TA ADVANCING GLOBAL COMMUNICATIONS ANSITIAA 119-2010 TIA STANDARD Healthcare Facility Telecommunications Infrastructure Standard TIA-1179 July 2010NOTICE TIA Engineering Standards and Publications are designed to serve the public interest through eliminating misunderstandings between manufacturers and purchasers, facilitating interchangeability and improvement of products, and assisting the purchaser in selecting and obtaining with minimum delay the proper product for their particular need. The existence of such Standards and Publications shall not in any respect preclude any member or non-member of TIA from manufacturing or selling products not conforming to such Standards and Publications. Neither shall the existence of such Standards and Publications preclude their voluntary use by Non-TIA members, either domestically or internationally. Standards and Publications are adopted by TIA in accordance with the American National Standards Institute (ANSI) patent policy. 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Functions... 6.4 Cross-connections and interconnection 6.5 Centralized optical fiber cabling... 77 BACKBONE CABLING (Cabling Subsystem 2 and Cabling Subsyatom 3). 7.4. General... 7.2 Topology. 7.2.1 Star topoiogy. 7.22 Cabling drecty between telecommunications rooms/elecommunications enclosures... 12 7.3 Length som 7.4 Recognized cabling 8 HORIZONTAL CABLING (Cabing ‘ubeystem 1). Recognized cabling.. Bundled and hybrid cable 9 WORK AREA.. 9.1. General . 9.2 Work area density 9.3 Work area cords...ANSUTIA-1179 9.4 Multi-user telecommunications outlet assemblies (MUTOAS)..... 841 Apptoation planning. 843 Adminstraton 10 CABLING INSTALLATION REQUIREMENTS. 10.1 General a 10.2 Grounding and 10.3 Administration . 11 CABLING TRANSMISSION PERFORMANCE AND TEST REQUIREMENTS, ANNEX A (INFORMATIVE) BIBLIOGRAPHY List of Tables Table 1 - Recommended work area outlet densities ‘Table 2 ~ Maximum length of horizontal cables and work area cords. List of Figures: Figure 1 — ilustrative relationship between relevant TIA standards Fgure 2 — Representa modelo eatncar fait tlecommuniationscabing system... Figure 3 — Centralized optical fiber cabling... Figure 4 — Healthcare building hierarchical star topoiogy examples Figure 5 - Typical horizontal and work area cabling using a star topology Figure 6 - Application of a multi-user telecommunications outiet assemblyANSUTIA-1179 FOREWORD (This foreword is not considered part ofthis Standard.) ‘This Standard was developed by TIA Subcommittee TR-42.1 Approval of this Standard This Standard was approved by TIA Subcommittee TR-42.1, TIA Engineering Committee TR-42, and the American National Standards Institute (ANSI). ANSV/TIA reviews standards every § years. At that time, standards are reaffirmed, withdrawn, or revised according to the submitted updates. Updates to be included in the next revision should be sent to the committee chair or to ANSITIA. Contributing organizations More than 70 organizations within the telecommunications industry contributed their expertise to the development of this Standard (including manufacturers, consultants, end users, and other organizations), Documents superseded None Significant technical changes from the previous edition None Relationship to other TIA standards and documents The following are related standards regarding various aspects of structured cabling that were developed and are maintained by Engineering Committee TIA TR-42. An illustrative diagram of the relationship to other relevant TIA standards is given in figure 1. ‘+ Generic Telecommunications Cabiing for Customer Premises (ANSVTIA-568-C.0) ‘+ Commercial Building Telecommunications Cabling Standard (ANSUTIA-568-C. 1) Balanced Twisted-Pair Telecommunications Cabling And Components Standard (ANSITIA-568-C.2) Optical Fiber Cabling Components Standard (ANSUTIA-S68-C.3) Commercial Building Standard for Telecommunications Pathways and Spaces (TIA-569-B) Residential Telecommunications Infrastructure Standard (ANSVIA-570-B) ‘Administration Standard for Commercial Telecommunications Infrastructure (ANSVTIA/EIA-606-A) + Commercial Building Grounding (Earthing) and Bonding Requirements for Telecom- ‘munications (ANSI-J-STD-807-A) + Customer-Owned Outside Plant Telecommunications Infrastructure Standard (ANSITIA-758-A) + Building Automation Systems Cabling Standard for Commercial Buildings (ANSVTINEIA-862) + Telecommunications Infrastructure Standard for Data Centers (ANSVTIA-942) + Telecommunications Infrastructure Standard for Industrial Premises (ANSVTIA-1005)ANSIMIA-1179 Figure 1 — Illustrative relationship between relevant TIA standards Fstinietcasene ada eeANSITIA-1179 ‘The following documents may also be useful to the reader: + National Electrical Safety Code (NESC*) (IEEE C2-2007) © National Electrical Code” (NEC*) (NFPA 70-2008) '* Hospital Signaling and Nurse Call Equipment (UL 1069-2007) Due to the life, health and safety aspects of healthcare facies, there may be a substantial number ‘of authorities having jurisdiction (AHJs). Designers and installers are encouraged to thoroughly research the requirements established by these AHJs. Useful supplements to this Standard are the most current revisions of the following BICSI documents: Telecommunications Distribution Methods Manual, Outside Plant Design Manual, and Information Transport Systems Installation Methods Manual. These manuals provide practices and methods by ‘which many of the requirements ofthis Standard are implemented. Other references are listed in Annex A. Annexes. There is one annex to this Standard. Annex A is informative and not considered a requirement of this Standard, Introduction This Standard specifies a telecommunications cabling system for healthcare facilities and buildings ‘that will support a multiproduct, multi-vendor environment. It also provides information that may be used for the design of telecommunications products for these enterprises. Purpose ‘The purpose of this Standard is to enable the planning and installation of a structured cabling system for healthcare facilties and buildings. installation of cabling systems during building construction or renovation is significantly less expensive and less disruptive than after the building is occupied. This applies, in particular, to operating facilities that will have additional restctions (e.g. infection control) fon access to spaces and areas after occupancy. Selection of media and network design is of Particular importance for larger healthcare facilities, which may have a useful life far longer than traditional office-oriented commercial buildings. This Standard establishes performance and technical criteria for various cabling system configurations for accessing and connecting their respective elements. In order to determine the requirements of a generic cabling system, performance requirements for various telecommunications. services were considered. ‘The diversity of services currently available, coupled with the continual addition of new services, means that there may be cases where limitations to desired performance occur. When applying specific applications to these cabling systems, the user is cautioned to consult application standards, regulations, equipment vendors, system suppliers, and service suppliers for applicabilily, limitations, and ancillary requirements. Stewardship Telecommunications infrastructure affects raw material consumption. The infrastructure design and installation methods also influence product life and sustainability of electronic equipment life cycting, ‘These aspects of telecommunications infrastructure impact our environment. Since building life cycles are typically planned for decades, technological electronic equipment upgrades are necessary. The telecommunications infrastructure