The University Hospital

of Tomorrow
Come along on one of Sweden’s most exciting construction projects!

DESIGN: KAMIS.SE

24 May 2013
25
 INTRODUCTION

We are the
New Karolinska Solna 2010

university hospital
of tomorrow
New Karolinska Solna (NKS) is the project name for the
state-of-the-art hospital under construction at the Karolinska
University Hospital in Solna. Highly specialized healthcare will
be provided alongside research and training of the very
highest quality. Sweden’s largest array of on-site
cabins for project offices, trades The new hospital will contain
NKS  will  be  a  hospital  that  provides  a  faster  response  and  improved   workers and subcontractors. At approximately 8,000 rooms,
the project’s peak 1,800 people including:
SDWLHQWVDIHW\DQGD³SDWLHQWDOZD\V¿UVW´YLVLRQ,QGLYLGXDOURRPVIRULQ-­ A showroom has been set up to
will be working on the - 36 operating theatres
SDWLHQWVDOORZDVKDUSHUIRFXVRQDQGZRUOGFODVVFDUHIRUWKHVHYHUHO\LOO provide more information on the - 8 radiation units
construction site.
NKS project. It receives visitors - 168 examination rooms
7KHFXVWRPHULVWKH6WRFNKROP&RXQW\&RXQFLO7KHSURMHFW   from around the globe. - A research lab
company  Swedish  Hospital  Partners  is  responsible  for  the  design,  con-­ - Classrooms
VWUXFWLRQ¿QDQFLQJRSHUDWLRQDQGPDLQWHQDQFHXQWLOWKH\HDU7KH
GHVLJQEXLOGFRQWUDFWRULV6NDQVNDZKLFKLVFRQVWUXFWLQJWKHKRVSLWDODQG Total gross area will be
WKHRSHUDWLRQDODQGVHUYLFHVSURYLGHULV&RRU6HUYLFH0DQDJHPHQW1.6 approximately 320,000 m2,
including a patient hotel. Up
LVVFKHGXOHGWRUHFHLYHLWV¿UVWSDWLHQWLQDQGEHFRPSOHWHO\¿QLVKHG to 12 floors, including 1-2
LQ basement levels with parking,
changing rooms, logistics area
A unique project in every way and goods receiving.
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SURMHFWHYHUDVWDWHRIWKHDUWKRVSLWDOZLWKVWULQJHQWHQYLURQPHQWDO
UHTXLUHPHQWVGXULQJFRQVWUXFWLRQDQGIXWXUHRSHUDWLRQ7KXV6NDQVND
KDVEURXJKWWRJHWKHULWVOHDGLQJVSHFLDOLVWVLQWKLVDUHDIURPDURXQGWKH
ZRUOGWRFDUU\RXWWKLVSURMHFW7KH6WRFNKROP&RXQW\&RXQFLO¶VSURIHV-­
VLRQDOVWDIILQYDULRXVFDWHJRULHVYLVLWHGOHDGLQJKRVSLWDOVDURXQGWKH
ZRUOGWRJDWKHUWKHEHVWLGHDVLQGHVLJQRUJDQL]DWLRQDQGZRUNPHWKRGV
That  set  the  bar  high  and  attracted  extensive  international  interest  in  both  
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1.6LVEHLQJEXLOWDFFRUGLQJWRWKHUXOHVIRUDFKLHYLQJ*ROGFHUWL¿FDWLRQ
LQWKH6ZHGHQ*UHHQ%XLOGLQJ³0LOM|E\JJQDG´V\VWHPUHTXLULQJ  
VXVWDLQDEOHVROXWLRQVLPSOHPHQWHGLQDOOVWDJHV7KH¿QLVKHGKRVSLWDO  
ZLOOEHRQHRIWKH¿UVWXQLYHUVLW\KRVSLWDOVLQWKHZRUOGWREHFHUWL¿HG   Customer: Stockholm County Council
according  to  the  Leadership  in  Energy  and  Environmental  Design  (LEED)   Builder: Skanska
Architect: WTT - White Tengbom Team
UHTXLUHPHQWVRIWKH86*UHHHQ%XLOGLQJ&RXQFLO1HZ.DUROLQVND6ROQD Service partner: Coor Service Management
ZLOOEULQJ6ZHGHQDQG6WRFNKROPQRWRQO\DQHZFXWWLQJHGJHXQLYHUVLW\ Construction cost: SEK 14.5 billion
KRVSLWDODQGODQGPDUNEXWDOVRDXQLTXHHQYLURQPHQWIRUZRUOGFODVV Construction: 2010–2017
PHGLFDOUHVHDUFK

