Decree of the Ministry of Health No. 56 / 1997 Coll.
Ordinance of the Ministry of Health on the content and time of preventive inspections
Valid
Order
Effective from 01.04.1997
56
DECLARATION
Ministry of Health
of 13 March 1997
determining the content and time range 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 from the time of completion of 18 years of age every two years, but not earlier than 23 months after the last preventive examination. The contents of the preventive inspection are:
(a) addition of a history of changes, risk factors and professional risks; a family history of particular emphasis is placed on cardiovascular disease, hypertension, diabetes mellitus, disorders of fat metabolism and cancer,
(b) control of tetanus vaccination;
(c) a complete physical examination of the internal character, including an indicative examination of vision and hearing, blood pressure measurement and weight measurement; Oncological prevention is a compulsory part of the preventive examination, including skin examination, perrectum examination and breast testing, together with a lesson on the need and method of self-investigation; EKG tests are performed in subjects from 40 years of age at four-year intervals, if hypertension for which the patient is not discriminated,
(d) laboratory tests containing:
1. indicative chemical testing of urine,
2. testing of plasma cholesterol of total and plasma lipoproteins, including triacylglycerols (LDL + HDL) as part of the first preventive examination in a physician at 18 years of age and at 40, 50 and 60 years of age;
3. glucose testing from 45 years of age at two-year intervals;
4. the determination of occult bleeding in faeces by standardized tests in persons from 50 years of age at two-year intervals;
(e) for women between 45 and 69 years of age, the verification of whether a mammogram examination has been carried out in the last two years (Paragraph 4 (1) (k)) or, where appropriate, the addition of such examination by the transmission of a recommendation for examination. If a woman has already had an examination within a period of less than two years and a result is available, the examination shall not be provided.
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) a history (finding changes in the health status since the last check), checking the vaccination of the child or adding missing vaccination, if necessary, 1)
(c) the examination which includes:
1. measuring the weight and height of the child;
2. internal examination,
3. examination of psychomotor development (according to Vlach),
4. targeted age-specific examination and health risk assessment,
5. pre-vaccination health findings;
6. diagnostic balance sheet,
7. the conclusion and lessons of parents on the child's nutrition and regime,
8. Psychotherapy interview, if it is a child with medical conditions or a child at risk of medical conditions, including health disorders due to adverse family or other social environment.
(2) In addition to the inspection content referred to in paragraph 1, the content of:
(a) first inspection of the newborn (preferably in the family 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, adnex, examination of lymph nodes, muscles and skeletons, heads (shape, size of the fountain, assessment of the seams, measurement of the circumference of the head), further examination of the eyes and their surroundings (position of the bulbs, conjunctiva), ears, nose, mouth cavity, neck (shape, nodes), chest (its circumference and shape, clavicle condition), physical findings of the heart and lungs, abdominal examination (size, palpation of the intraabdominal organs, umbilification scar), examination of the inquinal landscape (palpation of the femoral arteries), examination of the genitals (symmetry, deformities, momentum of the hip joints) and examination of the psychomoteric development (according to the hair);
(b) examinations at 14 days of age, other than those referred to in (a) (2), findings of child nutrition, anti-curved prophylaxis and the necessary lessons for the parents of the child;
(c) examinations at six weeks of age, examination of the pulse on the femoral arteries, provision of specialist orthopaedic examination and overall evaluation of the condition;
(d) examinations in three months of age, except for the tests referred to in (a) (2), anti-curved prophylaxis and recommendations for expert orthopaedic examination;
(e) examinations in four to five months of age, other than those referred to in (a) (2), of indicative hearing examinations;
(f) examinations at six months of age, other than those referred to in (a) (2), anti-curvature prophylaxis, teaching parents about the need for a visit to a child dental practitioner in the second half of the child's life;
(g) examinations at eight months of age, except for the examinations referred to in (a) (2), an indicative hearing examination;
(h) inspections at 10 to 11 months of age, except for the tests referred to in (a) (2), anti-curved prophylaxis;
(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 detection of pulses on the femoral arteries, anti-curved prophylaxis, the size of the large fontanele, the development of dentistry and the necessary instruction of the child's parents, including the recommendation of dental examination;
(j) inspections at 18 months of age, in addition to the tests referred to in (a) (2), the state of the large fontanel, the development of dentistry, the screening of psychomotor development with a focus on gross and fine motor, speech development and social behaviour of the child.
(3) The content of preventive examinations for children aged three years is
(a) interview with parents in the office focused on new anamnestic facts, control of vaccination of the child, possibly adding missing vaccinations, 1)
(b) assessment of psychosomatic development, fine and coarse motor skills, social behaviour,
(c) anthropometric measurements, verification of laterality, knowledge of colours,
(d) physical examination,
(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 (storage of testicles in boys and detection of possible fluorine in girls),
k) the final interview of a doctor with a family aimed at obtaining active cooperation, or a supportive psychotherapeutic interview (seriously ill child, child at risk, family functionality assessment).
(4) The content of preventive examinations for children aged five years shall be in addition to that referred to in paragraph 3.
(a) an assessment of psychomotor development using the IMV-5 test for preliminary assessment of school maturity;
(b) examination of colour knowledge with the requirement of their separate word marking;
(c) assessment of the inclusion of the child in the collective during the pre-school period, its maturity, event. the postponement of school attendance,
(d) examination of total cholesterol and plasma lipoproteins, including triacylglycerol, at a positive family history of cardiovascular disease (ICHS, myocardial infarction, sudden stroke, hyperlipoproteinaemia, hypertension, obesity, diabetes mellitus).
