcare professionals.

How to Use Dialogos em Documentos Médicos

  • 1

    Visit aichatonline.org for a free trial without login, also no need for ChatGPT Plus.

  • 2

    Upload or record the conversation between the doctor and the patient using the speech-to-text tool provided on the platform.

  • 3

    Review the transcribed text to ensure accuracy and completeness of the conversation details.

  • 4

    Organize the transcribed text into structured sections: HISTÓRIA MÓRBIDA ATUAL, HISTÓRIA MÓRBIDA PREGRESSA, HISTÓRIA MÓRBIDA FAMILIAR, EXAME FÍSICO, HIPÓTESES DIAGNÓSTICAS (with ICD), and CONDUTA.

  • 5

    Save or export the structured medical document for further use in telemedicine or for sharing with other healthcare professionals.

  • Documentation
  • Healthcare
  • Transcription
  • Medical Records
  • Telemedicine

Q&A about Dialogos em Documentos Médicos

  • What is Dialogos em Documentos Médicos?

    It is a specialized tool that converts unstructured conversations between doctors and patients into structured medical documents, particularly for use in telemedicine.

  • How does the speech-to-text feature work?

    The speech-to-text feature transcribes spoken conversations into written text, ensuring all medical details are captured accurately.

  • What are the main sections of the structured document?

    The main sections include HISTÓRIA MÓRBIDA ATUAL, HISTÓRIA MÓRBIDA PREGRESSA, HISTÓRIA MÓRBIDA FAMILIAR, EXAME FÍSICO, HIPÓTESES DIAGNÓSTICAS (with ICD), and CONDUTA.

  • Can I use this tool for in-person consultations?

    While the tool is designed for telemedicine, it can also be adapted for use in in-person consultations to streamline documentation.

  • Is the generated document compliant with medical standards?

    Yes, the generated document is designed to be compliant with medical standards and provides clear, structured information for effective patient care continuity.