Decree No. 3 / 2010 Coll.
Ordinance on the determination of the content and time limits of preventive inspections
Valid
Effective from 01.02.2010
3
DECLARATION
of 17 December 2009
establishing the content and time limits of preventive inspections
According to § 29 (5) of Act No. 48 / 1997 Coll., on Public Health Insurance and on the amendment and addition of certain related laws, the Ministry of Health provides:
Contents and time ranges of preventive examinations in the field of general practitioner for adults
The preventive examination shall be carried out every two years, as a general rule after 23 months after the last preventive examination. The contents of the preventive inspection are:
(a) the addition of a history, including social, focusing on changes, risk factors and occupational risks; a family history of cardiovascular disease, hypertension, diabetes mellitus, disorders of fat and cancer metabolism, and addiction,
(b) control of tetanus vaccination;
(c) complete physical examination, including blood pressure measurement, height-to-weight ratio detection and visual and hearing orientation; Oncological prevention is included, including skin examination, perrectum examination and evaluation of oncological risks; in men in a positive family history or in the presence of other risk factors, clinical examination of testicles; in women from 25 years of age, in a positive family history of hereditary or familial occurrence of breast cancer or in the presence of other risk factors, a clinical examination of breast, together with a self-investigation instruction;
(d) ECG tests in persons from 40 years of age at four-year intervals;
(e) laboratory tests containing:
1. indicative chemical examination of urine at each examination;
2 tests for plasma cholesterol of total and plasma lipoproteins including triacylglycerol at 18 years of age and beyond at 30, 40, 50 and 60 years of age,
3. glucose testing at 18 years of age and from 40 years of age at two-year intervals;
(f) determination of occult bleeding in faeces by a special test in persons from 50 years of age; from 55 years of age, may be replaced by a recommendation to perform a screening colonoscopy every 10 years; if the woman has undergone an examination in accordance with § 4 (b). (j) in a period shorter than the intervals indicated and the result is available, the examination is not ensured;
(g) in the case of women aged 45 years or older, whether the result of a screening mammographic examination from the last 2 years is available. If such a result is not available, the physician shall refer the recommendations for carrying out this examination and the necessary additional examinations.
Contents and time ranges of preventive examinations in the field of general practitioners for children and adolescents
(1) The content of preventive examinations of children between birth and 18 months of age is:
(a) establishing medical documentation when taking the child into comprehensive care;
(b) the history and identification of changes in the health status since the last inspection, the control of vaccination of the child and, where appropriate, the addition of the missing vaccination, to the extent provided for by other legislation1);
(c) physical examination of which it is part
1. the determination of the weight, the length of the child and the circumference of the child's head, the evaluation of these parameters by growth charts;
2 internal examination,
3. examination of psychomotor development,
4. targeted age-specific examination and identification of health risks including the risk of child abuse, neglect and abuse;
(d) diagnostic balance sheet;
(e) the conclusion and guidance of parents on child nutrition and regime, including age-specific accident prevention;
(f) psychotherapeutic conversation involving a child with medical conditions or a child at risk of medical conditions, including health disorders, as a result of adverse family or other social conditions.
