This Part is governed by ASCE 7 (loads), IBC structural provisions, the relevant material standards (ACI 318, AISC 360), and the essential-facility (Risk Category IV) classification that hospitals carry — plus state hospital-seismic regimes (e.g. California OSHPD/HCAI). Each Article ends with code references, resilience implications, and structural commissioning/verification notes.

Design Requirements

Foundations, Geotechnical Interface & Site Constraints

Gravity & Lateral Framing Systems for Hospitals

Risk Category IV, Essential-Facility Loads & Importance Factors

Inspection And Handover

Special Inspections, Structural QA & AHJ Sign-Off

Structural As-Builts, Load Documentation & Operations Handover

Seismic And Resilience

Nonstructural & Equipment Seismic Anchorage/Bracing

Seismic Design, Drift Control & State Hospital-Seismic Regimes

Structural Resilience, Redundancy & Post-Event Operability

Vibration Floors And Flexibility

Floor-to-Floor Heights, Interstitial & Long-Span Strategy

Structural Flexibility, Future Vertical/Horizontal Expansion

Vibration Criteria & Support for Imaging/Sensitive Equipment