design and installation process magnifies the need for sustainable infrastructures with respect to building life, electronic equipment life cycling and considerations of effects on environmental waste, Telecommunications designers are encouraged to research local building practices for a sustainable environment and conservation of fossil fuels as part of the design process.ANSITIA-1179 Specification of criteria ‘Two categories of criteria are specified; mandatory and advisory. The mandatory requirements are designated by the word "shall"; advisory requirements are designated by the words "should, ‘may’, or “desirable” which are used interchangeably in this Standard, Mandatory criteria generally apply to protection, performance, administration and compatiblity; they ‘specify the minimally-compliant requirements. Advisory or desirable criteria are presented when thelr attainment will enhance the general performance of the cabling system in all its contemplated applications. ‘A note in the text, table, or figure is used for emphasis or offering informative suggestions, or providing additional information. Metric equivalents of United States customary units ‘The dimensions in this Standard are metric or United States customary with soft conversions to the other. Life of this Standard This Standard is a living document. The criteria contained in this Standard are subject to revisions and updating as warranted by advances in building construction techniques and telecommunications technology. Telecommunications cabling system structure ‘This standard establishes a structure for healthcare facility cabling based on the generic cabling system structure in ANSI/TIA-568-C.0. Figure 2 of ANSITIA-568-C.0 provides a representation of the functional elements that comprise a generic cabling system. Figure 4 of this Standard provides an ‘example of how these functional elements are depicted in a healthcare facility cabling system. Figure 2 of this Standard illustrates a representative model for a healthcare facility telecommunications cabling system. The elements of which (see also figure 4) are listed below. While the nomenclature used for these elements in healthcare facility telecommunications systems is the same as the nomenclature used in ANSV/TIA-568-C. 1 for office-oriented commercial building cabling, it should be recognized that the elements serving the office-oriented spaces of healthcare facilities Under the scope of ANSW/TIA-568-C.1 are not necessarily the same physical elements for the healthcare facility telecommunications system. a) Entrance facilties b) Equipment rooms (space typically containing Distributor C, but may contain Distributor B) ©) Telecommunications room (space typically containing Distributor A, but may contain Distributor B and Distributor C) or, in some implementations, telecommunications enclosures (space containing Distributor A) 4) Backbone cabling (Cabling Subsystem 2 and Cabling Subsystem 3) e) Horizontal cabling (Cabling Subsystem 1) f) Work area (space containing the equipment outlet)ANSVTIA-1178 Ba | WA. WAL Building 1 Bulking Legend Access provider — | (icamien Entrance facy.. ae F ee ff Backbone (Cabling Subsystem 3) Equipment roam. : eR Tee ae ese Main cross-connect (Ostibutr ©). We || sae teuceueccs) Intermediate cross-connect (Distbutor Bsn ry = - “Telecommunications 100M xem Teall ees ones caste Telecommunicatons endosure : Te Horizontal cross-connect (istibutor. “ ae HO 1} access Provider Cabling Work area, ee wa “Telecommunications outevconnector (equipment outlet) nn. Cross-connect : sob Figure 2 - Representative model for a healthcare facility telecommunications cabling system vilANSUTIA-1179 THIS PAGE INTENTIONALLY LEFT BLANK,ANSUTIA-1178 1 SCOPE This Standard specifies requirements for telecommunications infrastructure for healthcare facies (e.g. hospitals, clinics). It specifies cabling, cabling topologies, and cabling distances. Additionally, pathways and spaces (e.g. sizing and location), and ancillary requirements are addressed. Telecommunications cabling specified by this standard is intended to support a wide range of healthcare facilties and systems, 4m addition to telecommunication systems, the telecommunications cabling spacified by this standard is intended to support a wide range of clinical and non-clinical systems (RFID, BAS, nurse call, security, access control, pharmaceutical inventory, etc), particulary those which utllze or can utilize IP-based infrastructure, 2 NORMATIVE REFERENCES ‘The following standards contain provisions that, through reference in this text, constitute provisions of this Standard. At the time of publication, the editions indicated were valid. Al standards are subject to revision, and parties to agreements based on this Standard are encouraged to investigate the possibility of applying the most recent editions of the standards published by them. ANSI and TIA ‘maintain registers of currently valid national standards published by them, a) ANSITIA-668-C.0-2008, Generic Telecommunications Cabling for Customer Premises b) ANSITIA-568-C.2-2009, Balanced §Twisted-Pair Telecommunications Cabling And Components Standard ©) ANSI/TIA-568-C.3-2008, Optical Fiber Cabling Components Standard 4) ANSITIAIEIA-606-A-2002, Administration Standard for Commercial Telecommunications Infrastructure ©) ANSI/TIA-1152-2009, Requirements for Field Test Instruments and Measurements for Balanced Twisted-Pair Cabling )TIA-869-B-2004, Commercial Building Standard for Telecommunications Pathways and SpacesANSITIA-1179 3. DEFINITION OF TERMS, ACRONYMS AND ABBREVIATIONS, AND UNITS OF MEASURE 3.1 General ‘The generic definitions in this clause have been formulated for use by the entire family of telecommunications infrastructure standards. Specific requirements are found in the normative clauses of this Standard. 3.2 Definitions of Terms For the purposes of this Standard, the following definitions apply. access provider: The operator of any facility that is used to convey telecommunications signals to and from a customer premises. adapter: A device that enables any or all of the following: (1) different sizes or types of plugs to mate with one another or to fit into a telecommunications outlet, (2) the rearrangement of leads, {@) large cabies with numerous conductors to fan out into smaller groups of conductors, and (4) interconnection between cables. administration: The method for labeling, identification, documentation and usage needed for installation, moves, additions and changes of the telecommunications infrastructure. backbone: A facility (e.g., pathway, cable or bonding conductor) for Cabling Subsystem 2 and Cabling Subsystem 3. bonding: The joining of metallic parts to form an electrically conductive path. bundled cable: An assembly of two or more cables continuously bound together to form a single unit. cable: An assembly of one or more insulated conductors or optical fibers, within an enveloping sheath. ‘cabling: A combination of all cables, jumpers, cords, and connecting hardware, Cabling Subsystem 1: Cabling from the equipment outlet to Distributor A, Distributor 8, or Distributor C. Cabling Subsystem 2: Cabling between Distributor A and either Distributor B or Distibutor © (ir Distributor B is not implemented). Cabling Subsystem 3: Cabling between Distributor B and Distributor ©, campus: The buildings and grounds having legal contiguous interconnection, centralized cabling: A cabling configuration from an equipment outlet to a centralized cross-connect in the same building using a continuous eable, an interconnect, or a splice. channel: The end-to-end transmission path between two points at which application-specitic equipment is connected. ‘commercial building: A building or portion thereof that is intended for office use. connecting