Who Holds the Record · country brief · data as of 2026-10-01Who holds the health record in San Marino?
In 2026, San Marino scores 55 of 100 on a person's right to see, control and share their own health record: rank 40= of 196 countries (likely range 23 to 51), in the Mixed band (45 to 64). Who holds the keys: Shared. Source: Who Holds the Record, SuperTruth, data as of 2026-10-01.
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 · data as of 2026-10-01 · research tool, not legal advice
Can I get my health records in San Marino?
Access to the full record scores 70 of 100 in San Marino, against a median of 43 across 196 countries. 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.
Can I control who sees my health record in San Marino?
Control and consent scores 55 of 100 in San Marino, against a median of 30 across 196 countries. Patients sign a consent form to open their FSE, and the ISS says every access is logged and can be checked by the owner. We found no way to hide documents or pick clinicians, so the score sits at the top of the 40 to 55 band.
Eight rights, against Cyprus, Serbia, Switzerland and the EU
| Patient access to the full record20% | 70 | 64 · 62 · 55 | |
|---|---|---|---|
| Patient control and consent20% | 55 | 46 · 60 · 60 | |
| Privacy and security15% | 52 | 58 · 46 · 60 | |
| Connected care journey15% | 56 | 58 · 64 · 40 | |
| Protection from commercial use10% | 50 | 54 · 46 · 58 | |
| Clinician access at the point of care10% | 48 | 55 · 55 · 38 | |
| Research and trial consent5% | 46 | 45 · 46 · 66 | |
| Clinical AI governance5% | 40 | 50 · 40 · 56 |
Black dot: San Marino. Hollow dots: Cyprus, Serbia, Switzerland (scores on the right, same order). Grey line: median of all 196 countries. Dashed teal line: EU median. Overall: San Marino 55, EU median 61. Scores move in steps of about 5; read the 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. The two rights furthest below the 196-country median, weighted, are research and trial consent (46, median 46) and protection from commercial use (50, median 45). The published rubric reads:
- Research and trial consent: A general opt-out that is honoured, or dynamic or opt-in consent, with a public register of research uses: 55 to 85.
- 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 San Marino?
- Legge 21 dicembre 2018 n.171 (data protection) (2018): 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) (2021): Adopts GCP and good clinical lab practice for drug trials, including written informed consent.
- Legge 3 marzo 2023 n.39 (bioethics committee reform) (2023): Reforms the bioethics committee; it authorises clinical and epidemiological research, acting as the CERS.
Strain and split context, not scored
- 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
Published stories
- 2026-02-10 · San Marino RTV Lab results stopped reaching patients' online health records for several days
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