Methods, systems, and computer-readable media are disclosed herein that employ a contextually intelligent framework. In accordance with embodiments, a knowledge model having rules, axioms, and a domain ontology is evaluated to determine rules that are redundant to other rules and axioms, to determines those rules thresholds that may be refactored to generate composite rules and reduce the overall quantity of rules in the knowledge model, and to generate and add new concepts as axioms to the domain ontology as determined through refactoring. Methods, systems, and computer-readable media are disclosed herein that use the refactored and improved knowledge model to reconcile information currently stored in one system with information imported from a plurality of diverse systems, in order to generate recommendations that promote continuity of care in clinical settings.