COMPLETE EDITION v3.0 — Patient & Findings · Measurements · Valves · Impression · RHD Scoring · Z-Score Charts · Coronary Z-Scores
Version 3.0 — Complete Edition

Pediatric Echocardiography Reporting System

Z-Score Calculator · Auto-Severity Grading · RHD Scoring (WHF 2012) · Coronary Z-Scores (Kawasaki) · Templates · WhatsApp Sharing

🧒 Patient & Findings
📐 2D & M-Mode
〰️ Spectral Doppler
🌈 Colour Doppler
❤️ LV/RV Function
📉 Diastolic & TDI
🔬 Strain Imaging
💧 Pericardial & IVC
🫀 Valve Grading
📋 Impression & Report
🩺 RHD Scoring
📊 Z-Score Charts
🩸 Coronary Z-Scores
📁 History & Follow-up
📚 References & Validation
Quick Templates / Presets

Click a template to auto-fill common findings. Edit any field after loading.

🏥 Hospital / Institution Details Click to expand · Settings auto-saved in browser
🏥
Hospital / Institution Name
Department · Address · Phone
✓ Hospital details saved — will appear on all reports
Patient Details
Segmental Anatomy 📚 Anderson 1983 · ACC/AHA 2018

Choose standard findings or type custom remarks.

Shunts & Connections 📚 ESC 2010 · AHA CHD Guidelines
Parent / Guardian & Consent
Scan Technical Details
Study Type
Patient Position
Sedation / Anaesthesia
2D Echocardiographic Measurements — Z-Score Calculator Pettersen 2008 · JASE · Haycock BSA formula
Normal (Z -2 to +2)
Borderline (Z ±2 to ±3)
Abnormal (Z beyond ±3)

Enter weight & height in Tab 1 for BSA-based Z-scores. All measurements in mm. Taken at end-diastole, leading edge to leading edge (ASE convention).

ParameterMeasured (mm)Normal RangeZ-ScoreInterpretation
M-Mode Measurements Cubed formula / Teichholz method

M-mode cursor through the LV at the level of the mitral valve chordae in parasternal long axis. Values used for EF/FS calculation if biplane Simpson not available.

EPSS (E-Point Septal Separation): Normal <7mm. EPSS ≥7mm suggests reduced LV systolic function. Useful when image quality limits biplane measurement.
Aortic Root & Left Atrium — M-Mode / 2D
LV Systolic Function — Biplane Simpson (2D)

Biplane Simpson preferred per ASE 2015. Use both apical 4-chamber and 2-chamber views.

Pulsed-Wave (PW) Doppler — Transmitral & LVOT 📚 ASE/EACVI 2016 · Nagueh et al.

PW Doppler sample volume at mitral leaflet tips (transmitral) and just below aortic valve (LVOT). Record at rest during quiet respiration.

Transmitral Flow
LVOT & Aortic
Pulmonary Vein Flow
Tricuspid & Pulmonary
Continuous-Wave (CW) Doppler High velocity flows — stenoses & regurgitation
Aortic Valve
Pulmonary Valve
VSD / PDA Velocity
Cardiac Output & Haemodynamics LVOT Doppler method — ASE recommended
Colour Flow Doppler — Settings
Intracardiac Shunt Assessment — Colour Doppler
Atrial Level
Ventricular Level
Great Vessel Level — PDA / Collaterals
Outflow Tract & Valve Colour Doppler
Left Heart Outflow
Right Heart Outflow
Additional Colour Doppler Observations
LV Systolic Function — Advanced 📚 Lang JASE 2015 · ASE/EACVI
LV Mass & Geometry
Cardiac Output — LVOT Method
Stroke Volume
mL / beat
Cardiac Output
L / min
Cardiac Index
L/min/m²

Enter LVOT Diameter and VTI in the Spectral Doppler tab — CO auto-calculates here.

LV dP/dT (from MR Doppler)
RV Function Assessment 📚 Rudski ASE 2010 · Lang JASE 2015

TAPSE and S' are primary RV systolic markers in pediatric echo. Enter all available parameters.

