It might be difficult to provide antigen testing to such extent, therefore all subjects have their own obligations and rules they must follow.

Effective from 9 March 2021, all healthcare service providers included in the network of antigen testing centres (hereinafter an “Antigen Testing Centre”) are ordered:

a) to conduct examinations to determine the presence of the SARS-CoV-2 virus antigen using POC antigen tests among all persons that participate in public health insurance in the Czech Republic and which, given the current epidemiological situation, are considered to be the focal point of outbreaks (hereinafter a “tested person”), if they request the performance of an antigen test and present an insured party’s card or substitute document, but no more than once every 3 days; testing is not performed for persons who have been isolated due to the COVID-19 disease minimally in the scope pursuant to the valid extraordinary measure of the Ministry of Health concerning the ordering of isolation and quarantine, and in whose case more than 90 days have not passed since the first RT-PCR test with a positive result, and among persons who took an RT-PCR test or POC antigen test with a negative result in the past 3 days;

b) to perform a confirmation test to determine the presence of the SARS-CoV-2 virus using the RT-PCR method on a tested person that does not have clinical symptoms of COVID19, but was positively tested using a POC antigen test for the presence of the SARSCoV-2 virus antigen; in addition, a tested person will be ordered to undergo a RT-PCR confirmation test without delay; in the event that a confirmation test cannot be performed at the Antigen Testing Centre, the centre will arrange the completion of an electronic request slip to determine the presence of the SARS-CoV-2 virus using the RT-PCR method in the Infectious Disease Information System (ISIN) and inform the tested person about the ordering of a confirmation test.

According to Art. II. all providers of social services which provide social services in accordance with Act No. 108/2006 Coll., on Social Services, as amended, if this concerns homes for persons with a physical disability, retirement homes or homes operating a special regime and providers of social services providing respite care in a residential manner, are ordered, effective from 2 March 2021, using an employee who is a healthcare worker, or using a healthcare service provider with which they have concluded a contract on the provision of occupational healthcare services, or other healthcare service provider with which it concludes a contract on the provision of healthcare services for the purpose of performing antigen tests:

1) to conduct examinations to determine the presence of the SARS-CoV-2 virus antigen using POC antigen tests among all persons that participate in public health insurance in the Czech Republic and who, given the current epidemiological situation, are considered to be the focal point of outbreaks (hereinafter a “tested person”), if this concerns the employees of these providers or their users of social services, and also, if the staffing options of the provider so allow, visitors to their users of social services and employees of the providers of social services, care services or personal assistance, if the above mentioned persons request the performance of an antigen test and present an insured party’s card or substitute document, but no more than once every 3 days; testing is not performed for persons who have been isolated due to the COVID-19 disease minimally in the scope pursuant to the valid extraordinary measure of the Ministry of Health concerning the ordering of isolation and quarantine, and in whose case more than 90 days have not passed since the first RT-PCR test with a positive result, and among persons who took an RT-PCR test or POC antigen test with a negative result in the past 3 days; 

2) to immediately report a positive result of a POC antigen test for the presence of the SARS-CoV-2 antigen in a tested person to the registering provider of healthcare services in the field of general practical medicine, or in the field of paediatric practical medicine, or the Regional Public Health Authority or the Public Health Authority for the City of Prague (hereinafter referred to as the “Public Health Authority”) according to local jurisdiction for people who do not have a registering GP; this provider of healthcare services or Regional Public Health Authority will decide whether to order a confirmation test to determine the presence of the SARS-CoV-2 virus using the RT-PCR method for a tested person who does not have any clinical symptoms of the COVID- 19 disease, but who tested positive in the POC antigen test for the presence of the SARS-CoV-2 virus antigen, will inform the tested person that they have been ordered to take a confirmation test and ensure the completion of an electronic request for the determination of the presence of the SARSCoV-2 virus using the RT-PCR method in the Infectious Disease Information System (ISIN); this tested person will also be ordered to take a confirmation RT-PCR test without delay.

According to Art. III., all providers of healthcare services which ascertain in accordance with Art. I or learn in accordance with Art. II (2) that a tested person with clinical symptoms of the COVID-19 disease has tested positive using the POC antigen test, or that a tested person without any clinical symptoms of the COVID-19 disease has tested positive using the POC antigen test Pg. 3 of 5 and was subsequently tested by means of an RT-PCR confirmation test in accordance with Art. I (b) for the presence of the SARS-CoV-2 virus with a positive result, are ordered, effective from 9 March 2021, to immediately notify the public health protection authority with local jurisdiction of this fact.

According to Art. IV.,all tested persons pursuant to Art. I and Art. II who tested positive in the POC antigen test, or their statutory representatives, are ordered, immediately after learning the examination result, to report this fact to their registering healthcare service provider in the field of general medicine, paediatric general medicine or the healthcare provider with which their employer has concluded a contract on the provision of occupational healthcare services. In the event this fact cannot be reported to any of the providers stated in the first sentence, this fact will be reported to the Regional Public Health Authority which holds jurisdiction.

According to Art. V., in the event that this fact cannot be notified to any of the providers listed in the first sentence shall notify the locally competent regional hygienic station of this fact. From 9 March 2021, all healthcare and social service providers who perform preventive examinations to determine the presence of the SARS-CoV-2 virus antigen using POC antigen tests pursuant to Art. I or Art. II are ordered to report, electronically and without undue delay, information about every POC antigen test result or subsequently performed RTPCR confirmation test pursuant to Art. I(b) to determine the presence of the SARS-CoV-2 virus in a tested person pursuant to Art. I, to the Information System of Infectious Diseases (ISIN).

According to Art. VI., all healthcare service providers and Regional Authorities that were notified by a tested person pursuant to Art. I or Art. II of the facts specified in Art. IV are ordered, with effect from 9 March 2021, to order isolation a) of a tested person who tested positive in a POC antigen test for the presence of the SARS-CoV-2 virus, who also has clinical symptoms of the COVID-19 disease; the extraordinary measure of the Ministry of Health concerning the ordering of isolation in the case of a positive RT-PCR test result for the presence of the SARS-CoV-2 virus shall apply as appropriate for ordering and terminating isolation; b) of a tested person who does not have clinical symptoms of the COVID-19 disease, but who tested positive in a POC antigen test for the presence of the SARS-CoV-2 virus antigen, and who subsequently tested positive in an RT-PCR confirmation test for the presence of the SARS-CoV-2 virus, this being via the procedure pursuant to the extraordinary measure of the Ministry of Health concerning the ordering of isolation in the case of a positive RT-PCR test result for the presence of the SARS-CoV-2 virus.