Meet Sage, built into Bittsi, built for veterinary medicine.
Ask Sage anything about a patient. Get chart summaries, lab trend highlights, medication safety checks, and toxicology guidance in seconds, without leaving your PIMS — and let it prepare the day's briefs, estimates and reminders before you ask, with nothing sent, billed or signed without you.
Here's a 90-day summary for Luna Martinez, focused on what's worth a closer look:
TrendALP rising across last 3 panels, 142 → 168 → 197 U/L.
SafetyCarprofen + furosemide, monitor renal values at 30-day recheck.
4 SOAPs3 chem panels2 active Rx
Ask Sage about this patient
Lab insight surfacedALP trend, 90 days · +39%
Why veterinary teams need Sage
Veterinary PIMS were built for billing, not for thinking.
The information you need is already in the chart, labs, history, prescriptions, prior notes. The problem is finding it during a 12-minute visit. Sage reads the whole record so you don't have to.
Too many clicks.
Five tabs, two scrolls, three filters, just to remember whether Luna's last ALP was elevated. The data is there. The path to it is the problem.
Context blindness.
You see today's vitals, not last quarter's trend. By the time you piece the story together, the appointment is already running long.
Silent safety gaps.
NSAID on top of furosemide. A dose that's right for a Lab but wrong for a Yorkie. Most PIMS won't flag it. A clinical assistant should.
No clinical intelligence.
Your software stores notes, it doesn't read them. When you need a 90-day summary or a toxicology check, you're on your own.
New in Bittsi Sage · works before you ask
Sage prepares. You approve.
Bittsi Sage is the AI layer inside Bittsi PIMS that does a veterinary clinic's paperwork before the clinic asks. Everything below happens on its own — and nothing it writes is ever sent, billed, prescribed or signed without a person approving it first.
See it in motion.
Every visit, prepped before you arrive
Overnight, Sage reads the chart behind every appointment on tomorrow's schedule and writes a brief: why they're here, the history that matters, and a draft plan. Ready before the first person unlocks the door.
It drafts the work the day creates
The estimate. The reminder. The follow-up message to the owner. The refill request. Written as the reason for them appears, not at the end of a shift when they're remembered.
It learns how your practice runs
Your post-op recheck interval. Your reminder cadence. How you like weights shown. Told once, applied from then on — shared with your team or kept to you.
At sign-off, it catches what the day dropped
Sage compares the invoice against what was actually documented and surfaces the charges that were earned and never billed. You choose which ones are right.
The approval architecture
Nothing sends itself.
Every draft Sage writes carries the same line: it is waiting for a person. The reminder is not scheduled until a teammate approves it in Reminders. The message is not sent until someone approves it in Conversations. The refill is not dispensed until the assigned teammate approves it. The estimate stays a draft until a human opens it.
Sage has no authority to send, bill, prescribe or sign. That is not a setting you can turn off — it is how it is built.
Patients, staff and clinic shown are fictional. Interface reproduced from Bittsi PIMS.
Ask it anything · already in Sage
A clinical assistant that reads the whole chart.
Bittsi Sage is not a chatbot bolted onto a search bar. It's trained on veterinary medicine, grounded in your clinic's data, and built into the screens your team already uses.
Chart summaries
The story of a patient, in three sentences.
Open any record and ask "what's going on with this patient?" Sage reads every SOAP, lab and prescription in the file and gives you a focused brief: the diagnoses that matter, the trends that are moving, and the issues that need a follow-up.
Multi-visit synthesisHighlights what's changedSurfaces overlooked findingsCites the source notes
Patient record14 docs
TodayWellness exam
Sep 12Annual booster · DA2PP
Aug 30Chem panel · ALP elevated
Jul 04Carprofen Rx renewed
Patient briefgrounded
Recurring left-hind lameness, started July; on carprofen 2 mg/kg PO BID.ALP trending up across last 3 panels, 142 → 168 → 197 U/L.Due for renal panel before next NSAID refill (rec. by 30-day recheck).
New in Bittsi Sage · close-out
The charges you earned, and never billed.
A surgery gets documented and the anaesthesia line never makes it onto the invoice. It happens in every hospital, on the busiest days, and nobody finds it later.
At close-out Sage reads what was actually recorded against what was actually charged and shows you the difference — item by item, with what it found each one in. Approve the ones that are right. The rest disappear.
At close-out
After approval
The example shown is a fictional patient and a fictional invoice. It is not a typical or expected recovery figure. Real numbers come from the Impact dashboard, on real clinics, with permission. Read how we measure it.
New in Bittsi Sage · proof, not promises
Every month, what it proposed and what you approved.
Sage counts only what your staff actually approved. Refunds are subtracted. Dismissed and pending drafts are never counted as earned. You see the proposal rate, the approval rate and what was dismissed — including the things you decided against.
Approved work only — refunds subtracted
Dismissals shown, not hidden
Pending drafts never counted as earned
Patients, staff and clinic shown are fictional. Interface reproduced from Bittsi PIMS.
A day at the clinic
Sage works where you work, not in a tab beside it.
From 7am rounds to the 6pm last visit, Sage shows up at the moments your team needs a second set of eyes.
Exam room · 10:14 AM
Live in the appointment
“What’s changed since Luna’s last visit?”
Dr. Patel asks Sage from inside the chart, a 90-day brief lands before she lifts her stethoscope.
Lab bench
Lab review
A drift caught early
Sage flags an ALP trend across three panels, before it becomes a diagnosis.
Front desk
ER triage call
Toxicology, while the owner’s still on the line
Tox dose, decon protocol, monitoring window, answered before the patient walks in.
Team huddle · 7:45 AM
Morning rounds
Today’s chart, in three sentences
Sage prepares a brief on every patient on the schedule, the team starts the day already aligned.
