Sustainability and safety are social demands for long-life buildings. Suitable inspection and maintenance tasks on structural elements are needed for keeping buildings safely in service. Any malfunction that causes structural damage could be called pathology by analogy between structural engineering and medicine. Even the easiest evaluation tasks require expensive training periods that may be shortened with a suitable tool. This work presents an expert system (called Doctor House or DH) for diagnosing pathologies of structural elements in buildings. DH differs from other expert systems when it deals with uncertainty in a far easier but still useful way and it is capable of aiding during the initial survey 'in situ', when damage should be detected at a glance. DH is a powerful tool that represents complex knowledge gathered from bibliography and experts. Knowledge codification and uncertainty treatment are the main achievements presented. Finally, DH was tested and validated during real surveys.