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ANSI/TIA-1179-2010

ADVAHCING GLOBAL COMHBNICATIONS APPROVED:JULY 28, 2010

TIA STANDARD

Healthcare Facility Telecommunications


Infrastructure Standard

TIA-1179 July 2010

TELECOMMUNICATIONS
INDUSTRY ASSOCIATION
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(From Standards Proposal No. 3-0373-1, formulated under the cognizance of the TIA
TR-42 Telecommunications Cabling Systems, TR-42.1 Subcommittee on Commercial Building
Telecommunications Cabling (568-B-1).

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ANSI/TIA-1179

Healthcare Facility TelecommunicationsInfrastructure Standard


Table of Contents
FOREWORD is. eeci02i ci ates cesses eaters tis es stand ects edbtatitonsecede ava Natiaead ate eRe! iii
Hi SCORE sess, secceuicteades pean Pees eas Sets ee ee as we eee se cae ctanad dence deed euesberem 1
2 NORMATIVE: REFERENGES taissceswicccatccccase sasaecenstteabostecsce asec cia ashe eT aoak cba ches ROvav otek Raa 1
3 DEFINITION OF TERMS, ACRONYMS AND ABBREVIATIONS, AND UNITS OF MEASURE ...... 2
SEA GOMOMAN. cvissssccasccusncnts decaaswasnwruseionidanasecanithevanncnutesnasccolueaidwedieie were dd thiewseuadeaiessavesssyacveeete 2
2. Definitions OFTSIMS <5 sis cs< sucedearccoatisuzisseciteovdaalsonces testacs pea cetewohi cds tan deuce gsfewtataee ea edcctascavadeusatenseasksec 2
3:3, Acronyms and abbreviations ais cesses cass ccvacescensisssenscgststen sce cveadsssecsvwctwawisdinatectonadutiaswwisaccauateaveavacs 5
SA NMS OF MEASUINE esate oc se chetiea Guede ic divaitawadnniveckbite itvnducweoidts casaded ubcubauhifussbiedeuess sesesewawenbenee aes 5
4: ENTRANGE:FAGILIMIES io. ss usaessdecscovasvosecescehwenwepneatscstinundcvecsceve nde tesWannstiveroesvasnsnvense\evoasuwitvedennasdevoneses 6
BA} GOMGRA sssids istec nts nnsnanccdscossesings vesgnensceeseoussarantiauionigussesiaeianvaiesemacepessispsésescandausamesaanensiacaaecdédsPenerees 6
AZ? “DIOSIQN Seis icnescctpandscvasvspessetscnacsssssascoanecusasoannescvansisssesididhaikusuavds dev sushassasCasueasvdsesssnenatsdvedstcavessusvsasad 6
AD: FAINGCHGING aisck ce erececccccasaces ccctnceaesosdatetatancsciseaibcressentsuastencasdsvasavecsasteccicusachsnudotdavarceesitdasonessiosnceeed 6
4ArS:1: NGTWONCG GOMaCatlOn: DOUtac. 2eiccesae.dcecceedscccoosdo-ncbocoucecats cccodevvaconsgece dudeetesconsouneeLeeSenccansecui oe 6
4:322 JElecttical: protectin sei iwsaiicsess ceca crmea hbase tl ideasceinvdectilceseoce Soeea case eneae sede econ 6
4:3:3° Connections to:outside: plant Cabling seisicciseaiccccciesceietiieccecbeuceatadececvaucvenedecasccebsaascouvedsatsees 6
§: EQUIPMENT: ROOMS i iitaictiniaiecin Rites aaa atte R ALEGRE 7
DEL GEMeral crs cssasccessdewstats heed aee eo eas nasa ee CRS eee esas eet eaten dusk baean deals dhaatedtdtaaendaenbta eden 7
S32) DOSQM sssrccecccteccecscnvieveantecerestoctee tis crsncesecneiestaaatse caval Telawsieciteean Reade Tm adtaediwad Mamaaaeiasteraaetalases 7
SiS: FUNGHOMNS ss sssiasdrcatessdsavcazesaets coe useeeset Senn odccecoseeodansiwers aabcdc cts weaasee ca atecebactsesa cnvaevdsedcecacbaniaendetdeniccvds 7
D4: Cabling PracthCOS: ic ccecevsiec csnocdeasncesigespses inacnideesnaibncuninaaveditudesacetebiskstenteastanotannadwadesviplivedwanweal 7
6 TELECOMMUNICATIONS ROOMS AND TELECOMMUNICATIONS ENCLOSURES................... 8
SUE: CINTA sa racy caeesiciniwice mar athe ci aUlentsas daa oa dible wise earannc senees gcoethush undoes araed eu eumesiaur ede eeatuavte 8
Gi: DIOSIQIN ccc sve ncienswiesvacvavedave'scttasnvin vnsisbiva snus veal Uectesielu sciatica ct dcareita tac pause hes Su sen starve uavedngedeubrantadeaeots 8
GS UNCON gs aciie tis oe crssccvcceoos enous teasoseus§asunvsansshanneuneosissdacensevacaasheisadscunen duets adleaeuch peanvasnbotacsaisbeahneaxse 8
6.4 Cross-connections and interconnections............0.ccccccccccesscsecescesecsecsscescccecssceecescessseecesecseneecers 9
6.5 Centralized optical fiber Cabling ...............esesecsseseesecssecscesensserserssrsseeseceseesseensesseeaseanesseeanssnneaees 9
7 BACKBONE CABLING (Cabling Subsystem 2 and Cabling Subsystem 3).........00....cccececeeee 11
Teli GOnerahescciissds SRA a BE EB ea IE 11
LZ? TOPOVes Sessccrsecee esac ideatisccacTeea da Tava ssee ce csanwessseene nea vdatSuleceveusinideneeeucsuedeseeicovedusavibecbccvansel sla 11
C24 Star tOpolog ys siseiisviesceedsaeet ries E SRR SEERA Rae a See 11
7.2.2. Cabling directly between telecommunications rooms/telecommunications enclosures..... 12
Led, LONcrcaciceecnccecitechestecetctecta Lande tan cs cia ae RT A WONG RG REN 2K cS Te on ea as 13
£4 Recognized cabling .ss:esiesssaecsitin a isessteavccavacendeconeinsemsdsieeu nase aaa vate eae ee eteea 13
8 HORIZONTAL CABLING (Cabling Subsystem 1) ........0..0.cccc ccc ccceessesscessessesoceeseeseeseesseseeeeceeseees 14
Git GONGA cssasasasteessstédacsavn spatncaaliesaccvaseacanatsisndasactacncossetisi en sabesadiicasbelachusiavaba see cesdadwisests died desiveies 14
BZ POPOOGYson cas sect sscevnatisyennena tke nseceiens seni asia dshavesvenuncdideiveuitetsashuevestunadelvinsi td visa veveleadseetedicesfuccnnndserae 14
BS EOMOUN <2 i snnnsesannnrncvennsinzatasnint nucmanshvecviubiinddavcust nie nisatwat iatlse diveid<ehip Ssece cgingedooy aut dieunia dareleap ese 15
BE. RECOGNIZE :-CADNING <2. 262: 50; <aktrssssersnesiubsnsicssscieosrsstsinsdntisaesenendas oveishananduncensibseusteamra@savinennannetnesns 16
BS: BUNGIE NYOMAGEDIGS..... sacs cccvasacosnenceuiccractscevenanacsoucsstvsseoacaaleegaacsananath snnacébaensciqunseeaeesesvieve 16
DS WORK AREA ii iiicdictacciseetissiecseevis snc davancosnisncededmardacensee'eanidevscesssssuacaciescaseesaedusawietleesddssheideranindacsss 17
OT; GOTOTED eee ae aah ca Rea a I a es Sa PRD ee 17
G2 Work area: Cemsity. sicieseie a2 Cs ao sgatswocaeh neces sthee dyeammscesten alondacentnrs utacadccriolesaseuncducaanaressncles Use eins 17
G23 Work area conde csc R eS eIss yess scenes sec he ueadic oso ds eM eae Shae Slate wen cduusauedraaseihelattacaaieedan 20
ANSI/TIA-1179

