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in the
Manager MDIB. Afterward a Contextscanner object is created in the Agent MDIB. This scanner object scans the complete MDIB and generates a report containing the complete Agent MDIB representation, except the MDS root object. The Manager evaluates this report and creates the objects defined here in his own MDIB copy. At this point the manager has an exact copy of the Agent MDIB. Both are now at configured state.
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have a wide range of different attributes (e.g. scan interval, scan lists, scan period etc.), for a wide range of applications of the DIM. As an example, the FastPeriCfgScanner object (Fast
Periodic Configurable Scanner) is specially constructed for the requirements of real-time data exchange in conjunction with the RealTimeSampleArray object to transmit live data from ECG devices.
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The Agent creates the scanner object in his own MDIB and sends the
Manager a response message. Now the Manager creates a copy of the scanner object in his MDIB. The data updates from Agent to Manager now occur automatically through the scanner object. Through CMDISE's DELETE service, the scanner object can be deleted, like all other MDIB objects.
167:"Efficient exchange of care device data" means that information that is captured at the point-of-care (e.g., personal vital signs data) can be archived, retrieved, and processed by many different types of applications without extensive software and equipment support, and without needless loss of information.
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Other than the name supposes, in this package essential and ever-used objects are defined. This package is built on so-called scanner objects in different derivations. Scanning data in other objects and generation of event reports, which can be sent, is the sense of these objects. The scanner objects
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MMOs (Managed
Medical Objects) are stored hierarchically within a tree structure in a form named Domain Information Model (DIM). This MMOs and their arrangement in the DIM are defined within this standard. The implementation of the MDIB (Medical Device Information Base) and their functionality is out
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Use of expensive custom connectivity equipment (a) drives up the cost of care delivery; (b) is only used for patients with the highest acuity; and (c) tends to lock care providers into single companies or partnerships that provide "complete" information system solutions, making it difficult to choose
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The objects in these package contain information, which are responsible for basic communication profiles. These packages are developed very open, so that different communication profiles and interfaces to proprietary device interfaces can be built. Annotation by the author: From a historic view, the
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Inside the control package, objects for the remote control of a medical device are defined. There are objects used for influencing the modality of measuring (for example the SetRangeOperation object) and objects for direct remote control of medical devices (for example the
ActivateOperation object).
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A representation of a medical device can be achieved with objects of this package. It contains concrete derivations of the abstract MDS (MedicalDevice System) object. One of these concrete derivations are ever the root object of a DIM tree. The
Battery object and the Clock object are further objects
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ISO/IEEE 11073 personal health device (PHD) standards are a group of standards addressing the interoperability of personal health devices (PHDs) such as weighing scales, blood pressure monitors, blood glucose monitors and the like. The standards draw upon earlier IEEE11073 standards work, but differ
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During the association phase, the configuring state will be reached. In this condition Agent and
Manager are to exchange object data for the first time. In the process a MDSCreateEvent in the form of a report would be triggered. This report creates a copy of the MDS root object from the Agent MDIB
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The standards are targeted at both point-of-care devices (ventilators, infusion pumps, ECG, etc.) and personal health and fitness devices (such as glucose monitors, pulse oximeters, weighing scales, medication dispensers and activity monitors) and at continuing and acute care devices (such as pulse
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In an MDIB, additional objects shall be created through the CREATE service of CMDISE. The
Manager requests the Agent through this service to create a scanner object itself, and to fix the scanner object on one or more values. Optional for example the scan interval for the data delivery can be set.
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Services for the data exchange of MMOs (Managed
Medical Objects) between Agent-Manager systems, are defined in this module. This data exchange is highly dynamic. Objects are created, changed or deleted by services named CREATE, UPDATE, DELETE. Through reports, which can be defined detailed down to
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The Common
Medical Device Information Service Element (CMDISE) provides a GET service, to deliver data requested by the Manager. The Agent GET service retrieves a list of attribute IDs. These IDs identify explicit values within Agents MDIB. Now the Agent creates a report, containing the requested
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regulates the synchronization of an Agent Manager system over different conditions. A complete session roundtrip starts up with the disconnected state, is transferred by multiple stages to the initialized state, in what the actual data transfer shall be done, and ends with the disconnected state.
