Who Holds the Record · country brief · data as of 2026-10-01Who holds the health record in Czechia?
In 2026, Czechia scores 57 of 100 on a person's right to see, control and share their own health record: rank 33= of 65 countries, in the Mixed band (45 to 64). Who holds the keys: Shared. Source: Who Holds the Record, SuperTruth, data as of 2026-10-01.
Czechia added an opt-out shared record and the EZKarta app in 2026, but the record is still thin and research use needs no consent.
Published · updated · data as of 2026-10-01 · research tool, not legal advice
Can I get my health records in Czechia?
Access to the full record scores 60 of 100 in Czechia, against a median of 62 across 65 countries. Patients have a legal right to copy their records, and the first copy has been free since 1 October 2024. The EZKarta app shows labs, prescriptions, vaccinations and some hospital documents, but it is still partial, with about 34,000 daily users.
Can I control who sees my health record in Czechia?
Control and consent scores 64 of 100 in Czechia, against a median of 52 across 65 countries. Clinicians can see the shared health record and the medication record unless the patient objects, and patients can allow named doctors only. The medication record shows patients who viewed it; an access log for the newer shared record was not verified.
Eight rights, against Greece, Romania, Slovakia and the EU
| Patient access to the full record20% | 60 | 66 · 60 · 62 | |
|---|---|---|---|
| Patient control and consent20% | 64 | 46 · 62 · 50 | |
| Privacy and security15% | 56 | 56 · 50 · 58 | |
| Connected care journey15% | 55 | 62 · 60 · 66 | |
| Protection from commercial use10% | 60 | 62 · 56 · 58 | |
| Clinician access at the point of care10% | 52 | 58 · 50 · 60 | |
| Research and trial consent5% | 45 | 44 · 44 · 45 | |
| Clinical AI governance5% | 50 | 54 · 50 · 50 |
Black dot: Czechia. Hollow dots: Greece, Romania, Slovakia (scores on the right, same order). Grey line: median of all 65 countries. Dashed teal line: EU median. Overall: Czechia 57, EU median 61. Scores move in steps of about 5; gaps of 4 or less are ties.
What would Czechia need to change to score higher?
Czechia sits in Mixed (45 to 64); Strong starts at 65. The two rights furthest below the 65-country median, weighted, are connected care journey (55, median 62) and clinician access at the point of care (52, median 58). The published rubric reads:
- Connected care journey: Primary care, hospitals, labs, pharmacy, claims and public health linked to one record and used at national scale.
- Clinician access at the point of care: Treating clinicians able to see the full record across providers, under consent and emergency rules.
Which laws give health record rights in Czechia?
- General Data Protection Regulation (EU) 2016/679 (2016): Health is special-category data; free first copy; fines up to EUR 20M or 4% of turnover.
- Act 110/2019 Sb. on Personal Data Processing (2019): Czech GDPR implementing act; regulator refrains from fining public bodies under GDPR Art. 83(7).
- Act 372/2011 Sb. on Health Services (as amended by Act 240/2024) (2011): Right to view and copy records; first copy free since 1 October 2024; basis for NZIS registers.
Strain and split context, not scored
- Doctors per 10,000
- 42.4 2023 · OECD 13 of 38
- Nurses and midwives per 10,000
- 94.2 2023 · OECD 21 of 38
- Private insurance + out-of-pocket
- 14.7% 2023 · OECD 30 of 35
- Record reaches private care?
- partial
"Pro praxi je od 1. 1. 2026 je jedinou plošnou povinností ePoukaz. Ostatní nástroje nabíhají postupně."
Published stories
- 2025-07-18 · oPojištění.cz (reporting a Supreme Administrative Court ruling of 21 May 2025) Court upholds fine on clinic that failed to report a patient data breach
- 2025-07-09 · ČT24 (Česká televize) Hospital warns patients a ransomware attack may have exposed their record data
Questions, corrections or a briefing: supertruth.ai/on-the-record#contact · Full index: whoholds.supertruth.ai