Health Record Rights Index · country brief · this country's data as of October 1, 2026
Who holds the health record in Czechia?
In 2026, Czechia scores 57 out of 100 for how much say a person has over their own health record. It is tied for 34th of 198 countries and territories, and could rank anywhere from 16th to 46th allowing for scoring error, in the Mixed band (45 to 64). Who holds the keys: you and the health system. Source: Health Record Rights Index, SuperTruth, this country's data as of October 1, 2026.
The person has real controls inside a government or provider system. Its strongest right, compared with the typical country, is control over who sees it (64 out of 100, against 30 for the typical country). The furthest behind is your say over research use (45 out of 100, against 46 for the typical country).
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 October 1, 2026 · research tool, not legal advice
overall score · Mixed band, 45 to 64
57/100
rank among 198 countries and territories; likely 16th to 46th, allowing for scoring error
In 2026, getting your full record scores 60 out of 100 in Czechia; the typical country scores 40 to 45. 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. Source: Ministerstvo zdravotnictvi, November 2024, and the other sources below.
Who controls health records in Czechia?
In 2026, you and the health system hold the keys to your health record in Czechia. Control over who sees it scores 64 out of 100 in Czechia; the typical country scores 30. 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. Source: zakonyprolidi.cz, April 1, 2026, and the other sources below.
How does Czechia compare?
In 2026, Czechia scores 57 out of 100, against 39 for the typical country. This brief compares it with Andorra (57 out of 100), Armenia (57 out of 100) and Greece (57 out of 100). Source: the ranking of all 198 countries and territories.
Eight rights, compared with Andorra, Armenia, Greece, the typical EU country and the typical country
Scores out of 100, by right
Getting your full record20%
60
62 · 62 · 66
Control over who sees it20%
64
55 · 70 · 46
Privacy and security15%
56
54 · 50 · 56
One record across your care15%
55
66 · 62 · 62
Protection from sale and ads10%
60
56 · 50 · 62
Doctors see it when treating you10%
52
64 · 48 · 58
Your say over research use5%
45
50 · 46 · 44
Rules for AI in your care5%
50
30 · 40 · 54
Black dot: Czechia. Hollow dots: Andorra, Armenia, Greece (scores out of 100 on the right, same order). Gray line: the typical country of all 198. Dashed teal line: the typical EU country. Overall: Czechia 57 out of 100, the typical EU country 61. Scores move in steps of about 5 points, so read a 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. Its weakest right, compared with the typical country, is your say over research use (45 out of 100, against 46 for the typical country). Every other right is at or above the typical country; the one with the most room to grow, weighted, is getting your full record (60 out of 100, against 40 to 45 for the typical country). Our scoring rules give more points for:
Your say over research use: A way to say no to research use that is actually honored, or being asked first, plus a public list of what research used the data. That puts this right at 55 to 85 out of 100.
Getting your full record: A national portal that shows most people at least part of their record (a summary, prescriptions, lab results) puts this right at 60 to 75 out of 100. A near-full record that you can download, with a long history and used by most people, puts it at 76 to 90.
Which laws give health record rights in Czechia?
General Data Protection Regulation (EU) 2016/679: 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: 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): Right to view and copy records; first copy free since 1 October 2024; basis for NZIS registers.
Doctors, waits and private care context, not part of the score
Doctors per 10,000
42.4 2023 · 13th highest of 38 OECD countries
Nurses and midwives per 10,000
94.2 2023 · 21st highest of 38 OECD countries
Private insurance + out-of-pocket
14.7% 2023 · 30th highest of 35 OECD countries
Record reaches private care?
partly
"Pro praxi je od 1. 1. 2026 je jedinou plošnou povinností ePoukaz. Ostatní nástroje nabíhají postupně."
Real cases
July 18, 2025 · oPojištění.cz (reporting a Supreme Administrative Court ruling of 21 May 2025) · archived copy Court upholds fine on clinic that failed to report a patient data breach
July 9, 2025 · ČT24 (Česká televize) · archived copy Hospital warns patients a ransomware attack may have exposed their record data
In 2026, Czechia scored 57 out of 100 for how much say a person has over their own health record, tied for 34th of 198 countries and territories (could be 16th to 46th), in the Mixed band. Who holds the keys: you and the health system. Source: Health Record Rights Index, SuperTruth, this country's data as of October 1, 2026, https://healthrecordrights.com/brief/czechia/
The 21 sources for Czechia
Each source appears once, under the first right it supports. Titles are shown as our research agents recorded them, usually in the page's own language; text in square brackets is our machine translation. Links were checked on the date shown.
Getting your full record (4 sources)
“Vykladove stanovisko k § 66 odst. 3 zakona o zdravotnich sluzbach” [Interpretive opinion on § 66(3) of the Act on Health Services] our machine translation
Ministerstvo zdravotnictvi [Ministry of Health] (government guidance) · Title in Czech
Dated November 2024 · Link checked October 2, 2026 (opened)
“Zakon c. 325/2021 Sb., o elektronizaci zdravotnictvi (zneni od 1. 4. 2026)” [Act No. 325/2021 Coll., on the electronisation of healthcare (version from 1. 4. 2026)] our machine translation
zakonyprolidi.cz (law or regulation) · Title in Czech
Dated April 1, 2026 · Link checked October 2, 2026 (opened)
Used for: Control over who sees it; Doctors see it when treating you
“Vyjadreni souhlasu/nesouhlasu s nahlizenim na lekovy zaznam” [Expressing consent/disagreement with viewing of the medication record] our machine translation
Portal verejne spravy [Public Administration Portal] (government guidance) · Title in Czech
No date recorded · Link checked October 2, 2026 (opened)
“Zakon c. 236/2025 Sb., novela zakona o elektronizaci zdravotnictvi” [Act No. 236/2025 Coll., amendment to the act on the electronisation of healthcare] our machine translation
zakonyprolidi.cz (law or regulation) · Title in Czech
Dated June 12, 2025 · Link checked October 2, 2026 (opened)
“Vyhlaseni nalezu Ustavniho soudu sp. zn. Pl. US 33/16” [Promulgation of the judgment of the Constitutional Court, file no. Pl. US 33/16] our machine translation
usoud.cz (court) · Title in Czech
Dated November 18, 2020 · Link checked October 2, 2026 (opened)
“2. srpna 2026 jako klicove datum pro pravidla transparentnosti podle Aktu o AI” [2 August 2026 as the key date for transparency rules under the AI Act] our machine translation
CTU (regulator) · Title in Czech
Dated July 31, 2026 · Link checked October 2, 2026 (opened)
SuperTruth Inc. · 24 S. 24th St., Philadelphia, PA 19103, USA · +1 215 918 4140 · supertruth.ai Something wrong? Tell us · Questions 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™: the Data Trust Index, which grades the evidence behind each score. SuperTruth makes it and publishes this index. 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/czechia/#sources. SuperTruth built this index and sells health data verification products; no one paid to be included. Research tool, not legal advice. Our scores and our own words are CC BY 4.0; quoted law and source titles stay with their owners.
