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Hysio Addiction Medicine
AI Voice-Driven Reporting for addiction physicians
Hysio supports addiction medicine with a source-bound report structure around three parts: the substance use history and recovery goal; intoxication, withdrawal and medication; and risk, decision-making and handover.
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Addiction medicine
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- Hysio Addiction Medicine Consultation
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Quick answer Substance use history, recovery consultation and MDT meeting 50 questions with cited sources
Quick answer
Substance use, recovery and medication
Four documentation formats for the addiction physician: consultation, intake, medication and recovery consultation, and MDT meeting with handover. Your assessment of risk and withdrawal remains decisive.
For addiction medicine, Hysio offers fixed report structures around three parts: the substance use history and recovery goal; intoxication, withdrawal and medication; and risk, decision-making and handover.
- What does voice-driven reporting give the addiction physician?
- Voice-driven reporting works like an AI scribe: after an addiction medicine consultation, a consultation report is ready for you to read back. Elsewhere this is called AI documentation. There are four formats: consultation, intake, medication and recovery consultation, and MDT meeting with handover. [1] [2] [3] [4] [5]
- What stays tied to the source?
- Hysio only includes substance use history, recovery goal, intoxication, withdrawal, medication and risk when you mention them. That does not change when AI handles your admin. [1] [6] [7]
- Who stays in control?
- You, as the addiction physician. You check substance use history, medication and risk before you save the report. [1] [6] [7]
- Documentation formats 4 profession-specific documentation formats: Hysio Addiction Medicine Consultation, Hysio Addiction Care Intake, Hysio Medication & Recovery Consultation, Hysio Addiction Care MDT Meeting & Handover.
- Source role What the client says about use, what you observe and your assessment stay separate.
- Boundaries Hysio does not independently take responsibility for assessing risk, withdrawal, choice of medication, diagnosis, classification or the indication for detox.
- Responsibility The addiction physician checks and decides what is ultimately saved.
Voice-driven reporting for the addiction physician
Which four documentation formats does Hysio have for addiction physicians? #
For addiction physicians there are four documentation formats: Hysio Addiction Medicine Consultation for a current consultation, Hysio Addiction Care Intake for registration, Hysio Medication & Recovery Consultation for an evaluation contact and Hysio Addiction Care MDT Meeting & Handover for a meeting with handover. Each format keeps the client's perspective, observation, measurement and professional interpretation separate, so that substance use, recovery goals and risk information stay recognisable. You assess and decide what ultimately goes into the record. [1] [2] [3] [4] [5] [6] [7]
How does the addiction medicine consultation organise substance use history and recovery goal? #
Hysio Addiction Medicine Consultation organises a current consultation into nine fixed sections: from the context of the contact and the client's perspective to substance use, medication, the professional assessment and the agreed follow-up. The substance use history and recovery goal have their own place in it, separate from the professional assessment you link to them. That way you can see at a glance what the client told you and what you established as an addiction physician. [1] [2] [6] [7]
When do you choose the intake in addiction care? #
Hysio Addiction Care Intake fits the first contact, when the registration, the referral question and the request for help still need to be recorded. Intoxication, withdrawal and previous detox have their own section, separate from the substance and addiction history that comes before it. Only at a follow-up contact, such as a regular consultation or an evaluation, does another format fit better. You choose for each moment which structure best fits what actually happens. [1] [3] [6] [7]
What goes into a report of MDT meeting and handover in addiction care? #
Hysio Addiction Care MDT Meeting & Handover records a combined meeting and handover contact, with a separate section for risk, safety and legal information. Decisions explicitly taken during the meeting have their own place, separate from the handover content that then goes to the recipient. Contributions per discipline stay visible when opinions differ. You decide which action, timeframe and responsible person were actually agreed. [1] [5] [6] [7]
How do the consultation and the report of MDT meeting and handover differ? #
Addiction Medicine Consultation describes an individual contact between one addiction physician and one client, in which the substance use history and recovery goal come directly from that conversation. Addiction Care MDT Meeting & Handover, by contrast, describes a meeting with several participants, in which recovery goals are brought together from different perspectives and then handed over. The first stays close to the direct contact, the second to the coordination between practitioners. You choose the format that fits the actual moment. [1] [2] [5] [6] [7]
