A patient monitoring system is disclosed comprising at least one processor programmed to process medical data derived from a patient or medical records repository and to compose interconnected cascades of physiological occurrences by linking or grouping four fundamental elements which comprise； a perturbation, at least one perturbation force which is capable of inducing and may have induced the perturbation, a recovery, and at least one recovery force which is capable of inducing and may have induced the perturbation. The four elements are linked or grouped by the processor to generate a quaternary which may be characterized as solved or unsolved.
