diff --git a/NAMESPACE b/NAMESPACE
index d1e89215f..d1d4bf6ae 100644
--- a/NAMESPACE
+++ b/NAMESPACE
@@ -62,6 +62,7 @@ export(ds.matrixDimnames)
 export(ds.matrixInvert)
 export(ds.matrixMult)
 export(ds.matrixTranspose)
+export(ds.mdPattern)
 export(ds.mean)
 export(ds.meanByClass)
 export(ds.meanSdGp)
diff --git a/R/ds.mdPattern.R b/R/ds.mdPattern.R
new file mode 100644
index 000000000..e553b3f19
--- /dev/null
+++ b/R/ds.mdPattern.R
@@ -0,0 +1,305 @@
+#'
+#' @title Display missing data patterns with disclosure control
+#' @description This function is a client-side wrapper for the server-side mdPatternDS
+#' function. It generates a missing data pattern matrix similar to mice::md.pattern but
+#' with disclosure control applied to prevent revealing small cell counts.
+#' @details The function calls the server-side mdPatternDS function which uses
+#' mice::md.pattern to analyze missing data patterns. Patterns with counts below the 
+#' disclosure threshold (default: nfilter.tab = 3) are suppressed to maintain privacy.
+#'
+#' \strong{Output Format:}
+#' - Each row represents a missing data pattern
+#' - Pattern counts are shown in row names (e.g., "150", "25")
+#' - Columns show 1 if the variable is observed, 0 if missing
+#' - Last column shows the total number of missing values per pattern
+#' - Last row shows the total number of missing values per variable
+#'
+#' \strong{Disclosure Control:}
+#'
+#' Suppressed patterns (count below threshold) are indicated by:
+#' - Row name: "suppressed(<N>)" where N is the threshold
+#' - All pattern values set to NA
+#' - Summary row also suppressed to prevent back-calculation
+#'
+#' \strong{Pooling Behavior (type='combine'):}
+#'
+#' When pooling across studies, the function uses a \emph{conservative approach} 
+#' for disclosure control:
+#'
+#' 1. Identifies identical missing patterns across studies
+#' 2. \strong{EXCLUDES suppressed patterns from pooling} - patterns suppressed in 
+#'    ANY study are not included in the pooled count
+#' 3. Sums counts only for non-suppressed identical patterns
+#' 4. Re-validates pooled counts against disclosure threshold
+#'
+#' \strong{Important:} This conservative approach means:
+#' - Pooled counts may be \emph{underestimates} if some studies had suppressed patterns
+#' - This prevents disclosure through subtraction (e.g., if study A shows count=5 
+#'   and pool shows count=7, one could deduce study B has count=2, violating disclosure)
+#' - Different patterns across studies are preserved separately in the pooled result
+#'
+#' @param x a character string specifying the name of a data frame or matrix on the 
+#' server-side containing the data to analyze.
+#' @param type a character string specifying the output type. If 'split' (default), 
+#' returns separate patterns for each study. If 'combine', attempts to pool patterns 
+#' across studies.
+#' @param datasources a list of \code{\link[DSI]{DSConnection-class}} objects obtained 
+#' after login. If the \code{datasources} argument is not specified, the default set of 
+#' connections will be used: see \code{\link[DSI]{datashield.connections_default}}.
