Decree No 470 / 2004 Coll.
Ordinance establishing a list of diseases, conditions or defects which exclude medical fitness for the exercise of the profession of doctor, dental practitioner and pharmacist and for the pursuit of the profession of another medical professional and other professional, species, frequency and content of medical examinations and medical advice (on medical fitness for the pursuit of the profession of medical professional and other professional)
Valid
Order
Effective from 18.08.2004
Text versions:
18.08.2004
470
DECLARATION
of 9 August 2004
establishing a list of diseases, conditions or defects which exclude medical fitness for the exercise of the profession of doctor, dental practitioner and pharmacist and for the pursuit of the profession of another medical professional and other professional, species, frequency and content of medical examinations and medical advice (medical fitness for the exercise of the profession of medical professional and other professional)
The Ministry of Health provides, pursuant to § 37 for the implementation of § 3 (2) of Act No. 95 / 2004 Coll., on the conditions for obtaining and recognition of professional competence and specialised competence for the pursuit of the medical profession of a physician, dental practitioner and pharmacist, and under § 90 (2) (e) of Act No. 96 / 2004 Coll., on the conditions for the acquisition and recognition of competence for the pursuit of non-medical medical professions and for the exercise of activities related to the provision of medical care and the amendment of certain related laws (Law on non-medical medical medical professions):
Preliminary provisions
(1) This decree regulates, in accordance with the law of the European Communities (1), the list of diseases, conditions or defects which exclude or allow the pursuit of the profession of medical practitioner, dental practitioner and pharmacist (2), and the list of diseases, conditions or defects which exclude or restrict medical fitness for the profession of non-medical medical practitioner and other professional practitioners (3) (hereinafter referred to as "the list of diseases, conditions or defects which exclude or restrict medical fitness for the profession '), the types, frequency and content of medical examinations, including the scope of professional examinations, and the nature of medical assessment.
(2) The list of diseases, conditions or defects which exclude or restrict professional fitness is set out in Annex 1 to this Decree.
Professional medical fitness and medical examinations
(1) Health fitness for the exercise of the profession means an assessment of the health status of a doctor, dental practitioner, pharmacist, non-medical health worker and another professional worker (hereinafter referred to as "the person under consideration ') and an assessment of whether the health status of the person under consideration allows work to be carried out in respect of specific working conditions, including the incidence of fact4) and the health risk of the worker (hereinafter referred to as" the health performance of the worker'), without deterioration of the health status of the person under consideration or without damage to other persons in relation to the health status of the person under consideration.
(2) The medical fitness to pursue the profession of the person under consideration is ascertained and the medical assessment5) issued by a registered practitioner, a preventive care practitioner (hereinafter referred to as the "assessor") on the basis of medical examinations carried out with knowledge of the health performance of the work. Medical examinations are
(a) an entry tour;
(b) periodic inspection;
(c) special inspection.
Entry check
(1) The purpose of the initial examination is to ensure that a disabled person is not assigned to pursue the profession.
(2) Entry inspection is carried out
(a) for the person under consideration seeking employment before the conclusion of a work or similar relationship; in the case of secondary employment, an initial examination shall be carried out in the case of the pursuit of an occupation involving work classified in categories 2 to 4 under special legislation (7), unless the performance of the same work carried out under the same conditions as that of the main employment;
(b) for the person under consideration before transfer to another work;
(c) for the person under consideration who is an operator of the healthcare establishment before the application for registration (8).
Periodic examination
(1) The purpose of the periodical examination is to verify the duration or change of medical fitness for the profession.
(2) Periodic examination shall be carried out on a regular basis for the person under consideration every 6 years, for persons over 60 years every 2 years, from the date of entry or last periodical examination, unless special legislation (9) or a decision of the public health authority (10) or Annex 1 thereto provides otherwise.
Emergency inspection
(1) The purpose of the extraordinary examination is to assess the health status of the person under assessment in the event of a reasonable assumption that there has been a loss or change in medical fitness for the profession at the time before the periodic examination.