9.4 Multi-user telecommunications outlet assemblies (MUTOAS).......0....ccccccccecccseceetseeseseeeseeeeees 21


OAT Applicatlon Planning was.edisevincinc. .2ciss50ceseoncsepenenespécasupierncuresenepversacreonceresvesnesubesssteveaasusuneesens 21
9:4-2: INStalAWOM: PTACICOS «io S25, Lee caine te scp nie cden soak oun sane andcoukecueccsnedunanescacdesbévansbeseveneuctetesk 21
OFS AOMMinistrahoras. scsi scccdes fice emeateccccaatasscctevviscusaussvadasabanabisvebicandccivesss does ccsesbomeapeeose 22
9:4:4 Maximum: work:-area’ Cord lengths sesaccsicecccceaeeets ce Sesae tic aaa ania aeee elas c aeeecdatatecateols slew aeee 22
9:4.4:1 Balanced :twisted-palr cabling cic. csisiscccsacenintesnin inn aan 22
BiA:A72, OCPACal FD|T: CEA sas cacesseiasine ase eatacheeees Ste Sa Late SaaS Sauces ee nea anes need 22
10 CABLING INSTALLATION REQUIREMENTS. .............ccccccccccccseetssssscsscsecsscsscscscsesseccscesseessecescces 23
FO. TGOMCTAL icc csscccnsosstzstes ctecesasieetue teeter Sac teta CReeNeNa Ne ee RUN Cape Seta ee ae aaa naw ath dans cTaate cna aeveaeeanane 23
FO.2 Grounding ANG: DONGING wisenssceteccncssaccissrsniecansccecrevcenieeivenrsdaetveachuivssacieatinuiiceuece devas csateieisSeceadeuees 23
10:3 AcMMStratON ise ccvcssersvccwsrevsevecsnccQuscprweestawSisners vuantcep nea atehastaes cobs dave unpaceb Neuen dude ta antagaedeusbeeh 23
11 CABLING TRANSMISSION PERFORMANCE AND TEST REQUIREMENTS.........00.00...0000. 24
ANNEX AC (INFORMATIVE): BIBLIOGRAPHNGos i siscesecscenserisicccunevssessnseosea cocedunsesseuesenaunsbauuestananasavencwnen 25

List of Tables
Table 1 - Recommended work area Outlet GENSItIES 0.0... csessesseessessesseesessessesseescssesseeseessenscensenses 18
Table 2 — Maximum length of horizontal cables and work area COrdS................cccccceeeescesseeeceeeeeeeesees 22

List of Figures
Figure 1 — Illustrative relationship between relevant TIA standards ...............ccccescessececeeeesessceeseeeeseeeace iv
Figure 2 — Representative modelfor a healthcare facility telecommunications cabling system.......,... vii
Figure:3.— Centralized: optical fiber: caplling . se. 2csacssccecacscceeieinaied ance eaeineooh ccee ns athe sd cncwecawadaataeeacncd 10
Figure 4 — Healthcare building hierarchical star topology examples...............eccesceeseeeceeeeeeteeeeseeeneeees 12
Figure 5 — Typical horizontal and work area cabling using a Star tOPOlOGY .............::cesscescreeereeseeeseeees 15
Figure 6 — Application of a multi-user telecommunications outlet assembly..............0..00..00c:eeeeeeees 21
ANSI/TIA-1179

FOREWORD
(This foreword is not considered part of this 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 StandardsInstitute (ANSI).
ANSI/TIA reviews standards every 5 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 ANSI/TIA.

