State v. Katherine Lea Stanfield ( 2015 )


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  •                   IN THE SUPREME COURT OF THE STATE OF IDAHO
    Docket No. 40301
    STATE OF IDAHO,                                        )
    )        Boise, August 2014 Term
    Plaintiff-Respondent,                             )
    )        2015 Opinion No. 36
    v.                                                     )
    )        Filed: April 1, 2015
    KATHERINE LEA STANFIELD,                               )
    )        Stephen Kenyon, Clerk
    Defendant-Appellant.                              )
    Appeal from the District Court of the Fourth Judicial District of the State of
    Idaho, Ada County. Hon. Ronald J. Wilper, District Judge.
    The judgment of conviction is affirmed.
    Sara B. Thomas, State Appellate Public Defender, Boise, for appellant. Brian R.
    Dickson argued.
    Hon. Lawrence G. Wasden, Attorney General, Boise, for respondent. Russell J.
    Spencer argued.
    _______________________________________________
    HORTON, Justice.
    Katherine Lea Stanfield appeals from her judgment of conviction, entered following a
    jury trial, for the first-degree murder of two year-old W.F. by aggravated battery on a child under
    twelve years. Stanfield raises two primary challenges on appeal. First, she alleges that the district
    court erred in admitting certain expert testimony, claiming that its admission violated her Sixth
    Amendment right to confrontation and that the evidence was inadmissible hearsay. Second, she
    contends that the district court deprived her of her Fourteenth Amendment right to due process
    and right to a jury trial by failing to properly instruct the jury. We affirm.
    I. FACTUAL AND PROCEDURAL BACKGROUND
    On December 11, 2009, at 3:35 p.m., Ada County Sheriff’s dispatch received an
    emergency call from Stanfield requesting medical assistance for W.F., the son of her daughter’s
    boyfriend. At the time, Stanfield operated a daycare primarily for her two grandsons and W.F.,
    and she had been watching W.F. most weekdays during the previous four months. Stanfield told
    1
    dispatchers that W.F. was unresponsive after falling and hitting his head. A medical unit arrived
    at the scene at 3:40 p.m. and transported W.F. to St. Luke’s Regional Medical Center.
    W.F. was treated by several doctors and underwent a number of tests, including two CT
    scans, which indicated severe head trauma. W.F. did not regain consciousness and died on
    December 13, 2009. An autopsy was performed on W.F. which revealed axonal injury to his
    brain. According to Dr. Charles Garrison, the pathologist who performed W.F.’s autopsy, this
    injury could have been caused by either hypoxia or trauma. Dr. Garrison requested that a
    neuropathologist become involved in order to ascertain the cause of the axonal injury. Dr.
    Garrison preserved W.F.’s brain for this examination. Based on Dr. Garrison’s evaluation of all
    of the other evidence, but prior to receiving the neuropathologist’s report, he concluded that
    W.F.’s death was caused by non-accidental trauma.
    Police questioned Stanfield and her two grandsons, C.D. (age 8) and J.D. (age 5), about
    the incident immediately after W.F. was transported to the hospital and several times in the
    months following W.F.’s death. On September 21, 2010, Stanfield was charged with first-degree
    murder by aggravated battery on a child under twelve. Stanfield maintained that W.F. was not
    pushed or shaken, but had fallen down while she was in the kitchen and he was alone in the
    living room. The interviews of C.D. and J.D. corroborated Stanfield’s version of events, but
    multiple medical experts concluded that W.F.’s injuries were inconsistent with this scenario.
    After charging Stanfield, in order to help resolve the conflicting theories, the State hired Dr.
    Lucy Rorke-Adams, a neuropathologist, to examine W.F.’s brain tissue to determine the cause of
    his death.
    The trial began on May 2, 2012, with the jury returning its verdict on June 4, 2012. The
    primary issue at trial was what—or who—caused the injuries that resulted in W.F.’s death. The
    State contended that W.F. died from non-accidental head trauma resulting from Stanfield abusing
    him. Stanfield denied that W.F. was abused and asserted that he hit his head after falling and his
    injuries were caused by a combination of the fall and other medical conditions, including
    hypoxia caused by the emergency responders.
    At trial, seven medical experts testified for the prosecution and three testified for the
    defense. In addition to these experts, Dr. Rorke-Adams testified for the State regarding her
    examination of W.F.’s brain tissue and the conclusions she drew from that examination. Dr.
    Rorke-Adams testified that, while she personally conducted the examination and wrote the
    2
    report, she did not participate in preparing the slides that she examined; rather, her technician
    prepared the slides. 1 After verifying the technician’s work by reference to a control slide, Dr.
    Rorke-Adams evaluated the slides and wrote a report detailing her findings and conclusions.
    Stanfield objected, arguing that because Dr. Rorke-Adams lacked personal knowledge of
    the technician’s actions, Dr. Rorke-Adams’ testimony violated her right to confrontation and was
    impermissible hearsay. The district court overruled Stanfield’s objections and permitted Dr.
    Rorke-Adams to testify that the slides she examined contained W.F.’s brain tissue and that,
    based on her examination of the slides, she believed that W.F. died from non-accidental head
    trauma resulting from abuse.
    Without objection, the district court instructed the jurors that to find Stanfield guilty of
    first-degree murder, they must find that she committed aggravated battery on W.F., which
    resulted in his death, but that they were not required to find that she intended to kill. After
    deliberating for thirteen hours, the jury found Stanfield guilty of first-degree murder. The district
    court sentenced Stanfield to life in prison, with ten years fixed.
    Stanfield appeals the district court’s decision to permit Dr. Rorke-Adams to testify as to
    the results of her examination and the cause of W.F.’s axonal injuries. Stanfield also challenges
    the district court’s jury instruction, alleging that it constitutes fundamental error in violation of
    her Fourteenth Amendment right to due process and her right to a jury trial.
    II. STANDARD OF REVIEW
    When a violation of a constitutional right is asserted, we will defer to the trial court’s
    factual findings unless those findings are clearly erroneous. State v. Hooper, 
    145 Idaho 139
    , 142,
    
    176 P.3d 911
    , 914 (2007). This Court exercises “free review over the trial court’s determination
    as to whether constitutional requirements have been satisfied in light of the facts found.” 
    Id. Whether admission
    of evidence violates a defendant’s right to confront adverse witnesses under
    the Sixth Amendment’s Confrontation Clause is a question of law over which this Court
    exercises free review. 
    Id. Likewise, “[t]he
    issue of whether a particular jury instruction is
    necessary and whether the jury has been properly instructed is a matter of law over which this
    Court exercises free review.” State v. Adamcik, 
    152 Idaho 445
    , 472, 
    272 P.3d 417
    , 444 (2012).
    1
    As part of her examination, Dr. Rorke-Adams testified that she cut “slices” of W.F.’s brain. She gave those slices
    to a technician, who transferred the tissue to slides, labeled the slides, applied the stain that Dr. Rorke-Adams
    specified, and returned the slides to Dr. Rorke-Adams for her examination.
