This is a Spanish translation of ANSI/ASHRAE/ASHE Standard 189.3-2021, Design, Construction, and Operation of Sustainable High-Performance Health Care Facilities, completed by Andrés J. Sepúlveda, Paulino Pastor and Miguel Hernández López-Ibor from the Aire Limpio Group in Spain.

ASHRAE/ASHE Standard 189.3 prescribes procedures, methods, and documentation requirements for the design, construction, and operation of high-performance, sustainable health care facilities.

This standard builds on the work of Standard 189.1 to address sustainability in health care facilities and provides a health care sector perspective to the design of high-performance buildings.

Changes to the 2021 edition of the standard reflect two significant developments: the 2018 separation of the FGI Guidelines into three publications, and the addition of jurisdictional options to Standard 189.1-2020.