70/2012 Sb.
DECREE
of 29 April 2004. February 2012
preventive examinations
The Ministry of health shall, pursuant to section 120 of the Act No. 372/2011 Coll.
on health services and conditions of their provision (law on
health services), for the implementation of § 5 para. 3 (b). and) of the
health services:
§ 1
Types of screening and providers who undertake them
(1) the types of preventive inspections are preventive inspection in the field of
and general practical medicine) (hereinafter referred to as "general preventive
Tour "),
b) practical medicine for children and adolescents (hereinafter referred to as "General
preventive inspection of the children "),
c) dentistry (hereinafter referred to as "dental prevention tour"),
(d)) of gynaecology and obstetrics (hereinafter referred to as "gynaecological preventive
Tour ").
(2) a provider of carrying out preventive examination according to the
and paragraph 1 (a)). and registering the provider) is an outpatient care in
General practical medicine,
(b) paragraph 1 (a)). (b)) is registering a provider of outpatient care in
the scope of practical medicine for children and adolescents,
(c) paragraph 1 (a)). (c)) is registering a provider of outpatient care in
the field of dentistry,
(d) paragraph 1 (a)). d) is registering a provider of outpatient care in
the field of gynaecology and obstetrics.
§ 2
The contents and time range of the general preventive examinations
General preventive inspection is performed once every 2 years,
usually after a period of 23 months following the last General
preventive examinations. The content of the general preventive examinations is
and medical history, including the social supplement), focusing on the changes,
risk factors and occupational risks; a family history is a special
emphasis is placed on the incidence of cardiovascular disease, the incidence of
hypertension, diabetes mellitus, lipid metabolism disorders and cancer
disease, and on the occurrence of dependencies
(b) vaccination, control)
c) complete physical examination including the taking of the blood pressure,
the findings of the body mass index and guidance sight test and
hearing; part of a general preventive examinations within the Oncology
Prevention of risk assessment in terms of family history, personal and
working, skin examination and found the suspected risk examination
rectal exam, with a positive family history of men or in the presence of
other risk factors, clinical examination of the testicles, in women from 25 years
the age when a positive family history of the hereditary or familial occurrence of the
cancer of the breast or the presence of other risk factors
clinical examination of breasts, along with lessons on samovyšetřování,
d urine diagnostic test),
(e) monitoring and evaluation of the results) other prescribed preventive
examination, and, if not made within the prescribed deadlines,
ensure; preventive examinations are:
1. laboratory examination of the concentration of total cholesterol,
HDL-cholesterol, LDL-cholesterol and triglycerides, while the first
General preventive examination after their care for the provider in
the scope of a general practitioner for children and adolescents and, in 30, 40, 50 and 60
years of age,
2. laboratory testing of blood glucose in first general preventive
the tour after their care provider in the field of general practitioner for
children and adolescents and from 40 years of age in two-year intervals since the last
the examination,
3. examination of ECG in 40 years of age, then in the four-year intervals,
4. determination of occult bleeding in the stool with a special test for persons from
50 years of age; from 55 years of age, this examination is possible to replace the
recommendations for the implementation of a screening colonoscopy every 10 years;
If a woman graduated from the examination referred to in section 7 (b). k) in the period of less than
than those specified intervals, and its result is available, the test shall
does not ensure
5. in the case of women from 45 years of age verification, whether the result is available
screening mammography examinations of the last 2 years; If it is not
the result of this examination, the doctor will recommend available implementation of this
the examination and the necessary complementary examinations.
The contents and time range of the general preventive examinations of children
§ 3
(1) the content of the universal screening of children from birth to 18
months of age is
and the establishment of medical records when) the adoption of a child in care,
(b)) history and health check for changes since the last inspection,
check the child's vaccination or missing vaccination, in
the scope of laws and regulations governing the vaccination against
infectious diseases ^ 1)
c) physical examination, which includes a
1. a determination of weight, the length of the child and the circumference of his head, evaluation of the
These parameters according to the growth charts
2. the internal investigations,
3. examination of the psychomotor development,
4. targeted examination specific to that age and the findings of the health
the risk including the risk of mistreatment, neglect and abuse of the child,
d) diagnostic balance sheet,
(e)) the conclusion and lessons to the parents about nutrition and child mode, including personal accident
Prevention according to the specifics for a given age,
f) psychotherapeutic interview with parent, in the case of a child with disorders
the State of health of a child at risk or health disorders
including health disorders as a result of the influence of unfavorable family
or a different social environment.
