Who Holds the Record · country brief · data as of 2026-10-01
Who holds the health record in Paraguay?
In 2026, Paraguay scores 33 of 100 on a person's right to see, control and share their own health record: rank 140= of 196 countries (likely range 104 to 164), in the Weak band (25 to 44). Who holds the keys: Institutional. Source: Who Holds the Record, SuperTruth, data as of 2026-10-01.
Providers and insurers decide. Its strongest right against the other countries is connected care journey (40, against a median of 38 across 196 countries); its weakest is protection from commercial use (30, median 45).
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 · data as of 2026-10-01 · research tool, not legal advice
33overall, of 100 · Weak
140=rank of 196
Institutionalwho holds the keys
mediumconfidence
90 · Platinumevidence grade (DTI)
Can I get my health records in Paraguay?
Access to the full record scores 33 of 100 in Paraguay, against a median of 43 across 196 countries. 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.
Can I control who sees my health record in Paraguay?
Control and consent scores 27 of 100 in Paraguay, against a median of 30 across 196 countries. 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.
Eight rights, against Antigua and Barbuda, Suriname, Belize and the EU
Patient access to the full record20%
33
35 · 40 · 25
Patient control and consent20%
27
30 · 35 · 25
Privacy and security15%
35
42 · 30 · 30
Connected care journey15%
40
28 · 30 · 55
Protection from commercial use10%
30
42 · 30 · 25
Clinician access at the point of care10%
33
25 · 25 · 55
Research and trial consent5%
46
43 · 46 · 43
Clinical AI governance5%
30
20 · 20 · 20
Black dot: Paraguay. Hollow dots: Antigua and Barbuda, Suriname, Belize (scores on the right, same order). Grey line: median of all 196 countries. Dashed teal line: EU median. Overall: Paraguay 33, EU median 61. Scores move in steps of about 5; read the 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. The two rights furthest below the 196-country median, weighted, are patient access to the full record (33, median 43) and privacy and security (35, median 45). The published rubric reads:
Patient access to the full record: A national portal showing at least part of the record (summary, prescriptions, labs) to most residents puts access at 60 to 75; a near-full record with export, long history and majority use, 76 to 90.
Privacy and security: Health-sector enforcement on the record: an independent regulator deciding health-data cases, breach notification and penalties applied.
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) (2025): Health is sensitive data; access, portability, 72-hour breach notice, new agency. In force November 2027.
Strain and split context, not scored
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
Published stories
2026-06-11 · ABC Color Health regulator finds a patient's digital record was rewritten minutes after the event
2025-06-23 · ABC Color Government cyber team confirms attack on Ministry of Health systems
In 2026, Paraguay scored 33 of 100 on a person's right to see, control and share their own health record, rank 140= of 196 countries (likely range 104 to 164) (Weak; who holds the keys: Institutional). Source: Who Holds the Record, SuperTruth, data as of 2026-10-01, https://whoholds.supertruth.ai/brief/PRY/
SuperTruth Inc. · 24 S. 24th St., Philadelphia, PA 19103, USA · +1 215 918 4140 · supertruth.ai Questions, corrections or a briefing: supertruth.ai/on-the-record#contact · Full index: whoholds.supertruth.ai
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/PRY/#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.