(5) The content of preventive examinations for children aged seven, nine, 11 and 13 years is
(a) interview with parents in the office focused on new anamnestic facts, control of vaccination of the child, possibly adding missing vaccinations, 1)
(b) physical examination, including anthropometric measurement;
(c) urine examination,
(d) blood pressure, pulse,
(e) visual examination, including colour cites;
(f) examination of hearing, speech and voice,
(g) examination of the movement system;
(h) oral examination, dental status and, where appropriate, dental examination recommendations;
(i) examination of the neck, lymph nodes, thyroid gland,
(j) assessment of medical fitness in relation to compulsory school physical education;
(k) for children aged 13 years, an evaluation of psychosocial development, an assessment of the issue of appropriate career choices and an assessment of any change in working capacity, including the completion of documentation for the deliberations of the county welfare board (1a) and, in the case of a positive family history of cardiovascular disease, the examination referred to in paragraph 4 (d).
(6) The content of preventive examinations for children aged 15 years is
(a) general examination and updating of anamnestic data, control of vaccination of the child and, where appropriate, addition of missing vaccination, 1)
(b) physical examination, including anthropometric measurement;
(c) urine examination,
(d) blood pressure, pulse,
(e) visual examination,
(f) examination of hearing, speech and voice,
(g) examination of the oral cavity, dental status and, where appropriate, recommendations for dental examination;
(h) a final assessment with an assessment of the choice of the profession, including the physical classification;
(i) an overall assessment of the condition and development of the child since birth, the drafting of epicriosis with the determination of the most serious deviations and disturbances from the standard, a proposal for a possible further course of treatment, including prognosis and, where appropriate, a proposal for a change in working capacity, for girls to recommend preventive gynaecological examination in accordance with § 4.
(7) The content of preventive examinations of children at 17 years of age prior to completion of care with a general practitioner for children and youth and transfer to the care of a general practitioner for adults is
(a) addition of a social, family and personal history, inspection or addition of missing vaccination of the child, 1)
(b) physical examination, including anthropometric measurement;
(c) urine examination,
(d) blood pressure, pulse,
(e) visual examination,
(f) examination of hearing, speech and voice,
(g) final assessment of the individual's status, including assessment of inclusion in the current or future work process or further study;
(h) in the case of boys, a preliminary assessment of the state of health in relation to the military service; in the case of girls, recommendations for preventive gynecological examination according to § 4.
(8) Preventive examinations carried out in the context of the preparation for a future career with increased risksm2) are carried out by a practitioner for children and adolescents in cooperation with a competent specialist.
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 12th months and twice a year for children and adolescents from one year of life to 18 years of age is:
(a) establishing documentation;
(b) a history with particular regard to the development of the orophatic system at the age of three, six, 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 paradonte, jaws and passages of soft tissue;
(e) a lesson on the importance of prevention of dental diseases and a brief briefing on maintaining proper oral hygiene.
(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 paradonte, jaws and passages;
(c) a lesson on the importance of prevention of dental diseases during pregnancy in both a woman and a future child, including a brief instruction on maintaining proper hygiene of their 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 which are carried out once a year 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 teeth, paradonna, jaws and passable soft tissues;
(c) instruction on maintaining proper oral hygiene.
Contents and time ranges of preventive examinations in the field of gyno and obstetrics
(1) The content of preventive examinations in the field of gyno and obstetrics carried out at 15 years of age by a paediatric gynecologist and once a year thereafter is
(a) family, personal and occupational history and updating of this history taking into account known risk factors;
(b) skin aspect,
(c) breast examination (aspect, palpation examination of breast and regional lymph nodes),
(d) mirror examination, collaborative examination (not carried out in female virgo),
(e) collection of cervical material for cytological and bacteriological examination, possibly as well as virological examination (not carried out in virgo women),
(f) pallet bimanual examination;
(g) perrectum examination,
(h) a lesson on the importance of preventive anti-cancer surveillance;
(i) self-examination exercises;
(j) completion of a guide for cytological examination and a guide for bacteriological, event. and virological examination;
(k) transmission of recommendations for mammographic examination to women aged 45 to 69 at two-year intervals, the result of which is sent by a physician in the radiodiagnostic field to the sending physician. If a woman has already had an examination within a period of less than two years and a result is available, the examination shall not be provided.
(2) A preventive examination of gyno and obstetrics is part of the dispensary care in women who are dispensed.
Efficacy
This Decree shall take effect on 1 April 1997.
Minister:
PhDr.
1) Paragraph 9 (4) (a) of Act No. 20 / 1966 Coll., on the Care of People, as amended. Decree No. 48 / 1991 Coll., on vaccination against communicable diseases, as amended.
(1a) Paragraph 4 (4) of the Ministry of Health Directives No 49 / 1967. MZ on medical fitness assessment, as amended by Directive No 17 / 1970 / EC. MZ ČSR, reg.
2) Article 4 (5) of the Health Ministry Directives No 49 / 1967. MZ, as amended by Directive No 17 / 1970. MZ ČSR, reg.
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Regulation Information
| Citation | Decree of the Ministry of Health No. 56 / 1997 Coll., determining the content and time range of preventive inspections |
|---|---|
| Regulation Type | Order |
| Author | - |
| Collection | Code of Laws |
| Date of Promulgation | 28.03.1997 |
|---|---|
| Effective from | 01.04.1997 |
| Effective until | - |
| Status | Valid |
The regulation text is for informational purposes only.
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