Preventive Examinations

Original Language Title: o preventivních prohlídkách

Read the untranslated law here: https://portal.gov.cz/app/zakony/download?idBiblio=77064&nr=70~2F2012~20Sb.&ft=txt

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.