What legislation and standards apply to healthcare?

18. 7. 2025


Healthcare is one of the most strictly regulated sectors—both in terms of handling sensitive data and the operation and safety of systems and devices. Regulations and standards affect not only care providers but also their suppliers, IT developers, and medical device manufacturers.

Legislation:

  • Cybersecurity Act (ZoKB) – Effective from November 1, 2025; implements NIS2. Applies to hospitals, healthcare facilities, public institutions, and IT vendors.

  • GDPR – Protection of personal data for patients, staff, and users of healthcare systems.

  • MDR (EU 2017/745) – Regulation of medical devices, including software with diagnostic or therapeutic functions.

  • MDSG 2019/16 – European Commission recommendation on cybersecurity for medical devices, especially networked ones.

  • Cyber Resilience Act (CRA) – Will apply to all products with digital elements, including medical software. Incident reporting will be required starting September 2026.

Standards:

  • ISO/IEC 27001 – Information Security Management System (ISMS)

  • ISO 13485 – Quality management system for medical device manufacturers

  • ISO 27799 – Protection of personal health data within an ISMS

  • IEC 81001-5-1 – Cybersecurity for medical software and IT systems in healthcare

  • IEC 62443 – Cybersecurity for industrial control systems; also applicable in hospitals/labs using OT technologies (e.g., lab automation, connected diagnostics)

  • ISO/IEC 62304-1 – Lifecycle management of medical software (development, maintenance, changes)

  • ISO/IEC 82304-1 – Quality and safety of health software products

  • ISO/IEC 42001 – Management of AI systems (recommended for organizations developing or operating AI in clinical or operational settings)