People v. Dungo , 55 Cal. 4th 608 ( 2012 )


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  • Filed 10/15/12 (see lead case, S177046, and companion case, S176213, also filed 10/15/12)
    IN THE SUPREME COURT OF CALIFORNIA
    THE PEOPLE,                          )
    )
    Plaintiff and Respondent, )
    )                                           S176886
    v.                        )
    )                                     Ct.App. 3 C055923
    REYNALDO SANTOS DUNGO,               )
    )                                   San Joaquin County
    Defendant and Appellant.  )                                Super. Ct. No. SF100023A
    ____________________________________)
    The Sixth Amendment to the United States Constitution grants a criminal
    defendant the right to confront adverse witnesses. This is the second in a trio of
    cases before us involving that right. The two companion cases are People v. Lopez
    (Oct. 15, 2012, S177046) ___ Cal.4th ___, and People v. Rutterschmidt (Oct. 15,
    2012, S176213) ___ Cal.4th ___.
    At defendant Reynaldo Santos Dungo‘s murder trial, a forensic pathologist
    testifying for the prosecution described to the jury objective facts about the
    condition of the victim‘s body as recorded in the autopsy report and accompanying
    photographs. Based on those facts, the expert gave his independent opinion that
    the victim had died of strangulation. Neither the autopsy report, which was
    prepared by another pathologist who did not testify, nor the photographs were
    introduced into evidence. Unlike the Court of Appeal, we conclude that the
    expert‘s testimony did not give rise to a right by defendant to question the preparer
    of the autopsy report.
    1
    I
    A. Facts
    Defendant and Lucinda Correia Pina became romantically involved in
    2005. Pina lived in Stockton, San Joaquin County, and was in the process of
    divorcing her husband. Defendant and his daughter also lived in Stockton, but his
    wife and son were staying with his wife‘s grandparents in Seaside, Monterey
    County. Defendant‘s wife viewed this as a temporary separation, and she talked
    regularly to defendant, but defendant told Pina that he and his wife were divorced.
    In April 2006, defendant‘s friends noticed that he was exhibiting
    ―controlling behavior‖ towards Pina. Pina told friends and relatives that defendant
    was ―smothering her‖ and she wanted to end their relationship. That same month,
    defendant, while at Pina‘s house, answered a telephone call to Pina from Isaac
    Zuniga, who had a prior sexual relationship with Pina; defendant threatened to kill
    Zuniga if he continued to call Pina. Later, on April 14, Zuniga told Pina about the
    call. That evening, defendant and Pina went to visit Felipe and Angelique Torres.
    Pina complained to Angelique that defendant had told Zuniga to stop calling her,
    and Pina said she was considering raising the issue with defendant.
    The next morning, defendant went to see Pina‘s mother and asked if she
    knew where Pina was. Defendant said that while he was at Pina‘s house the
    previous night, Pina received a telephone call from Zuniga and then left to meet
    Zuniga. Pina‘s sport utility vehicle (SUV) was not at her house. Pina‘s mother
    then tried repeatedly to reach Pina on her cellphone, without success. That
    afternoon, the mother called the police.
    Local news media reported Pina‘s disappearance, and they described Pina
    and her SUV. Thereafter, a Stockton resident told the police that an SUV
    2
    matching the description was parked on her street. Police officers found Pina‘s
    body in the vehicle.
    The police arrested defendant, and he eventually admitted killing Pina. He
    said: After he and Pina left the Torres‘s home the night of April 14, 2006, they
    argued at Pina‘s home. Pina punched defendant lightly on the chin, pushed him,
    and threw some children‘s toys at him. She told him to leave and began throwing
    some of his belongings in a box. He grabbed her by the throat and strangled her.
    He then wrapped her body in a blanket, put it in her SUV, and drove around
    aimlessly, eventually abandoning the SUV on the Stockton street where the police
    later found it.
    B. Trial Court Proceedings
    Defendant was charged with Pina‘s murder. Before trial, the prosecution
    informed the trial court that pathologist George Bolduc, who had performed the
    autopsy of Pina‘s body, would not be called as an expert witness. Instead, the
    prosecution‘s witness would be forensic pathologist Robert Lawrence, who at the
    time of trial was Dr. Bolduc‘s employer.1 The prosecution did not indicate that
    Dr. Bolduc was unavailable to testify. Defendant objected to the prosecution‘s
    proposed substitution of its expert witness and asked for an evidentiary hearing on
    the matter. (See Evid. Code, § 402, subd. (b).) The trial court granted the request.
    At the pretrial evidentiary hearing, Dr. Lawrence testified on cross-
    examination by the defense that Dr. Bolduc had at one point been a coroner in
    Kern County but ―was fired,‖ a fact not disclosed in Bolduc‘s résumé. Also, in his
    1      At trial, Dr. Lawrence testified to being a pathologist for the San Joaquin
    County coroner‘s office and owning Forensic Consultants Medical Group, which
    provides pathologists, including Dr. Bolduc, to act as coroners in several counties
    and also offers private consultation.
    3
    previous employment as a coroner for Orange County, Dr. Bolduc had resigned
    ―under a cloud.‖2 As a result of these incidents, Dr. Lawrence said, some
    newspaper articles asserted that Dr. Bolduc was incompetent, and prosecutors in
    several counties in California refused to use him as an expert witness in homicide
    cases. Dr. Lawrence had seen ―no evidence that [Dr. Bolduc] ever did anything
    incompetent.‖ He said the allegations against Dr. Bolduc were ―generated by
    people who don‘t know what they‘re talking about,‖ and he described much of the
    criticism of Dr. Bolduc as ―ridiculous‖ and ―patently absurd.‖ Dr. Lawrence
    agreed with the conclusion in Dr. Bolduc‘s autopsy report that Pina died from
    ―asphyxia due to neck compression.‖
    The trial court ruled that at trial the prosecution could have Dr. Lawrence
    testify about the cause of Pina‘s death, but that the defense could cross-examine
    Dr. Lawrence about Dr. Bolduc‘s qualifications as a pathologist, as this was
    relevant to the trustworthiness of the facts stated in Dr. Bolduc‘s autopsy report.
    At the jury trial, Dr. Lawrence testified that after reviewing Dr. Bolduc‘s
    autopsy report and the accompanying autopsy photographs, he concluded that Pina
    had died from asphyxia caused by strangulation. He pointed out that Pina had
    ―hemorrhages in the neck organs consistent with fingertips during strangulation‖
    and that she had ―pinpoint hemorrhages in her eyes,‖ indicating a lack of oxygen.
    Also supporting strangulation as the cause of Pina‘s death, Dr. Lawrence testified,
    2       In People v. Beeler (1995) 
    9 Cal.4th 953
    , an Orange County capital murder
    case, Dr. Bolduc performed an autopsy of the murder victim but did not testify at
    trial. Our opinion affirming the judgment of death mentioned that the trial court in
    that case ―was aware that Dr. Bolduc had apparently left the [Orange County]
    coroner‘s office under unfavorable conditions‖ (id. at p. 979), and we noted
    testimony by a pathologist that Dr. Bolduc had caused ― ‗quite a bit of
    consternation‘ in a prior murder case by basing his conclusion regarding the cause
    of death on a police report rather than on medical evidence.‖ (Ibid.)
    4
    were ―the purple color of her face,‖ the ―absence of any natural disease that can
    cause death,‖ and the fact that Pina had bitten her tongue shortly before death.
    Dr. Lawrence stated that because Pina‘s hyoid bone was not fractured, Pina was
    strangled for ―more than two minutes.‖ Had a fracture occurred, Dr. Lawrence
    explained, death could have occurred sooner.
    Dr. Lawrence did not describe to the jury Dr. Bolduc‘s opinion about the
    cause of Pina‘s death; instead, he only gave his own independent opinion as a
    forensic pathologist. Dr. Lawrence did not say whether his description of Pina‘s
    body at the time of the autopsy (the hemorrhages in Pina‘s face and eyes, the
    purplish color of the face, the bite marks on the tongue, and the absence of a
    fracture of the hyoid bone) was based solely on the autopsy photographs, solely on
    Dr. Bolduc‘s autopsy report, or on a combination of them. Neither the autopsy
    photographs nor Dr. Bolduc‘s autopsy report was admitted into evidence.3 On
    cross-examination, defense counsel questioned Dr. Lawrence regarding his views
    about the cause of Pina‘s death, but not about Dr. Bolduc‘s qualifications.
    Testifying on his own behalf, defendant said that on the night he killed
    Pina, he told her of his suspicion that she might be resuming her relationship with
    Isaac Zuniga. Defendant and Pina began swearing at each other, and Pina told
    defendant: ―I‘ll fuck whoever I want. . . . [i]f I want to fuck Isaac, if I want to
    fuck Anul [Pina‘s husband], I will do whatever I want.‖ Defendant grabbed Pina‘s
    arm, after which Pina punched him on the chin and bit his arm, saying: ―You‘re
    3      We grant the district attorney‘s motion, which defendant does not oppose,
    that we take judicial notice of the autopsy report. (See People v. Castillo (2010)
    
    49 Cal.4th 145
    , 157 [a court may take judicial notice of a public record when it
    does not consider the record for the truth of matters stated therein]; Dixon v.
    Superior Court (2010) 
    170 Cal.App.4th 1271
    , 1278 [an autopsy report is a public
    record].)
    5
    not even a good father. You‘re a lousy fucking father . . . you‘re a worthless piece
    of shit.‖ Defendant ―snapped.‖ He grabbed Pina‘s neck and strangled her, saying:
    ―Fuck you, Lucinda. I‘m a good dad. I‘m a good dad. I‘m not a bad father. Fuck
    you.‖
    In closing argument, defense counsel conceded defendant‘s killing of Pina
    but argued that the murder was without malice as it occurred in a sudden quarrel
    or heat of passion, and that therefore defendant was guilty only of voluntary
    manslaughter, not murder.4 The prosecutor, citing Dr. Lawrence‘s testimony that
    Pina was strangled for ―more than two minutes,‖ argued that defendant could not
    have been acting in the heat of passion for that length of time, and that therefore
    the killing was murder rather than manslaughter.
    C. Verdict and Appeal
    The jury convicted defendant of second degree murder, and the trial court
    sentenced him to a prison term of 15 years to life.