+#' @return For type='split': A list with one element per study, each containing:
+#' \itemize{
+#'   \item{pattern}{The missing data pattern matrix for that study}
+#'   \item{valid}{Logical indicating if all patterns meet disclosure requirements}
+#'   \item{message}{A message describing the validity status}
+#' }
+#'
+#' For type='combine': A list containing:
+#' \itemize{
+#'   \item{pattern}{The pooled missing data pattern matrix across all studies}
+#'   \item{valid}{Logical indicating if all pooled patterns meet disclosure requirements}
+#'   \item{message}{A message describing the validity status}
+#' }
+#' @author Xavier Escribà montagut for DataSHIELD Development Team
+#' @export
+#' @examples
+#' \dontrun{
+#'  ## Version 6, for version 5 see the Wiki
+#'
+#'   # Connecting to the Opal servers
+#'
+#'   require('DSI')
+#'   require('DSOpal')
+#'   require('dsBaseClient')
+#'
+#'   builder <- DSI::newDSLoginBuilder()
+#'   builder$append(server = "study1",
+#'                  url = "http://192.168.56.100:8080/",
+#'                  user = "administrator", password = "datashield_test&",
+#'                  table = "CNSIM.CNSIM1", driver = "OpalDriver")
+#'   builder$append(server = "study2",
+#'                  url = "http://192.168.56.100:8080/",
+#'                  user = "administrator", password = "datashield_test&",
+#'                  table = "CNSIM.CNSIM2", driver = "OpalDriver")
+#'   logindata <- builder$build()
+#'
+#'   connections <- DSI::datashield.login(logins = logindata, assign = TRUE, symbol = "D")
+#'
+#'   # Get missing data patterns for each study separately
+#'   patterns_split <- ds.mdPattern(x = "D", type = "split", datasources = connections)
+#'
+#'   # View results for study1
+#'   print(patterns_split$study1$pattern)
+#'   #      var1 var2 var3
+#'   # 150    1    1    1  0    <- 150 obs complete
+#'   #  25    0    1    1  1    <- 25 obs missing var1
+#'   #       25    0    0 25    <- Summary: 25 missing per variable
+#'
+#'   # Get pooled missing data patterns across studies
+#'   patterns_pooled <- ds.mdPattern(x = "D", type = "combine", datasources = connections)
+#'   print(patterns_pooled$pattern)
+#'
+#'   # Example with suppressed patterns:
+#'   # If study1 has a pattern with count=2 (suppressed) and study2 has same pattern 
+#'   # with count=5 (valid), the pooled result will show count=5 (conservative approach)
+#'   # A warning will indicate: "Pooled counts may underestimate the true total"
+#'
+#'   # Clear the Datashield R sessions and logout
+#'   datashield.logout(connections)
+#' }
+#'
+ds.mdPattern <- function(x = NULL, type = 'split', datasources = NULL){
+
+  # Look for DS connections
+  if(is.null(datasources)){
+    datasources <- datashield.connections_find()
+  }
+
+  # Ensure datasources is a list of DSConnection-class
+  if(!(is.list(datasources) && all(unlist(lapply(datasources, function(d) {methods::is(d,"DSConnection")}))))){
+    stop("The 'datasources' were expected to be a list of DSConnection-class objects", call.=FALSE)
+  }
+
+  if(is.null(x)){
+    stop("Please provide the name of a data frame or matrix!", call.=FALSE)
+  }
+
+  # Get study names
+  study_names <- names(datasources)
+
+  # Call the server side function
+  cally <- call("mdPatternDS", x)
+  results <- DSI::datashield.aggregate(datasources, cally)
+
+  # Process results based on type
+  if(type == "split"){
+    # Return individual study results
+    return(results)
+
+  } else if(type == "combine"){
+    # Pool results across studies
+
+    # First check if any study has invalid patterns
+    any_invalid <- any(sapply(results, function(r) !r$valid))
+    invalid_studies <- names(results)[sapply(results, function(r) !r$valid)]
+
+    if(any_invalid){
+      warning(
+        "Disclosure control: Some studies have suppressed patterns (below threshold).\n",
+        "  Studies with suppressed patterns: ", paste(invalid_studies, collapse=", "), "\n",
+        "  These patterns are EXCLUDED from pooling to prevent disclosure.\n",
+        "  Pooled counts may underestimate the true total.",
+        call. = FALSE
+      )
+    }
+
+    # Extract patterns from each study
+    patterns_list <- lapply(results, function(r) r$pattern)
+
+    # Check if all patterns have the same variables (columns)
+    n_vars <- sapply(patterns_list, ncol)
+    if(length(unique(n_vars)) > 1){
+      stop("Cannot pool patterns: studies have different numbers of variables", call.=FALSE)
+    }
+
+    var_names <- colnames(patterns_list[[1]])
+    if(length(patterns_list) > 1){
+      for(i in 2:length(patterns_list)){
+        if(!identical(colnames(patterns_list[[i]]), var_names)){
+          warning("Variable names differ across studies. Pooling by position.")
