Health Record Rights Index · country brief · this country's data as of October 2, 2026
Who holds the health record in Austria?
In 2026, Austria scores 65 out of 100 for how much say a person has over their own health record. It is 9th of 198 countries and territories, and could rank anywhere from 3rd to 23rd allowing for scoring error, in the Strong band (65 to 84). Who holds the keys: you and the health system. Source: Health Record Rights Index, SuperTruth, this country's data as of October 2, 2026.
The person has real controls inside a government or provider system. Its strongest right, compared with the typical country, is control over who sees it (72 out of 100, against 30 for the typical country). No right falls below the typical country; the closest to it is your say over research use (49 out of 100, against 46 for the typical country).
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 October 2, 2026 · research tool, not legal advice
overall score · Strong band, 65 to 84
65/100
rank among 198 countries and territories; likely 3rd to 23rd, allowing for scoring error
In 2026, getting your full record scores 63 out of 100 in Austria; the typical country scores 40 to 45. 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. Source: RIS, October 1, 2026, and the other sources below.
Who controls health records in Austria?
In 2026, you and the health system hold the keys to your health record in Austria. Control over who sees it scores 72 out of 100 in Austria; the typical country scores 30. 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. Source: RIS, October 1, 2026, and the other sources below.
How does Austria compare?
In 2026, Austria scores 65 out of 100, against 39 for the typical country. This brief compares it with France (66 out of 100), Norway (66 out of 100) and Portugal (64 out of 100). Source: the ranking of all 198 countries and territories.
Eight rights, compared with France, Norway, Portugal, the typical EU country and the typical country
Scores out of 100, by right
Getting your full record20%
63
70 · 68 · 70
Control over who sees it20%
72
68 · 74 · 70
Privacy and security15%
63
58 · 62 · 56
One record across your care15%
68
72 · 66 · 68
Protection from sale and ads10%
66
66 · 64 · 62
Doctors see it when treating you10%
66
62 · 68 · 64
Your say over research use5%
49
60 · 50 · 48
Rules for AI in your care5%
50
54 · 50 · 50
Black dot: Austria. Hollow dots: France, Norway, Portugal (scores out of 100 on the right, same order). Gray line: the typical country of all 198. Dashed teal line: the typical EU country. Overall: Austria 65 out of 100, the typical EU country 61. Scores move in steps of about 5 points, so read a 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. Every right is at or above the typical country. The two with the most room to grow, weighted by how much each counts, are getting your full record (63 out of 100, against 40 to 45 for the typical country) and control over who sees it (72 out of 100, against 30 for the typical country). Our scoring rules give more points for:
Getting your full record: A national portal that shows most people at least part of their record (a summary, prescriptions, lab results) puts this right at 60 to 75 out of 100. A near-full record that you can download, with a long history and used by most people, puts it at 76 to 90.
Control over who sees it: A way to say no to sharing (or to be asked first), a log you can read of who opened your record, and finer choices about who sees what. Together these put this right at 60 to 80 out of 100.
Which laws give health record rights in Austria?
Gesundheitstelematikgesetz 2012 (GTelG 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: Doctors must give a free first copy of records and use ELGA by 1 January 2026.
Doctors, waits and private care context, not part of the score
Doctors per 10,000
56.7 2024 · 3rd highest of 38 OECD countries
Nurses and midwives per 10,000
109 2023 · 16th highest of 38 OECD countries
Private insurance + out-of-pocket
21.3% 2023 · 22nd highest of 35 OECD countries
Record reaches private care?
partly
"labs and radiology must upload since 2025 and private doctors from 2026. Specialist reports follow by 2030."
Real cases
October 20, 2025 · Federal Administrative Court (Bundesverwaltungsgericht), W108 2276075-1, upholding a Datenschutzbehörde decision · archived copy Hospital security manager copied a patient's record and emailed it to police
August 21, 2025 · 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 out of 100 for how much say a person has over their own health record, 9th of 198 countries and territories (could be 3rd to 23rd), in the Strong band. Who holds the keys: you and the health system. Source: Health Record Rights Index, SuperTruth, this country's data as of October 2, 2026, https://healthrecordrights.com/brief/austria/
The 24 sources for Austria
Each source appears once, under the first right it supports. Titles are shown as our research agents recorded them, usually in the page's own language; text in square brackets is our machine translation. Links were checked on the date shown.
Getting your full record (4 sources)
“Ärztegesetz 1998 § 51 Dokumentationspflicht und Auskunftserteilung” [Physicians Act 1998 § 51 Duty of documentation and provision of information] our machine translation
RIS (law or regulation) · Title in German
Dated October 1, 2026 · Link checked October 2, 2026 (opened)
“Elektronische Gesundheitsakte ELGA und ELGA GmbH, Bericht 2024/32” [Electronic Health Record ELGA and ELGA GmbH, Report 2024/32] our machine translation
Rechnungshof [Court of Audit] (government guidance) · Title in German
Dated October 31, 2024 · Link checked October 2, 2026 (opened)
SuperTruth Inc. · 24 S. 24th St., Philadelphia, PA 19103, USA · +1 215 918 4140 · supertruth.ai Something wrong? Tell us · Questions 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™: the Data Trust Index, which grades the evidence behind each score. SuperTruth makes it and publishes this index. 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/austria/#sources. SuperTruth built this index and sells health data verification products; no one paid to be included. Research tool, not legal advice. Our scores and our own words are CC BY 4.0; quoted law and source titles stay with their owners.