Complete Edition v3.0 · 15 Clinical Modules

The Complete
Pediatric Echo
Reporting System

15 tabs covering every echocardiographic modality — 2D, M-mode, spectral Doppler, colour Doppler, TDI, strain, RV function, diastolic grading, pericardial effusion, IVC, RHD scoring, coronary Z-scores, history and authenticated reports.

15
Clinical Tabs
7
Echo Modalities
20
Guideline Citations
8
Report Templates
Z +4.8
LMCA Kawasaki
2D Z-Score Profile — Aortic Structures
LIVE CALC
+1.2
AO root
+0.8
STJ
+3.9
MPA
+2.7
RPA
+1.4
LPA
−0.5
Asc Ao
MPA — Main Pulmonary ArteryZ: +3.9 — Abnormal↑
RPA diameterZ: +2.7 — Borderline↑
Aortic Root · STJ · Asc AoNormal range
BSA 0.742 m² · 16.5 kg · 102 cmPettersen 2008
15 Tabs — Every Modality

Everything in one browser tab,
nothing installed

Patient & Findings — Tab 1
Complete patient demographics, 8 one-click diagnosis templates, 12-field segmental anatomy, shunt assessment, parent/guardian details, and scan technical details.
📋
8 diagnosis templates — Normal, VSD, ASD, TOF, Post-TOF repair, AVSD, Kawasaki, DCM. Auto-fills all fields.
🧩
Sequential segmental analysis — 12 dropdowns covering situs, connections, chambers, arch, pericardium.
📐
BSA auto-calculation — Haycock formula from weight + height.
🏥
Hospital details — Name, department, address, accreditation badges, lab license. Saved in browser.
👨‍👩‍👧
Parent/guardian — Name, relation, contact, consent status.
🔬
Scan details — Study type chips (TTE/TEE/Fetal/Stress/ICU), position, sedation, SpO₂, duration.
Patient Details
NameArjun Kumar
Age / Gender4y 3m / Male
Weight / Height16.5 kg / 102 cm
BSA (Haycock)0.742 m²
IndicationMurmur evaluation
SitusSitus Solitus
IAS / IVSASD secundum / Intact
AV / VA connectionConcordant / Concordant
PericardiumNo effusion
2D & M-Mode Measurements — Tab 2
12-parameter BSA-indexed Z-score table plus full M-mode calculations including Teichholz EF, EPSS, and LA/Ao ratio. All auto-graded in real time.
📐
12 Z-score parameters — AO root, STJ, Asc Ao, MPA, RPA, LPA, LVIDd, LVIDs, IVSd, LVPWd, LA, RA.
📊
M-Mode auto-calcs — FS, Teichholz EF/EDV/ESV from LVIDd + LVIDs.
🔢
EPSS grading — E-point septal separation with auto interpretation.
🏥
LA/Ao ratio — auto-calculated with normal/borderline/elevated grading.
📈
Biplane Simpson — LVEF, LV EDV/ESV indexed to BSA (EDVi, ESVi).
2D / M-Mode Z-Scores (BSA 0.742 m²)
AO root18.4 mmZ: +1.2 Normal
MPA21.8 mmZ: +3.9 Abnormal↑
LVIDd35.8 mmZ: +0.8 Normal
IVSd8.2 mmZ: +2.6 Borderline↑
LVEF (Simpson)68%Normal (≥55%)
FS (M-Mode)37%Normal (≥28%)
EPSS4.2 mmNormal (<7mm)
LA/Ao Ratio1.18Normal (≤1.3)
Spectral Doppler — Tab 3
Complete PW and CW Doppler parameters with auto-calculated cardiac output. VSD and ADA gradient auto-calculated from velocity inputs.
〰️
PW Doppler — Transmitral E, A, E/A, DT, IVRT, Vp, E/Vp, LVOT VTI, pulmonary vein S/D/Ar.
CW Doppler — AV peak/mean gradient, PV gradient, VSD 4v² auto-gradient, PDA velocity.
💓
Cardiac Output — LVOT diameter × VTI → SV, CO, CI auto-displayed.
📉
TR/PR/PA AT — TR velocity, PR PHT, PA acceleration time.
Spectral Doppler Summary
Mitral E / A0.88 / 0.52 m/sE/A 1.69
Deceleration Time182 msNormal
LVOT VTI18.4 cm
AV Peak Velocity1.6 m/sNormal
