Who Holds the Record · country brief · data as of 2026-10-02Who holds the health record in Brazil?
In 2026, Brazil scores 52 of 100 on a person's right to see, control and share their own health record: rank 42= of 65 countries, in the Mixed band (45 to 64). Who holds the keys: State. Source: Who Holds the Record, SuperTruth, data as of 2026-10-02.
Brazil's national network holds over 5 billion health records and patients can see part of theirs, but the state decides who else sees them.
Published · updated · data as of 2026-10-02 · research tool, not legal advice
Can I get my health records in Brazil?
Access to the full record scores 62 of 100 in Brazil, against a median of 62 across 65 countries. LGPD gives a free right of access with a 15-day deadline, and the national Meu SUS Digital app shows vaccines, exam results, medicines and visit records. It is a partial record: no export was found and patients cannot correct entries themselves.
Can I control who sees my health record in Brazil?
Control and consent scores 35 of 100 in Brazil, against a median of 52 across 65 countries. Decree 12,560/2025 puts the Ministry of Health in charge of the RNDS and limits clinician access to the care context, but sets no patient consent switch. A published notice offering an opt-out from clinician viewing could not be verified as working today.
Eight rights, against Canada, Costa Rica, Argentina and the EU
| Patient access to the full record20% | 62 | 50 · 64 · 60 | |
|---|---|---|---|
| Patient control and consent20% | 35 | 55 · 48 · 48 | |
| Privacy and security15% | 58 | 58 · 40 · 42 | |
| Connected care journey15% | 55 | 50 · 68 · 45 | |
| Protection from commercial use10% | 55 | 45 · 52 · 45 | |
| Clinician access at the point of care10% | 50 | 55 · 65 · 42 | |
| Research and trial consent5% | 50 | 49 · 45 · 49 | |
| Clinical AI governance5% | 57 | 56 · 30 · 40 |
Black dot: Brazil. Hollow dots: Canada, Costa Rica, Argentina (scores on the right, same order). Grey line: median of all 65 countries. Dashed teal line: EU median. Overall: Brazil 52, EU median 61. Scores move in steps of about 5; gaps of 4 or less are ties.
What would Brazil need to change to score higher?
Brazil sits in Mixed (45 to 64); Strong starts at 65. The two rights furthest below the 65-country median, weighted, are patient control and consent (35, median 52) and connected care journey (55, median 62). 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.
- Connected care journey: Primary care, hospitals, labs, pharmacy, claims and public health linked to one record and used at national scale.
Which laws give health record rights in Brazil?
- Lei Geral de Proteção de Dados (Lei 13.709) (2018): Health data is sensitive; free access rights; bans sharing for economic advantage and plan risk selection.
- Decreto 12.560 (RNDS and SUS Digital platforms) (2025): Makes the RNDS the national health data exchange; limits uses; restricts clinician access to care context.
- Lei 13.787 (digital patient records) (2018): Rules for digitising records; keep at least 20 years; records may be returned to the patient.
Strain and split context, not scored
- Doctors per 10,000
- 25.0 2024
- Nurses and midwives per 10,000
- 58.3 2024
- Private insurance + out-of-pocket
- 54.2% 2023
- Record reaches private care?
- partial
"Private sector integration and small hospitals still lag."
Published stories
- 2025-12-24 · Autoridade Nacional de Proteção de Dados (ANPD), Voto nº 47/2025/DIR-IM/CD Regulator upholds warnings against Health Ministry over exposed health data
- 2026-07-08 · CNN Brasil Regulator opens case after attack on health operator affecting 500,000 patients' records
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