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5G and beyond networks will transform the healthcare sector by opening possibilities for novel use cases and applications. Service level agreements (SLAs) can enable 5G-enabled medical device use cases by documenting how a medical device communication requirements are met by the unique characteristics of 5G networks and the roles and responsibilities of the stakeholders involved in offering safe and effective 5G-enabled healthcare to patients. However, there are gaps in this space that should be addressed to facilitate the efficient implementation of 5G technology in healthcare. Current literature is scarce regarding SLAs for 5G and is absent regarding SLAs for 5G-enabled medical devices. This paper aims to bridge these gaps by identifying key challenges, providing insight, and describing open research questions related to SLAs in 5G and specifically 5G-healthcare systems. This is helpful to network service providers, users, and regulatory authorities in developing, managing, monitoring, and evaluating SLAs in 5G-enabled medical systems.

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