
Mierau Medical Diagnostic and Coding Method
The Eighteen Foundational Postulates
Postulate 15 Pattern Principle
Statement
Relevant medical information SHALL be considered both individually and in combination, as clinically meaningful patterns may emerge from relationships between individual observations, findings, and events.
Definition
A Pattern is a clinically meaningful relationship or constellation that emerges from multiple pieces of medical information.
A pattern may arise from
- symptoms,
- clinical findings,
- laboratory results,
- imaging findings,
- functional findings,
- temporal relationships,
- repeated observations,
- or information from different sources.
A pattern is not itself a diagnosis. It is a structure within the available information that may support, challenge, or redirect diagnostic reasoning.
Principle
Diagnostic reasoning SHALL consider meaningful relationships between relevant pieces of information without assuming that a pattern automatically establishes causation or diagnosis.
Individual findings that appear insignificant in isolation may become relevant when considered together.
Conversely, an apparent pattern may be coincidental or misleading and therefore requires appropriate medical evaluation.
Rationale
Practical Example
Database Requirements
Implications
Related Postulates
Key Message
Do not look only at the pieces - look at the pattern they form.

Mierau Medical Diagnostic and Coding Method
The Eighteen Foundational Postulates
Postulate 15 Pattern Principle
Statement
Relevant medical information SHALL be considered both individually and in combination, as clinically meaningful patterns may emerge from relationships between individual observations, findings, and events.
Definition
A Pattern is a clinically meaningful relationship or constellation that emerges from multiple pieces of medical information.
A pattern may arise from
- symptoms,
- clinical findings,
- laboratory results,
- imaging findings,
- functional findings,
- temporal relationships,
- repeated observations,
- or information from different sources.
A pattern is not itself a diagnosis. It is a structure within the available information that may support, challenge, or redirect diagnostic reasoning.
Principle
Diagnostic reasoning SHALL consider meaningful relationships between relevant pieces of information without assuming that a pattern automatically establishes causation or diagnosis.
Individual findings that appear insignificant in isolation may become relevant when considered together.
Conversely, an apparent pattern may be coincidental or misleading and therefore requires appropriate medical evaluation.
Rationale
Practical Example
Database Requirements
Implications
Related Postulates
Key Message
Do not look only at the pieces - look at the pattern they form.

Mierau Medical Diagnostic and Coding Method
The Eighteen Foundational Postulates
Postulate 15 Pattern Principle
Statement
Relevant medical information SHALL be considered both individually and in combination, as clinically meaningful patterns may emerge from relationships between individual observations, findings, and events.
Definition
A Pattern is a clinically meaningful relationship or constellation that emerges from multiple pieces of medical information.
A pattern may arise from
- symptoms,
- clinical findings,
- laboratory results,
- imaging findings,
- functional findings,
- temporal relationships,
- repeated observations,
- or information from different sources.
A pattern is not itself a diagnosis. It is a structure within the available information that may support, challenge, or redirect diagnostic reasoning.
Principle
Diagnostic reasoning SHALL consider meaningful relationships between relevant pieces of information without assuming that a pattern automatically establishes causation or diagnosis.
Individual findings that appear insignificant in isolation may become relevant when considered together.
Conversely, an apparent pattern may be coincidental or misleading and therefore requires appropriate medical evaluation.
Rationale
Practical Example
Database Requirements
Implications
Related Postulates
Key Message
Do not look only at the pieces - look at the pattern they form.

Mierau Medical Diagnostic and Coding Method
The Eighteen Foundational Postulates
Postulate 15 Pattern Principle
Statement
Relevant medical information SHALL be considered both individually and in combination, as clinically meaningful patterns may emerge from relationships between individual observations, findings, and events.
Definition
A Pattern is a clinically meaningful relationship or constellation that emerges from multiple pieces of medical information.
A pattern may arise from
- symptoms,
- clinical findings,
- laboratory results,
- imaging findings,
- functional findings,
- temporal relationships,
- repeated observations,
- or information from different sources.
A pattern is not itself a diagnosis. It is a structure within the available information that may support, challenge, or redirect diagnostic reasoning.
Principle
Diagnostic reasoning SHALL consider meaningful relationships between relevant pieces of information without assuming that a pattern automatically establishes causation or diagnosis.
Individual findings that appear insignificant in isolation may become relevant when considered together.
Conversely, an apparent pattern may be coincidental or misleading and therefore requires appropriate medical evaluation.
Rationale
Practical Example
Database Requirements
Implications
Related Postulates
Key Message
Do not look only at the pieces - look at the pattern they form.

Mierau Medical Diagnostic and Coding Method
The Eighteen Foundational Postulates
Postulate 15 Pattern Principle
Statement
Relevant medical information SHALL be considered both individually and in combination, as clinically meaningful patterns may emerge from relationships between individual observations, findings, and events.
Definition
A Pattern is a clinically meaningful relationship or constellation that emerges from multiple pieces of medical information.
A pattern may arise from
- symptoms,
- clinical findings,
- laboratory results,
- imaging findings,
- functional findings,
- temporal relationships,
- repeated observations,
- or information from different sources.
A pattern is not itself a diagnosis. It is a structure within the available information that may support, challenge, or redirect diagnostic reasoning.
Principle
Diagnostic reasoning SHALL consider meaningful relationships between relevant pieces of information without assuming that a pattern automatically establishes causation or diagnosis.
Individual findings that appear insignificant in isolation may become relevant when considered together.
Conversely, an apparent pattern may be coincidental or misleading and therefore requires appropriate medical evaluation.
Rationale
Practical Example
Database Requirements
Implications
Related Postulates
Key Message
Do not look only at the pieces - look at the pattern they form.

Mierau Medical Diagnostic and Coding Method
The Eighteen Foundational Postulates
Postulate 15 Pattern Principle
Statement
Relevant medical information SHALL be considered both individually and in combination, as clinically meaningful patterns may emerge from relationships between individual observations, findings, and events.
Definition
A Pattern is a clinically meaningful relationship or constellation that emerges from multiple pieces of medical information.
A pattern may arise from
- symptoms,
- clinical findings,
- laboratory results,
- imaging findings,
- functional findings,
- temporal relationships,
- repeated observations,
- or information from different sources.
A pattern is not itself a diagnosis. It is a structure within the available information that may support, challenge, or redirect diagnostic reasoning.
Principle
Diagnostic reasoning SHALL consider meaningful relationships between relevant pieces of information without assuming that a pattern automatically establishes causation or diagnosis.
Individual findings that appear insignificant in isolation may become relevant when considered together.
Conversely, an apparent pattern may be coincidental or misleading and therefore requires appropriate medical evaluation.
Rationale
Practical Example
Database Requirements
Implications
Related Postulates
Key Message
Do not look only at the pieces - look at the pattern they form.