Who Holds the Record · country brief · data as of 2026-10-02
Who holds the health record in Belgium?
In 2026, Belgium scores 63 of 100 on a person's right to see, control and share their own health record: rank 11= of 65 countries, in the Mixed band (45 to 64). Who holds the keys: Shared. Source: Who Holds the Record, SuperTruth, data as of 2026-10-02.
The person has real controls inside a state or provider system. Its strongest right against the other countries is patient control and consent (72, against a median of 52 across 65 countries); its weakest is privacy and security (54, median 55).
Belgian records are indexed unless patients object, providers need consent to open them, and patients can block named doctors and see who looked.
Published · updated · data as of 2026-10-02 · research tool, not legal advice
63overall, of 100 · Mixed
11=rank of 65
Sharedwho holds the keys
mediumconfidence
80 · Silver (capped: few primary sources)evidence grade (DTI)
Can I get my health records in Belgium?
Access to the full record scores 68 of 100 in Belgium, against a median of 62 across 65 countries. The law gives a free first copy, paper or electronic, within 15 days, and the EU rates Belgian record access 100 out of 100. The federal portal shows linked documents, not one full record, and French speakers cannot see vaccines or test results in the app.
Can I control who sees my health record in Belgium?
Control and consent scores 72 of 100 in Belgium, against a median of 52 across 65 countries. The national index lists where a patient's data sits unless the patient objects, but another provider may open it only with revocable consent. Patients can exclude named providers and see who consulted their data; exclusion works only name by name.
Eight rights, against Germany, Italy, Turkey and the EU
Patient access to the full record20%
68
64 · 68 · 74
Patient control and consent20%
72
66 · 72 · 62
Privacy and security15%
54
58 · 56 · 50
Connected care journey15%
68
66 · 66 · 80
Protection from commercial use10%
54
70 · 60 · 55
Clinician access at the point of care10%
62
62 · 50 · 64
Research and trial consent5%
49
50 · 50 · 44
Clinical AI governance5%
50
50 · 54 · 50
Black dot: Belgium. Hollow dots: Germany, Italy, Turkey (scores on the right, same order). Grey line: median of all 65 countries. Dashed teal line: EU median. Overall: Belgium 63, EU median 61. Scores move in steps of about 5; gaps of 4 or less are ties.
What would Belgium need to change to score higher?
Belgium sits in Mixed (45 to 64); Strong starts at 65. The two rights furthest below the 65-country median, weighted, are privacy and security (54, median 55) and protection from commercial use (54, median 55). The published rubric reads:
Privacy and security: Health-sector enforcement on the record: an independent regulator deciding health-data cases, breach notification and penalties applied.
Protection from commercial use: Clear limits on selling health data or using it for marketing, covering apps and data brokers as well as providers.
Which laws give health record rights in Belgium?
Loi du 22 août 2002 relative aux droits du patient (2002): Right to a kept file, consultation within 15 days, free first copy on paper or electronically.
Loi du 22 avril 2019 relative à la qualité de la pratique des soins de santé (2019): Access to others' records needs consent and a therapeutic link; emergency access; patients can see who accessed.
Loi du 30 juillet 2018 relative à la protection des données (2018): Implements the GDPR; extra duties for health data: named access categories and confidentiality.
Strain and split context, not scored
Doctors per 10,000
33.9 2023 · OECD 26 of 38
Nurses and midwives per 10,000
123 2022 · OECD 12 of 38
Private insurance + out-of-pocket
26.3% 2023 · OECD 13 of 35
Record reaches private care?
unknown
Published stories
2025-12-18 · Gegevensbeschermingsautoriteit (Belgian Data Protection Authority), Litigation Chamber decision 209/2025 Access list showed a therapist opened a patient's test results without a care reason
2024-12-17 · Gegevensbeschermingsautoriteit (Belgian Data Protection Authority), Litigation Chamber decision 166/2024 Ransomware hit a hospital whose patient record system had weak password protection
In 2026, Belgium scored 63 of 100 on a person's right to see, control and share their own health record, rank 11= of 65 countries (Mixed; who holds the keys: Shared). Source: Who Holds the Record, SuperTruth, data as of 2026-10-02, https://whoholds.supertruth.ai/brief/BEL/
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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://whoholds.supertruth.ai/brief/BEL/#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.