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Clinic AI in Berlin, what private clinics and health systems should know in 2026

By the wai teamOctober 15, 20269 min read

Reviewed by The Wellness Clinical Team, October 5, 2026

A clinician at ease in a vast, light-filled private clinic in Berlin, the city beyond the glass

Key points

Summary

A Berlin practice can use AI for consultation notes and patient messages in 2026 once the patient knows the conversation is recorded, a doctor signs every note and the records stay protected against alteration for ten years. The Ärztekammer Berlin sets the record duties, the Berlin data protection commissioner supervises the data, and the ePA connects the practice to the patient's statutory record.

Berlin practices that run on wai start the morning with every overnight message drafted for approval and end it with every note signed. The city's chamber code, the national data protection conference and the ePA set the terms, and each one is set out below with its source.

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3,917,196
residents of Berlin on 30 June 2026, up 14,551 on a year earlier 1
972,941
Berlin residents with a foreign passport on 30 June 2026 1
36,000+
doctors who live and work in Berlin, all members of the Ärztekammer Berlin 2

See a late-evening message from a Charlottenburg family become an approved reply and a booked first visit with a euro deposit, in fifteen minutes with a clinician who uses wai daily.

The rules at a glance for a Berlin practice
Body or ruleWhat it requiresWhat to askHow wai meets it
Ärztekammer Berlin, Berufsordnung section 10Records kept ten years after treatment, electronic records protected against alteration and destructionCan a signed note be changed without a traceNotes stay drafts until the doctor signs, and every signature is logged and exportable
Ärztekammer Berlin, Berufsordnung section 10(4)Records kept or placed in proper custody when a practice closesHow the full record leaves the system at exitFull export of messages, drafts, approvals and signatures
Berliner Beauftragte für Datenschutz und InformationsfreiheitSupervision of data protection in Berlin and breach reporting by controllersWhere the records are held and who can reach themRecords hosted in Germany, with role-based access enforced in the database
Datenschutzkonferenz guidance on AI, 6 May 2024Real human decision on AI proposals, transparency on training useAre patient inputs used to train any modelA person approves every reply, and patient data is never used for training
Criminal Code section 201No recording of the non-public spoken word without authorityHow the patient agrees before the scribe startsThe practice asks first, using the consent form template
ePA, the electronic patient recordCreated by insurers for statutory patients, used in everyday care since 1 October 2025How signed letters reach the patient's ePABuilt to connect to the ePA, set up with each practice

The private care market in Berlin

Berlin counted 3,917,196 residents on 30 June 2026, 14,551 more than a year earlier, and 972,941 of them held a foreign passport.1 Of those foreign residents, 59.1% held a European citizenship and 26.9% an Asian one.1

The districts differ sharply. The average Berliner was 42.9 years old, while Steglitz-Zehlendorf averaged 46.7 years and Charlottenburg-Wilmersdorf 45.3.1 Mitte had 145,983 residents with a foreign passport and Charlottenburg-Wilmersdorf 90,805, so a practice on the Kurfürstendamm and one in Wedding answer very different inboxes.1

More than 36,000 doctors live and work in the city, and the Ärztekammer Berlin is their professional body, a public corporation that runs membership, specialist training and continuing education.2

The rules a Berlin practice works under

The Ärztekammer Berlin code sets the record duty. Section 10 of its Berufsordnung requires doctors to record their findings and measures, to let patients inspect their records and take copies at cost, and to keep the records for ten years after treatment ends.3 Electronic records need special protective measures against alteration, destruction and unlawful use, and the chamber's recommendations apply.3 When a practice closes, the records are kept or handed into proper custody, and the chamber helps patients trace records when a practice can no longer be reached.39

The Berliner Beauftragte für Datenschutz und Informationsfreiheit is the city's data protection authority, and its site carries the reporting route for controllers who suffer a data breach.4 The Datenschutzkonferenz, Germany's conference of data protection authorities, published its guidance on AI and data protection on 6 May 2024.5

That guidance is direct on two points. An AI proposal with legal effect for a person must leave the deciding human real room to decide, and a merely formal human step does not count.5 Users should check whether inputs and outputs train the model, and tools that keep them out of training are preferable.5 wai drafts and a person at the practice decides, and patient data is never used to train models.

Recording a consultation needs the patient's agreement. Section 201 of the Criminal Code punishes anyone who records another person's non-public spoken word without authority with up to three years or a fine.7 The practice asks first, and the consent form template gives the wording.

The ePA is created automatically by the health insurer for every statutory patient who does not object, privately insured patients can use it too, and since 1 October 2025 medical facilities have had to work it into everyday care.6 wai is built to connect to the ePA. We set up your clinic's connection with you.

wai hosts each clinic's records in its own country, under that country's rules. We set this up with your clinic. wai is compliant with these rules and built for clinics in Berlin. For a Berlin practice that means Germany, with every draft, approval and signature written to a log the practice can export.