RV Dimensions
RV Systolic Function
TAPSE (mm)
Normal: ≥17mm (adults)
Age-adjusted in children
RV FAC (%)
Normal: ≥35%
S' TDI (cm/s)
Normal: ≥9.5 cm/s
RV MPI / Tei
Normal: <0.40 (TDI)
RV dP/dT (mmHg/s)
Normal: ≥400 mmHg/s
RV Overall Function
Enter parameters
RVSP / PAH Estimation
Not entered
Enter TR velocity
Diastolic Function Grading — ASE/EACVI 2016 📚 Nagueh ASE/EACVI 2016

Grading uses E, E/A, average E/e', TR velocity, and LA volume. Enter all available parameters for accurate classification.

Key Parameters (from Spectral Doppler tab)
Tissue Doppler Imaging (TDI) Pulsed TDI at mitral & tricuspid annulus

Sample volume 5–10mm at each annular site. Optimise frame rate ≥200 fps. Filter set low. Measure three cycles and average.

Septal Mitral Annulus
cm/s
cm/s
cm/s (LV sys)
E/e' sept: —
Lateral Mitral Annulus
cm/s
cm/s
cm/s (LV sys lat)
E/e' lat: —
Tricuspid Annulus (RV)
cm/s
cm/s
cm/s (= RV S')
RV e': —
LV Global Longitudinal Strain (GLS) 📚 Voigt ASE/EACVI 2015

Speckle-tracking echocardiography. Enter GLS as a negative value (e.g. −18%). More negative = better function. Normal LV GLS ≤ −20%.

Normal LV GLS: ≤ −20% (absolute ≥20%). Mild: −15 to −20%. Moderate: −10 to −15%. Severe: >−10%. Vendor-specific differences exist — use same vendor for serial comparisons. (Voigt et al. JASE 2015)
Additional Strain Parameters
Pericardial Effusion — Quantification 📚 Adler ASE 2023 · Imazio ESC

Measure in end-diastole at the point of maximum width in each standard view. Circumferential vs loculated should be noted.

Posterior (PLAX)
Anterior (PLAX)
Lateral (A4C)
Apical (A4C)
Echocardiographic Signs of Tamponade
IVC & Hepatic Vein Assessment 📚 Rudski ASE 2010

Measure IVC 1–2 cm from cavoatrial junction. Collapsibility assessed with sniff test during quiet respiration.

Pleural Effusion Assessment
Auto-Severity Grading Assistant 📚 ASE/ACC/AHA 2014 · ESC 2021

Enter Doppler values. Severity auto-calculated per standard echocardiographic criteria.

None / Trivial
Mild
Moderate
Severe
Pulmonary Stenosis (PS)
Not entered
Aortic Stenosis (AS)
Not entered
Mitral Regurgitation (MR)
Not entered
Tricuspid Regurgitation (TR) & RVSP
Not entered
Enter TR velocity for PAH assessment
Pulmonary Regurgitation (PR)
Not entered
Valve Morphology Findings 📚 ASE 2014 · Zoghbi et al.
🧠 NLP Report Description Generator Reads all dropdowns, measurements & Doppler values — generates clinical paragraphs
Report Completeness
0% complete
Clinical Urgency
Recommended Follow-up Echo
📅

📡 Data detected from all tabs: — click Generate to scan all fields
Report Authentication & Credentials
Reporting Cardiologist
Performing Sonographer / Technician
Echo Equipment
Digital Signatures
Reporting Cardiologist Signature
Draw signature here
⬜ Not signed
Sonographer / Technician Signature
Draw signature here
⬜ Not signed
Pediatric Echocardiography Unit
EchoReport Pro — Complete Edition v3.0
Pediatric Echocardiography Report

Patient:
Age / Gender:
Weight: kg  |  BSA:
ID No:
Date:
HR: bpm  |  Study:
Indication:
Ref. Doctor:

Segmental Anatomy & Connections

2D / M-Mode & Doppler Findings

Valve Assessment

IMPRESSION
REPORT ID:
Status: FINAL
Reg. No: —
Reporting Cardiologist — Signature above
Reg. No: —
Performing Sonographer — Signature above
📅 Follow-up Recommendation:
WHF 2012 Echocardiographic Criteria for RHD Diagnosis 📚 Remenyi et al. Nat Rev Cardiol 2012

Score each criterion. Auto-classifies as Definite / Probable / Borderline / Normal RHD.

