Will Sage ever prescribe or sign on my behalf?

No. Sage is human-in-the-loop by design. It surfaces summaries, flags safety concerns, and proposes next steps, but every clinical action requires a clinician to approve. There are no autonomous prescriptions, sign-offs, or outbound messages.

Where does Sage get its veterinary knowledge?

Sage is fine-tuned on veterinary literature and a curated reference library covering species-specific dosing, common drug interactions, and toxicology data. On top of that, it grounds every patient-specific answer in your clinic's own records, not in a generic web search.

How does Sage handle patient data and privacy?

Patient data stays inside your Bittsi tenant. Records are encrypted in transit and at rest, access is scoped to your clinic, and PHI is never used to train shared models. Bittsi is HIPAA-ready and SOC 2-aligned.

Do I need to install anything new for my team?

No. Sage is built into Bittsi PIMS, same login, same browser, same workflow. Open any patient record and Sage is one keystroke away. Most clinics are live in under 14 days.

Does Sage replace AI Scribe?

No, they complement each other. AI Scribe captures the visit and turns it into a SOAP note. Sage reads every SOAP (and lab and Rx) afterwards to summarize, compare, and flag what needs attention. Many clinics use both.

Book a demo

Meet Sage · built into Bittsi PIMS

AI Clinical Assistant for Veterinary Teams.

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.

Book a demo

Every Click Counts. Every Beat Matters.

No credit card neededLive in 14 daysInside Bittsi PIMS

Sage

Veterinary AI assistant · online

Patient: Luna · 4y

What should I watch for at Luna's next visit?

Here's a 90-day summary for Luna Martinez, focused on what's worth a closer look:

TrendALP rising across last 3 panels, 142 to 168 to 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 surfaced

ALP trend, 90 days · +39%

3^sec

vs. 12 min chart review

120⁺Veterinary practices already using Sage

Riverside Animal HospitalCedar Valley VetHighland Pet ClinicBayside VeterinarySunridge Animal Care

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.

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.

"What's changed since Luna's last visit?"

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.

Toxicology, while the owner's still on the line

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.

What Sage does

A clinical assistant that reads the whole chart.

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 synthesis
Highlights what's changed
Surfaces overlooked findings
Cites 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).

Lab insights

See the trend before it becomes a diagnosis.

Sage compares every new result to the patient's full history, flags the values that are drifting, and explains why it matters in plain language. No more spotting a slow climb across three different reports.

Multi-panel trend detection
Species-specific reference ranges
Plain-language interpretation
Suggests next-step diagnostics

Chemistry panel · Luna · IDEXXtoday · 11:42 AM

BUN

22 mg/dL

normal

Creat

1.8 mg/dL

↑ ref

ALP

197 U/L

↑ trending

ALT

68 U/L

normal

Sage flagged a 3-panel trend. ALP has risen +39% across the last 90 days while patient is on chronic NSAID. Recommend repeat panel in 30 days, plus baseline SDMA given creatinine drift.

Medication safety

Catch the interaction before the prescription goes out.

Every time a medication is added, Sage cross-checks the active drug list, the patient's lab values and species-specific contraindications. If something doesn't look right, Sage tells you why, and proposes a safer path.

Drug-drug interaction checks
Weight & species-aware dosing
Lab-aware contraindications
Suggests safer alternatives

Active medications · Luna · 28.4 kg

Carprofen 75 mg

PO BID · since Jul 04

Safe

Furosemide 12.5 mg

PO SID · since Aug 12

Safe

+ Meloxicam 1 mg

about to be added

Review

NSAID overlap detected

Adding meloxicam stacks two NSAIDs and combines with active furosemide. Given creatinine 1.8 mg/dL, recommend discontinue carprofen before starting meloxicam, and recheck renals in 14 days.

Review optionsOverride with note

Toxicology guidance

Triage a poisoning call without leaving the chart.

"What did the dog eat, how much, when?" Type it once and Sage returns weight-adjusted toxic dose, expected timeline, recommended decontamination, and what to monitor, all referenced. The right answer in three seconds, not three open browser tabs.

Weight-adjusted dose math
Timeline & symptom map
Decontamination protocol
Cited references on demand

Dr. Patel · 14:02

8-yr MN Lab, 32 kg, ate ~85 g of dark chocolate 90 minutes ago. Decon already done?

Theobromine, toxicity assessment

Moderate

Estimated dose

43 mg/kg theobromine, above the 20 mg/kg cardiotoxicity threshold.

Decontamination

Within 2h, emesis with apomorphine, then activated charcoal 1-2 g/kg.

Monitor 24-48 h

Tachycardia, restlessness, vomiting, hypertension. Baseline HR + ECG; IV fluids if symptomatic. Recheck at 6h post-decon.

How 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.

Reads the whole chart.

SOAP notes, lab panels, prescriptions, vaccinations, prior visits, Sage pulls context from every part of the record before answering.

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.

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.

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 context
Compare labs by hand, panel by panel
Look up dose math in a separate tab
Hope you didn't miss an interaction
Toxicology question? Open a browser, search, validate
12 minutes spent before you even talk to the family

Bittsi PIMS · with Sage

Ask, and the chart answers.

One question, one summary, every detail cited
Lab trends surfaced before you ask
Weight & species-aware dosing built in
Interactions flagged at the moment of Rx
Toxicology triage in three seconds
12 minutes back, every visit

From clinics already using Sage

A second set of eyes on every chart.

Sage is in active use across general practice, ER, and specialty clinics. Here's what the teams running it day-to-day have told us.

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.

Dr. Diego Reyes, DVM

Medical Director · Riverside Animal Hospital

First AI tool that actually reads the chart instead of guessing. The patient briefs save me 10 minutes per appointment.

Dr. Sarah Kim, DVM

Cedar Valley Vet

Our techs use Sage for toxicology triage at the front desk before the doctor walks in. It's changed our ER throughput.

Marcus Owens, LVT

Lead Tech · Bayside ER

Built for clinical trust

Sage suggests. You decide.

Every 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.

Talk to a vet on our team

+1 512 222 9080 · info@bittsi.com

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.

Put Sage in your exam room.

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.