    The Court of Appeal reversed the judgment. It concluded that
    Dr. Lawrence‘s trial testimony about the cause of Pina‘s death violated
    defendant‘s federal Sixth Amendment right to confront and cross-examine
    Dr. Bolduc, and that the error was prejudicial. We granted the district attorney‘s
    petition for review.
    4      ―Murder is the unlawful killing of a human being . . . with malice
    aforethought.‖ (Pen. Code, § 187, subd. (a).) When an unlawful killing occurs
    ―upon a sudden quarrel or heat of passion‖ (Pen. Code, § 192, subd. (a)) the killer
    lacks malice, and the crime is voluntary manslaughter, a lesser offense necessarily
    included within the crime of murder. (See People v. Moye (2009) 
    47 Cal.4th 537
    ,
    549.)
    6
    II
    Like the two companion cases, this case presents a Sixth Amendment
    confrontation right issue with complexities that are far from easy to resolve in
    light of the widely divergent views expressed by the justices of the United States
    Supreme Court in a recent quartet of cases we must consider here. Those cases
    are: (1) Crawford v. Washington (2004) 
    541 U.S. 36
     (Crawford), a seven-to-two
    decision; (2) Melendez-Diaz v. Massachusetts (2009) 
    557 U.S. 305
     (Melendez-
    Diaz), a five-to-four decision; (3) Bullcoming v. New Mexico (2011) 564 U.S. ___
    [
    131 S.Ct. 2705
    ] (Bullcoming), a five-to-four decision; and (4) Williams v. Illinois
    (2012) 567 U.S. ___ [
    132 S.Ct. 2221
    ] (Williams), a four-one-four decision.
    Well before Crawford, the high court had, in Ohio v. Roberts (1980) 
    448 U.S. 56
    , 66, construed the federal Constitution‘s confrontation right as allowing
    the use at trial of any out-of-court statements that were within a ―firmly rooted
    hearsay exception‖ or had ―particularized guarantees of trustworthiness.‖ But
    some 25 years later, in Crawford, the high court abandoned that approach and
    adopted this general rule: The prosecution may not use ―[t]estimonial statements‖
    of a witness who does not appear at trial, unless the witness is unavailable to
    testify and the defendant had a prior opportunity for cross-examination.
    (Crawford, 
    supra,
     541 U.S. at p. 59.)
    The Crawford majority explained that the Sixth Amendment‘s
    confrontation right pertains to those who give ―testimony,‖ defined as ― ‗[a]
    solemn declaration or affirmation made for the purpose of establishing or proving
    some fact.‘ ‖ (Crawford, 
    supra,
     541 U.S. at p. 51.) Crawford mentioned several
    possible definitions, by several sources, of statements that are testimonial in
    nature, including ― ‗extrajudicial statements . . . contained in formalized
    testimonial materials, such as affidavits, depositions, prior testimony, or
    confessions,‘ [citation]; [and] ‗statements that were made under circumstances
    7
    which would lead an objective witness reasonably to believe that the statement
    would be available for use at a later trial . . .‘ [citation].‖ (Id. at pp. 51-52.) But
    Crawford did not adopt a particular definition, noting only that ―some statements
    qualify under any definition.‖ (Id. at p. 52.)
    Five years later, in 2009, came the high court‘s decision in Melendez-Diaz,
    which extended Crawford‘s holding to forensic reports. There, at the defendant‘s
    trial for cocaine distribution and trafficking, the prosecution introduced into
    evidence a laboratory‘s ―certificates of analysis‖: sworn statements that a
    substance found in plastic bags in the defendant‘s car was determined to be
    cocaine. (Melendez-Diaz, supra, 557 U.S. at p. 308.) The high court held that the
    laboratory certificates were ―within the ‗core class of testimonial statements,‘ ‖
    making them inadmissible under the reasoning of Crawford, 
    supra,
     
    541 U.S. 36
    .
    (Melendez-Diaz, 
    supra, at p. 310
    .) The Melendez-Diaz majority explained: Each
    certificate was (1) ―a ‗ ―solemn declaration or affirmation made for the purpose of
    establishing or proving some fact‖ ‘ ‖ (ibid.), (2) ―functionally identical to live, in-
    court testimony‖ (id. at pp. 310-311), (3) ― ‗made under circumstances which
    would lead an objective witness reasonably to believe that [it] would be available
    for use at a later trial‘ ‖ (id. at p. 311), and (4) created ―to provide ‗prima facie
    evidence of the composition, quality, and the net weight‘ ‖ (ibid.) of the substance
    found in the plastic bags seized from the defendant‘s car.
    Two years later, in 2011, the high court decided Bullcoming, which
    involved a charge of driving while intoxicated. At trial, the prosecution
    introduced into evidence a report by laboratory analyst Curtis Caylor. The report
    included Caylor‘s ―certificate of analyst‖ (Bullcoming, 
    supra,
     564 U.S. at p. ___
    [131 S.Ct. at p. 2710]) stating the correctness of his report‘s conclusion that a
    blood sample taken at the defendant‘s arrest had an illegally high level of alcohol.
    Caylor did not testify. Instead, the prosecution called as a witness a colleague of
    8
    Caylor‘s — an analyst who, although familiar with the laboratory‘s testing
    procedures, had neither participated in nor observed the testing by Caylor. The
    high court held that the admission at trial of Caylor‘s laboratory report violated the
    defendant‘s right to confront and cross-examine Caylor. The court noted that
    unlike the laboratory certificates in Melendez-Diaz, supra, 
    557 U.S. 305
    , which
    were statements sworn before a notary public attesting to the truth of the reported
    test results, Caylor‘s certificate was not a sworn declaration. Nevertheless, the
    high court pointed out, ―Caylor‘s certificate [was] ‗formalized‘ in a signed
    document‖ (Bullcoming, 
    supra,
     564 U.S. at p. ___ [131 S.Ct. at p. 2717]) — the
    laboratory report — and the report made reference to New Mexico court rules that
    ―provide for the admission of certified blood-alcohol analyses‖ (ibid.). These
    ―formalities‖ (ibid.) the high court concluded, were ―more than adequate‖ (ibid.)
    to qualify Caylor‘s laboratory report as testimonial in nature.
    In June of this year, 12 days after we heard oral argument in this matter and
    while it was pending before us, the high court decided Williams, supra, 567 U.S.
    ___ [
    132 S.Ct. 2221
    ]. At issue in Williams was testimony by Illinois State Police
    forensic biologist Sandra Lambatos that a DNA profile (derived from semen on
    vaginal swabs taken from a rape victim) produced by a Maryland laboratory
    matched a DNA profile (derived from a sample of the defendant‘s blood)
    produced by the Illinois State Police Laboratory.
    The plurality opinion in Williams, authored by Justice Alito, was signed by
    the Chief Justice as well as Justices Kennedy and Breyer; in a separate concurring
    opinion Justice Breyer explained why he joined Justice Alito‘s opinion ―in full‖
    (Williams, supra, 567 U.S. at p. ___ [
    132 U.S. 2221
    , 2252] (conc. opn. of Breyer,
    J.)). The plurality concluded on two alternative grounds that Lambatos‘s expert
    testimony did not violate the federal Constitution‘s confrontation right. First, the
    plurality reasoned that Lambatos‘s testimony was constitutionally permissible
    9
    because it was admitted not for its truth but only for the limited purpose of
    explaining the basis of Lambatos‘s independent conclusion, based on her
    expertise, that the defendant‘s DNA matched the DNA in the semen found on the
    vaginal swabs. (Id. at p. ___ [132 S.Ct. at p. 2228] (plur. opn. of Alito, J.).)
    Alternatively, the Williams plurality reasoned, there was no confrontation right
    violation because the Maryland laboratory‘s report was prepared for the primary
    purpose of finding a dangerous rapist who was still at large, not ―for the primary
    purpose of accusing a targeted individual.‖ (Id. at p. ___ [132 S.Ct. at p. 2243]
    (plur. opn. of Alito, J.).) In a separate concurring opinion, Justice Thomas agreed
    with the plurality‘s conclusion that Lambatos‘s expert testimony did not offend the
    Sixth Amendment‘s confrontation right, but for a completely different reason:
    The Maryland laboratory report on which Lambatos relied ―lack[ed] the solemnity
    of an affidavit or deposition‖ and was therefore not ―testimonial.‖ (Id. at p. ___
    [132 S.Ct. at p. 2260] (conc. opn. of Thomas, J.).) A dissenting opinion by Justice
    Kagan, and signed by Justices Scalia, Ginsburg, and Sotomayor, disagreed with
    the reasoning of both the plurality and Justice Thomas, and concluded that
    Lambatos‘s testimony violated the defendant‘s confrontation right. These widely
    divergent views, none of which was able to garner majority support — as reflected
    in the four-one-four decision — highlight the complexity of the issue.
    III
    We noted earlier that at defendant‘s murder trial, Dr. Lawrence gave his
    independent opinion as to the cause of Pina‘s death. Dr. Lawrence reached that
    opinion after reviewing an autopsy report (with accompanying photographs)
    prepared by Dr. Bolduc, who did not testify and thus could not be confronted by
    defendant. The Court of Appeal concluded that Dr. Lawrence‘s testimony
    violated defendant‘s right to confront and cross-examine Dr. Bolduc.
    10
    Limiting our inquiry are two significant points. First, here (unlike in the
    companion case of People v. Lopez, supra, __ Cal.4th ___), Dr. Bolduc‘s autopsy
    report was not introduced into evidence. Thus, we need not decide whether that
    entire report is testimonial in nature. Second, Dr. Lawrence‘s testimony never
    described the conclusions in Dr. Bolduc‘s autopsy report as to the cause of Pina‘s
    death. Thus, we need not determine whether such testimony, if it had been given,
    would have violated defendant‘s right to confront Dr. Bolduc.
    Dr. Lawrence did, however, describe to the jury the condition of Pina‘s
    body at the time of the autopsy: the hemorrhages in Pina‘s eyes and neck organs,
    the purple color of her face, the absence of any natural disease causing death, the
    fact that she had bitten her tongue shortly before death, and the absence of any
    fracture of the hyoid bone. This description was based on Dr. Lawrence‘s review
    of Dr. Bolduc‘s autopsy report and its accompanying photographs. (As we have
    noted earlier (see p. 5, ante), the record before us does not indicate whether
    Dr. Lawrence based his description solely on the autopsy photographs, solely on
    Dr. Bolduc‘s autopsy report, or on a combination of the two.) The issue before us
    is whether Dr. Lawrence‘s testimony about these objective facts entitled defendant
    to confront and cross-examine Dr. Bolduc.
