AI can read health data. Where it does so is your decision.

Doctors' letters, findings, applications: much of the work in hospitals, medical practices and health insurance funds starts with a document that contains health data. We build processes in which AI reads on devices in your organization or on your own infrastructure, a person confirms, and every step stays traceable.

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§ 393 SGB V · NIS2 · EU AI Act

01 — The industry

Sensitive data, cloud rules, many documents.

What every digital process in healthcare has to take into account.

Health data

A special category of personal data under Art. 9 GDPR: processing it is prohibited unless one of the exceptions listed there applies.

Cloud rules

Under § 393 SGB V, healthcare providers, health and long-term care insurance funds and their processors may process health and social data with cloud services only under certain conditions, among them a current C5 attestation for the service, as a rule of Type 2 since 1 July 2025.

Documents

Doctors' letters, findings, prescriptions, requests for cost coverage: much of the administrative work starts with a document that someone has to read and assign.

02 — Use cases

Where AI helps, and where a person decides.

For each use case: what the agent does, where a person decides, and which products it is built with. Connecting your existing systems is project work.

  1. 01

    Incoming mail with health data

    Doctors' letters, findings and requests for cost coverage arrive by post and electronically and have to reach the right case.

    Agent
    Recognizes the document type and reads patient details, date and sender.
    System
    Rules propose the case or department. Reading happens on trusted Macs in your organization; the Relay in between runs in your infrastructure and cannot read the content.
    Human
    A person checks unclear cases and confirms the assignment before the document is filed.
  2. 02

    Applications to health and long-term care insurance funds

    Applications for medical aids, rehabilitation or care services arrive with prescriptions, reports and forms that have to be complete before anyone can decide.

    Agent
    Recognizes the application, reads the relevant details, checks completeness and drafts a query for missing documents.
    Human
    The case worker sends the query and decides on the application. Inputs and rule version are recorded with the decision.
  3. 03

    Models on your own infrastructure

    When healthcare providers or health and long-term care insurance funds process health or social data with a cloud service, § 393 SGB V sets conditions such as a current C5 attestation. For many reading tasks, a specialized model on your own hardware is enough.

    System
    Open models, optimized for the task, run in your own data center or on devices in your organization; where a larger model is needed, access to it stays replaceable.
    Human
    You decide which document types stay on your own model and which processes may use a cloud service.

* One process, end to end

A doctor's letter in the inbox, step by step.

Illustrative flow. Thresholds, rules and systems are yours to set.

  1. 01 · ReceiveScans from the mail room and electronic mail; text recognition for scans is project work
  2. 02 · Read on the deviceDocument type, patient details, date and sender, read on a trusted Mac in your organization
  3. 03 · ProposeCase and department according to your rules; the rule version is recorded
  4. 04 · ConfirmA person checks unclear cases and confirms the assignment
  5. 05 · Hand overTo your systems, with every step in the history; the content stays in your organization
AgentHumanSystem

03 — Regulation

What applies, and what software can contribute.

Compliance is a property of your organization and its processes, not of a tool. Software can make the implementation easier or harder.

  • § 393 SGB V

    C5 Type 2 attestation as a rule since 1 July 2025

    In short

    Healthcare providers, health and long-term care insurance funds and their processors may process health and social data with cloud services only under certain conditions, among them requirements on where the data is processed and a current C5 attestation for the service.

    What software can contribute

    Processing on devices in your organization or on your own infrastructure instead of in a third party's cloud service. Whether a self-operated platform counts as a cloud service under § 393 depends on how it is set up.

  • NIS2

    German implementation in force since 6 December 2025

    In short

    Healthcare providers of medium size and above, hospitals among them, have to take risk-management measures and report significant security incidents, starting with an early warning within 24 hours.

    What software can contribute

    Self-hosted operation, documented dependencies and traceable records of who did what.

  • EU AI Act

    High-risk obligations from 2 December 2027

    In short

    AI systems that public authorities, or others on their behalf, use to assess whether natural persons are eligible for essential public assistance benefits and services, including healthcare services, are high-risk (Annex III), with requirements including human oversight, documentation and transparency. Whether a system is covered depends on its intended purpose; systems that only perform a narrow procedural or preparatory task and do not profile people can be exempt (Art. 6(3)).

    What software can contribute

    A person decides; drafts go to release, not to sending, and inputs and rule version are recorded with the decision.

04 — Products

What we build it with.

All products are open source under Apache 2.0 and run on your own infrastructure.

  • Edge AI Fabric

    Document AI on trusted Macs in your organization, end-to-end encrypted, Relay you can run yourself

  • Process Core

    Process platform for regulated software: self-hosted, verifiable audit exports, versioned and reconstructible execution

  • INTAKE

    Document routing for public administration, with model choice all the way down to your own data center

Our service around it: Digital resilience — cloud exit, AI on-premise and on-edge, open-source strategy.

05 — Talk to us

Which of your processes with health data run in cloud services today, and which of them could run on your own infrastructure?

After that we talk about documents, devices and what has to run on your own infrastructure.

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