    3
    The trial court has broad discretion in deciding whether to admit hearsay evidence under
    one of the exceptions, and this Court will not overturn an exercise of that discretion absent a
    clear showing of abuse. State Dep’t of Health & Welfare, ex rel. Osborn v. Altman, 
    122 Idaho 1004
    , 1007, 
    842 P.2d 683
    , 686 (1992). Whether the district court has abused its discretion is
    determined by examining: “(1) whether the court correctly perceived the issue as one of
    discretion; (2) whether the court acted within the outer boundaries of its discretion and
    consistently within the applicable legal standards; and (3) whether the court reached its decision
    by an exercise of reason.” State v. Shackelford, 
    150 Idaho 355
    , 363, 
    247 P.3d 582
    , 590 (2010).
    Even if evidence was admitted in error, this Court will not grant relief if we find the error to be
    harmless. Id.; see also I.C.R. 52.
    III. ANALYSIS
    We first consider whether the district court erred by permitting the introduction of Dr.
    Rorke-Adams’ testimony. This requires a determination whether the introduction of her
    testimony abridged Stanfield’s Sixth Amendment right of confrontation. We then separately
    consider whether Dr. Rorke-Adams’ testimony included inadmissible hearsay. Finally, we
    address Stanfield’s challenge to the jury instruction.
    A. The district court did not err by admitting Dr. Rorke-Adams’ testimony.
    1. The admission of the testimony did not violate Stanfield’s Sixth Amendment
    right of confrontation.
    As previously noted, the district court overruled Stanfield’s objection and permitted Dr.
    Rorke-Adams to testify that the slides she examined contained W.F.’s brain tissue and as to the
    findings and conclusions she reached based upon her examination of those slides. Dr. Rorke-
    Adams did not personally prepare the slides that she examined; rather, a technician in her lab
    purportedly prepared the slides in accordance with instructions from Dr. Rorke-Adams. Stanfield
    contends that the technician, by labeling the slides, asserted that they contained W.F.’s tissue,
    and that, by returning the slides to Dr. Rorke-Adams without any notations, asserted that the
    proper chemicals had been applied to the tissue samples in accordance with her instructions.
    Stanfield argues that these assertions are testimonial and that Dr. Rorke-Adams introduced them
    for their truth. Thus, Stanfield contends that the Confrontation Clause required that the State
    produce the testimony of the laboratory technician in addition to that of Dr. Rorke-Adams.
    Absent this testimony, Stanfield argues, Dr. Rorke-Adams’ opinions and conclusions were not
    relevant or reliable and should not have been presented to the jury.
    4
    a. Current Confrontation Clause jurisprudence
    The Confrontation Clause provides that “[i]n all criminal prosecutions, the accused shall
    enjoy the right . . . to be confronted with witnesses against him.” U.S. Const. amend. VI; see also
    Idaho Const. Art. I § 13. The right to confrontation is fundamental and applies equally to state
    prosecutions. Pointer v. Texas, 
    380 U.S. 400
    , 403 (1965). Our state constitution does not contain
    a confrontation clause similar to that found in the United States Constitution; therefore, this issue
    is analyzed solely under the United States Constitution. State v. Sharp, 
    101 Idaho 498
    , 502, 
    616 P.2d 1034
    , 1038 (1980).
    The Confrontation Clause only “applies to ‘witnesses’ against the accused—in other
    words, those who ‘bear testimony.’ ” Crawford v. Washington, 
    541 U.S. 36
    , 51 (2004). The
    United States Supreme Court has determined that this language restricts the Confrontation
    Clause to testimonial hearsay. Davis v. Washington, 
    547 U.S. 813
    , 823–24 (2006); 
    Crawford, 541 U.S. at 51
    . The Confrontation Clause only applies to statements that are “testimonial.”
    
    Davis, 547 U.S. at 823
    ; 
    Crawford, 541 U.S. at 51
    . The Clause does not bar statements not
    offered to prove the truth of the matter asserted. 
    Crawford, 541 U.S. at 59
    n.9 (citing Tennessee
    v. Street, 
    471 U.S. 409
    , 414 (1985)). If the statement is testimonial, then its admission is
    permitted only if the declarant is unavailable and the defendant has had a prior opportunity to
    cross-examine the declarant. 
    Crawford, 541 U.S. at 59
    ; 
    Hooper, 145 Idaho at 143
    , 176 P.3d at
    915.
    Any declaration, affirmation, omission, or nonverbal conduct made for the purpose of
    establishing some fact, qualifies as a statement. The Supreme Court has recognized that
    affirmations made by way of omissions may constitute statements. Bullcoming v. New Mexico,
    
    131 S. Ct. 2705
    , 2714 (2011) (“He further represented, by leaving the ‘[r]emarks’ section of the
    report blank, that no ‘circumstance or condition . . . affect[ed] the integrity of the sample or . . .
    the validity of the analysis.’ ”). In this case, the technician’s labeling and the omission of any
    indication that Dr. Rorke-Adams’ instructions had not been followed constitute statements for
    Confrontation Clause purposes. However, these statements must be testimonial for the
    Confrontation Clause to apply.
    The Supreme Court has not provided a comprehensive definition of “testimonial,” but
    some guiding principles may be gleaned from that Court’s recent decisions. Whether a statement
    is testimonial is determined by looking at the statement’s primary purpose and its similarities to
    5
    traditional testimony. 
    Davis, 547 U.S. at 822
    . Testimony is defined as “[a] solemn declaration or
    affirmation made for the purpose of establishing or proving some fact.” 
    Crawford, 541 U.S. at 51
    (alteration in original; citation omitted). Therefore, a statement is testimonial when “the
    circumstances objectively indicate that . . . the primary purpose . . . is to establish or prove past
    events potentially relevant to later criminal prosecution.” 
    Davis, 547 U.S. at 822
    . When no such
    primary purpose exists, the statement is nontestimonial and its admissibility is governed by state
    and federal rules of evidence, not the Confrontation Clause. 2 Michigan v. Bryant, 
    562 U.S. 344
    ,
    ___, 
    131 S. Ct. 1143
    , 1155 (2011).
    Further, while a statement does not have to be written or made under oath to be
    testimonial, the formality of the statement itself and the formality of the circumstances in which
    the statement is made are relevant to determine whether it was intended to establish some fact at
    trial. 
    Davis, 547 U.S. at 826
    , 827–28; see, e.g., 
    Shackelford, 150 Idaho at 373
    , 247 P.3d at 600
    (the totality of the circumstances analysis considers “the formality of questioning and the extent
    to which the interview was similar to live testimony”). In essence, a statement is testimonial
    when it is intended to be “a weaker substitute for live testimony at trial.” 
    Davis, 547 U.S. at 828
    (internal quotation, citation omitted). While this definition has been easily applied to traditional
    testimony presented by lay witnesses, its application to forensic evidence and expert testimony
    has proved to be problematic.