2 3
 PROJECT IMPLEMENTATION

One gigantic
New Karolinska Solna 2012

project made up
of many sizable Technology building

subprojects The technology building is a coordina-

tion center for technology and provides
energy to the entire hospital. This is also
Hospital part 1
The first part of the hospital
Radiation building
The New Karolinska Solna is a vast under- where shipments are handled, for will be completed in 2016.
To be completed in 2016.
deliveries to and from the hospital.
taking, so it has been broken down into To be completed in 2014.
several subprojects. Even so, each stage is
on a huge scale.

:RUNLQDOOVHFWLRQVLVXQGHUZD\DWWKHVDPH
time,  within  one  and  the  same  area  –  an  area  
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It all comes down to

project planning
7KHXQLTXHFRQGLWLRQVRIWKLVSURMHFWVHWLWDSDUW Patient hotel
IURPRWKHUKRVSLWDOSURMHFWVDQGSUHVHQWQHZ Accommodation for
FKDOOHQJHVWRWKHSURMHFWRUJDQL]DWLRQ7KHKLJK patients who need
to stay close to their
VWDQGDUGVRIWKHSURMHFW¶VWHFKQLFDOLQVWDOODWLRQV care provider. To be
UHTXLUHH[WUHPHO\DFFXUDWHSODQQLQJ,QDGGLWLRQ Parking garage
completed in 2016.
The parking garage was in-
SURMHFWSODQQLQJLVEHLQJGRQHLQSDUDOOHOZLWK augurated in December 2012
FRQVWUXFWLRQPDNLQJLWHYHQPRUHLPSRUWDQWIRU and has 818 parking spaces,
WKHGHDGOLQHVWKDWDUHVHWWREHPHW7KXVFRRS-­ 75 equipped with charging
HUDWLRQFRRUGLQDWLRQDQGSODQQLQJDUHIXQGD-­ stations for electric cars.
PHQWDOWRSURMHFWH[HFXWLRQ

Research building
The research building is home to
lab areas, training facilities and
lecture and conference halls.
To be completed in 2016.
Hospital part 2
To be completed in 2017.

4 5
 THE HOSPITAL IN THE CITY

NKS – Driving the New Karolinska Solna and

Hagastaden 2025

development of
Hagastaden life
science city
The Stockholm County Council and Skanska are working
together to make the New Karolinska Solna a reality, with a
common starting point: that everything to be created, built
and organized within the framework of the project is based
on the patient’s perspective.

Project goals
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‡ The  hospital  and  its  activities  shall  be  asigned  an  explicit  high-­
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IMAGE SOURCE: STOCKHOLMS CITY

The proposal to build a new
hospital in Stockholm is
presented for the first time.
The two hospitals Karolinska and
Huddinge are merged to become
Karolinska University Hospital.
The possibility of building a new
hospital is investigated.
A formal decision is made to
construct a new hospital within
the current hospital area in
Solna, adjacent to the Karolinska
Institute. The decision is made
to carry out the NKS project as
a “public-private partnership”
(PPP) project, from procurement
through operation.
New Karolinska Solna New Karolinska Solna is
receives its first patient. completely finished.
Contracts are awarded in the PPP The contract with Swedish
process. The project is assigned to Hospital Partners for
Swedish Hospital Partners AB, and operations and
construction of New Karolinska Solna maintenance expires.
begins.