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Development and deployment of advanced care delivery systems are hindered. For example, systems that collect real-time data from multiple devices and use the information to detect safety problems (e.g., adverse drug events), or to quickly determine a client's condition and automatically, or with
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The agent is the part of the principle that is connected to the medical devices. It provides the data. The manager keeps a copy of the agent data, reacts on update events from them, and triggers events on the agent. In most use cases the manager is only used to remotely monitor and display agent
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They can enable full disclosure of device-mediated information. So measurement modalities be declared in detail and the associated metrics & alerts communicated, together with any user-made changes to settings. In addition, the device can communicate its manufacturer, model, serial number,
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The IEEE 11073 standards have been developed with a high level of international participation. They have been, and continue to be, adopted as International Organization for Standardization (ISO) standards through ISO TC215 Health Informatics and as European standards through the
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All defined parts of this standard family are designed to allow communication according to this principle. The arrangement of two or more medical devices as a system, so that the components are possible to understand and to interact, are the basic idea of this principle.
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The patient package contains only one object, the Patient Demographics object. This object contains patient related data and can be set in relationship to an MDS object or one of the objects from the archive package, to give anonymous data the reference to patient data.
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data, but in some cases it may also remotely control the agents. Agents and manager are built in the same structure. This enables an agent to act as a manager and reverse. Besides the plain agent-manager application, hybrid systems over multiple stages are possible.
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The central core of the standard is the so-called Domain Information Model. Objects containing vital-sign data representations and their relationships are defined in this model. Objects for additional services around vital signs data objects, are defined also here.
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This module is subject to the standards ISO/IEC 15953 and ISO/IEC 15954. It has services available, that controlling the association assembly and disassembly. A possible association and their condition is negotiated here, no MMOs are transmitted over this module.
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With no standardisation in this area, even when similar devices do provide communications, there is no consistency in the information and services that are provided, thus inhibiting the development of advanced care delivery systems or even consistent health
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This standard is the "heart" of VITAL. Within this, objects and their arrangement in a Domain Information Model for vital signs data transmission are defined. Beyond this the standard defines a service model for the standardized communication.
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The common background for assembly and transmission of objects and their attributes are defined in this standard. It's subdivided in a communication model and an information model. The communication model describes the layers 5 to 7 of the
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A liaison between the IEEE 11073 standards group and the USA Food and Drug Administration (FDA) Center for Devices and Radiological Health (CDRH) in the USA helps ensure that patient safety and efficacy concerns are fully addressed in the
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oximeters, ventilators and infusion pumps). They comprise a family of standards that can be layered together to provide connectivity optimized for the specific devices being interfaced. There are four main partitions to the standards:
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The package that defines objects, to map medical vital signs data. There are different objects to store vital signs data in different ways. As an example the RealTimeSampleArray object for the management of e.g. ECG data be mentioned.
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The standards have been included in the USA National Committee on Vital and Health Statistics recommendations to the Department of Health and Human Services related to patient medical record information message formats supporting
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Storing Patient related data in online or offline archives is the idea for objects in the archival package. For Example, the Patient Archive object can store vital signs data, demographic data and treatment data in one object.
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They provide a complete solution for medical device connectivity, starting at the physical cable or wireless connection up through the abstract representation of information and the services used for its management and
323:. The ISO/IEEE 11073 standard family defines parts of a system, with which it is possible, to exchange and evaluate vital signs data between different medical devices, as well as remote control these devices.
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In the absence of standards for these devices, (a) data is captured either manually or at considerable expense (using specialized equipment), or (b) it is not captured at all, which is most often the case.
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TC251 Health Informatics, specifically as the CEN ISO/IEEE 11073 series. The end result is a single set of internationally harmonized standards that have been developed and adopted by ISO and CEN member
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This module is the interface between a proprietary (eventually native) protocol and the ISO/IEEE (VITAL) object world. It is not defined within the standard and as a result it can be implemented free.