hardware: A device providing mechanical cable terminations, cord (telecommunications): An assembly of cord cable with a plug on one or both ends. cross-connect: A facility enabling the termination of cable elements and their interconnection or ‘oross-connection. ¢ross-connection: A connection scheme between cabling runs, subsystems, and equigment using ppatch cords or jumpers that attach to connecting hardware on each end.ANSITIA-1479 ‘customer premises: Building(s), grounds and appurtenances (belon: ‘customer. ‘data: Electronically encoded information. ‘demarcation point: 4 point where the operational control or ownership changes. Distributor A: Optional connection facility in a hierarchical star topology that is cabled between the ‘equipment outlet and Distributor 8 or Distributor C. Distributor B: Optional intermediate connection facility in a hierarchical star topology that is cabled ‘to Distributor C. Distributor C: Central connection facilty in a hierarchical star topology. ‘enclosure, telecommunications: A case or housing that may contain telecommunications ‘equipment, cable terminations, or horizontal cross-connect cabling. ‘end user 8) under the control of the The owne’ of user of the premises cabling system. ‘entrance facility (telecommunications): An entrance to a building for both public and private network service cables (including wireless) including the entrance point of the building and continuing ‘to the entrance room or space. ‘equipment cord: see cord. ‘equipment outlet: Cutermost connection facility in a hierarchical star topoogy. ‘equipment room (telecommunications): An environmentally controlled centralized space for ‘telecommunications equipment that usually houses Distributor B or Distributor C. ground: A conducting connection, whether intentional or accidental, between an electrical circuit (€g,, telecommunications) or equipment and the earth, or to some conducting body that serves in Place of earth. grounding: Connecting to ground or a conductive body that extends the ground connection horizontal cabling: Cabling Subsystem 1. horizontal cross-connect: A cross-connect of horizontal cabling to other cabling, e.g. horizontal, backbone, equipment hybrid cable: An assembly of two or more cables, of the same or different types or categories, covered by one overall sheath, infrastructure (telecommunications): A collection of those telecommunications components, excluding equipment, that together provide the basic support for the distribution of information within a building or campus \sertion loss: The signal loss resulting from the insertion of a component, or link, or channel, between a transmitter and receiver (often referred to as attenuation). interconnection: A connection scheme that employs connecting hardware for the direct connection of a cable to another cable without a patch cord or jumper. intermediate cross-connect: Distributor B. Jumper: 1) An assembly of twisted-pairs without connectors, used tc join telecommunications: circuits/inks at the cross-connect. 2) A length of optical fiber cable with a connector plug on each end link: A transmission path between two points, not including equipment anc cords. main cross-connect: Distributor C. ‘media (telecommunications): Wire, cable, or conductors used for telecommunications. aANSITIA-1179 modular jack: A female telecommunications connector that may be keyed or unkeyed and may have 6 or 8 contact positions, but not all the positions need be equipped with jack contacts. multimode optical fiber: An optical fiber that carries many paths of light multi-user telecommunications outlet assembly: A grouping in one location of several telecommunications oulevconnectors. optical fiber: Any filament made of dielectric materials that guides light. optical fiber cable: An assembly consisting of one or more optical fibers. outleticonnector (telecommunications): The fixed connector in an equipment outist. ‘outside plant: Telecommunications infrastructure designed for installation exterior to buildings. patch cord: 1) A length of cable with a plug on one or both ends. 2) A length of optical fiber cable with a connector on each end. pathway: A faciity for he placement of telecommunications cable permanent link: A test configuration for a link excluding test cords and patch cords, ‘single-mode optical fiber: An optical fiber that carries only one path of light. space (telecommunications): An area used for housing the installation and termination of telecommunications equipment and cable, e.g., common equipment rooms, equipment rooms, common telecommunications rooms, telecommunications rooms, telecommunications enclosures, service areas, and maintenance holes/handholes. splice: A joining of conductors, meant to be permanent, splice closure: A devive used to protect a splice. star topology: A topology in which telecommunications cables are distributed from a central point. telecommunications: Any transmission, emission, or reception of signs, signals, writings, images, and sounds, that is, information of any nature by cable, radio, optical, or other electromagnetic: systems. telecommunications enclosure: See enclosure, telecommunications. telecommunications infrastructure: See infrastructure (telecommunications). telecommunications outlet: An assembly of components consisting of one or more connectors mounted on a faceplate, housing or supporting bracket. telecommunications room: An enclosed architectural space designed to contain telecommunications equipment, cable terminations, or cross-connect cabling. terminal: (1) A point at which information may enter or leave a communications network. (2) The input-output associatec equipment. (3) A device by means of which wires may be connected to each other. topology: The physicel or logical arrangement of a telecommunications system. wire: An individually insulated solid or stranded metallic conductor. workarea: A building space where the occupants interact with telecommunications terminal equipment. work area cord: see cord.3.3. Acronyms and abbreviations AH ANSI AP AWG eF EIA eM ER He Ic ISDN Me MUTOA, Nec® Neso” NFPA sP Te TIA TR uL WA authorities having jurisdiction ‘American National Standards institute access provider ‘American Wire Gauge entrance facility Electronic Industries Alliance electromagnetic interference ‘equipment room horizontal cross-connect intermediate cross-connect integrated services digital network main cross-connect ‘multi-user telecommunications outlet assembly National Electrical Code® National Electrical Safety Code® National Fit Protection Association service provider telecommunications enclosure Telecommunications Industry Association telecommunications room Underwriters Laboratories Inc work area 3.4 Units of measure am um feet, foot meter nanometer micrometer (micron) 5 ANSITIA-1179ANSI/TIA-1179 4 ENTRANCE FACILITIES 4.1 General The entrance facility (EF) consists of the pathway(s), space(s), catles, connecting hardware, protection devices, and other equipment that support access provider (AP) cabling (see figure 2). ‘These components may be used for regulated APs (e.g., local telephone companies), private network customer premises services, or both. When additional telecommunications equipment that is outside the scope of this document is present in the TE or TR, the size of the space should be increased accordingly 4.2 Design ‘The EF pathway(s) and space(s) shall be designed and installed in accordance with the requirements of TIA-569-B. Many healthcare facilites, particularly critical care areas, may be severely impacted by a loss of telecommunications services. Accordingly, multiple entrance points and route diversity shall be provided. Diverse pathways should entail a route separation as great as practical If the EF is expected to accommodate other systems (e.g. building automation systems, nurse call, security, CATV, biomedical systems), the EF shall be increased in size based on the methodology in TTIA-569-B for these additional systems. i a larger EF cannot be accommodated, these other systems shall be installed in the equipment room (ER) or in an ER dedicated for such applications (see clause 5). 