6 7

Design solutions with a focus on
function and good logistics
New Karolinska Solna is a high-tech hospi-
tal, designed for optimal clinical functional-
ity. A streamlined logistical flow and faster
response to patient needs will enhance the
hospital experience.
The hospital setting harmonizes with the interiors and is designed to maximize the healthcare experience.
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Adaptability for future needs
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Advanced equipment sometimes weighs up to 3 tons. Different building sections have different color themes.
The helipad can accommodate two helicopters. Elevators provide quick access to the trauma department on level 5.
All inpatient rooms are private rooms with space for family members to spend the night.
8 9
SMART AND FLEXIBLE SOLUTIONS
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A welcoming hospital
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been  placed  on  the  physical  experience  of  visitors  to  the  
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décor  and  signage  are  all  important  components  in  creating  
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 THE PPP MODEL
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Security for the customer
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“Thanks to the PPP model we’ve followed, the Stockholm County Council can focus completely on providing care, because we are SURSHUW\EXWKDVHQWUXVWHGRSHUDWLRQDQGPDLQWHQDQFHWR
managing construction and operations until 2040,” says Ulf Noréhn, CEO of Swedish Hospital Partners. 6+3GXULQJWKHFRQWUDFWSHULRG7KLVJLYHVWKH6WRFNKROP
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On September 3, 2010, the “groundbreaking” ceremony for
WKHSURSHUW\PXVWEHLQDVQHZFRQGLWLRQZLWKRXWDQ\QHHG
the New Karolinska Solna took place. Sweden’s Crown Princess

A pioneering model for infrastructure Victoria detonated a charge and wished NKS the best of luck. IRUUHSDLUVRUPDMRUPDLQWHQDQFH7KHORQJWHUPRSHUDWLQJ
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The design, construction, financing and operation of New Karolinska Solna were procured according to are  selected  based  on  a  long-­term  perspective  with  respect  
the public-private partnership (PPP) model. PPP is new to Sweden but has been successfully employed in to  the  environment  and  costs  over  the  entire  life  cycle  of  
many other countries. WKHSURMHFW1RXQIRUHVHHQH[SHQVHVUHVXOWLQJIURPGHOD\V
= Customer responsibility
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7KLVPRGHOJHQHUDOO\PHDQVWKDWWKHFXVWRPHUGRHVQRWSD\ There  is  also  an  option  for  extension  of  the  agreement  all   Traditional Procurement PPP Procurement
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FINANCING FINANCING
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,QWKHFDVHRIWKH1HZ.DUROLQVND6ROQDWKRXJKWKH PLANNING PLANNING
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CONSTRUCTION CONSTRUCTION
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10 11

The construction site is classified as a “Green Site,”
with sustainable solutions at all stages.
ENVIRONMENT AND SUSTAINABILITY
A green hospital
The Stockholm County Council is on the
absolute cutting edge when it comes to high-
level environmental requirements, and right
from the start the goal was to create one of
the world’s most sustainable university
hospitals. Skanska is building and certifying
the New Karolinska Solna according to the
Swedish third-party certification Miljöbyggnad
and aiming for Gold.
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Environmental thinking at all levels
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FOLPDWHQHXWUDOVROXWLRQVHQYLURQPHQWDOLPSDFWLQGRRU The concrete plant established on the construction site provides the project with concrete and reduces the number of trips by
a total of 20,000.
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FRRUGLQDWHGJRRGVGHOLYHU\IXHOHI¿FLHQWGULYLQJDQGWKHOLNH mental  standards,  from  the  detail  level  to  overarching   UHWDLQVXUIDFHZDWHUZKLOHDGGLQJJUHHQVSDFHWRWKHVLWH
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heating  and  cooling,  a  dedicated  large  geothermal  plant   (QYLURQPHQWDOWKLQNLQJDOVRDSSOLHVWRWUDI¿FWRDQGIURP
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The nearest recycling bin is never far away on the
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12 13
 ENVIRONMENT AND SUSTAINABILITY

