72/2011 Sb.
DECREE
of 14 July 1999. March 2011,
amending Decree No. 277/2004 Coll. laying down health
eligibility to drive motor vehicles, medical fitness to
driving a car with the condition and requirements for medical
confirmation certifying the health reasons for which cannot be
the seat of a motor vehicle to buckle a seat belt (the Decree on the
medical fitness to drive a motor vehicle), as amended by Decree
No 253/2007 Sb.
The Ministry of health shall lay down pursuant to § 137 para. 3 to implement section 84
paragraph. 7 and § 85 para. 7 of law 361/2000 Coll. on road
roads and on changes of some acts (road traffic law),
as amended by Act No. 411/2005 Coll.:
Article. (I)
Decree 277/2004 Coll., on the establishment of medical fitness to drive
motor vehicles, medical fitness to drive a motor vehicle
with the condition and the formalities of a medical certificate certifying the health
the reasons for which cannot be on the seat of a motor vehicle
to buckle a seat belt (the Decree on the medical fitness to
driving a car), as amended by Decree No. 253/2007 Coll., is amended
as follows:
1. § 1, including footnote No 1 is added:
"§ 1
This Decree incorporates the provisions of the European Union "^ 1") and modifies the
details of medical fitness to drive a motor vehicle and
the formalities of a medical certificate certifying the health reasons for
covered driving cannot be on the seat of a motor vehicle to buckle up.
1) Council Directive 91/439/EEC of 29 October July 1991 on driving
licences, as amended by Commission Directive 2000/56/EC of 14 July 1999. September 2000,
amending Council Directive 91/439/EEC on driving licences.
Council Directive 91/671/EEC of 16 June 1992. December 1991 on the approximation of
the laws of the Member States relating to compulsory use of
safety belts in vehicles of less than 3.5 tonnes, as
European Parliament and Council Directive 2003/20/EC of 8 June 2004. April 2003,
amending Council Directive 91/671/EEC on the approximation of the laws of the
of the Member States relating to compulsory use of safety belts
in vehicles with a weight up to 3.5 tons.
Commission directive 2009/111/EC of 25 March 2002. August 2009 amending
Council Directive 91/439/EEC on driving licences. Commission Directive
2009/114/EC amending Directive of the European Parliament and of the Council
2006/126/EC on driving licences ".
2. In section 4, paragraph 4. 1 the words "on the model of the opinions referred to in the annex"
replaced by the words "in the opinion referred to in the annex".
3. in article 4, paragraph 2 shall be deleted.
Paragraphs 3 and 4 shall become paragraphs 2 and 3.
4. In section 4, paragraph 4. 2 (a). and), the word "affect" is replaced by
"affect" and the word "or" shall be deleted.
5. In section 4, paragraph 4. 2 at the end of the text of subparagraph (b)) shall be deleted and the following dot
the words "at least 1 in 5 years, or".
6. In paragraph 4, at the end of paragraph 2 the following point (c)), which read as follows:
"(c)) if at the conclusion of the professional examination under section 6 (1). 2 (a). (c))
given the earlier term, into which the assessed person undergo
continuing vocational examination than is the term regular medical
tours. ".
7. in paragraph 4, the following paragraph 4, which include footnotes 4 and
5 is added:
"(4) an opinion under this decree can be used to replace the opinion of the health
competence to perform the work, part of which is also driving a motor
the vehicle, which is a kind of work agreed in the contract, if
In addition to the requirements laid down by law or regulation governing the content and
requirements medical records ^ 4) includes the requirements of the
paragraph 2, § 5 para. 1 and year of execution of traffic psychological
examination and testing neurological ^ 5).
4) Annex 1 part 8, section B, Decree No. 385/2006 Coll. on health
documentation, as amended by Decree No. 64/2007 Coll.
5) § 87a of the law No. 361/2000 Coll., as amended by Act No. 411/2005 Coll.
Act No. 342/2006 Coll., Act No. 374/2007 Coll. and Act No. 274/2008
Coll. ".
