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GBZ169-2020 English PDF

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GBZ169-2020: Diagnostic procedure and requirement for occupational radiation sickness
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GBZ169: Evolution and historical versions

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GBZ 169-2020English339 Add to Cart 3 days [Need to translate] Diagnostic procedure and requirement for occupational radiation sickness Valid GBZ 169-2020
GBZ 169-2006English279 Add to Cart 3 days [Need to translate] Diagnostic procedure and requirement for occupational radiation sickness Obsolete GBZ 169-2006

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Standard similar to GBZ169-2020

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Basic data

Standard ID GBZ 169-2020 (GBZ169-2020)
Description (Translated English) Diagnostic procedure and requirement for occupational radiation sickness
Sector / Industry National Standard
Classification of Chinese Standard C60
Classification of International Standard 13.100
Word Count Estimation 15,188
Date of Issue 2020
Date of Implementation 2020-10-01
Issuing agency(ies) State Administration for Market Regulation, China National Standardization Administration

GBZ169-2020: Diagnostic procedure and requirement for occupational radiation sickness

---This is a DRAFT version for illustration, not a final translation. Full copy of true-PDF in English version (including equations, symbols, images, flow-chart, tables, and figures etc.) will be manually/carefully translated upon your order.
Diagnostic procedure and requirement for occupational radiation sickness ICS 13.100 C 60 GBZ National Occupational Health Standards of the People's Republic of China Replace GBZ 169-2006, GBZ 156-2013 Diagnostic procedures and requirements for occupational radiation diseases 2020-04-03 released 2020-10-01 implementation Issued by the National Health Commission of the People's Republic of China

Table of contents

Foreword...II 1 Scope...1 2 Normative references...1 3 Terms and definitions...1 4 Diagnostic procedures...2 5 File Management...3 6 Confidentiality requirements...3 7 Disease report...3 Appendix A (informative appendix) documents related to the diagnosis of occupational radiation diseases...5 Appendix B (informative appendix) Format and requirements of occupational disease diagnosis certificate...9 Appendix C (Normative Appendix) Occupational Radiation Disease Report Card Format and Instructions...10 References...12

Foreword

4.8.2, 4.10 and 5.3 of this standard are recommended clauses, and the rest are mandatory clauses. This standard is formulated in accordance with the "Law of the People's Republic of China on Occupational Disease Prevention and Control" This standard was drafted in accordance with the rules given in GB/T 1.1-2009. This standard replaces GBZ 169-2006 "Occupational Radiation Disease Diagnostic Procedures and Requirements" and GBZ 156-2013 "Occupational Radiological Disease report format and content. Compared with GBZ 169-2006 and GBZ 156-2013, the main technical changes are as follows except for editorial modifications. -Modified the scope (see Chapter 1, Chapter 1 of GBZ 156-2013 and Chapter 1 of GBZ 169-2009); --Modified normative reference documents (see Chapter 2, Chapter 2 of GBZ 156-2013 and Chapter 2 of GBZ 169-2009); -Added terms and definitions (see Chapter 3); - Delete the disease types reported for occupational radiation diseases (see Chapter 3 of GBZ 156-2013); - Delete the diagnostic institutions for occupational radiation diseases (see 3.1 of GBZ 169-2006); -Deleted the qualifications that a practitioner who is engaged in the diagnosis of occupational radiation diseases should have (see 3.2 of GBZ 169-2006); - Delete the principle of disease diagnosis (see 3.4 of GBZ 169-2006); -Modified the diagnostic program (see Chapter 4, GBZ 169-2006 3.3); - Modified the review and issuance of occupational disease diagnosis certificates (see 4.9, Chapter 4 of GBZ 169-2006); --- Added diagnostic program files (see 4.10); -Modified file management (see Chapter 5, GBZ 169-2006 3.5); --Added disease report (see Chapter 7); --Modified the time and method of disease reporting (see 7.1, Chapter 4 of GBZ 156-2013); -Modified the format and filling instructions of the disease report card (see 7.2, Chapter 5 of GBZ 156-2013). Drafting organizations of this standard. Sichuan Provincial Center for Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Institute of Radiation Protection and Nuclear Safety Medicine, China Institute of Radiation Medicine, Chinese Academy of Medical Sciences, Second Affiliated Hospital of Soochow University, Guangdong Provincial Occupational Disease Prevention and Treatment Institute, Henan Province Occupational Disease Prevention and Research Hospital, Xinjiang Uygur Autonomous Region Center for Disease Control and Prevention, Sichuan Cancer Hospital, Taishan Nuclear Power Plant. The main drafters of this standard. He Ling, Sun Quanfu, Gao Yiying, Liu Qiang, Liu Yulong, Yang Yuhua, Zhang Zhao, Zhao Fengling, Ulia, Wang Jie, Zhang Yaqi. This standard replaces GBZ 169-2006 and GBZ 156-2013. The previous releases of GBZ 156-2013 are as follows. --GB/T 18200-2000; --GBZ /T 156-2002. Diagnostic procedures and requirements for occupational radiation diseases

