Health Record Rights Index · country brief · this country's data as of October 1, 2026

Who holds the health record in Paraguay?

In 2026, Paraguay scores 33 out of 100 for how much say a person has over their own health record. It is tied for 142nd of 198 countries and territories, and could rank anywhere from 106th to 166th allowing for scoring error, in the Weak band (25 to 44). Who holds the keys: doctors, hospitals and insurers. Source: Health Record Rights Index, SuperTruth, this country's data as of October 1, 2026.

Doctors, hospitals and insurers decide. Its strongest right, compared with the typical country, is one record across your care (40 out of 100, against 38 for the typical country). The furthest behind is protection from sale and ads (30 out of 100, against 45 for the typical country).

Paraguay passed a modern data law in 2025 that does not apply until November 2027, and its national e-record bill died in May 2026.

Published · updated · this country's data as of October 1, 2026 · research tool, not legal advice

overall score · Weak band, 25 to 44
33/100
rank among 198 countries and territories; likely 106th to 166th, allowing for scoring error
Tied for 142nd
confidence in our evidence
Medium
strength of our evidence (DTI™)
90/100 (Platinum)

Questions people ask

Can I see my health record in Paraguay?

In 2026, getting your full record scores 33 out of 100 in Paraguay; the typical country scores 40 to 45. No law in force was found that gives patients a copy of their full clinical record; the constitution's habeas data covers official and public-character registers only. Ley 7593 adds a free access and copy right, but not until November 2027. Source: Georgetown PDBA, and the other sources below.

Who controls health records in Paraguay?

In 2026, doctors, hospitals and insurers hold the keys to your health record in Paraguay. Control over who sees it scores 27 out of 100 in Paraguay; the typical country scores 30. Records sit in provider systems such as the Health Ministry's HIS with no patient opt-out or patient-visible access log found. A 2026 rule logs each staff user by e-ID, but for traceability, not for patients. Source: MSPBS, June 27, 2026, and the other sources below.

How does Paraguay compare?

In 2026, Paraguay scores 33 out of 100, against 39 for the typical country. This brief compares it with Antigua and Barbuda (33 out of 100), Suriname (33 out of 100) and Belize (34 out of 100). Source: the ranking of all 198 countries and territories.

Eight rights, compared with Antigua and Barbuda, Suriname, Belize and the typical country

Scores out of 100, by right
Getting your full record20%3335 · 40 · 25
Control over who sees it20%2730 · 35 · 25
Privacy and security15%3542 · 30 · 30
One record across your care15%4028 · 30 · 55
Protection from sale and ads10%3042 · 30 · 25
Doctors see it when treating you10%3325 · 25 · 55
Your say over research use5%4643 · 46 · 43
Rules for AI in your care5%3020 · 20 · 20

Black dot: Paraguay. Hollow dots: Antigua and Barbuda, Suriname, Belize (scores out of 100 on the right, same order). Gray line: the typical country of all 198. Overall: Paraguay 33 out of 100. Scores move in steps of about 5 points, so read a rank with its likely range.

What would Paraguay need to change to score higher?

Paraguay sits in Weak (25 to 44); Mixed starts at 45. Its two weakest rights, compared with the typical country and weighted by how much each counts, are privacy and security (35 out of 100, against 45 for the typical country) and protection from sale and ads (30 out of 100, against 45 for the typical country). Our scoring rules give more points for:

  • Privacy and security: A health data regulator that is independent and actually acts: it decides cases about health records, breaches must be reported, and fines are applied.
  • Protection from sale and ads: Clear limits on selling health data or using it for ads, covering apps and data brokers as well as doctors and hospitals.

Which laws give health record rights in Paraguay?

  • Constitucion Nacional, Articulo 135 (habeas data) (1992): Right to access and correct one's data in official or public-character registers, through a judge.
  • Ley 836/80 (Codigo Sanitario) (1980): Health code; health workers who willfully breach professional secrecy can be suspended or deregistered.
  • Ley 7593/2025 (proteccion de datos personales): Health is sensitive data; access, portability, 72-hour breach notice, new agency. In force November 2027.

