Conversations with ALEX

  SAY...OR THIS...
Greeting Hello ALEX Good Morning
  What is your name? 
Chief ComplaintWhat brings you in today?Can you tell me what's going on?
Chief Complaint Additional ConcernsAnything else going on?Is there anything else you'd like to talk about while you're here?
LocationWhere is the location of the pain?Can you point again to where it hurts?
IntensityOn a scale of 1 to 10, how would you rate the pain?How bad is the pain on a scale of 1 to 10?
Quality (Character)How would you describe it if you put it into words?Can you describe the pain?
OnsetHow long has this been going on?When did it start?
RadiationDoes the pain go or move anywhere?Does the pain travel anywhere?
Aggravating FactorsWhat makes your pain worse?Do you find that anything makes the pain worse?
Alleviating FactorsHas anything seem to make the pain better?What have you noticed anything that makes the pain better?
Associated FactorsDo you have any other symptoms?Have you had any other symptoms accompanying it?
Past Medical HistoryHow has your health been in general?Do you have any other medical conditions that I should know about?
AllergiesDo you have any allergies?Are you allergic to any medications?
HITS - Hospitalization, Injuries, Trauma, and SurgeryDo you have any serious medical conditions?
Have you been hospitalized?
Have you had any surgeries?
Any recent illnesses?
Any hospitalizations?
Any surgeries?
Family HistoryAre you parents living?
Do your parents have any health problems?
Is there a history of high blood pressure, cancer, asthma, diabetes ... etc.) in your family?
Tell me about your family history.
Has anyone in the family suffered from anything like this?
Any family history of medical problems?
Social HistoryHow old are you?
What is your occupation?
Do you use tobacco products?
Do you drink alcohol - wine, beer, liquor?
What is your age?
What do you do for a living?
Do you smoke?
Any alcohol use?
MedicationsAre you taking any prescription medications?Are you taking any over-the-counter medications?
Effect on patient's lifeHow has the pain affected your daily life?How has this affected you?
Health MaintenanceDo you do any preventative health maintenance such as screenings, routine physicals, or see a healthcare provider regularly? Do you seen any other doctors regularly?
Closing of InterviewDo you have any questions for me?Is there anything more I can do for you?
Easter EggsWhat is your favorite movie?Are you seeing someone?
  What is the meaning of life?Will you take over the world?


Interact with ALEX as you would with any human patient: using good communication techniques.

  1. Start the conversation by touching his shoulder (deltoid area) or say “ALEX”.
  2. The “be-beep” sound means he is listening and you can begin talking.
  3. Speak naturally.
  4. Use short and concise questions and statements.
  5. Ask one question at a time and avoid leading questions.
  6. Pause after each question and listen for ALEX’s answer.
  7. You can ask your next question right after his answer.
  8. If ALEX didn’t understand, restart the conversation and try rephrasing the question.
  9. End the conversation by touching his shoulder or saying “OK, thank you ALEX”. He will confirm he is no longer listening with the “be-boop” sound.


ALEX uses Google’s automatic speech recognition API to transcribe human speech (in this case, short utterances of commands, questions, or dictations) into text; and various Machine Learning technologies to select the most likely appropriate response depending on the phonetic content of the transcript.

Don’t worry if you have an accent! Using Google’s speech services, ALEX’s speech recognition is enhanced with each passing day as millions of users around the world grow the repository with each interaction. ALEX will do his best to understand your accent, and 9 times out of 10 he’ll get it right.

Concerned about a noisy environment? Don’t be! Google’s speech Noise Robustness handles noisy audio from many environments without requiring noise cancellation. On the other hand, strong echoes might be challenging - if possible, place him in an acoustically friendly environment. Having a few pillows and blankets around could make all the difference.

Speech recognition and natural language processing is an evolving technology. ALEX’s integration with Google Cloud Speech and cloud connectivity status ensures he has the most recent gains in this field. Just like Amazon’s Echo, Alexa or Apple’s Siri, he lives on the cutting edge. Be patient with ALEX, spend some time with him and get to know him. He is the future.

Nasco Healthcare - Simulaids and Life/form®