How do substance use history and recovery goal appear in the report? #
The substance use history comes back in the section on substance use, craving, intoxication and withdrawal, with the source and the moment of each statement noted. The recovery goal the client names sits separately with the client's perspective and is not mixed with your professional estimate of whether it is achievable. Only once you have recorded those two separately do you add in the decision section which follow-up was agreed. [1] [2] [6] [7]
Do patterns of use, measurement data and results go into the report? #
Put patterns of use and craving in the substance use section and keep measurement data and examination information separate from it. Include only what the source specifically mentions, with date and origin. Hysio does not invent a result; the addiction physician checks the professional meaning and decides what goes into the record. Scores, reference values and professional conclusions stay outside the automatic completion and under the control of the addiction physician. [1] [2] [6] [7]
Where does your interpretation of substance use and craving go? #
The interpretation of substance use and craving stays with you as the addiction physician, not with Hysio. Each documentation format keeps the factual information provided by the client, a family member or friend, or a referrer separate from the professional conclusion you draw from it. Craving you observed yourself is described as an observation; an estimate of the related risk is written down separately. That way you can trace afterwards which part of the text comes from you. [1] [2] [3] [4] [5] [6] [7]
How do you organise client, loved ones, referrer and addiction physician in one report? #
Each documentation format keeps the client, family and friends, the referrer and the addiction physician recognisable as separate sources, even when their information ends up in the same paragraph. What the client says is kept apart from what a family member or friend adds, and both are kept apart from the referral letter or your own findings. If two sources contradict each other, you note that difference explicitly instead of silently choosing one. That way every statement stays traceable to the person who made it. [1] [2] [3] [4] [5] [6] [7]
How does the professional judgement stay recognisable in addiction medicine? #
For addiction medicine, Hysio organises source-bound information from the specific care encounter, for the substance use history, recovery goal, intoxication, withdrawal and risk. Source, observation and professional interpretation stay separately recognisable. The addiction physician checks the professional meaning, assesses what is fact and what is interpretation, and decides what ultimately goes into the record. That way the addiction physician can check the note in a targeted way, without Hysio adding a professional conclusion of its own. [1] [2] [3] [4] [5] [6] [7]
Consultation, intake and recovery
How do you describe the substance use history in a consultation? #
In Hysio Addiction Medicine Consultation you describe the substance use history in the section on substance use, craving, intoxication and withdrawal, with the source and the moment included. You place the recovery goal the client names separately with the client's perspective, apart from your own professional estimate of whether it is achievable. If you mix the two, a client's wish unintentionally becomes a clinical statement. You assess afterwards whether both sections are correct before the report goes into the record. [1] [2] [6] [7]
Which substance use and which craving belong in the consultation report? #
Substance use and craving belong in the fourth section of Addiction Medicine Consultation, together with intoxication and withdrawal. It contains only what was discussed or observed during this specific contact, not a summary of earlier consultations. A brief relapse belongs there just as much as a stable period; both are facts from the conversation. You decide whether earlier information from another contact is still relevant enough to include again. [1] [2] [6] [7]
What is the difference between the intake and a consultation for intoxication and withdrawal? #
Addiction Care Intake treats intoxication, withdrawal and previous detox as a separate section of the first meeting, before any ongoing treatment plan exists. Addiction Medicine Consultation, by contrast, includes those same topics within an existing contact, alongside medication and measurement information that is already known by then. The difference therefore lies in the moment: a first picture versus a follow-up measurement. You choose the format that fits the phase the client is in. [1] [2] [3] [6] [7]
When do you use the report of MDT meeting and handover? #
Addiction Care MDT Meeting & Handover fits when recovery goals are no longer set by you alone, but are discussed and handed over by several disciplines together. The format records which contribution comes from which participant and where opinions still differ. If it concerns a goal you agreed with the client in an individual contact, another format fits better. You decide whether the meeting actually took place before you send the handover. [1] [5] [6] [7]
How do intoxication and withdrawal stay recognisable as a source? #