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 standardsis givenin figure 1.
¢ Generic Telecommunications Cabling for Customer Premises (ANSI/TIA-568-C.0)
Commercial Building Telecommunications Cabling Standard (ANSI/TIA-568-C.1)
Balanced Twisted-Pair Telecommunications Cabling And Components Standard
(ANSI/TIA-568-C.2)
Optical Fiber Cabling Components Standard (ANSI/TIA-568-C.3)
Commercial Building Standard for Telecommunications Pathways and Spaces (TIA-569-B)
Residential Telecommunications Infrastructure Standard (ANSI/TIA-570-B)
Administration Standard for Commercial Telecommunications Infrastructure
(ANSI/TIA/EIA-606-A)
¢ Commercial Building Grounding (Earthing) and Bonding Requirements for Telecom-
munications (ANSI-J-STD-607-A)
¢ Customer-Owned Outside Plant Telecommunications Infrastructure Standard
(ANSI/TIA-758-A)
¢ Building Automation Systems Cabling Standard for Commercial Buildings
(ANSI/TIA/EIA-862)
Telecommunications Infrastructure Standard for Data Centers (ANSI/TIA-942)
Telecommunications Infrastructure Standard for Industrial Premises (ANSI/TIA-1005)
ANSI/TIA-1179

Common Premises Component


Standards Standards Standards

ANSI/TIA-568-C.0 | ANSI/TIA-568-C.1 ANSI/TIA-568-C.2


(Generic) (Commercial) (Balanced twisted-
| |
pair)
== eel |
F
j
]
TIA-569 | ANSI/TIA-570 || ANSI/TIA-568-C.3.
(Pathways and | (Residential) | (Optical fiber) |
spaces) | |
ANSUTIA-606 ANSI/TIA-942 | ANSI/T!1A-568-C.4
(Administration) — (Data centers) || (Coaxial)

ANSI/TIA-607
(Bonding and
grounding
[earthing])
getttee e
| ANSI/TIA-758 ANSI/TIA-1179
(Outside plant) (Healthcare)

ANSI/TIA-862
(Building
automation
systems)

Figure 1 — Illustrative relationship between relevant TIA standards


ANSI/TIA-1179

The following documents may also be useful to the reader:


e National Electrical Safety Code” (NESC”) (IEEE C2-2007)
e National Electrical Code” (NEC”) (NFPA 70-2008)
* Hospital Signaling and Nurse Call Equipment (UL 1069-2007)

Dueto the life, health and safety aspects of healthcare facilities, 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 currentrevisions 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 of this Standard are implemented.
Other referencesarelisted in Annex A.

Annexes
There is one annexto this Standard. Annex A is informative and not considered a requirementofthis
Standard.

Introduction
This Standard specifies a telecommunications cabling system for healthcare facilities and buildings
that will support a multi-product, multi-vendor environment. It also provides information that may be
used for the design of telecommunications products for these enterprises.

Purpose
The purposeof this Standard is to enable the planning andinstallation of a structured cabling system
for healthcare facilities and buildings. Installation of cabling systems during building construetion or
renovationis significantly less expensive and less disruptive than after the building is occupied. This
applies, in particular, to operating facilities that will have additional restrictions (e.g. infection control)
on 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 applicability, limitations,
and ancillary requirements.

Stewardship
Telecommunications infrastructure affects raw material consumption. The infrastructure design and
installation methodsalso influence product life and sustainability of electronic equipmentlife cycling.
These aspects of telecommunicationsinfrastructure 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 equipmentlife cycling and considerations of
effects on environmental waste. Telecommunications designers are encouraged to research local
building practices for a sustainable environment and conservation offossil 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 interchangeablyin this Standard.
Mandatorycriteria generally apply to protection, performance, administration and compatibility; they
specify the minimally-compliant requirements. Advisory or desirable criteria are presented when their
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 advancesin 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 ANSI/TIA-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 nomenciature used in ANSI/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 ANSI/TIA-568-C.1 are not necessarily the same physical elements for the
healthcarefacility telecommunications system.
a) Entrancefacilities
b) Equipment rooms (spacetypically containing Distributor C, but may contain Distributor B)
c) 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)
d) Backbone cabling (Cabling Subsystem 2 and Cabling Subsystem 3)
e) Horizontal cabling (Cabling Subsystem 1)
f) Work area (space containing the equipmentoutlet)

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ANSI/TIA-1179

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( ) Backbone (Cabling Subsystem 2)
Intermediate cross-connect (Distributor B)............. ee eee eee Ic SS

Tel ICE ONS sisincsosedectuscsctsvcecevasccucsscteivsncasscscurtavece


Seeengnese a Horizontal (Cabling Subsystem 1)
Telecommunications @nclosure oo... ceeeeeseeeeeeeeececeeeeeeeee PER Se ESSERE rear eae See rene

