Suregen-2 applications are intended for use as add-on modules for clinical information systems. Currently, Suregen-2 permits refinement of the predefined medical ontology, specification of text plans and description knowledge for objects of the ontology. It has built-in constructs for referential expressions, aggregation, enumeration and recurrent semantic constellations. A first application built with Suregen-2, which currently supports German only, is in routine use.