8. in § 5 para. 1 (b). (b)), the part of the sentence after the semicolon including the semicolon and
footnote 1 shall be deleted.
9. in section 6 (1). 1 at the end of the text of the letter b), the words ", with the
targeted focus on the symptoms of the disease listed in annex No. 3 ".
10. In section 6 (1). 1 letter c) is added:
"(c)) for more professional examination by a doctor specialised
competence (hereinafter "the examination") of the requested posuzujícím
the doctor in the event that the person under consideration, it is necessary to exclude the suspicion
the disease, or to determine the stage of disease referred to in annex No. 3, or other
the disease, which may limit the medical fitness to drive
motor vehicles ".
11. In paragraph 6 (1). 1 (b). (d)), after the words "for the disease" the words
"listed in annex No. 3 or any other disease".
12. in section 6 (1). 1 (b). (e)), after the words "the treating physician neurologist"
the words "the requested posuzujícím doctor", the words ", epileptic
syndromes "and are deleted at the end of the text of subparagraph (e)), the following words"
including the risk of recurrence of seizure or of consciousness ".
13. In Appendix 1, the following point (e)) the following point (f)), including
the explanatory notes below the line # 3:
"(f)) of the disease-free period, defects or condition lasts: ^ 3)
......................................
3) to be completed where this is decisive for the assessment of
medical certificate in accordance with Decree No. 277/2004 Coll. on health
eligibility to drive motor vehicles, as amended.
Enter the number of months or years, when a disease or condition
effect. ".
14. Appendix 2 is added:
"Annex 2 to the Decree No 277/2004 Sb.
The name of the medical institution on whose behalf the judgement issues, identification number,
If it was allocated, registered address or place of business
...............................................................................................
The name or names, and surname of the person examined
...............................................................................................
Date of birth ............... Identity card-number ^ 1)...............................
Address of the place of residence of the person under consideration, where appropriate, the place of residence in the territory of the CZECH REPUBLIC,
jde-li o cizince .............................................................................
...............................................................................................
Kind of medical examinations, which according to the law, involving the person she submitted .....................
The assessment by Group 1 ^ 2)-groups of 2 ^ 2) of annex 3 of the Decree
Exclusively on psychological examinations and testing neurological under Section 87a of the Act has been carried out:
and yes) ^ 2), and in it ... ... ... ... ... ... ... ... ... ... ... (b)) ^ 2)
The person under consideration
and disability is eligible) ^ 2) for a group/subgroup of the driver's licence .....................
(b)) is not medically eligible ^ 2) for a group/subgroup of the driver's licence ...................
(c)) is eligible subject ^ 2) ^ 3) for a group/subgroup of a driving licence
...............................................................................................
End date of validity of the opinion ^ 4).............................................................
..................... .............................................................
the release date of opinion of the name or names, surname, signature
stamp of the medical equipment
Lessons learned:
Against this judgement is possible within 15 days from the date of its receipt, to submit a proposal on a proven its
a review of the medical device, that testimonial published by, and prostřednictvímlékaře, which
the opinion drafted by ^ 5).
------------------------------------
1) identity card, travel document for aliens; You can also give another proof of the identity of its holder.
2) Delete where inapplicable.
3) indicate the condition, which makes medical fitness to driving vehicles (necessary
medical device technical adjustment of the motor vehicle or other restrictions, for example, comply with
vocational examination podmiňujícím medical requirements and thus the validity of the opinion).
4) to be completed in the cases provided for in § 4, paragraph 4. 2 Decree on the medical fitness to drive a motor vehicle.
5) section 77 of Act No. 20/1966 Coll. on health care of the people, as amended. ".
15. in the introduction to the annex No. 3, after the words "A1 and B1" the words "(section 81
Act No. 361/2000 Coll.) ".