(2) An emergency inspection shall be carried out where:
(a) it has been ordered by the public health authority (11);
(b) an increase in the health performance of the work requires a change in the category of work7) or where there is reasonable suspicion of a change in the medical capacity of the person under assessment;
(c) a medical examination may, on the basis of an assessment of the state of health, assume that there may be changes in the health status by the date of the next periodical examination which may alter or lead to loss of medical fitness;
(d) the work has been interrupted due to illness or severe injury or other serious injury to health or for other reasons, and this interruption has lasted more than 6 months;
(e) it has been recommended by the National Nuclear Safety Authority on the basis of its assessment of the excess of exposure limits for professional workers (9);
(f) it has been requested in justified cases by the employer, in particular where:
1. the person under consideration who is working in a work or similar relationship has such shortcomings in the performance of his or her work or behaviour that a change in his or her medical capacity for the profession can reasonably be expected;
2. the exposure limits for workers in the performance of their professions have been exceeded; or
3. the treating or examining doctor has so requested if he or she finds that there has been a change in the state of health of the person under assessment which justifies a change in medical fitness to pursue the profession, or if the person under consideration has expressed a reasonable suspicion of loss of professional fitness or a reasonable presumption that his or her medical difficulties have arisen or are deteriorating in relation to the health performance of the work;
(g) it has been requested, in justified cases, by the administrative authority competent to issue an authorisation for the operation of a medical establishment under special legislation (8), in particular where the person under assessment shows deficiencies in the performance of his or her work or conduct that a change in his or her medical fitness for the profession can reasonably be expected.
Medical examinations and their contents
(1) A medical examination of the person under consideration who is an employee will be requested by his employer (12). The application for a medical examination shall specify the type of medical examination required, the medical performance of the work for which the person is assessed, or any other information necessary for the assessment of the medical fitness of the person under assessment. The request for an emergency inspection shall always state the reasons for its request.
(2) The person under assessment who is the operator of the medical establishment will arrange for a medical examination of his or her person; the second and third sentences of paragraph 1 shall proceed.
(1) The contents of each medical examination are:
(a) analysis of anamnestic data with a targeted focus, in particular, on the occurrence of hereditary diseases which may affect professional fitness, data on diseases and accidents which have been experienced so far, including allergic diseases, the long-term use of medicinal products, the relationship with alcohol and other addictive substances and data from a working history;
(b) a comprehensive physical examination, including an indicative examination of hearing, vision, skin and indicative neurological examination, with an emphasis on assessing the condition and function of organs and systems which may be adversely affected by work under given working conditions; and
(c) basic chemical examination of urine.
(2) The medical examination also includes:
(a) the tests referred to in Annex 1;
(b) further examinations, where provided for in specific legislation13) or decisions of the public health authority (10), 11);
(c) additional examinations to exclude contraindications or to assess possible occupational health damage as required by the medical assessor, where the medical condition of the person under consideration or the working conditions so require.
(3) Information from the medical file is provided by the person under assessment to the extent necessary to establish the medical fitness to pursue the profession by a medical practitioner (14), unless that practitioner is the medical assessor himself. This information must be available to the assessor at the latest on the day of the medical examination. The information shall include data on the state of health of the person under assessment, including information on changes in the state of health related to the work so far, as well as information on the genetic burden of the person under assessment to the extent necessary for the assessment of professional fitness.
(4) If the person concerned is not registered with any practitioner, the assessor may request further targeted additional examinations to rule out diseases for which inclusion in the work of the person concerned is not appropriate.
(5) If the assessor requests further professional examinations, he shall always provide information on the health performance of the work in the application for the examination.
(6) In assessing the medical fitness to pursue the profession, the assessor shall take account of the conclusion of the examination requested.
(7) The findings and conclusion of the medical examination, including the diagnosis, are detailed in the medical documentation of the medical assessor. On the basis of the findings and conclusions of the medical examination, the medical assessor shall prepare a medical report for a physician who shall register the person under assessment if he is not alone.
