What is Act No. 236 / 2025 Coll.?

Act No. 236 / 2025 Coll., amending Act No. 325 / 2021 Coll., on Electronic Health, as amended, and other related laws — Act amending Act No. 325 / 2021 Coll., on Electronic Health, as amended, and other related laws.

When it became Act No. 236 / 2025 Coll. effectiveness?

Act No. 236 / 2025 Coll. became effective 01.01.2026.

Is Act No. 236 / 2025 Coll. still valid?

Yes, Act No. 236 / 2025 Coll. is still valid and effective.

Act No. 236 / 2025 Coll. - Act amending Act No. 325 / 2021 Coll., o...

236

THE LAW

of 12 June 2025

amending Act No. 325 / 2021 Coll., on the Electralization of Health, as amended, and other related laws

Parliament has decided on this law of the Czech Republic:

ČÁST PRVNÍ

Amendment to the Act on Electronic Health

Čl. I

Act No. 325 / 2021 Coll., on the Electralization of Health, as amended by Act No. 409 / 2023 Coll. and Act No. 278 / 2024 Coll., is amended as follows:

1. In Article 2 (1), the words "or providers of social services providing health services under the Health Services Act 1) without authorisation (hereinafter referred to as the" health service provider or social services') 'are deleted.

2. footnote 1 is deleted.

3. In Paragraph 2 (2), the words "unique insignificant identifier 'are replaced by the words" unique and insignificant client identifier of a natural person'.

4. Paragraph 2 (6) reads as follows:

"(6) Electronic health standards shall mean standards defining the structure, content and format of data sets, data messages and data interfaces, their security, classification, nomenclature and terminology for their use for:

(a) the use of electronic health services;

(b) information systems using electronic health services;

(c) keeping and transmitting health documentation in electronic form;

(d) the transmission of data to the National Health Information System under the Health Services Act. ';

5. in Articles 4 (1), 7 (3) (e), 8 (1) (a), 16 (2) (a) and (b), 20 (e), 21 (2) (d), 22 (1) (c), 24 (a) and (b), 26 (2) and (3), 34, 36 (c) and 40 (3) and (4), the words "or social services" shall be deleted;

6. In Paragraph 7 (3) (a), at the end of point 2, the comma is replaced by "a '.

7. in Article 7 (3) (a), at the end of point 3, "a" is replaced by a comma.

8. in Paragraph 7 (3) (a), point 4 is deleted;

9. in Article 7 (3) (e), the words "and (d)" shall be deleted;

10. In Section 10, the words "including their mobile applications and portal solutions intended for patients' shall be added at the end of point (a).

11. in Paragraph 10, at the end of point (f), the word "a" is replaced by a comma.

12. At the end of § 10, the dot is replaced by a comma and the following points (h) and (i) are added:

"(h) a description of the service providing and providing communication with the information systems of authorised and registered persons and the interconnection of the central services of electronic health; and

(i) a description of the service providing and providing the EZKarta communication with information systems under other legislation. ';

13. in Article 19 (1), the following point (c) is inserted after point (b):

"(c) indication that it is a social service provider;"

Points (c) to (n) shall be renumbered (d) to (o).

14. in Article 19 (2) and (3):

"(2) In addition, tribal data on persons established or based in another Member State providing health services in the Czech Republic shall be kept in the Stem Register of Health Service Providers, namely:

(a) an indication that he is a person established or established in another Member State providing health services,

(b) the information contained in the document proving their entitlement to provide health services in another Member State;

(c) an indication of the State which issued the document referred to in (b);

(d) the date of commencement and termination of the provision of health services in the Czech Republic,

(e) the prohibition on the provision of health services in the Czech Republic and its duration;

(f) the contact address; and

(g) the particulars referred to in paragraph 1 (d) and (k).

(3) Recording by the data subject

(a) paragraphs 1 (a), (b), (c), (e) to (i), (k) and (l) shall be the administrative authority which has granted the health service provider authorisation to provide health services; the information referred to in paragraph 1 (d) shall be recorded by the administrative authority if known to it;

(b) points (d), (j) and (m) to (o) of paragraph 1 are providers of health services;

(c) paragraph 2 shall be the regional authority to which the provision of health services has been notified without authorisation to provide health services. ";

15. in Article 20 (i), the words "and the State Health Institute" shall be inserted after the words "Public Health Protection" and the words "and" shall be deleted at the end of the text of the letter. "

16. In Article 20, at the end of point (j), the dot is replaced by "a 'and the following point (k) is added:

"(k) The Ministry of Labour and Social Affairs and the Institute of Health Assessment for the purpose of the exercise of competence under the Act on the Organisation and Implementation of Social Security (18) and the Act on sickness insurance (19).

