Traditional Knowledge Management systems in the medical field mainly focus on medical knowledge and problem solving like diagnosis, prognosis, therapy planning and critiquing, image processing with image classification, and teaching or practising medical knowledge. Today, also economical, organizational, and quality aspects move into the centre of medical knowledge management, such as efficiency, analysis, and optimisation of hospital processes, workflow management and collaborative treatments by physicians of remote health care facilities. Using the changing accounting system based on flat rates, health care organizations have to change their operating philosophies to become profitable, enterprise-like organizations.