Medical evaluation and its requirements
(1) The medical opinion, a model of which is given in Annex 2, is the result of a medical examination.
(2) The medical opinion is clear in its opinion and does not contain a diagnosis. It is stated in the opinion that the person assessed in relation to the health performance of the work
(a) is fit to pursue the profession; or
(b) is not fit to pursue the profession; or
(c) be fit for the pursuit of a profession with a restriction which is expressly stated in the medical opinion; the restriction must not exclude the person under consideration from an activity which is an integral part of the pursuit of his or her profession.
(3) The validity of the medical opinion expires on the day on which the periodical examination was to be carried out, or on which the medical opinion determined the date of the extraordinary medical examination.
(4) The medical assessment submitted to the employer or the administrative authority responsible for the issue of an authorisation to operate a medical establishment under a special legislature8) must not be more than 3 months from the date of its issue.
(5) The medical opinion in writing and in one copy shall be transmitted by the medical assessor to the assessor and his employer or administrative authority responsible for the issue of an authorisation to operate a medical establishment under a special legislature8, no later than one week after receipt of the last result of the requested examination, provided that there is no risk of delay in the loss of medical fitness to pursue the profession; in the event of a danger of delay, the medical assessment shall be transmitted by the assessor on the day on which the change in medical fitness was detected.
Transitional provision
The validity of a medical opinion issued before the date of application of this decree shall be assessed in accordance with existing legislation.
Efficacy
This decree shall take effect on the day of its publication.
Minister:
Doc. MUDr. Emmer, CSc.
Příloha č. 1
Annex No 1 to Decree No 470 / 2004 Coll.
List of diseases, conditions or defects which exclude or restrict professional fitness
A. Proceedings
1) is not a disabled person assessed and found in particular:
(a) clinically serious disorders of cognitive function (attention, memory, intellect, judgment, orientation), in particular:
1. dementia of atrophic-degenerative origin, secondary (symptomatic) dementia, organic amnestic syndrome, chronic or recurrent organically conditioned impaired consciousness,
2. organically conditioned personality disorder,
(b) persistent (chronic) or recurrent psychotic disorders of perception and thinking, particularly schizophrenia, schizophrenia, delusion disorder, schizophrenia,
(c) persistent or recurrent psychotic disorders, particularly periodic mania with psychotic symptoms, bipolar affective disorder with manic or depressive phases with psychotic symptoms, periodic depressive disorder with depressive phases with psychotic symptoms,
(d) mental and behavioural disorders caused by the effect of alcohol and other psychoactive substances, particularly:
1. excessive consumption of alcohol and abuse of other psychoactive substances directly (at working time) and repeated (more than once) professional capacity,
2. active dependence on alcohol or other addictive psychotropic substances,
3. residual conditions and psychotic disorders with late onset caused by alcohol or other addictive psychoactive substances (personality or behavioural disorder, psychotic reminescence, amnesty syndrome, dementia),
2) is, provided that a positive conclusion is made by a professional examination carried out by a doctor with a specialisation in the relevant field, a person under assessment who has been identified in particular:
(a) transient organic and symptomatic personality and behaviour disorders, including transient cognitive and mood disorders, in particular delirium free of dementia, organic hallucinosis, organic catatonic disorder, organic delusion syndrome, organic affective disorder, organic anxiety disorder, organic dissociative disorder, organic emotional lability or asthenic disorder, mild cognitive disorder (not "mill cognitive impairment" as a starting form of dementia), post-operative syndrome, post-contusion syndrome,
(b) transient psychotic disorders of thought and perception, in particular acute and transient psychotic disorders (acute polymorphic psychotic disorder with or without symptoms of schizophrenia, acute schizophrenic psychotic disorder), induced disorder with delusions,
(c) mood disorders without psychotic symptoms, in particular hypomania, mania without psychotic symptoms, bipolar affective disorder without psychotic symptoms, depressive phase without psychotic symptoms, periodic depressive disorder without psychotic symptoms, persistent mood disorder (cyclothymia, dystymias),
