ChipSoft already ships several AI features in HiX: summaries for nursing handovers and discharge letters, patient-friendly letters, and an API for speech-to-text tools. Other features are still in pilot. For the rest of the administrative and logistics work, hospitals build their own tools on the HiX interfaces, with a clinician reviewing every result.
ChipSoft is a Dutch software company, and HiX is its electronic health record (EHR). It's the most widely used hospital EHR in the Netherlands: according to the EHR survey by Dutch consultancy M&I/Partners, 76% of Dutch hospitals worked with ChipSoft in early 2026. If you're deciding on HiX AI for one of those hospitals, or for a clinic abroad that runs HiX, you need to know what the vendor covers and where your own team or a build partner comes in.
The pressure to act is real. The parties behind the Dutch Integrated Care Agreement aim to halve the administrative burden in care from 40% to 20% before 2030. AI can deliver part of that, as long as it fits the work that already happens in HiX.
What ChipSoft delivers as AI in HiX
ChipSoft describes a series of applications on its own site, built in-house or together with hospitals. Its overview of AI developments in HiX in 2025 (in Dutch) is the most complete source. These are the features that touch administrative work:
| Feature | What it does | Status according to ChipSoft |
|---|---|---|
| Patient-friendly letter | A language model rewrites the physician's letter in plain language (CEFR level A2) | Developed with Bravis hospital |
| Nursing handover | A language model summarizes nursing reports | Described as an in-house development |
| Discharge letter | A language model summarizes daily reports into the letter | Developed with UMC Utrecht |
| Prompting module | Sends a question plus HiX data to a language model | Foundation for letters and summaries |
| Speech-to-text API | Generic connection for third-party speech recognition | In use at Bravis and Maasstad hospitals |
| Admission day summary | Brings together the key information from one admission day | In development with MST and Santeon |
ChipSoft also lists clinical applications, such as a medication assistant and a complication predictor. Those sit outside the scope of this article because they touch diagnosis and treatment.
The UMC Utrecht example shows how such a feature works in practice. According to ChipSoft, cardiology physicians use the AI directly while writing discharge letters. Text from the model is clearly marked, and edits are logged automatically. UMC Utrecht published the code as open source on GitHub.
How third-party AI gets into HiX
ChipSoft doesn't build everything itself. It works with external vendors such as Autoscriber, Juvoly, Delphyr, Pacmed, and Healthplus.ai, and it names connecting a hospital's own solution as an option too.
The technical foundation is a HiX module called Data Driven Analysis (DDA). Patrick Antonissen, a technical AI specialist at ChipSoft, explains in AI in HiX: safe, efficient, and scalable (in Dutch) that the module exchanges structured and unstructured data between HiX and AI models, including in real time. A Technical Board AI of data scientists, engineers, developers, and medical advisors reviews new applications.
That generic approach pays off in speed. Bravis hospital was the first to use the new speech-to-text API, connected to Autoscriber's clinical speech assistant. According to ChipSoft, the solution was operational three weeks after the project started. Maasstad hospital uses Juvoly through the same API.
If you want to connect your own tool or a third-party solution, there's a fixed route. ChipSoft describes six steps:
- Contact the ChipSoft account manager or communications team
- Hold an intake with the Technical Board AI
- Get an assessment and advice
- Receive feedback and decide on a project start
- Align internally within the care organization
- Develop and implement
The closer an application sits to existing integrations, the faster this goes. A completely new use case needs extra development work, according to ChipSoft.
What is still announced or in pilot
Part of what gets published about AI in HiX isn't yet a product every hospital can switch on. The best-known example is Microsoft Dragon Copilot, a clinical voice assistant that listens in on the consultation and drafts the note. Microsoft announced the platform in March 2025, with ChipSoft as one of three launch partners worldwide.
Medisch Spectrum Twente (MST), a large hospital in the east of the Netherlands, runs a pilot. Jeroen Hakkert, CIO of MST, says in an interview on the ChipSoft site (in Dutch) that the product is still in development and that MST is training one model together with four other hospitals. He expected wider availability in Europe in the second quarter of 2026. We couldn't find confirmation from ChipSoft that this has happened for HiX users.
ChipSoft also lists these applications as work in progress:
- A summary of an admission day, with MST and Santeon
- Information at the bedside through Delphyr, with Reinier de Graaf hospital
- Integration of Pacmed's intensive care models, with Gelre and Zuyderland hospitals
So plan around what's available in your version of HiX today. For every announcement, ask ChipSoft when it will be available for your hospital and under which conditions.
