Abstract: A medical dictation workflow system can be customized from the selection of available user application programs. A voice interface OCX can interface speech technologies with the selected user application programs of the medical dictation workflow system. The medical dictation workflow system may be directed to generating reports through filling out defined fields. The fields can be generated through a tracking system subscribing to a core reporting system and requesting certain information be captured or through a user. The voice interface OCX can provide macros so a user can customize the fields, navigate among the fields, or fill in the fields with data through a voice recognition engine or a wave player control. The data entered into the fields can be automatically entered into corresponding database elements of a database.