History of TEXAS MEDICAL TRANSCRIPTION

The evolution of Medical transcription dates backfiling cabinets in the medical records department.
to the 1960s. The method was designed to assistWhenever the need arose to review the records
in the manufacturing process. The firstof a specific patient, the patient's file would be
transcription that was developed in this processretrieved from the filing cabinet and delivered to
was MRP, which is the acronym for Manufacturingthe requesting physician. To enhance this manual
Resource Planning, in 1975. This was followed byprocess, many medical record documents were
another advanced version namely MRP2. But noneproduced in duplicate or triplicate by means of
of them yielded the benefit of medicalcarbon copy.
transcription.In recent years, medical records have changed
However, Medical Transcription equipment hasconsiderably. Although many physicians and
changed from manual typewriters to electrichospitals still maintain paper records, there is a
typewriters to word processors to computersdrive for electronic records. Filing cabinets are
and from plastic disks and magnetic belts togiving way to desktop computers connected to
cassettes and endless loops and digital recordings.powerful servers, where patient records are
Today, speech recognition (SR), also known asprocessed and archived digitally. This digital format
continuous speech recognition (CSR), isallows for immediate remote access by any
increasingly being used, with medicalphysician who is authorized to review the patient
transcriptionists and or "editors" providinginformation. Reports are stored electronically and
supplemental editorial services, although there areprinted selectively as the need arises. Many MTs
occasional instances where SR fully replaces thenow utilize personal computers with electronic
MT. Natural-language processing takes "automatic"references and use the Internet not only for web
transcription a step further, providing anresources but also as a working platform.
interpretive function that speech recognition aloneTechnology has gotten so sophisticated that MT
does not provide (although MTs do).services and MT departments work closely with
In the past, these medical reports consisted ofprogrammers and information systems (IS) staff
very abbreviated handwritten notes that wereto stream in voice and accomplish seamless data
added in the patient's file for interpretation by thetransfers through network interfaces. In fact,
primary physician responsible for the treatment.many healthcare providers today are enjoying the
Ultimately, this mess of handwritten notes andbenefits of handheld PCs or personal data
typed reports was consolidated into a singleassistants (PDAs) and are now utilizing software
patient file and physically stored along withon them for dictation.
thousands of other patient records in a wall of