    As we discussed in the companion case of People v. Lopez, supra, __
    Cal.4th at page ___ [p. 13], the prosecution‘s use of testimonial out-of-court
    statements ―ordinarily violates the defendant‘s right to confront the maker of the
    statements unless the declarant is unavailable to testify and the defendant had a
    prior opportunity for cross-examination.‖ Although the high court has not agreed
    on a definition of ―testimonial,‖ testimonial out-of-court statements have two
    critical components. First, to be testimonial the statement must be made with
    some degree of formality or solemnity. Second, the statement is testimonial only
    if its primary purpose pertains in some fashion to a criminal prosecution. The high
    11
    court justices have not, however, agreed on what the statement‘s primary purpose
    must be.
    We begin with the issue of formality. An autopsy report typically contains
    two types of statements: (1) statements describing the pathologist‘s anatomical
    and physiological observations about the condition of the body, and (2) statements
    setting forth the pathologist‘s conclusions as to the cause of the victim‘s death.
    The out-of-court statements at issue here — pathologist Bolduc‘s observations
    about the condition of victim Pina‘s body — all fall into the first of the two
    categories. These statements, which merely record objective facts, are less formal
    than statements setting forth a pathologist‘s expert conclusions. They are
    comparable to observations of objective fact in a report by a physician who, after
    examining a patient, diagnoses a particular injury or ailment and determines the
    appropriate treatment. Such observations are not testimonial in nature.
    (Melendez-Diaz, supra, 557 U.S. at p. 312, fn. 2 [―medical reports created for
    treatment purposes . . . would not be testimonial under our decision today‖].)5
    Defendant argues that the statements in nontestifying Dr. Bolduc‘s autopsy
    report were sufficiently ―formal‖ because: (1) a detective was present when the
    autopsy of Pina was performed, (2) the autopsy was statutorily mandated,
    (3) Dr. Bolduc was required by statute to report his findings, (4) Detective Fain
    5      Defendant contends that even if the statements in nontestifying
    Dr. Bolduc‘s autopsy report lacked the requisite formality, the Sixth Amendment‘s
    confrontation right also applies to what Justice Thomas called ― ‗technically
    informal statements‘ ‖ if those statements were ― ‗used to evade the formalized
    process.‘ ‖ (Williams, supra, 567 U.S. at p. ___, fn. 5 [132 S.Ct. at p. 2260, fn. 5]
    (conc. opn. of Thomas, J.).) Defendant argues that this exception applies here.
    But he did not raise this argument at trial, and therefore the trial court did not
    determine whether the statements at issue here were ― ‗used to evade the
    formalized process.‘ ‖ (Ibid.) Thus, this argument can only be made, if at all, in a
    habeas corpus petition.
    12
    disclosed defendant‘s confession to Dr. Bolduc before the autopsy report was
    written, and (5) Dr. Bolduc was statutorily required to notify law enforcement if
    he determined that there were reasonable grounds to suspect that the death was a
    homicide. But those circumstances have little to do with the formality and
    solemnity of the statements. Rather, they pertain to the second of the two
    categories mentioned above: the primary purpose of the statements in the report.
    For example, the presence of a detective at the autopsy and the fact that the
    detective told the pathologist about defendant‘s confession do not make the
    statements of objective fact in the autopsy report into formal and solemn
    testimony; but those circumstances do support defendant‘s argument that the
    primary purpose of the autopsy was the investigation of a crime. Similarly, the
    fact that the autopsy was mandated by a statute that required public findings and
    notification of law enforcement does not imply that the statements of objective
    fact in the report are formal and solemn testimony, but it does imply that the
    primary purpose of the autopsy was forensic. Therefore, we turn now to the
    question of primary purpose.
    The preparation of an autopsy report is governed by California‘s
    Government Code section 27491, which requires a county coroner to ―inquire into
    and determine the circumstances, manner, and cause‖ of certain types of death.
    Some of these deaths (such as deaths from alcoholism, ―sudden infant death
    syndrome,‖ and ―contagious disease‖) result from causes unrelated to criminal
    activities, while other deaths (such as deaths resulting from ―criminal abortion,‖
    deaths by ―known or suspected homicide,‖ and ―deaths associated with a known or
    alleged rape‖) result from the commission of a crime. (Ibid.) With respect to all
    of the statutorily specified categories of death, however, the scope of the coroner‘s
    statutory duty to investigate is the same, regardless of whether the death resulted
    from criminal activity.
    13
    The usefulness of autopsy reports, including the one at issue here, is not
    limited to criminal investigation and prosecution; such reports serve many other
    equally important purposes. For example, the decedent‘s relatives may use an
    autopsy report in determining whether to file an action for wrongful death. And
    an insurance company may use an autopsy report in determining whether a
    particular death is covered by one of its policies. (See, e.g., People
    v. Rutterschmidt, supra, ___ Cal.4th ___.) Also, in certain cases an autopsy report
    may satisfy the public‘s interest in knowing the cause of death, particularly when
    (as here) the death was reported in the local media. In addition, an autopsy report
    may provide answers to grieving family members.
    In short, criminal investigation was not the primary purpose for the autopsy
    report‘s description of the condition of Pina‘s body; it was only one of several
    purposes. The presence of a detective at the autopsy and the statutory requirement
    that suspicious findings be reported to law enforcement do not change that
    conclusion. The autopsy continued to serve several purposes, only one of which
    was criminal investigation. The autopsy report itself was simply an official
    explanation of an unusual death, and such official records are ordinarily not
    testimonial. (Melendez-Diaz, supra, 554 U.S. at p. 324.)
    In summary, Dr. Lawrence‘s description to the jury of objective facts about
    the condition of victim Pina‘s body, facts he derived from Dr. Bolduc‘s autopsy
    report and its accompanying photographs, did not give defendant a right to
    confront and cross-examine Dr. Bolduc. The facts that Dr. Lawrence related to the
    jury were not so formal and solemn as to be considered testimonial for purposes of
    the Sixth Amendment‘s confrontation right, and criminal investigation was not the
    primary purpose for recording the facts in question. In holding that defendant‘s
    confrontation right was violated here, the Court of Appeal erred.
    14
    DISPOSITION
    The judgment of the Court of Appeal is reversed, and the matter is
    remanded for further proceedings consistent with this opinion.
    KENNARD, J.
    WE CONCUR:
    CANTIL-SAKAUYE, C. J.
    BAXTER, J.
    WERDEGAR, J.
    CHIN, J.
    15
    CONCURRING OPINION BY WERDEGAR, J.
    I concur in the reasoning and result of the majority opinion, which I have
    signed. I write separately to explain in more detail why the anatomical and
    physiological observations recorded by a forensic pathologist in an autopsy report
    should not be considered testimonial, as that term has been used in Crawford v.
    Washington (2004) 
    541 U.S. 36
     (Crawford) and its progeny.
    As the majority explains (maj. opn., ante, at p. 11), the autopsy report by
    Dr. George Bolduc, who conducted the autopsy but did not testify at trial, was not
    admitted into evidence; the question of whether the autopsy report itself was
    testimonial is thus not before us. In addition, the testifying pathologist, Dr. Robert
    Lawrence, gave his own expert opinions as to the cause and manner of death
    rather than relaying those reached by Dr. Bolduc; hence, the question of whether
    such recorded conclusions are testimonial is also not before us. Like the majority,
    therefore, I focus exclusively on Dr. Lawrence‘s repetition to the jury of
    anatomical and physiological observations Dr. Bolduc recorded in his report, upon
    which Dr. Lawrence based his conclusions. Of these, the most significant was Dr.
    Bolduc‘s recorded observation that the victim‘s larynx and hyoid bone were both
    unbroken, from which Dr. Lawrence concluded the victim was strangled for ―a
    1
    period of minutes . . . certainly more than two minutes.‖1 Dr. Lawrence‘s opinion
    became, in turn, the basis for prosecutorial argument to the jury that the killing
    was intentional and premeditated.
    The question of what out-of-court statements are and are not testimonial
    has divided the justices of the United States Supreme Court, whose decisions have
    not yet yielded a clear definition or test. But the justices have consistently
    considered two factors in deciding whether a given statement sufficiently
    resembles the English court abuses that gave rise to the confrontation clause,
    primarily the use at trial of witness statements obtained through ex parte
    examination: (1) the degree of formality or solemnity with which the statement
    was made and (2) the degree to which it was produced for use at trial. The more a
    statement resembles the ― ‗solemn declaration or affirmation‘ ‖ that is testimony,
    commonly understood, and the more it was expected, when made, ― ‗to be used
    prosecutorially‘ . . . ‗at a later trial,‘ ‖ the more centrally it is located within the
    ―core class of ‗testimonial‘ statements.‖ (Crawford, supra, 541 U.S. at pp. 51-52.)
    Throughout the high court‘s exploration of the issue, Justice Thomas has
    maintained that solemnity or formality is the sine qua non of the testimonial
    statement. This focus is demonstrated in his separate opinions in Davis v.
    Washington (2006) 
    547 U.S. 813
    , 838 (Davis) and Michigan v. Bryant (2011) 562
    U.S. ___, ___ [
    131 S.Ct. 1143
    , 1167] (Bryant), both asserting that statements
    resulting from a witness‘s informal conversation with police officers are not
    testimonial, in Melendez-Diaz v. Massachusetts (2009) 
    557 U.S. 305
    , 330
    1      Dr. Lawrence‘s reasoning was that in the absence of a fracture that might
    have blocked the victim‘s airway, it was ―unlikely that she was just briefly
    squeezed and then let go and went on to die. I think there was pressure applied for
    a longer period.‖
    2
    (Melendez-Diaz), where Justice Thomas concurred with the majority that
    certificates of chemical content were affidavits and hence testimonial, and in
    Williams v. Illinois (2012) 567 U.S. ___, ___, ___ [
    132 S.Ct. 2221
    , 2255]
    (Williams), where he argued a DNA profile report was not testimonial because it
    lacked solemnity and formality (id. at p. 2260). Other opinions, primarily majority
    opinions, have relied on this factor as well. (See Crawford, 
    supra,
     541 U.S. at
    p. 53, fn. 4 [witness‘s ―recorded statement, knowingly given in response to
    structured police questioning, qualifies under any conceivable definition‖ of
    interrogation, and was hence testimonial]; Davis, 
    supra,
     547 U.S. at p. 830
    [though not so formal as in Crawford, police questioning was ―formal enough‖];
    Melendez-Diaz, 
    supra,
     557 U.S. at p. 310 [certificates of chemical content ―are
    incontrovertibly a ‗ ―solemn declaration or affirmation made for the purpose of
    establishing or proving some fact‖ ‘ ‖]; Bullcoming v. New Mexico (2011) 564
    U.S. ___, ___ [
    131 S.Ct. 2705
    , 2717] (Bullcoming) [though not sworn before a
    notary public, certificates were ―[l]ike the Melendez-Diaz certificates . . .