Horizontal cross-connect (Distributor A


( ) Access Provider Cabling
WVOTK: NGG vas nsnsainss Gotrownsadana hair siitananayes ssivecenncrsmcnacssviseisenepnnseaes

Telecommunications outlet/connector (equipment outlet) .......... a

CROSSCOMMORE cases casyniiasessieniceasiacvavsvdesvessnaniancbintlevuieeamcesscsttis) bd

Figure 2 — Representative model for a healthcarefacility telecommunications cabling system

vil
ANSI/TIA-1179

THIS PAGE INTENTIONALLY LEFT BLANK

vill
ANSI/TIA-1179

1 SCOPE
This Standard specifies requirements for telecommunications infrastructure for healthcare facilities
(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 facilities and systems.
In addition to telecommunication systems, the telecommunications cabling specified 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.), particularly those whichutilize 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. All standards are subject
to revision, and parties to agreements based on this Standard are encouragedto 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) ANSI/TIA-568-C.0-2008, Generic Telecommunications Cabling for Customer Premises
b) ANSI/TIA-568-C.2-2009, Balanced Twisted-Pair Telecommunications Cabling And
Components Standard
c) ANSI/TIA-568-C.3-2008, Optical Fiber Cabling Components Standard
d) ANSI/TIA/EIA-606-A-2002, Administration Standard for Commercial Telecommunications
Infrastructure
e) ANSI/TIA-1152-2009, Requirements for Field Test Instruments and Measurements for
Balanced Twisted-Pair Cabling
f) TIA-569-B-2004, Commercial Building Standard for Telecommunications Pathways and
Spaces ,
ANSI/TIA-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
clausesof this Standard.

3.2. Definitions of Terms


For the purposesof 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 anyorall of the following:
(1) different sizes or types of plugs to mate with one another or to fit into a
telecommunicationsoutlet,
(2) the rearrangementof leads,
(3) large cables 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 changesof the telecommunicationsinfrastructure,
backbone: A facility (¢.g., pathway, cable or bonding conductor) for Cabling Subsystem 2 and
Cabling Subsystem 3.
bonding: Thejoining 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 ofall cables, jumpers, cords, and connecting hardware.
Cabling Subsystem 1: Cabling from the equipment outlet to Distributor A, Distributor B, or
Distributor C.
Cabling Subsystem 2: Cabling between Distributor A and either Distributor B or Distributor C (if
Distributor B is not implemented).
Cabling Subsystem 3: Cabling between Distributor B and Distributor C.
campus: The buildings and grounds having legal contiguous interconnection.
centralized cabling: A cabling configuration from an equipmentoutlet to a centralized cross-connect
in the same building using a continuous cable, an interconnect, or a splice.
channel: The end-to-end transmission path between two points at which application-specific
equipment is connected.
commercial building: A building or portion thereof that is intendedfor 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
cross-connection.
cross-connection: A connection scheme between cabling runs, subsystems, and equipment using
patch cords or jumpers that attach to connecting hardware on each end,
ANSI/TIA-1179

customerpremises: Building(s), grounds and appurtenances (belongings) under the control of the
customer,
data: Electronically encoded information.
demarcation point: A point where the operational control or ownership changes.
Distributor A: Optional connection facility in a hierarchical star topology that is cabled between the
equipmentoutlet and Distributor B or Distributor C.
Distributor B: Optional intermediate connection facility in a hierarchical star topology that is cabled
to Distributor C.
Distributor C: Central connectionfacility 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: The owneror user of the premises cabling system.
entrancefacility (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.
equipmentcord: see cord.
equipmentoutlet: Outermost connectionfacility in a hierarchical star topology.
equipment room (telecommunications): An environmentally controlled centralized space for
telecommunications equipmentthat usually houses Distributor B or Distributor C.
ground: A conducting connection, whether intentional or accidental, between an electrical circuit
(e.g., telecommunications) or equipment and the earth, or to some conducting body that servesin
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 ordifferent 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.
insertion 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 hardwarefor 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 to join telecommunications


circuits/links 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 and cords.
main cross-connect: Distributor C.
media (telecommunications): Wire, cable, or conductors used for telecommunications.
ANSI/TIA-1179

modular jack: A female telecommunications connector that may be keyed or unkeyed and may have
6 or 8 contact positions, butnotall the positions need be equipped with jack contacts.
multimode optical fiber: An optical fiber that carries many pathsoflight.
multi-user telecommunications outlet assembly: A grouping in one location of several
telecommunications outlet/connectors.
optical fiber: Any filament made ofdielectric materials that guideslight.
optical fiber cable: An assembly consisting of one or more opticalfibers.
outlet/connector(telecommunications): The fixed connector in an equipmentoutlet.

outside plant: Telecommunicationsinfrastructure designed forinstallation exterior to buildings.


patch cord: 1) A length of cable with a plug on one or both ends. 2) A length ofoptical fiber cable
with a connector on each end.
pathway: facility for the placement of telecommunications cable.
permanentlink: A test configuration for a link excluding test cords and patch cords.
single-modeoptical fiber: An opticalfiber that carries only one path oflight.

