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The ISO/IEEE 11073 family of standards enables communication between medical devices and external computer systems. It allows for automated detailed acquisition of personal vital data and functional parameters by using monitoring devices and therapy equipment, for example at an intensive care unit or in an operating theatre but also within domestic or private environment. The primary objectives are: - providing plug-and-play functionality and interoperability with patient-connected or personal medical devices for real-time applications; - simplification of the efficient interchange of measured vital data, relevant context information as well as operating data of the medical devices used. Here, "real time" means that data from several different medical devices, if appropriate, can be captured on time and can be represented and processed within fractions of seconds. "Plug-and-play" means that users only have to establish the communication link to a device. Its recognition by the system, the configuration of communication parameters and, if applicable, application and finally the initiation of data transmission take place automatically which means without human intervention. This standard extends the base ISO/IEEE 11073-10101:2004 to provide support for ECG annotation terminology. Major subject areas addressed by the nomenclature include ECG beat annotations, wave component annotations, rhythm annotations, and noise annotations. It also defines additional "global" and "per-lead" numeric observation identifiers, ECG lead systems, and additional ECG lead identifiers. The nomenclature extensions may be used in conjunction with other IEEE 11073 standard components (for example ISO/IEEE 11073-10201:2004) or independently with other standards. The responsible committee is NA 063-07-02 AA "Interoperabilität" ("Interoperability") at DIN.