    ‗formalized‘ in a signed document‖]; Williams, 
    supra,
     567 U.S. at p. ___ [132
    S.Ct. at p. 2242] (plur. opn. of Alito, J.) [testimonial hearsay typically consists of
    ―formalized statements such as affidavits, depositions, prior testimony, or
    confessions‖].)
    The critical hearsay statement in this case—Dr. Bolduc‘s recorded
    observation that the victim‘s larynx and hyoid bone were unbroken—lacked the
    solemnity and formality that characterize statements the high court deems
    testimonial. Although Dr. Bolduc signed and dated his autopsy report, it was not
    sworn or certified in a manner comparable to the chemical analyses in Melendez-
    Diaz and Bullcoming. The report contrasts in this respect with the coroner‘s or
    attending physician‘s ―[c]ertification and signature‖ on a death certificate, by
    which the declarant ―attest[s] to [the] accuracy‖ of ―the portion of the certificate
    3
    setting forth the cause of death.‖ (Health & Saf. Code, § 102875, subd. (a)(7).)
    Though the cause of death declared on a death certificate is to be ―in conformity
    with‖ the ―facts ascertained‖ by autopsy or other investigation (Gov. Code,
    § 27491.5), the two documents, autopsy report and death certificate, are distinct,
    and only the latter bears a formal certification mandated by statute. Certainly, no
    certification or solemn attestation accompanied the portions of Dr. Bolduc‘s
    autopsy report containing his observations as to the unbroken state of the
    decedent‘s larynx and hyoid bone.
    In cases involving the declarations of percipient witnesses rather than
    laboratory reports, the high court has looked to the degree of formality and
    structure of the circumstances in which the statement was made, using this
    analysis to help determine whether the statement is akin to the products of ex parte
    examinations. (See Crawford, 
    supra,
     541 U.S. at pp. 50-53 & fn. 4 [contrasting
    nontestimonial ―off-hand, overheard‖ remarks with the testimonial products of
    ―structured‖ police interrogation]; Davis, 
    supra,
     547 U.S. at p. 830 [as in
    Crawford, formal police interrogation of witness bore a ― ‗striking resemblance‘ ‖
    to ex parte examinations]; Bryant, 
    supra,
     562 U.S. at p. ___ [131 S.Ct. at p. 1155]
    [where ―state actors are involved in formal, out-of-court interrogation of a witness
    to obtain evidence for trial,‖ resulting statements are considered testimonial].)
    Looking beyond the question of certification to the formality or lack thereof in the
    circumstances in which Dr. Bolduc‘s anatomical observations were made and
    recorded, the statements again appear to lack the requisite formality.
    As the majority observes, autopsy reports typically (and in this case) have
    two parts: ―(1) the objective forensic autopsy with its findings including
    toxicological tests, special tests, microscopic examination, etc., and (2) the
    interpretations of the forensic pathologist including cause and manner of death.‖
    (Nat. Assn. of Medical Examiners, Forensic Autopsy Performance Standards
    4
    (2005, as amended, Aug. 11, 2011) std. H31, p. 25 (hereafter NAME Standards);
    see maj. opn., ante, at p. 12.) Whatever one might say of the latter portion (again,
    that issue is not before us here because Dr. Lawrence testified to his own
    conclusions as to cause and manner of death, not to Dr. Bolduc‘s), the former does
    not resemble the ex parte examinations of historical example or the structured
    police interrogations of Crawford and Davis. Though there is a structure to the
    autopsy examination process, it is largely that of a medical examination, not an
    interrogation. ―Performance of a forensic autopsy is the practice of medicine.‖
    (NAME Standards, supra, std. B4, p. 10.) A professionally prepared autopsy
    report should record the pathologist‘s observations of the external examination
    and, where performed, the internal examination of the decedent‘s body, with a
    description of all internal and external injuries observed ―in sufficient detail to
    support diagnoses, opinions, and conclusions.‖ (Id., std. H31.8, p. 25.) The
    process of systematically examining the decedent‘s body and recording the
    resulting observations is thus one governed primarily by medical standards rather
    than by legal requirements of formality or solemnity.
    On the second factor going to a statement‘s testimonial character, the
    primary purpose behind the statement‘s production, a consensus appears to exist
    that a statement is more testimonial to the extent it was produced under
    circumstances making it likely to be used in place of live testimony at a future
    criminal trial. (See Williams, 
    supra,
     567 U.S. at p. ___ [132 S.Ct. at p. 2243]
    (plur. opn. of Alito, J.) [―the primary purpose of the Cellmark report, viewed
    objectively, was not to accuse petitioner or to create evidence for use at trial‖]; 
    id.
    at p. ___ [132 S.Ct. at p. 2273] (dis. opn. of Kagan, J.) [court has asked ―whether a
    statement was made for the primary purpose of establishing ‗past events
    potentially relevant to later criminal prosecution‘—in other words, for the purpose
    of providing evidence‖]; Bullcoming, 
    supra,
     564 U.S. at p. ___ [131 S.Ct. at
    5
    p. 2717] [―A document created solely for an ‗evidentiary purpose‘ . . . made in aid
    of a police investigation, ranks as testimonial.‖]; Bryant, 
    supra,
     562 U.S. at p. ___
    [131 S.Ct. at p. 1155] [confrontation clause not implicated when ―a statement is
    not procured with a primary purpose of creating an out-of-court substitute for trial
    testimony‖]; Melendez-Diaz, 
    supra,
     557 U.S. at p. 311 [observing that ―under
    Massachusetts law the sole purpose of the affidavits was to provide ‗prima facie
    evidence of the composition, quality, and the net weight‘ of the analyzed
    substance‖]; Davis, 
    supra,
     547 U.S. at p. 830 [statements made under formal
    police interrogation are ―an obvious substitute for live testimony‖].)
    Assessing the degree to which Dr. Bolduc‘s observations on the state of the
    victim‘s larynx and hyoid bone were produced for use at trial, I conclude the
    nontestimonial aspects of these anatomical observations predominate over the
    testimonial. A California coroner or medical examiner2 has, by statute, the duty of
    investigating certain categories of deaths, regardless of whether the death is also
    the subject of a criminal investigation. (Gov. Code, § 27491; see maj. opn., ante,
    at p. 13.) Speaking generally, the coroner or medical examiner investigates a
    death ―cooperatively with, but independent from, law enforcement and
    prosecutors‖ with the goal of producing a ―neutral and objective medical
    assessment of the cause and manner of death.‖ (NAME Standards, supra, std. A1,
    p. 7.) The investigation of deaths through autopsies in appropriate cases ―protects
    the public interest and provides the information necessary to address legal, public
    health, and public safety issues in each case.‖ (Id., std. B3, p. 9.)
    2      A California county may choose to employ an appointed medical examiner
    in place of a coroner. In such a county, the medical examiner exercises the
    statutory powers and duties of the coroner. (Gov. Code, § 24010.)
    6
    To be sure, an autopsy physician documents his or her observations of the
    decedent‘s injuries partly ―to provide evidence for court,‖ but detailed
    documentation of the pathologist‘s observations is also important ―to support or
    refute interpretations‖ and ―to serve as a record.‖ (NAME Standards, supra, std.
    E13, p. 15.) A competent autopsy physician describes the decedent‘s observed
    injuries and condition as a matter of course; an autopsy report that lacked such
    documentation would not meet minimum professional standards. (Id., §§ D-F,
    pp. 13-21.) That Dr. Bolduc reported his findings concerning the condition of the
    victim‘s larynx and hyoid bone primarily for use as trial evidence is doubtful.
    A statement should also be deemed more testimonial to the extent it was
    produced through the agency of government officers engaged in a prosecutorial
    effort, and less testimonial to the extent it was produced for purposes other than
    prosecution or without the involvement of police or prosecutors. ―Involvement of
    government officers in the production of testimony with an eye toward trial
    presents unique potential for prosecutorial abuse—a fact borne out time and again
    throughout a history with which the Framers were keenly familiar.‖ (Crawford,
    supra, 541 U.S. at p. 56, fn. 7.) The high court has made clear a witness‘s
    statement may be testimonial even if it does not by itself inculpate the defendant
    (Melendez-Diaz, 
    supra,
     557 U.S. at pp. 313-314), and a majority of the justices
    have rejected a very narrow definition of testimonial statements as limited to those
    ―prepared for the primary purpose of accusing a targeted individual‖ (Williams,
    
    supra,
     567 U.S. at p. ___ [132 S.Ct. at p. 2243] (plur. opn. of Alito, J.); see 
    id.
     at
    p. ___ [132 S.Ct. at p. 2262] (conc. opn. of Thomas, J.); 
    id.
     at pp. ___-___ [132
    S.Ct. at pp. 2273-2274 (dis. opn. of Kagan, J.)). Nonetheless, the court‘s
    Crawford jurisprudence suggests that testimonial character depends, to some
    extent, on the degree to which the statement was produced by or at the behest of
    government agents for use in a criminal prosecution.
    7
    As the court explained in Bryant, certain types of hearsay are considered
    nontestimonial because, having been produced primarily for purposes other than
    use in a criminal trial, they pose a significantly reduced ―prospect of fabrication.‖
    (Bryant, supra, 562 U.S. at p. ___ [131 S.Ct. at p. 1157].) Among these are
    business and public records ― ‗created for the administration of an entity‘s
    affairs.‘ ‖ (Id. at p. ___, fn. 9 [131 S.Ct. at p. 1157, fn. 9].) In contrast, when law
    enforcement agents solicit statements from witnesses for the purpose of using
    those statements against a person, the prospect for fabrication is at its greatest.