    Three Supreme Court cases have addressed the subject presented in this case—whether
    the statements contained in, or relied on in creating, forensic reports are “testimonial”—but these
    decisions are difficult to distill into controlling principles of law. Melendez-Diaz v.
    Massachusetts, 
    557 U.S. 305
    (2009); Bullcoming, 
    131 S. Ct. 2705
    ; Williams v. Illinois, 
    132 S. Ct. 2221
    (2012). It is clear that a statement—forensic or otherwise—is testimonial if it is made
    primarily with an evidentiary purpose, regardless of its formality or any other particular criteria.
    
    Bryant, 131 S. Ct. at 1155
    ; see also 
    Melendez-Diaz, 557 U.S. at 324
    . Justices Scalia, Ginsburg,
    Stevens, and Souter, (and eventually Justices Sotomayor and Kagan) have consistently voted
    together, opining that this is the only requirement for a statement to be testimonial. See e.g.
    
    Melendez-Diaz, 557 U.S. at 310
    . Justices Kennedy, Breyer, Alito, and Chief Justice Roberts, also
    2
    The rules of evidence may assist in determining the purpose of a statement. For example, “[b]usiness and public
    records are generally admissible absent confrontation not because they qualify under an exception to the hearsay
    rules, but because—having been created for the administration of an entity’s affairs and not for the purpose of
    establishing or proving some fact at trial—they are not testimonial.” Melendez-Diaz v. Massachusetts, 
    557 U.S. 305
    ,
    324 (2009).
    6
    consistently voting together, have considered whether the statement has an accusatory aspect.
    Justice Thomas has focused on the formality of the statement. See, e.g., 
    id. at 343–44
    (Kennedy,
    J., dissenting); 
    Id. at 329–30
    (Thomas, J., concurring). Given the present evolution of the
    Supreme Court’s Confrontation Clause jurisprudence, it is appropriate to more carefully examine
    these decisions.
    The United States Supreme Court first took up the issue of whether analysts’ statements
    contained in forensic reports are testimonial for Confrontation Clause purposes in Melendez-Diaz
    v. Massachusetts, 
    557 U.S. 305
    . There, the trial court admitted three “certificates of analysis”
    that cocaine was present in bags of powder seized from the defendant. 
    Id. at 308.
    The certificates
    were sworn to before a notary by the analysts who conducted the testing. 
    Id. The plurality
    held
    that the certificates were testimonial because they were “solemn declaration[s] or affirmation[s]
    made for the purpose of establishing or proving some fact” and were “quite plainly affidavits.”
    
    Id. at 310
    (quoting 
    Crawford, 541 U.S. at 51
    ). The Court noted that the governing statute
    provided that “the sole purpose of the affidavits was to provide prima facie evidence of the
    composition, quality, and the net weight of the analyzed substance,” 
    id. at 311
    (emphasis in
    original, internal quotation and citation omitted), and that the certificates provided “the precise
    testimony the analysts would be expected to provide if at trial.” 
    Id. 3 Despite
    this holding, the plurality explained that:
    [W]e do not hold, and it is not the case, that anyone whose testimony may be
    relevant in establishing the chain of custody, authenticity of the sample, or
    accuracy of the testing device, must appear in person as part of the prosecution’s
    case . . . but, what testimony is introduced must (if the defendant objects) be
    introduced live.
    
    Id. at 311
    n.1 (emphasis in original). Justice Thomas concurred, resulting in a 5-4 holding that
    the Confrontation Clause was violated by admission of the certificates. Justice Thomas reasoned
    that, because the certificates were “formalized testimonial materials” and “quite plainly
    affidavits,” they were governed by the Confrontation Clause. 
    Id. at 329–30
    (Thomas, J.,
    concurring). Justice Kennedy, joined by Justices Roberts, Breyer, and Alito, dissented, arguing
    that the Sixth Amendment’s use of the phrase “witnesses against” requires that the witness
    3
    The plurality also looked to the rules of evidence to determine if the statements served an evidentiary purpose.
    
    Melendez-Diaz, 557 U.S. at 321
    –22. Although the certificates of analysis were records created in the ordinary course
    of the laboratory’s business, their purpose was not for the administration of the laboratory’s affairs but rather to
    establish or prove some fact at trial. 
    Id. at 324.
    Therefore, although falling within the well-established business
    records exception, because their primary purpose was evidentiary, the analysts were subject to confrontation. 
    Id. 7 perceive
    “an event that gives him personal knowledge of some aspect of the defendant’s guilt.”
    
    Id. at 343–44
    (Kennedy, J., dissenting). The dissent reasoned that “[t]he analyst’s distance from
    the crime and the defendant, in both space and time, suggests the analyst is not a witness against
    the defendant in the conventional sense.” 
    Id. at 345.
           Two years later, the Court again addressed the issue in Bullcoming v. New Mexico, 
    131 S. Ct. 2705
    . In Bullcoming, the State introduced the results of a blood alcohol test as the principal
    evidence in the defendant’s prosecution for driving while intoxicated. 
    Id. at 2709–10.
    The
    “certificate of analyst” was signed by the testing analyst and reported that the defendant’s blood
    alcohol concentration was .21. 
    Id. at 2710.
    Additionally, the analyst affirmed that he had
    “received Bullcoming’s blood sample intact with the seal unbroken, that he checked to make
    sure that the forensic report number and the sample number ‘corresponded,’ and that he
    performed on Bullcoming’s sample a particular test, adhering to a precise protocol.” 
    Id. at 2714.
    The trial court allowed the certificate to be admitted as a business record during the testimony of
    another analyst who was employed by the same laboratory. 
    Id. at 2712.
    Although the testifying
    analyst was familiar with the lab’s routine procedures, he had neither observed nor reviewed the
    certifying analyst’s findings. 
    Id. On appeal,
    the majority concluded that the report was indistinguishable from the report
    admitted in Melendez-Diaz, despite not being sworn to under oath, and was thus testimonial. 
    Id. at 2717.
    They explained that “[a] document created solely for an ‘evidentiary purpose,’ . . . made
    in aid of a police investigation, ranks as testimonial.” 
    Id. (citing Melendez-Diaz,
    129 S.Ct at
    2532). In addition to affirming Melendez-Diaz, the Bullcoming majority further explained that
    the Confrontation Clause required that the statements not only had to be admitted through live
    testimony, but that the testimony had to be that of the specific analyst who conducted the
    scientific test at issue. 
    Id. at 2715.
    The Court rejected the notion that “surrogate testimony” could
    satisfy the requirements of the Confrontation Clause because only the analyst responsible for the
    testing could “convey what [he] knew or observed about the events his certification concerned,
    i.e., the particular test and testing process he employed.” 
    Id. The Court
    held that the
    Confrontation Clause does not permit a person to testify to the observations made by another,
    regardless of whether they were recorded, simply because the person testifying is familiar with
    the technology the observing witness used. 
    Id. at 2714–15.
