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doctaphone.com/documentsDocumentsNewSearchTODAYM. Halilović, 58 · CT chestRadiology · 14:32A. Kovač, 42 · Follow-upCardiology · 13:10S. Begović, 71 · DischargeInternal med · 11:45YESTERDAYE. Tahirović · ConsultYesterday · 16:20N. Đogo · MRI brainYesterday · 09:44Radiology · CT chest (structured)BSAI · polishingCT chest — M. Halilović, 58 yExam 17/04 · Contrast: iv. 80 ml · Ref: Dr. SalkićINDICATIONPersistent cough >6 weeks, 12 kg weight loss, 35 pack-year history.Rule out pulmonary malignancy.FINDINGSLungs.Spiculated 22 × 19 mm nodule in the right upper lobe (series 3, image 64),with pleural tethering. No cavitation. Remaining parenchyma without focal lesions.Mediastinum.Two subcentimetric (8 mm) right paratracheal lymph nodes.Pleura / heart.No effusion. Heart size and configuration within normal limits.Bone window: no suspicious osseous lesions.polishedIMPRESSION1. RUL nodule — Lung-RADS 4B. Highly suspicious for primary bronchogenic carcinoma.2. No distant thoracic metastases on this study.RECOMMENDATIONMultidisciplinary tumor board; PET-CT; CT-guided biopsy of RUL nodule.AskESC · NICELung-RADS 4B management in a35 pack-year smoker?Tissue sampling recommended within2 weeks. CT-guided core biopsy isfirst line for peripheral nodules ≥1.5 cm without endobronchialextension.ESC 2024 · Class INICE NG122 §4.3Ask follow-up…Recording · 02:14Autosaved · now

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Doctaphone integrates directly into your hospital system — no workflow change, no new windows, no copy-paste.

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Speak naturally — get a structured report

Dictate findings in any order — Doctaphone structures them into a proper medical report, adapted to your specialty and writing style.

Natural speech — state findings in the order that suits you

SCRIBE · STEP 1Recording · 01:42LiveDOCTOR (UNSTRUCTURED)"Okay so this is uh… 58-year-old male, came in withcough for two months, lost some weight, smoker sinceforever. Heart sounds normal, no murmur. Right upperlobe — there's a spiculated nodule, about 22 by 19,pleural tethering. Mediastinum, two small nodes onthe right paratracheal, like 8 mm. Oh and his BP todaywas 138/86. No effusion. Bone window is clean.Recommend MDT and PET-CT, biopsy of the nodule."AUDIODETECTEDBosnianSpecialty: RadiologyAI structuring…Speak findings in any order. Pause when you want. Repeat yourself.Doctaphone keeps up.CT chest — structuredReadyPATIENTM. Halilović, 58 y · M · Smoker, 35 PY · BP 138/86INDICATIONPersistent cough >6 weeks, weight loss. Rule out malignancy.FINDINGSLungs.Spiculated 22 × 19 mm nodule, right upper lobe,with pleural tethering. No cavitation.Mediastinum.8 mm right paratracheal nodes ×2.Pleura / heart.No effusion. Heart normal.Bone window.No suspicious osseous lesions.IMPRESSIONRUL nodule — Lung-RADS 4B. Suspicious for primarybronchogenic carcinoma. No thoracic mets on this study.RECOMMENDATIONMultidisciplinary tumor board · PET-CT · CT-guided biopsy.Reordered into sectionsBP 138/86 → moved to vitals · "uh… smoker since forever" → 35 PYSign & exportEdit

AI structures into sections by specialty (radiology, pathology, cardiology, psychiatry, pulmonology, general)

