The document presents an overview of a scalable reasoning system, OWLontDB, designed for OWL 2 RL ontologies, aimed at improving decision support systems in healthcare by utilizing ontologies and advanced reasoning techniques. It discusses the features of OWL 2, including increased expressive power and efficient query processing, while addressing challenges related to scalability in handling large datasets. The paper outlines the methodology for translating OWL 2 RL to datalog to enhance reasoning capabilities and ensure consistency in complex healthcare applications.