With CoVet, the vet records the consultation, reviews the generated draft, then exports it to their PIMS. For some legacy systems, that export works via a direct API. For some cloud PIMS the export is handled by a browser extension, and some configurations still involve manual copy-paste between the two systems.
With Digitail, dictation writes directly into the native record. The SOAP note, the invoice, and the discharge instructions are all generated and stored in one place, with no export step between them.