The built environment is a core part of most healthcare systems, involving a number of requirements such as those related to space and patients’ well-being. However, these are usually addressed separately from other functional requirements, resulting in designs that do not support resilient performance. This study proposes a framework for the integrated modelling of built environment and other functional requirements, relying on two approaches: Functional Resonance Analysis Method (FRAM), and Building Information Modelling (BIM). Requirements are defined as equivalent to the precondition aspect of FRAM functions. BIM allows the creation of a database of requirements and functions, linked to an object-oriented model of the built environment. The proposed framework was devised and tested in an intensive care unit. Findings shed light on the necessary resilience to cope with the gap between built environment-as-imagined in design and built environment-as-done due to performance adjustments. This type of resilience may have a long-lasting nature, as many built environment attributes cannot be easily changed.

建成环境是大多数医疗保健系统的核心部分，涉及许多要求，例如与空间和患者福祉相关的要求。但是，这些问题通常是与其他功能要求分开解决的，从而导致设计不支持弹性性能。本研究基于两种方法，为建筑环境和其他功能需求的集成建模提供了一个框架：功能共振分析方法（FRAM）和建筑信息建模（BIM）。要求被定义为等同于FRAM功能的前提条件。BIM允许创建需求和功能的数据库，并链接到构建环境的面向对象模型。拟议的框架是在重症监护室中设计和测试的。研究结果揭示了必要的适应力，以弥补由于性能调整而在设计中构想的建成环境与完成后的建成环境之间的差距。这种类型的弹性可能具有持久性，因为许多内置环境属性无法轻松更改。