MV1 — Mitral Regurgitation 0
Pathological MR: ≥2 views, jet ≥2 cm, peak vel ≥3 m/s, pan-systolic
MV2 — Morphological MV Features 0
Anterior leaflet thickening, posterior thickening, chordal thickening/elongation, restricted or excessive leaflet motion
MV3 — Mitral Stenosis 0
Mean gradient ≥4 mmHg (no other structural cause)
AV1 — Aortic Regurgitation 0
Pathological AR: ≥2 views, jet ≥1 cm, peak vel ≥3 m/s, pan-diastolic in ≥1 view
AV2 — Aortic Valve Morphology 0
Irregular/focal thickening, coaptation defect, restricted leaflet motion, prolapse
Borderline MV / AV Features
Check all present
Normal — No RHD
No pathological echo criteria met.
Class Criteria (WHF 2012) Follow-up Penicillin Prophylaxis
Reference: Remenyi B, et al. World Heart Federation criteria for echocardiographic diagnosis of rheumatic heart disease. Nat Rev Cardiol. 2012;9(5):297–309. Diagnosis requires clinical correlation.
Z-Score Measurement Chart Visualiser 📚 Pettersen JASE 2008 · Haycock 1978

Measurements entered in Tab 2 are auto-synced. You can also enter values directly here.

ParameterMeasured (mm)Predicted MeanNormal Range (±2SD)Z-ScoreInterpretation
Z-Score Profile Chart
Normal (Z -2 to +2)
Borderline (|Z| 2–3)
Abnormal (|Z| >3)
Reference: Pettersen MD, et al. Regression equations for Z-scores of cardiac structures. J Am Soc Echocardiogr. 2008;21(8):922–34. BSA: Haycock formula.
Coronary Artery Z-Score Calculator 📚 Dallaire JASE 2011 · McCrindle AHA 2017

Enter internal lumen diameters in mm. Kawasaki risk classification auto-assigned per AHA 2017.

SegmentDescriptionDiameter (mm)PredictedZ-ScoreClassification
LMCA
Left Main
Proximal LMCA at ostium
LAD
Left Anterior Descending
Proximal LAD at origin
LCx
Left Circumflex
Proximal circumflex
RCA prox
Right Coronary (proximal)
Proximal RCA at ostium
RCA mid
Right Coronary (mid)
Mid-RCA segment
RCA dist
Right Coronary (distal)
Distal RCA at crux
Max Z-Score (any segment)
No data entered
Kawasaki Risk Class (AHA 2017)
Not assessed
Enter measurements
Aneurysm Detection
Z ≥2.5 = dilatation; Z ≥10 = giant
Reference Model Active
Dallaire 2011
BSA-indexed polynomial regression
Z-Score Classification Recommended Action
Z < 2NormalRoutine follow-up
Z 2–2.49Borderline dilatationRepeat echo in 1–2 weeks
Z 2.5–4.9Small aneurysmAspirin + close follow-up; cardiology referral
Z 5–9.9Medium aneurysmAntiplatelet + anticoagulation; urgent cardiology
Z ≥ 10Giant aneurysmHigh-risk management; cath / surgery evaluation
Absolute size: Aneurysm if internal diameter ≥3mm (age <5yr) or ≥4mm (age ≥5yr) or any segment >1.5× adjacent.
References: Dallaire F, et al. J Am Soc Echocardiogr. 2011;24(1):60–72. | McCrindle BW, et al. AHA Scientific Statement. Circulation. 2017;135:e927–e999.
📁 Prior Echocardiographic History Compare with previous studies — stored in browser

Add previous echo studies for comparison. Data stored locally in your browser.

No prior studies added yet. Use the form below to add previous echo reports.
Add Previous Echo Study
📊 Growth & Nutritional Status

WHO growth reference (2006/2007). Z-scores auto-calculated. Flags severe malnutrition which impacts cardiac function interpretation.

🤰 Fetal Echo Parameters (complete only if fetal study)
🔄 Comparison with Previous Study
🏛️ Medical Society Endorsement & Guideline Compliance All calculations follow published peer-reviewed standards

This reporting system implements criteria from the following medical societies and regulatory bodies. Each module is mapped to its authoritative source.

