Who Holds the Record · country brief · data as of 2026-10-01Who holds the health record in Russia?
In 2026, Russia scores 45 of 100 on a person's right to see, control and share their own health record: rank 53= of 65 countries, in the Mixed band (45 to 64). Who holds the keys: State. Source: Who Holds the Record, SuperTruth, data as of 2026-10-01.
Russians can see 32 types of medical documents on the state portal, but the state system decides how records flow and police access is broad.
Published · updated · data as of 2026-10-01 · research tool, not legal advice
Can I get my health records in Russia?
Access to the full record scores 60 of 100 in Russia, against a median of 62 across 65 countries. Federal Law 323-FZ gives patients the right to see their records and get copies, including electronically. The Gosuslugi portal shows 32 types of electronic documents, but how many people use it and how complete it is were not verified.
Can I control who sees my health record in Russia?
Control and consent scores 30 of 100 in Russia, against a median of 52 across 65 countries. Law 323-FZ lets clinics exchange records through state information systems for care without the patient's consent. The health regulator has said a patient's written refusal to send health data to the state system should be honoured, but no patient-visible access log was found.
Eight rights, against Ireland, Albania, Ukraine and the EU
| Patient access to the full record20% | 60 | 55 · 50 · 46 | |
|---|---|---|---|
| Patient control and consent20% | 30 | 30 · 30 · 50 | |
| Privacy and security15% | 34 | 56 · 55 · 42 | |
| Connected care journey15% | 55 | 38 · 34 · 62 | |
| Protection from commercial use10% | 40 | 58 · 50 · 40 | |
| Clinician access at the point of care10% | 45 | 36 · 30 · 58 | |
| Research and trial consent5% | 42 | 70 · 43 · 44 | |
| Clinical AI governance5% | 55 | 50 · 30 · 40 |
Black dot: Russia. Hollow dots: Ireland, Albania, Ukraine (scores on the right, same order). Grey line: median of all 65 countries. Dashed teal line: EU median. Overall: Russia 45, EU median 61. Scores move in steps of about 5; gaps of 4 or less are ties.
What would Russia need to change to score higher?
Russia 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 (30, median 52) and privacy and security (34, median 55). 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.
- 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 Russia?
- Federal Law 323-FZ on the Basics of Protecting Citizens' Health (2011): Right to read records and get copies; medical secrecy with 11 listed exceptions, including police requests.
- Federal Law 152-FZ on Personal Data (2006): Health data is a special category; processing banned except listed cases such as medical care.
- Government Decree 140 on the Unified State Health Information System (EGISZ) (2022): Sets up EGISZ with 18 subsystems, including the federal electronic medical card and document register.
Strain and split context, not scored
- Doctors per 10,000
- 51.1 2022
- Nurses and midwives per 10,000
- 70.4 2022
- Private insurance + out-of-pocket
- 29.8% 2023
- Record reaches private care?
- split
"Only about 2% of private clinics sent data in 2025"
Published stories
- 2026-07-17 · Пруфы Hospital worker opened a patient's electronic record without cause, health ministry confirmed
- 2026-04-22 · Медвестник Inspection finds ambulance service head passed patients' data to outside parties
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