
Mierau Medical Diagnostic and Coding Method
The Eighteen Foundational Postulates
Postulate 3 Progressive Diagnostic Rendering
Statement
Diagnostic information SHALL be acquired progressively, with the level of diagnostic resolution increasing only as required to obtain relevant information for safe diagnostic reasoning.
Definition
Progressive Diagnostic Rendering describes a diagnostic process in which relevant information is obtained and represented in successive levels of resolution.
The first level provides a broad, low-resolution representation of the relevant medical situation.
Where this initial information indicates a need for further clarification, the diagnostic resolution may be increased through more specific or more detailed investigation.
Progressive Diagnostic Rendering therefore follows the principle:
broad and coarse first - focused and detailed where necessary.
Principle
The level of diagnostic resolution SHALL be appropriate to the current diagnostic need and SHALL be increased when the information already obtained indicates that greater resolution is required.
An investigation does not have to provide the maximum possible amount of information.
Its purpose is to provide sufficient relevant information to enable safe diagnostic reasoning.
A finding that cannot be identified at a particular level of resolution SHALL NOT automatically be regarded as excluded.
Rationale
Practical Example
Database Requirements
Implications
Related Postulates
Key Message
Do not seek maximum resolution first.
Seek sufficient relevant information — and increase resolution where the evidence requires it.

Mierau Medical Diagnostic and Coding Method
The Eighteen Foundational Postulates
Postulate 3 Progressive Diagnostic Rendering
Statement
Diagnostic information SHALL be acquired progressively, with the level of diagnostic resolution increasing only as required to obtain relevant information for safe diagnostic reasoning.
Definition
Progressive Diagnostic Rendering describes a diagnostic process in which relevant information is obtained and represented in successive levels of resolution.
The first level provides a broad, low-resolution representation of the relevant medical situation.
Where this initial information indicates a need for further clarification, the diagnostic resolution may be increased through more specific or more detailed investigation.
Progressive Diagnostic Rendering therefore follows the principle:
broad and coarse first - focused and detailed where necessary.
Principle
The level of diagnostic resolution SHALL be appropriate to the current diagnostic need and SHALL be increased when the information already obtained indicates that greater resolution is required.
An investigation does not have to provide the maximum possible amount of information.
Its purpose is to provide sufficient relevant information to enable safe diagnostic reasoning.
A finding that cannot be identified at a particular level of resolution SHALL NOT automatically be regarded as excluded.
Rationale
Practical Example
Database Requirements
Implications
Related Postulates
Key Message
Do not seek maximum resolution first.
Seek sufficient relevant information — and increase resolution where the evidence requires it.

Mierau Medical Diagnostic and Coding Method
The Eighteen Foundational Postulates
Postulate 3 Progressive Diagnostic Rendering
Statement
Diagnostic information SHALL be acquired progressively, with the level of diagnostic resolution increasing only as required to obtain relevant information for safe diagnostic reasoning.
Definition
Progressive Diagnostic Rendering describes a diagnostic process in which relevant information is obtained and represented in successive levels of resolution.
The first level provides a broad, low-resolution representation of the relevant medical situation.
Where this initial information indicates a need for further clarification, the diagnostic resolution may be increased through more specific or more detailed investigation.
Progressive Diagnostic Rendering therefore follows the principle:
broad and coarse first - focused and detailed where necessary.
Principle
The level of diagnostic resolution SHALL be appropriate to the current diagnostic need and SHALL be increased when the information already obtained indicates that greater resolution is required.
An investigation does not have to provide the maximum possible amount of information.
Its purpose is to provide sufficient relevant information to enable safe diagnostic reasoning.
A finding that cannot be identified at a particular level of resolution SHALL NOT automatically be regarded as excluded.
Rationale
Practical Example
Database Requirements
Implications
Related Postulates
Key Message
Do not seek maximum resolution first.
Seek sufficient relevant information — and increase resolution where the evidence requires it.

