Health Record Rights Index · country brief · this country's data as of 2026-10-01
Who holds the health record in Colombia?
In 2026, Colombia scores 43 of 100 on a person's right to see, control and share their own health record: rank 80= of 198 countries (likely range 58 to 103), in the Weak band (25 to 44). Who holds the keys: State. Source: Health Record Rights Index, SuperTruth, this country's data as of 2026-10-01.
The government decides, with limited individual say. Its strongest right against the other countries is clinician access at the point of care (50, against a median of 34 across 198 countries); its weakest is patient control and consent (27, median 30).
Colombia's law says patients own their electronic record and must consent to sharing, but the new national exchange is built for providers, not patients.
Published · updated · this country's data as of 2026-10-01 · research tool, not legal advice
43overall, of 100 · Weak
80=rank of 198
Statewho holds the keys
mediumconfidence
84 · Goldevidence grade (DTI)
Can I get my health records in Colombia?
Access to the full record scores 45 of 100 in Colombia, against a median of 43 across 198 countries. Ley 1751 and Ley 2015 give patients a free, complete electronic copy of their record. No national patient portal was found; the new national summaries are viewed by providers, so access still runs provider by provider.
Can I control who sees my health record in Colombia?
Control and consent scores 27 of 100 in Colombia, against a median of 30 across 198 countries. Ley 2015 says providers may access the electronic record only with the person's prior, express consent. The rollout rules describe automatic sharing with any authorised professional and no patient-facing consent switch or access log.
Eight rights, against Ecuador, Mexico, Panama and the EU
Patient access to the full record20%
45
50 · 55 · 50
Patient control and consent20%
27
30 · 35 · 32
Privacy and security15%
50
45 · 40 · 48
Connected care journey15%
50
40 · 38 · 45
Protection from commercial use10%
50
52 · 45 · 52
Clinician access at the point of care10%
50
40 · 35 · 45
Research and trial consent5%
45
49 · 50 · 49
Clinical AI governance5%
35
45 · 38 · 35
Black dot: Colombia. Hollow dots: Ecuador, Mexico, Panama (scores on the right, same order). Grey line: median of all 198 countries. Dashed teal line: EU median. Overall: Colombia 43, EU median 61. Scores move in steps of about 5; read the rank with its likely range.
What would Colombia need to change to score higher?
Colombia sits in Weak (25 to 44); Mixed starts at 45. The two rights furthest below the 198-country median, weighted, are patient control and consent (27, median 30) and research and trial consent (45, median 46). The published rubric reads:
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.
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.
Which laws give health record rights in Colombia?
Ley Estatutaria 1751 de 2015 (derecho fundamental a la salud) (2015): Right to consult the whole clinical record free, get a copy, and confidentiality.
Ley 2015 de 2020 (historia clinica electronica interoperable) (2020): Patient owns the electronic record; consent for access; free electronic copy; national interoperability.
Ley 1581 de 2012 (proteccion de datos personales) (2012): Health data sensitive; explicit authorisation; breach reporting; SIC fines up to 2,000 minimum wages.
Strain and split context, not scored
Doctors per 10,000
25.4 2023 · OECD 37 of 38
Nurses and midwives per 10,000
15.7 2024 · OECD 38 of 38
Private insurance + out-of-pocket
23.3% 2023 · OECD 18 of 35
Record reaches private care?
partial
Compulsory private insurance, counted separately: 6.3% of health spending (2023).
"Más de 1.400 prestadores de salud públicos y privados en más de 4.491 sedes interoperando, y más de 390 municipios conectados."
Published stories
2026-04-13 · La FM Regulator orders hospital and insurer to fix data handling after a patient's record leaked
2025-08-23 · El Tiempo Insurer sanctioned for sending a patient's full record to the patient's employer
In 2026, Colombia scored 43 of 100 on a person's right to see, control and share their own health record, rank 80= of 198 countries (likely range 58 to 103) (Weak; who holds the keys: State). Source: Health Record Rights Index, SuperTruth, this country's data as of 2026-10-01, https://healthrecordrights.com/brief/COL/
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/COL/#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.