Pharmacy
Rx workflow
A safer prescription, every time
Interactions, weight-aware doses, lab-aware contraindications, checked before the script prints.
How Bittsi Sage works
Grounded in your data. Built into your day.
No new app to log into, no chart to copy and paste. Sage lives inside Bittsi PIMS and reasons over the records you already keep.
01
Reads the whole chart.
SOAP notes, lab panels, prescriptions, vaccinations, prior visits, Sage pulls context from every part of the record before answering.
02
You ask a question.
Type or speak, the way you'd ask a colleague. “Summarize Luna's case.” “Is this dose safe?” “What did we try last time?” No prompt engineering.
03
Sage answers, with citations.
Every insight links back to the SOAP, lab, or Rx it came from. You can verify in one click before acting.
04
You stay in control.
Sage suggests, flags, and summarizes, but never signs, prescribes, or sends without your confirmation. Clinical decisions stay with the clinician.
The difference
Two ways to handle a complex case.
Same patient. Same chart. Same exam window. One workflow buries the answer; the other surfaces it.
PIMS without an assistant
Eight tabs and a guess.
Open three years of SOAPs, scroll for contextCompare labs by hand, panel by panelLook up dose math in a separate tabHope you didn't miss an interactionToxicology question? Open a browser, search, validateThe context gets assembled by hand, before you even talk to the family
Bittsi PIMS · with Sage
Ask, and the chart answers.
One question, one summary, every detail citedLab trends surfaced before you askWeight & species-aware dosing built inInteractions flagged at the moment of RxToxicology triage without leaving the chartThe context is already assembled when you walk in
From clinics already using Sage
A second set of eyes on every chart.
Sage caught an NSAID + ACE-inhibitor overlap on a 13-year-old cat I'd have flagged eventually, but probably three days later, after the labs came back. That's the difference between a save and a setback.
DDr. Diego Reyes, DVMMedical Director · Riverside Animal Hospital
First AI tool that actually reads the chart instead of guessing.
SDr. Sarah Kim, DVMCedar Valley Vet
Our techs use Sage for toxicology triage at the front desk before the doctor walks in. It's changed our ER throughput.
MMarcus Owens, LVTLead Tech · Bayside ER
Built for clinical trust
Sage suggests. You decide.
Every Bittsi Sage insight is grounded in the patient's actual record and citable to its source. Sage never auto-prescribes, auto-signs, or sends data outside your clinic. Clinical authority stays with you.
HIPAA-ready
Encrypted in transit and at rest. PHI never leaves your tenant.
SOC 2-aligned
Independent audit controls across access, change, and incident response.
Cited answers
Every insight links to the SOAP, lab, or Rx it came from.
Human-in-the-loop
Sage proposes; clinicians sign. No autonomous clinical actions.
Common questions
Questions clinics often ask.
Don't see yours? We're a quick email or call away, and a 30-minute demo answers most things faster than reading.
Nothing that sends, bills, prescribes or signs. Sage reads and drafts on its own — briefs, estimates, reminders, messages, refill requests, suggested charges — and every one of them waits for a person to approve it. That is not a permission setting; it is how the product is built.
What does Bittsi Sage do before I ask it anything?
Overnight it reads the chart behind every appointment on the next day's schedule and writes a pre-visit brief. Through the day it drafts the estimates, reminders, client messages and refill requests the day creates, as the reasons for them appear. At close-out it checks the invoice against what was documented and surfaces charges that were never billed.
How would I know Bittsi Sage is actually working?
Sage shows you monthly what it proposed, what your staff approved and what was dismissed. It counts only approved work, subtracts refunds, and never counts pending or dismissed drafts as earned. The dismissal rate is in there too.
Does Bittsi Sage learn my practice's own protocols?
Yes. Your post-op recheck interval, your reminder cadence, how you like weights shown — tell Sage once and it applies from then on. Practice notes can be shared with your whole team or kept private to you.
Is Bittsi Sage a chatbot, or something more?
Sage is a clinical assistant grounded in the patient's actual record. Where a generic chatbot would guess, Sage reads the SOAPs, labs, and prescriptions in your PIMS and answers from those sources, and it cites them so you can verify in one click.
Will Bittsi Sage ever prescribe or sign on my behalf?
No. Sage suggests, flags, and summarizes, and stops there. Prescriptions, signatures, and anything sent to an owner require your explicit confirmation. Clinical authority stays with the clinician, by design.
Where does Bittsi Sage get its veterinary knowledge?
Two layers. Species-specific veterinary medicine, dosing, reference ranges and toxicology, plus your clinic's own record for this patient. Answers that lean on clinical references show them, so you can check the source rather than take our word for it.
How does Bittsi Sage handle patient data and privacy?
Records stay in your tenant, encrypted in transit and at rest. PHI is not used to train shared models and is not sent outside your clinic's environment. Access, change, and incident controls follow SOC 2-aligned practice.
Do I need to install anything new for my team?
Nothing. Sage is part of Bittsi PIMS, so it appears in the screens your team already uses, with the permissions they already have. There are no new logins to manage.
Does Bittsi Sage replace AI Scribe?
They do different jobs and work well together. AI Scribe writes the note from the visit; Sage reads everything already in the chart and reasons over it. Scribe gets the record down, Sage puts it to work.
Go deeper
How it works, in more detail than a page allows.
Two longer pieces on the parts of Bittsi Sage that deserve more than a section: how close-out reconciliation actually works, and what a clinic's first month with it looked like.
See Sage live in a 30-minute demo. We'll plug into a real chart, run a chart summary, a lab review, and a toxicology triage, and show you how it lands inside Bittsi PIMS.