+          break
+        }
+      }
+    }
+
+    # Pool the patterns
+    pooled_pattern <- .pool_md_patterns(patterns_list, study_names)
+
+    # Check validity of pooled results
+    # Get threshold from first study's results or use a default check
+    nfilter.tab <- getOption("default.nfilter.tab")
+    if(is.null(nfilter.tab)) nfilter.tab <- 3
+
+    n_patterns <- nrow(pooled_pattern) - 1
+    pooled_valid <- TRUE
+
+    if(n_patterns > 0){
+      # Pattern counts are in row names
+      pattern_counts <- as.numeric(rownames(pooled_pattern)[1:n_patterns])
+      pattern_counts <- pattern_counts[!is.na(pattern_counts) & pattern_counts > 0]
+
+      if(any(pattern_counts < nfilter.tab)){
+        pooled_valid <- FALSE
+      }
+    }
+
+    pooled_message <- ifelse(pooled_valid,
+                             "Valid: all pooled pattern counts meet disclosure requirements",
+                             "Some pooled pattern counts may be below threshold")
+
+    return(list(
+      pattern = pooled_pattern,
+      valid = pooled_valid,
+      message = pooled_message,
+      studies = study_names
+    ))
+
+  } else {
+    stop("Argument 'type' must be either 'split' or 'combine'", call.=FALSE)
+  }
+}
+
+#' @title Pool missing data patterns across studies
+#' @description Internal function to pool md.pattern results from multiple studies
+#' @param patterns_list List of pattern matrices from each study
+#' @param study_names Names of the studies
+#' @return Pooled pattern matrix
+#' @keywords internal
+.pool_md_patterns <- function(patterns_list, study_names){
+
+  # Initialize with first study's pattern structure
+  pooled <- patterns_list[[1]]
+  n_vars <- ncol(pooled)
+  n_rows <- nrow(pooled) - 1  # Exclude summary row
+
+  # Create a list to store unique patterns
+  unique_patterns <- list()
+  pattern_counts <- list()
+
+  # Process each study
+  for(i in seq_along(patterns_list)){
+    pattern <- patterns_list[[i]]
+    study_n_patterns <- nrow(pattern) - 1
+
+    if(study_n_patterns > 0){
+      for(j in 1:study_n_patterns){
+        # Get pattern (columns show 1/0 for observed/missing)
+        pat_vector <- pattern[j, 1:(n_vars-1)]
+        # Pattern count is in row name
+        pat_count_str <- rownames(pattern)[j]
+        pat_count <- suppressWarnings(as.numeric(pat_count_str))
+
+        # Skip if suppressed (non-numeric row name like "suppressed(<3)")
+        if(is.na(pat_count)){
+          next
+        }
+
+        # Convert pattern to string for comparison
+        pat_string <- paste(pat_vector, collapse="_")
+
+        # Check if this pattern already exists
+        if(pat_string %in% names(unique_patterns)){
+          # Add to existing count
+          pattern_counts[[pat_string]] <- pattern_counts[[pat_string]] + pat_count
+        } else {
+          # New pattern
+          unique_patterns[[pat_string]] <- pat_vector
+          pattern_counts[[pat_string]] <- pat_count
+        }
+      }
+    }
+  }
+
+  # Build pooled pattern matrix
+  if(length(unique_patterns) == 0){
+    # No valid patterns
+    pooled[1:n_rows, ] <- NA
+  } else {
+    # Sort patterns by count (descending)
+    sorted_idx <- order(unlist(pattern_counts), decreasing = TRUE)
+    sorted_patterns <- unique_patterns[sorted_idx]
+    sorted_counts <- pattern_counts[sorted_idx]
+
+    # Create new pooled matrix
+    n_pooled_patterns <- length(sorted_patterns)
+    pooled <- matrix(NA, nrow = n_pooled_patterns + 1, ncol = n_vars)
