Abstract: A multi-mode system and method for exchanging patient medical record information and data an order for a medical procedure for a patient between different medical information systems for producing medical report data is provided. The system comprises a repository including a first set of clinical data items employing a first set of codes, terms and identifiers associated with a plurality of different patients accessible by a parent medical information system application. A user interface initiates generation of data representing at least one display image. The at least one display image includes a first image element for, in a first mode of operation, initiating execution of the parent medical information system application and enabling access to the plurality of data items in the repository.