1 Scope

This standard specifies the diagnostic procedures, requirements and reports of occupational radiation diseases. This standard applies to the diagnosis of occupational radiation diseases by occupational disease diagnosis institutions.

2 Normative references

The following documents are indispensable for the application of this document. For dated reference documents, only the dated version applies to this document. For undated references, the latest version (including all amendments) applies to this document. GB/T 16149 Specification for dose estimation of chronic radiation sickness from external exposure GB/T 17982 Models and parameters for estimating public exposure doses in emergency situations of nuclear accidents GBZ 95 Diagnosis of occupational radiation cataract GBZ 96 Diagnostic criteria for internal exposure radiation sickness GBZ 97 Specification for Judgment of Occupational Radiation Tumor GBZ 99 External radiation subacute radiation sickness diagnostic criteria GBZ 100 External beam radiation radiation bone injury diagnosis GBZ 101 Diagnostic criteria for radiation thyroid diseases GBZ 102 Diagnostic Criteria for Radiation and Impact Injuries GBZ 103 Diagnostic criteria for combined radiation and burn injuries GBZ 104 Diagnosis of acute radiation sickness caused by occupational external exposure GBZ 105 Diagnosis of chronic radiation sickness caused by occupational external exposure GBZ 106 Diagnosis of occupational radiation skin injury GBZ 107 Diagnosis of occupational radiation gonadal diseases GBZ 108 diagnostic criteria for acute uranium poisoning GBZ 112 General Rules for the Diagnosis of Occupational Radiation Diseases GBZ 219 Diagnostic Criteria for Radiation Skin Cancer GBZ /T 244 Estimation method of skin dose caused by ionizing radiation GBZ /T 261 Specification for Dose Reconstruction of Organs of Exposure Persons in External Exposure Radiation Accidents GBZ /T 270 Specification for Estimation of Cumulative Personal Exposure to Radon Progeny of Miners GBZ /T 301 Estimation method of lens dose caused by ionizing radiation

3 Terms and definitions

The following terms and definitions apply to this document. 3.1 Occupational radiation sickness Diseases caused by exposure of radiation workers to excessive dose limit ionizing radiation during professional activities. 3.2 Occupational exposure Except for exposures excluded by national regulations and standards, and exposures from practices or sources that have been All the exposure received during its work. 3.3 Radiation worker Any person who has been hired for full-time, part-time or temporary radiological work and has understood the rights and tasks related to occupational radiation protection.