18) Act No. 582 / 1991 Coll., on the organisation and implementation of social security, as amended.

19) Act No. 187 / 2006 Coll., on sickness insurance, as amended. '

17. in Article 21 (1) (j):

"(j) the identification of each health service provider to which the health professional is in a professional or similar relationship;"

18. in Paragraph 21 (1) (k), the words "health services" shall be inserted after the word "provider."

19. in Paragraph 22 (1), the word "a" shall be deleted at the end of point (h).

20. In Paragraph 22, at the end of paragraph 1, the dot is replaced by "a 'and the following point (j) is added:

"(j) The Ministry of Labour and Social Affairs, the Czech Social Security Administration, the Territorial Social Security Administration and the Institute of Health Assessment, to the extent of the data referred to in Article 21 (1) (a), (b), (h) and (j), for the purpose of managing and controlling pension applications under the Pension Insurance Act and in the assessment of health status under the Act on the organisation and implementation of social security, the Law on sickness insurance and the Law on measures in the field of employment and social security in connection with armed conflict in Ukraine caused by the invasion of Russian Federation troops."

21. in Paragraph 22 (1) (j):

"(j) The Ministry of Labour and Social Affairs, the Czech Social Security Administration, the Regional Social Security Administration and the Institute of Health Assessment to the extent of the data referred to in Article 21 (1) (a), (b), (h) and (j), for the purpose of managing and controlling pension applications under the Law on Pension Insurance, and of managing the allowance for care or benefit to persons with disabilities or a medical certificate of a person with disabilities, as well as in the assessment of the health status under the Law on the organisation and implementation of social security, the Law on sickness insurance and social security measures in the context of armed conflict in the territory of Ukraine caused by the invasion of Russian troops."

22. in Article 23 (1) (c), the words "unless this number is the birth number" shall be deleted;

23. in Article 23 (1) (g), the words "in particular the telephone number, and" shall be replaced by "the telephone number," and at the end of the text of the letter the words "and the identifier of the data box" shall be added.

24. in Paragraph 23 (1), the word "a" shall be replaced by a comma at the end of (m).

25. In Article 23, at the end of paragraph 1, the dot is replaced by a comma and the following points (o) to (s) are added:

"(o) the identification document number, the type of document and the State which issued the document, if any,

(p) citizenship;

(q) the data reported in the medical opinion on fitness to drive motor vehicles under the Road Traffic Act (20);

(r) an indication that the patient is in possession of an authorisation to dispose of weapons and ammunition under the gun and ammunition law21), and

(s) an indication that the patient is a holder of a munitions authorisation under the munici22 Act.

20) Act No. 361 / 2000 Coll., on road traffic and on amendments to certain laws (Road Traffic Act).

21) Act No. 90 / 2024 Coll., on weapons and ammunition.

22) Act No. 91 / 2024 Coll., on ammunition. '

26. in Article 23 (2) (a), the words "(b)" shall be inserted after the words "and, at the end of the text of the letter, the words" the data referred to in paragraph 1 (o) shall be entered by the Ministry only if it is a patient whose identity has been verified in the population register. "

27. in Article 23 (2) (b), the words "(b) to" shall be replaced by "(c) to"; the words "and (l) shall" shall be replaced by "(l), (o) and (p) shall be"; the words "patients who are its insured persons" shall be deleted; the words "the entry referred to in paragraph 1 (e), (i), (k) and (o) shall be replaced by the words" the patient whose identity has not been verified ";

28. in Article 23 (2) (c), the words "or a person not listed in the Stem Register of Patients" shall be inserted after the words "if it is a newborn," and the words "place of residence" shall be inserted after the words "if it is a newborn."

29. In Article 23, at the end of paragraph 2, the dot is replaced by a comma and the following points (e) to (g) are added:

"(e) paragraph 1 (f) shall be a registered health service provider through registration services pursuant to Paragraph 29, if the patient is concerned, unless the information is registered by the health insurance company in accordance with point (b);

(f) paragraph 1 (q) shall be the assessing provider of health services; and

(g) paragraphs 1 (r) and (s) are the Police of the Czech Republic. ';

30. In Article 24, at the end of point (b), the words "to which health services are provided or provided to the extent necessary for the provision of health services or in direct connection with them are added; the health care professional must not refer to patient data other than in the context of the provision of health services; ';

31. In § 24, the words "and other agendas within the competence of the Czech Social Security Administration relating to the state of health of persons, with the exception of the information referred to in § 23 (1) (q) to (s)," shall be added at the end of the text (c).