Doctors, waits and private care context, not part of the score

Doctors per 10,000
38.9 2022
Nurses and midwives per 10,000
94.1 2022
Private insurance + out-of-pocket
44.5% 2023
Record reaches private care?
unknown

Real cases

  • June 11, 2026 · ABC Color Health regulator finds a patient's digital record was rewritten minutes after the event
  • June 23, 2025 · ABC Color Government cyber team confirms attack on Ministry of Health systems

Compare Paraguay

Cite this brief

In 2026, Paraguay scored 33 out of 100 for how much say a person has over their own health record, tied for 142nd of 198 countries and territories (could be 106th to 166th), in the Weak band. Who holds the keys: doctors, hospitals and insurers. Source: Health Record Rights Index, SuperTruth, this country's data as of October 1, 2026, https://healthrecordrights.com/brief/paraguay/

The 16 sources for Paraguay

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)

  1. “Constitucion de la Republica del Paraguay 1992, Articulo 135” [Constitution of the Republic of Paraguay 1992, Article 135] our machine translation

    Georgetown PDBA (other) · Title in Spanish

    No date recorded · Link checked October 2, 2026 (opened)

    Used for: Getting your full record

    https://pdba.georgetown.edu/Parties/Paraguay/Leyes/constitucion.pdf

  2. “Ley 7593/2025, proteccion de datos personales en la Republica del Paraguay” [Law 7593/2025, protection of personal data in the Republic of Paraguay] our machine translation

    BaseLegal (law or regulation) · Title in Spanish

    Dated November 27, 2025 · Link checked October 2, 2026 (opened)

    Used for: Getting your full record; Control over who sees it; Privacy and security; Protection from sale and ads; Your say over research use

    https://baselegal.com.py/docs/c0b02f3c-cc40-11f0-8c5a-525400343722

  3. “Expediente D-2375375, historia clinica electronica y su registro: archivado” [File D-2375375, electronic medical record and its registration: archived] our machine translation

    SILpy (government guidance) · Title in Spanish

    Dated May 18, 2026 · Link checked October 2, 2026 (opened)

    Used for: Getting your full record; Control over who sees it; One record across your care

    https://silpy.congreso.gov.py/web/expediente/129698

  4. “Mi IPS” [My IPS] our machine translation

    Instituto de Prevision Social [Social Security Institute] (government guidance) · Title in Spanish

    No date recorded · Link checked October 2, 2026 (opened)

    Used for: Getting your full record

    https://portal.ips.gov.py/sistemas/ipsportal/contenido.php?c=278

Control over who sees it (1 source)

  1. “Avanza consolidacion del HIS como sistema unico e integral de informacion en salud” [Consolidation of the HIS as a single, comprehensive health information system advances] our machine translation

    MSPBS (government guidance) · Title in Spanish

    Dated June 27, 2026 · Link checked October 2, 2026 (opened)

    Used for: Control over who sees it; One record across your care; Doctors see it when treating you

    https://www.mspbs.gov.py/portal/35833/avanza-consolidacion-del-his-como-sistema-unico-e-integral-de-informacion-en-salud.html

Privacy and security (3 sources)

  1. “Ley 836/80, Codigo Sanitario” [Law 836/80, Health Code] our machine translation

    MSPBS DIGIES (law or regulation) · Title in Spanish

    No date recorded · Link checked October 2, 2026 (opened)

    Used for: Privacy and security; Your say over research use

    https://digies.mspbs.gov.py/wp-content/uploads/Ley-N°-836-Codigo-Sanitario.pdf

  2. “El ciberataque que obligo a los sanatorios a volver al papel” [The cyberattack that forced the clinics to go back to paper] our machine translation

    El Independiente (news) · Title in Spanish

    Dated June 30, 2026 · Link checked October 2, 2026 (opened)

    Used for: Privacy and security

    https://independiente.com.py/el-ciberataque-que-obligo-a-los-sanatorios-a-volver-al-papel-y-reabre-el-debate-sobre-la-ciberseguridad/