    8
    Of particular significance to our decision today, Justice Sotomayor’s concurrence
    discussed the limited scope of the holding, emphasizing that the decision did not extend to
    situations, such as the one presently before this Court, in which the “expert witness was asked for
    his independent opinion about underlying testimonial reports that were not themselves admitted
    into evidence.” 
    Id. at 2722
    (Sotomayor, J., concurring).
    The overriding principle that we glean from Melendez-Diaz and Bullcoming is that
    introduction of reports by non-testifying analysts violates the defendant’s right of confrontation
    when they are “for the purpose of establishing or proving some fact at trial,” 
    Melendez-Diaz, 557 U.S. at 324
    , or are “affirmation[s] made for the purpose of establishing or proving some fact in a
    criminal proceeding.” 
    Bullcoming, 131 S. Ct. at 2716
    (alteration in original; internal quotation
    omitted). In the present case, the challenged evidence served as foundation for the introduction
    of Dr. Rorke-Adams’ testimony rather than direct evidence of a fact pointing toward Stanfield’s
    guilt. Thus, we do not view these decisions as dictating the result of this appeal.
    Most recently, in Williams v. Illinois, the Court examined application of the
    Confrontation Clause to forensic reports which are relied on by a testifying expert, but which are
    not admitted into 
    evidence. 132 S. Ct. at 2227
    –28. Williams addressed “ ‘the constitutionality of
    allowing an expert witness to discuss others’ testimonial statements if the testimonial statements
    were not themselves admitted as evidence.’ ” 
    Id. at 2233
    (quoting 
    Bullcoming, 131 S. Ct. at 2722
    (Sotomayor, J., concurring in part)).
    In Williams, two DNA profiles were produced. One profile was obtained from a vaginal
    swab from a rape victim and the other from a sample of the defendant’s blood. 
    Id. at 2227.
    The
    testifying expert was not involved in obtaining or testing the DNA obtained from the victim;
    rather, her opinion was based on notations within documents admitted as business records. 
    Id. The expert
    did not testify to how the testing laboratory (Cellmark) handled or tested the sample
    or to the accuracy of the profile created from the sample, and the report itself was not admitted
    into evidence or shown to the jury. 
    Id. at 2227,
    2230. However, the expert testified that the DNA
    profile recovered from the defendant’s blood matched “the male DNA profile found in semen
    from the vaginal swabs. . . .” 
    Id. at 2236
    (emphasis in original). The defense asserted that the
    9
    Confrontation Clause prohibited the expert from testifying regarding testing performed by
    Cellmark. 
    Id. at 2231.
    4
    The case was again determined by Justice Thomas’ fifth vote, however, this time Justice
    Thomas concurred with the previously dissenting Justices—Chief Justice Roberts, and Justices
    Kennedy, Breyer, and Alito—finding no Confrontation Clause violation. 
    Id. at 2255
    (Thomas, J.,
    concurring). The plurality held that even if the Cellmark report had been admitted into evidence,
    there would have been no violation of the Confrontation Clause for several reasons: (1) “The
    Cellmark report is very different from the sort of extrajudicial statements, such as affidavits,
    depositions, prior testimony, and confessions, that the Confrontation Clause was originally
    understood to reach”; (2) “[t]he report was produced before any suspect was identified”; (3) the
    report was not sought “for the purpose of obtaining evidence to be used against [the defendant],
    who was not even under suspicion at the time”; and, (4) the DNA profile produced “was not
    inherently inculpatory.” 
    Id. at 2228.
            The plurality determined that, unlike the forensic reports in Melendez-Diaz and
    Bullcoming, the DNA profile generated in Williams was not created in order to be used as
    evidence against a particular defendant. 
    Id. at 2243.
    At the time the report was produced, the
    defendant was neither in custody nor under suspicion, and the technicians who prepared the
    profile didn’t know whether the results would be incriminating. 
    Id. at 2243–44.
    Therefore, the
    plurality reasoned that the primary purpose of the technician’s report was not to create evidence
    against the defendant, but was “to perform his or her task in accordance with accepted
    procedures.” 
    Id. at 2244.
            Justice Thomas, in his concurrence, agreed that the profile was not testimonial but solely
    because it lacked the requisite formality and solemnity. 
    Id. at 2255
    (Thomas, J., concurring). He
    rejected the plurality’s new requirement that a statement must target a particular individual to be
    testimonial because “[t]here is no textual justification . . . for limiting the confrontation right to
    statements made after the accused’s identity became known.” 
    Id. at 2262
    (Thomas, J.,
    concurring). Likewise, Justice Kagan, writing for the four dissenting justices, rejected the
    plurality’s accusatory requirement, as well as Justice Thomas’ formality requirement, adhering to
    4
    The expert did not have personal knowledge of the testing conducted on the defendant’s blood, however, the
    analyst who developed the profile from the blood sample extracted from the defendant testified at trial, as did the
    analyst who confirmed that semen was found on the vaginal swabs taken from the victim. 
    Williams, 132 S. Ct. at 2229
    .
    10
    the view that forensic reports are testimonial based entirely on the primary purpose test. 
    Id. at 2273–74
    (Kagan, J., dissenting). Justice Breyer concurred with the plurality but wrote separately
    to address what he believed was the true question raised: “How does the Confrontation Clause
    apply to the panoply of crime laboratory reports and underlying technical statements written by
    (or otherwise made by) laboratory technicians?” 
    Id. at 2244
    (Breyer, J., concurring). It is this
    precise question that this Court faces.
    In his concurrence, Justice Breyer discussed the practical problems resulting from a
    requirement that every analyst involved in forensic testing must testify at trial. He concluded that
    an analyst’s statements “lie outside the perimeter of the Clause” for both historical and practical
    reasons. 
    Id. at 2251.
    Justice Breyer reasoned that, based on the historic purpose of the Clause,
    these types of statements would not be subject to confrontation because they do not implicate the
    core concerns at issue—the use of ex parte examinations as evidence. 
    Id. at 2249–51.
    He
    expressed concern that costs resulting from a rule requiring the live testimony of every analyst
    involved in the testing process would cause prosecutors to forego DNA testimony and return to a
    reliance on eyewitness testimony. In Justice Breyer’s view, an “interpretation of the Clause that
    risks greater prosecution reliance upon less reliable evidence cannot be sound.” 
    Id. at 2251.
    For
    these reasons, Justice Breyer concluded that reports of this nature fall outside application of the
    Confrontation Clause. 
    Id. When considering
    an opinion like Williams, in which no single rationale commands the
    support of a majority, “the holding of the Court may be viewed as that position taken by those
    Members who concurred in the judgments on the narrowest grounds.” Marks v. United States,
    
    430 U.S. 188
    , 193 (1977) (quoting Gregg v. Georgia, 
    428 U.S. 153
    , 169 n.15 (1976)). Because
    no position received support from a majority of the justices, Williams does not provide us a
    governing legal principle and this Court views the decision as limited to the unique set of facts
    presented in that case. 5 See e.g., United States v. James, 
    712 F.3d 79
    , 95 (2nd Cir. 2013); Jenkins
    v. United States, 
    75 A.3d 174
    , 176 (D.C. 2013) (“Williams … creates no new rule of law that we
    can apply in this case.”).
