Industry

Veterinary Software Development Services — AI Chat, Voice & Scanned-Report Intelligence

AI chat and voice agents (ElevenLabs), Mistral OCR for x-rays and lab reports, custom Stripe billing, Auth0-secured client portals, and the NestJS + Next.js + Terraform-on-AWS platform underneath — built by DiveScale for production veterinary deployments.

The state of veterinary

$170B

Global vet care market by 2030

Rising pet ownership, the humanization of pets, and durable consumer spend are driving sustained growth in veterinary services demand.

30%

Vet workforce shortage

U.S. veterinary capacity gap is creating urgent demand for technology that multiplies clinical time — AI triage, voice intake, OCR-driven record entry.

50%

Pet owners using digital tools

Owners now expect mobile booking, telehealth, digital records, refill requests, and reminder messaging on par with their own healthcare experience.

What we build for veterinary teams

  • AI chat agents for triage, intake, appointment booking, and post-visit follow-up — grounded in clinic policy and species-specific knowledge
  • AI voice agents using ElevenLabs for natural, multilingual phone interactions: after-hours triage, reminder calls, post-visit check-ins
  • Mistral OCR for x-ray reports, lab results, vaccination records, and historical paper charts — turning scanned PDFs and images into structured clinical data
  • Image and document intake pipelines for radiology, lab work, and external referral notes with automated routing into the patient record
  • Smooth client onboarding flows: pet profile creation, vaccination upload via OCR, ID verification, consent forms, and first-appointment booking
  • Custom Stripe billing with Connect, subscriptions, deposits, multi-clinic payouts, and treatment-plan financing
  • Multi-clinic / multi-location architecture with central reporting and per-location configuration
  • Practice management (PIMS) integrations and add-ons: ezyVet, Avimark (IDEXX), Cornerstone (IDEXX), Provet Cloud, and others
  • Telemedicine: live video, async chat, and asynchronous photo / video review with clinical documentation
  • Next.js (App Router, RSC) client-facing apps and clinic-facing dashboards with Auth0 authentication and role-scoped access
  • NestJS backend services with strict TypeScript, OpenAPI contracts, BullMQ for background processing, and proper webhook idempotency
  • Infrastructure as code with Terraform across multi-account AWS, AWS Lambda for event flows, EventBridge for inter-service eventing
  • CI/CD with GitHub Actions: reusable workflows, OIDC to AWS, environment protection, container signing, and SBOM generation
  • Docker images built and scanned in CI, deployed via blue/green with automated rollback on alarms
  • Security: Auth0 with MFA, KMS-encrypted PHI/PII at rest, audit logs on every clinical action, vulnerability scanning in CI
  • Figma + Code Connect design system so the React component library and design library stay in sync — important for vet UX where consistency builds clinic trust
  • Pet wearable telemetry ingestion: activity, vitals, and behavior signals into the clinic record
  • Vaccine, parasiticide, and refill reminders driven by structured timelines (not ad-hoc calendar entries)

Why DiveScale

Domain knowledge meets engineering rigor

Veterinary medicine is medicine with a workforce problem. Clinics are short-staffed, margins are tight, and most existing software was written decades ago and still feels like it. DiveScale ships vet-specific products that meet the realities: short consult windows, multi-pet households, multi-clinic ownership groups, and the unwritten rules of how a working exam room actually runs.

Our production stack here is the same disciplined foundation we apply across regulated industries: NestJS APIs, Next.js (App Router) on the client side, Terraform-managed AWS, AWS Lambda for event flows, GitHub Actions CI/CD with OIDC, Docker containers built and signed in CI, and Auth0 for identity. We use Figma + Code Connect to keep design and code paired — crucial for vet UX where small inconsistencies erode the trust clinics extend to a third-party product.

On the AI side we ship two production-grade flows. The first is AI chat — triage, intake, refill requests, post-visit care — grounded in your clinic policy and species-specific knowledge, with explicit refusal patterns when uncertainty is high. The second is AI voice via ElevenLabs, where we built natural, multilingual phone agents that handle after-hours triage, reminder calls, and post-visit check-ins. Both stay inside policy guardrails and escalate cleanly to a real veterinarian when judgment is required.

