ICS 11.100.10 CCS C 04 37 山东省 地方标准 DB37/T 4565—2022 远程动态心电诊断服务指南 Guidelines of remote dynamic ECG diagnostic service 2022 - 12 - 06发布 2023 - 01 - 06实施 山东省市场监督管理局 发布 DB37/T 4565 —2022 I 目次 前言 ................................ ................................ ................ III 1 范围 ................................ ................................ ............... 1 2 规范性引用文件 ................................ ................................ ..... 1 3 术语和定义 ................................ ................................ ......... 1 4 缩略语 ................................ ................................ ............. 2 5 总则 ................................ ................................ ............... 2 机构资质 ................................ ................................ ....... 2 5.1 数据采集 ................................ ................................ ....... 3 5.2 专业技术人员 ................................ ................................ ... 3 5.3 安全 ................................ ................................ ........... 4 5.4 6 服务流程 ................................ ................................ ........... 4 仪器系统安装 ................................ ................................ ... 4 6.1 医师下达医嘱 ................................ ................................ ... 4 6.2 仪器佩戴与数据采集 ................................ ............................. 4 6.3 远程诊断 ................................ ................................ ....... 5 6.4 出具诊断报告 ................................ ................................ ... 5 6.5 诊断结果回传 ................................ ................................ ... 5 6.6 打印诊断报告 ................................ ................................ ... 5 6.7 7 服务质量 ................................ ................................ ........... 5 8 服务评价与改进 ................................ ................................ ..... 6 评价与监测 ................................ ................................ ..... 6 8.1 服务改进 ................................ ................................ ....... 6 8.2 机制改进 ................................ ................................ ....... 6 8.3 效果评估 ................................ ................................ ....... 6 8.4 附录A（资料性） 诊断模板 ................................ ............................. 7 附录B（资料性） 诊断术语 ................................ ............................. 8 B.1 心律/率诊断术语 ................................ ................................ 8 B.2 早搏诊断术语 ................................ ................................ ... 8 B.3 心动过速诊断术语 ................................ ............................... 8 B.4 逸搏及逸搏心律诊断术语 ................................ ......................... 8 B.5 窦房传导阻滞诊断术语 ................................ ........................... 8 B.6 房室传导阻滞诊断术语 ................................ ........................... 8 B.7 束支传导阻滞诊断术语 ................................ ........................... 8 B.8 ST段及T波诊断术语 ................................ ............................. 8 B.9 其它异常发现 ................................ ................................ ... 8 附录C（资料性） 动态心电图诊断及报告注意事项 ................................ ......... 9 C.1 监测时间 ................................ ................................ ....... 9 DB37/T 4565 —2022 II C.2 电极安置 ................................ ................................ ....... 9 C.3 生活日志 ................................ ................................ ....... 9 C.4 结束监测 ................................ ................................ ....... 9 C.5 记录信息 ................................ ................................ ....... 9 附录D（资料性） 动态心电图报告编辑内 容 ................................ .............. 10 D.1 报告编辑 ................................ ................................ ...... 10 D.2 最高、最低心率与最长间歇编辑 .