Stroke Volume42 mL
Cardiac Output4.1 L/min
Cardiac Index2.9 L/min/m²Normal
Colour Doppler — Tab 4
Structured colour Doppler assessment for every intracardiac shunt, outflow tract, and valvular regurgitation. Jet widths, flow patterns, and free-text notes.
🌈
Shunt characterisation — IAS (L→R/R→L/bidirectional), IVS, PDA flow with jet widths.
🔴
MR jet — % LA area (trace/mild/moderate/severe/eccentric direction).
🔵
AR, PR, TR — Regurgitant jet characterisation for all 4 valves.
⚙️
LVOT / RVOT patterns — Normal laminar, subaortic/infundibular obstruction, valvular, supravalvular.
Colour Doppler Findings
IAS colour flowLeft to right shunt
ASD jet width12 mm
IVS colour flowNo flow defect
MR jetTrace <1cm from annulus
LVOT flowNormal laminar
TR colourTrace TR
PR colourNone identified
LV / RV Function — Tab 5
Advanced LV and RV systolic function including LV mass, geometry, dP/dT, and comprehensive RV assessment with composite grading.
🏋️
LV mass & geometry — Devereux formula, LV Mass Index, RWT → auto-classifies Normal/Concentric/Eccentric.
💉
LV dP/dT — from MR Doppler envelope (32/Δt method, normal ≥1000 mmHg/s).
📏
RV dimensions — Basal, longitudinal, RVOT proximal, RV free wall thickness.
📊
5 RV function parameters — TAPSE, FAC, S', MPI/Tei, dP/dT each auto-graded. Composite verdict.
🩺
RVSP / PAH — TR velocity + RAP → RVSP auto-calculated, PAH classification.
RV Function Summary
TAPSE22 mm✓ Normal (≥17mm)
RV FAC44%✓ Normal (≥35%)
S' TDI14 cm/s✓ Normal (≥9.5)
RV MPI / Tei0.28✓ Normal (≤0.40)
TR velocity / RVSP2.5 m/s / 30 mmHg
PAHNo PAH (RVSP <36)
✅ Normal RV Function
Diastolic Function & TDI — Tab 6
Full diastolic function grading per ASE/EACVI 2016 algorithm. TDI at three annular sites with auto-calculated E/e' ratio and average.
📉
ASE/EACVI 2016 grading — Grade I (impaired relaxation), Grade II (pseudonormal), Grade III (restrictive).
🎯
Key variables — E, A, E/A, DT, IVRT, LA volume index, TR velocity, average E/e'.
📡
TDI — 3 sites — Septal annulus (e', a', s'), Lateral annulus (e', a', s'), Tricuspid annulus.
🔢
E/e' auto-calculation — Septal, lateral, and average E/e' with elevated flags (>15 septal, >13 lateral).
⚙️
LV MPI / Tei Index — With interpretation (normal <0.40 TDI, <0.50 PW).
Diastolic Function
E / A0.88 / 0.52E/A 1.69
Septal e' / s'9 / 9 cm/s
Lateral e' / s'13 / 11 cm/s
E/e' septal9.8Normal (<15)
E/e' average8.0Normal (<14)
Grade I — Normal Diastolic Function
Strain Imaging — Tab 7
LV Global Longitudinal Strain from 3 apical views, with colour-coded gauge and clinical interpretation. RV free wall strain and LA reservoir strain.
🔬
LV GLS (3 views) — 4-chamber, 2-chamber, 3-chamber averaged. Normal ≤ −20%.
🎯
Auto-graded — Normal / Mildly impaired (−17 to −20%) / Moderately (−13 to −17%) / Severely (>−13%).
📊
GCS, GRS, RV FWS, LA reservoir — Additional deformation parameters.
🖥️
Software tracking — GE EchoPAC, Philips QLAB, Siemens SyngoVia, Canon, TomTec, Epsilon.
Strain Imaging
GLS — 4-chamber−19.2%
GLS — 2-chamber−20.1%
GLS — 3-chamber−18.8%
Average LV GLS−19.4%Mildly impaired
RV Free Wall Strain−24.0%Normal
LA Reservoir Strain34%Normal
SoftwareGE EchoPAC
Pericardial Effusion & IVC — Tab 8
