Blog

Record Keeping – Compliance and the Nila Solution

Record Keeping – Compliance and the Nila Solution

Record Keeping – Compliance and the Nila Solution

Record Keeping – Compliance and the Nila Solution

Compliance

4.min.

01/12/2025

Signe Klitgaard

Head of Operations

icon

Maintaining patient records is a central and legally required part of healthcare practice, essential for ensuring high standards of patient care, safety, and quality.

The fundamental requirements for data processing and confidentiality are governed primarily by the General Data Protection Regulation (GDPR), alongside professional standards and applicable medical device regulations within the European Union.

A patient record must be clear, easy to understand, and should only contain the information necessary for safe and high-quality care. In line with GDPR principles and professional standards, the record should always include:

Requirements for Handling and Preservation

  • Entry Time: Data must be entered into the record as soon as possible after the care encounter.

  • Rectification: Information in the record must not be erased or rendered illegible. When correcting an error, it must be clearly indicated when the correction was made and who made it.

  • Preservation: A patient record must be retained for a minimum period (often ten years in national legislation) after the final entry was made.

  • Confidentiality: The healthcare provider must ensure that data is accessible, accurate, confidential, and traceable.


Due to the complex regulatory environment and the need to streamline your daily work, we have developed Nila.

Curera is our modern software designed to relieve administrative burden by automating and simplifying patient record keeping and documentation, allowing you to focus more time on your clients.

Security and Certifications

Nila has been developed with the highest demands on security and integrity, crucial for handling sensitive patient data:

  • GDPR: The platform is built to fully comply with the General Data Protection Regulation (GDPR) regarding the lawful processing and protection of personal data.

  • ISO 27002: Nila adheres to the ISO 27002 standards, which cover best practices for Information Security Management.

  • CE Marking: The system meets the requirements for CE Marking where applicable, confirming compliance with relevant EU directives for product safety and performance.

By using Nila, you ensure compliance with regulatory standards while operating efficiently and securely.

Maintaining patient records is a central and legally required part of healthcare practice, essential for ensuring high standards of patient care, safety, and quality.

The fundamental requirements for data processing and confidentiality are governed primarily by the General Data Protection Regulation (GDPR), alongside professional standards and applicable medical device regulations within the European Union.

A patient record must be clear, easy to understand, and should only contain the information necessary for safe and high-quality care. In line with GDPR principles and professional standards, the record should always include:

Requirements for Handling and Preservation

  • Entry Time: Data must be entered into the record as soon as possible after the care encounter.

  • Rectification: Information in the record must not be erased or rendered illegible. When correcting an error, it must be clearly indicated when the correction was made and who made it.

  • Preservation: A patient record must be retained for a minimum period (often ten years in national legislation) after the final entry was made.

  • Confidentiality: The healthcare provider must ensure that data is accessible, accurate, confidential, and traceable.


Due to the complex regulatory environment and the need to streamline your daily work, we have developed Nila.

Curera is our modern software designed to relieve administrative burden by automating and simplifying patient record keeping and documentation, allowing you to focus more time on your clients.

Security and Certifications

Nila has been developed with the highest demands on security and integrity, crucial for handling sensitive patient data:

  • GDPR: The platform is built to fully comply with the General Data Protection Regulation (GDPR) regarding the lawful processing and protection of personal data.

  • ISO 27002: Nila adheres to the ISO 27002 standards, which cover best practices for Information Security Management.

  • CE Marking: The system meets the requirements for CE Marking where applicable, confirming compliance with relevant EU directives for product safety and performance.

By using Nila, you ensure compliance with regulatory standards while operating efficiently and securely.

Maintaining patient records is a central and legally required part of healthcare practice, essential for ensuring high standards of patient care, safety, and quality.

The fundamental requirements for data processing and confidentiality are governed primarily by the General Data Protection Regulation (GDPR), alongside professional standards and applicable medical device regulations within the European Union.