(2) In addition to the inspection content referred to in paragraph 1, the content of:
(a) the first inspection of the newborn, which shall normally take place within two days of the release from the health establishment in which the delivery of childbirth services was made, preferably in its own social environment;
1. assessment of the social level of the family, family history, mother's personal and pregnancy history, prenatal, perinatal and postnatal history and assessment of the medical report on the newborn,
2. examination of the general condition of the child, examination of the skin and subcutaneous layer, hair and nails, examination of lymph nodes, muscles and skeletons, including the shape, size of the fountain, assessment of the seams and measurement of the circumference of the head, further examination of the eyes and their surrounding area including the position of the eyeballs and conjunctivitis, examination of the ears, nose, mouth cavity, including the nodes, chest, its circumference and the condition of the clavicle, physical finding on the heart and lungs, examination of the abdomen, this is a size, palpaw examination of the abdominal organs and umbilitic scars, examination including the palpaw and pulse of the femurs,
3. indicative hearing examination,
4. initiating preventive administration of vitamin K,
(b) examinations at 14 days of age, other than those referred to in (a) (2), findings of infant nutrition, the initiation of preventive administration of vitamin D against curvature, the necessary instruction of the child's parent and recommendations for specialist hip orthopaedic examination between 3 and 6 weeks of age;
(c) inspections at 6 weeks of age, other than those referred to in (a) (2), checking the outcome of the orthopaedic examination and checking the preventive administration of vitamin D, an indicative visual examination;
(d) inspections at 3 months of age, other than those referred to in (a) (2), checking for preventive administration of vitamin D, initiating vaccination and vaccination plan;
(e) examinations at 4 to 5 months of age, other than those referred to in (a) (2), indicative examination of vision and hearing;
(f) inspections at 6 months of age, other than those referred to in (a) (2), checking for preventive administration of vitamin D, checking for dental development and instructing the parent of the need to register the child with a dental practitioner in the second half of the child's life and its involvement in regular dental examinations;
(g) examinations at 8 months of age, other than those referred to in (a) (2), an indicative examination of vision and hearing;
(h) inspections at 10 to 11 months of age, except those referred to in (a) (2), check for preventive administration of vitamin D;
(i) inspections at 12 months of age, in addition to the tests referred to in (a) (2), the detection and evaluation of essential anthropometric indicators, the control of the preventive administration of vitamin D, the size of the large fontanella, the examination of vision and hearing, speech development, the development of teeth and the necessary instruction of the child's parents, information on oral hygiene, individual consideration of total intake of fluorides, the recommendation of dental examination,
(j) examinations at 18 months of age, in addition to the examinations referred to in (a) (2), the state of the large fontanel, the development and state of the teeth, including the recommendation of dental examination, the examination of vision and hearing, the assessment of psychomotor development, focusing on gross and fine motor, speech development and social behaviour of the child.
(3) The content of preventive examinations for children aged 3 years is
(a) an interview with a parent focused on new anamnestic facts, a check on the vaccination of the child or, where appropriate, the addition of a missing vaccination, to the extent provided for by other legislation1),
(b) assessment of psychosomatic development, fine and coarse motor skills, social behaviour and hygiene habits of the child;
(c) determination of weight and height, evaluation of these parameters by growth charts due to the detection of possible malnutrition, overweight or obesity, laterality testing, colour knowledge,
(d) complete physical examination, including skin inspection and the exclusion of signs of abuse, neglect and abuse of the child;
(e) eye and eye examination;
(f) examination of speech, voice and hearing;
(g) urine examination;
(h) blood pressure and pulse tests;
(i) oral examination and, where appropriate, dental examination recommendations;
j) genital examination, that is to store testicles in boys and to detect any discharge in girls,
(k) the final interview of a doctor with a parent aimed at obtaining active cooperation, teaching parents about nutrition and the regime of the child, including accident prevention according to age specificities, or supportive psychotherapeutic interview, in particular when it comes to a seriously ill child, an endangered child and family functionality issues.
(4) The content of preventive examinations of children at 5 years of age shall be, in addition to the content of the examinations referred to in paragraph 3,
(a) identification of weight, height, height ratio and assessment of the growth of the child by growth charts, in order to detect possible malnutrition, overweight or obesity;
(b) evaluation of psychomotor developments for a preliminary assessment of school maturity,
(c) examination of colour knowledge with the requirement of their separate word marking;
(d) checking the hygiene habits of the child with a focus on urination;
(e) examination of plasma cholesterol of total and plasma lipoproteins, including triacylglycerols, at a positive family history of cardiac ischaemic disease, myocardial infarction, angina pectoris, sudden stroke and hyperlipoproteinaemia up to 55 years of age and other risk factors;
(f) urine testing.
