Honest comparison

OpenVPM vs ezyVet

ezyVet is a powerful cloud system with a mature integration ecosystem. OpenVPM adds public source code, but its API and current clinic scope are much narrower.

Reviewed August 17, 2026 by Evan Gauer, OpenVPM founder. Vendor interest disclosed; primary sources linked below.

Workspace access is immediate. Live clinic use starts as a guided pilot alongside the current PIMS. See current fit and rollout limits.

ezyVet, owned by IDEXX, is a capable cloud-native PIMS popular with multi-site, specialty, and ER practices. Of the big closed systems it has one of the most openly documented APIs. OpenVPM makes its code and schema public and exposes selected REST workflows, but it does not offer ezyVet's multi-site, specialty, ER, or external-diagnostics readiness today.

License
OpenVPM: Open source (AGPLv3)
ezyVet: Proprietary, closed
Hosting
OpenVPM: Self-host or managed Cloud; connected use
ezyVet: Cloud
Pricing
OpenVPM: No self-hosted license fee. Cloud $79/location/mo
ezyVet: Quote-based. No current public rate card found
Per-user fees
OpenVPM: None. Unlimited staff
ezyVet: Terms vary by quote
Open API
OpenVPM: Targeted REST API, scoped keys, signed webhooks
ezyVet: Public REST API with partner tiers
Your data
OpenVPM: Public schema. Export anytime
ezyVet: Reachable via API. Format still proprietary
Best for
OpenVPM: Controlled connected GP or house-call pilots
ezyVet: Cloud-first multi-site and specialty practices

Quote-based vendors can change commercial terms at any time. Confirm pricing, implementation, integration, support, and exit terms in writing before buying.

Sources reviewed

We prefer vendor-owned product, pricing, developer, support, and contract material. These links support the changeable facts above, not OpenVPM's editorial judgment.

What about your data?

ezyVet's API makes data more reachable than most closed systems. OpenVPM makes the code and schema public, but its REST API is not equivalent in breadth. Migration into OpenVPM is reviewed by record type, and there is no general ongoing ezyVet sync.

Read: who owns your practice data

When ezyVet is the better fit

If you want a polished, proven cloud system with deep IDEXX diagnostics integration and a large partner network, ezyVet is a strong choice.

When OpenVPM is the better fit

Consider OpenVPM only for a controlled, connected single-location companion-animal or house-call pilot that does not depend on ezyVet's specialty, multi-site, ER, or diagnostics ecosystem.

Use OpenVPM your way.

Self-host the full open-source PIMS for free, or let us run it for you. Same software, your choice.

FreeAGPLv3, forever

Run OpenVPM on your own infrastructure. You operate security, backups, email, messaging, payments, model providers, and production validation.

  • Full source under the AGPLv3 license
  • All source modules and the documented API
  • Docker or Vercel deployment paths
  • Bring your own database, email, SMS, and AI keys
Read the install guide

Common questions

Does OpenVPM have an API like ezyVet?

OpenVPM has a versioned REST API for selected client, patient, appointment, SOAP-note, and agent workflows, with scoped keys and signed webhooks. It is narrower than ezyVet's mature integration ecosystem today, but the source and schema are public and there is no partner gate to extend it.

Is OpenVPM cheaper than ezyVet?

OpenVPM has no self-hosted software license fee and Managed Cloud is priced per location with unlimited staff. ezyVet does not publish a current rate card, so compare a written quote that includes users, implementation, integrations, support, and exit costs.

Is ezyVet owned by IDEXX?

Yes. IDEXX acquired ezyVet in 2021. If vendor independence matters to you, that is worth weighing. OpenVPM is independent and open source.

See OpenVPM for yourself.

The demo is live and loaded with real-looking data. No sales call. Click around, then self-host it free or let us run it for you.