4-site effusion quantification with tamponade sign checklist and auto-grading. IVC collapsibility index with RAP estimation. Pleural effusion and ascites.
💧
4-site measurement — Posterior/Anterior (PLAX), Lateral/Apical (A4C) in mm at end-diastole.
⚠️
6 tamponade signs — RV collapse, RA inversion, IVC plethora, respiratory variation, swinging heart, pressure equalisation.
📏
Auto-grades — Trivial/Small/Moderate/Large/Tamponade physiology (red alert if ≥2 signs).
🩸
IVC collapsibility → RAP — Max/min IVC diameter → CI → estimated RAP per ASE 2010.
🫁
Pleural effusion & ascites — Left/right pleural, ascites grading dropdowns.
Pericardial & IVC Assessment
Posterior (PLAX)4 mm
Anterior (PLAX)3 mm
Lateral (A4C)2 mm
Small Pericardial Effusion (max 4mm)
Tamponade signsNone (0/6)
IVC max / min1.4 / 0.8 cm
Collapsibility Index43%
Estimated RAP5 mmHg (normal)
Valve Grading — Tab 9
Auto-severity grading for all 5 valvular conditions from Doppler inputs. PS, AS, MR, TR (+ RVSP/PAH), PR — all graded per ASE/ACC/AHA 2014.
🫀
PS grading — Peak gradient: Mild <25 / Moderate 25–50 / Severe >50 mmHg.
❤️
AS grading — Peak velocity: Mild <3 / Moderate 3–4 / Severe ≥4 m/s.
🔴
MR grading — Vena contracta + jet/LA area %: Mild/Moderate/Severe.
🔵
TR + RVSP — TR velocity + RAP → RVSP auto. PAH: mild/moderate/severe.
🫁
PR grading — Pressure half-time + jet/RVOT width.
Valve Severity — Auto-Graded
PS (PV vel 2.8 m/s)Moderate (grad 31 mmHg)
ASNot entered
MR (VC 2.5mm)Mild
TR (vel 2.5 m/s)Mild
RVSP30 mmHg — No PAH
PRNone / Trivial
NLP Impression & Report — Tab 10
AI-style NLP engine reads every dropdown, measurement, Z-score, and grade across all 15 tabs and writes a complete clinical report description in 4 output modes.
🧠
4 output modes — Structured (numbered), Paragraph prose, Detailed clinical, Brief summary.
📡
Reads all tabs — Segmental anatomy, shunts, all measurements, valve grades, RHD, coronary Z-scores.
🚦
Urgency flag — Normal / Cardiology review / Urgent 24–48h / Emergency (blinking on report).
📅
Follow-up recommendation — 8 preset intervals + custom date + appears on printed report.
Completeness checker — 18-field validation with colour progress bar before finalising.
NLP Generated Impression (Structured)
1. Situs solitus, levocardia.
2. ASD secundum — left to right shunt.
3. Concordant AV and VA connections.
4. LV systolic function normal (EF 68%, FS 37%).
5. MPA enlarged (Z +3.9 — significantly enlarged).
6. Mild MR — vena contracta 2.5mm.
7. Moderate PS — peak gradient 31 mmHg.
8. No pericardial effusion.
9. Cardiology follow-up recommended.
RHD Scoring — Tab 11
Full WHF 2012 echocardiographic criteria implementation. Auto-classifies as Definite / Probable / Borderline / Normal with penicillin prophylaxis guidance.
🩺
MV1 — Pathological MR (≥2 views, jet ≥2cm, vel ≥3 m/s, pan-systolic).
🔬
MV2 — Morphological features (thickening, chordal changes) — 0/1/≥2.
📊
MV3 — Mitral stenosis (mean gradient ≥4 mmHg).
❤️
AV1 & AV2 — Pathological AR + aortic valve morphology.
🌍
Population context — High-risk endemic vs low-risk adjusts classification thresholds.
RHD Classification (WHF 2012)
MV1 — Pathological MRPositive
MV2 — Morphology≥2 features
