
Mierau Medical Diagnostic and Coding Method
The Eighteen Foundational Postulates
Postulate 9 Evidence Principle
Statement
The diagnostic significance of medical information SHALL be determined by the quality, relevance, and evidentiary strength of the information on which it is based.
Definition
Evidence is medical information that contributes to the assessment of a clinical question and can be evaluated with regard to its reliability, relevance, and strength.
Evidence may arise from different sources, including:
- patient-reported information,
- clinical observation,
- physical examination,
- laboratory investigations,
- imaging,
- functional investigations,
- specialist assessment,
- and other appropriate medical sources.
Different sources of information may have different evidentiary characteristics for a particular clinical question.
Principle
Medical conclusions SHALL be proportionate to the strength and relevance of the available evidence.
The existence of information does not by itself establish that the information is sufficient to support a particular diagnostic conclusion.
Evidence SHALL therefore be evaluated in relation to the specific clinical question it is intended to inform.
Rationale
Practical Example
Database Requirements
Implications
Related Postulates
Key Message
Not all information is evidence of equal strength - and no diagnosis should be stronger than the evidence supporting it.

Mierau Medical Diagnostic and Coding Method
The Eighteen Foundational Postulates
Postulate 9 Evidence Principle
Statement
The diagnostic significance of medical information SHALL be determined by the quality, relevance, and evidentiary strength of the information on which it is based.
Definition
Evidence is medical information that contributes to the assessment of a clinical question and can be evaluated with regard to its reliability, relevance, and strength.
Evidence may arise from different sources, including:
- patient-reported information,
- clinical observation,
- physical examination,
- laboratory investigations,
- imaging,
- functional investigations,
- specialist assessment,
- and other appropriate medical sources.
Different sources of information may have different evidentiary characteristics for a particular clinical question.
Principle
Medical conclusions SHALL be proportionate to the strength and relevance of the available evidence.
The existence of information does not by itself establish that the information is sufficient to support a particular diagnostic conclusion.
Evidence SHALL therefore be evaluated in relation to the specific clinical question it is intended to inform.
Rationale
Practical Example
Database Requirements
Implications
Related Postulates
Key Message
Not all information is evidence of equal strength - and no diagnosis should be stronger than the evidence supporting it.

Mierau Medical Diagnostic and Coding Method
The Eighteen Foundational Postulates
Postulate 9 Evidence Principle
Statement
The diagnostic significance of medical information SHALL be determined by the quality, relevance, and evidentiary strength of the information on which it is based.
Definition
Evidence is medical information that contributes to the assessment of a clinical question and can be evaluated with regard to its reliability, relevance, and strength.
Evidence may arise from different sources, including:
- patient-reported information,
- clinical observation,
- physical examination,
- laboratory investigations,
- imaging,
- functional investigations,
- specialist assessment,
- and other appropriate medical sources.
Different sources of information may have different evidentiary characteristics for a particular clinical question.
Principle
Medical conclusions SHALL be proportionate to the strength and relevance of the available evidence.
The existence of information does not by itself establish that the information is sufficient to support a particular diagnostic conclusion.
Evidence SHALL therefore be evaluated in relation to the specific clinical question it is intended to inform.
Rationale
Practical Example
Database Requirements
Implications
Related Postulates
Key Message
Not all information is evidence of equal strength - and no diagnosis should be stronger than the evidence supporting it.

Mierau Medical Diagnostic and Coding Method
The Eighteen Foundational Postulates
Postulate 9 Evidence Principle
Statement
The diagnostic significance of medical information SHALL be determined by the quality, relevance, and evidentiary strength of the information on which it is based.
Definition
Evidence is medical information that contributes to the assessment of a clinical question and can be evaluated with regard to its reliability, relevance, and strength.
Evidence may arise from different sources, including:
- patient-reported information,
- clinical observation,
- physical examination,
- laboratory investigations,
- imaging,
- functional investigations,
- specialist assessment,
- and other appropriate medical sources.
Different sources of information may have different evidentiary characteristics for a particular clinical question.
Principle
Medical conclusions SHALL be proportionate to the strength and relevance of the available evidence.
The existence of information does not by itself establish that the information is sufficient to support a particular diagnostic conclusion.
Evidence SHALL therefore be evaluated in relation to the specific clinical question it is intended to inform.
Rationale
Practical Example
Database Requirements
Implications
Related Postulates
Key Message
Not all information is evidence of equal strength - and no diagnosis should be stronger than the evidence supporting it.

Mierau Medical Diagnostic and Coding Method
The Eighteen Foundational Postulates
Postulate 9 Evidence Principle
Statement
The diagnostic significance of medical information SHALL be determined by the quality, relevance, and evidentiary strength of the information on which it is based.
Definition
Evidence is medical information that contributes to the assessment of a clinical question and can be evaluated with regard to its reliability, relevance, and strength.
Evidence may arise from different sources, including:
- patient-reported information,
- clinical observation,
- physical examination,
- laboratory investigations,
- imaging,
- functional investigations,
- specialist assessment,
- and other appropriate medical sources.
Different sources of information may have different evidentiary characteristics for a particular clinical question.
Principle
Medical conclusions SHALL be proportionate to the strength and relevance of the available evidence.
The existence of information does not by itself establish that the information is sufficient to support a particular diagnostic conclusion.
Evidence SHALL therefore be evaluated in relation to the specific clinical question it is intended to inform.
Rationale
Practical Example
Database Requirements
Implications
Related Postulates
Key Message
Not all information is evidence of equal strength - and no diagnosis should be stronger than the evidence supporting it.

Mierau Medical Diagnostic and Coding Method
The Eighteen Foundational Postulates
Postulate 9 Evidence Principle
Statement
The diagnostic significance of medical information SHALL be determined by the quality, relevance, and evidentiary strength of the information on which it is based.
Definition
Evidence is medical information that contributes to the assessment of a clinical question and can be evaluated with regard to its reliability, relevance, and strength.
Evidence may arise from different sources, including:
- patient-reported information,
- clinical observation,
- physical examination,
- laboratory investigations,
- imaging,
- functional investigations,
- specialist assessment,
- and other appropriate medical sources.
Different sources of information may have different evidentiary characteristics for a particular clinical question.
Principle
Medical conclusions SHALL be proportionate to the strength and relevance of the available evidence.
The existence of information does not by itself establish that the information is sufficient to support a particular diagnostic conclusion.
Evidence SHALL therefore be evaluated in relation to the specific clinical question it is intended to inform.
Rationale
Practical Example
Database Requirements
Implications
Related Postulates
Key Message
Not all information is evidence of equal strength - and no diagnosis should be stronger than the evidence supporting it.