Nixi AI

Is Nixi AI secure enough for my practice?

This page summarises Nixi AI's security and compliance posture. The binding legal text lives in the Legal Documents Privacy Policy, DPA, and Imprint.

Compliance posture.

The legal frameworks and infrastructure standards Nixi AI adheres to. Where we stand. With data, not marketing claims.

Legal & regulatory compliance

  • GDPR

    Data processor under Art. 28. DPA is part of every contract.

    ✓ Full
  • §203 StGB

    Nixi AI is integrated as an 'auxiliary person' (§203 para. 3 StGB, 2017 reform) into medical confidentiality.

    ✓ Integrated
  • §393 SGB V

    Requires a current BSI C5 attestation for cloud processing of social and health data; tightened since July 2025. Nixi AI runs on attested infrastructure; its own C5 attestation is in preparation.

    ✓ Fulfilled
  • EU AI Act

    Transparency obligations (Art. 50) from 2 August 2026. High-risk obligations from 2 December 2027 (Annex III) and 2 August 2028 (Annex I) — not applicable to Nixi AI.

    ◐ In Progress

Infrastructure compliance

  • BSI C5

    Nixi AI runs on BSI C5-certified cloud infrastructure. Nixi AI itself does not hold a C5 attestation.¹

    ✓ Infrastructure

¹ The C5 certification refers to the cloud infrastructure provider, not to Nixi AI itself.

Hosting and Data Architecture.

Nixi AI stores patient data in Frankfurt, and uploaded documents and generated files in the Netherlands. Processing takes place in data centres in the EU and in Switzerland, not in data centres in the USA. Transmission is encrypted with TLS, stored data are encrypted by the provider, and Nixi AI additionally encrypts sensitive content fields with AES-256-GCM. The cloud infrastructure carries BSI C5 attestation.

LocationStorage in Frankfurt, files in the Netherlands · processing in the EU and Switzerland
JurisdictionGerman law (StGB, DDG, GDPR)
Encryption at restBy the provider · sensitive content fields additionally AES-256-GCM
Encryption in transitTLS
USANo processing in US data centres · providers based in the USA: Data Privacy Framework and Standard Contractual Clauses (DPA § 7)
On-premise optionOn request, Enterprise tier

Data Flow

1

Consultation

The doctor speaks with the patient. Nixi AI listens via microphone.

No permanent audio storage on the device

2

Encrypted Transfer

Audio is transmitted over an encrypted connection (TLS) to Nixi AI's servers in Frankfurt.

3

Processing

Microsoft Azure AI Speech (Germany) transcribes the audio. Microsoft Azure OpenAI (Germany, France, Sweden, Switzerland) generates the note draft.

4

Result

The finished draft is sent back encrypted. The doctor reviews, corrects, and approves.

5

Audio Deletion

The audio recording is stored temporarily in encrypted form and deleted automatically: on the server after 72 hours, and the backup copy in the browser after 4 hours at the latest.

For enterprise customers with strict internal IT policies, we offer on-premise installation on request. All data stays entirely within your own infrastructure.

What Nixi AI deliberately does not do.

Four things we contractually exclude. Spelled out in the DPA.

No permanent audio storage.

The audio recording is stored temporarily in encrypted form and deleted automatically: on the server after 72 hours, and the backup copy in the browser after 4 hours at the latest (DPA Annex 1).

No processing in US data centres.

Processing takes place in data centres in the EU and in Switzerland. For providers based in the USA, the EU-US Data Privacy Framework and EU Standard Contractual Clauses apply (DPA § 7).

No sharing with third parties.

Nixi AI processes patient data only for documentation and on your instructions (DPA §§ 1, 2). No sharing with advertising partners, data brokers or research institutions.

No autonomous clinical decisions.

Nixi AI creates a documentation draft. The doctor reviews, corrects, and approves. Nixi AI makes no diagnostic or therapeutic decisions.

Compliance Documents: Everything in one place.

All documents your data protection officer, IT department or audit requires.

  • Enterprise RFI Pack

    Pre-assembled procurement pack for hospitals + MVZ networks: architecture diagram, BSI C5 attestation reference, DPA with annexes, Art. 30 record, TOM summary, and model-card document for Dedicated / On-Premise deployments.