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 device used to protect a splice.
star topology: A topology in which telecommunications cables aredistributed 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.
telecommunicationsinfrastructure: 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 associated equipment. (3) A device by means of which wires may be connected to each
other.
topology: The physical or logical arrangementof a telecommunications system.
wire: An individually insulated solid or stranded metallic conductor.
work area: A building space where the occupants interact with telecommunications terminal
equipment.
work area cord: see cord.
ANSI/TIA-1179

3.3. Acronyms and abbreviations


AHJ authorities having jurisdiction
ANSI American National StandardsInstitute
AP access provider
AWG American Wire Gauge
EF entrancefacility
EIA Electronic Industries Alliance
EMI electromagnetic interference
ER equipment room

HC horizontal cross-connect
IC intermediate cross-connect
ISDN integrated services digital network
MC main cross-connect
MUTOA multi-user telecommunications outlet assembly
NEC® National Electrical Code™
NESC” National Electrical Safety Code”
NFPA National Fire Protection Association
SP service provider
TE telecommunications enclosure
TIA Telecommunications Industry Association
TR telecommunications room
UL Underwriters Laboratories Inc
WA work area

3.4 Units of measure

feet, foot

meter

nam nanometer

um micrometer (micron)
ANSI/TIA-1179

4 ENTRANCE FACILITIES

4.1. General
The entrance facility (EF) consists of the pathway(s), space(s), cables, 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 equipmentthat 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 andinstalled in accordance with the requirements
of TIA-569-B. Manyhealthcarefacilities, 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 methodologyin
TIA-569-B for these additional systems.If 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 Functions

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 backbonecables and antennas maybe located in the EF. AP cabling
maybe located in the EF, so APs should be contacted to determinethe electrical protection needs
and policies for their cabling. Electrical protection is governed by applicable electrical codes.

4.3.3 Connections to outside plant cabling


The EF includes connections between cabling used in the outside plant (e.g. an AP) and building
cabling. This connection may be accomplished via a splice or other means. Outside plant cabling
shall comply with ANSI/TIA-758-A.
ANSI/TIA-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 mayalternatively provide anyorall 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-connects (HCs; Distributor A), or both, of a healthcare
facility may also be located in an ER. When additional telecommunications equipmentthat 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
of 100% should be considered when determining room size. This growth can be accommodated by
dedicating space adjacent to the ER that can be claimedin the future if so required (e.g. storage
room), or by reclaiming space adjacentto the ER.

5.3. Functions
An ER houses telecommunications equipment, connecting hardware, cables, pathways, splice
closures, grounding and bondingfacilities, and appropriate protection apparatus.
From a cabling perspective, an ER may contain either the MC orthe IC used in the backbone cabling
hierarchy. The ER provides for the administration and routing of the equipment cabling, and orcords,
from the MC or IC to the telecommunications equipment.
An ER mayalso house equipment terminations, and may contain horizontal terminations for a portion
of the facility. In many cases the ER is combined with the EF and contains AP (e.g., 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 facilities, particularly critical care areas, may be severely
impacted by a loss of telecommunications services. A minimum of two diverse pathways shall be
provided between the ER and EF for these areas. Diverse pathways should entail a route separation
as greatas practical.
ANSI/TIA-1179

6 TELECOMMUNICATIONS ROOMS AND TELECOMMUNICATIONS ENCLOSURES

6.1 General

Telecommunications rooms (TRs) and telecommunications enclosures (TEs) (see figure 2) provide a
commonaccesspoint for pathways, backbone cabling and horizontal cabling. TRs and TEs may also
contain cabling used for cross-connection. The horizontal cross-connect (HC; Distributor A) is located
ina 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 samefloor as the work areas served. When additional
telecommunications equipmentthat is outside the scope of this documentis present in the TE or TR,
the size of the space should be increased accordingly.

6.2 Design
TRs and TEsshall be designed in accordance with TIA-569-B. The healthcare facility 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 suitable for an office-oriented commercial building.
Accordingly, the TR shall be sized at 12 m? (130ft’) or larger.
The use of TEsis a specific implementation and not a general case. TEs may be used in addition to
one TR perfloor and in addition to an additional TR for each area up to 1000 m* (11 000 ft’). Thus,
the numberof TRs is not reduced by the use of TEs. TEs mayprovide a suitable option in areas
subject to infection control measures or to allow moves, adds and changes without accessing
restricted areas.
A TE 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 andfixtures shall be a suitable material wheninstalled in surgical and other sterile environments.
TRs and TEs providing support for life and safety networks should incorporate additional security
measuresto restrict unauthorized accessto the space.

6.3 Functions
A TR or TE houses the terminations of horizontal and backbone cables to connecting hardware. The
cross-connection of horizontal and backbone cable terminations using jumpers or patch cords allows
flexible connectivity when extending various services to telecommunications outlet/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 connectdifferent
TRs or TEs togetherin a ring, bus, or tree configuration as described in clause 7.2.2.
A TR or TE also provides a controlled environment to house telecommunications equipment,
connecting hardware, and splice closures serving a portion of the building. The TR or TE providesfor
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 ina TR.
ANSI/TIA-1179

6.4 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 ANSI/TIA-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 pull-through cables and the use of an interconnector splice in the TR or TE. The
maximum alloweddistance for a pull-through cable is 300m (984 ft).
ANSI/TIA-1179

Telecommunications
outlet/connectors
ee Horizontal cable
Peaea ata acaal NPeBTE os Wswsadeassencuncenesuasstvawccasset cee
f (Splice or WA
| interconnect)
|
|
|
, Backbone cable
|
|
j Telecommunications
| ; outlet/connectors
| ae
eet HorizontalCaN2ns2s2e| oacoal
Sarre er acta e Wik
| [| (Splice or
| interconnect)
tr! |
T- at
| : Backbonecable
|