4 Diagnostic procedures

4.1 Admissions Occupational disease diagnosis institutions shall perform the obligation of notification of occupational disease diagnosis and inform radiological workers (referred to as "patients") of occupational radioactivity Disease diagnosis workflow, issuing guidelines for diagnosis and treatment of occupational radiation diseases. 4.2 Fill in the registration form Occupational disease diagnosis institutions shall issue and assist patients to fill in the occupational radiation disease diagnosis registration form. 4.3 Material collection Occupational disease diagnosis institutions shall collect the registration form for the diagnosis of occupational radiation diseases of patients and the relevant diagnostic materials required in the form. 4.4 Material review 4.4.1 Occupational disease diagnosis institutions shall conduct a preliminary review of the diagnostic materials provided by the patients, and return the submitted documents to those who do not meet the requirements. The medical materials submitted, inform the materials that need to be supplemented for the next medical visit; send out the medical consultation notice to the patients who meet the requirements, and transfer the medical materials Refer to a physician who diagnoses occupational radiation diseases. 4.4.2 Occupational radiological disease diagnosis physicians conduct technical review of the transferred diagnostic materials. For patients whose materials are incompletely reviewed, they should Propose a list of supplementary materials and/or a proposal for conducting on-site detection and investigation of radiation disease hazards; for patients with complete materials, The diagnosis should be completed. 4.5 Investigation and testing of supplementary materials 4.5.1 Occupational disease diagnosis institutions shall follow the list of supplementary materials provided by occupational radiological disease diagnosis physicians, and issue reports in accordance with national regulations. Letter to the employer or/and the supervision and management department of the place where the patient is located, requesting assistance in completing the supplementary materials. 4.5.2 Occupational disease diagnosis agencies shall hand over the recovered official letters and/or on-site investigation reports to the Physician for diagnosis of radiative diseases 4.6 Clinical and laboratory examinations Occupational radiation disease diagnosis physicians perform relevant clinical and laboratory examinations based on the diseases of the patients. 4.7 Dose estimation Occupational radiation disease diagnosis physicians should organize professionals to estimate the individual exposure dose of the patient based on the materials after review, testing and investigation The estimation method should refer to GB/T 16149, GB/T 17982, GBZ 97, GBZ /T 244, GBZ /T 261, GBZ /T 270, GBZ /T 301. 4.8 Diagnosis 4.8.1 According to the diagnostic criteria for radiological diseases (GBZ 95, GBZ 96, GBZ 97, GBZ 99, GBZ 100, GBZ 101, GBZ 102, GBZ 103, GBZ 104, GBZ 105, GBZ 106, GBZ 107, GBZ 108, GBZ 112, GBZ 219), and the occupational acceptance of patients According to history, exposure dose, clinical manifestations, auxiliary examination, comprehensive analysis, exclude other diseases, and make a diagnosis. 4.8.2 For patients with complicated conditions, an expert consultation can be organized to make a diagnosis. a) According to the needs of diagnosis, experts in radiological protection, physical dose estimation, biological dose estimation and other related professional experts can be invited to participate Consultation and discussion; b) If there are disagreements on the diagnosis conclusion, the diagnosis conclusion can be formed based on the consensus opinion of more than half of the diagnosis physicians. Real record. Occupational disease diagnosis physicians participating in the consultation shall not abstain; c) The diagnosis process is truthfully recorded in the Occupational Radiation Disease Consultation and Discussion Record Form, which is signed by all the participants in the consultation and discussion. 4.8.3 Occupational radiation disease diagnosis physicians shall issue an occupational disease diagnosis certificate with the diagnosis conclusion and submit it to the occupational disease diagnosis agency for review. 4.9 Review and issuance of Occupational Disease Diagnosis Certificate 4.9.1 Occupational disease diagnosis institutions shall complete the review of occupational disease diagnosis certificates. 4.9.2 Occupational disease diagnosis institutions shall return the occupational disease diagnosis certificate to the occupational radiation disease diagnosis physician for the The doctor should complete the revision and/or re-discussion of the occupational disease diagnosis certificate, and transfer it to the occupational disease institution for re-examination; The diagnosis certificate shall be numbered uniformly, affixed with the official seal of the occupational disease diagnosis institution and issued, the method of service shall be recorded, and the certificate of service shall be kept. 4.10 Diagnostic program file 4.10.1 Examples of diagnostic procedures. Occupational radiation disease diagnosis and consultation guide, occupational radiation disease diagnosis workflow, occupational radiation For the format and requirements of the radiological disease diagnosis registration form and occupational radiological disease consultation and discussion record form, see Appendix A, A.1~A.4. 4.10.2 Refer to Appendix B for the format and requirements of the Occupational Disease Diagnosis Certificate.

