Communication access realtime translation (CART), also called open captioning or realtime stenography or simply realtime captioning, is the general name of the system that stenographers and others use to convert speech to text. A trained operator writes the exact words spoken using a special phonetic keyboard, or stenography methods, relaying a reliable and accurate translation that is broadcast to the recipient on a screen, laptop, or other device. CART professionals have qualifications for added expertise (speed and accuracy) as compared to court reporters and other stenographers.

Speech-to-text software is used by voice writers to provide CART.

CART is useful for making communication accessible to those who are deaf or hard of hearing, as realtime speech-to-text serves many with hearing loss and deafness. Captioning is mandated by the Americans with Disabilities Act (ADA) as an auxiliary aid or service. CART is a viable option to use in conjunction with or instead of a sign language interpreter, however, the decision made about which medium should be used should be based on the needs of the individuals who require the service. In schools with deaf and hard-of-hearing students, CART is used in the classroom: the provider types using stenography, and the students see the words on a screen enabling them to follow along in class and not be left behind.