(5) The content of preventive examinations of children at 7, 9, 11 and 13 years of age is
(a) interview with a parent focused on new anamnestic facts, including targeted questions aimed at early detection of celiac disease and other diseases and conditions which initially show unclear symptoms, exclusion of signs of abuse, neglect and abuse of the child, the onset of various dependencies and risk behaviour of the child, lessons learned about a healthy lifestyle, including age-specific accident prevention, family performance assessment,
(b) control of the vaccination of the child and, where appropriate, the addition of the missing vaccination within the scope laid down by other legislation1), a lesson on the possibility of vaccination against cervical cancer;
(c) the identification of the weight and height of the child, the determination of the height and the assessment of the growth of the child on the basis of growth charts, in order to detect possible malnutrition, overweight or obesity;
d) complete physical examination, including movement apparatus, skin examination, lymph nodes, thyroid glands, secondary sex signs,
(e) urine examination,
(f) blood pressure, pulse,
(g) visual examination, including colour cites;
(h) hearing, speech and voice examination;
(i) examination of the oral cavity, dental status and, where appropriate, recommendations for dental examination;
(j) for children of 13 years of age, an assessment of psychosocial development and motor skills, lessons related to health risks and consequences related to sexual life, including lessons on sex protection,
(k) for children of 13 years of age, an assessment of the risks to further life arising from family history and personal history, and an opinion on the work and, where appropriate, study course related to the termination of compulsory education; for persons with disabilities, comments on limiting the preparation for work and on the ability to work and on the possibility of requesting a decision from the competent employment authority as to whether the person is not disabled, under another legislation (2).
(6) The content of preventive examinations for children aged 15 years is
(a) the general examination and updating of the anamnestic data referred to in paragraph 5 (a), the inspection and, where appropriate, the addition of the missing vaccination to the extent provided for by other legislation1);
(b) the identification of the weight and height of the child, the determination of the height and the assessment of the growth of the child by growth charts, in order to detect possible malnutrition, overweight or obesity;
(c) complete physical examination, including skin examination and secondary sexual characteristics;
(d) urine testing,
(e) blood pressure, pulse,
(f) visual examination;
(g) examination of hearing, speech and voice,
(h) oral examination, dental status and, where appropriate, dental examination recommendations;
(i) overall assessment of the condition and development of the child, lessons related to health risks and consequences related to sexual life, including lessons on protected sex, recommendations for preventive gynecological examination in accordance with § 4 and lessons on the possibility of vaccination against cervical cancer;
(j) an assessment of the risks to further life arising from family history and personal history and comments on work and, where appropriate, study orientation; for persons with disabilities, comments on limiting the preparation for work and on the ability to work and on the possibility of requesting a decision from the competent employment authority as to whether the person is not disabled, under another legislation (2).
(7) The content of preventive examinations for children aged 17 years is
(a) supplementing the social, family and personal history referred to in paragraph 5 (a), checking and, where appropriate, adding missing vaccination to the extent provided for by other legislation1);
(b) the identification of the weight and height of the child, the determination of the height and the assessment of the growth of the child by growth charts, in order to detect possible malnutrition, overweight or obesity;
(c) complete physical examination, including skin inspection;
(d) urine testing,
(e) blood pressure, pulse,
(f) visual examination;
(g) examination of hearing, speech and voice,
(h) oral and dental examination, including advice on dental examination;
(i) guidance on protected sex, recommendations for preventive gynecological examination in girls under Section 4;
(j) an assessment of the risks to further life arising from family history and personal history and comments on work and, where appropriate, study orientation; for persons with disabilities, comments on limiting the preparation for work and on the ability to work and on the possibility of requesting a decision from the competent employment authority as to whether the person is not disabled, under another legislation (2).
(8) The last preventive examination shall be carried out before the completion of care with a general practitioner for children and adolescents, at the latest before the date of completion of 19 years of age. The content of the inspection shall be as follows:
(a) a final assessment of the state of health prior to completion of care by a general practitioner for children and adolescents and transfer to the care of a general practitioner for adults;
(b) an assessment of the risks to further life arising from family history and personal history, an opinion on work and, where appropriate, study; for persons with disabilities, comments on the limitation of the preparation for work and the ability to work and information on the possibility of requesting a decision by the competent employment authority as to whether they are a disabled person under another legislation (2).
Content and time range of preventive examinations in dental studies
(1) The content of preventive examinations to be carried out once a year for children between the sixth and twelfth months and twice a year for children and adolescents from one year of life to 18 years of age, usually after 5 months after the last preventive examination is carried out, is
(a) establishing medical documentation;
(b) a history with particular regard to the development of the orophatic system at the age of 3, 6, 12 and 15, when this history is supplemented;
(c) an examination of the state of teeth, periodontal, mucosal and soft tissues of the oral cavity, anomalies in the position of teeth and jaws,
d) prevention of oncology aimed at searching for pre-tumor changes and tumour manifestations on the teeth of the paradont, jaws and soft tissues of the face and neck,
(e) guidance on the importance of the prevention of dental diseases and the maintenance of proper oral hygiene, the proper eating habits and the importance of fluoride prevention in relation to the risk of dental decay and the risk of transmission of cariogenic micro-organisms.