C4
| | (Pull-through Tel icati
elecommunications

HC z
. outlet/connectors
Hi) cable)ol eeHorizontal cable 4

| 1 |it--" oR
1 Sik se
ie
j—_-}
| | ~ Legend:
1 4 Equipment ER Equipment room
Ys TR Telecommunications room
[ *K.. Mesesensesesnnnos x TE Telecommunications enclosure
So Le a eee WA Work area
a= | — —Backbone cable
Centralized ‘ ««~+~~~Horizontal cable
cross-connec ER

Figure 3 — Centralized optical fiber cabling

19
ANSI/TIA-1179

7 BACKBONE CABLING (CABLING SUBSYSTEM 2 AND CABLING SUBSYSTEM 3)

7.1. General

Backbone cabling is the portion of the healthcare facility telecommunications cabling system that
provides interconnections between entrancefacilities (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-connects (ICs and
MCs), 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,
ongoing 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 ANSI/TIA-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-connectfacilitiés (see
Figure 4).
NOTE: The topology required by this Standard has been selected becauseofits
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 simplify moves, adds and changes. This limitation may not
be suitable for facilities that have a large numberof 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
cross-connection located in the TR or TE when deploying recognizedoptical 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 bythe star topology.

11
ANSI/TIA-1179

4 A

Backbone Backbone
cabling cabling

Backbone
cabling

Horizontal
cabling

Horizontal
cabling

To| | To] | To} | To} | To] y

A A

Backbone :
Legend: cabling
TO Telecommunications outlet (equipment outlet)
HC Horizontal cross-connect (Distributor A) ‘
Ic Intermediate cross-connect (Distributor B) Horizontal
MC Main cross-connect (Distributor C) cabling

== Optional cabling 1 [A
HC

Horizontal
cabling

y [70 :
Figure 4 — Healthcare building hierarchical star topology examples

7.2.2 Cabling directly between telecommunications rooms/telecommunications enclosures


Since requirements for "bus" or “ring” or “redundancy/fault tolerant” configurations are anticipated,
cabling directly between TRsor TEsis 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.
ANSI/TIA-1179

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 equipmentdirectly to the MC or

on
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
backbonecabling. The recognized media are:
a) 100-ohm balanced twisted-pair cabling (ANSI/TIA-568-C.2); category 6 or higher is
recommended
NOTES:
1 - Category 6A is recommendedfor newinstallations
2 - For backbone cabling, 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 ym is
recommended
c) single-modeoptical fiber cabling (ANSI/TIA-568-C.3)

Each recognized medium hasindividual characteristics that make it useful in a variety of situations.
One medium may not satisfy all end user requirements. It may then be necessary to use more than
one medium in the backbonecabling.

13
ANSI/TIA-1179

8 HORIZONTAL CABLING (CABLING SUBSYSTEM1)

8.1 General

Horizontal cabling (see figure 5) includes horizontal cable, telecommunications outlet/connectors 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
horizontal cabling shall be designed and installed in accordance with the requirements of TIA-569-B.
Some networks or services require application-specific electrical components (such as impedance
matching devices). These application-specific electrical components shall not be installed as part of
the horizontal cabling. When needed, such electrical components shall be placed external to the
telecommunications outlet/connector. Keeping application-specific components external to the
telecommunications outlet/connectorwill 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 theinitial installation, adding or changing horizontal cabling could result
in a net decrease in the quality of care being provided, jeopardizing infection contro! measures, or
compromisinglife safety measures. Thetime, 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
changesto the horizontal cabling as user requirements evolve (for example, by installing cabling in
pathways placed between areasso the cabling is easily accessed by maintenance personnel). Thisis
especially relevant given the rapid evolution and changesin the types of equipment and the means
by which this equipment communicates and the ever increasing role these devices and equipment
are givenin the care of the patient.
The minimum numberof 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 equipmentoutlet shall 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 outlet/connector meeting the
requirements of ANSI/TIA-568-C.3.

8.2 Topology
The horizontal cabling shall meet the star topology requirements of ANSI/TIA-568-C.0. Each WA
telecommunications outlet/connector shall be connected to the horizontal cross-connect (HC) as
shownin 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 Figure 4.

14
ANSI/TIA-1179

Laptop computer

Ne
Telephone Reset.Mevetiallanes

HC

Legend:

WAP Wireless Access Point

Telephone WA Work area


WA
HC i Horizontal cross-connect

é6dg eso onpensaees Horizontal cabling (Cabling Subsystem 1}

Telecommunications outlet

Figure 5 — Typical horizontal and work area cabling using a star topology

8.3 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 area. The maximum horizontal
length shall be 90 m (295ft) 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
MUTOAis deployed, the maximum horizontal balanced twisted-pair copper cable length shall be
reducedin accordancewith clause 9.4.4.1.
The length of the cross-connect jumpers and patch cords in the cross-connectfacilities, including
HCs, jumpers, and patch cords that connect horizontal cabling with equipment or backbonecabling,
should not exceed 5 m (16 ft). 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 (33ft)
unless a MUTOAis 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 outlet/connector to
the work area device.

15
ANSI/TIA-1179

8.4 Recognized cabling


Three types of media are recognized and recommended for use in the horizontal cabling system.
These media are:
a) 100-ohm balancedtwisted-pair cabling: category 5e or higher (ANSI/TIA-568-C.2); category 6
or higheris 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 um is recommended
c) single-mode optical fiber cabling (ANSI/TIA-568-C.3), 2-fiber or higherfiber 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.

8.5 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 priorto installation, sometimes referred to as loomed,
speed-wrap, or whip cable constructions.
NOTE -—Hybrid cables consisting of optical fiber and copper conductors are
sometimesreferred to as composite cables.