(d) clinically severe (compulsive incapacity) neurotic disorders, stress-induced disorders, somatoform disorders and behavioural syndromes, in particular phobic anxiety disorders, other anxiety disorders, obsessive compulsive disorders, reaction to severe stress and adaptation disorders, dissociative disorders, somatoform disorders, other neurotic disorders (neurastenia), eating disorders,
e) severe (permanently disrupting social standards and relationships) personality and behavioural disorders, in particular severe forms of specific personality disorders and mixed personality disorders, persistent personality changes, addictive and impulsive disorders, sexual preference disorders,
(f) mental and behavioural disturbances caused by the effect of alcohol and other psychoactive substances, in particular dependence on alcohol or other psychoactive substances (occupational fitness is conditional on a safe period of withdrawal, i.e. uncontested withdrawal of at least two years), excessive consumption of alcohol and abuse of other psychoactive substances, repeated social interference in the history of intoxication, harmful use of alcohol or psychoactive substances, transient psychotic disorder conditional on the effect of alcohol or other psychoactive substances in the past.
B. For the pursuit of the profession of second and higher category works4)
I. with chemical exposure
medicated
(a) there is no person under consideration, in particular:
1. Diseases of organs relevant to the metabolism of the relevant chemicals have been detected, showing severe impairment of their function,
2. An organ disease target for the action of the substance has been identified, showing a serious impairment in the function of these organs,
3. hypersensitivity to chemicals from the working environment has been demonstrated with clinical signs of hypersensitivity,
(b) is the subject of a positive conclusion of a professional examination carried out by a doctor specialising in the relevant field of study, in which particular:
1. the disease of the organs relevant to the metabolism of the relevant chemicals, showing signs of disease activity, has been detected,
2. the disease of the organs targeted for the action of the substance has been detected, showing signs of disease activity;
3. Skin disease of eczema or other severe skin disease has been detected,
4. there is evidence of hypersensitivity to chemicals from the working environment;
the content of the inspections:
(a) the entrance examination shall contain the examination referred to in Article 7 and shall in particular:
1. for hepatotoxic substances, liver tests,
2. in the case of nephrotoxic substances, urinary sediment and blood creatinine,
3. for haematotoxic substances KO + diff,
(b) the content of the periodic inspection shall correspond to that of the initial inspection;
periodical examination period: once every 4 years;
II. exposure to later-acting carcinogenic and mutagenic chemicals (carcinogens of groups 1 and 2 and mutagens of groups 1 and 2 and substances marked with phrases R 45 and R 49)
medicated
(a) there is no person under consideration who has been identified in particular as having a severe, clinically significant disorder of the immunity mechanism,
(b) is the subject of a positive conclusion of a professional examination carried out by a doctor specialising in the relevant field of study;
1. In particular, malignant neoplasms have been detected,
2. in particular, the disease suspected of reversing in malignant neoplasms has been detected;
the content of the inspections:
(a) the initial examination shall include an examination according to § 7 and, in particular, an indicative examination of the condition of lymph nodes, liver, spleen and possible paraneoplastic manifestations;
(b) the content of the periodic inspection shall correspond to that of the initial inspection;
periodical examination period: once every 4 years;
III. Exposure to contact allergens and substances with R43, contact irritants and substances with R 38
medicated
(a) there is no person under consideration who has been shown in particular to be hypersensitive to scheduled substances in the working environment,
(b) is the subject of a positive conclusion of a professional examination carried out by a doctor specialising in the relevant field of study;
1. in particular the chronic or recurrent eczema of any aetiology has been detected,
2. In particular, other serious skin diseases with regard to the extent and location of the disease - mainly genodermatosis (ichthyosis, epidermolysis), autoimmune diseases, severe forms of psoriasis and lichen ruber have been identified;
periodical examination period: once every 4 years;
IV. with exposure to ionising radiation
medicated
(a) the person under consideration is not identified in particular:
1. conditions after severe damage by ionising radiation,
2. severe haematopoietic disorders,
