Built for the chart that goes sixty pages deep.
Specialty isn't general practice with longer notes. The cases stretch over months, the records arrive by fax, and the rDVM relationship is the practice. Vetch was designed around all three.
The four things general PMS gets wrong.
OCR + summarize
Faxed records, scanned PDFs, outside lab reports — all OCR'd, structured, and summarized into a one-page case sheet before you open the file.
Episodic chart view
A chronic case is an arc, not a stack. See "the lymphoma case" as a timeline — diagnosis, protocol, response, complications — without scrolling through 40 SOAPs.
Letters that send themselves
Structured consultation letters, surgical reports, and discharge summaries — generated from the visit, formatted to match your practice voice, sent to the rDVM before the owner reaches the car.
Internal hand-offs
Surgery to internal med to oncology — same patient, one chart, structured handoffs. Each specialist sees what they need without reading all 60 pages.
Chemo, immunotherapy, CRI
Drug-aware, weight-aware, with cycle tracking and toxicity grading built in. Order sets that match your service's protocols, not generic templates.
Quotes that look right
Estimates, consents, and discharge sheets that look like they came from your practice — not the PMS vendor's 2007 default Word template.
The case before, during, and after.
One referral, an hour of work compressed into the parts you actually do.
- 7:42aInbound · faxedBailey Anderson — referral from Maple Vet.14 pages of records, 3 lab panels, 1 echo PDF arrive overnight.Vetch · OCR'd in 4 min. One-page summary built. Murmur grade, ProBNP, echo measurements pulled into structured fields.
- 8:30aPre-consultYou read the summary in 90 seconds.Open in Records to see the original PDFs alongside the structured pull. Notes from rDVM are quoted in context.
- 10:15aConsultYou see the patient. Vetch writes.Echo measurements dictated, classed automatically against ACVIM staging.Vetch · Stage B2 confirmed. Pimobendan dose calculated from latest weight. Recheck queued for 4 months.
- 11:02arDVM letterLetter to Dr. Wexler sends as Bailey leaves.Structured: history, exam, imaging, diagnosis, plan, recheck. Matches your practice template. Owner gets a copy too.
- 2:18pInternal handoffMango — BOAS work-up to soft-tissue.Same patient, one chart. Soft-tissue gets a structured "what cardiology found" card, not the whole 60-page chart.
The work specialty stops doing.
Audit-ready, study-ready, board-ready.
Specialty practices live and die by the chart. Boards review them, insurers scrutinize them, residents learn from them. Vetch keeps the receipts — every signature, every dose, every revision — without burying you in compliance UI.
- Every chart change is timestamped and authored — no silent edits
- DEA-controlled drug logs reconcile to the order with one click
- Resident signatures route to attending automatically
- CE / case logs export clean for board re-cert
- SOC 2 Type II + HIPAA BAA · regional data residency available
“The rDVM letter is the relationship. Vetch sends them while the patient is still in the parking lot. Our referrals went up before our marketing did anything.”
Coming from ezyVet, ImpromedInfinity, Cornerstone, or RxWorks? 8–12 weeks.
Specialty migrations preserve the timeline — every old visit becomes an episode in the new chart. We OCR your historical PDFs, structure where we can, and link source documents alongside. Old PMS stays read-only for 6 months. Residents and attending validate together for 30 days before final cutover.
Honest answers.
The chart you'd want for your own pet.
Tour referral intake and the timeline view with a specialty medical director.