Key points
- Hong Kong had 16,459 doctors in March 2024, 2.16 per 1,000 people, with the public and private sectors each employing around half.1
- Since 13 October 2025, clinics need a licence under the Private Healthcare Facilities Ordinance, while small practice clinics of up to five doctors or dentists need a letter of exemption.2
- Over 6.18 million people, more than 80% of the population, have registered with eHealth, and more than 4,100 private healthcare providers have joined.3
- The PCPD's AI framework recommends human-in-the-loop control for higher-risk AI and telling patients, on or before collection, which classes of people such as AI suppliers may receive their data.4
- 88.2% of residents aged five and over speak Cantonese at home, 58.7% can speak English and 54.2% Putonghua.5
Summary
A Hong Kong clinic can use AI for notes and patient messages once it holds a clinic licence or a small practice exemption under Cap. 633, and handles patient data in line with the Personal Data (Privacy) Ordinance. The PCPD's AI framework asks for human oversight matched to risk and clear notice to patients about who receives their data. A system where the AI drafts, the team approves and the doctor signs meets that standard.
A Hong Kong clinic on wai has the evening's messages answered by morning and every consult signed before the last patient leaves. Private practice employs about half the territory's doctors, and the licensing, privacy and record-sharing rules that shape that work are set out below.1
Part of the ORPHF hub, with the framework explained, a readiness checklist and 8 guides.
See it in your clinicThirty minutes on your own patients and doctors.
Request a demoSee a late-evening enquiry to a Central clinic become an approved booking, in fifteen minutes with a clinician who uses wai daily.
| Body or law | Rule | What to check | How wai meets it |
|---|---|---|---|
| Department of Health, Cap. 633 | Clinic licence, or a letter of exemption for small practice clinics of up to five doctors or dentists | The Code of Practice record-keeping covers AI-drafted notes | The doctor reviews and signs every note, and each signature is logged |
| PCPD, Data Protection Principle 1 | Tell patients the purpose and who may receive their data, on or before collection | The AI supplier is named in the collection statement | Every subprocessor named, with thirty days notice before any change |
| PCPD, Data Protection Principle 4(2) | Contractual safeguards when a processor handles personal data | Security terms are in the contract | AES-256 at rest, TLS 1.3 in transit, role-based access enforced in the database |
| PCPD AI Model Framework | Human-in-the-loop control for higher-risk AI | Which outputs need approval before use | Nothing sends until the team approves it, and nothing clinical without the doctor |
| eHealth, Electronic Health Record Sharing System Ordinance as amended in 2025 | Providers may deposit records once a citizen has consented to join | Deposits to eHealth | wai is built to connect to eHealth. We set up your clinic's connection with you. |
The private care market in Hong Kong
Hong Kong had 16,459 doctors at 31 March 2024, 2.16 for every 1,000 people.1 The public and private sectors each employ around half of them, while the public system provides 90% of in-patient services, so private doctors see their patients mainly in outpatient clinics.1
As of August 2025, more than 4,100 private healthcare providers had registered with eHealth, covering over 6,700 service locations, up 18% in a year.3 Private providers mostly view records there and only a minority deposit them, and the government is adding technical help, subsidies and incentives to change that.3
The rules a Hong Kong clinic works under
The Private Healthcare Facilities Ordinance, Cap. 633, requires a licence to operate a clinic where registered medical practitioners or dentists practise, and licensees follow the Code of Practice for Clinics issued by the Director of Health.2 The Department of Health began accepting applications on 13 October 2025. Clinics operating since before 30 November 2018 could apply under transitional arrangements until 13 April 2026, and small practice clinics of no more than five doctors or dentists obtain a letter of exemption instead.2
The Personal Data (Privacy) Ordinance applies to every patient record. The PCPD's Model Personal Data Protection Framework for AI, published in June 2024, recommends that higher-risk AI keep a human in the loop who retains control of decisions, and lists AI-assisted medical imaging analytics or therapies among its higher-risk examples.4
Recording a consult collects personal data, so under Data Protection Principle 1 the clinic tells patients the purpose and the classes of people who may receive the data, including any AI supplier, on or before collection.4 Where an AI provider processes data for the clinic, Principle 4(2) calls for contractual safeguards against unauthorised access or loss.4 wai names every subprocessor, with what it does and the agreement in place, and gives thirty days notice before any change.7
For personal data moving between Hong Kong and the mainland Greater Bay Area cities, the CAC and the Innovation, Technology and Industry Bureau published a standard contract in December 2023, filed with the Office of the Government Chief Information Officer within 10 working days of taking effect.8
The Electronic Health Record Sharing System (Amendment) Ordinance 2025 took effect on 1 December 2025, so once a citizen consents to join eHealth, their healthcare providers may deposit health data to their account.3 wai is built to connect to eHealth. 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 Hong Kong. The guide to data residency lists the contract questions.
