Who Holds the Record · country brief · data as of 2026-10-01Who holds the health record in Uruguay?
In 2026, Uruguay scores 59 of 100 on a person's right to see, control and share their own health record: rank 27= of 196 countries (likely range 13 to 42), in the Mixed band (45 to 64). Who holds the keys: Shared. Source: Who Holds the Record, SuperTruth, data as of 2026-10-01.
Uruguayans can view their national health record online, limit who opens it and check who did, but it holds a minimum data set.
Published · updated · data as of 2026-10-01 · research tool, not legal advice
Can I get my health records in Uruguay?
Access to the full record scores 65 of 100 in Uruguay, against a median of 43 across 196 countries. Ley 18.335 makes the patient the record's owner with a right to a copy, and the national Mi Historia Clinica Digital portal shows adult SNIS members the care events providers registered. Copies cost the patient, and the shared record is a minimum data set.
Can I control who sees my health record in Uruguay?
Control and consent scores 66 of 100 in Uruguay, against a median of 30 across 196 countries. By law a patient can block or limit access to their national record and see who opened it. Sharing is on by default, and the Health Ministry keeps its own right of access.
Eight rights, against Costa Rica, Brazil, Canada and the EU
| Patient access to the full record20% | 65 | 64 · 62 · 50 | |
|---|---|---|---|
| Patient control and consent20% | 66 | 48 · 35 · 55 | |
| Privacy and security15% | 57 | 40 · 58 · 58 | |
| Connected care journey15% | 60 | 68 · 55 · 50 | |
| Protection from commercial use10% | 52 | 52 · 55 · 45 | |
| Clinician access at the point of care10% | 58 | 65 · 50 · 55 | |
| Research and trial consent5% | 49 | 45 · 50 · 49 | |
| Clinical AI governance5% | 30 | 30 · 57 · 56 |
Black dot: Uruguay. Hollow dots: Costa Rica, Brazil, Canada (scores on the right, same order). Grey line: median of all 196 countries. Dashed teal line: EU median. Overall: Uruguay 59, EU median 61. Scores move in steps of about 5; read the rank with its likely range.
What would Uruguay need to change to score higher?
Uruguay sits in Mixed (45 to 64); Strong starts at 65. The two rights furthest below the 196-country median, weighted, are clinical AI governance (30, median 30) and research and trial consent (49, median 46). The published rubric reads:
- Clinical AI governance: Device regulation of clinical AI with change control and human oversight in force, plus national rules where EU law leaves gaps.
- 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.
Which laws give health record rights in Uruguay?
- Ley 18.335 (derechos de pacientes y usuarios) (2008): Patient owns the record; right to review and copy; research needs express revocable consent.
- Ley 18.331 (proteccion de datos personales) (2008): Health is sensitive data; express written consent; access in five business days; fines to 500,000 UI.
- Ley 19.670, articulos 38 y 194 (2018): Breach notification; all providers join HCEN; anyone may object to access through HCEN.
Strain and split context, not scored
- Doctors per 10,000
- 45.5 2023
- Nurses and midwives per 10,000
- 76.3 2023
- Private insurance + out-of-pocket
- 28.0% 2023
- Record reaches private care?
- unknown
Published stories
- 2025-01-15 · El País (Uruguay) Appeals court orders Hospital Policial to compensate patient over false entry in record
- 2025-12-14 · Grupo R Multimedio (La R) Health worker says clinical records are completed afterwards to shield doctors from lawsuits
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