SCRIBE · STEP 2One transcript · six specialty layoutsDoctaphone picks the right structure based on your specialty.RadiologyPathologyCardiologyPsychiatryPulmonologyGeneralRadiology5 sectionsINDICATIONPersistent cough >6 weeks, weight loss.TECHNIQUECT chest, iv. contrast 80 ml.FINDINGSLungs.Spiculated 22 × 19 mm RUL nodule,pleural tethering. No cavitation.Mediastinum.8 mm RP nodes ×2.Bone window.Clean.IMPRESSIONLung-RADS 4B. Suspicious for primarybronchogenic carcinoma.RECOMMENDATIONMDT · PET-CT · CT-guided biopsy.SchemaIndication → Technique → Findings →Impression → RecommendationSame dictation routed to:RISPACSPDFCardiology6 sectionsCHIEF COMPLAINTCough; cardiopulmonary screen.RISK FACTORSSmoker 35 PY · BP 138/86 (stage 1).EXAMHeart.Normal sounds, no murmur.Lungs.No effusion. RUL mass on imaging.Vitals.BP 138/86 · HR 78 · SpO₂ 96%.ASSESSMENTNo cardiac murmur or failure signs.Pre-op cardiac risk: low–intermediate.PLAN12-lead ECG · echo if biopsy general anesthesia.Smoking cessation referral.FOLLOW-UP2 weeks post-MDT.SchemaComplaint → Risk → Exam → Assess →Plan → Follow-upAdopt templatePsychiatry7 sectionsPRESENTINGAnxiety re: cancer work-up; sleep ↓.HISTORYNo prior psychiatric admissions.Smokes 1 PPD ×35 y. No alcohol.MENTAL STATUSMood anxious, affect congruent.Thought linear, no SI/HI.RISKLow acute risk. Adjustment reaction.FORMULATIONReactive anxiety to medical diagnosis.PLANBrief CBT · sleep hygiene handout.FOLLOW-UP2 weeks · earlier if MDT outcome difficult.SchemaPresenting → History → MSE → Risk →Formulation → Plan → Follow-upTry this templateSame transcript · three different specialty layouts

Report ready before the patient leaves the room

SCRIBE · STEP 3Signed before the patient leaves the roomFrom "stop recording" to a signed report — typically under 30 seconds.1Recording14:32:002Stop · transcribe+ 6 s3AI structures+ 14 s4Doctor reviews+ 22 sSigned+ 28 sCT chest — M. Halilović, 58 ySigned · 14:32:28INDICATIONPersistent cough >6 weeks, weight loss. Rule out malignancy.FINDINGSLungs.Spiculated 22 × 19 mm RUL nodule with pleural tethering.Mediastinum.Two 8 mm right paratracheal nodes.Pleura · heart · bone.No effusion, normal heart, no osseous lesions.IMPRESSIONLung-RADS 4B. Suspicious for primary bronchogenic carcinoma.RECOMMENDATIONMultidisciplinary tumor board · PET-CT · CT-guided biopsy of the RUL nodule.SIGNED BYDr. Amila Salkić, MDRadiology · KCUS Sarajevo · LJK 04211Send to EHRExport PDFPrintEmailTHIS WEEK28 saverage dictation → signed94%signed without manual edits312reports issued+1.4 hrecovered per shiftPatient still in the roomNo more "I'll send it tomorrow." It's done.

Notes that sound like you

No copy-paste. No editing from scratch. Templates fill themselves from dictation — adapted to your specialty and writing style.

Template library — structured histories, exams, discharge letters

TEMPLATES · STEP 1Your hospital's library, in your pocketHistories, examinations, discharge letters — pre-built for the way your team works.TemplatesSearch 47 templates…+ NewCATEGORIESAll47Imaging reports14History & exam9Discharge letters7Procedure notes6Referral letters5Pathology4My team's drafts2LANGUAGEBSDEENSOURCE▢ Hospital library▢ Built by you▢ Doctaphone starter packIMAGINGCT chest — structuredIndication · Technique · Findings ·Impression · RecommendationLung-RADSUsed 84 ×HISTORY & EXAMOutpatient cardiology visitChief complaint · Risk factors · Exam ·Assessment · Plan · Follow-upESCUsed 162 ×DISCHARGEInternal medicine — dischargeAdmission · Hospital course · Findings ·Medications · Follow-upKCUS layoutUsed 240 ×PROCEDUREEndoscopy / colonoscopyIndication · Findings · Biopsies ·Complications · RecommendationBoston scaleUsed 58 ×PATHOLOGY · YOURSBreast biopsy — Dr. SalkićMacroscopic · Microscopic · IHC ·Diagnosis · TNM+ open templateSelectedREFERRALSpecialist referral letterReason · Pertinent history · Investigations ·Question · Urgencye-SignUsed 91 ×EMERGENCYER triage noteVitals · CC · Brief HPI ·Disposition · Re-assessmentCTAS / MTSUsed 124 ×ANTENATALObstetrics — antenatal visitGA · Vitals · Fetal HR ·SFH · Plan · Next visitFIGOUsed 47 ×Build a new templatedescribe it in plain words47 templates · 7 categories · 3 languages

