Diagnosis, treatment and prognosis are three of the most frequent labours of physician in health care institutions. In decision making, these activities can be tackled from two approaches: decision and planning. Decision structures are designed to help physician in their task of taking atemporal decisions. Planning structures are designed to guide physicians in the time-dependant complex medical procedures. The goal of this article is to present a model that integrates several learning tools to develop decision and planning structures in the medical domain, specifically in the support of decision making.