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

By the wai teamOctober 15, 20267 min read

Reviewed by The Wellness Clinical Team, October 5, 2026

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

Key points

Summary

A Luxembourg City practice can use AI for notes and patient messages in 2026 when the patient file is kept for at least ten years, health data is processed on a valid GDPR basis under the CNPD's supervision and the doctor signs every note. Letters and results can then be shared through the DSP, the national shared care record run by the Agence eSanté.

Luxembourg City practices now answer every patient in the language they wrote in, the same day, and the doctor's letters reach the shared record before evening. In a capital where most residents hold another passport, that is the daily work. The national rules and the shared record shape how a practice here works.

See it in your clinicThirty minutes on your own patients and doctors.

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52.3%
of Luxembourg City residents were nationals of another EU-27 country on 1 January 2025 1
48.9%
of Luxembourg residents named Luxembourgish as their main language in the 2021 census, down from 55.8% in 2011 2
3,048
doctors on the Collège médical's register at 31 December 2025, up from 2,906 a year earlier 3

See an evening enquiry to a Luxembourg City practice become an approved reply, a paid booking and a signed letter ready for the DSP, in fifteen minutes with a clinician who uses wai daily.

The rules at a glance for a Luxembourg City practice
Body or lawRuleWhat to askHow wai meets it
Law of 24 July 2014 on patients' rightsPatient file kept at least ten years from the end of care, with a right of accessHow retention, access and export workEvery message, draft and signature logged and exportable
Agence eSanté, Dossier de Soins PartagéNational shared record for every affiliated person, alongside the practice's own fileHow signed letters reach the patient's DSPwai is built to connect to the DSP, set up with the practice
CNPD, GDPR and AI ActHealth data specially protected, and AI literacy expected of organisationsWhere data is hosted and whether it trains any modelRecords hosted in the clinic's own country, and patient data never used to train models
Collège médicalEthical oversight of every doctorWho signs each AI-drafted noteEvery note stays a draft until the doctor signs it

The private care market in Luxembourg City

Luxembourg had 681,973 residents on 1 January 2025, and 47.0% of them were foreign nationals.1 The capital alone had 136,161 residents, 20.0% of the population, and EU-27 nationals made up 52.3% of the city, the highest share of any commune.1

The Collège médical kept 3,048 doctors on its register at the end of 2025, 355 of them retired, together with 928 dentists.3 At the start of 2025, 14.9% of residents held at least two nationalities.1

The rules a Luxembourg City practice works under

The Collège médical oversees the ethics of doctors, dentists, pharmacists and psychotherapists and gives its opinion on every draft law and regulation affecting those professions.4

The law of 24 July 2014 on patients' rights and obligations requires the holder of a patient file to keep it for at least ten years from the end of care. The patient has a right of access to the file and to have its content explained.6

The Dossier de Soins Partagé is the national electronic health record, offered without a fee by the Agence eSanté and created automatically for every person affiliated to social security. It holds documents such as laboratory reports and hospital discharge letters, and it does not replace the record each professional keeps.5 wai is built to connect to the Dossier de Soins Partagé. We set up your clinic's connection with you.

The Commission nationale pour la protection des données supervises data protection, and its file on artificial intelligence covers the AI Act, including prohibited systems and how organisations ensure their staff understand AI.7 wai drafts each note and each reply, the doctor signs the note and a person at the practice approves the reply.

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 Luxembourg City.

The languages Luxembourg City patients write in

In the 2021 census Luxembourgish remained the most common main language at 48.9%, with Portuguese second and French third, ahead of English and Italian.2 Around the capital Luxembourgish is the main language of only 25% to 45% of residents, and the census identified 52 smaller language communities of more than 100 speakers.2

Mentions of other main languages rose from 40,042 in 2011 to 60,582 in 2021.2 wai works in any language, and the team approves each draft before the patient sees it.8

What a demo shows in Luxembourg City

The demo opens on an email sent at 19.50 by a bank analyst in Kirchberg who lives across the border and wants a check-up on a Friday, his one day in the office near the practice. wai threads it with his earlier visit, reads the doctor's busy times from Google Calendar, Outlook or Apple Calendar and drafts a reply in the language he wrote in, with two Friday slots. The secretary approves it the next morning.

He pays a deposit in euros through the practice's own Stripe account, with the practice as merchant of record, and completes the intake questionnaire before he arrives. After the visit the doctor corrects and signs the drafted note and the letter for his cardiologist, and the signed letter is ready for his DSP. Bring a real enquiry from last month and watch it run.

For hospitals, insurers and public bodies in Luxembourg

Hospital groups and insurers in Luxembourg can have a system of their own built on wai, under their own brand, with data rights and exit terms agreed in the contract. Work begins with one defined pathway and its measures. How a build runs is on the organisations page.

Where to start

First, write a ten-year minimum retention and full export into the vendor contract.6 Second, decide which signed documents go to each patient's DSP and who files them.5 Third, check the practice's AI use against the CNPD's guidance on the AI Act, including staff training.7

Fourth, count last month's enquiries by language and by country of residence, so the demo runs on the practice's real mix. The guide to one inbox for clinic messages shows how email, WhatsApp and calls sit in one thread.

Bring last month's enquiries by language, and we show the week they would have filled.

Frequently asked questions

Do Luxembourg patients already have a DSP?

The Agence eSanté creates one automatically for every person affiliated to social security, and the patient activates an eSanté account to manage it.5 wai is built to connect to the Dossier de Soins Partagé. We set up your clinic's connection with you.

Does the DSP replace the practice's own patient file?

No. The DSP groups key documents for coordinated care, and each professional still keeps a file.5

How long must a patient file be kept in Luxembourg?

At least ten years from the end of care, under the law of 24 July 2014 on patients' rights and obligations.6

Who supervises data protection for a Luxembourg practice?

The Commission nationale pour la protection des données, which also publishes guidance on the AI Act.7

Where are the practice'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.

Can patients write in the language they prefer?

Yes. wai works in any language, and someone at the practice approves every reply before it is sent.8

Sources

  1. 1STATEC, 2025La démographie luxembourgeoise en chiffres, édition 2025Read 15 October 2026Read source
  2. 2STATECRecensement de la population 2021, la diversité linguistiqueRead 15 October 2026Read source
  3. 3Collège médical, 2026Rapport annuel 2025Read 15 October 2026Read source
  4. 4Collège médical, 2026Les missions du Collège médicalRead 15 October 2026Read source
  5. 5Guichet.lu, Government of Luxembourg, 2026Activation du compte eSanté pour accéder au Dossier de Soins Partagé (DSP)Read 15 October 2026Read source
  6. 6Guichet.lu, Government of Luxembourg, 2026Droits et obligations du patientRead 15 October 2026Read source
  7. 7Commission nationale pour la protection des données, 2025La régulation de l'intelligence artificielle, AI ActRead 15 October 2026Read source
  8. 8wai, 2026wai changelog, intake answered by voice in any languageRead 15 October 2026Read source
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Every Luxembourg City patient answered the same day, in the language they wrote in.

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