This article covers the use of the EncaptureMD fetal echocardiogram application. It is a truncated version of the pediatric echo application. It supports fetal Z scores and can report multiple fetuses.
Use the Pediatric Echo application documentation as a reference.
Detail
Fetal echo is different because there can be more than one fetus in the report. Because of that, the Interpretation tab contains a table where fetal "rows" are added to the table.
- The GA can either be imported from the US machine or entered here manually. It is essential for Z score calculations to work.
- Each fetus will have a row in the table. Most studies will be for singleton pregnancies with ~1% having two rows. The rows should exist after measurement import. Click on a row to perform the interpretation on that fetus.
- Technologists/sonographers can enter information here. The private data is for the interpreting MD only and does not appear in the report.
Measurement Tab
- The top row shows basic fetal information. All fetuses are automatically numbered based on US information. There is a text block which is most useful for multiple pregnancies to differentiate one fetus from another.
- There are two tabs - Measurements and Interpretation. Measurements is the default. Once measurements are reviewed, click the Interpretation tab to perform the qualitative interpretation.
- The Z scores are listed here. The value, mean/range and Z-score are all calculated. If the Z scores are 0 or -9999, the GA is probably missing.
- Z score ranges by color. Note: These are only displayed visually on this page not in the report, to call attention to out of range values.
- -2.0 to 2.0 are in the Normal range with no change to background color
- Between |2 and 3| are yellow
- More than |3| is red
- Values without Z scores are show at the bottom of the page in blue.
Interpretation Tab
- Enter abnormal qualitative findings here. This is similar to adult and pediatric echo with a slightly different layout.
- Click the All Else Norm button to add normal findings to anything not marked abnormal. If the study is totally normal, just click the All Else Norm button first.
- The reports will generate (Conclusion and Detail) here. You can copy from the detail to conclusion by right click, copy to conclusion.
- Once ready, click Save to return to the Table.