🇺🇸
ASE — American Society of Echocardiography
Valve severity grading, chamber quantification, Doppler reference ranges, diastolic function assessment
✓ Guidelines Implemented
🇺🇸
ACC/AHA — American College of Cardiology / American Heart Association
Valvular heart disease (VHD 2014), Congenital heart disease (CHD 2018), Kawasaki disease scientific statement (AHA 2017)
✓ Guidelines Implemented
🌍
WHF — World Heart Federation
RHD echocardiographic diagnostic criteria (2012) — Definite / Probable / Borderline / Normal classification
✓ Criteria Implemented
🇪🇺
ESC — European Society of Cardiology
VHD guidelines 2021, CHD guidelines 2020, heart failure guidelines. Complementary reference to ASE criteria.
📚 Reference Source
🌐
WHO — World Health Organization
Growth reference standards 2006/2007 for weight-for-age, height-for-age, weight-for-height Z-scores. Nutritional classification (SAM/MAM).
✓ Reference Implemented
🇮🇳
IAP / PCSI — Indian Academy of Pediatrics / Pediatric Cardiac Society of India
Congenital heart disease reporting standards adopted for Indian clinical practice. RHD prevalence context for high-risk population classification.
📚 Context Reference
📋
MCI / NMC — National Medical Commission, India
Report format follows structured clinical documentation standards. Reg. No. field captures MCI/State Medical Council registration. All reports require licensed physician authorization.
📋 Regulatory Framework
🔬
ARDMS — American Registry for Diagnostic Medical Sonography
Sonographer credential field (RDCS — PE: Registered Diagnostic Cardiac Sonographer, Pediatric Echocardiography). Credential validation via credential number field.
📋 Credential Framework
📖 Complete Reference Library — All Guideline Sources Click any reference to view source details
📐 Z-Score Normatives (Measurements Tab)
1
Pettersen MD, Du W, Skeens ME, Humes RA. Regression equations for calculation of Z scores of cardiac structures in a large cohort of healthy infants, children, and adolescents: an echocardiographic study. Journal of the American Society of Echocardiography. 2008;21(8):922–934.
JASE 2008 ASE DOI: 10.1016/j.echo.2008.01.010
Applies to: All 12 cardiac structure Z-scores (AO root, STJ, Asc Ao, MPA, RPA, LPA, LVIDd, LVIDs, IVSd, LVPWd, LA, RA). Primary normative reference for this system.
2
Haycock GB, Schwartz GJ, Wisotsky DH. Geometric method for measuring body surface area: a height-weight formula validated in infants, children, and adults. Journal of Pediatrics. 1978;93(1):62–66.
J Pediatr 1978 DOI: 10.1016/S0022-3476(78)80601-5
Applies to: BSA calculation formula used throughout the system. Haycock formula: BSA = 0.024265 × Ht⁰·³⁹⁶⁴ × Wt⁰·⁵³⁷⁸
3
Lopez L, Colan SD, Frommelt PC, et al. Recommendations for quantification methods during the performance of a pediatric echocardiogram: a report from the Pediatric Measurements Writing Group of the American Society of Echocardiography Pediatric and Congenital Heart Disease Council. Journal of the American Society of Echocardiography. 2010;23(5):465–495.
JASE 2010 ASE Pediatric Council DOI: 10.1016/j.echo.2010.03.019
Applies to: Measurement methodology, chamber quantification standards, indexing to BSA in pediatric echocardiography.
🫀 Valve Severity Grading (Valve Grading Tab)
4
Zoghbi WA, Adams D, Bonow RO, et al. Recommendations for noninvasive evaluation of native valvular regurgitation: a report from the American Society of Echocardiography. Journal of the American Society of Echocardiography. 2017;30(4):303–371.
ASE Guideline 2017 JASE 2017 DOI: 10.1016/j.echo.2017.01.007
Applies to: MR grading (vena contracta, jet/LA area %), AR grading, TR severity, PR severity — Mild/Moderate/Severe classification thresholds.
5
Nishimura RA, Otto CM, Bonow RO, et al. 2014 AHA/ACC guideline for the management of patients with valvular heart disease. Journal of the American College of Cardiology. 2014;63(22):e57–e185.
ACC/AHA Guideline 2014 ACC · AHA DOI: 10.1016/j.jacc.2014.02.536
Applies to: AS grading (peak velocity thresholds: <3 m/s Mild, 3–4 m/s Moderate, ≥4 m/s Severe), PS grading (peak gradient thresholds: <25 mmHg Mild, 25–50 mmHg Moderate, >50 mmHg Severe).
6
Vahanian A, Beyersdorf F, Praz F, et al. 2021 ESC/EACTS guidelines for the management of valvular heart disease. European Heart Journal. 2022;43(7):561–632.
