Decision Support Systems (DSS) in health care must be designed in consideration of the empirical context and problem space where they are being applied. However differences such as workflow, clinical expertise and organizational norms make it hard to define the context where a DSS will be used. What is needed is a DSS that is able to enhance health care delivery in different contexts. In this paper we present a multi-modal DSS that supports decision making in different contexts. The paper describes the theoretical basis for the DSS, explores a problem space in palliative care and describes a prototype implementation of the DSS to address the issues from the problem space