Scanned-report intelligence is where vet teams gain the most operational lift. Using Mistral’s OCR, we extract structured data from x-rays, lab results, vaccine certificates, external referral notes, and historical paper records — turning scanned PDFs and images into clean fields that flow straight into the patient record. New patient onboarding goes from a 15-minute manual transcription to a 60-second upload-and-confirm flow.

We treat billing with the same care as the clinical layer. Custom Stripe integrations cover deposits, treatment-plan financing, Stripe Connect for multi-clinic payouts, subscriptions for wellness plans, and the reconciliation reporting accountants actually need. Refunds, disputes, and partial captures all run idempotently — a real-world cleanup for vet billing that historically lived in spreadsheets.

Operationally we cover the boring parts that decide whether a vet product survives its first year: multi-clinic configuration, role-scoped access (owner vs. tech vs. doctor vs. front desk), audit trails on clinical actions, observability with CloudWatch + OpenTelemetry, on-call coverage, and a release cadence that does not bring the clinic down at 8:30am on a Monday.

Veterinary solutions we deliver

AI chat for triage, intake & follow-up

Conversational agents that triage symptom severity, capture intake details, schedule appointments, and check in after a visit — grounded in your clinic protocols, multilingual, with escalation to human staff when uncertainty is high.

AI voice agents with ElevenLabs

Natural-sounding phone agents for after-hours triage, appointment reminders, vaccine reminders, refill requests, and post-visit check-ins. Multilingual, latency-tuned, with full call transcripts and disposition codes flowing into the PIMS.

X-ray & lab report OCR with Mistral

Mistral OCR pipeline that extracts structured data from x-rays, radiology reports, lab results, vaccination certificates, and external referral notes. Confidence scores are surfaced; ambiguous fields get flagged for staff review.

Frictionless new-patient onboarding

Owners upload prior records, vaccine certificates, and referral notes through a guided Next.js flow. OCR parses them into the system; ID verification and consent forms are signed digitally; the first appointment is booked — all before they hit the lobby.

Custom Stripe billing & Connect payouts

Deposits, treatment-plan financing, subscriptions for wellness plans, multi-clinic payouts via Stripe Connect, and idempotent refunds and disputes. Daily reconciliation reports tie Stripe activity back to clinic ledgers.

Multi-clinic ops & reporting

Central dashboards for clinic networks: appointments, revenue, no-show rates, staff utilization, and AI-triage outcomes. Role-scoped access for owners, regional managers, and on-the-floor staff.

Telemedicine & async case review

Live video consults, async photo/video review (especially valuable for derm and behavior cases), and clinical documentation that writes back to the PIMS automatically.

PIMS integrations & add-ons

ezyVet, Avimark (IDEXX), Cornerstone (IDEXX), Provet Cloud, and others — read/write integration where vendor APIs allow it, careful bridges where they do not. We extend existing PIMS investments rather than forcing migrations.

Vaccine, parasiticide & refill reminders

Structured timelines per species, breed, and weight — driving reminder messaging across email, SMS, and voice. Owners can refill in one tap; the request flows into the clinic queue with full history attached.

Pet wearable telemetry intake

Activity, heart-rate, and behavior signals from connected collars flow into the patient record, surfacing trends that drive proactive outreach — especially for senior pets and chronic-condition follow-up.

Multi-tenant clinic platforms

Software for clinic networks from 3 to 200+ locations: per-clinic configuration, central protocols, brand consistency, and rollout playbooks for new acquisitions.

How we deliver

Our veterinary delivery process

  1. 01

    Workflow study in real clinics

    Before any architecture, we sit with vet teams during real shifts — front desk, technicians, doctors — and document the actual workflow. Vet products fail when designed for the demo, not the exam room.

