eClinical OCR and body images support flow together with our Scan and Fax blog post. So if you aren’t finding what you need here, check out that post.

Front Desk staff at small practices just don’t know what they are missing when converting documents into electronic form but not taking advantage of OCR or Optical Character Recognition.  Let’s begin with OCR.  Scanning documents is one thing but the ability to lift text off the scanned image and insert into your EMR’s patient notes is another.   The copy and paste functionality becomes a lot more difficult if you are using PDF with eClinicalworks.  It is recommended you use TIFF because eClinicalworks was designed to work with Microsoft Office Document Imaging tool or MODI.  While you can not annotate on formats like jpeg.  And the PDF format is simply to heavy or clunky of a file.

The eClinicalworks built-in inbox viewer called ECWDigink.exe will be sufficient for most.  The viewer features are:

  • Basic document viewing
  • Text and Ink Notations
  • Time Stamp
  • Copy and Paste the OCR text into the EMR

The MODI installed update to eCW include enhanced features like:

  • Better document management.  ie.  Delete unnecessary pages included in the fax document viewer
  • Rearrange pages in the viewer
  • Improved text and ink notations
  • Better overall viewing experience.   Windows document viewer is a poor default app for viewing documents.

MODI is a free tool that enabled editing and annotating document.  Documents scanned by your organization’s scanner or faxes received by your organization’s fax server are aggregated in an inbox or scanned shared folder.  These images or hopefully TIF not TIFF files are then assigned to charts and other areas of your Electronic Health Record system.


eclinical scanning and fax support

Pro Tip! – The labeling of EMR or EHR is dependent on whether the system is dedicated solely for Patient Health Information (PHI) or more.   The system is called an EHR when it contain more than just PHI.

The bottom line, request your IT guy use MODI in conjunction with eClinicalworks for the most productivity out of your staff.  Check it out in action…





Eclincal scanning and fax support are critical pieces in the eCW EMR architecture.

 Make “MODI” Microsoft Office Document Imaging DefaultMODI

c:\program files (x86)\common files\microsoft shared\MODI\12.0\mspview.exe

Fixing “MODI Not Installed” Issue (2007+)

Using the “MODI” button inside eCW requires an added step. After installing MODI and verifying it is functional from the programs menu, you must complete the following steps before the “MODI” button will function.
  1. Navigate to “C:\Program Files (x86)\Common Files\microsoft shared\MODI”
  2. On 32 bit computers, it will simply be “C:\Program Files\Common Files\microsoft shared\MODI”
  3. Make a copy of the “12.0” folder and rename the copy to “11.0”. Do NOT delete or rename the 12.0 folder.
  4. On 64 bit computers, you must copy the entire “C:\Program Files (x86)\Common Files\microsoft shared\MODI” folder to “C:\Program Files\Common Files\microsoft shared\MODI”. This is a COPY, not a move. Once completed you should have the MODI folder with both 11.0 and 12.0 in both program file directories.

But I don’t have MODI software installed on my machine?

Read more below to understand what MODI is and how it can be downloaded and installed on your machine.


The History of Microsoft Office Document Imaging and MODI Installation

By default, newer windows computer do not have MODI.  It was first introduced in Office XP, and was included in Office 2003, Office 2007, and  Sharepoint Designer 2007.  Although it is not available in Office 2010, it is possible to install it from a previous version of Microsoft Office and use it with Office 2010 or later.

MODI – Sharepoint Designer 2007

To use MODI together with Office 2010 or later, use one of the following methods:

  • You can install MODI from the 2007 Office system setup if you have 2007 Office ISO.  We suggest using Sharepoint 2007 instead,  To do this, follow these steps:
    • MODI from Sharepoint (no license required)  if you don’t have a legacy copy of Office:
    • Start the 2007 Office or Sharepoint setup process.
    • Click Customize.
    • On the Installation Options tab, select Not Available for all items except for the items under Microsoft Office Document Imaging, and then click Install Now.
    • Click Close.
      1. On the C:\ drive, search for mspview.exe to confirm its been installed.
      2. Go to windows file types, change tif, and select mspview.exe from the path.

eClinical OCR










Make sure the TIF file extension defaults to MODI


Right click a TIF file and open with the MODI app under “more apps”

Windows 10 File Extension Interface

ProTip!  Windows 10 file type manager may prevent you from switching tif programs.   Make sure you can change tif file type through control panel.    Otherwise, Download File Types Manager from Nirsoft for getting around this issue.  To change the association simply select it in the file extension in question within FileTypesMan and press F4 to open the change prompt for selecting a different program.




Windows 7 Operating System – Change the tif file type to modi


eClinical OCR

Windows 7File Extension Interface









 Make “MODI” Microsoft Office Document Imaging Default

c:\program files (x86)\common files\microsoft shared\MODI\12.0\mspview.exe

To change ECWDigink.exe to MODI….



Office Customization Tool Setup – Alternative and More Complicated Setup

1.  Download Sharepoint Designer 2007

2.  This download does have the ability for the admin to create a customization file in the Office customization tool (OCT) to install MODI. You will need to download the main .exe; SharePointDesigner.exe, then extract the files with the command line. For example:

\\Servername\ShareName\SharePointDesigner2007_download\SharePointDesigner.exe /extract:\\servername\sharename\
This will extract the setup.exe, Admin folder, etc. to \\servername\sharename
Make sure you perform this step with appropriate administrative rights.

3. From the extracted folder location, run the following command to create the customizations in the OCT:
\\Servername\ShareName\SharePointDesigner2007\setup.exe /admin

3b.  Alternatively, you can download and extract locally.

c:\users\user_name\downloads>  sharepointdesigner.exe /extract:c:\temp\sharepoint

4. Run setup.  Set feature installations state, and make everything “not available,” except MODI

eClinical OCR


Within the OCT, you would go to Set feature installations state, and make everything “not available,” except MODI, as in the screenshot here. Changing the OCT settings to hidden and locked, if you do not want users to utilize SharePoint Designer, will hide it from within the Add/Remove Programs.

5.  Save the resultant .msp (file>save) file and save it in the ‘updates’ folder where you extracted the Sharepoint Designer resource files. When you double-click setup.exe the install will use this file to define its installation parameters (no need to call it from the command-line).

6.After the installation of SharePoint Designer, if you are using SharePoint document libraries, it is recommended to unregister the Name.dll for SharePoint Designer (unless you have the actual Designer component installed). Unregistering the Name.dll for SharePoint Designer will address the interaction of Office files stored on a SharePoint document library and having two different versions of Office products (Office 2010 and SharePoint Designer 2007) on the computer.

eClinical OCR and body images support summary

You have learned how to install MODI for free, setup MODI as a TIF file file extension,  fixed the eClinialworks error message “MODI not installed” when clicking on the MODI button, and you learned the path of mspview.exe.   I will continue to build this out as I gather more information on the subject.  Until then, feel free to check out my other eCW blogs.  Google “Network Antics eclinicalworks IT Support”.


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