I don't know if I am understanding all this, but here is my take...
I think the GCA first must understand the shot patterns of various levels of golfers, and ball and impliment physics and thier relationship with the ground in order to start applying patterns to a golf course design.
Is it a sifting and winnowing process from the most broad design patterns down to the minutia that you are talking about? The broad pattern that most golfers are right handed and hit the higher % of shots in a slice pattern, hit it an average of X far, and are within a pattern of accuracy of X yards from intended target area or LZ? Then, deciding what the terrain offers, and if you want to create a pattern to react to the intended game you are trying to stimulate, by either routing over naturally interesting and varied contour, or creating such out of flat ground? INcorporating general wind patterns with the intended routing pattern. Then deciding what par sequencing pattern would work with the previous patterns discovered or created. Then deciding what pattern of obstacles and hazards you wish to incorporate or create. Then deciding how they should look aesthetically.
If that is what you mean, yes I think the pattern usage is infinite because of the variables as one sifts and winnows through the various options at each stage of the patterning.
But, if the GCA doesn't know squat about the game and is just some walking catalogue of reusable or defined patterns, he can pick from all sorts of pattern variables and choices and design some freakish monster that contains many golf course specific patterns, but in the wrong sequence and context...sort of like computer aided robotic design.