Environmental thinking
During construction… …to the finished hospital

ILLUSTRATION: TOMAS ÖHRLING © 2013

14 15
 SAFETY AND WORKING ENVIRONMENT

Proactive health & safety work

Skanska has a zero-accident vision, and the company’s ambition is always to be one step ahead
when it comes to health and safety work – with the goal of holding a world-leading position. This
is one more area in which New Karolinska Solna stands out as a unique project where standards
are also set as to how the construction industry’s safety work should be carried out.
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Action against unsafe working conditions is automatic to
HYHU\RQHLQYROYHGLQSURDFWLYHVDIHW\ZRUN DQGUHYLHZRIGDLO\WDVNVKHOSSURYLGHDFOHDULPDJHRIKRZ everyone involved in proactive health and safety work.
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Knowledge helps boost safety ,WDOVRIROORZVWKDWJRRGKHDOWKDQGVDIHW\SHUIRUPDQFH
7KHIRXQGDWLRQIRUKHDOWKDQGVDIHW\ZRUNLVWRLQFUHDVHHY-­ VKRXOGDOZD\VEHDFNQRZOHGJHG3ODQQLQJDQGIROORZXS
HU\RQH¶VDZDUHQHVVRIWKHLURZQKHDOWKDQGVDIHW\DQGWKDW WDNHSODFHRQDFRQWLQXDOEDVLVWKURXJKKHDOWKDQGVDIHW\
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DQGKHDOWKDQGVDIHW\URXWLQHVKDYHEHHQGUDZQXSIRUWKH

Personal safety equipment is evaluated and Training in occupational health and safety is held to
upgraded continually. prevent accidents.

16 17
 LOGISTICS

Challenges beyond the ordinary

A project as involved as New Karolinska Solna sets the bar high when it comes to logistics. Spe-
cific circumstances prevail on every construction site, but there is much more to account for in
this case, requiring planning down to the smallest detail. It is not just the size and complexity of
the project that affect logistics work. Traffic, noise and vibrations must not be allowed to disrupt
activity going on around the clock in the nearby Karolinska University Hospital and
Karolinska Institute.
1XPHURXVDPEXODQFHVDQGDPEXODQFHKHOLFRSWHUVDUULYH UHVLGHQWLDODUHDVDQGVHYHUDORWKHURQJRLQJFRQVWUXFWLRQ
DWWKHVLWHHYHU\GD\ZKLOHFRQVWUXFWLRQLVXQGHUZD\7KH SURMHFWVVRPHWKLQJZKLFKPHDQVIXUWKHUFRQVLGHUDWLRQV
FRQVWUXFWLRQSURMHFWPXVWQRWEORFNURDGVRUDLUVSDFH DQGUHVWULFWLRQVZLWKUHVSHFWWRXVHRIURDGV)RUVDIHW\
connected  to  the  hospital,  which  might  otherwise  force   UHDVRQVWKHUHDUHVSHFLDOWUDI¿FJXDUGVDWWKHJDWHVRIWKH
FKDQJHVWRKHOLFRSWHUÀLJKWSDWKV1HDUE\WKHUHDUHERWK FRQVWUXFWLRQVLWHWRJXLGHGULYHUVDQGSHGHVWULDQV

New Karolinska Solna is being constructed in close prox-

imity to ongoing activity at Karolinska University Hospital, A number of food service stations are found on the worksite
putting extra demands on logistics flows. to provide everyone involved in the project with food.

