The SMDR-P (if available) would typically have an data circuit to a modem that would then give you an RS232 output, although that is the more expensive version--you'll pay for the data circuit, the port charge, and monthly for the feature, but it's the only option if you're looking for real-time. (The circuit arrangement is similr to the SMDI interface if you own your own voicemail instead of using telco's).
ACDRS (the downloading version) is much cheaper, but is more 'batch' oriented.
what part of the world are you in (or who is the carrier?)