+    colnames(pooled) <- colnames(patterns_list[[1]])
+
+    # Set row names (counts for patterns, empty for summary)
+    row_names <- c(as.character(unlist(sorted_counts)), "")
+    rownames(pooled) <- row_names
+
+    # Fill in patterns
+    for(i in 1:n_pooled_patterns){
+      pooled[i, 1:(n_vars-1)] <- sorted_patterns[[i]]
+      # Calculate number of missing for this pattern
+      pooled[i, n_vars] <- sum(sorted_patterns[[i]] == 0)
+    }
+  }
+
+  # Calculate summary row (total missing per variable)
+  # Sum across studies
+  summary_row <- rep(0, n_vars)
+  for(i in seq_along(patterns_list)){
+    study_summary <- patterns_list[[i]][nrow(patterns_list[[i]]), ]
+    # Only add if not suppressed
+    if(!all(is.na(study_summary))){
+      summary_row <- summary_row + ifelse(is.na(study_summary), 0, study_summary)
+    }
+  }
+
+  # Add summary row
+  pooled[nrow(pooled), ] <- summary_row
+
+  return(pooled)
+}
+
diff --git a/man/dot-pool_md_patterns.Rd b/man/dot-pool_md_patterns.Rd
new file mode 100644
index 000000000..baabf3e92
--- /dev/null
+++ b/man/dot-pool_md_patterns.Rd
@@ -0,0 +1,20 @@
+% Generated by roxygen2: do not edit by hand
+% Please edit documentation in R/ds.mdPattern.R
+\name{.pool_md_patterns}
+\alias{.pool_md_patterns}
+\title{Pool missing data patterns across studies}
+\usage{
+.pool_md_patterns(patterns_list, study_names)
+}
+\arguments{
+\item{patterns_list}{List of pattern matrices from each study}
+
+\item{study_names}{Names of the studies}
+}
+\value{
+Pooled pattern matrix
+}
+\description{
+Internal function to pool md.pattern results from multiple studies
+}
+\keyword{internal}
diff --git a/man/ds.mdPattern.Rd b/man/ds.mdPattern.Rd
new file mode 100644
index 000000000..ffda06e0b
--- /dev/null
+++ b/man/ds.mdPattern.Rd
@@ -0,0 +1,126 @@
+% Generated by roxygen2: do not edit by hand
+% Please edit documentation in R/ds.mdPattern.R
+\name{ds.mdPattern}
+\alias{ds.mdPattern}
+\title{Display missing data patterns with disclosure control}
+\usage{
+ds.mdPattern(x = NULL, type = "split", datasources = NULL)
+}
+\arguments{
+\item{x}{a character string specifying the name of a data frame or matrix on the 
+server-side containing the data to analyze.}
+
+\item{type}{a character string specifying the output type. If 'split' (default), 
+returns separate patterns for each study. If 'combine', attempts to pool patterns 
+across studies.}
+
+\item{datasources}{a list of \code{\link[DSI]{DSConnection-class}} objects obtained 
+after login. If the \code{datasources} argument is not specified, the default set of 
+connections will be used: see \code{\link[DSI]{datashield.connections_default}}.}
+}
+\value{
+For type='split': A list with one element per study, each containing:
+\itemize{
+  \item{pattern}{The missing data pattern matrix for that study}
+  \item{valid}{Logical indicating if all patterns meet disclosure requirements}
+  \item{message}{A message describing the validity status}
+}
+
+For type='combine': A list containing:
+\itemize{
+  \item{pattern}{The pooled missing data pattern matrix across all studies}
+  \item{valid}{Logical indicating if all pooled patterns meet disclosure requirements}
+  \item{message}{A message describing the validity status}
+}
+}
+\description{
+This function is a client-side wrapper for the server-side mdPatternDS
+function. It generates a missing data pattern matrix similar to mice::md.pattern but
+with disclosure control applied to prevent revealing small cell counts.