16
ANSI/TIA-1179

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 outlet/connector shall meet the requirements of ANSI/TIA-568-C.0. To simplify
relocations, consider a single style of outlet/connector 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 dividedinto the following classifications:
a) Patient Services
b) Surgery/Procedure/Operating Rooms
c) Emergency
d) Ambulatory Care
e) Women's Health
f) Diagnostic and Treatment
g) Caregiver
h) Service/Support
i) Facilities
j) Operations
k) Critical 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
acrossfrom 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.

9.2 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 spaceis 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 afterinitial
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 ordirection is provided.
a) L=Low: 2to6 outlets in each area
b) M-= Medium: 6 to 14 outlets in each area
c) H=High: > 14 outlets in each area

17
ANSI/TIA-1179

Table 1 - Recommended workarea outlet densities

a) Patient Services
at : ‘ ; Patient Family Waiting Nurses : :
Administration Registration Room Lounge Baan Stations Library Consultation

M M H L L H M L

b) Surgery/Procedure/Operating Rooms

Patient Patient Patient Sterile Sub-Sterile neat Operating Anesthesia


Prep Holding Recovery Zone Zone Roane Room Offices

M M M L L H H M

c) Emergency
Ambulance F : Procedure
Bay Evaluation Observation Exam Rooms Rooms

L M H M H

d) Ambulatory Care
Out-Patient :
Procedure Exam Patient
Raina avery Mammography Biopsy Roome X-Ray Holding
ooms
M H M L M L L

e) Women's Health

Ultrasound Lactation Labor/ Delivery Room Infant Bays Nursery

L L H H M

1€
ANSITIA-1179

Table 1 - Recommended workarea outlet densities

f) Diagnostic and Treatment


Magnetic
Resonance Simulator & Linear CT Scanner :
Imaging Control Accelerator & & Control nrocoare Speen
(MRI) & Room Control Room Room
Control Room
H H H H H

. Radiation
Fluoroscopy Radiograph X-Ray Processing Lab

L L kL L H

g) Caregiver
Exam Room Clean Utility Soiled Utility Nourishment Charting

L M L M M

Nurse Station Workroom Galley Read Room

H M L M

h) Service/Support

ee Bank Pharmacy Area Anesthesia Area


rea
M M H

i) Facilities
: Electrical Communication / Building Utility Elevator Machine
Janitor Closet Rooms Technology Rooms Rooms Rooms

L L L L L

Mechanical Security Office Command 2 Specialty Storage (e.g. battery,


Rooms Center Fire Command chemicals)
L H M L

19
ANSI/TIA-1179

Table 1 - Recommended work area outlet densities

j) Operations
- ; General ‘ Food Locker Rooms /
Administration Storage Cafeteria Baan Shawers Laundry

M L L M E L

‘ ‘ Retail Conference GeneralOffice


Central Sterile Lounge On Call Suite Kann Saarie Areas

M L L L M L

k) Critical Care
ICU Neonatal ICU Recovery

H H H

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 (16 ft) 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.
WAcabling may vary in form depending on the application. When application-specific adaptations are
needed at the WA,they shall be external to the telecommunications outlet/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 connectoris 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)
Cc) passive adapters that may be needed when the cable type in the horizontal cabling is
different from the cable type required by the equipment
d) active adapters that may be needed when connecting devices that use different signaling
schemes
e) pair transposition adapters that may be necessary for compatibility
f) termination resistors required for ISDN terminals
NOTE — Whenused, cabling adapters in the WA mayhave detrimental effects on the
transmission performance of the telecommunications cabling system. Therefore,it is
important that their compatibility with premises cabling, equipment and applications
be considered before they are connected to the telecommunications network.

20
ANSI/TIA-1179

9.4 Multi-user telecommunications outlet assemblies (MUTOAs)


Design practices can use MUTOAsto 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 interconnection in the horizontal cabling allows
work area spaces to be reconfigured frequently without disturbing the permanentlinks.
MUTOAsshould not be used for new construction. MUTOAs may be advantageous for renovation of
existing facilities where any significant collection of equipment or modalities are moved or
reconfigured frequently.
A MUTOAfacilitates the termination of single or multiple horizontal cables in a common location
within a major point of care or similar area. The use of MUTOAsallows 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 SORES

ae
fr
i Work Area oe sive Equipment
E——— + Cords csjecommunic, 2 Cords

Laptop computer aes b—J x

ze bere Horizontal HC a |
E= Cables

ERB
a MUTOA eal
Backbone
Telephone Cable |

WA TRITE

Legend
WA Work Area
TR Telecommunications Room
TE Telecommunications Enclosure
HC Horizontal Cross-Connect
MUTOA Multiple User Telecommunications Outlet Assembly

Figure 6 — Application of a multi-user telecommunications outlet assembly

9.4.1. Application planning


MUTOAsshould be located in an open area to serve multiple WAs. The MUTOAshould belimited 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 whensizing the MUTOA.

9.4.2 Installation practices


MUTOAsshall be located in fully accessible, permanent locations such as building columns, and
permanent walls. MUTOAsshall not be located in ceiling spaces, or any obstructed area. MUTOAs
shall not be installed in furniture unless that unit of furniture is permanently secured to the building
structure.

