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This paper describes the development of a voice data recording watch and the accompanying software and hardware needed to build an integrated solution for medical data capture and automatic codification. The developed system is used to capture on the stand-alone watch, either by voice recording or by form-filling, the relevant information on the healthcare service being provided. The captured information is stored locally and then downloaded to a PC, via a USB connection. In the PC, speech is translated first into text and then into medical codification, with minimum userintervention. The resulting information is stored into local or centralized patient databases, to be sent later to 3rd-party SW for billing, reporting and statistics. The user controls the watch either via a touch-screen based interface or via a voice-driven interface for hands-free operation. Although this work is multidisciplinary, in this paper the emphasis is put on the description of the DSP implementation.