  • Data Processing Agreement (DPA)

    Accepted electronically at sign-up, and no signature is needed (Art. 28(9) GDPR). Covers processing purpose, instructions, sub-processors, deletion, the use of anonymised data and audit rights.

  • General Terms and Conditions (GTC)

    The contract between Nixi AI and the practices and clinics using the service.

  • Privacy Policy for the Service

    How Nixi AI processes data in the product. Separate from the website privacy policy.

  • Patient consent

    Consent form to sign, waiting-room notice and guidance for the practice.

  • DPIA Guidance

    Guidance to fill in for your Data Protection Impact Assessment under Art. 35 GDPR.

  • List of Sub-processors

    Which providers process which data, for what purpose and in which data centre.

  • Technical and Organisational Measures (TOMs)

    Summary of technical and organisational security measures under Art. 32 GDPR.

These documents do not constitute legal advice. Coordinate implementation with your data protection officer.

Sub-processors.

The service providers Nixi AI uses to operate the product. Each processes data on our behalf under contract per Art. 28 GDPR. Matches the list in the Privacy Policy.

  • Microsoft AzureAI processing

    AI services.

    EU (Frankfurt)

    EU
  • Google Cloud (Vertex AI)AI model

    AI services.

    EU

    EU
  • StripePaymentsNo PHI

    Payment processing.

    EU + US (SCC/DPF)

    EU+US
  • SentryError monitoringNo PHI

    Error monitoring.

    EU

    EU
  • Mailgun (Sinch)Transactional emailNo PHI

    Transactional email.

    EU

    EU

Marketing-site processors (analytics) are listed in the Website Privacy Policy. The demo scheduler is first-party (self-operated, no third party).

Frequently Asked Questions about Security and Compliance

Where is my patient data stored?

Nixi AI stores transcripts, notes, letters and other patient data in Google Cloud in Frankfurt, and uploaded documents and generated files in the Netherlands. The data are processed in data centres in the EU (Germany, France, Sweden, Netherlands) and in Switzerland, for which an adequacy decision of the European Commission exists, and not in data centres in the USA (DPA § 7). Transmission is encrypted with TLS, stored data are encrypted by the provider, and Nixi AI additionally encrypts sensitive content fields with AES-256-GCM.

Does Nixi AI have a BSI C5 certificate?

Nixi AI runs on BSI C5-certified cloud infrastructure. The C5 certification refers to the infrastructure provider, not Nixi AI itself. We deliberately disclose this distinction.

Is my patient data used to improve the service?

Audio recordings are deleted after 72 hours. Only anonymised data may be used to improve the service; personal data is not used for this (DPA § 12). Anonymised data are data that no longer relate to an identifiable person.

How is medical confidentiality under §203 StGB maintained?

Nixi AI is integrated as an 'auxiliary person' under §203 para. 3 StGB (2017 reform) into medical confidentiality. The DPA contains the obligation to data secrecy. This is the same mechanism used by EMR providers and billing services.

Can I audit Nixi AI?

Yes. Nixi AI makes available all information needed to demonstrate compliance with Art. 28 GDPR and allows audits, including by an auditor you mandate. Evidence is provided primarily through documentation such as the TOMs and the providers' audit reports. On-site audits are possible with 30 days' notice, as a rule no more than once a year, or more often where there is a specific reason (DPA § 15).

What happens to audio after documentation?

The audio recording is stored temporarily in encrypted form and deleted automatically: on Nixi AI's servers in Frankfurt after 72 hours, and the encrypted backup copy in the browser after 4 hours at the latest (DPA Annex 1).

Updates.

Recent changes to Nixi AI's security and privacy posture. Newest first.

  1. Data protection pack version 2.0 published

    The DPA, the list of sub-processors, the GTC and the Privacy Policy for the Service are published in version 2.0 under Legal, each as a page and a PDF, together with the patient consent template. The DPA is accepted electronically at sign-up. The TOMs and the DPIA guidance are available on request.

  2. DPA request flow consolidated

    The dedicated /legal/request-dpa page was retired. Visitors now request the DPA (and every other compliance document) from this page's modal-driven document checklist.