MV3 — MSAbsent
AV1 — Pathological ARAbsent
PopulationHigh-risk / endemic
Definite RHD — Penicillin prophylaxis × 10 years
Z-Score Chart Visualiser — Tab 12
Visual bar chart profile of all Z-scores across 3 parameter groups. Real-time rendering, colour-coded bars, and copy summary for report pasting.
📊
3 parameter groups — Cardiac structures, Aorta/Great arteries, Valve annuli & outflows.
🎨
Live colour bars — Green (normal), amber (borderline ±2–3), red (abnormal >3).
🔢
Z-score labels — Value shown on each bar. Auto-syncs BSA from Tab 1.
📋
Copy summary — Full Z-score text for pasting directly into EMR/HIS.
Z-Score Chart — Aorta / Great Arteries
+1.2
AO
+0.8
STJ
+3.9
MPA
+2.7
RPA
+1.4
LPA
MPAZ: +3.9 — Significantly enlarged
RPAZ: +2.7 — Borderline↑
Coronary Artery Z-Scores — Tab 13
6-segment coronary Z-scoring for Kawasaki disease. Two reference models. AHA 2017 five-tier risk classification with management guidance and aneurysm alert.
🩸
6 segments — LMCA, LAD proximal, LCx proximal, RCA proximal/mid/distal.
📊
2 reference models — Dallaire 2011 (primary) and Boston/McCrindle (alternate).
🚦
AHA 2017 classification — Normal / Borderline / Small / Medium / Giant aneurysm.
⚠️
Aneurysm alert — Yellow warning box with segment list and management recommendations.
Coronary Z-Scores — Dallaire 2011
LMCA4.8 mmZ +4.9 — Small Aneurysm
LAD proximal3.9 mmZ +2.9 — Small Aneurysm
LCx proximal2.4 mmZ +1.2 — Normal
RCA proximal4.1 mmZ +3.6 — Small Aneurysm
⚠️ Kawasaki: Small Aneurysm — Max Z +4.9
Aspirin + echo 1–2 weeks + cardiology referral
History & Follow-up — Tab 14
Prior echo history (browser localStorage), growth Z-scores (WHO), fetal echo parameters, comparison with previous study, and follow-up recommendation.
📁
Prior echo history — Add previous studies with date, diagnosis, EF, measurements. Persists between sessions.
📊
Growth Z-scores — WHO 2006 reference. Weight-for-age, height-for-age, WFH. SAM/MAM alerts.
🤰
Fetal echo — GA, EFW, fetal HR, cardiothoracic ratio (auto-flags >0.50), fetal rhythm, referral indication.
🔄
Comparison with prior — Overall change (improved/stable/worsened), ASD/VSD/RVSP/LVF change dropdowns.
Prior Echo History
2024-03-15AIIMS Delhi · Good
ASD secundum, moderate L→R shunt
📊 EF 65%, FS 34% · 📐 ASD 12mm, RVSP 38mmHg
Growth — WFAZ −0.8 — Normal
ComparisonImproved — mild improvement
References & Validation — Tab 15
20 full bibliographic citations. Medical society compliance badges. Inline guideline tooltips on every card header. Legal disclaimer and intended use statement.
📚
20 guideline citations — Full author, journal, year, volume, DOI for every calculation.
🏛️
8 society compliance badges — ASE, ACC/AHA, WHF, ESC, WHO, IAP/PCSI, NMC India, ARDMS.
🔗
Inline tooltips — Every card header shows clickable guideline source badge.
⚖️
Legal disclaimer — CDS classification, intended users, CDSCO regulatory note, data privacy statement.
Key References
Pettersen et al. JASE 2008 — Z-scores
JASE 2008DOI:10.1016/j.echo.2008
Remenyi et al. Nat Rev Cardiol 2012 — WHF RHD
WHF 2012
McCrindle et al. Circulation 2017 — Kawasaki
AHA 2017
Nishimura et al. JACC 2014 — VHD Guidelines
ACC/AHA 2014
All Features