    Even without telling a witness what to say, government agents intent on building a
    criminal case against a suspect may consciously or unconsciously bias a witness‘s
    responses by verbal and nonverbal cues. It is the accusatory context that makes
    the production of such out-of-court testimony especially dangerous and demands
    the resulting statements be considered ―testimonial under even a narrow standard.‖
    (Crawford, 
    supra,
     541 U.S. at p. 52; see also id. at p. 53 [―The involvement of
    government officers in the production of testimonial evidence presents the same
    risk, whether the officers are police or justices of the peace.‖].) A process in
    which government agents may prompt a witness to make inherently inculpatory
    statements is more dangerous, and should more readily lead to classification of the
    statements as testimonial, than one in which a witness acts independently to record
    observations made as a regular part of the witness‘s business or profession, even if
    those observations turn out to be helpful to the prosecution in a particular case.
    Focusing once more on Dr. Bolduc‘s recorded observations on the
    decedent‘s injuries, in particular the observation that her larynx and hyoid bone
    were unbroken, it does not appear Dr. Bolduc‘s record of that observation was
    produced through a prosecutorial effort to obtain evidence against defendant, or
    anyone else, for use at trial. As previously discussed, a medical examiner‘s duty
    to investigate the victim‘s death is independent of any police inquiry or
    8
    prosecutorial effort. (See U.S. v. Feliz (2d Cir. 2006) 
    467 F.3d 227
    , 237 [relying
    on medical examiner‘s independent statutory duty ―to conduct autopsies in various
    situations‖ to show autopsy report was nontestimonial public record].) While a
    police detective was apparently present at the autopsy, there is no evidence he
    asked Dr. Bolduc to investigate possible breaks in the victim‘s larynx or hyoid
    bone, or to answer any other particular question about the condition of the
    decedent‘s body. As a matter of standard practice, a competent autopsy physician
    will describe and document possible blunt force injuries to skeletal and other
    structures. (NAME Standards, supra, std. F24, p. 21.) The record does not show
    or suggest that Dr. Bolduc was prompted by prosecutorial agents to make any of
    the statements at issue, or indeed that he was guided in his conduct and
    documentation of the autopsy by anything other than professional medical
    practices and standards.
    For the above reasons as well as those given by the majority, I conclude the
    trial court did not err in admitting Dr. Lawrence‘s testimony over a confrontation
    clause objection. Dr. Lawrence relayed to the jury certain physical observations
    recorded by Dr. Bolduc in his report of the autopsy, using those observations to
    support Dr. Lawrence‘s own expert opinions as to the cause and manner of death.
    Dr. Bolduc‘s observations were introduced for their truth, and since Dr. Bolduc
    was not shown to be unavailable and had not been subject to prior cross-
    examination on this matter by defendant, his statements, were they testimonial,
    would have been inadmissible under Crawford. But because they neither bore
    sufficient indicia of formality or solemnity nor were produced primarily for use
    instead of live evidence at a criminal trial, they were not testimonial, and the
    confrontation clause did not bar their use. We need not decide here—and the
    majority does not decide—whether an autopsy report itself, or the examining
    9
    pathologist‘s conclusions as to cause and manner of death, would be similarly
    admissible without the testimony of the examining pathologist.
    WERDEGAR, J.
    WE CONCUR:
    CANTIL-SAKAUYE, C. J.
    BAXTER, J.
    CHIN, J.
    10
    CONCURRING OPINION BY CHIN, J.
    I concur fully in the majority opinion, which I have signed. I write
    separately to explain why Dr. Lawrence‘s testimony did not violate defendant‘s
    federal confrontation rights under the United States Supreme Court‘s recent
    decision in Williams v. Illinois (2012) 567 U.S. __ [
    132 S.Ct. 2221
    ] (Williams).
    Unfortunately, as the majority opinion explains (maj. opn., ante, at pp. 9-
    10), the high court had a majority for its result in Williams, but there was no
    majority explanation for this result. It took a combination of two opinions — each
    containing quite different reasoning — to achieve the majority result: (1) the
    plurality opinion authored by Justice Alito and joined by Chief Justice Roberts and
    Justices Kennedy and Breyer, and (2) Justice Thomas‘s opinion concurring in the
    judgment. Neither the plurality‘s nor Justice Thomas‘s reasoning gained majority
    support. Indeed, a majority of the court (Justice Thomas and the four dissenters)
    disagreed with the plurality‘s reasoning. (See People v. Lopez (Oct. 15, 2012,
    S177046) __ Cal.4th __ [maj. opn., pp. 9-12].) This situation makes it difficult to
    determine what to make of that decision.
    ―When a fragmented Court decides a case and no single rationale
    explaining the result enjoys the assent of five Justices, ‗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 (1977) 
    430 U.S. 188
    , 193.) This rule does not work particularly well, if at all, unless ―one
    opinion can be meaningfully regarded as ‗narrower‘ than another,‖ that is, unless
    1
    ―one opinion is a logical subset of other, broader opinions.‖ (King v. Palmer
    (D.C. Cir. 1991) 
    950 F.2d 771
    , 781 (in bank).) Here, neither the plurality opinion
    nor Justice Thomas‘s concurring opinion can be viewed as a logical subset of the
    other. Indeed, to some extent they are contradictory. One court has said that
    ―[w]hen it is not possible to discover a single standard that legitimately constitutes
    the narrowest ground for a decision on that issue, there is then no law of the land
    because no one standard commands the support of a majority of the Supreme
    Court.‖ (U.S. v. Alcan Aluminum Corp. (2d Cir. 2003) 
    315 F.3d 179
    , 189.) Is that
    the situation here? Are we to discern no law of the land from the Williams case? I
    do not believe so. We can discover the narrowest ground for a decision. We can
    discover a standard that commands majority support.
    We know what the result was in Williams, 
    supra,
     567 U.S. __ [
    132 S.Ct. 2221
    ]: The testimony at issue did not violate the confrontation clause. This is
    because a majority of the court so concluded. Four justices (the plurality) found
    no violation for their reasons. One justice (Justice Thomas) found no violation for
    his different reasons. This means that a majority of the Williams court would find
    no violation of the confrontation clause whenever there was no violation under the
    plurality‘s and under Justice Thomas‘s reasoning. This is exactly what happened
    in Williams itself. ―We need not find a legal opinion which a majority joined, but
    merely ‗a legal standard which, when applied, will necessarily produce results
    with which a majority of the Court from that case would agree.‘ ‖ (U.S. v.
    Williams (9th Cir. 2006) 
    435 F.3d 1148
    , 1157 [unrelated opn.].) If there is no
    confrontation clause violation under both the plurality and Justice Thomas‘s
    opinion, a majority of the high court‘s Williams case would agree with the
    result — no confrontation clause violation. To adapt the Ninth Circuit‘s analysis
    to this case, ―we must identify and apply a test which satisfies the requirements of
    2
    both Justice [Alito‘s] plurality opinion and Justice [Thomas‘s] concurrence.‖
    (U.S. v. Williams, supra, 567 U.S. at p. __ [132 S.Ct. at p. 1157.)
    Accordingly, we must determine whether there was a confrontation clause
    violation under Justice Thomas‘s opinion and whether there was a confrontation
    clause violation under the plurality‘s opinion. If there was no violation under both
    opinions, then the result (finding no confrontation clause violation) would
    command the support of a majority from the high court‘s Williams case. Such a
    test satisfies the requirements of both the plurality opinion and Justice Thomas‘s
    concurrence.
    Justice Thomas would find no violation if the out-of-court statements lack
    the necessary formality and solemnity to be testimonial. (Williams, supra, 567
    U.S. at p. __ [132 S.Ct. at p. 2255] (conc. opn. of Thomas J.).) As the majority in
    this case explains, the statements here are not sufficiently formal to meet this test.
    (Maj. opn., ante, at pp. 12-13.)
    The Williams plurality opinion stated two reasons for its finding of no
    confrontation clause violation. The second reason applies here. In the
    introductory portion of its opinion, the plurality summarized this second reason:
    ―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. The report was
    produced before any suspect was identified. The report was sought not for the
    purpose of obtaining evidence to be used against petitioner, who was not even
    under suspicion at the time, but for the purpose of finding a rapist who was on the
    loose. And the profile that Cellmark provided was not inherently inculpatory.‖
    (Williams, supra, 567 U.S. at p. __ [132 S.Ct. at p. 2228] (plur. opn. of Alito, J.).)
    (All further citations to Williams will be to the plurality opinion unless otherwise
    indicated.)
    3
    Later, the plurality explained its reasoning in greater detail. It said that the
    ―abuses that the Court has identified as prompting the adoption of the
    Confrontation Clause shared the following two characteristics: (a) they involved
    out-of-court statements having the primary purpose of accusing a targeted
    individual of engaging in criminal conduct and (b) they involved formalized
    statements such as affidavits, depositions, prior testimony, or confessions.‖
    (Williams, supra, 567 U.S. at p. __ [132 S.Ct. at p. 2242], italics added.)
    The Williams plurality cites cases involving reports that did have the
    purpose of accusing a targeted person of a crime, such as a report having the
    purpose of showing the ―defendant‘s blood-alcohol level exceeded legal limit‖ or
    that a ―substance connected to [the] defendant contained cocaine.‖ (Williams,
    supra, 567 U.S. at p. __ [132 S.Ct. at p. 2242].) But, the plurality said, the report
    in its case ―is very different. It plainly was not prepared for the primary purpose
    of accusing a targeted individual. In identifying the primary purpose of an out-of-
    court statement, we apply an objective test. [Citation.] We look for the primary
    purpose that a reasonable person would have ascribed to the statement, taking into
    account all of the surrounding circumstances. [Citation.]
    ―Here, the primary purpose of the Cellmark report, viewed objectively, was
    not to accuse petitioner or to create evidence for use at trial. When the [Illinois
    State Police] lab sent the sample to Cellmark, its primary purpose was to catch a
    dangerous rapist who was still at large, not to obtain evidence for use against
    petitioner, who was neither in custody nor under suspicion at that time. Similarly,
    no one at Cellmark could have possibly known that the profile that it produced
    would turn out to inculpate petitioner — or for that matter, anyone else whose
    DNA profile was in a law enforcement database. Under these circumstances, there
    was no ‗prospect of fabrication‘ and no incentive to produce anything other than a
    4
    scientifically sound and reliable profile. [Citation.]‖ (Williams, supra, 567 U.S. at
    p. __ [132 S.Ct. at pp. 2243-2244], italics added.)