5 File management

5.1 Occupational disease diagnosis institutions shall establish an occupational radiation disease diagnosis file management system. 5.2 Occupational disease diagnosis institutions shall permanently keep the files of occupational radiation disease diagnosis. 5.3 Refer to A.5 of Appendix A for the content requirements of occupational radiation disease diagnosis files.

6 Confidentiality requirements

Occupational disease diagnosis institutions and members of occupational radiation disease diagnosis should deal with the personal privacy of the patient, the business and technology of the employer Secrets and the content of the diagnosis discussion are kept confidential.

7 Disease report

7.1 Time and method of reporting Occupational disease diagnosis agencies shall report directly through the Internet or through documents within 15 working days after making the diagnosis of occupational radiation diseases. Report to the relevant administrative supervision and management department. 7.2 Report card format and filling instructions See Appendix C for the format and filling instructions of the occupational radiation disease report card of the health administration department. AA

Appendix A

(Informative appendix) Documents related to the diagnosis of occupational radiation diseases A.1 Guidelines for diagnosis and consultation of occupational radiation diseases Refer to Figure A.1 for the diagnosis and consultation guidelines for occupational radiation diseases. Guidelines for diagnosis and consultation of occupational radiation diseases 1.Please read this guide carefully to understand the procedures, requirements, and responsibilities of patients in the diagnosis of occupational radiation diseases. 2.Please fill in the "Occupational Radiation Disease Diagnosis Registration Form". 3.Please submit the following evidence materials related to the diagnosis of occupational diseases (in duplicate for verification by the counterparty). (1) Evidence materials proving that health has been damaged by radiation. For example. medical documents such as the results of health examinations, medical records, medical examinations, examination results, and disease diagnosis certificates of radiation workers. (2) Evidence materials proving labor relations. For example. labor contracts, labor relations arbitration awards or court judgments, work permits, employer certificates and other evidence that can prove labor relations material. (3) A copy of the ID card of the patient who needs to be diagnosed. If an agent is entrusted to handle the case, the letter of attorney and a copy of the agent’s ID card shall be submitted at the same time. (4) Other relevant evidence held by the patient. 1.Past history (with or without blood system, immune system, endocrine system, facial features, skin and other diseases); 2.Occupational history (including non-radiation work history, radiological work occupation history and abnormal exposure history); 3.Radioactive and non-radioactive work occupational disease hazard exposure history materials (including working time, type of work, position, name of hazard factors, type of radiation, name and model of radiation device, radioactive source Name and activity, delivery time, workload, workplace protection and personal protective equipment usage, etc.); 4.Personal radioactive dose monitoring files and abnormal exposure records over the years; 5.The radiation workload recognized by both the patient and the employer; 6.Occupational health surveillance files (including radioactive and non-radioactive) and medical records of related diseases over the years; 7.Inspection and evaluation data of occupational disease hazards in the workplace (including radioactive and non-radioactive); 8.Other materials that help make a clear diagnosis. 4.Employers shall bear the main burden of proof for the occupational health surveillance files and workplace occupational health materials of the patient; the patient shall bear the main burden of proof for his own health damage. bear The patient whose main burden of proof is deliberately concealed or fails to submit materials within the specified time will bear the consequences of insufficient proof. 5.The patient is responsible for the objectivity, legality, and authenticity of the materials provided. 6.The telephone number and address filled out in the "Registration Form for Diagnosis of Occupational Radiation Diseases" are the way to contact and send documents during the diagnosis process. If there is any change, please notify me in time; If the relevant information cannot be contacted or delivered due to an error in the registration of the relevant information, the consequences shall be assumed. 7.If the patient does not prove the labor relationship evidence, or has a dispute about labor relationship, type of work, job position, or time on duty, please report to the employer for labor and personnel disputes in accordance with the law The arbitration committee applied for arbitration. 8.Please use A4 paper to write and copy the materials submitted by patients. If the provided materials are photocopies, they should be marked as consistent with the original, and if the original holder is an individual, they should sign and print their fingerprints; If the original keeper is a unit, the official seal of the unit shall be affixed.

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