The Veterinary PIMS Integration Guide: Syncing AI with ezyVet and Cornerstone

What "PIMS Integration" Actually Means

There are three levels of integration. Most vendors claim the second or third — most deliver the first.

1. 1
   Manual export (copy/paste): The AI generates a note. You copy it. You open your PIMS. You paste it into the correct patient record and reformat if needed. This is the most common "integration." It saves you typing but costs you 3–5 minutes of switching and pasting per note.
2. 2
   Formatted one-click copy: The AI generates a note already formatted for your specific PIMS template. One click copies it to your clipboard. You switch to your PIMS, open the patient record, and paste — no reformatting. Saves 2–3 minutes per note vs. manual export.
3. 3
   Direct API write-back: The AI tool calls your PIMS's API and writes the note directly into the patient record — no clipboard, no tab-switching, no pasting. The 12 seconds of friction goal. This is what Chartling is building to via its concierge program.

ezyVet Integration

ezyVet is one of the most widely used cloud-based PIMS platforms in progressive veterinary practices. Its REST API is well-documented and supports reading and writing patient records, consultations, and SOAP notes.

Current Chartling + ezyVet Workflow

1. 1Record the exam with Chartling (mobile or web app).
2. 2Chartling generates a structured SOAP note in 87 seconds.
3. 3Click 'Copy for ezyVet' — the note is formatted to match ezyVet's consultation note fields.
4. 4Open the patient's record in ezyVet and paste. No reformatting needed.

Coming: Direct Write-Back

Chartling's concierge program connects directly to your ezyVet instance using your practice's own API credentials. Once configured, the note appears in the correct patient consultation record automatically — no copy, no paste, no tab switch.

This uses ezyVet's per-practice API key, issued through your ezyVet account. Chartling never stores or reuses these credentials beyond the active session.

Cornerstone Integration

Cornerstone (IDEXX) is the dominant PIMS in hospital-based and specialty practices in North America. Its integration architecture is different from cloud-native platforms — Cornerstone runs on-premise, which changes what direct API access looks like.

Current Chartling + Cornerstone Workflow

Chartling generates a Cornerstone-formatted SOAP note. One click copies the structured text to your clipboard. Open the patient's record in Cornerstone, navigate to the medical note, and paste. The formatting matches Cornerstone's SOAP field structure — S, O, A, P all land in the right places.

Cornerstone Write-Back via Concierge

Cornerstone's local API architecture requires a per-practice configuration step that Chartling's concierge team handles during onboarding. Once configured, notes write directly to the Cornerstone patient record without leaving the Chartling interface.

Other Supported PIMS

Setting Up Chartling + Your PIMS: Step by Step

Getting Chartling connected to your PIMS takes under 10 minutes for the formatted copy workflow, and one business day for direct write-back via concierge.

1. 1
   Sign up for Chartling: Create your account at chartling.io. No credit card required during trial.
2. 2
   Select your PIMS: In Settings → PIMS Integration, select your platform. Chartling will pre-format all note exports to match your template.
3. 3
   Run your first exam: Record an appointment. Review the generated SOAP. Use the 'Copy for [PIMS]' button.
4. 4
   Paste and verify: Paste into your PIMS patient record. Confirm the structure looks right. Most users need zero reformatting.
5. 5
   Upgrade to write-back (optional): Contact Chartling's concierge team to enable direct API write-back. They'll handle the PIMS-side configuration.

Why Integration Is the Most Important Feature to Get Right

A great AI scribe that doesn't talk to your PIMS still leaves you doing manual data entry. The time you save generating the note gets spent transferring it. Net efficiency gain: near zero.

This is why we built our PIMS integration roadmap from day one, not as an afterthought. The goal is 12 seconds of friction between the end of an exam and a finished, synced PIMS entry. Anything more than that is still work you shouldn't have to do.

See how this fits into the overall documentation workflow in our guide to finishing clinical charts before your next patient arrives.

Frequently Asked Questions