Intoxication and withdrawal stay recognisable when you state for every mention who gave the information and at what moment: the client, a family member or friend, a referrer or your own observation. Hysio does not merge those sources into one anonymous sentence. If you are unsure whether a symptom belongs to intoxication or to withdrawal, leave it as an open question instead of making a choice yourself. You decide with which interpretation it ultimately goes into the record. [1] [2] [3] [4] [5] [6] [7]
How do you put each statement under the name of the person who made it? #
Put every statement under the name of the person who made it: the client, a family member or friend, the referrer or you as the addiction physician. Hysio organises those contributions by source, but does not merge them into one shared conclusion. When a family member or friend says something different from the client, both versions stay side by side instead of one overwriting the other. You decide what weight you give each voice in your professional assessment. [1] [2] [3] [4] [5] [6] [7]
How do you link recovery goals to a follow-up appointment? #
You link a recovery goal to a follow-up appointment by noting in the decision section which specific action, which timeframe and who is responsible. Hysio Medication & Recovery Consultation keeps that separate from the evaluation of the current goal, so that old and new do not get mixed up. If a goal remains unachieved, describe that factually instead of silently letting it lapse. With voice-driven reporting, say it that way too. You decide whether the goal is adjusted or stays unchanged. [1] [2] [3] [4] [5] [6] [7]
What is the difference between an observation and an interpretation of substance use? #
An observation describes what you saw, heard or measured, without immediately giving it a meaning: for example trembling hands or a raised heart rate. Interpretation is the professional conclusion you draw from it, such as a suspicion of withdrawal. Addiction Care MDT Meeting & Handover keeps both in separate sections, so that a colleague can see which part is fact and which part is your estimate. If you mix them, an observation quietly turns into a diagnosis. [1] [2] [3] [4] [5] [6] [7]
What do you do if information about intoxication or medication is missing? #
If information about intoxication, withdrawal or medication is missing from the source, you leave that section empty or mark it as an open point. Hysio does not invent a value and does not fill in anything based on what would be usual. If you ask for the missing information later, you add it with the new date, not retroactively in the original report. You decide whether the contact is still complete enough without that information. [1] [2] [3] [4] [5] [6] [7]
How does voice-driven reporting record a recovery consultation with substance use, medication and risk? #
In such a recovery consultation, substance use has its own section alongside the medication source, the current condition, the risk information and the follow-up agreements, each with its own place in Hysio Medication & Recovery Consultation. Craving the client mentions goes with substance use and not with the risk estimate you make afterwards. That way you can see which item comes directly from the client and which item is your professional addition. You check the order before the report is saved. [1] [2] [3] [4] [5] [6] [7]
Source roles in the addiction medicine record
Which information about substance use history and recovery goal belongs in the record? #
An addiction medicine record carries the substance use history as the client told it, including the date on which that happened. The recovery goal stands apart from it as a separate point formulated by the client. Your professional assessment of that goal, for example whether it seems achievable, goes into a separate section. That way the record shows what the client said and what you thought of it yourself. [1] [2] [3] [4] [5] [7] [8]
How do you separate what the client says about withdrawal from your interpretation? #
You describe the client's perspective on intoxication, withdrawal and medication as what the client says, in their own words or a short summary of them. Your professional interpretation follows separately, as the meaning you give it as an addiction physician. If you mix the two in one sentence, it becomes unclear whether a statement comes from the client or from you. Hysio therefore puts them in different sections of the report. [1] [2] [3] [4] [5] [7] [8]
How does each statement in the report get a clear source? #
The client, family and friends, the referrer and the addiction physician stay recognisable when every statement in the report has a clear source, instead of an anonymous indication that someone supposedly said something. Hysio organises the contributions by source, but does not draw a joint conclusion from them. If a family member or friend contradicts the client, that difference is stated explicitly instead of disappearing into a summarising sentence. That way every part of the report stays traceable to the source that provided it. [1] [2] [3] [4] [5] [7] [8]
Which consent do you record when sharing data about substance use? #