    5
    “The five Justices who control the outcome of today’s case agree on very little . . . they have left significant
    confusion in their wake. What comes out of four Justices’ desire to limit Melendez-Diaz and Bullcoming in whatever
    way possible, combined with one Justice’s one-justice view of those holdings, is—to be frank—who knows what.
    Those decisions apparently no longer mean all that they say. Yet no one can tell in what way or to what extent they
    are altered because no proposed limitation commands the support of a majority.” 
    Williams, 132 S. Ct. at 2277
    (Kagan, J., dissenting).
    11
    The facts presented by this appeal differ from both Melendez-Diaz, which involved a
    certified report that was admitted without live testimony, and Bullcoming, which involved a
    signed report that was admitted through surrogate testimony of another analyst who had no
    connection to the report and offered no independent expertise. Melendez–Diaz, 
    557 U.S. 305
    ;
    Bullcoming, 
    131 S. Ct. 2705
    . Indeed, the facts appear to fall within one of the scenarios identified
    by Justice Sotomayor as being outside the “limited reach” of the majority opinion in 
    Bullcoming. 131 S. Ct. at 2719
    , 2722 (Sotomayor, J., concurring in part).
    Circuit courts and state courts have disagreed as to the proper application of current
    Supreme Court Confrontation Clause jurisprudence. See, e.g., 
    James, 712 F.3d at 96
    (interpreting pre-Williams precedent as establishing that a statement is testimonial if its primary
    purpose is to create a record for later use at trial); United States v. Duron-Caldera, 
    737 F.3d 988
    ,
    994–96 (5th Cir. 2013) (declining to adopt requirement that statement be accusatory), United
    States v. Turner, 
    709 F.3d 1187
    , 1192–93 (7th Cir. 2013) (considering whether jury may have
    considered statement as offered for its truth and whether it was accusatory); Derr v. State, 
    73 A.3d 254
    , 270–71 (Md. 2013) (requiring a statement to be sufficiently formalized to be
    testimonial).
    The only consistent requirement that can be distilled from these decisions is that in order
    for a statement—forensic or otherwise—to be deemed testimonial, it must have been made with
    a primary objective of creating an evidentiary record to establish or prove a fact at trial.
    Michigan v. Bryant, 
    131 S. Ct. 1143
    , 1155 (2011); see also 
    Melendez-Diaz, 557 U.S. at 324
    . This
    Court has previously addressed the definition of testimonial statements only in the context of
    statements made by lay witnesses, where we likewise applied the primary purpose test to
    determine whether a statement is testimonial. State v. Hooper, 
    145 Idaho 139
    , 144–146, 
    176 P.3d 911
    , 916–184 (2007) (videotape of child victim’s interview with police was testimonial because
    it was admitted as a substitute for her live testimony); State v. Shackelford, 
    150 Idaho 355
    , 372–
    73, 
    247 P.3d 582
    , 599–600 (2010) (statements of ex-wife were not testimonial because they were
    offered to evaluate defendant’s demeanor and not offered for their truth).
    Although this Court has not previously addressed the recent developments in
    Confrontation Clause jurisprudence in the context of forensic evidence, our Court of Appeals has
    attempted to navigate these scarcely-charted waters in State v. Kramer, 
    153 Idaho 29
    , 
    278 P.3d 431
    (Ct. App. 2012). During Kramer’s trial for driving under the influence of alcohol, the
    12
    prosecution introduced calibration certificates for the Intoxilyzer 5000 instrument used to
    determine the alcohol concentration in Kramer’s breath. 
    Id. at 30,
    32, 278 P.3d at 432
    , 434.
    Kramer argued that the Confrontation Clause required the State to produce not just the
    certificates but the live testimony of the people involved in certifying the machine. 
    Id. at 32,
    278
    P.3d at 434. In a thoughtful and well-researched opinion, the Court of Appeals concluded that the
    certificates were not testimonial as they were not admitted as direct evidence of an element of the
    crime. 
    Id. at 35–36,
    278 P.3d at 437–38 (“The certificates here ‘support one fact (the accuracy of
    the machine) that, in turn, supports another fact that can establish guilt (the blood alcohol level).’
    ”) (quoting Commonwealth v. Zeininger, 
    947 N.E.2d 1060
    , 1069 (Mass. 2011)). As did the Court
    of Appeals, we conclude that our inquiry should focus on whether the technician’s statements
    were made with a primary objective of creating an evidentiary record to establish or prove a fact
    at trial.
    A number of courts, presented with facts similar to those in Kramer, have likewise held
    that the testimony of an expert witness who arrives at an independent conclusion is permissible
    under the Confrontation Clause even where other non-testifying analysts have provided
    underlying data or conducted portions of the testing. 6 In Washington v. Lui, the Washington
    Supreme Court held that the Confrontation Clause was not violated even though the testifying
    6
    See, e.g., Commonwealth v. Yohe, 
    79 A.3d 520
    , 541 (Pa. 2013) (The right to confrontation satisfied when testifying
    expert was involved in a sufficient degree in the analysis and is not simply parroting another analyst but rather
    reviewed raw testing data, evaluated the results, verified the test, and wrote the report); State v. Joseph, 
    283 P.3d 27
    ,
    29–30 (Ariz. 2012) (the testifying expert relying on autopsy report prepared by non-testifying doctor did not act as
    an impermissible conduit because he testified to his own conclusions regarding the victim’s injuries); State v.
    Medicine Eagle, 
    835 N.W.2d 886
    , 898–902 (S.D. 2013) (right to confrontation was not violated despite the fact that
    analysts that performed some steps of the testing did not testify at trial because the testifying expert “performed
    various steps of the [testing]; independently reviewed, analyzed, and compared the data obtained from the testing;
    and reached her own conclusions regarding the results of the testing”); State v. Ortiz-Zape, 
    743 S.E.2d 156
    , 163
    (N.C. 2013) (“when an expert gives an opinion, the opinion is the substantive evidence and the expert is the witness
    whom the defendant has the right to confront”); Marshall v. People, 
    309 P.3d 943
    , 947 (Colo. 2013) (“We join these
    courts in concluding that when a lab supervisor … independently reviews scientific data, draws the conclusion that
    the data indicates the positive presence of methamphetamine, and signs a report to that effect that is admitted at trial,
    the Confrontation Clause is satisfied if she testifies and is available for cross-examination.”); Smith v. Florida, 
    28 So. 3d 838
    , 854–55 (Fla. 2009) (no Confrontation Clause violation in admission of DNA tests because supervisor
    evaluated raw test results, compared samples, made conclusions, and testified at trial); Grim v. Mississippi, 
    102 So. 3d 1073
    , 1081 (Miss. 2012) (holding that “a supervisor, reviewer, or other analyst involved may testify in place
    of the primary analyst where that person was actively involved in the production of the report and had intimate
    knowledge of analyses even though [he or] she did not perform the tests first hand.”) (alternation in original; internal
    quotation and citation omitted).