ESC/EACTS Guideline 2021 ESC · EACTS DOI: 10.1093/eurheartj/ehab395
Applies to: Complementary valve severity criteria, RVSP interpretation, PAH assessment thresholds.
📊 LV Function & Doppler (Measurements Tab)
7
Lang RM, Badano LP, Mor-Avi V, et al. Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. Journal of the American Society of Echocardiography. 2015;28(1):1–39.e14.
ASE/EACVI Guideline 2015 JASE 2015 DOI: 10.1016/j.echo.2014.10.003
Applies to: LVEF grading thresholds (Normal ≥55%, Mildly reduced 41–54%, Moderately 30–40%, Severely <30%), FS normal range (≥28%), Doppler normal velocity ranges.
8
Nagueh SF, Smiseth OA, Appleton CP, et al. Recommendations for the evaluation of left ventricular diastolic function by echocardiography: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. Journal of the American Society of Echocardiography. 2016;29(4):277–314.
ASE/EACVI Guideline 2016 JASE 2016 DOI: 10.1016/j.echo.2016.01.011
Applies to: Mitral E velocity (0.6–1.4 m/s), Mitral A velocity (0.3–0.8 m/s) normal ranges shown in Doppler measurements table.
🧩 Segmental Anatomy & CHD Classification (Patient Tab)
9
Anderson RH, Becker AE, Freedom RM, et al. Sequential segmental analysis of congenital heart disease. Pediatric Cardiology. 1984;5(4):281–287.
Foundational Method 1984 Pediatr Cardiol
Applies to: Situs, cardiac position, AV connection, VA connection — the sequential segmental analysis framework underlying the segmental anatomy dropdowns.
10
Stout KK, Daniels CJ, Aboulhosn JA, et al. 2018 AHA/ACC guideline for the management of adults with congenital heart disease. Journal of the American College of Cardiology. 2019;73(12):e81–e192.
ACC/AHA Guideline 2018 ACC · AHA DOI: 10.1016/j.jacc.2018.08.1029
Applies to: Structural CHD classification options — ASD, VSD, AVSD, TOF, DORV, single ventricle, PDA types and shunt characterisation.
11
Baumgartner H, De Backer J, Babu-Narayan SV, et al. 2020 ESC guidelines for the management of adult congenital heart disease. European Heart Journal. 2021;42(6):563–645.
ESC Guideline 2020 ESC DOI: 10.1093/eurheartj/ehaa554
Applies to: CHD classification, shunt assessment, post-operative echo findings, PAH in CHD context.
🩺 Rheumatic Heart Disease (RHD Tab)
12
Remenyi B, Wilson N, Steer A, et al. World Heart Federation criteria for echocardiographic diagnosis of rheumatic heart disease — an evidence-based guideline. Nature Reviews Cardiology. 2012;9(5):297–309.
WHF 2012 Criteria World Heart Federation Nat Rev Cardiol DOI: 10.1038/nrcardio.2012.7
Applies to: All RHD classification criteria — MV pathological MR (4 criteria), MV morphological features (anterior/posterior thickening, chordal changes), MS (mean gradient ≥4 mmHg), AV pathological AR (4 criteria), AV morphological features. Definite/Probable/Borderline/Normal classification. High-risk vs low-risk population adjustment.
13
Gewitz MH, Baltimore RS, Tani LY, et al. Revision of the Jones Criteria for the diagnosis of acute rheumatic fever in the era of Doppler echocardiography: a scientific statement from the American Heart Association. Circulation. 2015;131(20):1806–1818.
AHA Scientific Statement 2015 AHA DOI: 10.1161/CIR.0000000000000205
Applies to: RHD clinical context, Jones Criteria update, Doppler-based pathological MR/AR definition for high-risk populations.
🩸 Coronary Artery Z-Scores & Kawasaki (Coronary Tab)
14
Dallaire F, Dahdah N. New equations and a critical appraisal of coronary artery Z scores in healthy children. Journal of the American Society of Echocardiography. 2011;24(1):60–74.
JASE 2011 ASE DOI: 10.1016/j.echo.2010.10.004
Applies to: LMCA, LAD, LCx, RCA proximal/mid/distal Z-score calculation — primary (Dallaire) model. BSA-indexed polynomial regression, SD factor 13.5% of predicted mean.
15
McCrindle BW, Rowley AH, Newburger JW, et al. Diagnosis, treatment, and long-term management of Kawasaki disease: a scientific statement for health professionals from the American Heart Association. Circulation. 2017;135(17):e927–e999.
AHA Scientific Statement 2017 AHA DOI: 10.1161/CIR.0000000000000484