A patient record must be clear, easy to understand, and should only contain the information necessary for safe and high-quality care. In line with GDPR principles and professional standards, the record should always include:

Requirements for Handling and Preservation

  • Entry Time: Data must be entered into the record as soon as possible after the care encounter.

  • Rectification: Information in the record must not be erased or rendered illegible. When correcting an error, it must be clearly indicated when the correction was made and who made it.

  • Preservation: A patient record must be retained for a minimum period (often ten years in national legislation) after the final entry was made.

  • Confidentiality: The healthcare provider must ensure that data is accessible, accurate, confidential, and traceable.


Due to the complex regulatory environment and the need to streamline your daily work, we have developed Nila.

Curera is our modern software designed to relieve administrative burden by automating and simplifying patient record keeping and documentation, allowing you to focus more time on your clients.

Security and Certifications

Nila has been developed with the highest demands on security and integrity, crucial for handling sensitive patient data:

  • GDPR: The platform is built to fully comply with the General Data Protection Regulation (GDPR) regarding the lawful processing and protection of personal data.

  • ISO 27002: Nila adheres to the ISO 27002 standards, which cover best practices for Information Security Management.

  • CE Marking: The system meets the requirements for CE Marking where applicable, confirming compliance with relevant EU directives for product safety and performance.

By using Nila, you ensure compliance with regulatory standards while operating efficiently and securely.

Free up your time today

Join hundreds of therapists who have transformed their practice with intelligent documentation

Free up your time today

Join hundreds of therapists who have transformed their practice with intelligent documentation

Free up your time today

Join hundreds of therapists who have transformed their practice with intelligent documentation

Free up your time today

Join hundreds of therapists who have transformed their practice with intelligent documentation

From recording to structured notes

1.

1.

The therapist records the session (in-person or online);

The therapist records the session (in-person or online);

2.

2.

AI transcribes speech into accurate text;

AI transcribes speech into accurate text;

3.

3.

Smart algorithms identify key topics, emotions, and action points;

Smart algorithms identify key topics, emotions, and action points;

4.

4.

The system generates a structured summary with clear sections and formatting.

The system generates a structured summary with clear sections and formatting.

This workflow turns an hour of manual work into a few clicks.

This workflow turns an hour of manual work into a few clicks.

Example of workflow in action

AI automatically detects conversation context and organizes insights into note templates.

AI automatically detects conversation context and organizes insights into note templates.

Share this post

icon

About the author

Signe Klitgaard

Head of Operations

Signe Klitgaard is Head of Operations Therapy at Nila, focusing on mental health innovation and digital tools for therapists. She collaborates closely with clinicians to translate complex ideas into accessible, evidence-based insights.

Related articles

Related articles

Explore more insights from our team of experts

Explore more insights from our team of experts

Free up your
time today

Free up your
time today

Free up your
time today

Join hundreds of therapists who have transformed their practice with intelligent documentation

Join hundreds of therapists who have transformed their practice with intelligent documentation

Join hundreds of therapists who have transformed their practice with intelligent documentation

A Lavendla product

A Lavendla product

A Lavendla product

4.7 / 5 on

ISO

27001

ISO

27001

ISO

27001

GDPR

Compliant

GDPR

Compliant

GDPR

Compliant

CE marking

EU-MDR

CE marking

EU-MDR

CE marking

EU-MDR

Join our newsletter to stay up to date on features and releases

By subscribing you agree to with our Privacy Policy and provide consent to receive updates from our company.

© Nila Health AB 2025

English

Join our newsletter to stay up to date on features and releases

By subscribing you agree to with our Privacy Policy and provide consent to receive updates from our company.

© Nila Health AB 2025

English

Join our newsletter to stay up to date on features and releases

By subscribing you agree to with our Privacy Policy and provide consent to receive updates from our company.

Cookie settings

© Nila Health AB 2025

Join our newsletter to stay up to date on features and releases

By subscribing you agree to with our Privacy Policy and provide consent to receive updates from our company.

© Nila Health AB 2025

English