What you build alongside for admin and logistics
ChipSoft's features mainly cover documentation inside the patient record. Much of a hospital's administrative and logistics work sits just outside it, or runs through other systems. That's where your own applications fit. Typical examples:
- Preparing documentation. A draft letter or report in a department's standard structure, which the physician completes and signs.
- Summarizing for a meeting. An overview of the record for a multidisciplinary meeting or a handover between departments, with a link to the source in HiX for every line.
- Processing mail and referrals. Reading incoming referral letters and documents, filling in the right fields, and queuing them for the secretary or the triage nurse.
- Supporting scheduling. Sorting appointments, requests, and waiting lists, and proposing a schedule for the planning office to approve.
The MST example shows why hospitals set this up deliberately. Many vendors want direct access to source systems. MST built its own AI integration layer, so it can switch between solutions without depending on a single vendor. That's an architecture decision, and it belongs to building alongside HiX.
None of these applications asks the model a medical question. The model reads, sorts, and proposes. The actual decision stays with the clinician or staff member who does the work today.
Which HiX interfaces you work with
Integrating with HiX in general is a topic for a separate article. For AI applications, these are the routes that matter:
- HL7 FHIR. Nictiz, the Dutch competence center for health information exchange, describes FHIR as an easy-to-use format for exchanging health information based on internet standards. ChipSoft is building FHIR APIs for HiX.
- HL7 v2 messages. ChipSoft's list of available integrations includes HL7 v2.5 messages for patient data, orders, results, documents, and appointments, among others.
- Zorgplatform. ChipSoft's service for collaboration between care organizations, with integrations based on MedMij, IHE profiles, or FHIR.
- DDA and the generic AI APIs. The route ChipSoft itself offers for AI applications, through the Technical Board AI process.
Bergman Clinics, a Dutch chain of specialist clinics, shows the gap between an old and a modern integration. Online appointment booking used to run on robotic process automation (RPA). According to Martin Laverman, architect at Bergman Clinics, that took 10 to 20 minutes and produced errors. Through the FHIR APIs it's now instant.
The same holds for AI. A model that reads data through a standardized API is easier to test, replace, and maintain than one that scrapes screens. Investing in software integration based on FHIR now also prepares you for the European Health Data Space, which we covered in EHDS as a build requirement.
Why people stay close to the AI
ChipSoft is clear about the role of AI in HiX. Its AI expert Marc Somberg states that AI doesn't replace care providers and won't make medical decisions on its own without validation by clinicians.
We see it the same way. AI works best when people stay close to it. For anything you build alongside HiX, that comes down to three rules:
- The model proposes, a person decides. A draft, summary, or completed form only moves on after a staff member approves it.
- The source is always visible. For every summary, users see which part of the record the information came from.
- What the model did is logged. As at UMC Utrecht, you can see which text came from the model and what the user changed.
Our article on AI workflows with human approval explains how to design that review step.
Isatis builds this kind of software as part of our data and AI work. We have 30+ years of experience, 30+ engineers in Nijmegen and Sarajevo, and 100+ projects behind us, and we're ISO 9001 and ISO 27001 certified. Our cases range from maintenance (MRO) software for aviation to a subsidy administration platform and RFID in the supply chain. Read more about our work in healthcare or book a call about an administrative process in your hospital.
Frequently asked questions
Which AI features come with ChipSoft HiX?
ChipSoft describes a patient-friendly letter, summaries for nursing handovers and discharge letters, a prompting module for language models, and a generic speech-to-text API, among others. Which features are active in your hospital depends on version and configuration. Check with ChipSoft.
Is Dragon Copilot available in HiX?
Microsoft announced Dragon Copilot in March 2025 with ChipSoft as a launch partner. MST runs a pilot and expected wider availability in Europe in the second quarter of 2026. We found no confirmation of general availability for HiX. Ask ChipSoft for the current status.
Can you connect your own AI applications to HiX?
Yes. ChipSoft explicitly names connecting a hospital's own solution as an option. That runs through a six-step process with the Technical Board AI. Technically, you use the DDA module, the generic AI APIs, HL7 FHIR, or HL7 v2 messages.
Which tasks suit AI alongside HiX?
Administrative and logistics work that involves a lot of reading and sorting: preparing draft reports, summarizing records for meetings, processing mail and referrals, and supporting scheduling. In each case the model proposes and a staff member decides. Diagnosis and treatment advice are out of scope.
