Health Record Rights Index · country brief · this country's data as of 2026-10-02
Who holds the health record in Austria?
In 2026, Austria scores 65 of 100 on a person's right to see, control and share their own health record: rank 9 of 198 countries (likely range 3 to 23), in the Strong band (65 to 84). Who holds the keys: Shared. Source: Health Record Rights Index, SuperTruth, this country's data as of 2026-10-02.
The person has real controls inside a state or provider system. Its strongest right against the other countries is patient control and consent (72, against a median of 30 across 198 countries); no right falls below the median, and the closest to it is research and trial consent (49, median 46).
Austria's opt-out ELGA record gives strong controls and a full access log, but holds reports and medicines, not complete charts, and few use it.
Published · updated · this country's data as of 2026-10-02 · research tool, not legal advice
65overall, of 100 · Strong
9rank of 198
Sharedwho holds the keys
highconfidence
91 · Platinumevidence grade (DTI)
Can I get my health records in Austria?
Access to the full record scores 63 of 100 in Austria, against a median of 43 across 198 countries. Patients have a statutory right to see their records and get a free first copy, and the ELGA portal shows discharge letters, lab and radiology reports and 18 months of medicines. Images, GP notes and documents from before 2016 are missing, and uptake is low.
Can I control who sees my health record in Austria?
Control and consent scores 72 of 100 in Austria, against a median of 30 across 198 countries. Everyone is in ELGA unless they opt out, fully or for e-reports or e-medication, and patients can hide or delete single documents, block a provider and read a full access log. There is no opt-out from the e-vaccination record or e-prescriptions.
Eight rights, against France, Norway, Portugal and the EU
Patient access to the full record20%
63
70 · 68 · 70
Patient control and consent20%
72
68 · 74 · 70
Privacy and security15%
63
58 · 62 · 56
Connected care journey15%
68
72 · 66 · 68
Protection from commercial use10%
66
66 · 64 · 62
Clinician access at the point of care10%
66
62 · 68 · 64
Research and trial consent5%
49
60 · 50 · 48
Clinical AI governance5%
50
54 · 50 · 50
Black dot: Austria. Hollow dots: France, Norway, Portugal (scores on the right, same order). Grey line: median of all 198 countries. Dashed teal line: EU median. Overall: Austria 65, EU median 61. Scores move in steps of about 5; read the rank with its likely range.
What would Austria need to change to score higher?
Austria sits in Strong (65 to 84); Leading starts at 85. The two rights furthest below the 198-country median, weighted, are research and trial consent (49, median 46) and clinical AI governance (50, median 30). The published rubric reads:
Research and trial consent: A general opt-out that is honoured, or dynamic or opt-in consent, with a public register of research uses: 55 to 85.
Clinical AI governance: Device regulation of clinical AI with change control and human oversight in force, plus national rules where EU law leaves gaps.
Which laws give health record rights in Austria?
Gesundheitstelematikgesetz 2012 (GTelG 2012) (2012): ELGA legal base: opt-out, document hiding, access log, ban on non-care use, fines up to EUR 10,000.
Datenschutzgesetz (DSG) (2018): Austrian GDPR companion law; research rules in § 7; no fines on public bodies under § 30(5).
Ärztegesetz 1998, §§ 49 and 51 (1998): Doctors must give a free first copy of records and use ELGA by 1 January 2026.
Strain and split context, not scored
Doctors per 10,000
56.7 2024 · OECD 3 of 38
Nurses and midwives per 10,000
109 2023 · OECD 16 of 38
Private insurance + out-of-pocket
21.3% 2023 · OECD 22 of 35
Record reaches private care?
partial
"labs and radiology must upload since 2025 and private doctors from 2026. Specialist reports follow by 2030."
Published stories
2025-10-20 · Federal Administrative Court (Bundesverwaltungsgericht), W108 2276075-1, upholding a Datenschutzbehörde decision Hospital security manager copied a patient's record and emailed it to police
2025-08-21 · Datenschutzbehörde (Austrian Data Protection Authority), penal decision 2025-0.625.944 Doctor opened an employee's national e-health record without consent; regulator fined her
In 2026, Austria scored 65 of 100 on a person's right to see, control and share their own health record, rank 9 of 198 countries (likely range 3 to 23) (Strong; who holds the keys: Shared). Source: Health Record Rights Index, SuperTruth, this country's data as of 2026-10-02, https://healthrecordrights.com/brief/AUT/
SuperTruth Inc. · 24 S. 24th St., Philadelphia, PA 19103, USA · +1 215 918 4140 · supertruth.ai Questions, corrections or a briefing: supertruth.ai/on-the-record#contact · Full index: healthrecordrights.com
OECD: Organisation for Economic Co-operation and Development (38 mostly high-income countries). DTI: SuperTruth's Data Trust Index, grading the evidence behind each score. Everything here comes from public information: laws, government and regulator pages, court decisions, published news, WHO, OECD and World Bank data. Full sources: https://healthrecordrights.com/brief/AUT/#sources. SuperTruth built this index and sells health data verification products; no one paid to be included. Research tool, not legal advice. Text and scores CC BY 4.0.
