9 Framework of an intelligent Internet-based on IN concepts with traditional IN components. ISP = internet services providers; MIP-knowledge intelligent peripheral attached to ISP local network; RMSP-regional knowledge services providers; MB-knowledge base(s); MBMS-MB management systems; MCP-knowledge control point; MTP-knowledge transfer point; MMS-knowledge management system; MPE-knowledge provisioning environment; DDS-Dewey decimal system/Library of Congress system bases. Global medical databases are organized and strictly monitored for accuracy and completeness. The size of databases and the ability to access them for use access and its eventual use become serious concerns. An allencompassing global medical database would be unfeasible and ineffective. However, a network of medical knowledge bases for a community, nation, or the globe holds scientific and social potential. In this section, the architectural configurations of hospital-based medical networks are presented along with the possibility of expansion to community, regional, or nation-based networks.