    We acknowledge that the decisions of our sister states have not been in uniform agreement. See, e.g., State v.
    Navarette, 
    294 P.3d 435
    , 438–39 (N.M. 2013) (autopsy findings are testimonial when there are no “objective
    markers that any third party can examine in order to express an independent opinion”); Martin v. State, 
    60 A.3d 1100
    , 1107 (Del. 2013) (the testing analyst’s representations and test results were testimonial because the statements
    were conclusions that the testifying expert relayed and did not make independently).
    13
    expert “did not personally observe the lab tests that underlaid her analysis” because the output of
    the testing, an electropherogram, would have no meaning for the jury without the testifying
    expert’s evaluation of its significance. 
    315 P.3d 493
    , 507–09 (Wash. 2014). Rather, the
    preliminary steps in an analysis are essentially part of the chain of custody, and evidence of these
    steps merely goes to the weight and not the admissibility of the result. 
    Id. Similarly, the
    Indiana
    Supreme Court held that the technician who transferred the blood from pieces of glass to swabs
    for later testing and analysis was just one person in the chain of custody, and as such, the
    defendant’s right to confrontation was not violated because the expert who conducted the
    analysis and prepared the report testified at trial. Speers v. State, 
    999 N.E.2d 850
    , 854–55 (Ind.
    2013). In these cases, the underlying statements did not have an evidentiary purpose, and were
    thus not testimonial, because only the expert’s independent conclusion served as evidence. 
    Lui, 315 P.3d at 510
    ; 
    Speers, 999 N.E.2d at 855
    .
    A defendant’s right to confrontation is violated when “an expert acts merely as a well-
    credentialed conduit,” and does not provide any independent expert opinion. United States v.
    Ramos-Gonzalez, 
    664 F.3d 1
    , 5–6 (1st Cir. 2011) (testimony violated Confrontation Clause
    because expert simply recounted results of another expert’s testing). These courts finding
    statements to be testimonial have done so when the expert has relayed another analyst’s
    conclusion that was not reached independently by the testifying expert. See, e.g., State v.
    Navarette, 
    294 P.3d 435
    (N.M. 2013). In Navarette, the testifying expert relied on the findings of
    another analyst—who concluded that there was gunpowder residue on the victim—to determine
    how close the shooter was to the victim. 
    Id. at 436–37.
    The court held that the analyst’s findings
    were testimonial because there were no “objective markers that any third party can examine in
    order to express an independent opinion.” 
    Id. at 438–439.
    However, when an expert
    independently evaluates objective raw data obtained from an analyst, and exercises his or her
    own judgment in reaching a conclusion, the expert is not a conduit for the analyst’s conclusion.
    United States v. Summers, 
    666 F.3d 192
    , 201–202 (4th Cir. 2011). Rather, the testifying expert’s
    opinion is an “original product” that can be readily “tested through cross-examination.” 
    Id. at 202
    (internal quotations and citation omitted). We join the majority of jurisdictions considering
    this subject and focus our attention on the question whether the primary purpose of the lab
    technician’s act of labeling the slides and the implicit assertion that the proper stain was applied
    14
    was intended to establish some fact at trial and whether Dr. Rorke-Adams served as a mere
    conduit.
    b. Application of the Confrontation Clause analysis to Dr. Rorke-Adams’ testimony
    Dr. Rorke-Adams testified that the slides she examined contained the brain tissue of
    W.F., and that this tissue had been stained with the amyloid antigen. Stanfield contends that Dr.
    Rorke-Adams’ testimony relied on two assertions made by the technician: (1) that the slides were
    labeled with the correct case number, and thus contained W.F.’s brain tissue; and (2) that the
    technician applied the proper stain to the samples in accordance with the laboratory protocol,
    thereby permitting an accurate interpretation of the samples.
    Dr. Rorke-Adams testified that she received W.F.’s brain from Dr. Garrison after he had
    conducted the autopsy, that the brain tissue was labeled when she received it, and that the tissue
    slices were sent to the technician with the same label. The slides that Dr. Rorke-Adams received
    back from the technician were also labeled. At trial, the following exchange occurred:
    [The prosecutor]. When the tissues arrived in your office, are they marked with
    who the tissues belong to?
    Dr. Rorke-Adams. Yes, of course. They’re labeled.
    [The prosecutor]. And when you go to do your examination of these tissues, are
    they still labeled?
    Dr. Rorke-Adams. Yes.
    [The prosecutor]. And the technician that put the stain on the tissues, does she
    write any reports?
    Dr. Rorke-Adams. No. She – we write the report. She has documentation to the
    fact that she received the tissue, the stain that we requested her to do, and she
    notes when she did it, and then when she handed it back to us. Those are the only
    pieces of documentation. This is the standard procedure in the laboratory for
    every case.
    And so the label of the material is attached to the material. It remains with
    the material. Then the slides are prepared by the technician and the slides are
    labeled with the same number that was attached to that specimen so we know that
    Specimen 500 came from John Smith. And so we evaluate – we evaluate it, write
    a report, and that report goes into the permanent record.
    Dr. Rorke-Adams testified that she did not observe the technician prepare the slides,
    however, she explained that she was able to determine if the correct stain had been applied:
    [The prosecutor]. Are you able to tell when your technician places the stain on
    these tissues whether the stain has been properly applied or not?
    Dr. Rorke-Adams. Yes. Because there’s always a control slide that goes with it.
    Control slide means that – in this particular case, I asked for a specific antibody to
    be applied to this tissue.
    15
    ....
    We fill out a request sheet. We ask specifically for that antibody to be
    applied to the tissue. It’s given to the technician along with the specimen. The
    technician then knows which antibody to use. Those technical procedures are
    done in that special laboratory.
    And then that prepared slide is given to the pathologist along with the
    sheet, the request sheet that we made out asking for that antibody, plus a control
    slide, which means that another piece of tissue that was known to contain this
    particular antigen that we’re interested in has been used to corroborate the validity
    of the stain from the unknown slide.
    So we look at the control slide first to make certain that the technique was
    working so that we can rely then upon what we’re looking at in the unknown
    slide.
    So these are all standard procedures in the laboratory, and this is the way it
    is done every day for all of the cases that come through.
    Dr. Rorke-Adams testified this procedure was followed in this case.
    Thus, Dr. Rorke-Adams had personal knowledge that the slides were stained correctly
    based on her comparison of the slides with the control slide. Based upon this testimony, Dr.
    Rorke-Adams did not rely upon an implied assertion by the technician that the slide had been
    properly prepared. Therefore, the only remaining implied assertion is that the labeling of the
    slides represented that the slides contained W.F.’s tissue.