The languages Berlin patients write in

Berlin's register counts citizenship, which is the closest official guide to the languages a practice receives. On 30 June 2026, 27.9% of foreign residents held an EU passport, 31.2% a passport from elsewhere in Europe and 26.9% an Asian one.1

With any language understood, wai writes its draft in whatever language the family used, and nothing leaves until someone at the practice has read and approved it.8

What a demo shows in Berlin

The demo opens on an email sent at 23.10 by a woman in Charlottenburg who has just moved her elderly father to Berlin and wants a first appointment for him before his old prescriptions run out. wai places it in the father's own thread, reads the doctors' busy times from Google Calendar, Outlook or Apple Calendar and drafts a reply in her language with two open slots on Wednesday. The practice manager approves it at 7.50, before the phones open.

She pays a euro deposit by card or Apple Pay on the practice's booking page, the money lands in the practice's own Stripe account, and she receives a confirmation, a receipt and the intake questionnaire. After the visit the doctor edits and signs the drafted note and the letter for the father's specialist, and each signature is logged to the doctor's name, which is the alteration-proof record section 10 asks for.3

Bring last month's late messages, in the languages they arrived in, and judge the drafts on your own patients.

For hospital groups, insurers and public bodies in Berlin

For a Berlin hospital group, insurer or public health service, wai builds a system the organisation owns, carrying its own brand and hosted in Germany. The first build covers a single pathway with agreed measures, and the contract fixes who holds the data, configuration and model rights, as described on the organisations page.

Where to start

First, write the recording consent into intake and into the opening line of each consultation.7 Second, check the vendor's answer on training against the conference guidance, and put the answer in the contract.5

Third, confirm that signed notes are protected against later change and kept ten years, and agree what happens to the records if the practice closes.3 Fourth, name the person who files each signed letter to the patient's ePA.6 Bring a tally of last month's late messages to a Berlin demo, sorted by the hour they arrived. We read the Berlin code and the federal rules on 15 October 2026 for this page, and your own legal adviser has the final word on your practice.

Send us a week of messages from your inbox by hour and language, and we show the replies wai would have drafted for your team to approve.

Frequently asked questions

How long must a Berlin practice keep patient records?

The Berlin chamber code sets ten years from the end of treatment as the minimum, with any longer statutory period taking priority.3

Who supervises data protection for private practices in Berlin?

The Berliner Beauftragte für Datenschutz und Informationsfreiheit is the city's data protection authority and takes breach reports from controllers.4

Does German guidance allow an AI to decide on its own?

The data protection conference says a person must have real room to decide on any AI proposal with legal effect, and a formal sign-off alone is not enough.5 With wai a person at the practice approves every reply and the doctor signs every note.

Can we record consultations for an AI scribe in Berlin?

With the patient's agreement. Recording the non-public spoken word without authority is an offence under section 201 of the Criminal Code.7

Do Berlin practices have to use the ePA?

Since 1 October 2025 medical facilities have had to work the ePA into everyday care.6 wai is built to connect to the ePA. We set up your clinic's connection with you.

Where are the records held?

wai hosts each clinic's records in its own country, under that country's rules. We set this up with your clinic.

Sources

  1. 1Amt für Statistik Berlin-Brandenburg, 2026Einwohnerbestand in Berlin, Grunddaten, 30. Juni 2026Read 15 October 2026Read source
  2. 2Ärztekammer Berlin, 2026Ärztekammer Berlin, homepageRead 15 October 2026Read source
  3. 3Ärztekammer Berlin, 2021Berufsordnung der Ärztekammer Berlin, section 10, DokumentationspflichtRead 15 October 2026Read source
  4. 4Berliner Beauftragte für Datenschutz und Informationsfreiheit, 2026Berliner Beauftragte für Datenschutz und Informationsfreiheit, homepageRead 15 October 2026Read source
  5. 5Datenschutzkonferenz (DSK), 2024Orientierungshilfe Künstliche Intelligenz und DatenschutzRead 15 October 2026Read source
  6. 6gematik, 2026ePA für alle, Informationen für LeistungserbringendeRead 15 October 2026Read source
  7. 7Federal Ministry of Justice, Gesetze im InternetStrafgesetzbuch, section 201, Verletzung der Vertraulichkeit des WortesRead 15 October 2026Read source
  8. 8wai, 2026wai changelog, intake answered by voice in any languageRead 15 October 2026Read source
  9. 9Ärztekammer Berlin, 2026Verbleib der Behandlungsakte von Patient:innenRead 15 October 2026Read source
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