Share data about intoxication and withdrawal only in line with the applicable privacy and professional rules. Record which information you share, with whom, for what purpose and which consent or other legal basis is mentioned in the source. With voice-driven admin, Hysio does not share anything independently and does not invent consent; you record a different consent or restriction literally with the source. The addiction physician checks the purpose, context and choices for the record for substance use, recovery goal and relapse prevention. [1] [2] [3] [4] [5] [7] [8]
How do you note the difference between craving and withdrawal? #
Substance use and craving describe what the client uses and which craving goes with it; intoxication and withdrawal describe the physical and psychological state that follows. Note both with their own time, because craving can occur without intoxication and the other way round. Hysio places them in different sections of the report, so that a colleague does not have to guess which item belongs to which phenomenon. You assess whether a reported symptom fits one or the other. [1] [2] [3] [4] [5] [7] [8]
What goes into an MDT meeting and handover report? #
Addiction Care MDT Meeting & Handover includes what was actually discussed during the meeting: the current status, contributions per discipline, explicit decisions and the risk information that goes with them. Substance use and craving come back in their own section, separate from the handover content that goes to the recipient. An idea someone raised in passing without it becoming a decision is left out or marked separately. Before sending, you check whether the text reflects the meeting correctly. [1] [5] [7] [8]
How do you recognise an explicit decision about risk or handover? #
You recognise an explicit decision by a clear statement from you or the team, with a date and a name attached to it, not by a loose suggestion during the conversation. For risk, decision-making and handover, this means you record who takes on which action and when it needs to be completed. If something is still under discussion, name it as an open point instead of a settled decision. With voice-driven reporting too, you make the distinction between the two. [1] [2] [3] [4] [5] [7] [8]
Which data are particularly sensitive in relation to recovery goals? #
Data about substance use count as special categories of personal data and call for extra care, even when they are mentioned within a recovery goal. Share such information only with those who serve the care purpose, and limit its scope to what that purpose requires. So do not automatically note every historical detail that came up with a recovery goal. You decide again for each contact what is relevant enough to record. [1] [2] [3] [4] [5] [7] [8]
How do you keep an external letter recognisable alongside medication and side effects? #
You include an external letter, such as one from a pharmacy or another practitioner, with the sender and the date of that document. Medication and side effects you established yourself during the contact stay in a separate section, even if the letter touches on the same subject. That way you prevent an external item from quietly becoming your own observation, or the other way round. You assess whether the external information is still current enough to adopt. [1] [2] [3] [4] [5] [7] [8]
Where is the line with risk, detox indication and choice of medication? #
Hysio organises information about risk, withdrawal, choice of medication, diagnosis, classification and the indication for detox, but does not take any independent decision on it. That professional assessment always stays with you as the addiction physician, even when the supplied text already contains provisional wording. A suggestion that Hysio organises is therefore never the same as a clinical decision you have actually taken. You check and substantiate every choice before it goes into the record. [1] [2] [3] [4] [5] [7] [8]
Substances, medication and safety
Which patterns of use and measurement data fit in the report? #
Patterns of use, measurement data and examination results fit when the source specifically mentions them, complete with the date and the method by which they were obtained. A breath test, a blood value or a questionnaire score then ends up in the report with the source stated. If that specific origin is missing, you leave the figure out instead of including an estimate. Before saving, you check whether every value can actually be found in the conversation or the documents provided. [1] [2] [3] [4] [5] [7] [8] [9]
How do you describe an observation around intoxication and withdrawal without a conclusion? #
Describe what you observe in factual terms: dilated pupils, slow speech or visible trembling, without immediately attaching the word intoxication or withdrawal to it. You write the conclusion that it concerns intoxication or withdrawal in a separate section as your professional estimate. That way a colleague who reads the report later can judge for themselves whether the observation sufficiently supports the conclusion. You remain responsible for that link. [1] [2] [3] [4] [5] [7] [8] [9]
Where do you record risk, withdrawal and legal information with a date? #
You record risk, intoxication, withdrawal and legal information in the section of the report intended for it, each with a date and the source that provided the information. Professional agreements you explicitly made with the client or a colleague belong in the decision section, not mixed with the risk estimate itself. That way a fact stays distinguishable from an agreement that followed from it. You check whether both are in the right place before you save. [1] [2] [3] [4] [5] [7] [8] [9]