    The plurality continued: ―When lab technicians are asked to work on the
    production of a DNA profile, they often have no idea what the consequences of
    their work will be. In some cases, a DNA profile may provide powerful
    incriminating evidence against a person who is identified either before or after the
    profile is completed. But in others, the primary effect of the profile is to exonerate
    a suspect who has been charged or is under investigation. The technicians who
    prepare a DNA profile generally have no way of knowing whether it will turn out
    to be incriminating or exonerating — or both.‖ (Williams, supra, 567 U.S. at p. __
    [132 S.Ct. at p. 2244].)
    The out-of-court statements in the autopsy report that Dr. Lawrence relied
    on to form his opinion are not testimonial under this test. They did not have the
    primary purpose of accusing defendant or any other targeted individual of
    engaging in criminal conduct. The primary purpose of the portions of the report
    that Dr. Lawrence relied on was to describe the condition of the body. (See also
    maj. opn., ante, at pp. 13-14; conc. opn. of Werdegar, J., ante, at pp. 4-5.) In
    describing the condition of the body, there was no prospect of fabrication or
    incentive to produce anything other than a scientifically reliable report. The
    purpose of this part of the autopsy report is ―simply to perform [the pathologist‘s]
    task in accordance with accepted procedures.‖ (Williams, supra, 567 U.S. at p. __
    [132 S.Ct. at p. 2244].)
    The plurality opinion in Williams indicates that practical considerations
    helped inform its conclusion. ―If DNA profiles could not be introduced without
    calling the technicians who participated in the preparation of the profile, economic
    pressures would encourage prosecutors to forgo DNA testing and rely instead on
    older forms of evidence, such as eyewitness identification, that are less reliable.
    5
    [Citation.] The Confrontation Clause does not mandate such an undesirable
    development.‖ (Williams, supra, 567 U.S. at p. __ [132 S.Ct. at p. 2228].)
    Similar practical considerations support finding that autopsy reports, or at
    least the objective, factual observations included in those reports, are not
    testimonial for these purposes. A holding that everything in autopsy reports is
    testimonial — and, accordingly, that only the pathologist who prepared the report
    may testify about it — would have serious adverse consequences. ―Years may
    pass between the performance of the autopsy and the apprehension of the
    perpetrator. This passage of time can easily lead to the unavailability of the
    examiner who prepared the autopsy report. Moreover, medical examiners who
    regularly perform hundreds of autopsies are unlikely to have any independent
    recollection of the autopsy at issue in a particular case and in testifying invariably
    rely entirely on the autopsy report. Unlike other forensic tests, an autopsy cannot
    be replicated by another pathologist. Certainly it would be against society's
    interests to permit the unavailability of the medical examiner who prepared the
    report to preclude the prosecution of a homicide case.‖ (People v. Durio
    (N.Y.Sup.Ct. 2005) 
    794 N.Y.S.2d 863
    , 869.) Much harm would be done to the
    criminal justice system, with little accompanying benefit to criminal defendants, if
    all reliance on autopsy reports were banned.
    Justice Breyer discussed the practical considerations concerning autopsy
    reports in a separate concurring opinion in Williams. ―[T]o bar admission of the
    out-of-court records at issue here could undermine, not fortify, the accuracy of
    factfinding at a criminal trial. Such a precedent could bar the admission of other
    reliable case-specific technical information such as, say, autopsy reports.
    Autopsies, like the DNA report in this case, are often conducted when it is not yet
    clear whether there is a particular suspect or whether the facts found in the autopsy
    will ultimately prove relevant in a criminal trial. Autopsies are typically
    6
    conducted soon after death. And when, say, a victim‘s body has decomposed,
    repetition of the autopsy may not be possible. What is to happen if the medical
    examiner dies before trial? [Citations.] Is the Confrontation Clause
    ‗ ―effectively‖ ‘ to function ‗ ―as a statute of limitations for murder‖ ‘?
    [Citation.]‖ (Williams, supra, 567 U.S. at p. __ [132 S.Ct. at p. 2251] (conc. opn.
    of Breyer, J.).) Justice Breyer spoke only for himself, but his observations are
    entirely consistent with the plurality opinion that he joined.
    Some of the attendant circumstances in this case support the argument that
    the autopsy report was prepared with the primary purpose of accusing defendant of
    a crime. Unlike the situation in Williams, defendant was a suspect at the time the
    autopsy report was prepared. An investigator was present during the autopsy, and
    the pathologist had been told of defendant‘s confession before the autopsy report
    was written. Although the plurality in Williams stated that the defendant in that
    case happened not to be a suspect or in custody at the time the report was
    prepared, nothing in its opinion suggests this is a requirement rather than merely
    one of the ―surrounding circumstances‖ of which the court must take account.
    (Williams, supra, 567 U.S. at p. __ [132 at p. 2243].) Because of these
    circumstances, a statement in the autopsy report expressing the opinion, for
    example, that the victim had been strangled for two minutes might have been
    prepared with the primary purpose of accusing a targeted individual. But here, Dr.
    Lawrence, the testifying witness, offered that opinion. Defendant had full
    opportunity to confront and cross-examine Dr. Lawrence regarding that opinion.
    The autopsy report itself was not introduced into evidence. Rather, in
    forming his opinion, Dr. Lawrence merely relied on information regarding the
    condition of the body that was detailed in that report, such as that the victim‘s
    larynx and hyoid bone had not been fractured. But these statements are objective
    observations of the type routinely placed into autopsy reports, whether or not a
    7
    specific suspect exists. They are not statements with a primary purpose of
    accusing defendant, or anyone else, of criminal conduct. The fact that the larynx
    and hyoid bone were not broken, like most of the other observations memorialized
    in the report, ―was not inherently inculpatory.‖ (Williams, supra, 567 U.S. at p. __
    [132 S.Ct. at p. 2228].) There was no prospect of fabrication or incentive to
    produce anything other than an accurate description of the state of the body. (Id.
    at p.__ [132 S.Ct. at p. 2244].)
    The trial court did not have to allow defendant to confront Dr. Bolduc, the
    pathologist who prepared the autopsy report, regarding his observations, including
    that the larynx and hyoid bone were not broken. Indeed, such confrontation would
    undoubtedly have been futile. It seems unlikely a pathologist who conducts many
    autopsies would specifically remember a detail such as that. If called to testify,
    Dr. Bolduc, like Dr. Lawrence, would undoubtedly have had to rely on the report,
    rather than his memory, in this regard. (See People v. Durio, supra, 794 N.Y.S.2d
    at p. 869, quoted ante.) That is one of the purposes for preparing and preserving
    written autopsy reports.
    For these reasons, I conclude the Williams plurality would find no
    confrontation clause violation in this case. Because Justice Thomas would also
    find no confrontation clause violation, albeit for different reasons, we may not do
    so either. Dr. Lawrence‘s reliance on portions of someone else‘s autopsy report in
    forming his opinions did not violate defendant‘s right to confront the witnesses
    against him.
    CHIN, J.
    WE CONCUR:
    CANTIL-SAKAUYE, C. J.
    BAXTER, J.
    WERDEGAR, J.
    8
    DISSENTING OPINION BY CORRIGAN, J.
    I respectfully dissent. I would hold that Dr. George Bolduc‘s autopsy
    report was sufficiently formal and primarily made for an evidentiary purpose, as
    the United States Supreme Court has explicated those terms to date. Dr. Bolduc‘s
    report contained anatomical observations about which another forensic pathologist
    testified. High court authority compels the conclusion that admitting this
    testimony violated defendant‘s confrontation rights.
    Dr. Bolduc performed an autopsy on Lucinda Pina and prepared an autopsy
    report with accompanying photographs. We have taken judicial notice of that
    report, which is not certified. The prosecution did not call Dr. Bolduc as a
    witness, presenting instead Dr. Robert Lawrence. The prosecution did not indicate
    that Dr. Bolduc was unavailable, and defendant objected to the witness
    substitution. Defense counsel‘s hearsay objection to Dr. Lawrence‘s testimony
    was overruled.
    Dr. Lawrence told the jury that he relied on Dr. Bolduc‘s autopsy report
    and accompanying photographs as a basis for his testimony. Neither the report nor
    photographs were admitted in evidence. Although he had not been present during
    the procedure, Dr. Lawrence testified about the condition of Pina‘s body at the
    time of the autopsy. These statements about the body‘s condition were presented
    as facts, about which Dr. Lawrence had no personal knowledge.
    1
    Whether Dr. Lawrence‘s testimony violated defendant‘s Sixth Amendment
    right to confrontation turns on whether Dr. Lawrence related testimonial hearsay.
    In Crawford v. Washington (2004) 
    541 U.S. 36
     (Crawford), the Supreme Court
    established that it is the ―testimonial‖ nature of a statement that gives rise to Sixth
    Amendment protections.1 The Supreme Court has yet to clearly define just what
    the term ―testimonial‖ means.
    Nevertheless, I agree with the majority that the Supreme Court‘s Crawford
    jurisprudence reflects the importance of two factors in determining whether a
    statement is testimonial: (1) the degree of formality or solemnity of the statement
    and (2) the primary purpose for which the statement is made.
    Applying those two factors, I conclude the anatomical observations
    contained in Dr. Bolduc‘s autopsy report were testimonial statements. The
    prosecution asked Dr. Lawrence to relate facts about the condition of Pina‘s body.
    To the extent those facts were drawn from Dr. Bolduc‘s report, as opposed to
    observations based on the autopsy photographs, Dr. Lawrence related testimonial
    hearsay in violation of defendant‘s federal constitutional right to confront and
    cross-examine Dr. Bolduc.
    Although the majority notes that Dr. Lawrence also relied on autopsy
    photographs for his testimony, the record is insufficient to establish that the
    photographs provided an independent basis for Dr. Lawrence‘s testimony.
    A. Dr. Bolduc’s Recorded Observations Were Sufficiently Formal
    In Crawford, the Supreme Court made clear that ―not all hearsay implicates
    the Sixth Amendment‘s core concerns.‖ (Crawford, supra, 541 U.S. at p. 51.)
