This work presents a new approach for classification and retrieval of echocardiographic images from textual information of the anatomical structures and diagnosis features. These textual attributes will be acquired from the electronic medical report generated in an integrated healthcare environment. The medical report is provided by a specialist in the area during the analysis of the medical image stored in a PACS environment. Such innovation guarantees a more accurate classifier and a better optimization of the medical work, since the medical report and the attributes for the medical image classifier will be created at the same time. The system is being developed in the University Hospital of the University of Brasilia.