Built around real pediatric cardiology workflow

Every feature designed with the reporting cardiologist in mind — not generic software.

📐
BSA-Indexed Z-Scores
12 cardiac parameters with real-time Z-score calculation using Pettersen 2008. Haycock BSA formula. Color-coded normal/borderline/abnormal.
Core
📊
Z-Score Chart Visualiser
Live bar chart across 18 parameters in 3 groups. Bars render in real-time — green/amber/red. Copy-to-clipboard summary for EMR pasting.
New
🩺
RHD Scoring — WHF 2012
Full WHO/WHF echocardiographic criteria. MV pathological MR + morphology, MS, AV AR + morphology. Definite/Probable/Borderline/Normal with prophylaxis guidance.
New
🩸
Coronary Artery Z-Scores
6-segment Kawasaki assessment. Dallaire 2011 + Boston/McCrindle models. AHA 2017 five-tier classification. Giant aneurysm alert with management guidance.
New
🫀
Auto-Severity Valve Grading
PS, AS, MR, TR, PR severity auto-graded from Doppler inputs per ASE/ACC/AHA 2014. RVSP + PAH classification. Feeds automatically into NLP report.
Core
🧠
NLP Report Generator
Reads all 15 tabs and generates clinical paragraph or numbered impression in 4 modes: structured, paragraph prose, detailed clinical, brief summary.
New
❤️
RV Function Assessment
TAPSE, FAC, S' TDI, MPI/Tei, dP/dT — each auto-graded with status chips. Composite RV function verdict. RV dimensions.
New
📉
Diastolic Function Grading
ASE/EACVI 2016 algorithm. E/A, DT, IVRT, average E/e' via TDI, LA volume index, TR velocity — Grade I/II/III auto-classification.
New
🔬
Strain / Deformation Imaging
LV GLS (3 views averaged), GCS, GRS, RV free wall strain, LA reservoir strain. Vendor tracking. Normal ≤ −20% with colour gauge.
New
💧
Pericardial Effusion Grading
4-site quantification (mm). 6 tamponade sign checkboxes — auto-grades Trivial/Small/Moderate/Large/Tamponade. IVC collapsibility → RAP estimation.
New
✍️
Dual Digital Signatures
Draw-on-canvas or type-to-sign for both reporting cardiologist and sonographer. Timestamps. Mirrors into printed report signature block.
New
📋
Report Completeness Checker
18-field validation with colour progress bar. Green/amber/red. Shows tick/cross per field before you finalise. Prevents incomplete reports.
New
🪪
Report ID & Status
Auto-generated ECH-YYMMDD-XXXX unique ID. Draft/Preliminary/Final/Amended status badge. Draft watermark overlaid on report body.
New
🏥
Hospital Letterhead
Hospital name, dept, address, accreditation badges (NABH/JCI/ISO), lab license, contact. Saved in browser localStorage. Live preview on report.
New
📁
Echo History & Comparison
Prior study entries (date/diagnosis/EF). Browser-persisted. Comparison with previous: improved/stable/worsened with per-finding change dropdowns.
New
📚
20 Guideline Citations
Every calculation mapped to its source with full DOI. 8 medical society compliance badges. Inline tooltips on every card header.
Reference
🔬
Equipment Logging
Machine (Philips EPIQ, GE Vivid, Siemens, Canon, Mindray), transducer, frequency. Appears on every printed report.
New
🤰
Fetal Echo Parameters
GA, EFW, fetal HR, cardiothoracic ratio (auto-flags >0.50 cardiomegaly), fetal rhythm (incl. complete heart block), referral indication.
New
7 Echo Modalities — Separate Tabs

Every modality in its own focused tab

Nothing crowded together — each modality fully expanded with all parameters.