(2) The content of preventive examinations in pregnant women performed twice during pregnancy is
(a) an examination of the dental, periodontal, mucosal and soft tissues of the oral cavity;
b) prevention of oncology aimed at searching for pre-tumor changes and tumour manifestations on the teeth of the paradont, jaws and soft tissues of the face and neck,
(c) a lesson on the importance of preventing dental disorders during pregnancy in both the woman and the future child, including on the proper hygiene of their oral cavity, on fluoride prevention and the need for dental rehabilitation before birth to prevent the transmission of cariogenic microorganisms from the oral cavity to the oral cavity;
(d) a lesson to the mother-to-be on the need to provide dental preventive examinations of her child, the first between 6 and 12 months of her age.
(3) The content of preventive examinations in adults that are carried out once a year is generally 11 months after the last preventive examination is carried out.
(a) an examination of the dental, periodontal, mucosal and soft tissues of the oral cavity;
b) prevention of oncology aimed at searching for pre-tumor changes and tumour manifestations on the teeth, paradonna, jaws and soft tissues of the face and neck,
(c) guidance on correct oral hygiene.
Contents and time ranges of preventive examinations in the field of gyno and obstetrics
The content of preventive examinations in the field of gyno and obstetrics, which are carried out at 15 years of age and further once a year, usually after 11 months after the last preventive examination is carried out is
(a) family, personal and occupational history and updating of this history taking into account known risk factors;
(b) clinical examination of breast at 15 years of age and from 25 years of age in a positive family history of hereditary or familial occurrence of breast cancer or in the presence of other risk factors;
(c) skin examination and palpationary examination of regional lymph nodes in the sexual organs;
(d) mirror examination, collaborative examination; is not performed in female virgo,
(e) the collection of material from the cervix for a cytological, possibly bacteriological or virological examination; is not performed in female virgo,
(f) pallet bimanual examination;
(g) a lesson on the importance of preventive anti-cancer surveillance;
(h) self-examination exercises at the first examination by the registering physician;
(i) for women aged 45 years or older, the transmission of recommendations for screening mammography and the necessary additional examinations at two-year intervals. If a woman has already undergone the examination referred to in § 1 (g) for a period of less than two years and a result is available, the examination shall not be provided;
(j) determination of occult bleeding in faeces by a special test in women from 50 to 54 years of age, 55 years of age at two-year intervals or 10 years of age, recommended for screening colonoscopy; if the woman has already undergone the tests referred to in Article 1 (f) at the indicated intervals and the result is available, the examination shall not be provided.
Repeal
The following shall be deleted:
1. Decree No. 56 / 1997 Coll., determining the content and time range of preventive inspections.
2. Decree No. 183 / 2000 Coll., amending Decree No. 56 / 1997 Coll., determining the content and time range of preventive inspections.
3. Decree No. 372 / 2002 Coll., amending Decree No. 56 / 1997 Coll., determining the content and time range of preventive inspections, as amended by Decree No. 183 / 2000 Coll.
Efficacy
This Decree shall take effect on 1 February 2010.
Minister:
Juraskova v. r.
1) Decree No. 537 / 2006 Coll., on vaccination against infectious diseases, as amended by Decree No. 65 / 2009 Coll.
2) § 8 (1) (m) of Act No. 435 / 2004 Coll., on Employment, as amended by Act No. 109 / 2006 Coll. and Act No. 479 / 2008 Coll.
Sign in for notes, favorites and notifications
Regulation Information
| Citation | Decree No. 3 / 2010 Coll., establishing the content and time range of preventive inspections |
|---|---|
| Regulation Type | - |
| Author | - |
| Collection | Code of Laws |
| Date of Promulgation | 08.01.2010 |
|---|---|
| Effective from | 01.02.2010 |
| Effective until | - |
| Status | Valid |
The regulation text is for informational purposes only.
Comments 0