+}
+\details{
+The function calls the server-side mdPatternDS function which uses
+mice::md.pattern to analyze missing data patterns. Patterns with counts below the 
+disclosure threshold (default: nfilter.tab = 3) are suppressed to maintain privacy.
+
+\strong{Output Format:}
+- Each row represents a missing data pattern
+- Pattern counts are shown in row names (e.g., "150", "25")
+- Columns show 1 if the variable is observed, 0 if missing
+- Last column shows the total number of missing values per pattern
+- Last row shows the total number of missing values per variable
+
+\strong{Disclosure Control:}
+
+Suppressed patterns (count below threshold) are indicated by:
+- Row name: "suppressed(<N>)" where N is the threshold
+- All pattern values set to NA
+- Summary row also suppressed to prevent back-calculation
+
+\strong{Pooling Behavior (type='combine'):}
+
+When pooling across studies, the function uses a \emph{conservative approach} 
+for disclosure control:
+
+1. Identifies identical missing patterns across studies
+2. \strong{EXCLUDES suppressed patterns from pooling} - patterns suppressed in 
+   ANY study are not included in the pooled count
+3. Sums counts only for non-suppressed identical patterns
+4. Re-validates pooled counts against disclosure threshold
+
+\strong{Important:} This conservative approach means:
+- Pooled counts may be \emph{underestimates} if some studies had suppressed patterns
+- This prevents disclosure through subtraction (e.g., if study A shows count=5 
+  and pool shows count=7, one could deduce study B has count=2, violating disclosure)
+- Different patterns across studies are preserved separately in the pooled result
+}
+\examples{
+\dontrun{
+ ## Version 6, for version 5 see the Wiki
+
+  # Connecting to the Opal servers
+
+  require('DSI')
+  require('DSOpal')
+  require('dsBaseClient')
+
+  builder <- DSI::newDSLoginBuilder()
+  builder$append(server = "study1",
+                 url = "http://192.168.56.100:8080/",
+                 user = "administrator", password = "datashield_test&",
+                 table = "CNSIM.CNSIM1", driver = "OpalDriver")
+  builder$append(server = "study2",
+                 url = "http://192.168.56.100:8080/",
+                 user = "administrator", password = "datashield_test&",
+                 table = "CNSIM.CNSIM2", driver = "OpalDriver")
+  logindata <- builder$build()
+
+  connections <- DSI::datashield.login(logins = logindata, assign = TRUE, symbol = "D")
+
+  # Get missing data patterns for each study separately
+  patterns_split <- ds.mdPattern(x = "D", type = "split", datasources = connections)
+
+  # View results for study1
+  print(patterns_split$study1$pattern)
+  #      var1 var2 var3
+  # 150    1    1    1  0    <- 150 obs complete
+  #  25    0    1    1  1    <- 25 obs missing var1
+  #       25    0    0 25    <- Summary: 25 missing per variable
+
+  # Get pooled missing data patterns across studies
+  patterns_pooled <- ds.mdPattern(x = "D", type = "combine", datasources = connections)
+  print(patterns_pooled$pattern)
+
+  # Example with suppressed patterns:
+  # If study1 has a pattern with count=2 (suppressed) and study2 has same pattern 
+  # with count=5 (valid), the pooled result will show count=5 (conservative approach)
+  # A warning will indicate: "Pooled counts may underestimate the true total"
+
+  # Clear the Datashield R sessions and logout
+  datashield.logout(connections)
+}
+
+}
+\author{
+Xavier Escribà montagut for DataSHIELD Development Team
+}