Mierau Medical Diagnostic and Coding Method
The Eighteen Foundational Postulates
Postulate 3 Progressive Diagnostic Rendering
Statement
Diagnostic information SHALL be acquired progressively, with the level of diagnostic resolution increasing only as required to obtain relevant information for safe diagnostic reasoning.
Definition
Progressive Diagnostic Rendering describes a diagnostic process in which relevant information is obtained and represented in successive levels of resolution.
The first level provides a broad, low-resolution representation of the relevant medical situation.
Where this initial information indicates a need for further clarification, the diagnostic resolution may be increased through more specific or more detailed investigation.
Progressive Diagnostic Rendering therefore follows the principle:
broad and coarse first - focused and detailed where necessary.
Principle
The level of diagnostic resolution SHALL be appropriate to the current diagnostic need and SHALL be increased when the information already obtained indicates that greater resolution is required.
An investigation does not have to provide the maximum possible amount of information.
Its purpose is to provide sufficient relevant information to enable safe diagnostic reasoning.
A finding that cannot be identified at a particular level of resolution SHALL NOT automatically be regarded as excluded.
Rationale
Practical Example
Database Requirements
Implications
Related Postulates
Key Message
Do not seek maximum resolution first.
Seek sufficient relevant information — and increase resolution where the evidence requires it.

Mierau Medical Diagnostic and Coding Method
The Eighteen Foundational Postulates
Postulate 3 Progressive Diagnostic Rendering
Statement
Diagnostic information SHALL be acquired progressively, with the level of diagnostic resolution increasing only as required to obtain relevant information for safe diagnostic reasoning.
Definition
Progressive Diagnostic Rendering describes a diagnostic process in which relevant information is obtained and represented in successive levels of resolution.
The first level provides a broad, low-resolution representation of the relevant medical situation.
Where this initial information indicates a need for further clarification, the diagnostic resolution may be increased through more specific or more detailed investigation.
Progressive Diagnostic Rendering therefore follows the principle:
broad and coarse first - focused and detailed where necessary.
Principle
The level of diagnostic resolution SHALL be appropriate to the current diagnostic need and SHALL be increased when the information already obtained indicates that greater resolution is required.
An investigation does not have to provide the maximum possible amount of information.
Its purpose is to provide sufficient relevant information to enable safe diagnostic reasoning.
A finding that cannot be identified at a particular level of resolution SHALL NOT automatically be regarded as excluded.
Rationale
Practical Example
Database Requirements
Implications
Related Postulates
Key Message
Do not seek maximum resolution first.
Seek sufficient relevant information — and increase resolution where the evidence requires it.

Mierau Medical Diagnostic and Coding Method
The Eighteen Foundational Postulates
Postulate 3 Progressive Diagnostic Rendering
Statement
Diagnostic information SHALL be acquired progressively, with the level of diagnostic resolution increasing only as required to obtain relevant information for safe diagnostic reasoning.
Definition
Progressive Diagnostic Rendering describes a diagnostic process in which relevant information is obtained and represented in successive levels of resolution.
The first level provides a broad, low-resolution representation of the relevant medical situation.
Where this initial information indicates a need for further clarification, the diagnostic resolution may be increased through more specific or more detailed investigation.
Progressive Diagnostic Rendering therefore follows the principle:
broad and coarse first - focused and detailed where necessary.
Principle
The level of diagnostic resolution SHALL be appropriate to the current diagnostic need and SHALL be increased when the information already obtained indicates that greater resolution is required.
An investigation does not have to provide the maximum possible amount of information.
Its purpose is to provide sufficient relevant information to enable safe diagnostic reasoning.
A finding that cannot be identified at a particular level of resolution SHALL NOT automatically be regarded as excluded.
Rationale
Practical Example
Database Requirements
Implications
Related Postulates
Key Message
Do not seek maximum resolution first.
Seek sufficient relevant information — and increase resolution where the evidence requires it.