Health Record Rights Index · country brief · this country's data as of 2026-10-01
Who 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 34= of 198 countries (likely range 16 to 46), in the Mixed band (45 to 64). Who holds the keys: Shared. Source: Health Record Rights Index, SuperTruth, this country's data as of 2026-10-01.
The person has real controls inside a state or provider system. Its strongest right against the other countries is patient control and consent (64, against a median of 30 across 198 countries); its weakest is research and trial consent (45, median 46).
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 · this country's data as of 2026-10-01 · research tool, not legal advice
57overall, of 100 · Mixed
34=rank of 198
Sharedwho holds the keys
mediumconfidence
87 · Goldevidence grade (DTI)
Can I get my health records in Czechia?
Access to the full record scores 60 of 100 in Czechia, against a median of 43 across 198 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 30 across 198 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 Andorra, Armenia, Greece and the EU
Patient access to the full record20%
60
62 · 62 · 66
Patient control and consent20%
64
55 · 70 · 46
Privacy and security15%
56
54 · 50 · 56
Connected care journey15%
55
66 · 62 · 62
Protection from commercial use10%
60
56 · 50 · 62
Clinician access at the point of care10%
52
64 · 48 · 58
Research and trial consent5%
45
50 · 46 · 44
Clinical AI governance5%
50
30 · 40 · 54
Black dot: Czechia. Hollow dots: Andorra, Armenia, Greece (scores on the right, same order). Grey line: median of all 198 countries. Dashed teal line: EU median. Overall: Czechia 57, EU median 61. Scores move in steps of about 5; read the rank with its likely range.
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 198-country median, weighted, are research and trial consent (45, median 46) and clinical AI governance (50, median 30). The published rubric reads:
Research and trial consent: A general opt-out that is honoured, or dynamic or opt-in consent, with a public register of research uses: 55 to 85.
Clinical AI governance: Device regulation of clinical AI with change control and human oversight in force, plus national rules where EU law leaves gaps.
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
In 2026, Czechia scored 57 of 100 on a person's right to see, control and share their own health record, rank 34= of 198 countries (likely range 16 to 46) (Mixed; who holds the keys: Shared). Source: Health Record Rights Index, SuperTruth, this country's data as of 2026-10-01, https://healthrecordrights.com/brief/CZE/
SuperTruth Inc. · 24 S. 24th St., Philadelphia, PA 19103, USA · +1 215 918 4140 · supertruth.ai Questions, corrections or a briefing: supertruth.ai/on-the-record#contact · Full index: healthrecordrights.com
OECD: Organisation for Economic Co-operation and Development (38 mostly high-income countries). DTI: SuperTruth's Data Trust Index, grading the evidence behind each score. Everything here comes from public information: laws, government and regulator pages, court decisions, published news, WHO, OECD and World Bank data. Full sources: https://healthrecordrights.com/brief/CZE/#sources. SuperTruth built this index and sells health data verification products; no one paid to be included. Research tool, not legal advice. Text and scores CC BY 4.0.