How do you note medication and side effects without turning them into advice? #
You include medication and a reported side effect as factual information: which medicine, which dosage and which effect the client mentions. Hysio does not formulate any advice on adjusting, stopping or increasing it; that remains a decision you take as the addiction physician. If you are unsure whether a complaint belongs to a side effect, leave it as an open question instead of passing judgement on it. You decide the follow-up, not the text. [1] [2] [3] [4] [5] [7] [8] [9]
What do you note when a test or check has been done but the result is still missing? #
The action carried out stays in the report as a fact, while the result is only added later. Note the source, the moment and the responsible healthcare professional separately. That way, with AI reporting, it stays visible that the result is still to come. The addiction physician assesses the meaning and decides the follow-up; Hysio does not fill in a missing result. [1] [2] [3] [4] [5] [7] [8] [9]
What do you do if sources contradict each other on use and craving? #
If two sources contradict each other about substance use, craving, intoxication or withdrawal, you note both versions with the name of the person who gave them, instead of choosing one yourself. Hysio does not silently choose the most likely reading. If you ask further later and it becomes clear, you add that with the new date. You decide which reading carries the most weight for the treatment. [1] [2] [3] [4] [5] [7] [8] [9]
How do you describe an intervention for withdrawal and the response to it? #
First describe which intervention you applied for intoxication, withdrawal or a change in medication, with the time included. Then note separately how the client responded, as an observation and not as an outcome expected in advance. That way you can see whether the response matched what you expected or differed from it. You assess whether that response gives reason for a next step. [1] [2] [3] [4] [5] [7] [8] [9]
How do you record recovery goals without promising results? #
Make a recovery goal visible by noting literally what the client names as a goal, without adding an outcome that has not yet been established. If no progress has been measured yet, write that down explicitly instead of inventing a positive or negative estimate. Only when a subsequent contact actually shows progress do you add it with the date. You decide when a goal counts as achieved. [1] [2] [3] [4] [5] [7] [8] [9]
Which professional terms does the addiction physician need for substance use and craving? #
For substance use and craving you use professional terms such as frequency of use, primary substance, craving intensity and trigger, instead of general descriptions that leave room for interpretation. Hysio recognises and organises such terms when the source mentions them, but does not add any professional term that was not said. If the client uses an informal description, you may first adopt it literally and only then add your own professional terminology. You decide which term fits best. [1] [2] [3] [4] [5] [7] [8] [9]
What do you check before an addiction medicine report is saved? #
Before saving, check whether every statement is still linked to the right source, whether an observation has not silently become a conclusion and whether the medication details match what was discussed. Also check whether an open point is actually stated as open and not as settled. If an item has no date, add it first before you save. You remain the last person to approve the report. [1] [2] [3] [4] [5] [7] [8] [9]
Practical questions from addiction medicine
How do you prepare a conversation about substance use and recovery goal? #
Decide beforehand which part of the conversation is about the substance use history and which part is about the recovery goal, so that you already keep the two somewhat separate during the conversation itself. Hysio then organises what was said into the corresponding sections of the report. Decide for yourself which questions you want to ask in any case, so that an empty section stands out to you immediately. Afterwards, you check whether the result reflects the conversation correctly. [1] [2] [3] [4] [5] [6] [7]
What do fixed report sections give the addiction physician for substance use and craving? #
Fixed report sections make sure that substance use and craving can always be found in the same place, no matter who reads the report later. That saves search time at a next contact and makes it easier to compare two moments with each other. It also prevents an observation from accidentally ending up in the section for conclusions. That keeps admin with AI predictable. You remain responsible for the content; the fixed structure mainly helps with the overview. [1] [2] [3] [4] [5] [6] [7]
How does the addiction physician keep assessment central in a recovery consultation? #
Always read the report of a recovery consultation back before it goes into the record, with specific attention to the separation between what the client said and what you thought of it. Correct a sentence that mixes fact and interpretation, even if the gist is otherwise correct. Leave a point you are still unsure about explicitly open instead of leaving it out. That way your assessment, and not the generated text, determines what is saved. [1] [2] [3] [4] [5] [6] [7]