Adapt an existing template or build your own by describing it in words

TEMPLATES · STEP 2Build it the way you'd explain it to a juniorNo form builder. No JSON. Describe what the report should contain — Doctaphone makes the template.Describe your templateno schema neededStarting fromCT chest — structured· hospital libraryYOUR INSTRUCTIONSSame template, but for breast MRI follow-up after BCT.Add a section "Comparison" right after Technique thatreferences the most recent prior MRI.In Findings I want subsections per breast (Right, Left)with parenchyma, lesions, axilla.Use BI-RADS in Impression. Always end with arecommendation including the next surveillance interval.Bosnian. Short sentences. No bullet lists in Findings.If contrast wasn't given, omit the Contrast row.|⌘ Attach exampleVoice describeBuild templateTip: write like you'd brief a colleague. Edit later if needed.iWriting style learnedDoctaphone matched your last 30 reports — short sentences, no Latin abbrev.Breast MRI — follow-up after BCTdraftSECTIONS1Indicationfree text · 1 sentence2Techniquecontrast row optional3Comparison+ added by you4Findings↳ Right breast · Left breast · Axillae↳ Each: parenchyma, lesions5Impressionrequired: BI-RADS6Recommendationalways: surveillance intervalVOICE & STYLEBosnianShort sentencesNo Latin abbreviationsFindings as paragraphsBI-RADS terminologySave templateTest on dictationv1 · just now

AI fills sections from dictation (before/after example)

TEMPLATES · STEP 3Same template. Same dictation. Filled.No tabbing through fields. Doctaphone places every detail where it belongs.Discharge letter — empty templateBEFOREPATIENTName · DOB · MRNADMISSIONDate admitted · Reason for admission · ServiceHOSPITAL COURSEDay-by-day summary · responses to treatment · key eventsFINDINGS ON DISCHARGEVitals · exam · relevant labs / imagingMEDICATIONSList with doses, route, frequency · changes from admissionFOLLOW-UPNext appointment · who to call · red flags2:40DICTATEDFILLED~ 8 sDischarge letter — filled from dictationAFTERPATIENTS. Begović · 71 y · F · MRN 04-2018-7732ADMISSION14/04 · Community-acquired pneumonia, right lower lobe · Internal medicineHOSPITAL COURSEInitiated ceftriaxone 2 g IV daily + azithromycin 500 mg PO. Defervescedon day 2. Oxygen weaned by day 3. Mild renal AKI (Cr 142 → 96)attributed to dehydration, resolved with IV fluids. No bacteremia.Switched to oral cefixime day 4.FINDINGS ON DISCHARGEAfebrile · BP 128/74 · HR 82 · SpO₂ 96% RA. Reduced breath sounds RLL,no crackles. CRP 18 mg/L (admit 142). CXR: improving consolidation.MEDICATIONSCefixime 400 mg PO daily · 5 more days (new)Paracetamol 1 g PO PRN · max 3 g/dayResume home: amlodipine 5 mg, atorvastatin 20 mg, metformin 1 g BIDFOLLOW-UPGP review in 7 days · CXR in 6 weeks at outpatient radiology.Return to ED if fever >38.5°C, breathlessness, chest pain.7 sections filled · 0 hallucinated facts · 11 numbers preserved"Cr went from 142 down to 96" → routed into Hospital Course, units normalized."Send her home with the same blood pressure pill" → resolved to amlodipine 5 mg.

Evidence-based decisions, in the flow of work

Ask a clinical question — Ask answers with sources from European guidelines (ESC, NICE, Cochrane). Without leaving the report, without a second window.

Clinical question — answer with citation [ESC 2024, Class I]

ASK · STEP 1Clinical answers with citations — inside the reportDoctaphone Ask sits next to the document you're writing. No extra tab, no Google.Cardiology · NSTEMI clinic letterlivePATIENTA. Kovač · 64 y · M · Day 3 post-NSTEMI · LVEF 38%CURRENT MEDSAspirin 75 mg · ramipril 5 mg · bisoprolol 5 mg · atorvastatin 80 mgPLANInitiate dual antiplatelet therapy. Add P2Y12 inhibitor.Add P2Y12 inhibitor — choice in this patient?Continue statin at high intensity. Cardiac rehab referral.Echo follow-up at 6 weeks.Ask about selection⌘KFOLLOW-UPB I U · H1 H2 · ⤳ undo ⤲ redo⌘ Sign & exportAskEuropean guidelinesYOUR QUESTIONWhich P2Y12 inhibitor for a 64 y/o male,post-NSTEMI, LVEF 38%, no prior bleed?ANSWERIn NSTE-ACS, preferprasugrelorticagrelorover clopidogrel when an invasive strategyis planned, in addition to aspirin.For this patient (no prior stroke/TIA,age <75, no high bleeding risk):Prasugrel 60 mg load → 10 mg dailyDAPT duration: 12 months unless high bleeding risk.CITATIONS[1] ESC 2023 NSTE-ACSClass I · Level B[2] NICE NG185 §1.4.5UK national guidance · 2023[3] AWMF S3 KHKGerman DGK · 2024 updateInsert into reportOpen sourceRefine

Europe first — ESC, NICE, AWMF S3, Cochrane. US guidelines only when they differ.