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478:). The nomenclature is divided in partitions, to demarcate codes with regards to content and functions. Programmatically these codes are defined as constants, those can be used by a pseudonym.
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The complete communication sequence can be very complex. This article should provide basic information, that can be described in more detail at a later time in a separate article.
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These CEN ISO/IEEE 11073 standards have been developed in close coordination with other standards development organisations, including IEEE 802, IHTSDO, IrDA, HL7, DICOM, and CLSI.
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Health informatics – Point-of-care medical device communication – Part 10207: Domain Information and Service Model for Service-Oriented Point-of-Care Medical Device Communication
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between medical, health care and wellness devices and external computer systems. They provide automatic and detailed electronic data capture of client-related and vital signs
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An element of the application layer, which is responsible for the establishment, termination and control of associations between two or more communication parties (programs).
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Device data, including a nomenclature, or terminology, optimized for vital signs information representation based on an object-oriented data model, and device specialisations;
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164:"Plug-and-play" means that all a user has to do is make the connection – the systems automatically detect, configure, and communicate without any other human interaction
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minimal carer involvement, optimally adjust a device's operation (e.g., for insulin delivery based on glucose level information) cannot operate without these standards.
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483:#define MDC_PART_OBJ 1 /* Definition for the Partition Object Infrastructure */ #define MDC_MOC_VMS_MDS_SIMP 37 /* Define the Object Simple Medical Device System */
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Within this standard nomenclature codes are defined, these give the possibility to clearly identify objects and attributes in relation to the so-called OID-Code (
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The Continua Health Alliance and the English NHS National Programme for Information Technology (NPfIT) both specify use of the standards for device communication.
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Internetworking and gateway standards (e.g., an observation reporting interface from CEN ISO/IEEE 11073-based messaging and data representation to HL7 or DICOM);
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The CEN ISO/IEEE 11073 nomenclature is now being used to populate, and to establish equivalence, within SNOMED CT - the most widely used clinical terminology.
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In short: appropriate use of 11073 device communication standards can help deliver better health, fitness and care, more quickly, safely, and at a lower cost.
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This small package is related within the medical package. It is used for setting and administrating alert parameters to objects from the medical package.
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Health informatics – Point-of-care medical device communication – Part 20701: Service-Oriented Medical Device Exchange Architecture and Protocol Binding
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11073 standards are available freely to those actively involved in their development, others may purchase them. For published and draft standards
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Memoranda of Understanding with IHE, IHTSDO, and HL7; and (through ISO) close liaison with Continua Health Alliance assist still wider integration.
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291:: IEEE, ISO or CEN. Standards may be purchased from the national standards organisation or bookstore (e.g. AFNOR, BSI, DIN, JIS, UNI, etc.).
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Manually captured data is labour-intensive, recorded infrequently (e.g., written down hourly by a nurse clinician), and prone to human error.
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161:"Real-time" means that data from multiple devices can be retrieved, time correlated, and displayed or processed in fractions of a second.
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The cost of integrating innovative technologies into established product lines is reduced — and a barrier to new companies is lowered.
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from this earlier work due to an emphasis on devices for personal use (rather than hospital use) and a simpler communications model.
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Health informatics – Point-of-care medical device communication – Part 20702: Medical Devices Communication Profile for Web Services
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Health informatics – Point-of-care medical device communication – Part 10101: Nomenclature Amendment 1: Additional Definitions
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Health informatics – PoC medical device communication – Part 00101: Guide – Guidelines for the use of RF wireless technology
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Health informatics – Point-of-care medical device communication – Part 30200: Transport profile – Cable connected (amended)
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This layer contains the encoding of object data. Objects, groups of objects attributes or single attributes are encoded by
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Health informatics – Point-of-care medical device communication – Part 90101: Analytical instruments – Point-of-care test
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Health informatics – Point-of-care medical device communication – Part 10103: Nomenclature – Implantable device, cardiac
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the single object attribute, it is possible to trigger complex operations in Agent or Manager, through this services.
