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Catalogue of services

Services made available by healthcare providers, health insurers, and other organisations.

eHealth Support Services Clinical Provider Services Data Exchange Services Health Information Services Appointment Scheduling Systems mHealth Apps Telemedicine eReferrals ePrescriptions Patient Portals Electronic Health Records

Authorization Register

The Authorization Register is a central digital healthcare service designed to record and manage the authorisations of both natural and legal persons within eHealth services. It enables a clear determination of who is entitled to act, access health data, or use specific digital services. It provides information on individually granted authorizations, delegated powers, and representation relationships arising from statutory rules or from decisions of administrative authorities sourced from the REZA system. This information is available to both end users and connected information systems. The Authorization Register supports secure, transparent, and auditable management of access rights across the eHealth ecosystem and contributes to interoperability, legal certainty, and trust in digital healthcare services.

eHealth Support Services

Temporary Repository

Temporary Repository is a central digital healthcare service designed for the temporary storage and secure sharing of medical documentation in electronic form. It enables the transfer of complete medical records or selected parts between two healthcare providers, or between a healthcare provider and a patient. Documents are stored in the repository only for a limited period – until they are collected by the recipient, but no longer than 30 days – after which they are permanently deleted. Healthcare providers can use the service via their own information systems or through the web interface of the National Digital Healthcare Portal, while patients collect documents through the same portal. The service supports interoperability and efficient sharing of medical documentation within the eHealth ecosystem.

Data Exchange Services

Unified User Management (JSU)

Unified User Management (JSU) is a central digital healthcare service providing unified and secure user authentication across eHealth services. It enables single sign-on using national and sector-specific identity mechanisms such as NIA, EZCA, and CAAIS, eliminating the need for repeated logins to individual systems. The service verifies user identity and passes essential authentication information to integrated applications. Technically, it is primarily based on the OpenID Connect (OAuth 2.0) standard and, by agreement, also supports SAML 2.0. JSU enhances security, simplifies user access, and supports standardized, interoperable authentication across the digital healthcare ecosystem.

eHealth Support Services

eReferral

eReferral is a central digital healthcare service in the Czech eHealth system that replaces paper referrals with a standardized electronic request between healthcare providers. It is defined by Act No. 325/2021 Coll. and operates as a secure digital document containing structured clinical and technical data. The service supports issuing, transferring, and managing referrals (for example between a general practitioner and a specialist), including status tracking and notifications. Patients receive an identification code for the eReferral and can view their referrals and processing status via the National Digital Healthcare Portal or the EZKarta mobile app. The service is available through healthcare information systems, the NPEZ portal, the EZKarta app, and interoperable APIs.

eReferrals

Electronic Medical Assesmets

Electronic Medical Assessments (EMA) are a central digital healthcare service for fully electronic issuance, management, and sharing of medical assessments by authorised physicians. Assessments are issued exclusively in electronic form, secured with a qualified electronic signature or provider seal and a timestamp, centrally stored, and legally binding. The service covers the entire lifecycle of an assessment, from issuance and storage to patient access and sharing with authorised public authorities, including validity and version management. As of 1 January 2026, EMA is mandatory for medical fitness-to-drive assessments, with additional assessment types planned. Physicians issue assessments via their healthcare information systems or the NPEZ portal, while patients access them through NPEZ and the EZKarta mobile application.

Data Exchange Services

Shared Health Record

Shared Health Record (SHR) is a central digital healthcare service containing a selected, legally defined set of patient health data stored electronically in a state-run central system. It includes an Emergency Health Record with key information for acute care and results of preventive and screening examinations, serving as an official and unified source of truth rather than a complete medical record. The service provides authorised healthcare professionals with timely and secure access to essential patient information regardless of where care was delivered, supporting continuity of care across providers. Data are recorded and updated by healthcare providers via their information systems or the NPEZ portal using versioning, with technical and semantic validation applied. Access is dynamically authorised for each request, while emergency access is permitted only under statutory conditions and is fully audited.

Electronic Health Records

Service Catalog

Management and viewing of records in the Service Catalogue, which serves as the central registry of digital healthcare services.

eHealth Support Services

Notification services

Notification Services are a central communication service of digital healthcare in the Czech Republic, providing reliable and targeted delivery of notifications to healthcare providers, professionals, and citizens. They act as a communication hub between central eHealth services, healthcare information systems, and end users. The service enables fast delivery of important information via appropriate channels such as email, the NPEZ portal, the EZKarta app, SMS in specific cases, or through a secure API. Notifications may be generated by both central eHealth services and healthcare providers’ systems, supporting efficient communication and interoperability across the ecosystem.

eHealth Support Services