    As in Lui and Speers, the labeling occurred during preliminary steps for Dr. Rorke-
    Adams’ forensic examination. The technician did not make any conclusions or factual findings
    as to any issue to be decided at trial when she labeled the slides and the technician’s assertion
    had no probative value as to Stanfield’s guilt or innocence. Rather, the act of labeling was
    manifestly for a laboratory—rather than trial—purpose: to identify the samples while they
    awaited Dr. Rorke-Adams’ examination. Further, while assertions need not be contained in
    formalized affidavits or admitted at trial to be testimonial, the fact that the technician did not
    prepare a report suggests that her purpose in labeling the slides was not to establish any fact at
    trial. The only testimony the technician could have supplied would be to attest that she did not
    alter the integrity or identity of the tissue samples. This is akin to the type of assertion made by
    any person whose name appears in a chain of custody. As the Supreme Court held in Melendez-
    Diaz, the right to confrontation does not mandate that the prosecution call every person involved
    in the chain of custody. Melendez-Diaz v. Massachusetts, 
    557 U.S. 305
    , 311 n. 1 (2009).
    Further, like the calibration certificates in Kramer, the technician’s assertions were not
    admitted as direct proof of an element of the crime; rather, they were admitted as foundation for
    16
    the introduction of the results of Dr. Rorke-Adams’ testimony regarding her examination of the
    samples and the conclusions she drew therefrom, i.e., that W.F. died from non-accidental trauma.
    These findings and conclusions were derived from Dr. Rorke-Adams’ personal examination and
    observations of the slides. Unlike the analyst in Navarette, the technician in this case made no
    independent conclusions and the labeling did not prove any fact relevant to Stanfield’s guilt or
    innocence.
    For these reasons, we hold that there was no Confrontation Clause violation because the
    technician’s assertions were not made for an evidentiary purpose and thus were not testimonial.
    2. Dr. Rorke-Adams’ testimony was not inadmissible hearsay.
    Much like her Confrontation Clause objection, Stanfield argues that Dr. Rorke-Adams’
    testimony regarding the contents of the slides and her testimony regarding the staining and
    accuracy of the slides constitute inadmissible hearsay. Stanfield contends that Dr. Rorke-Adams
    did not have an “independent basis of knowledge so as to testify that the assertions of the
    laboratory technician were accurate.” The State responds that Dr. Rorke-Adams did not relay
    impermissible hearsay evidence but rather testified to the routine practices of her laboratory and
    to matters that were within her personal knowledge, as permitted by I.R.E. 406. 7 Initially, we
    note that while Dr. Rorke-Adams testified regarding her laboratory’s routine procedures, she also
    testified that those procedures were followed in this case and that the slides contained W.F.’s
    brain tissue. 8 This testimony provided facts that were specific to this case and as such, exceeded
    that allowed under Idaho Rule of Evidence 406.
    Hearsay is defined as an out-of-court statement that is offered “to prove the truth of the
    matter asserted.” I.R.E. 801(c). Therefore, Dr. Rorke-Adams’ testimony that procedures were
    followed and that the slides contained W.F.’s brain tissue was hearsay. 9
    Generally, hearsay evidence is not admissible at trial unless it falls under one of the
    recognized hearsay exceptions. I.R.E. 802; State v. Watkins, 
    148 Idaho 418
    , 423, 
    224 P.3d 485
    ,
    490 (2009). However, an expert witness is allowed to base an opinion on: “(1) facts within [her]
    personal knowledge; (2) facts presented to [her] at trial; or (3) facts presented to [her] outside of
    7
    “Evidence of a habit of a person or of the routine practice of an organization, whether corroborated or not and
    regardless of the presence of eyewitnesses, is relevant to prove that the conduct of the person or organization on a
    particular occasion was in conformity with the habit or routine practice.” I.R.E. 406.
    8
    As explained previously, we find that Dr. Rorke-Adams had independent knowledge regarding the administration
    of the proper stain to the slides based upon her comparison of the slides to a control slide.
    9
    The claim that the slides contained W.F.’s tissue is of particular importance; if this assertion were not true, then Dr.
    Rorke-Adams’ testimony would have been irrelevant.
    17
    court, but not perceived by [her] personally, if those facts are the type of facts reasonably relied
    upon by experts in [her] field in drawing such conclusions.” F.R.E. 703, Comment 1 10; F.R.E.
    602; I.R.E. 703; I.R.E. 602; see also 
    Watkins, 148 Idaho at 426
    , 224 P.3d at 493. Idaho Rule of
    Evidence 703 provides that:
    The facts or data in the particular case upon which an expert bases an
    opinion or inference may be those perceived by or made known to the expert at or
    before the hearing. If of a type reasonably relied upon by experts in the particular
    field in forming opinions or inferences upon the subject, the facts or data need not
    be admissible in evidence in order for the opinion or inference to be admitted.
    Facts or data that are otherwise inadmissible shall not be disclosed to the jury by
    the proponent of the opinion or inference unless the court determines that their
    probative value in assisting the jury to evaluate the expert’s opinion substantially
    outweighs their prejudicial effect.
    I.R.E. 703. This rule permits an expert witness “to state an opinion based on inadmissible
    evidence and to indicate the general nature of the sources on which the expert has relied, but not
    to disclose, directly or indirectly, the contents of the sources on direct examination unless they
    are otherwise admissible, or the court makes the required balancing determination.” 
    Watkins, 148 Idaho at 426
    -27, 224 P.3d at 493-94. “The intent of the rule is just that the opinion does not have
    to be excluded because part of the basis was evidence that would not be admissible itself.” Id. at
    
    426, 224 P.3d at 493
    (quoting Evidence Rules Advisory Committee Minutes of Meeting of
    November 2, 2001 at 3.).
    In 2002, the rule was amended to clarify that I.R.E. 703 should not be used as “a back
    door for getting this evidence in the record.” 
    Id. The amendment
    “serves to prevent an expert
    witness from serving as a conduit for the introduction of otherwise inadmissible evidence.” 
    Id. at 427,
    224 P.3d at 494. The amendment was not intended to change the meaning of I.R.E. 703;
    rather, it was intended to clarify its limitations. Thus, expert testimony that does nothing more
    than relay otherwise inadmissible hearsay to the jury is barred by I.R.E. 703. 
    Id. However, no
    error occurs if the hearsay evidence the expert relies upon is referenced but not actually
    introduced as evidence at trial. See, e.g., Doty v. Bishara, 
    123 Idaho 329
    , 336, 
    848 P.2d 387
    , 394
    (1992).
    10
    The Idaho Rules of Evidence were modeled on the Federal Rules of Evidence “in order to obtain uniformity in the
    trial practice in both the state and federal courts.” Chacon v. Sperry Corp., 
    111 Idaho 270
    , 275, 
    723 P.2d 814
    , 819
    (1986). Thus, we seek to interpret identical rules “in conformance with the interpretation placed upon the same rules
    by the federal courts.” 
    Id. 18 In
    Doty, this Court upheld the admission of an expert’s opinion testimony as the cause of
    tire damage even though his opinion was based, in part, on photographs and notes prepared by
    another expert who had also examined the tire. 