(2) the following is the content of the general preventive examinations
and the newborn baby that is) as the first performed generally within 2 days after
the release of the health care facility in which it was provided
health services in connection with childbirth, if possible in its
their own social environment,
1. assessment of the child's social environment, family history, personal and
pregnancy history of mother, prenatal, perinatal and postnatal
history and evaluation of the medical reports about newborns,
2. examination of assessment of the overall state of the child, the examination
skin and subcutaneous layers, hair and nails, examination of the lymph nodes,
the muscles and skeleton, and including the head shape, size, fontanel and measure
the circumference of the head, further examination of the eyes and their surroundings, including the position of bulbs
and conjunctivitis, examination of the ears, nose, mouth, throat, chest, his
the perimeter and the shape and condition of the clavicles, physical findings at heart and
the lungs, abdominal examination, including its size, palpačního examination
intra-abdominal organs and umbilical scar, further examination of the Bikini area including
palpačního examination and pulse on femoral arteries, examinations,
extremities including their symmetry and momentum in deformity of the hip
joints and examination of psychomotor development, including neonatal
reflexes,
3. the indicative auditory,
4. check the preventive administration of vitamin K,
(b)) children in 14 days of age, in addition to the examinations referred to in point (a))
2, the discovery of nutrition of a child, begin the preventive administration of vitamin D
against rickets, the necessary lessons parents of the child and the recommendations of the professional
Orthopedic examination of hips between the third to sixth week of age,
c) children in 6 weeks of age, in addition to the examinations referred to in point (a))
2, check the result of the Orthopedic examination and preventive control
administration of vitamin D, sight test, begin vaccination and
the plan further vaccination,
(d)) of children at 3 months of age, in addition to the examinations referred to in point (a))
2 check the preventive administration of vitamin D, vaccination and control plan
next vaccination
e) children in 4 to 5 months of age, in addition to the examinations referred to in point (a))
point 2, indicative of vision and hearing screening, vaccination and control plan
next vaccination
(f)) of children at 6 months of age, in addition to the examinations referred to in point (a))
2 check the preventive administration of vitamin D, review of the development of the dentition and
lessons about the need for parents to register a child for a dental practitioner in the second
half year of life of the child and its integration into the regular
the surveys,
(g)) of children at 8 months, in addition to the examinations referred to in point (a))
2, guidance, vision and hearing tests
h) children in the 10 to 11 months of age, in addition to the examination referred to in point (a)
and, the check point 2) preventive administration of vitamin D
I) children at 12 months of age, in addition to the examinations referred to in point (a))
point 2, determine the basic anthropometric indicators and their
assessment, the preventive check administration of vitamin D, the findings
the size of the big fontanely, Visual and hearing impairment, speech and development
teeth and needed lessons parents of the child, information on the hygiene of the cavity
oral, individual consideration of the total income of fluoride, recommendations
the dental examination, review and plan the next vaccination
of the child,
(j)) of children at 18 months of age, in addition to the examinations referred to in point (a))
2, check the status of the great fontanely, the development and the status of the teeth, including the
recommendations of the dental examination of vision and hearing,
neurodevelopmental assessment focusing on gross and fine
motor skills, speech and social development of the child's behavior, control vaccination and
the next child's vaccination plan.
§ 4
(1) the content of the universal screening of children at 3 years of age
is
interview with a parent) and focused on the new case history facts, review and
the child's vaccination plan, or missing vaccination, in
the scope of laws and regulations governing the vaccination against
infectious diseases ^ 1)
(b) assessment of the psychosomatic development), fine and gross motor skills,
social behavior and hygiene of the child,
(c) the weight and height) the findings, assessment of these parameters according to the
growth charts because of revelations of possible malnutrition, overweight or
obesity,
d) complete physical examination, including a tour of the skin and the exclusion of
signs of cruelty, neglect and abuse of the child,
e) examination of the eyes and vision,
f) examination of speech, voice and hearing,
g) indicative laterality tests and knowledge of colors,
h) urine diagnostic test,
I) examination of the blood pressure and pulse,
j) examination of the oral cavity, where applicable, the recommendations of the dental
the examination,
k) examinations, and the imposition of the testes in boys and the findings
any effluent in girls,
l) final interview doctor with a parent-focused to get active
cooperation, guidance parents about nutrition and child mode, including personal accident
Prevention according to the specifics for a given age, where applicable, supporting
psychotherapeutic interview, especially if it is a seriously sick child,
the affected child and the issue of functional family.