4.3 Funetions 4.3.1 Network demarcation point ‘The demarcation point between APs and the customer premises cabling may be part of the EF. The location of this point for some APs is determined by federal or local regulations. The APs should be ‘contacted to determine the location policies in effect. 4.3.2 Electrical protection Protection devices for campus backbone cables and antennas may be located in the EF. AP cabling may be located in the EF, so APs should be contacted to determine the electrical protection needs. and policies for their cabling. Electrical protection is governed by applicable electrical codes, 43.3 Connections to outside plant cabling The EF includes connections between cabling used in the outside plant (e.9. an AP) and building cabling. This connection may be accomplished via a splice or other means. Outside plant cabling shall comply with ANSVTIA-758-A.ANSUTIA-1179 5 EQUIPMENT ROOMS 5.1 General Equipment rooms (ERs) are considered to be distinct from telecommunications rooms (TRs) and telecommunications enclosures (TEs) because of the nature or complexity of the equipment they contain. An ER may alteratively provide any or all of the functions of a TR or TE (see figure 2). The main cross-connect (MC; Distributor C) of a healthcare facility is located in an ER. Intermediate cross- connects (ICs; Distributor B), horizontal cross-connect (HCs; Distributor A), or both, of a healthcare facility may also be located in an ER. When additional telecommunications equipment tha is outside the scope of this document is present in the ER, the size of the space should be increased accordingly. NOTE: While *ER" is often associated with ‘Emergency Room’ in many healthcare facilities, for the purposes of telecommunications networks and this document, *ER* refers to “Equipment Room’, 5.2 Design ERs shall be designed and provisioned according to the requirements in TIA-569-B. A growth factor ff 100% should be considered when determining room size. This growth can be accommodated by dedicating space adjacent to the ER that can be claimed in the future if so required (e.g. storage room), or by reclaiming space adjacent to the ER. 5.3 Functions ‘An ER houses telecommunications equipment, connecting hardware, cables, pathways, splice closures, grounding and bonding facilities, and appropriate protection apparatus, From a cabling perspective, an ER may contain either the MC or the IC used in the backbone cabling hierarchy. The ER provides for the administration and routing of the equipment cabling, and or cords, from the MC or IC to the telecommunications equipment, ‘An ER may also house equipment terminations, and may contain horizontal terminations for a portion of the faciity. In many cases the ER is combined with the EF and contains AP (e.9., local telephone company) service terminations, premises network terminations, and other terminations. 5.4 Cabling practices Cabling cross-connections and interconnections described in clause 6.4 for TRs and TEs are also applicable to ERs. Many healthcare facilties, particularly critical care areas, may be severely impacted by a loss of telacommunications services. A minimum of two diverse pathways shall be provided between the ER and EF for these areas. Diverse pathways should entail @ route separation as great as practicalANSITIA-1179 6 TELECOMMUNICATIONS ROOMS AND TELECOMMUNICATIONS ENCLOSURES. 6.1 General Telecommunications rooms (TRs} and telecommunications enclosures (TEs) (see figure 2) provide a ‘common access point for pathways, backbone cabling and horizontal cabling. TRs and TEs may also contain cabling used for cross-comnection. The horizontal cross-connect (HC; Distributor A) is located inva TR or TE. The intermediate cross-connects (IC; Distributor B) may also be located in a TR. The TR and any TE should be located on the same floor as the work areas served. When additional telecommunications equipment that is outside the scope of this document is present in the TE or TR, the size of the space should be increased accordingly. 62 Design ‘TRs and TEs shall be designed in accordance with TIA-569-B. The healthcare facity design should not allow routing of non-telecommunications services (e.g. medical gases, fluids) in TRs or TEs. Due to the numerous telecommunications services present in healthcare facilities (e.g. nurse call, patient tracking), the TR should be larger than that suttable for an ofice-oriented commercial building, Accordingly, the TR shall be sized at 12 m* (190 for larger ‘The use of TEs is a specific implementation and not a general case, TEs may be used in addition to ‘one TR per floor and in addition to an additional TR for each area up to 1000 m® (11 000 ff’). Thus, the number of TRs is not reduced by the use of TEs. TEs may provide a suitable option in areas subject to infection control measures or to allow moves, adds and changes without accessing restricted areas. ATE is intended to serve a smaller floor area than a TR. TEs may also be used for serving environments like entrance lobbies, or historic buildings where the construction of a TR is not allowable. As a TE may be exposed to the detrimental effects of high magnetic fields, radiation, high ‘temperature, chemicals, etc., TEs should be selected and installed in order to protect and support the cabling components, the cabling data transmission rates and performance in these areas during operation, or the location of the TE should be selected to minimize these effects. Exposed surfaces of ‘TEs and fixtures shall be a suitable material when installed in surgical and other sterile environments. ‘Rs and TEs providing suppor for life and safety networks should incorporate additional security ‘measures to restrict unauthorizes access to the space. 63 Functions ATR or TE houses the terminations of horizontal and backbone cables to connecting hardware. The ‘oross-connection of horizontal ard backbone cable terminations using jumpers or patch cords allows flexible connectivity when extending various services to telecommunications outlev/connectors. Connecting hardware, jumpers, and patch cords used for this purpose are collectively referred to as. “horizontal cross-connections”. ‘TRs may also contain the IC or the MC for different portions of the backbone cabling system. ‘Sometimes backbone-to-backbone cross-connections in the TR or TE are used to connect different ‘TRs or TEs together in a ring, bus, or tree configuration as described in clause 7.2.2. ATR or TE also provides @ controlled environment to house telecommunications equipment, connecting hardware, and splice closures serving a portion of the building. The TR or TE provides for the administration and routing of the equipment cords from the HC to the telecommunications equipment. In some cases, the demarcation point and associated protection apparatus may be located in a TR.ANSITIA-N179 4 Cross-connections and interconnections Horizontal and backbone building cables shall be terminated on connecting hardware that meets the requirements of ANSI/TIA-568-C.2 (for balanced twisted-pair cable) or ANSI/TIA-568-C.3 (for optical fiber cable) as appropriate. These cable terminations shall not be relocated to implement cabling system moves, adds, and changes. 