This Recommendation specifies the quality of service (QoS) assurance requirements and framework for the smart healthcare supported by the international mobile telecommunications 2020 (IMT-2020) and beyond. It first provides an overview of smart healthcare supported by IMT2020 and beyond. The QoS considerations for smart healthcare supported by IMT2020 and beyond are described. The specification of the QoS assurance requirements and a framework to reflect the identified QoS considerations is followed. Finally, the smart healthcare application scenarios with QoS metrics extended from the requirements are described in Appendix I.