(2) the content of the universal screening of children in 5 years of age is
In addition to the acts referred to in paragraph 1
and weight and height) the findings, determine the weight-height ratio, and
an assessment of the child's growth by growth charts due to the detection of any
malnutrition, being overweight or obese, evaluation of psychomotor development to
preliminary assessment of school maturity,
(b) knowledge of colors with) an investigation of the requirement of their separate verbal
the designation,
(c) the hygiene of the child), with a focus on wetting,
(d) the examination of the concentration of total cholesterol), HDL-cholesterol,
LDL-cholesterol and triglycerides, if there is a family history of
coronary heart disease, myocardial infarction, angina pectoris, sudden
stroke or to 55 years of age, hyperlipoproteinaemia, and more
the risk factors.
§ 5
(1) the content of the universal screening of children in 7, 9, 11 and 13
years of age is
interview with a parent) and focused on the new case history facts including
targeted questions aimed at early detection of diseases and conditions that
in the beginning of the manifested symptoms unclear; the exclusion of signs of abuse,
neglect and abuse of the child, the beginning of the various dependencies and
risk behaviors of the child; lessons about healthy lifestyles, including
accident prevention according to the specifics for a given age, functional assessment
family,
(b) check and plan the next) vaccination the child at 11 and 13 years, or
missing vaccinations in the range specified by the decree governing the
vaccination against infectious diseases, among girls in the 13 years of age, the lessons on
options for vaccination against cervical cancer,
(c)) the findings of the child's weight and height, the discovery of the body mass index
and an assessment of the child's growth by growth charts because of the revelations
any malnutrition, overweight or obesity,
d) complete physical examination including musculoskeletal, tour
the skin, lymph nodes, thyroid gland and secondary sexual characteristics,
e) urine diagnostic test,
f) examination of the blood pressure and pulse,
g) sight test including barvocitu,
h) auditory, speech and voice,
I) examination of the oral cavity, teeth, or State recommendations
the dental examination,
(j) assessment of psychosocial development) and motor skills in children
in 13 years of age; lessons learned related to health risks and
consequences related to sexual life including lessons on protected
sex girls query on the menstrual cycle,
k) risk assessment to the next life resulting from family and personal
history and representation to a work or study focus in
connection with the termination of compulsory schooling for children in 13 years
age; for people with disabilities representation to limit training to
work and working abilities.
(2) the content of the universal screening of children at 15 years of age
is
and the total examination and updates) anamnestic data referred to in paragraph
1 (b). and, where appropriate,) check missing vaccinations in the range
established laws and regulations governing the vaccination against infectious
diseases ^ 1)
(b)) the findings of the child's weight and height, the discovery of the body mass index
and an assessment of the child's growth by growth charts because of the revelations
any malnutrition, overweight or obesity,
c) complete physical examination including a tour of the skin and secondary
sexual characteristics,
d urine diagnostic test),
e) examinations of blood pressure and pulse,
f) eye examination,
g) auditory, speech and voice,
h) examination of the oral cavity, teeth, or State recommendations
the dental examination,
even) the overall assessment the status and development of the child, information relating to the
health risks and consequences related to sexual life
including lessons about protected sex, girls, where appropriate, recommendations
gynecological examination, in particular if it is not menstruation, and
lessons learned about the possibility of vaccination against cervical cancer,
j) risk assessment to the next life resulting from family and personal
history and representation to a work or study focus; in people
with disabilities representation to limit training at work
the application and the capacity to work.
(3) the content of the universal screening of children in 17 years of age
is
Tween social,) family and personal medical history in accordance with paragraph 1 (b).
and, where appropriate,) check missing vaccinations the child, to the extent
established laws and regulations governing the vaccination against infectious
diseases ^ 1)
(b)) the findings of the child's weight and height, the discovery of the body mass index
and an assessment of the child's growth by growth charts because of the revelations
any malnutrition, overweight or obesity,
c) complete physical examination including a tour of the skin,
d urine diagnostic test),
e) examinations of blood pressure and pulse,
f) eye examination,
g) auditory, speech and voice,
h) examination of oral cavity and teeth, including the status of recommendations
the dental examination,
I) lessons about protected sex among girls, according to history, where appropriate, recommendations
gynecological examination,
j) risk assessment to the next life resulting from family and personal
history and representation to a work or study focus; in people
with disabilities representation to limit training at work
the application and the capacity to work.
