The easier the exam record, the stronger the clinic flow starts.
In Veterian, complaints, findings, diagnoses, treatments and prescriptions all move in a single flow. When the record is done, the patient history is created automatically — your team never has to start over.
The question "What was done for this patient?" comes up in every clinic.
When exam notes stay on paper, in messages or on different screens, the patient history looks incomplete. Time spent finding information is time stolen from the exam.
Exam notes can stay scattered
Paper notes, messages or information left on different screens can easily be missed at the next visit.
Reaching the treatment history can get harder
When previous diagnoses, applied treatments and prescriptions aren't kept in order, evaluating the patient history gets harder.
Previous exam information can get lost
When different vets see the patient and previous exam information can't be reached quickly, the team has to start from scratch every time.
Manage the exam record together with notes, treatment, prescription and follow-up steps.
Visit information, SOAP fields, applied treatments, prescription and follow-up plan all move in the same medical record flow.
Exam Notes & Treatments
General Check-up
Date
June 20, 2026 13:30
Reasons
Vet
Dr. Elif Yıldız
Staff
Hasan Kara
Note
No dry/wet food should be given for 24 hours; only a small amount of water, and then feeding should begin with the prescribed gastrointestinal diet food.
Exam / SOAP
Auto SavingChief Complaint (CC)
Describe what the main complaint is.
History of Present Illness (HPI)
The pet owner presented with about 2 days of loss of appetite, weakness and 2 episodes of vomiting continuing since last night. Generally listless.
Current Medications
Acute Gastroenteritis (gastrointestinal infection/irritation)
Clinical Findings
Mucous membrane colors normal, capillary refill time 2 sec. Heart and lung auscultation within normal limits. Mild dehydration present.
CBC_Result.pdf
IDEXX ProCyte Dx • 1.2 MB
Abdomen_Xray.jpg
CR Imaging • 4.5 MB
Assessment & Diagnosis
The exam showed mild dehydration. On abdominal palpation, moderate tenderness and a pain reaction were noted.
Treatment Plan
Write the details about the planned treatment.
Applied Treatments
Add the medications/treatments applied to the patient or to be applied by the pet owner.
Prescription
Twice a day, 3 mlEvery 12 hours
Once a day, with food5 days
Mixed into food, once a day7 days
Instructions
Write the prescription instructions.
Note
Write your internal notes about the prescription.
Treatment Follow-up
Create a follow-up appointment for a check-up after treatment.
Add Follow-up AppointmentLet the exam record guide the team until the procedure is complete.
In Veterian, each step is linked to the next. When a complaint is taken, a finding is added; when a diagnosis is made, treatment is planned; when a prescription is prepared, follow-up starts automatically.
The patient arrives
A visit record is opened and patient information appears on the exam screen.
Complaints and findings are recorded
The complaints reported by the pet owner and the clinical findings are recorded.
Diagnosis and treatment plan added
The assessment, diagnosis and treatment to be applied are kept within the same record.
Prescription and instructions prepared
Medication, dosage and usage instructions move together with the patient record.
Follow-up scheduled
A follow-up appointment or the next procedure continues from the exam record.
Whoever sees the patient, let the full history be in front of them.
Even if the vet changes, patient ownership doesn't. Previous complaints, diagnoses, prescriptions and follow-up notes stay visible on the patient card — the new vet doesn't need to start from scratch.
Previous complaints
The information the pet owner reported at previous visits isn't lost.
Treatment history
Applied medications, products and treatment steps stay visible.
Prescriptions and instructions
Published prescriptions and usage instructions are linked to history.
Team continuity
Even if the vet changes, the team proceeds from the same patient history.
The medical record gains meaning together with the other clinic processes.
The information created during the exam is more than just notes. Vaccination, prescription, service and invoice processes are associated with the same patient record, providing a holistic view.
Vaccinations
Vaccination history and upcoming vaccines appear together with the patient record.
Prescriptions
Prescribed medications, dosage information and usage instructions move linked to the medical record.
Products and services
Product, medication or service line items used during the exam can be associated with the record process.
Invoices
Charges arising after the exam and treatment can be tracked linked to the financial records.
What people wonder about medical records
In Veterian, exam notes, complaints, clinical findings, assessment, diagnosis, treatment plan, prescription and follow-up information can be kept linked to the patient profile.
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