Table 3 Transcription of a sample dialogue

System: Dear gynecological patients receiving chemotherapy, to promptly understand your condition at home and provide guidance and help, can you spend a few minutes on a follow-up survey?

Patient: OK.

System: Have you experienced nausea in the past 24 h?

Patient: Yes.

The system will automatically pop up related sub-questions about nausea.

System: Please select the degree of nausea you have experienced in the past 24 h.

○Loss of appetite but not reduced food intake

○Reduced food intake without significant weight loss and malnutrition

○Eating significantly decreased, and physical weakness appeared

If the patient selected the third case, the system automatically popped up the red words “Please see a doctor as soon as possible.”

System: Have you vomited in the past 24 h?

Patient: No.

If the patient selected no, the system automatically popped up the next question.

System: Have you had constipation in the past week?

Patient: No.

System: Have you had diarrhea in the past 24 h? (stool is thin and more than three times/day)

Patient: No.

System: Have you felt tired and weak in the past 24 h?

Patient: No.

System: Were you satisfied with the quality of your sleep in the last week?

Patient: Yes

System: Have you had limb swelling, pain, numbness, chest tightness, or polypnea in the past 24 h?

Patient: No.

System: Can you correctly do finger exercises and ankle pump exercise training to prevent thrombosis?

Patient: No.

The system automatically popped up the health education video of finger manipulation and ankle pump movement.

After answering all the questions, click submit.

System: Thank you for your cooperation. We have recorded your problem. Please handle it according to the system prompt, keep the phone unobstructed, and we will follow you if necessary.