(4) the last general preventive inspection of the children shall be carried out before the
termination of care provider in the field of practical medicine for children and
adolescents, at the latest before the date of the completion of 20 years of age. The contents of the last
General preventive examinations of children are the acts referred to in paragraph 3 and
on the final evaluation of the State of health care before quitting.
§ 6
The contents and time range dental preventive examinations
(1) the content of the dental preventive examinations, which is carried out once
a year in children in the first year of life between the sixth to the twelfth month, and
twice a year in children and adolescents from 1 year to 18 years of age,
usually after 5 months after making the last dental preventive
tours, is
and the establishment of medical records when) admission to the care,
(b)) history with special attention to the development of the orofacial system in the age of
3, 6, 12 and 15 years old,
c) examination of the condition of teeth, periodontal disease, a condition of the lining and soft tissues
the oral cavity, anomalies in the position of the teeth and jaws,
(d) prevention of Oncology) focused on the quest for precancerous changes and the
Cancer signs on dentition, periodontal disease, jaws and soft tissue
the face and neck,
(e) lessons learned about the importance of prevention) dental disease, for the maintenance of
proper hygiene of the oral cavity, about correct eating habits, about
the importance of fluoride prevention in relation to the risk of tooth decay and
the risk of transmission of kariogenních microorganisms.
(2) the content of dental screening in adults, which is
be carried out once a year, usually after a period of 11 months after implementation
last dental preventive examinations, it is
and examination of the State), periodontal disease, a condition of the lining and soft tissues
the oral cavity,
(b) prevention of Oncology) focused on the quest for precancerous changes and the
Cancer signs on dentition, periodontal disease, jaws and soft tissue
the face and neck,
c) instruction on the proper hygiene of the oral cavity.
(3) Contents of dental screening in pregnant women
perform twice during pregnancy, it is
and examination of the State), periodontal disease, a condition of the lining and soft tissues
the oral cavity,
(b) prevention of Oncology) focused on the quest for precancerous changes and the
Cancer signs on dentition, periodontal disease, jaws and soft tissue
the face and neck,
(c) the lessons about the importance of prevention) dental disease during
pregnancy for women and the future of the child, including lessons on proper hygiene
their oral cavity, about fluoride prevention and rehabilitation of teeth necessary
before delivery to prevent the transmission of micro-organisms from the kariogenních cavity
blowjob mothers into the mouth of a child,
(d) lessons of the future mother) need to ensure preventive dental
tours of their child, the first between the sixth to the twelfth month
his age.
§ 7
The content and the amount of time a gynecological preventive examinations
The contents of the gynecological preventive examinations, which is carried out in 15
years of age and once a year, usually after a period of 11 months after
the gynecological preventive examinations, it is
and the establishment of medical records when) admission to the care,
(b)) family, personal and work history and update of this history is
taking into account the known risk factors,
(c) a clinical examination of the breast) from 25 years of age in a positive family
history of the hereditary or familial occurrence of cancer of the breast or
in the presence of other risk factors,
d) tour of the skin and lymph nodes, palpation assessment in the field of
the genital organs,
e) examinations in the mirrors and colposcopic examination; not implemented in
Virgo women
f) material of the cervix to the glass, or
bacteriological or virological examination; not implemented for virgo
women,
(g) the palpable bimanuální examination;) When the result of the peculiar supplement
examination of the vaginal ultrasound probe,
h) instruction on the importance of preventive anti-cancer tours,
and training samovyšetřování breasts in) the first examination at the registering
the provider,
j) for women from the age of 45 recommendations for the implementation of the screening
screening and the necessary complementary examinations in
two-year intervals; If a woman has already graduated from the examination referred to in section
2 (a). e) point 5 in the last 2 years and the result is available,
examination does not ensure
to) the determination of occult bleeding in the stool with a special test for women from
50 years to 54 years of age, from 55 years of age, this examination is carried out in
two-year intervals, and this examination, it is possible to replace the recommendation to
the implementation of a screening colonoscopy every 10 years; If a woman
She graduated from the examination referred to in paragraph 2 (a). e) point 4 in the above intervals
and the result is available, the examination does not provide.
§ 8
Regulation (EEC)
Decree 3/2010 Coll., on the determination of the content and time range
screening, is hereby repealed.
§ 9
The effectiveness of the
This Decree shall enter into force on 1 January 2000. April 2012.
Minister:
doc. MUDr. Heger, CSc., r.
1) Act 258/2000 Coll., on the protection of public health and change
some related laws, as amended.
Decree 537/2006 Coll., on inoculation against infectious diseases, as amended by
amended.