01 / Considerations
Matters that may be assessed.
- the nature and extent of medically documented injuries;
- treatment, hospital admissions and the documented period of recovery;
- any functional limitations or persistent consequences;
- the medical relationship between the event and the assessed findings;
- the point and conditions at which a reasoned assessment can be made.
02 / Boundaries
A medical assessment,
not a legal determination.
A medico-legal assessment describes and considers medical consequences that can be objectively supported. Liability, legal interpretation and the award of compensation are matters for the competent persons and institutions.
The medical assessment may therefore form one component of a broader process, without anticipating its outcome.
03 / Documents and stages
An assessment based on continuity of evidence.
- 1
Presenting the matter
The purpose of the enquiry and the relevant medical context are stated.
- 2
Documentation
Initial records, investigations, treatments and subsequent progress are reviewed.
- 3
Assessing the consequences
Only matters supported by sufficient medical evidence are assessed.
- 4
Communicating limitations
Any aspect that cannot be established from the available material is stated explicitly.
04 / Confidentiality
Medical data should be sent
only through the confirmed channel.
A brief description of the enquiry is sufficient for the first message. Medical documents and identification data should be sent only after the appropriate method and the documents actually required have been confirmed.