An outpatient and inpatient forensic examination of victims, suspects and other persons is necessary not only in the examination of mechanical injuries and the results of other external influences on the human body, but also in the analysis of physical health and painful disorders.
Establishment of health
- Determining the degree of permanent disability
- Examination of infection with sexually transmitted diseases
- Examination of AIDS
- Forensic examination for self-harm and artificially caused painful conditions
The reasons for the appointment of a forensic medical examination (examination) of a state of health are: 1) determining the physical condition of a witness or victim in cases where there is doubt about their ability to correctly perceive circumstances relevant to the case and give correct testimony about them (Article 79 CPC); 2) the refusal of the witness, the accused to appear in court under the pretext of poor health; 3) refusal of parasites to work under the pretext of the disease; 4) determining the need for sanatorium-resort treatment, enhanced nutrition, etc., when filing lawsuits in civil proceedings; 5) refusal to perform the duties of military service due to the presence of the disease (if it is not confirmed by medical documents and regular medical examination). Due to the particular complexity, the examination of the state of health is carried out, as a rule, by a commission with the involvement of highly qualified clinicians of relevant specialties.
When examining the state of health, if it seems necessary, a hospital examination is carried out in medical institutions to objectively verify the complaints presented by the testimony.
When examining a state of health or a violation of it, there may be a desire to testify to “weight” or “loosen” and hide the symptoms of the disease (aggravation and disaggregation) - to reproduce the picture of the disease in its absence or, conversely, to imagine the presence of health in the existing disease (simulation and dissimulation) ; show diseases of artificial origin. Thus, various combinations of the above-mentioned forms of distortion of the true state of health or a picture of the disease can occur.
Forensic examination of the state of health should be based on a thorough analysis of anamnestic information, the nature and characteristics of the testimony of the testimony, objective data of the clinical picture of the disease, the question of which is put to the resolution of the examination. During the examination, medical data (in original) must be taken into account, which contain information about the diseases that have been evidenced in the past, which may have a chronic course. The materials analyzed during the examination process should be fully and objectively reflected in the forensic documentation.