Sept. 20th-22nd, 2019, CAREUM, Zurich, Switzerland

Challenge F

Alexa for rounds


Medical information is predominantly free text (>80%). It can be assumed that it will continue to be thus in the future, as doctors normally object to extensive and complex drop-down lists when record-keeping. This type of record-keeping has a negative impact on their “train of thought”. There is normally speech between the thought process and writing the text (e.g. dictation, discussion about the case, ward rounds with the patient/care team).


Dr. Smith is a consultant in a private hospital. He is very busy and refuses to document his notes by a keypad or even with selection of data fields.

Actual Challenge

What options are there to transmit speech in different point-of-care situations directly into structured information or into electronic case records? What if, under certain conditions (mentioning the case number or patient name), an “Alexa” was able to filter relevant information from the ward round, then to structure it and document it in the electronic patient notes? For example: Completing the secondary diagnosis, clinical findings, wound assessment. This information is provided during conversation between nurses, the doctor and the patient. This approach could mean that the subsequent analysis of texts could be skipped (in some cases these documents have to be converted by OCR if scanned PDFs).


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