Health Record Rights Index · country brief · this country's data as of 2026-10-02
Who holds the health record in Brazil?
In 2026, Brazil scores 52 of 100 on a person's right to see, control and share their own health record: rank 47= of 198 countries (likely range 33 to 61), in the Mixed band (45 to 64). Who holds the keys: State. Source: Health Record Rights Index, SuperTruth, this country's data as of 2026-10-02.
The government decides, with limited individual say. Its strongest right against the other countries is clinical AI governance (57, against a median of 30 across 198 countries); no right falls below the median, and the closest to it is research and trial consent (50, median 46).
Brazil's national network holds over 5 billion health records and patients can see part of theirs, but the state decides who else sees them.
Published · updated · this country's data as of 2026-10-02 · research tool, not legal advice
52overall, of 100 · Mixed
47=rank of 198
Statewho holds the keys
highconfidence
86 · Goldevidence grade (DTI)
Can I get my health records in Brazil?
Access to the full record scores 62 of 100 in Brazil, against a median of 43 across 198 countries. LGPD gives a free right of access with a 15-day deadline, and the national Meu SUS Digital app shows vaccines, exam results, medicines and visit records. It is a partial record: no export was found and patients cannot correct entries themselves.
Can I control who sees my health record in Brazil?
Control and consent scores 35 of 100 in Brazil, against a median of 30 across 198 countries. Decree 12,560/2025 puts the Ministry of Health in charge of the RNDS and limits clinician access to the care context, but sets no patient consent switch. A published notice offering an opt-out from clinician viewing could not be verified as working today.
Eight rights, against Canada, Costa Rica, Argentina and the EU
Patient access to the full record20%
62
50 · 64 · 60
Patient control and consent20%
35
55 · 48 · 48
Privacy and security15%
58
58 · 40 · 42
Connected care journey15%
55
50 · 68 · 45
Protection from commercial use10%
55
45 · 52 · 45
Clinician access at the point of care10%
50
55 · 65 · 42
Research and trial consent5%
50
49 · 45 · 49
Clinical AI governance5%
57
56 · 30 · 40
Black dot: Brazil. Hollow dots: Canada, Costa Rica, Argentina (scores on the right, same order). Grey line: median of all 198 countries. Dashed teal line: EU median. Overall: Brazil 52, EU median 61. Scores move in steps of about 5; read the rank with its likely range.
What would Brazil need to change to score higher?
Brazil sits in Mixed (45 to 64); Strong starts at 65. The two rights furthest below the 198-country median, weighted, are research and trial consent (50, median 46) and patient control and consent (35, 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.
Patient control and consent: An opt-out or opt-in, a patient-visible access log and granular choices together put control at 60 to 80.
Which laws give health record rights in Brazil?
Lei Geral de Proteção de Dados (Lei 13.709) (2018): Health data is sensitive; free access rights; bans sharing for economic advantage and plan risk selection.
Decreto 12.560 (RNDS and SUS Digital platforms) (2025): Makes the RNDS the national health data exchange; limits uses; restricts clinician access to care context.
Lei 13.787 (digital patient records) (2018): Rules for digitising records; keep at least 20 years; records may be returned to the patient.
Strain and split context, not scored
Doctors per 10,000
25.0 2024
Nurses and midwives per 10,000
58.3 2024
Private insurance + out-of-pocket
54.2% 2023
Record reaches private care?
partial
"Private hospital data and full notes are not yet part of the shared view in the sources opened."
Published stories
2026-07-08 · CNN Brasil Regulator opens case after attack on health operator affecting 500,000 patients' records
2026-05-28 · Consultor Jurídico (ConJur) Court upholds damages after a patient's test details appeared in internet search
In 2026, Brazil scored 52 of 100 on a person's right to see, control and share their own health record, rank 47= of 198 countries (likely range 33 to 61) (Mixed; who holds the keys: State). Source: Health Record Rights Index, SuperTruth, this country's data as of 2026-10-02, https://healthrecordrights.com/brief/BRA/
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/BRA/#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.