Planning down to the smallest detail Smart solutions to reduce transportation

7KHVFRSHRIWKHSURMHFWDQGWKHIDFWWKDWWKHUHLVOLPLWHG 2XUSURDFWLYHZRUNLQFRRUGLQDWLRQDQGSODQQLQJDOVRKHOSV
VWRUDJHDUHDRQWKHDFWXDOFRQVWUXFWLRQVLWHDOVRHQWDLO PLQLPL]HWKHQXPEHURIWULSVWRDQGIURPWKHFRQVWUXFWLRQ
H[WHQVLYHWUDQVSRUWDWLRQ7KHFRPSOLFDWHGORJLVWLFVDURXQG VLWH)RUH[DPSOHDORFDOFRQFUHWHSODQWZDVVHWXSDWWKH

ILLUSTRATION: TOMAS ÖHRLING © 2013

WKHFRQVWUXFWLRQVLWHQHFHVVLWDWHDSODQIRUHYHU\GHOLYHU\   EHJLQQLQJRIWKHSURMHFW%\PDQXIDFWXULQJFRQFUHWH  
$FOHDU³MXVWLQWLPH´ERRNLQJV\VWHPHQVXUHVWKDWGHOLYHU-­ RQVLWHWKHQXPEHURIWULSVLQWKH¿UVWWKUHH\HDUVKDVEHHQ
LHVDUULYHDWSUHFLVHO\WKHULJKWWLPHDQGSODFHZLWKRXWFUH-­ UHGXFHGE\PRUHWKDQGHOLYHULHVZKLFKLVJRRG
DWLQJREVWDFOHVIRURWKHUGHOLYHULHVRUVXUURXQGLQJDFWLYLW\ IRUWKHHQYLURQPHQWDQGIURPDORJLVWLFVYLHZSRLQW7KH
7RIXUWKHUIDFLOLWDWHWUDQVSRUWDWLRQWKHUHDUHOLPLWHGVKRUW H[SDQGHGXVHRISUHIDEPRGXOHVVXFKDVEDWKURRPVDOVR
stay  waiting  areas  nearby,  and  interim  storage  and  holding   KHOSVVLJQL¿FDQWO\UHGXFHWUDQVSRUW
IDFLOLWLHVDURXQGWKHUHJLRQKDYHDOVREHHQHVWDEOLVKHGIRU
SURMHFWVXSSOLHUV

18 19
 A WELL-APPOINTED HOSPITAL

ILLUSTRATION: TOMAS ÖHRLING © 2013

Prefabricated sanitary rooms are delivered as boxes. The modules, lifted into place using cranes, are sealed until
they are put into use.

A well-appointed hospital
The hospital’s design is based entirely on the clinical and functional requirements set by the Stock-
holm County Council. Skanska has used these as the basis for developing solutions that were then
approved by the County Council’s experts and healthcare specialists. Ensuring patient safety has
been given the highest priority, so people representing the various professional categories that will
work at the hospital were given the chance to provide input.

Form follows function Modules provide major advantages

7KHORFDWLRQDQGFOLQLFDOGHVLJQRIYDULRXVFDUHIXQFWLRQV 7KHSURMHFWDOVRPDNHVH[WHQVLYHXVHRISUHIDEULFDWHG
ZHUHGHWHUPLQHGEDVHGRQWKHQHHGIRULQWHJUDWLRQDQGÀRZ PRGXOHVZKLFKVLJQL¿FDQWO\IDFLOLWDWHVFRQVWUXFWLRQZRUN
and  optimized  with  respect  to  the  activity  that  will  be  carried   DQGUHGXFHVWKHQXPEHURIGHOLYHULHVGXULQJFRQVWUXFWLRQ
RXW–  everything  from  the  size  and  location  of  the  room,  to   3URGXFLQJWKHPRGXOHVLQDVHFXUHIDFWRU\HQYLURQPHQW  
HDVHRIFOHDQLQJDQGFRORUVHOHFWLRQ7RIDFLOLWDWHWKLVZRUN DOVRJXDUDQWHHVKLJKHUTXDOLW\LQWKHHQGSURGXFWWKDQ
WKHDUFKLWHFWVGHYHORSHGSURWRW\SHVIRURXWSDWLHQWFOLQLF EXLOGLQJWKHPRQVLWHZRXOG7KHPRGXOHVHQDEOHDKLJK  
rooms,  inpatient  rooms,  operating  rooms,  laboratory  medi-­ GHJUHHRIÀH[LELOLW\LQRSWLPL]DWLRQ)RUH[DPSOHWKH  
FLQHUDGLRORJ\LPDJLQJDQGUDGLRWKHUDS\±HDFKRSWLPL]HG sanitary  rooms  of  the  hospital  are  completely  prefabricated  
The sanitary rooms are complete and ready to be used.
IRULWVVSHFL¿FIXQFWLRQ$QXPEHURIWKHVHSURWRW\SHURRPV in  a  factory  and  delivered  in  sealed  boxes  that  can  then  
Cranes lower the modules through the roof.
WRJHWKHUIRUPDIXQFWLRQDOXQLWDQGDQXPEHURIIXQFWLRQDO be  smoothly  lifted  into  their  proper  place  –  simply  
XQLWVPDNHXSRQHÀRRU SOXJDQGSOD\
 

