The objective of this research is to design a clinical propaedeutic services considering the use of three-dimensional visualization technology as a language and data source to support the reasoning of clinical decisions. In order to design this service, we evaluated the potential of some three-dimensional visualization technologies that could be useful to support the propaedeutics: visualization of models in virtual environments (immersion in Virtual Reality); projection of three-dimensional models in reality viewed by smartphones (Augmented Reality); 3D printed models. We opt to design a product that should be the object of further investigation in this research: a virtual environment for viewing real clinical cases through augmented reality glasses. In order to accomplish this research, an artifact for visualization of real clinical cases through Virtual Reality (VR) and Augmented Reality (AR) was designed The artifact was named as ProVis3D and was designed for assisting physicians to view medical images in an anatomical position and three-dimensional manner, maintaining spatial relationships between organs and vessels reliably as corresponding to their position in the real world and arranged within the human body. Besides being able to be visualized, there is a possibility for interact with the images, simulating the tactile perception, and producing its movement: touching segmented organs, vessels and viscera, separating these structures, increasing their size and rotating the object around them. its axis. An empirical evaluation was performed in this research, in the projective epistemological-methodological perspective Design Science Research (DSR), designing different cases with five units of analysis (each physician invited to use the research artifact consists of one unit of analysis in this research). The approach was observational and interpretative, with the purpose of understanding and reflecting on the physician s behavior, especially his decision making, when using the artifact developed in this research. Different scenes have been designed in order to observe experiences on ProVis3D s users (medical specialists and non-specialists) when viewing medical images in real anatomical contexts (3D reconstruction from CT scans and full-color 3D models with all structures in place) and interacting with these images through augmented reality. The virtual scene consists of a dynamic three-dimensional image that can be manipulated to support a surgeon on his surgical planning or support a radiologist to complement his workstation report. Doctors view the scene initially in RV and later in RA. Two questions were elaborated for the study: 1) Does the artifact really make it possible to obtain valuable information for clinical decision making? 2) Does this visualization technology really create a language that enables doctors to produce new knowledge? It has been demonstrated that ProVis3D artifact has the potential to support clinical decision making and that the augmented reality interactive three-dimensional visualization technology creates a language; it makes doctors talk differently about things they are not used to, enabling doctors to produce new knowledge.