ASK · STEP 2Europe first. US guidelines only when they differ.Built for European practice, where ESC, NICE, AWMF and national bodies are the source of truth.SOURCE PRIORITYCardiology · Bosnia · 64 y MTIER 1 · PRIMARYEESC — European Society of Cardiology2024 NSTE-ACS · 2024 Hypertension · 2023 HF · 2023 AF·1·NNICE — UK NHS guidanceNG185 ACS · NG106 chronic HF · NG196 hypertension·1·TIER 2 · NATIONAL / EVIDENCEAAWMF S3 — German DGK / DGAINational recommendations, 2023–2024 updatesCCochrane — systematic reviewsFor uncertainty / weighing therapy optionsBBMJ Best Practice · UpToDateBedside reference, when guidelines are silentTIER 3 · SHOWN ONLY WHEN THEY DIFFERAHA / ACC · USPSTFSurfaced as a contrast — never as the primary answerAdjusted by your specialty & country.When ESC and AHA disagreeQUESTIONWhen to start statin in primary prevention — 52 y/o, LDL 4.2 mmol/L, no diabetes?DOCTAPHONE ANSWER · ESC / NICEUseSCORE2to estimate 10-year CV risk in apparently healthy adults 40–69. Statin isindicated when SCORE2 ≥ moderate-risk threshold for the patient's age band, with shareddecision-making. LDL target 1.8 mmol/L (high risk) or 2.6 mmol/L (moderate).ESC 2021 CVD preventionNICE NG181USA TAKES A DIFFERENT VIEWAHA/ACC use the Pooled Cohort Equation (PCE), not SCORE2. Trigger threshold is10-year ASCVD ≥ 7.5 %, with statin offered ≥ 5 %. Lipid targets are describedqualitatively (≥ 30 % LDL reduction) rather than to a hard mmol/L target.AHA/ACC 2018 cholesterolWHAT TO DO IN YOUR SETTING→ Calculate SCORE2 using your local risk region.→ ESC tables (not PCE) are referenced by the Bosnian Society of Cardiology.→ AHA shown above only because it materially differs.Country: Bosnia and HerzegovinaChange countryHide US comparisonInsert into report

Also: Ask can generate a new report or edit an existing one — with the same prompt

ASK · STEP 3One prompt — generate a new report or edit this oneAsk doesn't just answer questions. It writes the next paragraph for you, or rewrites the one you have.APROMPTTighten the impression. Add a recommendation for follow-up echo.Run⌘ ↵Edit selection · 3 paragraphs · 184 wordsorGenerate new section · pick template…Generated · new follow-up plan+ added to reportFOLLOW-UP — PROPOSED1. Repeat transthoracic echocardiogram in 6 weeks to reassess LV function.If LVEF remains < 40 %, consider device therapy per ESC HF 2023.2. Outpatient cardiology review at 4 weeks for medication titration:ramipril ↑ as tolerated, add SGLT2 inhibitor (HFrEF indication).3. Cardiac rehab referral within 2 weeks. Smoking cessation support.4. Safety net — return to ED if dyspnoea, chest pain, syncope.CITATIONSESC 2023 HF · Class IDAPA-HF, EMPEROR-ReducedInsert below selectionReplace sectionDiscardGenerated as a fresh paragraph — your report stays untouched until you accept.Edit · impression rewritten in placeaccept · reject per changeIMPRESSIONPatient suffered from a non-ST-elevation myocardial infarction withmoderately reduced left ventricular ejection fraction of 38 percent.NSTEMI with reduced LVEF (38 %).In light of these findings the recommendation is to consider furtherevaluation including a follow-up echocardiogram in approximately 6 weeks.Recommend repeat TTE at 6 weeks to reassess LV function;reconsider device therapy if LVEF persistently < 40 %.PER-CHANGE CONTROLSTighten verbose sentenceAdd device therapy lineReject — keep "approximately 6 weeks"Accept allEdits show as track-changes — your hand stays on the report.

Clinicians on Doctaphone

The team behind Doctaphone

Haris Botić
Haris BotićFounder & Product EngineerDoctaphone
Dr. med. Dino Kovačević
Dr. med. Dino KovačevićMedical AdvisorDirector, PRORadiologie Penzberg
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M. Halilović · DEASEN"Seit drei Wochen habe ich starke Schmerzen…"EN"For three weeks I've had severe pain…"CC · DE↔EN

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