📐
2D & M-Mode
12 BSA-indexed Z-scores · M-Mode calcs (FS, Teichholz EF, EPSS, LA/Ao) · Biplane Simpson LVEF/volumes · LV EDVi, ESVi
〰️
Spectral Doppler
PW transmitral E/A/DT/IVRT/Vp · Pulmonary vein S/D/Ar · CW aortic & pulmonary gradients · VSD 4v² gradient · PDA · LVOT VTI → CO/CI
🌈
Colour Doppler
IAS / IVS / PDA shunt flow · MR, AR, TR, PR jet characterisation · LVOT/RVOT flow patterns · Nyquist/colour map settings
❤️
LV / RV Function
LV mass + geometry · LV dP/dT · CO display · RV: TAPSE, FAC, S', MPI, dP/dT · Composite RV grade · RVSP/PAH
📉
Diastolic & TDI
E/A, DT, IVRT, E/Vp · Pulmonary vein · TDI at 3 annular sites · E/e' auto-calculated · LA volume index · ASE 2016 grading
🔬
Strain Imaging
LV GLS 3-view average · GCS, GRS · RV free wall strain · LA reservoir strain · Vendor/software tracking · Colour gauge
💧
Pericardial & IVC
4-site pericardial measurement · 6 tamponade signs · Auto-grade · IVC collapsibility → RAP · Hepatic vein flow · Pleural effusion · Ascites
🫀
Valve Grading
PS, AS, MR, TR, PR severity auto-graded · RVSP + PAH classification · Valve morphology dropdowns · Severity feeds NLP impression
Authenticated Report

Print-ready reports with full
institutional authentication

EchoReport Pro v3.0 — Report Preview
✅ FINAL REPORT  ·  ECH-250607-A4X2
Apollo Children's Hospital
Dept. of Pediatric Cardiology  ·  21 Greams Road, Chennai 600006
NABHJCIISO 9001
+91 44 2829 0000
cardio@apollo.com
Pediatric Echocardiography Report

Patient: Arjun Kumar
Age/Gender: 4y 3m / Male
Weight: 16.5 kg  ·  BSA: 0.742 m²
HR: 98 bpm  ·  SpO₂: 98%
Date: 07/06/2025
Indication: Murmur evaluation
Ref. Doctor: Dr. Ramesh Kumar, Pediatrics
Study: TTE · Good quality · 25 min

Segmental Anatomy & Shunts
Situs solitus, levocardia. ASD secundum with left to right shunt. IVS intact — no VSD. No PDA. Concordant AV and VA connections. No pericardial effusion. Hepatic veins normal.

Key Measurements
MPA 21.8mm (Z +3.9 Abnormal↑) · AO root 18.4mm (Z +1.2 Normal) · LVIDd 35.8mm (Z +0.8 Normal) · LVEF 68% · FS 37% · GLS −19.4% · RVSP 30 mmHg

Valve Assessment & Equipment
MV: Trivial MR · AV: Normal, no AS/AR · PV: Moderate PS (grad 31 mmHg) · TV: Mild TR · Equipment: Philips EPIQ 7, S8-3 probe, 3–8 MHz

IMPRESSION
1. Situs solitus, levocardia. 2. ASD secundum — left to right shunt. 3. Moderate pulmonary stenosis — peak gradient 31 mmHg. 4. MPA significantly enlarged (Z +3.9, BSA-indexed). 5. Normal LV systolic function (EF 68%, FS 37%, GLS −19.4%). 6. Diastolic function: Grade I — normal. 7. No pericardial effusion. RVSP 30 mmHg — No PAH. 8. Cardiology review and intervention planning recommended. Follow-up echo: 3 months.
Dr. T. Arasan
Dr. T. Arasan
DM Pediatric Cardiology · Reg: MCI-2019-12345
Reporting Cardiologist · Signed 10:42 AM
Ms. Priya V.
Ms. Priya Venkat
ARDMS · RDCS-PE · Cert: ARDMS-2021-X
Performing Sonographer · Signed 10:40 AM
🏥
Institutional Letterhead
Hospital name, dept, address, accreditation badges (NABH/JCI/ISO/NABL), lab license, contact. Saved in browser. Live preview as you type.
🪪
Report ID & Status Badge
Auto-generated ECH-YYMMDD-XXXX unique ID. Draft/Preliminary/Final/Amended status badge. Watermark overlaid on draft/preliminary reports.
✍️
Dual Authenticated Signatures
Draw-on-canvas or type-to-sign for reporting cardiologist and sonographer. Timestamps recorded. Side-by-side on printed report.
⚙️
Equipment & Credentials
Echo machine model, transducer, imaging frequency on report. Doctor MCI reg. no., ARDMS/RDCS-PE sonographer credential number.
⚖️
Clinical Disclaimer & Guideline Statement
Standard disclaimer + full guideline concordance statement (Pettersen, Dallaire, WHF, ACC/AHA) on every printed report.
🖨️
Print-Ready A4 Layout
Browser print → full A4 with 18mm margins. All UI chrome hidden. Letterhead, signatures, follow-up box, disclaimer preserved in print.
Guideline Compliance — 8 Medical Societies

