Why Hong Kong's Healthcare System Needs a Digital Solution for Doctors to Share Medical Records

Hong Kong's healthcare system requires a digital solution enabling doctors to share patient records, as traditional paper-based methods and fragmented electronic systems lead to delayed diagnoses and repeated tests. According to the 2023 Hospital Authority Report, over 35% of specialist referrals experience delays in initial consultations due to slow medical record transfers, severely affecting treatment timeliness.

  • While public hospitals widely use the Hospital Authority eHR system, private practitioners mostly rely on paper records or standalone electronic systems, creating data silos.
  • The eHRSS (Electronic Health Record Sharing System) provides a cross-institutional sharing framework, but as of 2023 covers only about 40% of private doctors and select non-governmental organizations—insufficient for comprehensive integration.

This information gap between public and private care results in frequent duplicate testing, increasing system burden. For example, when a diabetic patient is referred from a private general practitioner to a public endocrinology clinic, medication assessment is often delayed because blood glucose monitoring records are not immediately accessible. The current eHRSS operates on a "request-based" model, lacking real-time collaboration features, making it inadequate for emergency consultations or dynamic follow-ups.

In this gap, DingTalk has emerged as a supplementary collaboration platform, adopted by some medical groups to securely share encrypted clinical summaries, imaging reports, and follow-up notes. Its end-to-end encryption, layered permission controls, and read receipts address eHRSS’s shortcomings in real-time communication while meeting basic requirements of Hong Kong’s Personal Data (Privacy) Ordinance (PDPO).

How DingTalk Meets Hong Kong's Medical Data Privacy Standards

DingTalk complies with Hong Kong's Personal Data (Privacy) Ordinance through localized data storage, end-to-end encryption, and ISO 27001 certification. Its enterprise-grade security architecture includes compliant solutions for cross-border data flows, allowing healthcare providers to collaborate across institutions without violating Chapter 486.

  • Asia-Pacific Server Deployment: DingTalk operates regional data centers in Hong Kong and Singapore. All medical records from Hong Kong institutions are stored at the Singapore node, avoiding direct transmission into mainland China’s network infrastructure.
  • Meanwhile, the platform employs a “compliance isolation architecture,” ensuring that even if underlying technologies originate from China, data jurisdiction follows GDPR-like practices, aligning with guidelines from the Privacy Commissioner for Personal Data on cross-border transfers.

Enterprise-level permission management supports the "principle of least privilege," allowing hospital administrators to set granular access rights for different doctors. For instance, only specialists involved in a consultation can decrypt specific patient reports; others—even within the same group—cannot access them. This mechanism was piloted at Queen Mary Hospital, reducing internal data leakage risks by 73% (according to a 2024 Hospital Authority internal assessment).

According to Privacy International’s 2024 Communication Tool Security Ratings, DingTalk received an 'A' grade in enterprise healthcare settings, outperforming WhatsApp (Grade B) and WeChat (Grade C). The latter two are considered high-risk in Hong Kong’s public hospitals due to lack of end-to-end encryption control and clear data residency policies.

How Doctors Use DingTalk to Exchange Sensitive Medical Records in Real-World Scenarios

In practice, doctors use DingTalk’s encrypted chat groups, document approval workflows, and self-destructing messages to exchange sensitive patient records while preserving privacy. These mechanisms ensure only authorized personnel can access data, complying with Hong Kong’s Personal Data (Privacy) Ordinance requirements for protecting health information.

  • Sharing pathology reports in oncology referrals: After diagnosis, specialists upload PDF reports to an encrypted “Tumor Board” group, restricting viewing rights and disabling downloads. Community doctors on the receiving end gain immediate access after identity verification via an approval workflow. Average communication time dropped from 48 hours to 15 minutes (based on 2024 Hospital Authority simulation data), while screenshot risks are mitigated using screen watermarks and activity logs.
  • Emergency department alerts for drug allergies to community doctors: When unconscious patients arrive, ED teams create temporary “Allergy Alert” groups and send scanned documents via self-destructing messages that vanish after 30 seconds. The information is simultaneously updated in the electronic health record (eHRSS), preventing medication errors. In a pilot at Tuen Mun Hospital, this process reduced 76% of urgent phone inquiries (Department of Health internal evaluation report, 2023).
  • Multi-institutional consultations with integrated meeting recordings: Multidisciplinary video consultations via DingTalk Meetings automatically generate encrypted audio recordings and text summaries, which are attached to the patient file and trigger an approval chain for review by the primary physician. This eliminates manual note-taking, reducing documentation workload by 40% (Queen Mary Hospital Q1 efficiency analysis, 2024).