32. in § 24, the words "except for the information referred to in § 23 (1) (q) to (s)" shall be added at the end of the text of points (d), (f) and (h).

33.In Article 24, the words "except for the information referred to in Article 23 (1) (q)" shall be added at the end of the text of point (g).

34. in Article 24 (i), the words "and the State Health Institute," shall be inserted after the words "on the protection of public health," and the words "and" shall be deleted at the end of the letter, "with the exception of the particulars referred to in Article 23 (1) (q) to (s);

35. in Paragraph 24, at the end of point (j), the dot is replaced by a comma and the following points (k) to (m) are added:

"(k) The police of the Czech Republic, to the extent necessary to identify the registered health service provider and his / her workplace, where the patient is registered, if the patient is subject to a specific task of the Police of the Czech Republic,

(l) the Ministry of Transport, within the scope of the data referred to in § 23 (1) (a) as regards the identification of the patient and under § 23 (1) (q) for the purpose of recording these data in the central register of drivers under the Road Traffic Act, if they are data subjects maintained in the population register; and

m) Ministry of Labour and Social Affairs, Czech Social Security Administration and Institute of Health Assessment in the exercise of their powers under the Act on the Organisation and Implementation of Social Security, the Act on sickness insurance and the Pension Insurance Act, with the exception of the data referred to in § 23 (1) (q) to (s). "

36. In Paragraph 24, the current text becomes paragraph 1 and the following paragraph 2 is added:

"(2) The use of or making available to a person who does not provide or does not provide health services to the patient to whom the stem data relate shall be prohibited. ';

37. In Section 25, at the end of paragraph 1, the words "and linked agendas information systems under the Health Services Act 'are added.

38. In Paragraph 26 (1), the words "other electronic health services and 'shall be added at the end of point (d).

39. in Article 27 (1), the following point (d) is inserted after point (c):

"(d) the services of requesting health services processed in electronic form (hereinafter referred to as" eŽanka "),"

Points (d) to (f) shall be renumbered as points (e) to (g).

40. in Paragraph 27 (1) (e):

"(e) the authorisation register,"

41. in Article 27 (1), the following point (f) is inserted after point (e):

"(f) a shared medical record,"

Points (f) and (g) shall be renumbered as points (g) and (h).

42. In Paragraph 27 (1), at the end of point (g), the word "a 'is replaced by a comma and the following point (h) is inserted:

"(h) mobile application services for viewing data in connection with the provision of health services for a particular patient (" EZKarta "),"

Point (h) shall be renumbered as point (i).

43. The heading above the title of Section 30 is deleted.

44. Paragraph 30, including the title, reads:

„§ 30

Exchange network services

The Ministry sets up exchange network services to ensure the transmission and sharing of health documentation via a secure encrypted communication channel in electronic form, its parts or its information between

(a) health service providers under the Health Services Act;

(b) health service providers and patients;

(c) health service providers and health insurance companies under another legislation15);

(d) health service providers, health insurance companies and statistical institutes; and

(e) health service providers and the Institute for Health Assessment and Social Security competent to assess health status pursuant to Section 4 (2) of the Act on the Organisation and Implementation of Social Security. '

45. The heading "Exchange network storage services' is inserted under Section 31.

46. in Paragraph 31 (1):

"(1) The exchange network services shall include a temporary storage facility which is intended for the temporary storage and sharing of health documentation in electronic form, part of it or information intended for transmission (" the consignment ') on the basis of the request of the sending authorised person ("the consignor') and its collection by the authorised person designated (" the addressee '). The sender and the addressee in accordance with the first sentence may be the authorised person referred to in Paragraph 30.';

47.Paragraph 31 (2) reads as follows:

"(2) Only its consignor and consignee shall have access to the consignment stored in the temporary storage site, unless otherwise provided for by this law. ';

48. In Paragraph 31, the sentence "This shall not apply to eNIs, which shall be irrevocably deleted 3 years after the date of provision of the requested health service, or 3 years after its entry into the temporary storage site, if the requested health service has not been provided. 'is added at the end of paragraph 3.

49. After Paragraph 31, the following Section 31a is inserted:

„§ 31a

EQUIVA

(1) e A request means the requirement of a health service provider to provide requested health services in electronic form and transmitted through the temporary storage of services of an exchange network to a health service provider authorised to provide requested health services.

(2) The Ministry shall affix the ePísanka stored by the health service provider to the temporary storage of the exchange network services with a unique identifier through the temporary storage of the exchange network services.