Every calculation follows published
peer-reviewed standards

🇺🇸
ASE
American Society of Echocardiography — Valve grading, chamber quantification, Doppler normals, TDI, RV assessment, diastolic grading
✓ Implemented
🇺🇸
ACC / AHA
VHD Guidelines 2014, CHD Guidelines 2018, Kawasaki Scientific Statement 2017
✓ Implemented
🌍
WHF 2012
World Heart Federation RHD echocardiographic diagnostic criteria — all 4 classification tiers with prophylaxis guidance
✓ Implemented
🇪🇺
ESC / EACTS
VHD Guidelines 2021, CHD Guidelines 2020. Complementary to ASE criteria throughout.
📚 Reference
🌐
WHO
Growth reference standards 2006/2007 — weight-for-age, height-for-age, weight-for-height Z-scores. SAM/MAM alerts.
✓ Implemented
🇮🇳
NMC / IAP India
National Medical Commission registration documentation, Indian pediatric cardiology practice context
📋 Framework
🔬
ARDMS
American Registry for Diagnostic Medical Sonography — RDCS-PE credential framework for sonographer documentation
📋 Framework
📋
IAC 2023
Intersocietal Accreditation Commission — echocardiography lab accreditation standards, equipment and documentation requirements
📋 Framework
1
Pettersen et al. Regression equations for Z-scores of cardiac structures. J Am Soc Echocardiogr. 2008;21(8):922–34.
JASE 2008DOI: 10.1016/j.echo.2008.01.010
2
Remenyi et al. WHF criteria for echocardiographic diagnosis of RHD. Nat Rev Cardiol. 2012;9(5):297–309.
WHF 2012DOI: 10.1038/nrcardio.2012.7
3
McCrindle et al. AHA Scientific Statement — Kawasaki disease. Circulation. 2017;135:e927–e999.
AHA 2017DOI: 10.1161/CIR.0000000000000484
4
Dallaire & Dahdah. New equations for coronary artery Z-scores in children. J Am Soc Echocardiogr. 2011;24(1):60–74.
JASE 2011DOI: 10.1016/j.echo.2010.10.004
5
Nishimura et al. ACC/AHA guideline — management of valvular heart disease. JACC. 2014;63(22):e57–e185.
ACC/AHA 2014DOI: 10.1016/j.jacc.2014.02.536
6
Nagueh et al. Recommendations for evaluation of LV diastolic function. J Am Soc Echocardiogr. 2016;29(4):277–314.
JASE 2016DOI: 10.1016/j.echo.2016.01.011
7
Lang et al. Recommendations for cardiac chamber quantification. J Am Soc Echocardiogr. 2015;28(1):1–39.
ASE/EACVI 2015DOI: 10.1016/j.echo.2014.10.003
8
Haycock et al. Geometric method for measuring body surface area. J Pediatr. 1978;93(1):62–66.
J Pediatr 1978DOI: 10.1016/S0022-3476(78)80601-5
View all 20 references in the app References tab →
How It Works

Complete authenticated report in under 5 minutes

🏥
1
Hospital Setup
Enter hospital details once — saved permanently in browser. Letterhead appears on every report automatically.
🧒
2
Patient & Findings
Load an 8-diagnosis template or fill patient details, segmental anatomy, shunts. BSA auto-calculates.
📐
3
Enter Measurements
Fill relevant modality tabs — 2D/M-Mode, Doppler, colour, function, strain. All auto-calculated in real time.
🧠
4
Generate NLP Report
Click Generate — NLP reads all 15 tabs and writes complete clinical impression in chosen format.
📄
5
Authenticate & Share
Sign digitally. Check completeness (18 fields). Print to A4 PDF or send summary via WhatsApp.
Instant Sharing

Send the report before
the patient leaves the clinic

Start your first complete report
right now

No installation. No login. No server. Just open the HTML file and start reporting. Hospital details save permanently in your browser.

✓ 15 clinical modules  ·  ✓ 7 echo modalities  ·  ✓ 20 guideline citations  ·  ✓ No data upload  ·  ✓ Works offline