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Health informatics – Point-of-care medical device communication – Part 30300: Transport profile – Infrared wireless
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Health informatics – Point-of-care medical device communication – Part 30400: Transport profile – Cabled Ethernet
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Health informatics – Point-of-care medical device communication – Part 20101: Application profile – Base standard
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Health informatics – Point-of-care medical device communication – Part 10102: Nomenclature – Annotated ECG
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Health informatics – Point-of-care medical device communication – Part 10201: Domain information model
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Real-time plug-and-play interoperability for citizen-related medical, healthcare and wellness devices;
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standard was developed for the first time in the early 90s, this package has to be reconstructed.
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Efficient exchange of care device data, acquired at the point-of-care, in all care environments
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in this package. The last one can be used for time synchronization of medical device data.
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Health informatics – Point-of-care medical device communication – Part 10101: Nomenclature
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representations, respectively the specialization MDER (Medical Device encoding Rules).
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CEN ISO/IEEE 11073 Health informatics - Medical / health device communication standards
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For content sensitive classification of the objects, they are divided into packages.
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configuration, operating status and network location – all in real time if required.
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best-of-breed technologies to meet client needs, or the most cost effective systems.
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ZigBee provides support for IEEE 1073 via the ZigBee Health Care Profile (ZHCP)
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The 'core' standards are: 11073-10101, 11073-10201, 11073-20101 and 11073-30200
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Standard on communication between medical devices and external computer systems
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These are the only standards addressing this area of connectivity.
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IEEE 11073 Service-oriented Device Connectivity (SDC)
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That layer controls connection at the session level.
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Health Insurance Portability and Accountability Act
49:. Unsourced material may be challenged and removed.
771:values. This report is sent back to the Manager.
617:Common medical device information service element
790:IEEE 11073 service-oriented device connectivity
192:Transports (e.g., cable connected or wireless).
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248:European Committee for Standardization (CEN)
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537:Learn how and when to remove this message
109:Learn how and when to remove this message
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459:These are described in more detail at
775:Data exchange through scanner objects
575:Agents and managers in ISO/IEEE 11073
7:
519:adding citations to reliable sources
47:adding citations to reliable sources
605:Association service control element
275:(HIPAA) compliant implementations.
132:, and of device operational data.
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880:NIST Standard Conformance Tools
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506:needs additional citations for
34:needs additional citations for
766:Data exchange through services
601:of the scope of the standard.
1:
596:Medical data information base
588:Agent application process(es)
4582:Computing in medical imaging
327:Point-of-care medical device
821:"IEEE SA - Standards Store"
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709:Communication package
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289:search for '11073' at
750:finite state machine
744:Finite state machine
515:improve this article
414:11073-30200a:2011(E)
350:11073-10101a:2015(E)
43:improve this article
736:Communication model
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430:11073-30400:2012(E)
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1315:WiMAX · d · e
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859:on 2010-01-19
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674:Alert package
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638:Session layer
637:
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554:Base standard
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527:February 2014
520:
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510:
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504:This section
502:
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466:Core standard
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63:
60: –
59:
55:
54:Find sources:
48:
44:
38:
37:
32:This article
30:
26:
21:
20:
4414:27000 series
3502:
2221:
2017:
1993:
1959:
1908:
1853:
1617:
1590:
1563:
1202:
895:
890:
878:
873:
861:. Retrieved
857:the original
847:
838:
829:
815:
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769:
760:
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730:
721:
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703:
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629:
620:
612:
608:
599:
591:
582:
578:
557:
548:
533:
524:
513:Please help
508:verification
505:
474:
471:Nomenclature
458:
454:
446:
298:
288:
286:
283:Availability
223:
222:
174:
150:
121:
120:
105:
96:
86:
79:
72:
65:
53:
41:Please help
36:verification
33:
4202:20000–29999
3354:10000–19999
1794:legacy mode
334:11073-00101
130:information
4576:Categories
3981:16949 (TS)
3578:11941 (TR)
2276:standards
2172:Superseded
1243:802 series
863:2010-08-20
807:References
264:standards.
