Working with the Robert Wood Johnson Foundation, JRC Design directed a team of seven designers from around the country, each with experience in symbol design and wayfinding, to initiate the first 28 of 50 symbols to be developed for use in healthcare. Based on predetermined graphic and wayfinding standards, more than 500 symbol options were created and tested throughout the country using ISO guidelines until the first set of 28 symbols was completed. Phase two, directed by the SEGD per the standards established by JRC Design, completed the set as a university educational program for evidence based design. Guidelines for their use and application in health care environments were also developed throughout the two phases and are now available for free.