The languages Hong Kong patients write in
In the 2021 Population Census, 88.2% of residents aged five and over spoke Cantonese at home, 58.7% could speak English and 54.2% Putonghua.5 For written messages, 90.1% could read Chinese and 70.6% could read English.5
wai works in any language.6 A member of the team reads and approves each reply before it goes.
What a demo shows in Hong Kong
The demo opens on a message in Chinese sent through the clinic's website at 11.30pm to a family clinic in Central, asking whether the doctor can see a child before school on Saturday. wai reads it in the patient's thread, checks the doctor's busy times in Google Calendar or Outlook, finds an open slot and drafts the reply. The clinic assistant approves it at 8am.
A missed call during the morning session becomes a drafted text the team approves in the same thread. After the consult, the doctor reviews and signs the drafted note and referral letter, and every draft and signature is logged. Bring a real week of enquiries, in the languages they arrived in.
For hospital groups and insurers in Hong Kong
A private hospital group or insurer can have wai built around one pathway, such as outpatient follow-up with eHealth deposits, under its own brand and with data rights agreed in the contract. The organisations page describes how a build begins.
Where to start
First, confirm whether the practice holds a clinic licence or a small practice clinic exemption under Cap. 633.2 Second, update the Personal Information Collection Statement so patients know about AI note-taking and which suppliers receive their data, as the PCPD framework recommends.4
Third, name who approves messages and who signs notes, keeping a person in the loop for every AI output.4 Fourth, count last month's enquiries by language and by hour, and bring the count to the demo.
Send us last month's enquiries by language and hour, and we show the sessions they would have filled.
Frequently asked questions
Does a small private clinic in Hong Kong need a licence?
A small practice clinic with no more than five registered doctors or dentists that meets the Ordinance's conditions needs a letter of exemption from the Department of Health instead of a licence.2
Does the PDPO allow a clinic to use an AI scribe?
The PCPD's AI framework, which is guidance, sets out the safeguards for doing so, chiefly human oversight matched to risk and clear notice to patients about AI suppliers.4
Do private clinics have to deposit records in eHealth?
Can patients write in their own language?
Yes. wai works in any language, and the team approves each draft before it reaches the patient.6
Where are a Hong Kong clinic's records hosted?
wai hosts each clinic's records in its own country, under that country's rules. We set this up with your clinic.
Who signs an AI-drafted clinical note?
The doctor. wai drafts the note during the consult, and the doctor reviews and signs it, as covered in who signs an AI clinical note.
Sources
- 1news.gov.hk, Hong Kong SAR Government, 2024Govt eases public hospitals' burdenRead 14 October 2026Read source
- 2Hong Kong SAR Government press release, 2025Government implements regulatory regime for clinics and small practice clinicsRead 14 October 2026Read source
- 3Legislative Council Panel on Health Services, Health Bureau, 2025Update on eHealth+ development, LC Paper No. CB(3)1357/2025(01)Read 14 October 2026Read source
- 4Office of the Privacy Commissioner for Personal Data, 2024Artificial Intelligence, Model Personal Data Protection Framework (archived copy read 14 Oct 2026)Read 14 October 2026Read source
- 5Census and Statistics Department, 20222021 Population Census, main resultsRead 14 October 2026Read source
- 6wai, 2026wai changelog, intake answered by voice in any languageRead 14 October 2026Read source
- 7wai, 2026Security at waiRead 14 October 2026Read source
- 8Cyberspace Administration of China and Hong Kong Innovation, Technology and Industry Bureau, 2023Implementation guidelines for the Greater Bay Area (Mainland, Hong Kong) standard contract for cross-boundary flow of personal informationRead 15 October 2026Read source
Every Hong Kong enquiry answered by morning, every note signed by the doctor.
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