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MEDICAL EVIDENCE
• FORMS OF MEDICAL EVIDENCE
• METHODS OF PRESERVING EVIDENCE
• DEGREE OF PROOF IN THE COURT OF JUSTICE
EVIDENCE
(MODEL CODE OF EVIDENCE)
 Section 1, Rule 128, Rules of Court
- Evidence is the means, sanctioned by this rule, of ascertaining in a judicial proceeding
the truth respecting a matter of fact.
 Sec 2, Rule 128, Rules of Court
- The rules of evidence shall be the same in all courts and on all trials and hearings,
whether civil or criminal.
 Sec 3, Rule 128, Rules of Court
- Evidence is admissible when it is relevant to the issue and is not excluded by this rule.
 Sec 4, Rule 128, Rules of Court
- Evidence must correspond with the substance of the issue and, therefore, collateral
matters shall not be allowed, except when they tend in any reasonable degree to
establish the probability or improbability of a fact in issue.
MEDICAL EVIDENCE
 The means, sanctioned by law, of ascertaining in a judicial
proceeding that truth respecting a matter of fact, wherein scientific
medical knowledge is necessary.
 Must be relevant to the issue and not excluded by the Rules of
Court of the Philippines
 Must correspond to the substance of the issue
FORMS OF MEDICAL EVIDENCE
1. Real or Autoptic Evidence
2. Testimonial Evidence
3. Experimental Evidence
4. Documentary Evidence
REAL OR AUTOPTIC EVIDENCE
 Made known or addressed to the senses of the court
Sec 1, Rule 130, Rules of Court:
View of an Object – Whenever an object has such a relation to the fact in dispute as to
afford reasonable grounds of belief respecting it, such object may be exhibited to or viewed
by the court, or its existence, situation, or character proved by witnesses, as the court in its
discretion may determine
 Not limited to that which can be known by the sense of vision but extend to
what is perceived by the senses of hearing, taste, smell or touch
 Exceptions
a) Indecency and impropriety
b) Repulsive objects and those offensive to sensibilities
TESTIMONIAL EVIDENCE
 A physician may be placed at the witness stand to answer questions
propounded to him by counsels of parties or by the presiding officer of the
court
 Given orally in open court and under oath or affirmation
 Ordinary witness
 Expert witness
EXPERIMENTAL EVIDENCE
 A medical witness may be required to perform certain experiments to prove a
certain matter of fact
 Must not be offensive to decency, sensibilities, and propriety
DOCUMENTARY EVIDENCE
 Any written evidence presented by a physician in court which is relevant to
the subject matter in dispute and not excluded by the Rules of Court
 Medical Documentary Evidence:
a. Formal written reports
b. Written opinions
c. Certificates
d. Deposition
e. Dying declarations
METHODS OF PRESERVING EVIDENCE
 Photography and sound recording
 Sketching
 Description
 Testimony of witnesses
KINDS OF EVIDENCE NECESSARY FOR
CONVICTION
 Direct Evidence
That which proves the fact in dispute without the aid of any inference or
presumption. The evidence presented corresponds to the precise or actual point
at issue.
 Circumstantial Evidence
The proof of fact or facts from which, taken either singly or collectively the existence
of a particular in dispute may be inferred as a necessary or probable consequence.
DEGREE OF PROOF REQUIRED IN THE
COURT OF JUSTICE
 CIVIL cases = preponderance of
evidence
Preponderance of evidence means the
greater weight of evidence that will
outweigh the evidence of the other party. It
means that the evidence adduced as a
whole by one side is superior to that of the
other.
 CRIMINAL cases = proof beyond a
reasonable doubt
The defendant is entitled to an acquittal,
unless his guilt is shown beyond a
reasonable doubt
FACTORS CONSIDERED IN DETERMINATION
WHICH PARTY’S EVIDENCE PREPONDERATE:
 All the facts and circumstances of the case
 The witnesses’ manner of testifying, their
intelligence, their means and opportunities of
knowing the facts to which they are testifying
 The nature of the facts to which the witnesses
testify
 The probability and improbability of the
witnesses’ testimony
 The interest or want of interest of the witnesses
 Credibility of the witness so far as the same
may legitimately appear upon trial
 The number of witnesses presented, although
preponderance is not necessarily with the
greatest number