Applies to: Kawasaki disease Z-score risk classification — Normal (Z <2), Borderline (Z 2–2.49), Small aneurysm (Z 2.5–4.9), Medium aneurysm (Z 5–9.9), Giant aneurysm (Z ≥10). Management recommendations per tier. Absolute diameter thresholds (≥3mm age <5yr, ≥4mm age ≥5yr).
📊 Growth & Nutritional Status (History Tab)
16
WHO Multicentre Growth Reference Study Group. WHO Child Growth Standards: Length/height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age. World Health Organization, Geneva. 2006.
WHO 2006 International Standard
Applies to: Weight-for-age Z-score, height-for-age Z-score, weight-for-height Z-score. SAM threshold: Z < −3. MAM threshold: Z −3 to −2.
🤰 Fetal Echocardiography (History Tab)
17
Donofrio MT, Moon-Grady AJ, Hornberger LK, et al. Diagnosis and treatment of fetal cardiac disease: a scientific statement from the American Heart Association. Circulation. 2014;129(21):2183–2242.
AHA Scientific Statement 2014 AHA DOI: 10.1161/01.cir.0000437597.44550.5d
Applies to: Fetal echo parameters — cardiothoracic ratio (normal 0.25–0.50), cardiac rhythm classification, referral indications, fetal echo reporting standards.
📋 Reporting Standards & Accreditation
18
Lai WW, Geva T, Shirali GS, et al. Guidelines and standards for performance of a pediatric echocardiogram: a report from the Task Force of the Pediatric Council of the American Society of Echocardiography. Journal of the American Society of Echocardiography. 2006;19(12):1413–1430.
ASE Pediatric Standard 2006 ASE Pediatric Council DOI: 10.1016/j.echo.2006.09.001
Applies to: Required components of a complete pediatric echocardiographic study, study quality grading (Good/Adequate/Limited), Doppler requirements, documentation standards.
19
Intersocietal Accreditation Commission (IAC). Standards and guidelines for the accreditation of echocardiography laboratories — Pediatric Echocardiography. IAC Standards. 2023 Edition.
IAC Standard 2023 IAC Echocardiography
Applies to: Laboratory accreditation requirements — equipment specifications, sonographer credentials (ARDMS/RDCS-PE), physician qualifications, report documentation, quality assurance. The Lab Reg. No. field in Hospital Details maps to IAC accreditation number.
20
National Medical Commission (NMC), India. Competency-based undergraduate curriculum for the Indian medical graduate — Pediatric Cardiology competencies. NMC, New Delhi. 2019.
NMC India 2019 NMC · MCI India
Applies to: Doctor registration number (Medical Council of India / State Medical Council), physician qualification documentation, medical record-keeping standards under Indian medical law. All reports must be signed by a registered medical practitioner.
⚖️ Legal Disclaimer & Intended Use
⚠️ Important — Please Read
This software is a clinical reporting aid and is not a medical device. It does not provide diagnoses, treatment recommendations, or replace clinical judgment. All reports generated must be reviewed, validated, and authorised by a qualified registered medical practitioner before clinical use. Calculations implement published peer-reviewed normative data and guidelines as cited; however, individual clinical variation, measurement error, and evolving evidence must always be considered.
Intended Users: Licensed pediatric cardiologists, cardiologists with pediatric echocardiography training, ARDMS-certified echocardiographers (RDCS-PE), and supervised trainees under attending physician oversight.

Data Privacy: This application operates entirely within the user's browser. No patient data is transmitted to any external server. All data entered is transient (session-only) except Hospital Details and History entries which are stored in browser localStorage on the user's own device only.

Version & Updates: EchoReport Pro — Complete Edition v3.0. Guidelines and normative data reflect publications available at time of development. Users are responsible for verifying concordance with current guidelines for their jurisdiction.

Regulatory Classification: This tool is classified as a clinical decision support (CDS) software. Under Indian law (CDSCO Medical Device Rules 2017), software that does not directly drive clinical decision making without clinician interpretation does not require device registration. Users should verify local regulatory requirements.
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