    1     The circumstances surrounding the prosecution‘s decision to call Dr.
    Lawrence, rather than presenting Dr. Bolduc and subjecting him to cross-
    examination, certainly raise concerns.
    2
    The court observed that core testimonial statements covered by the confrontation
    clause include ― ‗ex parte in-court testimony or its functional equivalent,‘ ‖ using
    an affidavit as an example. (Crawford, at p. 51.)
    Applying the Crawford analysis to forensic evidence, the United States
    Supreme Court has determined that affidavits reporting results of forensic analysis
    are sufficiently formal (Melendez-Diaz v. Massachusetts (2009) 
    557 U.S. 305
    ,
    310-311) (Melendez-Diaz), as are unsworn certificates (Bullcoming v. New Mexico
    (2011) 564 U.S. __, __ [
    131 S.Ct. 2705
    , 2717]) (Bullcoming). In Melendez-Diaz,
    a Massachusetts statute allowed state crime laboratory technicians to record their
    test results in a sworn affidavit. Under the statute, these affidavits were admitted
    to prove the test results. The technicians did not testify and thus were not subject
    to cross-examination. (See Melendez-Diaz, at pp. 308-309.) Similarly in
    Bullcoming, New Mexico applied municipal and magistrate court rules that
    allowed certified reports into evidence without a technician‘s testimony. (See
    Bullcoming, 
    supra,
     at p. __ [131 S.Ct. at p. 2717].) These state-created procedures
    were quite similar, in some respects, to the ex parte procedure of the Marian
    statutes, which the Crawford court observed was the ―principal evil at which the
    Confrontation Clause was directed.‖ (Crawford, 
    supra,
     541 U.S. at p. 50.)
    However, whether uncertified reports are sufficiently formal to be
    considered testimonial remains an open question. In Williams v. Illinois (2012)
    567 U.S. __ [
    132 S.Ct. 2221
    ] (Williams), the high court considered statements
    made in an uncertified Cellmark laboratory report, relied upon by an expert
    witness for her testimony. The report was not introduced into evidence. (Id. at
    p. __ [132 S.Ct. at p. 2235].) Before considering whether the Cellmark report
    amounted to testimonial hearsay, the plurality opined that the report was not
    3
    hearsay at all because its contents were not admitted for their truth. (Williams,
    supra, at p. __ [132 S.Ct. at p. 2228] (plur. opn. of Alito, J.).)2 This conclusion
    did not garner a majority. Five justices explicitly repudiated that analysis. (See
    Williams, at pp. __-__ [132 S.Ct. at pp. 2256-2259] (conc. opn. of Thomas, J.); id.
    at pp. __-__ [132 S.Ct. at pp. 2268-2272] (dis. opn. of Kagan, J.).)3
    The Williams plurality offered an alternative analysis as well. Even if the
    Cellmark report had been introduced for its truth, the report failed to satisfy the
    plurality‘s formulation of primary purpose. (Williams, supra, 567 U.S. at p. __
    [132 S.Ct. at p. 2243] (plur. opn. of Alito, J.).) The primary purpose test is
    discussed below. What is important to note here is that, in offering its alternative
    analysis, the plurality did not discuss whether the Cellmark report was sufficiently
    formal.
    Justice Thomas provided the dispositive fifth vote in Williams. He did so
    only because the Cellmark report ―lacked the requisite ‗formality and solemnity‘
    2       See Evidence Code section 1200, subdivision (a), which provides that
    ― ‗[h]earsay evidence‘ is evidence of a statement that was made other than by a
    witness while testifying at the hearing and that is offered to prove the truth of the
    matter stated.‖
    3       Two points are important here. There are, of course, many instances in
    which out-of-court statements are not offered for their truth. The longstanding
    rule that unless a statement is admitted for its truth it is not hearsay remains
    unchanged. The question is whether a statement is admitted for its truth. When an
    expert witness treats as factual the contents of an out-of-court statement, and
    relates as true the contents of that statement to the jury, a majority of the high
    court in Williams, supra, 567 U.S. __ [
    132 S.Ct. 2221
    ], rejects the premise that the
    out-of-court statement is not admitted for its truth.
    Second, it should be noted that Crawford and its progeny are grounded
    squarely in the Sixth Amendment, which provides that ―[i]n all criminal
    prosecutions, the accused shall enjoy the right . . . to be confronted with the
    witnesses against him . . . .‖ Thus, the Crawford limitations do not apply in civil
    cases nor do they apply when evidence is not offered against a criminal defendant.
    4
    to be considered ‗ ―testimonial.‖ ‘ ‖ (Williams, supra, 567 U.S. at p. __ [132 S.Ct.
    at p. 2255] (conc. opn. of Thomas, J.).) In joining the plurality‘s outcome, Justice
    Thomas emphasized his strict position ―that the Confrontation Clause reaches
    ‗ ―formalized testimonial materials,‖ ‘ such as depositions, affidavits, and prior
    testimony, or statements resulting from ‗ ―formalized dialogue,‖ ‘ such as
    custodial interrogation.‖ (Id. at p. __ [132 S.Ct. at p. 2260].) Justice Thomas has
    articulated this position in Davis v. Washington (2006) 
    547 U.S. 813
    , 836-837
    (dis. opn. of Thomas, J.) (Davis); Melendez-Diaz, 
    supra,
     557 U.S. at page 329;
    and Michigan v. Bryant (2011) 562 U.S. __, __ [
    131 S.Ct. 1143
    , 1165] (conc. opn.
    of Thomas, J.) (Bryant). Under Justice Thomas‘s interpretation, ―although the
    [Cellmark] report was produced at the request of law enforcement, it was not the
    product of any sort of formalized dialogue resembling custodial interrogation.‖
    (Williams, supra, at p. __ [132 S.Ct. at p. 2260] (conc. opn. of Thomas, J.).)
    Justice Kagan, writing for the dissenters, expressly rejected Justice
    Thomas‘s formality analysis. Comparing the Cellmark report to the unsworn
    report in Bullcoming, 
    supra,
     564 U.S. __ [
    131 S.Ct. 2705
    ], Justice Kagan stated:
    the differences ―amount[] to (maybe) a nickel‘s worth of difference: The
    similarities in form, function, and purpose dwarf the distinctions. [Citation.] Each
    report is an official and signed record of laboratory test results, meant to establish
    a certain set of facts in legal proceedings. Neither looks any more ‗formal‘ than
    the other; neither is any more formal than the other. . . . The difference in labeling
    —a ‗certificate‘ in one case, a ‗report of laboratory examination‘ in the other—is
    not of constitutional dimension.‖ (Williams, supra, 567 U.S. at p. __ [132 S.Ct. at
    p. 2276] (dis. opn. of Kagan, J.).)
    So the question remains: For purposes of the Sixth Amendment
    confrontation clause, can a statement in an uncertified document be formal enough
    to qualify as testimonial? In the absence of any Supreme Court majority
    5
    definitively answering this question, we must do so. We answer it in light of the
    entire Crawford jurisprudence and our own application of it.
    The Crawford court explained that testimony ―is typically ‗[a] solemn
    declaration or affirmation made for the purpose of establishing or proving some
    fact.‘ ‖ (Crawford, 
    supra,
     541 U.S. at p. 51, italics added.) ―Various formulations
    of this core class of ‗testimonial‘ statements exist: ex parte in-court testimony or
    its functional equivalent — that is, material such as affidavits, custodial
    examinations, prior testimony that the defendant was unable to cross-examine, or
    similar pretrial statements that declarants would reasonably expect to be used
    prosecutorially,‘ [citation]; ‗extrajudicial statements . . . contained in formalized
    testimonial materials, such as affidavits, depositions, prior testimony, or
    confessions,‘ [citation]; ‗statements that were made under circumstances which
    would lead an objective witness reasonably to believe that the statement would be
    available for use at a later trial,‘ [citation].‖ (Crawford, supra, 541 U.S. at pp. 51–
    52.)
    But the high court emphasized that ―[s]tatements taken by police officers in
    the course of interrogations are also testimonial under even a narrow standard.‖
    (Crawford, 
    supra,
     541 U.S. at p. 52, italics added.) ―The statements are not sworn
    testimony, but the absence of oath was not dispositive.‖ (Ibid.)
    In Davis, 
    supra,
     
    547 U.S. 813
    , the court again emphasized that testimonial
    hearsay is not limited to ―the most formal sort — sworn testimony in prior judicial
    proceedings or formal depositions under oath . . . .‖ (Id. at p. 826.) ―[W]e do not
    think it conceivable that the protections of the Confrontation Clause can readily be
    evaded by having a note-taking policeman recite the unsworn hearsay testimony
    of the declarant, instead of having the declarant sign a deposition.‖ (Davis, at
    p. 826.) ―The product of [police] interrogation, whether reduced to a writing
    signed by the declarant or embedded in the memory (and perhaps notes) of the
    6
    interrogating officer, is testimonial.‖ (Ibid.) The court noted that ―[t]he solemnity
    of even an oral declaration of relevant past fact to an investigating officer is well
    enough established by the severe consequences that can attend a deliberate
    falsehood. [Citations.]‖ (Ibid.)
    Davis, supra, 
    547 U.S. 813
    , involved two consolidated cases in which
    domestic violence victims made statements to government authorities. In one of
    those cases, Hammon v. Indiana, police responded to a domestic violence report
    and came upon the defendant‘s wife standing outside her house. Although
    frightened, she told the officers that ― ‗ ―nothing was the matter.‖ ‘ ‖ (Davis, at
    p. 819.) The officers eventually interviewed her inside the home, keeping her
    separated from her husband in another room. She wrote and signed a ― ‗battery
    affidavit,‘ ‖ summarizing an assault. (Id. at p. 820.) When the wife failed to
    appear at her husband‘s trial, her oral and written statements were admitted
    through the police officer who had questioned her. (Davis, at pp. 820-821.)
    The Supreme Court concluded the statements were ―formal enough‖ to
    qualify as testimonial because of the circumstances surrounding the interrogation.
    (Davis, supra, 547 U.S. at p. 830.) The statements were made during organized
    and structured questioning in a separate room; inquiry focused on past events that
    were potentially criminal; and the officer received the wife‘s replies for use in the
    investigation. (Ibid.) ―Such statements under official interrogation are an obvious
    substitute for live testimony, because they do precisely what a witness does on
    direct examination; they are inherently testimonial.‖ (Ibid.)