(b) is the subject of a positive conclusion of a professional examination carried out by a doctor specialising in the relevant field, which has been established in particular:
1. serious illness with significant organ or functional impairment,
2. disease suspected of reversal in malignant neoplasms;
the content of the inspections:
(a) the entrance examination shall include the examination provided for in Section 7 and in particular KO + diff;
(b) the periodic examination shall include the examination referred to in Article 7 and shall in particular, once every 3 years;
V. exposure to non-ionising radiation
a person being assessed who has been, in particular, implanted with a pacemaker or a similar medical device, unless it is possible to exclude an influence on his activity by non-ionising radiation;
periodical examination period: once every 4 years;
VI. With visual load
medicated
(a) there is no person under consideration who has in particular been found to have uncorrected vision disorder;
(b) is the subject of a positive conclusion of a professional examination carried out by a physician specialising in the relevant field, the subject being assessed, in particular by a prognostic failure of vision;
periodical examination period: once every 4 years;
VII. with biological agents
medicated
(a) there is no person under consideration who has been identified in particular as having a severe, clinically significant disorder of the immunity mechanism,
(b) is the subject of a positive conclusion of a professional examination carried out by a doctor specialising in the relevant field,
1. in which a clinically significant disorder of the immunity mechanism has been identified,
2.
Interpretation of terms:
liver tests - AST, ALT, GMT,
ALP - alkaline phosphatase,
KO + diff - blood count and differential budget,
creatinine, cholesterol, bilirubin - blood values,
chemical carcinogens - chemicals and working processes listed in Annex 9 to Government Regulation No 178 / 2001 Coll., laying down conditions for the protection of workers' health at work, as amended, by R45 or R49, and the cytostatics included by the International Agency for Cancer Research in Group 1 or 2A,
mutagens - chemicals listed in Annex 9 to Government Decree No 178 / 2001 Coll., laying down conditions for the protection of workers' health at work, as amended, by R46.
Příloha č. 2
Annex No 2 to Decree No 470 / 2004 Coll.
1) Council Directive 93 / 16 / EEC of 5 April 1993 on the facilitation of the free movement of doctors and the mutual recognition of their diplomas, certificates and other evidence of formal qualifications, as amended by Council Directive 90 / 394 / EEC of 28 June 1990 on the protection of workers from the risks associated with exposure to carcinogens at work (Sixth individual Directive within the meaning of Article 16 (1) of Directive 89 / 391 / EEC), as amended by Council Directive 99 / 38 / EC of 29 April 1999 amending for the second time Directive 90 / 394 / EEC on the protection of workers from the risks associated with exposure to carcinogens at work and extending to mutagens; Council Directive 97 / 43 / Euratom of 30 June 1997 on the protection of the health of persons against the risks arising from ionising radiation in connection with medical radiation and repealing Directive 84 / 466 / Euratom; Council Directive 98 / 24 / EC of 7 April 1998 on the safety and health of workers against risks related to chemical agents at work (14th individual Directive within the meaning of Article 16 (1) of Directive 89 / 391 / EEC); Directive 2000 / 54 / EC of the European Parliament and of the Council of 18 September 2000 on the protection of workers from the risks associated with exposure to biological agents at work (Seventh individual Directive within the meaning of Article 16 (1) of Directive 89 / 391 / EEC). Council Directive 85 / 433 / EEC of 16 September 1985 on the mutual recognition of diplomas, certificates and other evidence of formal qualifications in pharmacy containing measures to facilitate the effective exercise of the right of establishment in certain pharmacy activities, as amended by Council Directive 90 / 394 / EEC of 28 June 1990 on the protection of workers from risks related to exposure to carcinogens at work (Sixth individual Directive within the meaning of Article 16 (1) of Directive 89 / 391 / EEC), as amended by Council Directive 99 / 38 / EC of 29 April 1999 amending for the second time Directive 90 / 394 / EEC on the protection of workers from risks associated with exposure to carcinogens at work and extending to mutagens; Council Directive 97 / 43 / Euratom of 30 June 1997 on the protection of the health of persons against the risks arising from ionising radiation in connection with medical radiation and repealing Directive 84 / 466 / Euratom; Council Directive 98 / 24 / EC of 7 April 1998 on the safety and health of workers against risks related to chemical