Whenever the need arose to review the records of a specific patient, the patient's file would be retrieved from the filing cabinet and delivered to the requesting physician. Ultimately, these handwritten notes and typed reports were consolidated into a single patient file and physically stored along with thousands of other patient records in the medical records department. In the past, these medical reports consisted of very abbreviated handwritten notes that were added in the patient's file for interpretation by the primary physician responsible for the treatment. Natural-language processing takes "automatic" transcription a step further, providing an interpretive function that speech recognition alone does not provide. Today, speech recognition (SR), also known as continuous speech recognition (CSR), is increasingly used, with medical transcriptions and, in some cases, "editors" providing supplemental editorial services. Storage methods have also changed: from plastic disks and magnetic belts to cassettes, endless loops, and digital recordings.
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Over the years, transcription equipment has changed from manual typewriters, to electric typewriters, to word processors, and finally, as of 2021, to computers. With the creation of audio recording devices, it became possible for physicians and their transcribers to work asynchronously.
At that time, medical stenographers recorded medical information, taking doctors' dictation in shorthand. Medical transcription as it is currently known has existed since the beginning of the 20th century when standardization of medical records and data became critical to research.
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