1. A computer-implemented method comprising: (A) applying an automatic speech recognizer to a spoken audio stream to produce a first document including first codings associated with text in the first document; (B) providing the first document to an automatic decision support system; (C) receiving, from the automatic decision support system, decision support output derived from the first document; (D) verifying accuracy of the first document to produce a verified document; and (E) transmitting to a recipient the verified document and the decision support output.