6.5 Centralized optical fiber cabling Centralized cabling shall meet the requirements of ANSVTIA-568-C.0. Centralized optical fiber cabling (see figure 3) is designed as an alternative to the optical cross-connect located in the TR or ‘TE when deploying recognized optical fiber cabling in the horizontal in support of centralized electronics. Centralized cabling provides connections from work areas (WAs) to centralized cross-connects by allowing the use of pul-through cables and the use of an interconnect or splice in the TR or TE. The maximum allowed cistance for a pul-through cable is 300m (984 fi).ANSITIA-1179 “Talecommunicatons ‘uttveonnoctere pile <4 1 | (Spice or wal t interconnect) 1 1 | Backbone cable i T 1 TTelecommunicatons Vly. Horizontal cable. gaat e 11 (Spice wa mt {meen I {Backbone cable It TTelosa ti 11 (Pultthrough elecommunications 11] cable) Horizontal cable ae ee ia a it i i ud it Legend it Equipment} | JER’ equipment room tl TR Telecommunications room ies TE —_Telecommunications enclosure \ WA — Work area |— —Bacieone cable Contratized -Horzontal cable cross-connect ER Figure 3 - Centralized optical fil 10ANSVTIA-1179 7 BACKBONE CABLING (CABLING SUBSYSTEM 2 AND CABLING SUBSYSTEM 3) 7A General Backbone cabling is the portion of the healthcare facility telecommunications cabling system that Provides interconnections between entrance facilities (EFs), access provider (AP) spaces, service provider (SP) spaces, equipment rooms (ERs), telecommunications rooms (TRs) and ‘telecommunications enclosures (TEs) (see Figure 2 and figure 4). As such, the backbone cabling shall meet the requirements of ANSI/TIA-568-C.0 Cabling Subsystem 2 and Cabling Subsystem 3, Backbone cabling consists of the backbone cables, intermediate and main cross-connect (ICs and MGs), mechanical terminations, and patch cords or jumpers used for backbone-to-backbone cross-connection. The pathways and spaces to support backbone cabling shall be designed and installed in accordance with the requirements of TIA-569-B, The cabling should be planned to accommodate future equipment needs, diverse user applications, longoing maintenance, service changes, sustainability, flexibility, and relocation. Many healthcare. facilities, particularly critical care areas, may be severely impacted by a loss of access provider services. Accordingly, a minimum of two diverse route backbone pathways and cables shall be provided to each TR or TE in these areas. One option would be the use of the optional cabling between HCs shown in Figure 4. Diverse pathways should entail a route separation as great as practical. 7.2 Topology 7.2.1 Star topology ‘The backbone cabling shall meet the hierarchal star topology requirements of ANSVTIA-568-C.0. A. minimum of one ER shall be located within each building of the network. There shall be no more than two hierarchical levels of cross-connects in the backbone cabling. From the horizontal cross-connect (HC), no more than one cross-connect shall be passed through to reach the MC. Therefore, connections between any two HCs shall pass through three or fewer cross-connect facilties (see Figure 4). NOTE: The topology required by this Standard has been selected because of iis acceptance and flexibility in meeting a variety of application requirements. The limitation to two levels of cross-connects is imposed to limit signal degradation for passive systems and to simplity moves, adds and changes. This limitation may not be suitable for facilities that have a large number of buildings or those that cover a large geographical area. Centralized optical fiber cabling (see clause 6.5) is designed as an alternative to the optical ccross-connection located in the TR or TE when deploying recognized optical fiber cabling to the work. area (WA) from a centralized cross-connect. The requirements of ANSI/TIA-568-C.0 shall apply to non-star backbone configurations that are. accommodated by the star topology. 1"ANSITIA-1179 MC 4 Backbone Beckdone cating cabling 3 I wacsdone abing c Horaonta coblng tocol cetirg 7] Go} Ge] Ge] Fe] Ge] Po]y 4 [uc 4 Backbone capo cabing 1 cance et opr re Mecaaiceercec oetaen IS Mwai cones a8) Horizontal Mic aictaSmecSerbuers ching or eg {Ge Hoot eating ¥ Go] Ge] 7] ¥ Figure 4 — Healthcare building hierarchical star topology examples 7.22 Cabling directly between telecommunications rooms/telecommunications enclosures ‘Since requirements for "bus" or "ting" or *redundancyffault tolerant” configurations are anticipated, cabling directly between TRs or TEs is allowed. Such cabling is in addition to the connections for the star topology specified in clause 7.2.1. See TIA-569-B for pathway considerations, 12ANSITIA-1178 7.3 Length ‘The backbone cable length extends from the termination of the media at the MC to an IC or HC. To minimize cabling lengths, it is often advantageous to locate the MC near the center of the facility, Cabling installations may be divided into areas, each of which can be supported by backbone cabling within the scope of this Standard. Cabling lengths are dependent upon the application and upon the specific media chosen (see ANSI/TIA-568-C.0 and the specific application standard). The backbone length includes the backbone ‘cable, patch cords and cross-connect jumpers. Applicable balanced twisted-pair de-rating factors (see ANSI/TIA-568-C..2) for cross-connect jumpers and cords shall be taken into account, ‘The length of the cross-connect jumpers and patch cords in the MC or IC should not exceed 20 m (66 ft). ‘The length of the cable or cord used to connect telecommunications equipment directly to the MC or IC should not exceed 30 m (98 ft). 7.4 Recognized cabling This Standard specifies transmission media, which shall be used individually or in combination in the backbone cabling. The recognized media are: a) 100-chm balanced twisted-pair cabling (ANSVTIA-S68-C.2); category 6 or higher is recommended NOTES: 1 = Category 6A is recommended for new installations 2 - For backbone cabiing, category 3 cabling should be limited to analog voice applications. 'b) multimode optical fiber cabling (ANSI/TIA-568-C.3); 850 nm laser-optimized 50/125 um is recommended ©) single-mode optical fiber cabling (ANSI/TIA-S68-C.3) Each recognized medium has individual characteristics that make it useful in a variety of situations. ‘One medium may not satisty all end user requirements. It may then be necessary to use more than ‘one medium in the backbone cabling. 18ex ease ANSITIA-1179 8 HORIZONTAL CABLING (CABLING SUBSYSTEM 1) 8.1 General Horizontal cabling (see figure 5) includes horizontal cable, telecommunications outletconnectors in the work area (WA), mechanical terminations and patch cords or jumpers located in a telecommunications room (TR) or telecommunications enclosure (TE), and may incorporate ‘multi-user telecommunications outlet assemblies (MUTOAS). The pathways and spaces to support Nnorizontal cabling shall be designed and installed in accordance with tne requirements of T1A-569-B. ‘Some networks or services require application-specific electrical components (such as impedance matching devices). These application-specttic electrical components shall not be installed as part of the horizontal cabling. When needed, such electrical components shall be placed extemal to the telecommunications outleVeonnector. Keeping application-specitc components extemal to the telecommunications outlet/connector will facilitate the use of the horizontal cabling for varying network and service requirements. For healthcare applications, the meaning of the term ‘work area” must be expanded to acknowledge connectivity required by the various applications and modalities to provide the appropriate level of services. The cabling should be planned to accommodate future equipment needs, diverse and increasing user applications, ongoing maintenance, relocation, sustainability, flexibility, and service changes. Indeed, horizontal cabling is often less’ accessible than backbone cabling. Adding