  2. 02

    PIMS & integration plan

    We audit your current PIMS, communications stack, payment processor, and lab/referral vendors, then design the integration surface. Where APIs exist we use them; where they do not, we build careful bridges and document the brittleness honestly.

  3. 03

    Foundation: Terraform, AWS, Auth0, CI/CD

    Multi-account AWS via Terraform, Auth0 tenant set up with roles per persona, NestJS + Next.js scaffolding, GitHub Actions reusable workflows, Docker pipelines, observability stack — the platform layer everything else depends on.

  4. 04

    AI chat & voice

    Chat agents grounded with clinic-specific knowledge and species-specific protocols; voice agents on ElevenLabs with latency tuning, multilingual coverage, and clean PIMS write-back. Evals built before launch, shadow-mode rollout before live.

  5. 05

    OCR & scanned-report intelligence

    Mistral OCR pipelines for x-rays, lab reports, vaccine certificates, and external referrals. Confidence scoring, human review for ambiguous fields, and direct flow into the patient record.

  6. 06

    Billing, onboarding & client experience

    Custom Stripe flows for deposits, plans, and payouts; new-patient onboarding flow; reminder cadences; and the client-facing Next.js app that ties everything together.

  7. 07

    Pilot in one clinic, then network rollout

    Pilot in a single flagship clinic, gather weekly feedback from front-desk and clinical staff, fix what does not match real workflow, then roll out across the network with documented playbooks and per-clinic configuration.

  8. 08

    Operate, monitor, evolve

    On-call coverage, monthly reporting on AI eval scores, PIMS integration health, billing reconciliation, and a roadmap driven by clinic-team feedback — not assumptions.

Technologies we deploy for veterinary

OpenAI

Production-grade integrations with GPT-4o, GPT-4.1, o-series reasoning models, Realtime voice, embeddings, and the Assistants API.

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Anthropic (Claude)

Production builds on Claude Opus, Sonnet, and Haiku — long-context reasoning, tool use, prompt caching, and Computer Use agents.

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Agentic Workflows

Multi-step AI agents that plan, call tools, write to systems, and stay inside policy — with human-in-the-loop checkpoints where it matters.

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Generative AI

End-to-end generative AI engineering — strategy, prototype, evaluation, and production for text, image, audio, and code.

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Next.js

Production Next.js engineering — App Router, RSC, edge runtime, ISR, SEO-first metadata, and the deployment topology that fits your workload (Vercel or self-hosted).

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Node.js

Production Node.js engineering — NestJS, Fastify, Hono, real-time systems, job queues, and the operational discipline that single-threaded runtimes demand.

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TypeScript

End-to-end typed engineering — React, Next.js, NestJS, Node, and shared schemas — with the discipline TypeScript was built for.

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AWS

AWS architecture, migration, and platform engineering — multi-account governance, well-architected workloads, Terraform IaC, and the operational discipline production demands.

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AWS Lambda

Lambda function design, optimization, and operations — cold-start mitigation, IAM scoping, observability, and the architectures where serverless wins.

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Terraform

Terraform engineering — module design, state strategy, multi-account governance, policy-as-code, drift detection, and CI-driven plan / apply for multi-cloud estates.

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Docker

Production Docker engineering — small images, multi-stage builds, BuildKit caching, security scanning, and the operational discipline containers deserve.

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GitHub Actions

GitHub Actions engineering — reusable workflows, OIDC-to-cloud, runner strategy, and the discipline that turns pipelines into a platform.

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PostgreSQL

Production PostgreSQL — schema design, query tuning, replication, partitioning, and the operational discipline a serious database deserves.

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IoT

End-to-end IoT engineering — firmware, gateway, edge compute, cloud ingestion, and the dashboards that turn telemetry into decisions.

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Veterinary — Frequently Asked Questions

It handles triage (symptom severity), intake (collecting clinical history and contact details), appointment booking, refill requests, and post-visit follow-up. It is grounded in your clinic policies and species-specific knowledge, with explicit refusal patterns when uncertainty is high — ambiguous cases route to a human, with full context preserved.

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