251:countries.
229:Motivation
136:Background
69:newspapers
3936:15926 WIP
3300:9592/9593
3225:9000/9001
3113:8805/8806
2047:Bluetooth
313:standards
238:exchange.
4561:Category
2286:List of
2222:See also
2179:754-1985
2136:Proposed
1480:Ethernet
966:Revision
883:Archived
835:"Search"
795:See also
295:Overview
219:records.
199:Problems
99:May 2020
4462:29199-2
4334:23094-2
4329:23094-1
4319:23090-3
4188:19794-5
4183:19775-1
3971:16612-2
3961:16355-1
3650:13406-2
3608:12234-2
3376:10118-3
2163:P1906.1
2024:Wi-Fi 8
2000:Wi-Fi 7
1966:Wi-Fi 6
1915:Wi-Fi 5
1860:Wi-Fi 4
939:Current
124:enable
83:scholar
4476:30000+
3315:9797-1
3123:8820-5
3068:8501-1
2624:1073-2
2619:1073-1
2303:1–9999
2067:Zigbee
2035:802.15
1775:802.11
1013:1149.1
311:joint
307:, and
85:
78:
71:
64:
56:
4543:80000
4538:56000
4533:55000
4528:50001
4523:45001
4518:42010
4513:40500
4508:39075
4503:38500
4498:37001
4493:32000
4488:31000
4483:30170
4467:29500
4457:29148
4453:29110
4449:28000
4444:27729
4439:27006
4434:27005
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4409:26324
4404:26300
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4374:24707
4369:24617
4364:24613
4359:24517
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4219:20121
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4209:20000
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4173:19757
4168:19752
4163:19600
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4153:19509
4148:19508
4143:19507
4138:19506
4133:19505
4128:19503
4123:19502
4118:19501
4113:19500
4108:19439
4103:19407
4098:19136
4093:19125
4088:19115
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4066:19092
4061:19011
4056:19005
4051:18916
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4041:18245
4036:18181
4031:18014
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4021:17799
4016:17506
4011:17442
4006:17369
4001:17203
3996:17100
3991:17025
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3976:16750
3966:16485
3956:16262
3951:16023
3946:15938
3941:15930
3931:15926
3926:15924
3921:15919
3916:15897
3911:15707
3899:15706
3894:15693
3889:15686
3884:15511
3879:15504
3874:15438
3869:15445
3852:15444
3847:15408
3842:15398
3837:15291
3832:15288
3827:15189
3822:15022
3817:14971
3812:14882
3807:14764
3802:14698
3797:14651
3792:14649
3787:14644
3782:14617
3730:14496
3725:14443
3720:14396
3715:14289
3710:14224
3705:14031
3700:14000
3695:13818
3690:13816
3685:13616
3680:13584
3675:13568
3670:13567
3665:13490
3660:13485
3655:13450
3645:13399
3640:13250
3635:13216
3618:13211
3613:12620
3603:12207
3598:12182
3593:12052
3588:12006
3583:11992
3573:11941
3563:11940
3558:11898
3553:11889
3548:11801
3543:11785
3538:11784
3533:11783
3528:11544
3523:11404
3518:11179
3513:11172
3508:11170
3503:11073
3498:10967
3493:10962
3488:10957
3483:10861
3478:10746
3473:10664
3468:10646
3463:10628
3458:10589
3453:10585
3448:10383
3416:10303
3411:10279
3406:10218
3401:10206
3396:10179
3391:10165
3386:10161
3381:10160
3371:10116
3366:10007
3361:10006
2158:P1823
2153:P1699
2148:P1619
2143:P1363
1925:WiGig
1789:-1997
1780:Wi-Fi
1489:-1983
1475:802.3
1357:802.1
1233:42010
1228:29148
1223:16326
1218:16085
1213:14764
1208:12207
1203:11073
801:H.810
632:ASN.1
141:Goals
90:JSTOR
76:books
3441:-238
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