Mierau Medical Diagnostic and Coding Method
The Eighteen Foundational Postulates
Postulate 10 Neutrality Principle
Statement
Medical decisions and diagnostic assessments SHALL be evaluated within the knowledge and circumstances available at the time they were made.
Definition
Neutrality means evaluating a past medical decision without allowing information acquired later to distort the assessment of what was reasonable or knowable at the earlier point in time.
Neutrality therefore requires a separation between
What was known then
and
What is known now.
Principle
A previous medical decision SHALL NOT be judged solely on the basis of information that became available after the decision was made.
Later findings may demonstrate that an earlier assessment was incomplete or may justify a new diagnostic assessment.
They SHALL NOT, however, automatically make the earlier decision unreasonable simply because the later outcome is now known.
Rationale
Practical Example
Database Requirements
Implications
Related Postulates
Key Message
Do not judge yesterday with today's eyes.
Mierau Medical Diagnostic and Coding Method
The Eighteen Foundational Postulates
Postulate 10 Neutrality Principle
Statement
Medical decisions and diagnostic assessments SHALL be evaluated within the knowledge and circumstances available at the time they were made.
Definition
Neutrality means evaluating a past medical decision without allowing information acquired later to distort the assessment of what was reasonable or knowable at the earlier point in time.
Neutrality therefore requires a separation between
What was known then
and
What is known now.
Principle
A previous medical decision SHALL NOT be judged solely on the basis of information that became available after the decision was made.
Later findings may demonstrate that an earlier assessment was incomplete or may justify a new diagnostic assessment.
They SHALL NOT, however, automatically make the earlier decision unreasonable simply because the later outcome is now known.
Rationale
Practical Example
Database Requirements
Implications
Related Postulates
Key Message
Do not judge yesterday with today's eyes.
Mierau Medical Diagnostic and Coding Method
The Eighteen Foundational Postulates
Postulate 10 Neutrality Principle
Statement
Medical decisions and diagnostic assessments SHALL be evaluated within the knowledge and circumstances available at the time they were made.
Definition
Neutrality means evaluating a past medical decision without allowing information acquired later to distort the assessment of what was reasonable or knowable at the earlier point in time.
Neutrality therefore requires a separation between
What was known then
and
What is known now.
Principle
A previous medical decision SHALL NOT be judged solely on the basis of information that became available after the decision was made.
Later findings may demonstrate that an earlier assessment was incomplete or may justify a new diagnostic assessment.
They SHALL NOT, however, automatically make the earlier decision unreasonable simply because the later outcome is now known.
Rationale
Practical Example
Database Requirements
Implications
Related Postulates
Key Message
Do not judge yesterday with today's eyes.
Mierau Medical Diagnostic and Coding Method
The Eighteen Foundational Postulates
Postulate 10 Neutrality Principle
Statement
Medical decisions and diagnostic assessments SHALL be evaluated within the knowledge and circumstances available at the time they were made.
Definition
Neutrality means evaluating a past medical decision without allowing information acquired later to distort the assessment of what was reasonable or knowable at the earlier point in time.
Neutrality therefore requires a separation between
What was known then
and
What is known now.
Principle
A previous medical decision SHALL NOT be judged solely on the basis of information that became available after the decision was made.
Later findings may demonstrate that an earlier assessment was incomplete or may justify a new diagnostic assessment.
They SHALL NOT, however, automatically make the earlier decision unreasonable simply because the later outcome is now known.
Rationale
Practical Example
Database Requirements
Implications
Related Postulates
Key Message
Do not judge yesterday with today's eyes.
Mierau Medical Diagnostic and Coding Method
The Eighteen Foundational Postulates
Postulate 10 Neutrality Principle
Statement
Medical decisions and diagnostic assessments SHALL be evaluated within the knowledge and circumstances available at the time they were made.
Definition
Neutrality means evaluating a past medical decision without allowing information acquired later to distort the assessment of what was reasonable or knowable at the earlier point in time.
Neutrality therefore requires a separation between
What was known then
and
What is known now.
Principle
A previous medical decision SHALL NOT be judged solely on the basis of information that became available after the decision was made.
Later findings may demonstrate that an earlier assessment was incomplete or may justify a new diagnostic assessment.
They SHALL NOT, however, automatically make the earlier decision unreasonable simply because the later outcome is now known.
Rationale
Practical Example
Database Requirements
Implications
Related Postulates
Key Message
Do not judge yesterday with today's eyes.
Mierau Medical Diagnostic and Coding Method
The Eighteen Foundational Postulates
Postulate 10 Neutrality Principle
Statement
Medical decisions and diagnostic assessments SHALL be evaluated within the knowledge and circumstances available at the time they were made.
Definition
Neutrality means evaluating a past medical decision without allowing information acquired later to distort the assessment of what was reasonable or knowable at the earlier point in time.
Neutrality therefore requires a separation between
What was known then
and
What is known now.
Principle
A previous medical decision SHALL NOT be judged solely on the basis of information that became available after the decision was made.
Later findings may demonstrate that an earlier assessment was incomplete or may justify a new diagnostic assessment.
They SHALL NOT, however, automatically make the earlier decision unreasonable simply because the later outcome is now known.
Rationale
Practical Example
Database Requirements
Implications
Related Postulates
Key Message
Do not judge yesterday with today's eyes.