    Id. The expert
    was allowed to testify “concerning
    observations made by” the other expert. 
    Id. at 335–36,
    848 P.2d at 393–94. Likewise, in Lawton
    v. City of Pocatello, a case concerning a motorcycle accident, this Court upheld the admission of
    the testimony of an expert who opined that the accident site was dangerous and did not meet
    existing design standards. 
    126 Idaho 454
    , 464, 
    886 P.2d 330
    , 340 (1994). The expert’s testimony
    referred to reports of other accidents that had occurred in the same area, although the reports
    were not admitted into evidence. 
    Id. This Court
    found no error in the introduction of this
    testimony. 
    Id. Although these
    cases were decided prior to the 2002 amendment, they reflect the
    meaning of the current rule. See 
    Watkins, 148 Idaho at 426
    , 224 P.3d at 493.
    Idaho Rule of Evidence 703 was most recently interpreted in State v. Watkins. 
    Id. In that
    case, this Court held that I.R.E. 703 did not allow an expert witness to reveal the contents of
    another expert’s notes, even though the testifying expert relied on those notes and the notes were
    not themselves admitted into evidence. 
    Id. at 427,
    224 P.3d at 494. In that case, the State’s
    expert, Dr. Finis, testified that:
    according to tests performed at her private laboratory, Identigenetix, Watkins’
    DNA was in the semen on the girl’s underwear and inside the condom and the
    girl’s DNA was on the outside of the condom. Dr. Finis, however, was not at
    Identigenetix to receive the evidence in person and did not perform the DNA
    testing herself. Instead, Dr. Finis relied on communications with her colleague,
    Kermit Channell, as well as his notes, in forming her conclusions about the tested
    evidence.
    
    Id. at 420,
    224 P.3d at 487. Specifically, Dr. Finis testified that she did not do the testing and was
    not present for Channell’s testing but, according to Channell’s notes:
    Channell used an oral swab taken from the six-year-old girl to establish a
    reference DNA sample for her; that Channell used both penile and oral swabs
    taken from Watkins to establish a reference DNA sample for him; and that
    Channell extracted DNA from both the inside and outside of the used condom and
    tested it to see whether it matched either Watkins’ or the six-year-old girl’s DNA.
    Dr. Finis testified that the DNA Channell tested on the inside of the condom
    matched Watkins’ DNA and that the DNA Channell tested on the outside of the
    condom was a mixture of both Watkin’s [sic] DNA and the six-year-old girl’s
    DNA.
    
    Id. at 423–24,
    224 P.3d at 490–91. This Court explained that the testimony was not admissible
    under I.R.E. 703 because it was evident that Channell’s statements were not admitted for the
    19
    limited purpose of evaluating Dr. Finis’ testimony. 
    Id. at 427,
    224 P.3d at 494. Rather, they were
    relayed “for the purpose of demonstrating the chain of custody, Channell’s testing methodology,
    and to identify the locations on the condom and panties on which Watkins’ and the victim’s
    DNA were found.” 
    Id. We further
    observed that no evidence, aside that contained in Channell’s
    notes, was introduced to establish these facts. 
    Id. In this
    case, Dr. Rorke-Adams testified that the slides she examined contained the brain
    tissue of W.F. and that those slides were stained properly. As was the case with the expert in
    Doty, who relied on pictures and notes created by another expert, Dr. Rorke-Adams’ conclusions
    were based in small part on the labeling created by the technician. However, Dr. Rorke-Adams
    relied far less on the technician’s actions than did the expert whose testimony we upheld in Doty.
    Dr. Rorke-Adams did not testify “concerning observations made by” another expert but rather
    explained why she could conclude that the slides belonged to W.F. and why she could observe
    the amyloid antigens in W.F.’s tissue.
    Unlike Watkins, the technician’s assertions were not the only evidence that established
    the chain of custody or the testing methodology employed. In this case, Dr. Rorke-Adams
    received the tissue, partially prepared the tissue by slicing it, sent the tissue to the laboratory and
    received the tissue back from that laboratory.
    Further, unlike the situation in Watkins, where the testifying expert relayed factual
    findings and conclusions reached by another, the technician here did not make any factual
    findings. Dr. Rorke-Adams did not relay any conclusions that were drawn by the technician.
    Rather, it was Dr. Rorke-Adams who conducted the examination of the tissue, documented her
    factual findings, and formed her own opinion. Thus, we find that Dr. Rorke-Adams did not act as
    a conduit for inadmissible hearsay, but rather indicated the “general nature of the sources” she
    relied on in forming her opinion as permitted by I.R.E. 703. 
    Watkins, 148 Idaho at 426
    –27, 224
    P.3d at 493–94. Even though the district court did not explicitly apply the balancing test required
    by I.R.E. 703, we conclude that the district court did not err by permitting Dr. Rorke-Adams’
    testimony.
    B. The district court properly instructed the jury as to the elements of first degree murder.
    Stanfield contends that first degree murder by aggravated battery on a child under twelve
    is a specific intent crime. Thus, Stanfield contends that the jury was required to find that she
    specifically intended to cause great bodily harm to W.F., as opposed to finding that she
    20
    committed battery, and in doing so, unintentionally caused great bodily harm. She therefore
    argues that the district court violated her right to due process when it instructed the jury that they
    did not have to find that she intended to commit murder or to inflict great bodily harm in order to
    find her guilty of first degree murder.
    Stanfield advanced this argument prior to this Court’s decision in State v. Carver, 
    155 Idaho 489
    , 
    314 P.3d 171
    (2013). In Carver, this Court addressed an identical claim and held that
    “the district court correctly instructed the jury that Defendant would be guilty of first degree
    murder if he committed a battery upon the child which resulted in great bodily harm, from which
    the child died.” 
    Id. at 494,
    314 P.3d at 176. In this case, the district court gave the same
    instruction as we upheld in Carver. 11 The district court did not err in instructing the jury as to the
    elements of the offense. Thus, Stanfield has not shown that the district court violated her due
    process rights.
    IV. CONCLUSION
    For the foregoing reasons, we affirm the judgment of the district court.
    Chief Justice BURDICK, Justice EISMANN and Justice Pro Tem WALTERS,
    CONCUR.
    11
    The instruction at issue in Carver said that, “In order for the defendant to be guilty of First Degree Murder in the
    perpetration of an aggravated battery upon a child under twelve (12) years of age . . . the state does not have to prove
    that the defendant intended to kill [the child], but the state must prove that during the perpetration of an aggravated
    battery on a child under twelve (12) years of age, the defendant killed [the 
    child].” 155 Idaho at 492
    , 314 P.3d at
    174. At Stanfield’s trial, the district court instructed the jury: “In order for the defendant to be guilty of first degree
    murder . . . the state does not have to prove that the defendant intended to kill [W.F.], but the state must prove that
    during the perpetration or attempt to perpetrate an aggravated battery on a child under 12 years of age, the defendant
    killed [W.F.].”
    21