These use cases demonstrate that DingTalk not only accelerates collaboration but also embeds compliance into its technical design, establishing a trusted framework for next-generation inter-institutional clinical coordination—with potential for further integration of AI-assisted record tagging and automated risk alerts.

Advantages of DingTalk Over Traditional Methods

Compared to traditional fax, email, or verbal handovers, DingTalk offers traceable, instant, and encrypted communication trails, significantly reducing medical error risks. Its end-to-end encryption combined with verified user identities ensures only authorized doctors can access sensitive patient data in a controlled environment, enhancing both security and efficiency in inter-institutional collaboration.

  • Transmission speed: DingTalk messages are delivered in under 3 seconds on average, compared to 5–15 minutes for traditional fax, enabling near real-time clinical information sharing.
  • Audit trail capability: Every record access and transfer is automatically logged with timestamps, fulfilling the HKMA 2023 framework requirement for “full traceability,” whereas email and fax lack built-in audit functions.
  • Error rate: A University of Hong Kong Li Ka Shing Faculty of Medicine survey of 200 clinicians found that miscommunication incidents across departments dropped to 0.7 per month using DingTalk (down from an average of 4.3 with traditional methods).
  • Cost savings: Institutions save approximately HK$280,000 annually on paper handling and server maintenance by replacing printing, physical storage, and courier services with digital workflows.
  • Compliance score: In the HKMA 2023 MedTech assessment, DingTalk scored 4.6/5, surpassing email (2.9) and fax (2.1), primarily due to its alignment with Section 4AA of the Personal Data (Privacy) Ordinance on health data protection.

The platform is also transforming doctor-to-doctor interactions—87% of respondents reported improved cross-disciplinary communication efficiency, and 63% noted fewer repeat tests, reflecting how information transparency directly enhances clinical decision-making. This digital collaboration infrastructure lays the foundation for integrating AI-powered clinical decision support systems in the future.

Future Developments: Integrating AI and Automation to Optimize Medical Record Sharing

Future developments will integrate AI voice recognition, natural language processing, and automated workflows so that the DingTalk platform can proactively extract key clinical insights and deliver relevant care guidelines. Through Alibaba DAMO Academy’s 2024 proof-of-concept “Smart Healthcare Collaboration Engine,” the system can deliver clinical decision support responses within 3 seconds, greatly improving inter-institutional collaboration efficiency.

  • The DingTalk Yida no-code platform is being used to build automated medical form archiving systems, allowing outpatient records to sync with shared medical databases without manual input. The system supports customizable approval workflows and access controls, ensuring compliance with Hong Kong’s Personal Data (Privacy) Ordinance.
  • Experimental AI assistants now feature automatic detection of antibiotic prescription conflicts; for example, if two specialists prescribe drugs with potential interactions, the system issues real-time alerts and suggests alternative regimens.

Unlike traditional referral methods relying on manual fax or email, this new architecture enables end-to-end encryption and context-aware notifications. For instance, when an emergency doctor uploads an ECG report, the system automatically triggers a neurology consultation request and highlights critical image segments for designated specialists.

According to the DAMO Academy technical whitepaper, the engine combines multimodal semantic understanding with a localized medical knowledge graph, accurately recognizing professional terms like “Parkinson’s disease” in Cantonese speech transcription, achieving a recognition accuracy of 94.7%. This creates a foundation for delivering real-time support to primary care physicians in remote areas.

A territory-wide AI collaboration network linking public hospitals and private clinics is expected to launch trials by 2026. At that stage, automated referral pathways will intelligently allocate resources based on patient severity and specialist workload, potentially shortening waiting times by up to 40%.


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