20 21
 THE BIM MODEL
BIM in daily operations
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LVPRUHLPSRUWDQWWKDWHYHU\WKLQJIXQFWLRQVRSWLPDOO\LQDQ
RSHUDWLQJWKHDWUHWKDQLQDEUHDNURRP7KXVLQIRUPDWLRQ

ILLUSTRATION: TOMAS ÖHRLING © 2013

VDYHGLQ%,0FDQEHDWOHDVWDVLPSRUWDQWIRUIXWXUHRSHUD-­
WLRQDVLWLVLQFRQVWUXFWLRQ7KURXJK%,0WKHLQIRUPDWLRQ
FDQEHUHXVHGWKURXJKRXWWKHOLIHF\FOHRIWKHEXLOGLQJ%,0
DOVRSURYLGHVPDMRUDGYDQWDJHVIURPDQHQYLURQPHQWDO The BIM model is used by all the different roles in the
SHUVSHFWLYHDVLWLVDQH[FHOOHQWWRROIRUFRQGXFWLQJDFFXUDWH project.
HQHUJ\DQDO\VHV

A model of clarity
The New Karolinska Solna project employs a method of designing and constructing buildings
entirely in 3D, which presents information about all the attributes of every object included.
This is known as Building Information Modeling (BIM).
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VXFFHVVIRUEXLOGLQJLQVXFKDVWULFWWLPHIUDPH%,0ZLOO ing  managers  –DUHZRUNLQJDFFRUGLQJWRRQHDQGWKHVDPH
DOVRVHUYHDVDWRROIRUWKHFRPSOH[IXWXUHRSHUDWLRQRI   PRGHORIWKHSURMHFW
WKHKRVSLWDO %\ZRUNLQJLQDFRPPRQPRGHOHYHU\RQHGHVLJQLQJWKH
YDULRXVSDUWVRIWKHEXLOGLQJFDQVHHKRZWKHLUVHFWLRQ¿WV
A simpler way to build LQWRWKHEXLOGLQJDVDZKROH7KHEXLOGLQJVHFWLRQVDUHWKHQ
)RU1.6%,0SURYLGHVQHFHVVDU\FRPPXQLFDWLRQVVXSSRUW ³GUHVVHG´ZLWKLQIRUPDWLRQRQWKHLUDWWULEXWHVWXUQLQJWKH
LQWKHEXLOGLQJSURFHVVDQGDPHDQVRIJDWKHULQJDOOLQIRU-­ PRGHOLQWRDZHOORUJDQL]HGLQIRUPDWLRQKXE6LPSO\SXW
An example of how the BIM model might look: Even the smallest detail in the project is described in the model.
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involved  –  from  design  engineers  to  electricians,  from   DOORZVHYHU\RQHWRZRUNWRZDUGVDFOHDUDQGFRPPRQJRDO

22 23