Health Record Rights Index · country brief · this country's data as of October 1, 2026
Who holds the health record in San Marino?
In 2026, San Marino scores 55 out of 100 for how much say a person has over their own health record. It is tied for 40th of 198 countries and territories, and could rank anywhere from 23rd to 50th allowing for scoring error, in the Mixed band (45 to 64). Who holds the keys: you and the health system. Source: Health Record Rights Index, SuperTruth, this country's data as of October 1, 2026.
The person has real controls inside a government or provider system. Its strongest right, compared with the typical country, is getting your full record (70 out of 100, against 40 to 45 for the typical country). No right falls below the typical country; the closest to it is your say over research use (46 out of 100, against 46 for the typical country).
Over 90% of San Marino residents hold an online record from the single public health service, but rules on sharing and secondary use stay general.
Published · updated · this country's data as of October 1, 2026 · research tool, not legal advice
overall score · Mixed band, 45 to 64
55/100
rank among 198 countries and territories; likely 23rd to 50th, allowing for scoring error
Low confidence. Thin evidence on 4 of the 8 rights: your copy, who sees it, joined-up record and doctors see it. The evidence grade rates all our sources together; confidence looks at each right. Neither changes the score.
Questions people ask
Can I see my health record in San Marino?
In 2026, getting your full record scores 70 out of 100 in San Marino; the typical country scores 40 to 45. Law 171/2018 gives a free right of access within one month, and the health secretariat says over 90% of citizens have an electronic health record (FSE). It shows reports, discharge letters, prescriptions and vaccinations, but full clinical notes and export were not verified. Source: Istituto per la Sicurezza Sociale, and the other sources below.
Who controls health records in San Marino?
In 2026, you and the health system hold the keys to your health record in San Marino. Control over who sees it scores 55 out of 100 in San Marino; the typical country scores 30. Patients sign a consent form to open their FSE, and the ISS says every access is logged and can be checked by the owner. Source: Istituto per la Sicurezza Sociale, and the other sources below.
How does San Marino compare?
In 2026, San Marino scores 55 out of 100, against 39 for the typical country. This brief compares it with Cyprus (55 out of 100), Serbia (55 out of 100) and Switzerland (54 out of 100). Source: the ranking of all 198 countries and territories.
Eight rights, compared with Cyprus, Serbia, Switzerland, the typical EU country and the typical country
Scores out of 100, by right
Getting your full record20%
70
64 · 62 · 55
Control over who sees it20%
55
46 · 60 · 60
Privacy and security15%
52
58 · 46 · 60
One record across your care15%
56
58 · 64 · 40
Protection from sale and ads10%
50
54 · 46 · 58
Doctors see it when treating you10%
48
55 · 55 · 38
Your say over research use5%
46
45 · 46 · 66
Rules for AI in your care5%
40
50 · 40 · 56
Black dot: San Marino. Hollow dots: Cyprus, Serbia, Switzerland (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: San Marino 55 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 San Marino need to change to score higher?
San Marino sits in Mixed (45 to 64); Strong starts at 65. Every right is at or above the typical country. The two with the most room to grow, weighted by how much each counts, are control over who sees it (55 out of 100, against 30 for the typical country) and privacy and security (52 out of 100, against 45 for the typical country). Our scoring rules give more points for:
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.
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.
Which laws give health record rights in San Marino?
Legge 21 dicembre 2018 n.171 (data protection): GDPR-style law; health-sector title, 72-hour breach notice, fines up to 10 million euros or 4%.
Legge 30 giugno 2021 n.122 (good clinical practice): Adopts GCP and good clinical lab practice for drug trials, including written informed consent.
Legge 3 marzo 2023 n.39 (bioethics committee reform): Reforms the bioethics committee; it authorises clinical and epidemiological research, acting as the CERS.
Doctors, waits and private care context, not part of the score
Doctors per 10,000
44.0 2024
Nurses and midwives per 10,000
97.0 2024
Private insurance + out-of-pocket
unknown
Record reaches private care?
unknown
Real cases
February 10, 2026 · San Marino RTV Lab results stopped reaching patients' online health records for several days
In 2026, San Marino scored 55 out of 100 for how much say a person has over their own health record, tied for 40th of 198 countries and territories (could be 23rd to 50th), in the Mixed band. Who holds the keys: you and the health system. Source: Health Record Rights Index, SuperTruth, this country's data as of October 1, 2026, https://healthrecordrights.com/brief/san-marino/
The 14 sources for San Marino
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)
“Fascicolo Sanitario Elettronico” [Electronic Health Record] our machine translation
Istituto per la Sicurezza Sociale [Social Security Institute] (government guidance) · Title in Italian
No date recorded · Link checked October 2, 2026 (opened)
Used for: Getting your full record; Control over who sees it; Doctors see it when treating you
“Dal 1° gennaio 2026 i referti di laboratorio non arriveranno più per posta” [From 1 January 2026 laboratory reports will no longer arrive by post] our machine translation
Segreteria di Stato per la Sanità [Secretariat of State for Health] (government guidance) · Title in Italian
Dated December 11, 2025 · Link checked October 2, 2026 (opened)
Used for: Getting your full record; One record across your care
“Innovazione Digitale in sanità: presentata l'app del Fascicolo Sanitario” [Digital Innovation in healthcare: the Health Record app presented] our machine translation
ISS (government guidance) · Title in Italian
Dated June 4, 2024 · Link checked October 2, 2026 (opened)
Used for: Getting your full record; One record across your care
“Informazioni sul trattamento dei dati personali, informativa completa” [Information on the processing of personal data, full notice] our machine translation
ISS (government guidance) · Title in Italian
Dated November 4, 2019 · Link checked October 2, 2026 (opened)
Used for: Control over who sees it; Protection from sale and ads; Doctors see it when treating you
“Decreto Consiliare 27 settembre 2023 n.136, ratifica del Protocollo di emendamento alla Convenzione 108” [Council Decree of 27 September 2023 no.136, ratification of the Protocol amending Convention 108] our machine translation
garanteprivacy.sm (law or regulation) · Title in Italian
Dated September 27, 2023 · Link checked October 2, 2026 (opened)
“Il Fascicolo Sanitario Elettronico si arricchisce di una nuova sezione dedicata alle Impegnative” [The Electronic Health Record is enriched with a new section dedicated to Referrals] our machine translation
ISS (government guidance) · Title in Italian
Dated December 31, 2025 · Link checked October 2, 2026 (opened)
“Legge 3 marzo 2023 n.39, riforma del Comitato Sammarinese di Bioetica” [Law of 3 March 2023 no. 39, reform of the San Marino Bioethics Committee] our machine translation
bioetica.sm (law or regulation) · Title in Italian
Dated March 3, 2023 · Link checked October 2, 2026 (opened)
“Legge 30 giugno 2021 n.122, buona pratica clinica nelle sperimentazioni cliniche dei medicinali” [Law of 30 June 2021 no. 122, good clinical practice in clinical trials of medicinal products] our machine translation
bioetica.sm (law or regulation) · Title in Italian
Dated June 30, 2021 · Link checked October 2, 2026 (opened)
“Circolare n.1/2025 sulla vigilanza dei dispositivi medici e IVD” [Circular no.1/2025 on the vigilance of medical devices and IVDs] our machine translation
Authority Sanitaria [Health Authority] (regulator) · Title in Italian
Dated February 2025 · 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/san-marino/#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.