21
ANSI/TIA-1179

9.4.3 Administration
In addition to the requirements of ANSI/TIA/EIA-606-A, the WA cords connecting the MUTOAto the
WA equipmentshall be labeled on both ends with a unique cord identifier. The end of the WA cords
at the MUTOAshall be labeled with the WA equipmentit serves, and the end at the WA equipment
shall be labeled with the MUTOAidentifier and a port identifier. The MUTOAshall be marked with the
maximum allowable WAcord length.

9.4.4 Maximum workarea cord lengths

9.4.4.1 Balanced twisted-pair cabling


Balanced twisted-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) (1)
W=C-T (2)
Where:
C_is the maximum combined length (m) of the WA cord, equipment cord, and patch cord
H_is 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
7
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 assuming that there is a total of 5m (16 ft) of
22 = 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

22 5 24 AWG >24-26 AWG

Length of Maximum Maximum combined Maximum Maximum combined


horizontal length of length of work area length of length of work area
cable work area cord, patch cords, work area cord, patch cords,
cord and equipmentcord cord and equipment cord
H Ww c Ww c
m (ft) m (ft) m (ft) m (ft) m (ft)
90 (295) 5 (16) 10 (33) 4 (13) 8 (26)
85 (279) 9 (30) 14 (46) 7 (23) 11 (35)
80 (262) 13 (44) 18 (59) 11 (35) 15 (49)
75 (246) 17 (57) 22 (72) 14 (46) 18 (59)
70 (230) 22 (72) 27 (89) 17 (56) 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.
ANSI/TIA-1179

10 CABLING INSTALLATION REQUIREMENTS

10.1 General

The installation requirements in ANSI/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 ofthe facility.
High termination density can be achieved using multi-fiber increments and the use of multi-fiber
connectors. If cable lengths can be accurately pre-calculated, pre-terminated multi-fiber assemblies
can reduceinstallation time. High data-rate end equipment may accommodate multi-fiber 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
requiredin these locations.

Infection control requirements (ICR) could have a serious impact on the times and conditions for
cabling installation, moves, adds and changesas well as restrictions on removing ceiling tiles, wall
penetrations and access to unoccupied spaces. Prior to installation or modifications in any occupied
area, the facility ICR should be consulted. Telecommunications spaces which are subject to ICR
should belabeled to indicate that ICR measures may be necessary priorto entry.
NOTE: Cabling products from certain areas of healthcare facilities may require
specific and regulated means of disposal. Reusing or relocating cabling products
(e.g. patch cords) from certain areas of healthcare facilities may be restricted due ‘to
infection control measuresor 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.
It is noted that some areasof the healthcare facility may expose the cabling to the detrimental effects
of high magnetic fields, radiation, high temperature, chemicals etc. Cabling solutions, 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.
It is recognized that many healthcare installations make use of a numberof wireless applications. It is
recommended that the wireless environment be characterized and understood prior to the design,
choice, and installation of cabling to ensure satisfactory operation.

10.2 Grounding and bonding


Grounding and bonding shall meet the requirements of ANSI/TIA-568-C.0. Additional information can
be found in IEEE 602 RecommendedPractice for Electrical Systems in Healthcare Facilities.

10.3 Administration
Since manyhealthcare 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
ANSI/TIA-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 oflife
and safety protocols. Accordingly, the use of colored cables, colored jacks or keyed connectivity
should be considered for those networksin 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, ANSI/TIA 568-C.2 and
ANSI/TIA-1152 shall be met.
ANSITIA-1179

ANNEX A (INFORMATIVE) BIBLIOGRAPHY

This annex is informative only and is not part of this Standard.


The followingis list of some generally applicable basic standards and guidesthat 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) FE

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 Facilities ("White
Book")
The Institute of Electrical and Electronic Engineers, Inc (IEEE)

Health Insurance Portability and Accountability 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 106-102

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 B)
Governmentof 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 I - Federal Communications Commission; Subchapter


C -- Broadcast Radio Services; Part 15 - Radio Frequency Devices
Federal Communications Commission, United States of America

25
ANSI/TIA-1179

The organizations listed below can be contacted to obtain reference information.


ANSI
American National StandardsInstitute (ANSI)
25 W 43 St.
New York, NY 10036
USA
(212) 642-4900
www.ansi.org

BICSI
BICSI
8610 Hidden River Parkway
Tampa, FL 33637-1000
USA
(800) 242-7405
www.bicsi.org

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 75201
www.fgiquidelines.org

Federal Communications Commission (FCC)


445 12th Street SW
Washington, DC 20554
USA
(888) 225-5322
www.fcc.gov

IEEE
IEEE
10662 Los VaquerosCircle
P.O. Box 3014
Los Alamitos, CA 90720-1264
USA
(714)-821 8380
www.ieee.org

25
ANSI/TIA-1179

NFPA
National Fire Protection Association (NFPA)
1 Batterymarch Park
Quincy, MA 02269-9101
USA
(617) 770-3000
www.nfpa.org

PCI Security Standards Council, LLC


401 Edgewater Place
Suite 600
Wakefield, MA USA 01880
(781) 876-8855
www.pcisecuritystandards.org

Governmentof Ontario (ServiceOntario Infoline)


M-1B114, Macdonald Block
900 Bay Street
Toronto ON M7A 1N3
Canada
www.health.gov.on.ca

TIA
Telecommunications Industry Association (TIA)
2500 Wilson Blvd., Suite 300
Arlington, VA 22201-3836
USA
(703) 907-7700
www.tiaonline.org

UL
Underwriters Laboratories, Inc. (UL)
333 Pfingsten Road
Northbrook, IL 60062-2096
USA
(312) 272-8800
www.ul.com

27
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