Zio XT Service is a remote cardiac monitoring system used for detecting cardiac arrhythmia. It is comprised of the Zio patch, a wearable 1-lead ambulatory electrocardiogram (ECG), and the Zio report, a summary of the recorded data that have been analysed using an Artificial Intelligence led algorithm. This technology is being evaluated as part of NICE's pilot project to evaluate digital health technologies (DHTs).
Status In progress
Process MT

Provisional Schedule

Committee meeting: MTAC 2 24 July 2020
Resolution 24 August 2020
Expected publication 06 October 2020

Project Team

Project lead Rebecca Brookfield

Email enquiries


Manufacturers iRhythm Technologies
Others Boston Scientific
  Department of Health and Social Care
  Devices for Dignity
  Greater Manchester Health & Social Care Partnership
  Healthcare Improvement Scotland
  Johnson & Johnson Medical Ltd
  Medicines and Healthcare Products Regulatory Agency (MHRA)
  NHS England
  NHS Digital
Patient carer organisations Arrhythmia Alliance
  Atrial Fibrillation Association
  Heart Rhythm Alliance
Professional groups Association of British Healthcare Industries (ABHI)
  Association of Healthcare Technology Providers for Imaging, Radiotherapy and Care (AXrEM)
  HealthTech Alliance
  Medical Technology Group
  The British In Vitro Diagnostics Association (BIVDA)


Key events during the development of the guidance:

Date Update
12 June 2020 - 10 July 2020 Draft guidance
13 March 2020 - 27 March 2020 Draft guidance: 1
10 September 2019 Scope published
15 August 2019 Stakeholder registration opens

For further information on how we develop guidance, please see our page about NICE medical technologies guidance