16. in annex 3, part I, as follows:
"The disease, defects or conditions of vision exclusive, or contingent upon the health
fitness to drive a motor vehicle
1. Disease, defects or conditions of vision negative medical fitness to
driving a car are diseases, defects or conditions of vision, which
cause such health complication or deviations that are
dangerous for traffic on the road, and in particular
Group 1
and) binocular Visual acuity, and even using such lenses, *)
less than 0.5 when using both eyes,
b) Visual acuity less than 0.5 when fully functional loss of vision in
one eye or if the use of only one eye, for example, in
the case of diplopia, and even using such lenses,
(c)) full functional loss of vision in one eye or use only
one eye, if this condition lasts less than 6 months
(d) the range of the horizontal field of view) of both eyes is less than 120 degrees,
monocular scope is less than 50 degrees to the left and right side, a range of
vertical field of vision of less than 20 degrees upwards and downwards,
e) changes in the Central field of vision up to 20 degrees, or
(f)) of such intolerance of lenses if they are to achieve the vision
acuity necessary.
Group 2
and diseases, defects or) conditions set for Group 1, if not further
unless otherwise specified,
b) binocular Visual acuity in the better eye is less than 0.8 and worse
the eye smaller than 0.1, and even using corrective lenses,
(c)) the attainment of the minimum Visual acuity under (a)), or (b))
the use of glasses with the force in excess of + 8 diopters,
(d) the range of the horizontal field of view) of both eyes is less than 160 degrees,
an additional range of less than 70 degrees to the left and right side,
(e) the range of the vertical field of view) of less than 30 degrees upward and
down,
(f)) changes in Central Visual field of up to 30 degrees,
g) diplopia, or
h) serious disturbance of contrast sensitivity.
*) Note: for the purposes of the Ordinance are not regarded as intraocular lenses
corrective lenses.
2. Disease, defects or conditions that affect the eye safety
road safety and in respect of which the applicant or driver can be recognised as
medically eligible for operating a motor vehicle only on the basis of
the conclusions of the expert examination, and in particular
Group 1
and) binocular Visual acuity less than 0, 7 for the renewal of
lenses,
b) Visual acuity less than 1.0 when the full functional loss of vision in
one eye or if the use of only one eye, for example, in
the case of diplopia, and the condition persists for more than 6 months,
(c) a change in the scope of the Visual field),
(d)) of the disease of the eye and adnexa, if they cause a reduction in Visual acuity
or cause a change to the scope of the Visual field according to subparagraph (a)), b) or (c)),
e) impaired vision in the dark except for the light non-serious forms of, or
(f)) destructive barvocitu in the area of basic colors.
Group 2
and diseases, defects or) conditions set for Group 1, if not further
stated otherwise,
(b) serious disturbances, barvocitu)
(c) surround vision disorders) or
d) impaired vision in the dark. ".
17. in annex No 3 of part V to VII shall be added:
"In diabetes mellitus. exclusive, or contingent upon the health
fitness to drive a motor vehicle
1. The disease diabetes mellitus excludes medical fitness to drive
motor vehicles, if the causes of such medical complications that
are hazardous to the traffic on the road, and in particular
Group 1 and 2
Second, and more) and hypoglycemia that occurs during a period of 12 months
from the first hypoglycemia and to cope with the need to help more
a person, or
(b)) other hypoglycaemia occurring during a period of 12 months
from the first of hypoglycaemia, and without warning signs or the applicant's
or the driver unaware of.
2. Conditions related with the disease of diabetes mellitus, which affect the
the safety of road users and that can be the applicant
driver or recognised as disabled eligible for driving a motor vehicle
only on the basis of the conclusions of the professional examination
Group 1
and) status within 12 months after the first hypo requiring support
a person, or
(b)), followed by an orgánovými of diabetes mellitus complications.
Group 2
and diseases, defects or) conditions set for Group 1, unless
unless otherwise specified,
b) diabetes mellitus when treatment was started the drugs, which carry
the risk of inducing hypoglycemia, and, in the preceding 12 months
No hypoglycemia requiring the assistance of another person, there are health
complications arising in relation with diabetes mellitus and the driver or
the applicant
1. the warning signs of hypoglycemia or are aware of,
2. is able to demonstrate regular glucose, which performs at least
twice a day, and in the case of the driver, then in time related to the management, and
3. demonstrates that he understands the risks of hypoglycemia; way
the demonstration of a doctor in the medical records documentation kept by the
the person under consideration.
