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The artificial intelligence system is a dream for many doctors: It records their conversations with patients and automatically transcribes the notes into their computer systems. No need to bring a laptop to every patient visit, or spend hours afterward on documentation.

But the product, sold by Nuance Communications and its parent, Microsoft, comes with strings attached: To improve its accuracy, health systems sworn to protect privacy must share patients’ most sensitive data with companies trying to develop their next blockbuster product.

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