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Medical Evidence

  • 1. MEDICAL EVIDENCE • FORMS OF MEDICAL EVIDENCE • METHODS OF PRESERVING EVIDENCE • DEGREE OF PROOF IN THE COURT OF JUSTICE
  • 2. EVIDENCE (MODEL CODE OF EVIDENCE)  Section 1, Rule 128, Rules of Court - Evidence is the means, sanctioned by this rule, of ascertaining in a judicial proceeding the truth respecting a matter of fact.  Sec 2, Rule 128, Rules of Court - The rules of evidence shall be the same in all courts and on all trials and hearings, whether civil or criminal.  Sec 3, Rule 128, Rules of Court - Evidence is admissible when it is relevant to the issue and is not excluded by this rule.  Sec 4, Rule 128, Rules of Court - Evidence must correspond with the substance of the issue and, therefore, collateral matters shall not be allowed, except when they tend in any reasonable degree to establish the probability or improbability of a fact in issue.
  • 3. MEDICAL EVIDENCE  The means, sanctioned by law, of ascertaining in a judicial proceeding that truth respecting a matter of fact, wherein scientific medical knowledge is necessary.  Must be relevant to the issue and not excluded by the Rules of Court of the Philippines  Must correspond to the substance of the issue
  • 4. FORMS OF MEDICAL EVIDENCE 1. Real or Autoptic Evidence 2. Testimonial Evidence 3. Experimental Evidence 4. Documentary Evidence
  • 5. REAL OR AUTOPTIC EVIDENCE  Made known or addressed to the senses of the court Sec 1, Rule 130, Rules of Court: View of an Object – Whenever an object has such a relation to the fact in dispute as to afford reasonable grounds of belief respecting it, such object may be exhibited to or viewed by the court, or its existence, situation, or character proved by witnesses, as the court in its discretion may determine  Not limited to that which can be known by the sense of vision but extend to what is perceived by the senses of hearing, taste, smell or touch  Exceptions a) Indecency and impropriety b) Repulsive objects and those offensive to sensibilities
  • 6. TESTIMONIAL EVIDENCE  A physician may be placed at the witness stand to answer questions propounded to him by counsels of parties or by the presiding officer of the court  Given orally in open court and under oath or affirmation  Ordinary witness  Expert witness
  • 7. EXPERIMENTAL EVIDENCE  A medical witness may be required to perform certain experiments to prove a certain matter of fact  Must not be offensive to decency, sensibilities, and propriety
  • 8. DOCUMENTARY EVIDENCE  Any written evidence presented by a physician in court which is relevant to the subject matter in dispute and not excluded by the Rules of Court  Medical Documentary Evidence: a. Formal written reports b. Written opinions c. Certificates d. Deposition e. Dying declarations
  • 9. METHODS OF PRESERVING EVIDENCE  Photography and sound recording  Sketching  Description  Testimony of witnesses
  • 10. KINDS OF EVIDENCE NECESSARY FOR CONVICTION  Direct Evidence That which proves the fact in dispute without the aid of any inference or presumption. The evidence presented corresponds to the precise or actual point at issue.  Circumstantial Evidence The proof of fact or facts from which, taken either singly or collectively the existence of a particular in dispute may be inferred as a necessary or probable consequence.
  • 11. DEGREE OF PROOF REQUIRED IN THE COURT OF JUSTICE  CIVIL cases = preponderance of evidence Preponderance of evidence means the greater weight of evidence that will outweigh the evidence of the other party. It means that the evidence adduced as a whole by one side is superior to that of the other.  CRIMINAL cases = proof beyond a reasonable doubt The defendant is entitled to an acquittal, unless his guilt is shown beyond a reasonable doubt FACTORS CONSIDERED IN DETERMINATION WHICH PARTY’S EVIDENCE PREPONDERATE:  All the facts and circumstances of the case  The witnesses’ manner of testifying, their intelligence, their means and opportunities of knowing the facts to which they are testifying  The nature of the facts to which the witnesses testify  The probability and improbability of the witnesses’ testimony  The interest or want of interest of the witnesses  Credibility of the witness so far as the same may legitimately appear upon trial  The number of witnesses presented, although preponderance is not necessarily with the greatest number

Editor's Notes

  1. Example: The court may require the physician to bring the skeleton exhumed and examined to show the presence and the degree of ante-mortem fractures. Example: The court may not allow to expose her genital organs to show the presence and degree of physical injuries, It is because of decency. However, if it is very necessary to prove a certain matter of fact at issue, the court may compel exposure, but with caution and with the least injury to the sense of decency. Example: The court will not allow or permit a portion of a decomposed body be brought to the court just to show how long the body has been murdered, because it is repulsive and offensive to the senses. However, it is with the sound discretion of the court whether those evidences shall be brought to the senses of the same.
  2. Example: A guinea pig may be injected with fatal dose of potassium cyanide to prove that the drug can produce death almost instantaneously.
  3. Formal written reports: medical examination report, physical examination report, necropsy report, laboratory examination report, exhumation report, medical investigation report A medical witness or medico-legal officer may be required to make written opinion of the case under investigation. Certificates: medical certificate, certificate of physical health, death certificate, birth certificate, certificate of physical injuries Deposition is a written record of evidence given orally and transcribed in writing in the form of questions by the interrogator and the answer of the deponent and signed by the latter The declaration of a dying person, made under a consciousness of an impending death, may be received in a criminal case wherein his death is the subject of inquiry, as evidence of the cause and surrounding circumstances of such death
  4. Sometimes it is necessary to preserve the evidences gathered by a physician in the course of his investigation. The evidences at the hands of the police authorities may not be sufficient to warrant filing of the charge in court, or the accused is still at large, or the judge may be in vacation.
  5. When is circumstantial evidence sufficient to produce conviction? When there is more than one circumstance When the facts from which the inferences are derived are proven When the combination of all the circumstances is such as to produce a conviction beyond a reasonable doubt
  6. Whenever the evidences presented by both parties are in equilibrium or equally balanced, the decision must be made against the party holding the affirmative fact.