Regular medical doctor, the competent health check
specialized competence is a prerequisite for good health always,
shall be carried out at least once every 3 years.
Vi. Disease, defects or conditions of the nervous system exclusive, or
contingent upon the medical fitness to drive a motor vehicle
1. Disease, defects or conditions of the nervous system negative health
fitness to drive a motor vehicle are such diseases, defects or
conditions of the nervous system, which represent a serious threat to the traffic on the
the road, and in particular
Group 1
and) epilepsy, in cases where the length of the bezzáchvatového period is shorter
than 12 months; Epilepsy for the purposes of this order means two or
more epileptic seizures that occur in persons under consideration in
the distance to a maximum of 5 years,
(b)) status after an isolated or first Grand Mal neprovokovaném
the bout, if deployed antiepileptic treatment, for a period of 12 months,
(c)) status after an isolated or first Grand Mal neprovokovaném
a fit, if not already deployed antiepileptic treatment, for a period of 6
months,
(d)) status after suffering a grand mal seizure caused by an identifiable provokovaném
a causal factor whose repetition when control is likely or
(e)) and the States with impaired consciousness or momentum, for example,
nekompenzovaná narcolepsy or cataplexy.
Group 2
and diseases, defects or) conditions set for Group 1, if not further
unless otherwise specified,
b) epilepsy for 10 years period from the discontinuation of bezzáchvatového
anti-epileptic treatment,
(c)) status after suffering a grand mal seizure, a unique neprovokovaném has not been
deployed antiepileptic treatment for a period of 5 years from that attack,
(d)) and the States with impaired consciousness or momentum, including conditions in the
history, such as narcolepsy or cataplexy.
e) States associated with diseases, injuries or surgical intervention, which
affect the central or peripheral nervous system and cause serious
mental, sensory or motor disorders, or
f) sleep disorder seriously affect alertness.
2. Disease, defects or conditions of the nervous system that affect the safety of the
traffic on the roads, and that can be the applicant or driver
recognised as medically eligible for operating a motor vehicle only on
the basis of the conclusions of the expert examination, and in particular
Group 1
and conditions associated with the disease), injury or surgical intervention, which
affect the central or peripheral nervous system, and cause
mental, sensory or motor disorders,
b) epilepsy, in cases where the length of the period is longer than bezzáchvatového
12 months,
c) epilepsy seizures occurring only in his sleep, a history of
There were seizures and epilepsy in the waking state, it takes at least 12
months,
d) epilepsy seizures that do not affect the ability to control, in
the absence of any other history of seizures than those for which it was
demonstrated that they do not affect the ability to drive, and epilepsy takes at least 12
months,
e) seizures, which occur as a result of changes
anti-epileptic treatment indicated by the doctor; If an epileptic
a seizure in a period of change in treatment or reducing the therapeutic dose, is in the case
to restore a previously effective treatment necessary to keep the period of 3 months, when
the person concerned does not control,
(f)) status after suffering a grand mal seizure or an isolated after the first
neprovokovaném seizure, when it was deployed to antiepileptic treatment after 12
months after this bout,
g) status after suffering a grand mal seizure or an isolated after the first
neprovokovaném seizure, when not deployed antiepileptic treatment
6 months after this bout,
h) status after suffering a grand mal seizure caused by an identifiable provokovaném
a causal factor whose recurrence is unlikely while driving
I) and States with impaired consciousness or momentum, for example,
"narcolepsy or cataplexy, or
j) sleep disorders seriously affect alertness.
