Confirm which FGI document and edition the state or authority adopts, since FGI released the 2026 FGI Codes on August 31, 2026, and the earlier documents were titled Guidelines. Then trace each room’s function from the functional program through the room names, plans, ventilation schedules, medical gas, and electrical drawings. AI can flag conflicts; the designers and the authority decide compliance.
What do the FGI Codes cover?
FGI publishes three Codes for Planning and Design: one for hospitals, one for outpatient settings, and one for residential care and support settings. FGI describes the hospital Code as responding to changes in care delivery and in the operational demands on hospitals, and the outpatient Code as reflecting the expansion and specialization of care outside the hospital.
FGI’s August 31, 2026 announcement released the 2026 FGI Codes for Planning and Design and new FGI Handbooks, and says the documents are updated every four years. The 2022 editions were titled Guidelines for Design and Construction. Checked October 14, 2026. States and authorities adopt a specific edition on their own schedule, so a project may still be reviewed under the 2022 Guidelines.
Ventilation criteria for healthcare spaces are reviewed in the ASHRAE 170 guide, and medical gas, electrical, and other health care facility systems in the NFPA 99 guide. California hospital projects add HCAI review; see the HCAI plan review guide.
Gather the program and the drawings that carry it
Collect the functional program or project narrative, the room data sheets or room schedule, the architectural plans with room names and numbers, the code analysis, the mechanical room ventilation schedule, the medical gas plans and outlet schedule, the electrical plans with essential power branches, the nurse call and low-voltage drawings, and the relevant specification sections.
Room names drive most of the requirements. Upload the room schedule and the ventilation schedule together so a renamed room can be traced in both.
Trace each room’s function through the set
| Review question | Sources to compare | Decision to record |
|---|---|---|
| Document and edition | Code analysis, functional program, specifications | Confirm which FGI document and edition the authority adopts. |
| Facility type | Functional program, code analysis | Confirm whether the hospital, outpatient, or residential Code governs each area. |
| Room function | Functional program, room schedule, plans | Check each room’s name and function agree across documents. |
| Ventilation | Room schedule, ventilation schedule, mechanical plans | Find rooms whose ventilation schedule uses a different function. |
| Medical gas and power | Medical gas plans, outlet schedule, electrical plans | Check outlets and essential power match the room function. |
| Support spaces | Plans, functional program, room schedule | List support rooms the program names that the plans do not show. |
Healthcare projects are described on the hospital projects page, and the mechanical drawing checklist gives a working log for the ventilation review.
Example: a renamed procedure room
Hypothetical example. A clinic’s room schedule renames an exam room as a procedure room after a program change. The mechanical ventilation schedule still lists the room as an exam room, and the medical gas outlet schedule shows no outlets in it.
Room 112 is a procedure room on the plans and room schedule but an exam room on the ventilation and medical gas schedules. Confirm the room function and coordinate the ventilation, medical gas, and electrical provisions with the FGI Code edition the project uses.
The architect confirms the function with the owner, and the engineers update their schedules. Whether the room meets the adopted FGI document is the designers’ and authority’s decision.
Review healthcare drawings with Groundbook
Upload the current drawings and specifications to Groundbook, and state the edition, amendments, and review scope in your instructions. Add the FGI document the authority adopts from a copy you are licensed to upload, where the license permits it, and any state amendments. See how Groundbook works with local and licensed codes.
Compare each room’s name and function across the functional program, room schedule, architectural plans, ventilation schedule, medical gas plans and outlet schedule, electrical plans, and nurse call drawings. Flag rooms whose function differs between documents and program spaces missing from the plans. Use the supplied FGI document and edition and cite both sources.
Groundbook links each potential finding to the sheets and schedules involved.
Document review does not approve a functional program or replace the designers, the infection prevention team, or the authority having jurisdiction.