agents at work (14th individual Directive within the meaning of Article 16 (1) of Directive 89 / 391 / EEC); Directive 2000 / 54 / EC of the European Parliament and of the Council of 18 September 2000 on the protection of workers from the risks associated with exposure to biological agents at work (Seventh individual Directive within the meaning of Article 16 (1) of Directive 89 / 391 / EEC). Council Directive 78 / 686 / EEC of 25 July 1978 on the mutual recognition of diplomas, certificates and other evidence of formal qualifications of dental practitioners, including measures to facilitate the effective exercise of the right of establishment and freedom to provide services, as amended by Council Directive 90 / 394 / EEC of 28 June 1990 on the protection of workers from risks related to exposure to carcinogens at work (Sixth individual Directive within the meaning of Article 16 (1) of Directive 89 / 391 / EEC), as amended by Council Directive 99 / 38 / EC of 29 April 1999 amending for the second time Directive 90 / 394 / EEC on the protection of workers from risks associated with exposure to carcinogens at work and extending to mutagens; Council Directive 97 / 43 / Euratom of 30 June 1997 on the protection of the health of persons against the risks arising from ionising radiation in connection with medical radiation and repealing Directive 84 / 466 / Euratom; Council Directive 98 / 24 / EC of 7 April 1998 on the safety and health of workers against risks related to chemical agents at work (14th individual Directive within the meaning of Article 16 (1) of Directive 89 / 391 / EEC); Directive 2000 / 54 / EC of the European Parliament and of the Council of 18 September 2000 on the protection of workers from the risks associated with exposure to biological agents at work (Seventh individual Directive within the meaning of Article 16 (1) of Directive 89 / 391 / EEC). Council Directive 80 / 154 / EEC of 21 January 1980 on the mutual recognition of diplomas, certificates and other evidence of formal qualifications as midwives and measures to facilitate the effective exercise of the right of establishment and freedom to provide services, as amended by Council Directive 90 / 394 / EEC of 28 June 1990 on the protection of workers from the risks associated with exposure to carcinogens at work (Sixth individual Directive within the meaning of Article 16 (1) of Directive 89 / 391 / EEC), as amended by Council Directive 99 / 38 / EC of 29 April 1999 amending for the second time Directive 90 / 394 / EEC on the protection of workers from the risks associated with exposure to carcinogens at work and extending to mutagens; Council Directive 97 / 43 / Euratom of 30 June 1997 on the protection of the health of persons against the risks arising from ionising radiation in connection with medical radiation and repealing Directive 84 / 466 / Euratom; Council Directive 98 / 24 / EC of 7 April 1998 on the safety and health of workers against risks related to chemical agents at work (14th individual Directive within the meaning of Article 16 (1) of Directive 89 / 391 / EEC); Directive 2000 / 54 / EC of the European Parliament and of the Council of 18 September 2000 on the protection of workers from the risks associated with exposure to biological agents at work (Seventh individual Directive within the meaning of Article 16 (1) of Directive 89 / 391 / EEC). Council Directive 77 / 452 / EEC of 27 June 1977 on the mutual recognition of diplomas, certificates and other evidence of formal qualifications of nurses responsible for general care, including measures to facilitate the effective exercise of the right of establishment and freedom to provide services, as amended by Council Directive 90 / 394 / EEC of 28 June 1990 on the protection of workers from the risks associated with exposure to carcinogens at work (Sixth individual Directive within the meaning of Article 16 (1) of Directive 89 / 391 / EEC), as amended by Council Directive 99 / 38 / EC of 29 April 1999 amending for the second time Directive 90 / 394 / EEC on the protection of workers from the risks associated with exposure to carcinogens at work and extending to mutagens; Council Directive 97 / 43 / Euratom of 30 June 1997 on the protection of the health of persons against the risks arising from ionising radiation in connection with medical radiation and repealing Directive 84 / 466 / Euratom; Council Directive 98 / 24 / EC of 7 April 1998 on the safety and health of workers against risks related to chemical agents at work (14th individual Directive within the meaning of Article 16 (1) of Directive 89 / 391 / EEC); Directive 2000 / 54 / EC of the European Parliament and of the Council of 18 September 2000 on the protection of workers from the risks associated with exposure to biological agents at work (Seventh individual Directive within the meaning of Article 16 (1) of Directive 89 / 391 / EEC).