or changing horizontal cabling may cause disruption to occupants and their work once the building walls and ceilings are closed. After the inital installation, adding or changing horizontal cabling could result in a net decrease in the quality of care being provided, jeopardizing infection control measures, or ‘compromising lfe safety measures. The time, effort, and skills required for these subsequent changes are significant, making the choice and design layout of the horizontal cabling very important to the maintenance and operation of the telecommunications infrastructure. Therefore, it is incumbent on the designer to accommodate user needs and to reduce or eliminate the probability of requiring ‘changes to the horizontal cabling as user requirements evolve (for example, by installing cabling in pathways placed between areas so the cabling is easily accessed by maintenance personnel). This is especially relevant given the rapid evolution and changes in the types of equipment and the means by which this equipment communicates and the ever increasing role these devices and equipment are given in the care ofthe patient. ‘The minimum number of permanent links shall be the number required to provide the needed cabling for each work area (see clause 9). Each balanced twisted-pair cable at the equipment outiet ehall be terminated in an eight-position modular jack. The telecommunications outlet/connector for 100-ohm balanced twisted pair cable shall meet the requirements of ANSI/TIA-568-C.0. Optical fibers at the equipment outlet shall be terminated to a duplex optical fiber outleticonnector meeting the requirements of ANSI/TIA-568-C.3. 2 Topology ‘The horizontal cabling shall meet the star topology requirements of ANSITIA-568-C.0. Each WA telecommunications outlet/connector shall be connected to the horizontal cross-connect (HC) as shown in Figure 5. NOTE: In addition to a HC being located in a TR or TE, it may be co-located with an intermediate cross-connect (IC; Distributor B) or a main cross-connect (MC; Distributor C) where they are deployed. See clause 6.1, Figure 2 and 4ANSITIA-1173 Lapiop compusr “Telephone BN. Lapor computer 1 Legend wap Wireless Access Pont Teepe wa Work wa area Horizontal cross-connect, Horizontal cabling (Cabling Subsystem 1) H]_Telocommunications owet Figure 5 - Typical horizontal and work area cabling using « star topology 83 Length ‘The horizontal cable length extends from the termination of the media at the HC in the TR or, when. used, the TE to the telecommunications outlet/connector in the work aree. The maximum horizontal length shall be 90 m (295 ft) for balanced twisted-pair cabling. The maximum horizontal length should. ‘be 90 m (295 ft) for optical fiber cabling, except for some cases (e.g. redundancy requirements) where the maximum horizontal cabling length for optical fiber may be increased according to the application and upon the specific media chosen (see annex D of ANSI/TIA-568-C.0). Where a MUTOA is deployed, the maximum horizontal balanced twisted-pair copper cable length shall be reduced in accordance with clause 9.4.4.1 The length of the crass-connect jumpers and patch cords in the cross-connect facilities, including HCs, jumpers, and patch cords that connect horizontal cabling with equipment or backbone cabling, should not exceed 5m (16 f). For each horizontal channel, the total length allowed for cords in the WA, plus patch cords or jumpers, plus equipment cords in the TR or TE shall not exceed 10 m (33 ft) unless a MUTOA is used (see clause 9.4). NOTE In establishing the maximum distance for each horizontal channel, an allowance was made for 5 m (16 ft) from the telecommunications outleVconnector to the work area device, 18seat ANSITIA-117. 84 Recognized cabling ‘Three types of media are recognized and recommended for use in the horizontal cabling system. ‘These media are: 2) 100-ohm balanced twisted-pair cabling: category 5e or higher (ANSVTIA-568-C.2); category 6 or higher is recommended NOTE: category 6A is recommended for new installations b) multimode optical fiber cabling (ANSI/TIA-568-C.3), 2-fiber or higher fiber count; 850 nm laser-optimized 50/125 4m is recommended. ©) single-mode optical fiber cabling (ANSV/TIA-568-C.3), 2-fiber or higher fiber count NOTE -Given the bandwidth and mission critical nature of attached devices and systems, it is recommended that the designer, whenever possible, give serious consideration to the utilizing the highest performing media to allow for the longest possible lifecycle with the least potential for the need for replacement, 85 Bundled and hybrid cables Bundled and hybrid balanced twisted-pair cables used for horizontal cabling shall meet the requirements for bundled and hybrid cables detailed in ANSI/TIA-568-C.2. These requirements apply to hybrid cables and bundled cables assembled prior to installation, sometimes referred to as loomed, ‘speed-wrap, or whip cable constructions. NOTE—Hybrid cables consisting of optical fiber and copper conductors are sometimes referred to as composite cables. 16ANSI/TIA-1178 9 WORK AREA 9.1 General ‘The work area (WA) components extend from the telecommunications outlet/connector end of the horizontal cabling system to the WA equipment (e.g. phone, computer, wireless access point). The telecommunications outleYconnector shall meet the requirements of ANSI/TIA-S68-C.0. To simplify relocations, consider a single style of outleticonnector for all work area outlets of the same media type. In healthcare applications, as previously mentioned, the work area must take on a broader scope as the work area is located in a multitude of application-specific areas and spaces within the healthcare facility. These areas can be divided into the following classifications: a) Patient Services b) Surgery/Procedure/Operating Rooms ©) Emergency d) Ambulatory Care e) Women's Health 1). Diagnostic and Treatment 9) Caregiver 1). Service/Support i) Facilities 1). Operations kK) Grtical Care It is neither expected, nor required, that all outlets be located together. The location of the outlets should take into consideration the various uses for each outlet, which can be located or grouped accordingly. For example, the outlets to provide audio/visual services might best be located on a wall across from the patient head wall, or some locations may require the use of ceiling outlets. Many applications related to healthcare require higher bandwidth at designated stations. The designer should review the desired locations for these higher bandwidth stations with the end user. 92 Work area density Table 1 illustrates the recommended telecommunication outlet/connector densities of the work areas based on the function at that location. While this is not an exhaustive list, it does represent the majority of the application-specific areas and spaces found in healthcare facilities. Further, as the names, functions and areas are not defined by any standard, each facility may have different nomenclature than listed here, so a reasonable review to compare functions and descriptions may be necessary to select the appropriate work area cabling density, In Table 1, each area classification is listed with representative related spaces. Each space is listed with its associated “cabling services", which refers to the relative cabling density of that work area location. The densities are defined as a range. Since adding horizontal cabling or outlets after initial ‘construction can be complex and disruptive to the facility, the designer should select a number between the midpoint and upper end of the range if no other guidance or direction is provided. a) L=Low: 2106 outlets in each area b) _M= Medium: 6 to 14 outlets in each area c) H=High: > 14 outlets in each area 7ANSITIA-1179 Table 1 - Recommended workarea outlet densities a) Patient Services camvaion [Roamaton] Palo] Family | Watng ; Aatiataton | Ragitaton | Pant | Famiy | Wali Uvary | consutan 7 wae pets Pan ow [ee B]SurgeProcetrlOportng Roone Patent | Patent | Pair | strc | su-sirte | METS® ] Operating | Anessa rep | aang | recov | Zone | zon | C82 | Ream" | “otess w pow pow} tp vt c) Emergency Tambuance Pceire balance T Eyauaton | Observation] Exam Rooms | Woeea L M H M H d) Ambulatory Care OutPatent Procedure exam Patent Surgery" | Mammography] Bonsy XeRay Rooms Rooms. Rooms: Holding 7 a i t wf e) Women's Health uresound | Lactation | Labor/Detvery Roum | ntentBays | Nursery c c i a 7 18ANSITIA-1179 Table 4 - Recommended work area outlet densities 1 Diagnostic and Treatment Magné Imagi (MRI) Control Resonance etic Simulator & | Linear CT Scanner | procedure | Operat ing Control | Accelerator & | & Control | Procedure | Operating )& Room | Control Room | Ror Room mol | Rooms | “Rooms. H H 4 H Fluoroscopy Radiograph | X-Ray Radiation Processing Lab L U C u H 9) Caregiver ‘Exam Room Clean Utiity | Soiled Utity Nourishment | Charting M L M M Nurse Station Workroom Galley Read Room H M U uw h) Service/Support Blood Bank Area Pharmacy Area Anesthesia Area M M 4 i) Faci ies Janitor Closet Electrical Rooms Technology Rooms Communication 7 Building Utility Elevator Machine Rooms Rooms L L U L U Rooms Mechanical | Security Office Command Center Fire Command ‘Specially Storage (e.g. battery, chemicals) L H M L 19ANBITIA-1179 Table 1 - Recommended work area outlet densities }) Operations General Food | Locker Rooms / Administration | Stage Cafeteria | foe ae Laundry M L L M L L Retail | Conference ] General Office Central Sterile Lounge | OnCall Suite | Retell Teena’ ace M L L L M L k) Critical Care Icu Neonatal ICU Recovery H Hq 4 9.3 Work area cords ‘The maximum horizontal cable length is specified in clause 8.3 and is based on a maximum length of 5m (161) of WA cord. WA cords used in the WA shall meet the performance requirements in ANSI/TIA-568-C.2 or ANSI/TIA-568-C.3, WA cabling may vary in form depending on the application. When application-specific adaptations are needed at the WA, they shall be external to the telecommunications outle/connector (see clause 8.1). ‘Some of the most commonly encountered adaptations at the work area are listed below. a) a special cable or adapter is required when the equipment connector is different from the telecommunications outlet/connector b) a "Y* adapter is required when two services run on a single cable NOTE - The use of Y-adapters may not be allowed in some systems (refer to AHJs) ©) passive adapters that may be needed when the cable type in the horizontal cabling is different from the cable type required by the equipment 4) active adapters that may be needed when connecting devices that use different signaling ‘schemes ©) pair transposition adapters that may be necessary for compatibility 4) termination resistors required for ISDN terminals NOTE —When used, cabling adapters in the WA may have detrimental effects on the transmission performance of the telecommunications cabling system. Therefore, itis important that their compatibility with premises cabling, equipment and applications bbe considered before they are connected to the telecommunications network. 20 ‘See ocean See sstmrer misANSITIA-N179 9.4 Multi-user telecommunications outlet assemblies (MUTOAs) Design practices can use MUTOAs to provide flexible layouts for spaces that are frequently rearranged to meet changing requirements of the end users. Such spaces are frequently rearranged {to meet changing requirements of the end users. An intorconnection in the horizontal cabling allows work area spaces to be reconfigured frequently without disturbing the permanent links. MUTOAS should not be used for new construction. MUTOAs may be advantageous for renovation of existing faciliies where any significant collection of equipment or modalities are moved or reconfigured frequently. ‘A MUTOA facilitates the termination of single or multiple horizontal cables in a common location within a major point of care or similar area. The use of MUTOAS allows horizontal cabling to remain intact when the floor plan or equipment layout is changed. WA cords originating from the MUTOA should be routed through WA pathways. The WA cables shall be connected directly to work station equipment without the use of any additional intermediate connections (see figure 6). Patch cordsijumpers— Work Ares Eauipmont — pe ora Laptop computer [~~ (ca x a ia Horizontal to It 1 am ES jackbone aaa Muon oa WA rere Work Area TR Tolocommunications Room Te ‘Telecommunications Enclosure Horizontal Cross-Connect ‘Multiple User Telecommunications Outlot Assom! Figure 6 - Application of a multi-user telecommunications outlet assembly 9.4.1 Application planning MUTOAs should be located in an open area to serve multiple WAs. The MUTOA should be limited to. serving a maximum of 24 telecommunications outlets/connectors. Maximum WA cable length requirements (see clause 9.4.4) shall also be taken into account. Spare capacity should also be considered when sizing the MUTOA. 9.4.2 Installation practices MUTOAs shall be located in fully accessible, permanent locations such as building columns, and Permanent walls. MUTOAS shall not be located in ceiling spaces, or any obstructed area. MUTOAS. shall not be installed in furniture unless that unit of furniture is permarently secured to the building structure, atANSITIA-1179 9.4.3 Administration In addition to the requirements of ANSI/TIA/EIA-606-A, the WA cords connecting the MUTOA to the WA equipment shall be labeled on both ends with a unique cord identifier. The end of the WA cords at the MUTOA shall be labeled with the WA equipment it serves, and the end at the WA equipment shall be labeled with the MUTOA identifier and a port identifier. The MUTOA shall be marked with the maximum allowable WA cord length. 9.4.4 Maximum work area cord lengths 9.4.4.1 Balanced twisted-pair cabling Balanced twistec-pair WA cables used in the context of MUTOAS, shall meet the requirements of ANSI/TIA-568-C.2. The maximum length in meters shall be determined according to: C= (102 -H)(1+D) a) Weo-T @) Cis the maximum combined length (m) of the WA cord, equipment cord, and patch cord His the length (m) of the horizontal cable (H + C < 100 m) D is the insertion loss de-rating factor for the cord type (0 for solid conductor cords, 0.2 for 24 AWG stranded cords and 0.5 for 26 AWG stranded cords) W is the maximum length (m) of the WA cord T is the total length of patch and equipment cords in the telecommunications room (TR) or telecommunications enclosure (TE) Table 2 illustrates the results of the above formulae assumirg that there is a total of 5 m (16 ft) of 22'S 24 AWG or 4 m (13 ft) of >24 - 26 AWG patch cords and equipment cord in the TR or TE. Table 2- Maximum length of horizontal cables and work area cords 22524 AWG >24-26 AWG Length of {~ Maximum | Maximum combined | Maximum | Maximum combined horizontal | length of | length of workarea | lengthof | length of work area cable | workarea | cord,patch cords, | workarea | cord, patch cords, cord and equipment cord cord and equipment cord 4 w c w c mit) mift) m (ft) m (tt) mitt) 90 (295) 5 (16) 10 (33) 4(13) 8 (26) 85 (279) 9 (80) 14 (46) 723) 11 (85) 80 (262) | _13 (44) 18 (59) 11 (35) 15 (49) 75 (246) |__17 (57) 22 (72) 14 (48) 18 (59) 7o(230) [22 (72) 27 (69) 17 (668) 21 (70) 9.4.4.2 Optical fiber cabling Optical fiber work area cords used in the context of MUTOAs shall meet the requirements of ANSI/TIA-568-C.3. The maximum horizontal cabling length is not affected by the deployment of a MUTOA. 22ANSUTIA-1179 10 CABLING INSTALLATION REQUIREMENTS. 