EncaptureMD reports can be sent to RIS/HIS/EMR as either
- Text-only
- RTF
What we send depends on what the RIS/HIS or EMR can receive.
PDF is preferred as it preserves the layout and can shows Bold, Italics, allows for different font sizes, contain diagrams, images, logos and the MD’s signature. It also prints and faxes very well. Your hospital system must support storage and viewing of PDF files to make this work.
Text reports contain minimal formatting. EncaptureMD uses spaces to create the equivalent of tabs. However, in order to space properly, the report must be viewed with a fixed-width font like Courier. Otherwise the columnar alignment is off. Any table in a report must use a fixed width font to be properly legible. For rare circumstances, we have a report that can use any font.
RTF is essentially a text report in an RTF format. RTF support by hospital systems is quite variable, so we keep the report clean and simple to be as broadly compatible as possible.
This is the same normal study shown in each format.
The PDF report is typically the most attractive choice and allows for the most flexibility in report design.
Requirements: Ability to display the report in EMR/HIS as a PDF. For IT, the report is typically sent either as a folder drop or through HL7 as base 64 encoded text.
Limitations: Requires more storage space in EMR.
Advantage: Will maintain all formatting, allows for logos, diagrams, modality images, MD signature. PDF is locked to prevent tampering with the report after it is created. Printed copies look the same. Printed color diagrams still look OK in black and white.
PDF example
Text Report - Fixed width Font
This report maintains some formatting by adding spaces to create alignment. It only works with fonts like Courier where each character takes up the same amount of space, like a typewriter.
Requirements: Ability to display the report in EMR/HIS using a fixed-width font.
Limitations: Cannot display images, text formatting (like font size, bold, italics, etc)
Advantage: Will maintain table formatting. Tables cannot be formatted with a Proportional font.
Summary
* Normal LV size with normal function. There is normal LV
wall thickness.
* Normal right ventricular size with normal function.
* Normal, trileaflet aortic valve.
* Normal mitral valve.
Interpretation Detail
Gen: Fully diagnostic study.
LV: The left ventricle is normal in size with normal
systolic function. The ejection fraction is 65%.
There is normal LV wall thickness.
LA: The left atrium is normal. LA M-mode: 3.70 cm.
RV: The right ventricle is normal in size with normal
function.
RA: The right atrium is normal.
MV: The mitral valve is normal.
AV: The aortic valve is normal and trileaflet.
TV: The tricuspid valve is normal.
PV: The pulmonic valve is normal.
Peri: The pericardium is normal.
PA: The pulmonary artery is normal.
IAS: The interatrial septum is normal.
Ao: The aorta is normal. Aortic dimension - Ao M-mode=
3.00cm.
Cava: The inferior vena cava is normal. The superior vena
cava is normal.
Measurements
LV Walls LV Diastolic Function
IVSd: 0.89cm (0.6-1.1cm) E/A: 1.29 (0.6-2)
PWd: 0.77cm (0.6-1.1cm) E/e' lat: 12.27
LV Mass E/e' lat: 13.14
Linear: 153g Atria
LV Chamber LA mmode: 3.70cm
LVIDd: 5.21cm (3.7-5.6 cm)
LVIDdI: 2.67cm/m2
LVIDs: 3.22cm (1.8-4.2 cm)
LVIDsI: 1.65cm/m2
RWT: 0.30 <0.42
Signed by Dr. Allegro on 4/3/14
Text Report - Proportional Font
This is the same report shown with a proportional font. Note the mis-alignment. In some cases this might be acceptable, but tables become unreadable.
Summary
* Normal LV size with normal function. There is normal LV wall
thickness.
* Normal right ventricular size with normal function.
* Normal, trileaflet aortic valve.
* Normal mitral valve.
Interpretation Detail
Gen: Fully diagnostic study.
LV: The left ventricle is normal in size with normal systolic
function. The ejection fraction is 65%. There is normal LV wall
thickness. The left ventricular wall motion is normal.
LA: The left atrium is normal. LA M-mode: 3.70 cm.
RV: The right ventricle is normal in size with normal function.
RA: The right atrium is normal.
MV: The mitral valve is normal.
AV: The aortic valve is normal and trileaflet.
TV: The tricuspid valve is normal.
PV: The pulmonic valve is normal.
Peri: The pericardium is normal.
PA: The pulmonary artery is normal.
IAS: The interatrial septum is normal.
Ao: The aorta is normal. Aortic dimension - Ao M-mode= 3.00cm.
Cava: The inferior vena cava is normal. The superior vena cava is
normal.
Measurements
LV Walls LV Diastolic Function
IVSd: 0.89cm 0.6-1.1cm E/A: 1.29 0.6-2
PWd: 0.77cm 0.6-1.1cm E/e' med: 12.27
LV Mass E/e' lat: 13.14
Linear: 153g Atria
LV Chamber LA mmode: 3.70cm
LVIDd: 5.21cm 3.7-5.6 cm
LVIDdI: 2.67cm/m2
LVIDs: 3.22cm 1.8-4.2 cm
LVIDsI: 1.65cm/m2
RWT: 0.30 <0.42
Signed by Dr. Allegro 4/3/14
Text Report - Any font
This report is the most similar to a dictated output. It does not attempt to align any part of the report. It is typically longer and less readable, but contains all the same information.
Requirements: None.
Limitations: Cannot display images, text formatting (like font size, bold, italics, etc) or tables.
Advantage: Works anywhere text can be received.
SUMMARY
* Normal LV size with normal function. There is normal LV wall thickness.
* Normal right ventricular size with normal function.
* Normal, trileaflet aortic valve.
* Normal mitral valve.
INTERPRETATION DETAIL
Left ventricle: The left ventricle is normal in size with normal systolic function. The ejection fraction is 65%. There is normal LV wall thickness. The left ventricular wall motion is normal.
Left atrium: The left atrium is normal. LA M-mode: 3.70 cm.
Right ventricle: The right ventricle is normal in size with normal function.
Right atrium: The right atrium is normal.
Mitral valve: The mitral valve is normal.
Aortic valve: The aortic valve is normal and trileaflet.
Tricuspid valve: The tricuspid valve is normal.
Pulmonic valve: The pulmonic valve is normal.
Pericardium: The pericardium is normal.
Pulmonary artery: The pulmonary artery is normal.
Aorta: The aorta is normal. Aortic dimension - Ao M-mode= 3.00cm.
Vena Cava: The inferior vena cava is normal. The superior vena cava is normal.
MEASUREMENTS
LV Walls
IVSd: 0.89cm (0.6-1.1cm)
PWd: 0.77cm (0.6-1.1cm)
LV Mass
Linear: 153g
LV Chamber
LVIDd: 5.21cm (3.7-5.6 cm)
LVIDdI: 2.67cm/m2
LVIDs: 3.22cm (1.8-4.2 cm)
LVIDsI: 1.65cm/m2
RWT: 0.30 (<0.42)
LV Diastolic Function
E to A: 1.29 (0.6-2)
E to e prime med: 12.27
Atria
LA mmode: 3.70cm
Signed by Dr. Allegro on 4/3/14