Dictate the lung function report as you read the flow-volume loops, and the COPD follow-up letter without splitting it up afterwards. On your computer, Dictadoc transcribes the dictation, writes volumes in digits if you turn that on, and lays the text out in paragraphs.
Physiology results are read on screen, bronchoscopies happen in the endoscopy unit or at the bedside, and clinics follow patients for years.
The lung function report
Spirometry, reversibility, lung volumes and gas transfer, with each value given as measured and as a percentage of predicted. The interpretation fits in a few lines, but every figure counts.
The sleep study report
Recording time, apnoea-hypopnoea index, type of events, overnight oxygen saturation and a conclusion on whether CPAP is indicated. Studies get reported several in a row, once the scoring has been checked.
The bronchoscopy report
Appearance of the trachea and bronchi, any lesion, the samples taken and how the patient tolerated the procedure. It gets dictated on leaving the procedure room, or after coming back from a bronchoscopy on critical care.
The follow-up letter
COPD, asthma, a lung nodule or CPAP: progress, examination, the latest lung function, inhaled treatment and the next review. A long letter, in which the GP needs to find the plan without searching for it.
Day to day
What slows your reports down
Litres and percentages on every line
Today
A lung function interpretation goes through FEV1, FVC, their ratio, the bronchodilator response and gas transfer, each as a measured value and a percentage of predicted. You copy them one by one from the spirometer screen, and a misplaced decimal point changes how the test reads.
With Dictadoc
Turn on "Numbers, units and dosages", then say "one point eight litres": Dictadoc writes "1.8 L". "Sixty-two percent" becomes "62%", and "one hundred and fifty millilitres" becomes "150 mL". A number said without a unit stays in words, and you check every value.
Numbers, units and dosages
A long letter that comes back as one block
Today
A COPD follow-up letter covers the history, the examination, lung function, inhaled treatment and the plan. Dictated in one go, it arrives as a single paragraph that has to be broken up by hand before it is sent.
With Dictadoc
Dictadoc can split the letter into paragraphs. The standard layout needs no AI and nothing to download, and follows the words you dictate. Where you want a break in a precise place, before the plan for example, say "new paragraph". If you prefer, an optional model on your computer chooses the breaks and never rewrites a word.
Paragraph layout
Spoken punctuation
Dictations made away from your desk
Today
A bronchoscopy on critical care, an opinion on another ward, an outreach clinic at a neighbouring hospital: you dictate on a dictaphone or your phone. The files then sit waiting for someone to type them, sometimes for days.
With Dictadoc
Drag the recordings onto a report. MP3, M4A, WMA or WAV, depending on what your computer reads, they are transcribed one after another. If a transcription repeats the same sentence three times or more, Dictadoc removes the repeats and marks the take, which you can send for transcription again.
Recording import
Repetition check
Dictation example
A lung function report, dictated while reading the loops
Spirometry with reversibility testing and lung volumes in a smoker.
What you say
good quality spirometry [comma] repeatable [full stop] FEV1 one point eight litres [open parenthesis] sixty-two percent predicted [close parenthesis][comma] FVC three point one litres [open parenthesis] eighty-four percent predicted [close parenthesis][full stop] FEV1 over FVC ratio fifty-eight percent [full stop][new paragraph] after bronchodilator [comma] FEV1 rose by one hundred and fifty millilitres [open parenthesis] eight percent [close parenthesis][full stop][new paragraph] total lung capacity normal [comma] residual volume one hundred and thirty-five percent predicted [full stop] TLCO reduced at sixty-five percent predicted [full stop][new paragraph] in summary [comma] moderate obstructive defect without significant reversibility [comma] with gas trapping and reduced gas transfer [full stop]
What Dictadoc writes
Good quality spirometry, repeatable. FEV1 1.8 L (62% predicted), FVC 3.1 L (84% predicted). FEV1 over FVC ratio 58%.
After bronchodilator, FEV1 rose by 150 mL (8%).
Total lung capacity normal, residual volume 135% predicted. TLCO reduced at 65% predicted.
In summary, moderate obstructive defect without significant reversibility, with gas trapping and reduced gas transfer.
The words in brackets are commands. Dictadoc replaces them with punctuation and line breaks.
With the "Numbers, units and dosages" setting turned on.
The settings list every command for your language.
Privacy
What you dictate stays on your computer
Transcribed on your computer
Your computer transcribes your voice itself. Nothing you dictate is sent over the internet.
Erased on quit, if you want
Choose to keep nothing, and reports and recordings are erased when you quit Dictadoc.
Encrypted on your disk
The reports you keep stay in an encrypted database whose key is held by your system keychain.
For a clinic or hospital
Dictadoc Server transcribes for every workstation in your organisation, on a server on your premises. Nothing leaves your network.
Does Dictadoc interpret lung function or calculate predicted values?
No. It works out no ratio, no percentage of predicted and no reversibility, and it checks no value: Dictadoc is not a medical device. It writes down the interpretation you dictate, and you read it before it goes.
Does Dictadoc pull results from the spirometer?
No. Dictadoc is connected neither to the spirometer nor to the sleep study equipment, so you dictate the values yourself. The text can still go into the patient record without a connector: turn on text insertion and it lands where you left the cursor, in paragraphs if you choose.
Are sleep study results written in digits?
Partly. If "Numbers, units and dosages" is switched on, a saturation dictated as "eighty-eight percent" is written "88%". The apnoea-hypopnoea index, given in events per hour, and the recording time stay in words.
Are blood gas results in kilopascals converted?
No. Kilopascals are not among the units the setting knows, so a PaO2 or a PaCO2 stays in words. In the same blood gas, a bicarbonate or a lactate dictated in millimoles per litre does become digits.
Does the model that places paragraphs send my letters over the internet?
No. By default, paragraphs follow the words you dictate, with no model at all. If you install the optional layout model, it runs on your computer, only decides where to break and never rewrites a word. The internet is used only to download it.
Install the app on Mac or Windows, buy a licence, then enter the key you receive by email in Dictadoc. The licence year starts on the day you activate it.
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