Structured descriptions attached to medical image series conforming to the DZCOM standard make possible to fit the collections of existing digitized images into an educational and research framework. This paper presents the milestones in our work to provide a simple yet robust structured reporting method for echocardiographic investigations. Our initial reporting solution and the underlying healthcare information system are introduced first, and the results of the system's use in a clinical environment are also pointed out. Latest development in the domain of DICOM structured reporting norms is outlined next. Accordingly, our recent improvements are covered then: the upgraded structured reporting method is introduced and several new or mod$ed components of the system are brought into view. The paper concludes by summarizing similarities and differences between the old and the new approach, highlighting future development tracks.