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Last Updated: Aug 30, 2026

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ASHRAE HFDP Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Operations & Maintenance20%- Facility operation and lifecycle performance
  • 1. System monitoring and performance validation
    • 2. Energy efficiency in healthcare environments
      • 3. Preventive maintenance strategies
        Topic 2: Design of Healthcare HVAC Systems50%- HVAC system design fundamentals
        • 1. Air distribution, pressure relationships, and airflow control
          • 2. Filtration, infection control, and isolation room design
            • 3. Ventilation rates and air change requirements
              - Mechanical systems in healthcare facilities
              • 1. Medical gas and supporting systems integration
                • 2. Central plant design and redundancy
                  • 3. Load calculations and psychrometrics
                    Topic 3: Standards, Codes, and Guidelines15%- Healthcare HVAC standards and regulations
                    • 1. ASHRAE standards (including ASHRAE 170)
                      • 2. Regulatory compliance and AHJ requirements
                        • 3. FGI Guidelines and healthcare codes
                          Topic 4: Professional Practice10%- Project execution and coordination
                          • 1. Submittal and documentation review
                            • 2. Commissioning and system verification
                              • 3. Construction administration
                                Topic 5: Planning & Programming / Medical Context15%- Medical Background Information
                                • 1. Pathogens, infection control, and contaminant growth
                                  • 2. Medical equipment and HVAC relationships
                                    • 3. Medical terminology and healthcare facility types
                                      • 4. Medical procedures and functional space requirements

                                        ASHRAE Healthcare Facility Design Professionals Sample Questions:

                                        Question 1

                                        Which of the following is associated with "hot rooms"?

                                        A. Nuclear Medicine
                                        B. Physical Therapy
                                        C. Central Plant
                                        D. Newborn ICU


                                        Question 2

                                        Replacement of existing roof membranes, replacement of existing doors, and replacement of less than 25% of existing windows are exempt from complying with ANSI/ASHRAE/IESNA Standard 90.1-2004 in which of the following situations?

                                        A. The hospital is in climate zone 1 and has typical energy use
                                        B. The replacement causes no increase in energy use
                                        C. The hospital does not accept payment from CMS for energy costs
                                        D. The hospital is non-profit and pays no taxes on energy


                                        Question 3

                                        A patient room was designed to provide 3 ACH of 100% outside air. The room is to be converted to an Airborne Infection Isolation Room (AIIR). A dedicated exhaust will be installed for the room, but there will be no changes to the supply. Which of the following additional changes will be required in order to meet the ventilation recommendations of ASHRAE Standard 170?

                                        A. Provide Ultra Violet Germicidal Irradiation
                                        B. Provide a parallel anteroom
                                        C. Provide a supplemental recirculating device with HEPA filter
                                        D. Provide personal protective respirators


                                        Question 4

                                        Which of the following areas require HEPA-filtered supply air?

                                        A. Regular Patient Rooms
                                        B. Protective Environment Rooms
                                        C. Emergency Department Waiting Rooms
                                        D. Class A Operating Rooms


                                        Question 5

                                        A Protective Isolation Room, Surgical Cystoscopic Room, or Bronchoscopy Room shall maintain a MINIMUM room differential pressure of:

                                        A. 0.025 inch water gauge (7.5 pascals)
                                        B. 0.05 inch water gauge (12.5 pascals)
                                        C. 0.01 inch water gauge (2.5 pascals)
                                        D. 0.10 inch water gauge (25 pascals)


                                        Solutions:

                                        Question 1
                                        Answer: A
                                        Question 2
                                        Answer: B
                                        Question 3
                                        Answer: C
                                        Question 4
                                        Answer: B
                                        Question 5
                                        Answer: C

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