Mierau Medical Diagnostic and Coding Method
The Eighteen Foundational Postulates
Postulate 13 Exclusion Principle
Statement
A medical condition SHALL only be considered excluded when the available evidence is sufficient to support its exclusion.
Definition
Exclusion is the diagnostic determination that a specific medical condition or diagnostic possibility is sufficiently unlikely, based on appropriate evidence, to no longer require consideration within the current diagnostic process.
The absence of a finding is not automatically equivalent to exclusion.
Principle
A condition SHALL NOT be considered excluded merely because it was not demonstrated by an investigation.
The extent to which a condition can be excluded depends on
- the clinical question,
- the method used,
- the conditions under which it was performed,
- the sensitivity and limitations of the investigation,
- and the available evidence.
Rationale
Practical Example
Database Requirements
Implications
Related Postulates
Key Message
Not found is not the same as ruled out.
Mierau Medical Diagnostic and Coding Method
The Eighteen Foundational Postulates
Postulate 13 Exclusion Principle
Statement
A medical condition SHALL only be considered excluded when the available evidence is sufficient to support its exclusion.
Definition
Exclusion is the diagnostic determination that a specific medical condition or diagnostic possibility is sufficiently unlikely, based on appropriate evidence, to no longer require consideration within the current diagnostic process.
The absence of a finding is not automatically equivalent to exclusion.
Principle
A condition SHALL NOT be considered excluded merely because it was not demonstrated by an investigation.
The extent to which a condition can be excluded depends on
- the clinical question,
- the method used,
- the conditions under which it was performed,
- the sensitivity and limitations of the investigation,
- and the available evidence.
Rationale
Practical Example
Database Requirements
Implications
Related Postulates
Key Message
Not found is not the same as ruled out.
Mierau Medical Diagnostic and Coding Method
The Eighteen Foundational Postulates
Postulate 13 Exclusion Principle
Statement
A medical condition SHALL only be considered excluded when the available evidence is sufficient to support its exclusion.
Definition
Exclusion is the diagnostic determination that a specific medical condition or diagnostic possibility is sufficiently unlikely, based on appropriate evidence, to no longer require consideration within the current diagnostic process.
The absence of a finding is not automatically equivalent to exclusion.
Principle
A condition SHALL NOT be considered excluded merely because it was not demonstrated by an investigation.
The extent to which a condition can be excluded depends on
- the clinical question,
- the method used,
- the conditions under which it was performed,
- the sensitivity and limitations of the investigation,
- and the available evidence.
Rationale
Practical Example
Database Requirements
Implications
Related Postulates
Key Message
Not found is not the same as ruled out.
Mierau Medical Diagnostic and Coding Method
The Eighteen Foundational Postulates
Postulate 13 Exclusion Principle
Statement
A medical condition SHALL only be considered excluded when the available evidence is sufficient to support its exclusion.
Definition
Exclusion is the diagnostic determination that a specific medical condition or diagnostic possibility is sufficiently unlikely, based on appropriate evidence, to no longer require consideration within the current diagnostic process.
The absence of a finding is not automatically equivalent to exclusion.
Principle
A condition SHALL NOT be considered excluded merely because it was not demonstrated by an investigation.
The extent to which a condition can be excluded depends on
- the clinical question,
- the method used,
- the conditions under which it was performed,
- the sensitivity and limitations of the investigation,
- and the available evidence.
Rationale
Practical Example
Database Requirements
Implications
Related Postulates
Key Message
Not found is not the same as ruled out.
Mierau Medical Diagnostic and Coding Method
The Eighteen Foundational Postulates
Postulate 13 Exclusion Principle
Statement
A medical condition SHALL only be considered excluded when the available evidence is sufficient to support its exclusion.
Definition
Exclusion is the diagnostic determination that a specific medical condition or diagnostic possibility is sufficiently unlikely, based on appropriate evidence, to no longer require consideration within the current diagnostic process.
The absence of a finding is not automatically equivalent to exclusion.
Principle
A condition SHALL NOT be considered excluded merely because it was not demonstrated by an investigation.
The extent to which a condition can be excluded depends on
- the clinical question,
- the method used,
- the conditions under which it was performed,
- the sensitivity and limitations of the investigation,
- and the available evidence.
Rationale
Practical Example
Database Requirements
Implications
Related Postulates
Key Message
Not found is not the same as ruled out.
Mierau Medical Diagnostic and Coding Method
The Eighteen Foundational Postulates
Postulate 13 Exclusion Principle
Statement
A medical condition SHALL only be considered excluded when the available evidence is sufficient to support its exclusion.
Definition
Exclusion is the diagnostic determination that a specific medical condition or diagnostic possibility is sufficiently unlikely, based on appropriate evidence, to no longer require consideration within the current diagnostic process.
The absence of a finding is not automatically equivalent to exclusion.
Principle
A condition SHALL NOT be considered excluded merely because it was not demonstrated by an investigation.
The extent to which a condition can be excluded depends on
- the clinical question,
- the method used,
- the conditions under which it was performed,
- the sensitivity and limitations of the investigation,
- and the available evidence.
Rationale
Practical Example
Database Requirements
Implications
Related Postulates
Key Message
Not found is not the same as ruled out.