Group 2
and diseases, defects or) conditions set for Group 1, if not further
unless otherwise specified,
(b)) status after suffering a grand mal seizure, a unique neprovokovaném if
antiepileptic treatment and has not been deployed in the neurological examination
There is no related brain pathology and
an electroencephalogram (EEG) is not recorded no epileptiform
activity after 5 years from this attack,
c) epilepsy after a grand mal seizure or the State, if it has been deployed
antiepileptic treatment and neurological examination is not found
related brain pathology and on an electroencephalogram (EEG) is not
No epileptiform activity, after 10 years from the withdrawal
treatment; in the case of favourable conditions, for example, resulted in benign
Epilepsy with rolandickými spikes, 5 years after withdrawal of treatment,
(d)) status after suffering a grand mal seizure caused by an identifiable provokovaném
a causal factor whose recurrence is unlikely while driving;
the risk of seizure shall not be greater than 2% per year,
e) other loss of consciousness; risk of recurrence of loss of consciousness should not be greater
than 2% per year,
(f)) of the disease, which is accompanied by an increased risk of seizures,
for example, arteriovenous malformations, or intracranial bleeding, although
to the attacks has not yet occurred; in the case of structural damage
the brain is an increased risk of seizure, the risk must not be
greater than 2% per year, or
g) sleep disorders that affect alertness.
In the cases referred to in point (d)) to (g)) is a regular medical
check the condition of good health always; This is done in the framework of the
periodic medical examinations provided for by the law; This does not apply,
If the validity of the opinion previously.
VII. Diseases, defects or conditions that cause mental disorders negative
or contingent upon the medical fitness to drive a motor vehicle
Group 1 and 2
1. Mental disorders negative medical fitness to drive a motor
vehicles are diseases or conditions that cause such health
complications or derogations, which are dangerous for traffic wardens
safety, and in particular
organic mental disorders) manifesting with dementia (dementia in
Alzheimer's disease, vascular dementia, dementia diseases
classified elsewhere, unspecified dementia)
b) organic amnestický syndrome,
c) organic disorders of personality and behavioral disorders,
(d)) non-specific organic or symptomatic mental disorder,
e) acute, chronic, or untreated form, in particular, schizophrenia,
schizotypní disorder, acute and transient psychotic disorders,
schizoaffective disorder, persistent mental disorder with delusions, induced
disorder with delusions, other non-psychotic disorders,
f) mental retardation, or
g) pervasive developmental disorders.
Group 1 and 2
2. mental disorders that affect the safety of road
roads and for which the applicant or driver can be recognised as disabled
eligible for operating a motor vehicle only on the basis of the conclusions of the
vocational examinations, in particular
-serious mental disorders congenital, caused by disease, injury, or
neurosurgical operations,
-organic disorders of personality and behavioral disorders, or
-clinically severe form of specific personality disorders leading to serious
failures of judgment, behaviour or adaptability.
Mental disorders or personality disorders according to point 2, if it is
cannot be accommodated under the mental disorders referred to in point 1, shall mean
in particular:
and the potential, remission) or clinically sufficient form of remission for
schizophrenia, schizotypní disorders, acute and transient psychotic
disorder, schizoaffective disorder, a permanent mental disorder with delusions,
induced delusional disorder or other non-psychotic disorders,
(b)) other mental disorders (in history), emerging as a result of the disease,
damage to or dysfunction of the brain, or as a result of somatic disease
(c)) postencefalitický syndrome, or
(d)), other than alcohol-induced delirium and other drugs (in history),
severe neurotic disorders, behavioural syndromes associated with
physiological disorders and somatic factors, personality disorders and
behavior in adults, severe disorders of psychological development. ".
Article. (II)
Transitional provision
If, before the date of entry into force of this order was not based on the
medical assessment in accordance with Decree No. 277/2004 Coll.
medical fitness to drive a motor vehicle, in the version in force
before the date of entry into force of this Decree, issued an opinion, the procedure is
in the assessment of medical fitness and the issuing of an opinion by the Decree
No. 277/2004 Coll., on medical fitness to drive a motor vehicle,
in the version in force from the date of entry into force of this Decree.
Article. (III)
The effectiveness of the
This Decree shall take effect on the date of 15. April 2011.
Minister:
doc. MUDr. Heger, CSc., r.