  3. “Adequacy decisions”

    European Commission (international body) · Title in English

    No date recorded · Link checked October 2, 2026 (opened)

    Used for: Privacy and security

    https://commission.europa.eu/law/law-topic/data-protection/international-dimension-data-protection/adequacy-decisions_en

One record across your care (2 sources)

  1. “Expansion sostenida: HIS llega a 1.335 establecimientos de salud” [Sustained expansion: HIS reaches 1,335 health facilities] our machine translation

    MSPBS (government guidance) · Title in Spanish

    Dated August 7, 2026 · Link checked October 2, 2026 (opened)

    Used for: One record across your care; Doctors see it when treating you

    https://www.mspbs.gov.py/portal/36139/expansion-sostenida-his-llega-a-1335-establecimientos-de-salud.html

  2. “Paraguay impulsa avances en interoperabilidad en salud” [Paraguay drives progress in health interoperability] our machine translation

    MSPBS (government guidance) · Title in Spanish

    Dated December 2, 2025 · Link checked October 2, 2026 (opened)

    Used for: One record across your care

    https://www.mspbs.gov.py/portal/34427/paraguay-impulsa-avances-en-interoperabilidad-en-salud.html

Protection from sale and ads (1 source)

  1. “Expediente D-2162170, Ley 7593 promulgada y publicada 27/11/2025” [File D-2162170, Law 7593 enacted and published 27/11/2025] our machine translation

    SILpy, Congreso Nacional [SILpy, National Congress] (government guidance) · Title in Spanish

    Dated November 27, 2025 · Link checked October 2, 2026 (opened)

    Used for: Protection from sale and ads

    https://silpy.congreso.gov.py/expediente/123459

Doctors see it when treating you (1 source)

  1. “Conectaton 2026: MSPBS lanza Agenda de Salud Digital” [Conectaton 2026: MSPBS launches Digital Health Agenda] our machine translation

    MSPBS (government guidance) · Title in Spanish

    Dated May 26, 2026 · Link checked October 2, 2026 (opened)

    Used for: Doctors see it when treating you

    https://www.mspbs.gov.py/portal/35602/conectaton-2026-mspbs-lanza-agenda-de-salud-digital.html

Your say over research use (1 source)

  1. “Direccion de Investigacion: ensayos clinicos y comites de etica” [Research Directorate: clinical trials and ethics committees] our machine translation

    DINAVISA (regulator) · Title in Spanish

    No date recorded · Link checked October 2, 2026 (opened)

    Used for: Your say over research use

    https://dinavisa.gov.py/direccion-de-investigacion/

Rules for AI in your care (3 sources)

  1. “Resolucion DINAVISA 226/2024, autorizacion de comercializacion de dispositivos medicos y modificaciones post autorizacion” [DINAVISA Resolution 226/2024, marketing authorisation of medical devices and post-authorisation modifications] our machine translation

    dinavisa.gov.py (law or regulation) · Title in Spanish

    Dated August 27, 2024 · Link checked October 2, 2026 (opened)

    Used for: Rules for AI in your care

    https://dinavisa.gov.py/wp-content/uploads/2024/09/RESOLUCION-DINAVISA-N°226.pdf

  2. “Resoluciones” [Resolutions] our machine translation

    DINAVISA (regulator) · Title in Spanish

    No date recorded · Link checked October 2, 2026 (opened)

    Used for: Rules for AI in your care

    https://dinavisa.gov.py/resoluciones/

  3. “El vacio normativo: la paradoja de Paraguay ante la Inteligencia Artificial” [The regulatory vacuum: Paraguay's paradox in the face of Artificial Intelligence] our machine translation

    Economia Virtual (news) · Title in Spanish

    Dated August 18, 2026 · Link checked October 2, 2026 (opened)

    Used for: Rules for AI in your care

    https://www.economiavirtual.com.py/noticia/3162/el-vacio-normativo-la-paradoja-de-paraguay-ante-la-inteligencia-artificial/

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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/paraguay/#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.