2) Act No. 95 / 2004 Coll., on the conditions for obtaining and recognising professional competence and specialised competence for the exercise of the medical profession of doctor, dentist and pharmacist.
3) Act No. 96 / 2004 Coll., on the conditions for acquiring and recognising competence for the pursuit of non-medical medical professions and for carrying out activities related to the provision of healthcare and amending certain related laws (Law on non-medical medical professions).
4) Paragraph 37 of Act No. 258 / 2000 Coll., on the Protection of Public Health and on the Amendment of Certain Related Acts, as amended by Act No. 274 / 2003 Coll.
5) § 77 of Act No. 20 / 1966 Coll., on the Care of People, as amended by Act No. 285 / 2002 Coll.
6) Paragraph 40 of Act No. 20 / 1966 Coll., as amended by Act No. 548 / 1991 Coll. and Act No. 14 / 1997 Coll.
7) § 37 of Act No. 258 / 2000 Coll., as amended by Act No. 274 / 2003 Coll. § 18 paragraph 1 (j) of Act No. 18 / 1997 Coll., on the Peaceful Use of Nuclear Energy and Ionising Radiation (Atomic Act) and on the Amendment and Addition of Certain Acts, as amended by Act No. 13 / 2002 Coll. § 47 paragraph 12 of Act No. 18 / 1997 Coll., as amended by Act No. 320 / 2002 Coll.
8) Act No. 160 / 1992 Coll., on health care in non-state health institutions, as amended.
9) § 18 paragraph 1 (j) of Act No. 18 / 1997 Coll., as amended by Act No. 13 / 2002 Coll. § 28 paragraph 3 (c) of Decree No. 307 / 2002 Coll., on Radiation Protection.
10) Paragraph 82 (2) (e) (2) of Act No. 258 / 2000 Coll., as amended by Act No. 274 / 2003 Coll.
11) § 84 paragraph 1 (w) of Act No. 258 / 2000 Coll., as amended by Act No. 274 / 2003 Coll.
12) Articles 28 and 133 (1) (a) of the Labour Code.
13) For example, Paragraph 18 of Act No. 167 / 1998 Coll., on addictive substances and on the amendment of some other laws.
14) Paragraph 21 (3) of Act No. 48 / 1997 Coll., on Public Health Insurance and on the amendment and addition of certain related laws.
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Regulation Information
| Citation | Decree No 470 / 2004 Coll., establishing a list of diseases, conditions or defects which exclude medical fitness for the performance of the profession of doctor, dental practitioner and pharmacist and for the pursuit of the profession of another medical professional and other professional, species, frequency and content of medical examinations and medical advice (on medical fitness for the profession of medical professional and other professional) |
|---|---|
| Regulation Type | Order |
| Author | - |
| Collection | Code of Laws |
| Date of Promulgation | 18.08.2004 |
|---|---|
| Effective from | 18.08.2004 |
| Effective until | - |
| Status | Valid |
The regulation text is for informational purposes only.
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