Does Hysio assess risk or a detox indication itself? #
No. Hysio can organise risk, withdrawal, medication, diagnosis, classification and detox information as it came up in the conversation, but does not take any decision on it itself. Every assessment in that area remains your task as the addiction physician, even when the report text already contains wording that looks like a conclusion. So always read such passages back with extra care. You substantiate and authorise the final judgement. [1] [2] [3] [4] [5] [6] [7]
What does profile code 081 say? #
Addiction medicine has profile code 081. This code identifies the profession within the Hysio catalogue, regardless of the documentation format. Every format, from Addiction Medicine Consultation to Addiction Care MDT Meeting & Handover, has the same profile code. That way Hysio can always recognise within which profession a report was written. [1] [2] [3] [4] [5] [6] [7]
Where are the privacy boundaries in addiction care? #
For the substance use history and recovery goal, record who provided the information, when that happened and which consent or limits on information were discussed in the contact. You will also find that boundary in the privacy and record-keeping policy of your own organisation: Hysio does not add any legal assumption or source itself. The addiction physician checks the source, context and choices for the record against that framework and decides which information may be recorded and shared. [1] [2] [3] [4] [5] [6] [7]
What do you do if a meeting does not fit any of the four formats? #
If none of the four formats fits exactly what was discussed during the meeting about risk, decision-making and handover, an appropriate report structure reflects the content as closely as possible, with adjustment of the layout where needed. Leave a section that does not apply empty instead of filling it with something that was not discussed. Note explicitly which section you adjusted and why. You remain ultimately responsible for the structure you choose. [1] [2] [3] [4] [5] [6] [7]
How do you use voice-driven reporting on a busy day with many consultations? #
Even on a busy day, describe substance use and craving in separate, short sentences per section instead of summarising everything in one paragraph; that saves time when reading back. Never skip the review moment, not even when your schedule is full: a report that has not been checked costs more time afterwards than it saves. If necessary, move the write-up of a less urgent contact to a quieter moment. You decide the order, not the clock. [1] [2] [3] [4] [5] [6] [7]
How does addiction medicine differ from general psychiatry? #
Addiction medicine focuses specifically on the substance, the pattern of use and the physical consequences of intoxication or withdrawal, while psychiatry puts a broader psychiatric clinical picture at the centre, in which substance use can be one of the factors. In addiction medicine, medication is often linked directly to the substance itself, as in a detox treatment. Hysio keeps the corresponding report structure and professional terminology separate for each profession. You choose the profile that fits your own practice. [1] [2] [3] [4] [5] [6] [7]
How does it stay traceable who said something about the substance use? #
Source-bound documentation means that every statement in the report stays traceable to the person who made it: the client, a family member or friend, the referrer or you. Hysio does not add information that does not come from one of those sources and does not draw its own conclusion about risk or diagnosis. Substance use, recovery goals and medication information each get their own place in the report, instead of being merged into one continuous text. You remain the one who makes the final judgement and fills the record. [1] [2] [3] [4] [5] [6] [7]
Sources
- 1 Hysio: Beroepsprofiel verslavingsgeneeskunde (interne Hysio-documentatie) Document date: 2026-08-24 Accessed on 2026-09-01
- 2 Hysio: Hysio Verslavingsgeneeskundig Consult (interne Hysio-documentatie) Document date: 2026-08-24 Accessed on 2026-09-01
- 3 Hysio: Hysio Verslavingszorg Intake (interne Hysio-documentatie) Document date: 2026-08-24 Accessed on 2026-09-01
- 4 Hysio: Hysio Medicatie- & Herstelconsult (interne Hysio-documentatie) Document date: 2026-08-24 Accessed on 2026-09-01
- 5 Hysio: Hysio Verslavingszorg MDO & Overdracht (interne Hysio-documentatie) Document date: 2026-08-24 Accessed on 2026-09-01
- 6 KNMG / College Geneeskundige Specialismen (CGS): Besluit van 13 mei 2026 houdende opleidings- en erkenningseisen voor het profiel verslavingsgeneeskunde (Besluit Verslavingsgeneeskunde) Document date: 2026-09-01 Accessed on 2026-09-01
- 7 Vereniging voor Verslavingsgeneeskunde Nederland (VVGN): Opleidingsplan Verslavingsgeneeskunde (LOP) Document date: 2026-09-01 Accessed on 2026-09-01
- 8 GGZ Standaarden (Akwa GGZ): "Problematisch alcoholgebruik en alcoholverslaving, over" Document date: 2026-09-01 Accessed on 2026-09-01
- 9 Akwa GGZ: Zorgstandaard Opiaatverslaving Document date: 2026-09-01 Accessed on 2026-09-01
- 10 NZa: "Is het vastleggen van zorgvraagtypering verplicht?" Document date: 2026-09-01 Accessed on 2026-09-01
- 11 wetten.overheid.nl: Burgerlijk Wetboek Boek 7 (WGBO), BWBR0005290 Document date: 2026-09-01 Accessed on 2026-09-01
Hysio creates the report. You remain responsible for what you save in the record.