10.1, General ‘The installation requirements in ANSV/TIA-568-C.0, in addition to the other clauses of this Standard, shall be followed. Cabling shall comply with applicable codes and regulations. NOTE: Coordination of cable placement may be even more important in healthcare facilities to ensure that the placement of cables does not interrupt or compromise operation of the facility. High termination density can be achieved using mult-fiber increments and the use of multifiber connectors. If cable lengths can be accurately pre-calculated, pre-terminated multifiber assemblies can reduce installation time. High data-rate end equipment may accommodate muitrfiber connectors directly ‘Some locations in healthcare facilities may be sensitive to atmospheric contamination. Accordingly, cabling products with specific attributes (e.g. filled or blocked cable, minimal off-gassing) may be required in these locations. Infection control requirements (ICR) could have a serious impact on the times and conditions for cabling installation, moves, adds and changes as well as restrictions on removing ceiling tiles, wall Penetrations and access to unoccupied spaces. Prior to installation or moaifications in any occupied area, the faciity ICR should be consulted. Telecommunications spaces which are subject to ICR should be labeled to indicate that ICR measures may be necessary prior to entry. NOTE: Cabling products from certain areas of healthcare faclities may require ‘specific and regulated means of disposal. Reusing or relocating cabling products (€.9. patch cords) from certain areas of healthcare facilities may be restricted due to infection control measures or related concerns. It is recognized that some areas of the healthcare facility potentially Involve high levels. of electromagnetic interference (EMI). Some cable assemblies supporting data transmission in areas close to levels of high EMI may require appropriate components, isolation or mitigation to ensure electromagnetic environmental compliance. {tis noted that some areas of the healthcare facility may expose the cabling to the detrimental effects: of high magnetic fields, radiation, high temperature, chemicals etc. Cabling solutons, design and installation methods compatible with the environment should be selected in order to support adequate performance in these areas during operation. The location for cabling and spaces should be selected to minimize these effects. Accordingly, testing the cabling performance during operation of this equipment, especially in the case of magnetic resonance imaging (MRI) and related machinery, is recommended. Itis recognized that many healthcare installations make use of a number of wireless applications. It is recommended that the wireless environment be characterized and understood prior to the design, choice, and installation of cabling to encure satisfactory operation. 10.2 Grounding and bonding Grounding and bonding shall meet the requirements of ANSUTIA-S68-C.0, Additionel information can be found in IEEE 602 Recommended Practice for Electrical Systems in Healthcare Facilities. 10.3 Administration Since many healthcare networks, particularly those with biomedical devices attached, directly support life and safety protocols, network administration is of particular importance. Accordingly, the use of automated infrastructure management systems should be considered for those portions of the network. 23ANSUTIA-1179 ‘As there may be many different networks in the same healthcare facility, some with biomedical devices attached, segregation of these networks may be necessary to ensure adequate support of life and safety protocols. Accordingly, the use of colored cables, colored jacks or keyed connectivity should be considered for those networks in order to maintain segregation of the networks and assist in the administration. 11 CABLING TRANSMISSION PERFORMANCE AND TEST REQUIREMENTS: ‘The transmission performance and test requirements of ANSI/TIA 568-C.0, ANSVTIA 568-C.2 and ANSI/TIA-1152 shall be met. 24ANSITIA179 ANNEX A (INFORMATIVE) BIBLIOGRAPHY This annex is informative only and is not part of this Standard. ‘The following is a list of some generally applicable basic standards and guides that are relevant to the requirements of this Standard. Other American National Standards also may be relevant, TIA TSB-184-2009, Guidelines for Supporting Power Delivery over Balanced Twisted-Pair Cabling ‘Telecommunications Industry Association (TIA) TIA TSB-162-2006, Telecommunications Cabling Guidelines for Wireless Access Points ‘Telecommunications Industry Association (TIA) Guidelines for Design and Construction of Health Care Facilities, 2006 Edition ‘The Facility Guidelines Institute and The American Institute of Architects Academy of Architecture for Health IEEE-602 Recommended Practice for Electric Systems in Health Care Facilties ("White Book") ‘The Institute of Electrical and Electronic Engineers, Inc (IEEE) Health Insurance Portability and Accountabilty Act (HIPAA) of 1996 United States Government, Public Law 104-191 Financial Services Modernization Act of 1999 (Gramm-Leach-Bliley Act) United States Government, Public Law 108-102 Payment Card Industry Data Security Standards (PCI-DSS) v1.2 PCI Security Standards Council Personal Health Information Protection Act (PHIPA) (Schedule A) and the Quality of Care Information Protection Act (Schedule 8) Government of Ontario, Enacted November 1, 2004 47 CFR - Telecommunication; Chapter | - Federal Communications Commission; Subchapter C-- Broadcast Radio Services; Part 76 -- Multichannel Video and Cable Television Service Federal Communications Commission, United States of America 47 CFR - Telecommunication; Chapter | - Federal Communications Commission; Subchapter C-- Broadcast Radio Services; Part 15 - Radio Frequency Devices Federal Communications Commission, United States of America 25ANSUTIA-1179 ‘The organizations listed below can be contacted to obtain reference information, ANSI ‘American National Standards Institute (ANSI) 25W 43 St New York, NY 10036 USA (212) 642-4900 www.ansi.org BICSI Bics! 8610 Hidden River Parkway ‘Tampa, FL 33637-1000 USA (G00) 242-7405 www.bicsiong Code of Federal Regulations (CFR) ‘The U.S. National Archives and Records Administration 8601 Adelphi Road College Park, MD 20740-6001 1-86-NARA-NARA or 1-866-272-6272 www archives. gov The Facility Guidelines Institute 1919 Mckinney Avenue Dallas, TX 78201 vow foiguidelines.ora Federal Communications Commission (FCC) 445 12th Street SW Washington, DC 20554 USA (888) 225-5322 ‘wor fec.gov IEEE lee 10662 Los Vaqueros Circle P.O. Box 3014 Los Alamitos, CA 90720-1264 USA (714)-821 8380 wwnw.leee.orgANSITIA-1179 NFPA National Fire Protection Association (NFPA) 1 Batterymarch Park Quincy, MA 02269-9101 USA (617) 770-3000 wow.ntpa.org PCI Security Standards Council, LLC 401 Edgewater Place Suite 600 Wakefield, MA USA 01880 (781) 876-8855 www. Dcisecuritvetandarde,ora Government of Ontario (ServiceOntario Infoline) M-1B114, Macdonald Block 900 Bay Street Teronto ON M7A 1N3 canada TA ‘Telecommunications Industry Association (TIA) 2500 Wilson Bivd., Suite 300 Arlington, VA 22201-3836 USA (703) 307-7700 wwwitiaonline.org UL Underwriters Laboratories, Inc. (UL) 333 Plingsten Road Northbrook, IL 60062-2096 USA (812) 272-8800 www.ul.com a7‘THE TELECOMMUNICATIONS INDUSTRY ASSOCIATION TWA repeesents the global information and communications technology (C7) industry through standards development, advecacy, tradeshows, business opportunities, ‘market intelligence and world-wide environmental regulatory analysis. With roots dating back 0 3924, TA enhances the business environment fr broadband, ‘mobile witeles, information technology, networks, ‘able, satelite and unified communications. ans te SUPRCO voesow sd coed ¢ ADVANCING GLOBAL COMMUNICATIONS ae =<