(3) The health service provider who has issued eNI shall be obliged to:

(a) to deposit the eRequest in the temporary storage of the exchange network services;

(b) communicate the eRequest identifier in writing to the patient,

(c) upon request of the patient, communicate in writing the eRequest identifier to a specific health service provider authorised to provide the requested health services;

(d) at the request of a patient or health service provider who is entitled to provide the requested health services, to transfer the eRequired to a letter form and to transmit it to the patient or health service provider who is entitled to provide the requested health services.

(4) The health service provider authorised to provide requested health services is obliged to:

(a) to accept the eRequest unless it is prevented by its technical equipment or the right to refuse the provision of health services under the Health Services Act;

(b) immediately upon the provision of the requested health service, insert an indication of the provision of the requested health service into the temporary storage of the services of the exchange network.

(5) The health service provider will pick up the eNIs from the temporary storage of the exchange network services on the basis of its identifier, which will be communicated to it by the patient or health service provider who sent the eNIs.

(6) The temporary storage site of the exchange network services other than the consignor and the addressee referred to in Article 31 (2) shall also have access to:

(a) the patient to the eRequested patients,

(b) the health insurance company to ePIs for the purpose of carrying out control obligations under the Public Health Insurance Act in relation to its insured persons;

(c) the statistical institute on ePídanky for the statistical evaluation of the quality of health services provided in the National Health Information System pursuant to Section 70 of the Health Services Act. ';

50. The heading above the title of Section 32 reads: "Authorisation Register."

51. In Article 32, the following paragraphs 1 to 5 are added:

"(1) Personal data are processed in the Register of Authorisations for the purpose of granting and managing authorisations for access to services and data in electronic health.

(2) The authorisation register shall contain:

(a) a patient identifier from the Tribal Patient Register for the purpose of identifying the patient and the person authorised by the patient to use electronic health services on his behalf;

(b) the provider's identifier from the Provider's Stem Register;

(c) an identifier for a health worker from the Stem Register of Health Workers;

(d) the identifier of the person authorised to use electronic health services on his behalf;

(e) identification of the agenda for which the natural or legal person is entitled to represent,

(f) identification of electronic health services maintained in the electronic health service catalogue;

(g) the scope of the authorisation to represent,

(h) the date of creation, modification or termination of the authorisation for representation.

(3) Recording by data

(a) paragraphs 2 (a) to (d) shall be the Ministry;

(b) paragraphs 2 (e) to (h) is a patient;

(c) paragraph 2 shall be the provider of health services which ascertains a change in the registered data.

(4) The recording person shall enter the particulars referred to in paragraph 2 or amend them without delay and within 3 working days at most and shall be responsible for their accuracy.

(5) Authorised persons using tribal data from the Register of Authorisations are:

(a) patients within the scope of the data provided;

(b) the health service provider for the provision of health services;

(c) the person authorised by the patient to use the electronic health services on his behalf to the extent that the patient is kept. ';

Paragraphs 1 and 2 shall be renumbered paragraphs 6 and 7.

52. In Section 32 (6) of the Introductory Part of the Provisions, the words "Conciliation Management System 'are replaced by the words" Register of authorisation further'.

53.In Paragraph 32 (6), at the end of point (b), the word "a 'is replaced by a comma.

54. In Article 32, at the end of paragraph 6, the dot is replaced by "a 'and the following point (d) is added:

"(d) a record of the patient's express disagreement with regard to the data contained in the shared health record under this law."

55. in Paragraph 32 (7), the words "in the system of consent management" shall be replaced by the words "in the authorisation register" and the words "for an integrated data interface" shall be replaced by the words "for electronic health services."

56. In Article 32, the following paragraph 8 is added:

"(8) The data in the Register of Authorisations shall be kept for 10 years from the death of the patient or his declaration of death. ';

57. In Section 34, the words "the system of consent management 'are replaced by the words" the authorisation register'.

58. The following Section 34a is inserted after Section 34:

„§ 34a

Shared health record

(1) A shared health record includes:

(a) an emergent health record; and

(b) the results of preventive and screening tests.

(2) An emergent medical record contains data on the patient's health status, namely:

(a) blood type,

(b) allergies,

Citation	Act No. 236 / 2025 Coll., amending Act No. 325 / 2021 Coll., on Electronic Health, as amended, and other related laws
Regulation Type	-
Author	-
Collection	Code of Laws

Date of Promulgation	15.07.2025
Effective from	01.01.2026
Effective until	-
Status	Valid

Act No. 236 / 2025 Coll.

Act amending Act No. 325 / 2021 Coll., on Electronic Health, as amended, and other related laws

Contents

ČÁST PRVNÍ

Čl. I

„§ 30

„§ 31a

„§ 34a

Contents

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