• The quality of a clinical reasoning process depends on the quality of the knowledge it operates on; case, knowledge and regulation together determine the quality of the result.
• Knowledge networks are transformed into illness scripts as a consequence of dealing with real or simulated patients.
• Encapsulating concepts integrate biomedical and clinical knowledge; to play their role in the communication with colleagues, they need to have a shared meaning.
• Illness scripts are powerful cognitive structures that allow automatic processing; their validity deserves continuous attention.
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