Carefully structured medical knowledge can be used for a variety of pu
rposes, including medical records, drug and test ordering, and differe
ntial diagnosis. The Framemed system divides medical information into
26 domains and arranges the items in a hierarchical sequence. The know
ledge in the system resides in descriptive, relational, and conditiona
l records created by experts in the various domains, who must sign and
date each record as it is developed and are entirely responsible for
its contents. Formation of the hierarchies requires careful attention
to concepts and yields a logical framework for a standardized terminol
ogy that is in the public domain.