Free AI-Powered Medical Documentation Tools for Veterinarians: What You Should Know Before Using AI to Write Medical Records
A free AI writing tool can generate almost any text in a matter of seconds, which is why it’s tempting to use one for medical records and discharge instructions. For a veterinarian, there are a few things to consider before entering patient and pet owner information into a general-purpose AI tool.
General AI Writer or AI for Medical Record Keeping
A general-purpose AI writer uses what you type into the box as a starting point. You describe what the text should be about, and the tool generates a response that you can then copy and paste into the medical records system.
Vetz works the other way around. Vetz listens during the conversation with the pet owner and creates a structured medical record draft based on what was said in the room, so you don’t have to write your own notes after every visit. The draft follows the clinic’s procedures and can be transferred to the medical record system with the push of a button. You can read more about the difference in the article “What Is an AI Scribe? ” and on the page about AI medical record-keeping.
Questions to Ask Before Pasting in Patient Information
Medical records often contain the pet owner’s name, contact information, and details about the animal’s health. Before pasting such information into a free AI writing tool, the clinic should obtain answers to the following questions from the provider.
- Where is the text you enter stored, and in which country are the servers located?
- Is the text being used for anything other than finding the answer—for example, to practice using the tool?
- Which subprocessors process the data on behalf of the supplier?
- How long is the text stored, and is it possible to have it deleted?
- Is there a data processing agreement that the clinic can sign with the vendor?
The same questions apply to Vetz. Vetz explains that integration with the medical records system is encrypted and GDPR-compliant; more information about security measures can be found on the security page. The article on AI and GDPR for veterinarians outlines what clinics need to consider.
Writing Assistance Within the Medical Record
Vetz includes a writing assistant that is already integrated into the medical record. You can ask Vetz to improve, rephrase, or clarify a note, and Vetz will help you formulate findings and conclusions in a clear and professional manner that fits the language and structure of the medical record.
If you prefer to speak your medical notes, Smart Dictation works the same way. Vetz transcribes what you say, structures the text, and automatically formats it, and you can write and dictate in more than ten languages. Learn more on the page about AI dictation.
Texts Other Than the Medical Record
Based on the same note, Vetz can generate personalized discharge instructions that are clear and easy for the pet owner to understand. Vetz can also suggest what should be billed based on the contents of the medical record, which reduces the risk of anything being omitted from the invoice. The process for generating discharge instructions is described on the page about discharge instructions.
The clinic's own templates and terminology
A general AI writing tool does not know how your specific clinic organizes its medical records. Vetz can mirror the clinic’s own medical record templates, and the draft is structured according to the clinic’s procedures using correct medical terminology. This results in more consistent medical records when multiple veterinarians and veterinary technicians are using the same system.
You always have the final say
Vetz assists with record-keeping, but you are the one who reviews and signs the entries. You read through the draft, make adjustments manually or with the help of AI, and sign it when the text is correct. Vetz also recommends that you inform the pet owner that AI is used to assist with the notes, and Vetz can provide a suggested wording for this.
Try it free for 14 days
You can try Vetz for free for 14 days without providing credit card information. You log in via your web browser—no download or installation required—and Vetz is also available as an app for iPhone and Android.
Learn more about Vetz
Would you like to see how the AI writing assistant works during an actual consultation at your own clinic? Book a demo, and we’ll show you how Vetz generates draft medical records and discharge instructions using your templates.