    The other case decided in Davis concerned statements made by a domestic
    violence victim to a 911 operator. In concluding that these statements were not
    sufficiently formal, the court contrasted them with Crawford‘s police station
    interrogation: ―Crawford was responding calmly, at the station house, to a series
    7
    of questions, with the officer-interrogator taping and making notes of her
    answers; [the Davis victim‘s] frantic answers were provided over the phone, in an
    environment that was not tranquil, or even (as far as any reasonable 911 operator
    could make out) safe.‖ (Davis, 
    supra,
     547 U.S. at p. 827.)
    In People v. Cage (2007) 
    40 Cal.4th 965
    , this court applied Davis to
    determine whether a victim‘s hearsay statements to a sheriff‘s deputy were
    testimonial. We explained that Davis demonstrates that ―though a statement need
    not be sworn under oath to be testimonial, it must have occurred under
    circumstances that imparted, to some degree, the formality and solemnity
    characteristic of testimony.‖ (Cage, at p. 984, italics added.) In Cage, a sheriff‘s
    deputy interviewed an assault victim at a hospital emergency room, more than an
    hour after the assault. (Id. at p. 985.) The circumstances of the interview ―were
    relatively informal, but they were no less formal or structured than the residential
    interview of Amy Hammon in Davis. Here, as there, the requisite solemnity was
    imparted by the potentially criminal consequences of lying to a peace officer.‖
    (Cage, at p. 986, fn. omitted.)
    In Bryant, supra, 562 U.S. __ [
    131 S.Ct. 1143
    ], police came upon a man
    lying in a parking lot, bleeding from gunshot wounds. The Supreme Court
    majority concluded his statements identifying his shooter were not testimonial
    because their primary purpose was to enable police to respond to an ongoing
    emergency. (Id. at pp. __-__ [131 S.Ct. at pp. 1163-1167].) Addressing the issue
    of formality, the court noted that questioning occurred in an exposed, public area,
    in a disorganized fashion, before emergency medical services arrived. Thus, the
    circumstances were factually distinguishable from a formal station house
    interrogation. The court cautioned that ―informality does not necessarily indicate
    the presence of an emergency or the lack of testimonial intent.‖ The Bryant
    majority referred to Davis‘s explanation that attempting to keep a written
    8
    interrogation ―informal‖ by not asking the declarant to sign it will not serve to
    evade confrontation clause protections. (Bryant, supra, at p. __ [131 S.Ct. at
    p. 1160], citing Davis, 
    supra,
     547 U.S. at p. 826.)
    In Bullcoming, 
    supra,
     564 U.S. __ [
    131 S.Ct. 2705
    ], the high court refused
    to distinguish between the unsworn laboratory certificate before it and the
    affidavits offered in Melendez-Diaz. The court noted Crawford‘s observation that
    the absence of an oath is not controlling when determining whether a statement is
    testimonial. (Bullcoming, 
    supra,
     at p. __ [131 S.Ct. at p. 2717].) The court
    pointed out that the analyst‘s certificate was ― ‗formalized‘ in a signed document,
    [citation], headed a ‗report.‘ ‖ The report form contained a legend referring to the
    applicable court rules permitting admission of certified blood-alcohol analyses.
    ―In sum, the formalities attending the ‗report of blood alcohol analysis‘ are more
    than adequate to qualify [the analyst‘s] assertions as testimonial.‖ (Ibid., italics
    added.)
    With this background in mind, we turn to the autopsy report prepared by
    Dr. Bolduc. During the autopsy, he examined Pina‘s body and ultimately included
    his observations as to her physical condition in his written report. At trial, Dr.
    Lawrence gave his opinion that Pina died by strangulation. In explaining that
    conclusion, he related, as matters of fact, Dr. Bolduc‘s observations of Pina‘s body
    as they were set out in the autopsy report. In particular, Dr. Lawrence mentioned
    the hemorrhages in Pina‘s eyes and neck, the purple color of her face, the absence
    of any natural disease causing death, the fact that she had bitten her tongue shortly
    before death, and the absence of any fractures in the larynx and hyoid bone. As to
    the latter, Dr. Bolduc wrote: ―There are no fractures of the hyoid bone, thyroid or
    cricoid cartilages.‖
    The majority states: ―An autopsy report typically contains two types of
    statements: (1) statements describing the pathologist‘s anatomical and
    9
    physiological observations about the condition of the body, and (2) statements
    setting forth the pathologist‘s conclusions as to the cause of the victim‘s death.
    The out-of-court statements at issue here — pathologist Bolduc‘s observations
    about the condition of victim Pina‘s body — all fall into the first of the two
    categories. These statements, which merely record objective facts, are less formal
    than statements setting forth a pathologist‘s expert conclusions. They are
    comparable to observations of objective fact in a report by a physician who, after
    examining a patient, diagnoses a particular injury or ailment and determines the
    appropriate treatment. Such notations are not testimonial in nature.‖ (Maj. opn.,
    ante, at p. 12.)4
    The majority creates a distinction between two kinds of statements in the
    autopsy report: observations and conclusions. The majority appears to suggest
    that while conclusions may be formal, observations are not. There are several
    problems with this analysis. First, it conflates the two prongs of the testimonial
    determination: formality and primary purpose. The formality prong looks to the
    circumstances under which the statement is made and any efforts to enhance the
    statement‘s formality by having it sworn (Melendez-Diaz, supra, 
    557 U.S. 305
    ),
    certified (Bullcoming, 
    supra,
     564 U.S. __ [
    131 S.Ct. 2705
    ]), or signed (Davis,
    
    supra,
     
    547 U.S. 813
    ). The formality prong turns on the circumstances of the
    statement‘s production and preservation rather than its content.5
    4       Of course there are several ways in which the statements are not
    comparable. An autopsy report reflects the examination of a dead body rather than
    a live patient. The autopsy surgeon is conducting an official inquiry, while a
    physician is treating his or her patient, not assisting in a governmental
    investigation.
    5       The high court made clear that the content of a statement may be quite
    important in determining the primary purpose for which it is made. (See, e.g.,
    Bryant, 
    supra,
     562 U.S. at pp. __-__ [131 S.Ct. at pp. 1160-1161, 1165-1166].)
    10
    Second, the distinction the majority offers here was rejected in Bullcoming,
    
    supra,
     564 U.S. __ [
    131 S.Ct. 2705
    ]. Justice Ginsburg, joined by four other
    justices on this point, wrote: ―Most witnesses, after all, testify to their
    observations of factual conditions or events, e.g., ‗the light was green,‘ ‗the hour
    was noon.‘ Such witnesses may record, on the spot, what they observed. Suppose
    a police report recorded an objective fact—Bullcoming‘s counsel posited the
    address above the front door of a house or the read-out of a radar gun. [Citation.]
    Could an officer other than the one who saw the number on the house or gun
    present the information in court—so long as that officer was equipped to testify
    about any technology the observing officer deployed and the police department‘s
    standard operating procedures? As our precedent makes plain, the answer is
    emphatically ‗No.‘ ‖ (Id. at pp. __-__ [131 S.Ct. at pp. 2714-2715].)
    Further, the Bullcoming majority noted that while ―[t]he New Mexico
    Supreme Court stated that the number registered by the gas chromatograph
    machine called for no interpretation or exercise of independent judgment on [the
    analyst‘s] part,‖ the ―analysts who write reports that the prosecution introduces
    must be made available for confrontation even if they possess ‗the scientific
    acumen of Mme. Curie and the veracity of Mother Teresa.‘ ‖ (Bullcoming, supra,
    564 U.S. at p. __ [131 S.Ct. at p. 2715].)
    We are not called upon in this matter to determine whether every aspect of
    the autopsy report was testimonial. The question here is whether anatomical
    observations Dr. Bolduc made are sufficiently formal in light of the circumstances
    in which they were made and the document in which they were recorded. In many
    cases, Government Code section 27491.4, subdivision (a) gives a coroner
    discretion whether to conduct an autopsy. Once that discretion is exercised, the
    statute requires: ―The detailed medical findings resulting from an inspection of the
    body or autopsy by an examining physician shall be either reduced to writing or
    11
    permanently preserved on recording discs or other similar recording media, shall
    include all positive and negative findings pertinent to establishing the cause of
    death in accordance with medicolegal practice and this, along with the written
    opinions and conclusions of the examining physician, shall be included in the
    coroner‘s record of the death.‖ (Gov. Code, § 27491.4, subd. (a).)
    Dr. Bolduc performed this autopsy and prepared a report in compliance
    with Government Code section 27491.4, subdivision (a). He was working for the
    Sheriff-Coroner of San Joaquin County, and the report is identified as a document
    filed with the San Joaquin County Sheriff-Coroner‘s Office. An autopsy report is
    a public record. (See Dixon v. Superior Court (2009) 
    170 Cal.App.4th 1271
    ,
    1278.)
    Dr. Bolduc‘s autopsy report consists of seven pages. The top of the first
    page bears the preprinted notation ―Office of Sheriff-Coroner, County of San
    Joaquin.‖ That same page contains a reproduction of the badge of the San Joaquin
    County Sheriff, below which is the name ―Robert Heidelbach, Sheriff-Coroner,
    Public Administrator.‖
    Additionally, the first page of the autopsy report identifies the document as
    ―Coroner‘s Autopsy Report.‖ In the upper right-hand corner of each subsequent
    page is the identification ―Coroner‘s Autopsy Report.‖ Dr. Bolduc‘s name is
    printed on the bottom of each page.
    The report provides a detailed summary of the external examination of the
    victim, concluding with ―Findings Consistent With Neck Compression.‖ The
    report then provides a detailed summary of the internal examination, including the
    description of the injuries to the neck and the absences of fractures ―of the hyoid
    bone, thyroid or cricoid cartilages.‖
    The report concludes with nine ―Autopsy Findings.‖ The first ―finding‖
    states: ―The autopsy findings are consistent with neck compression for the
    12
    following reasons,‖ and list six reasons. The report states, ―Cause of Death:
    Asphyxia (minutes) [sic]; Due to: Neck compression.‖ The report is signed by
    ―George E. Bolduc, M.D.,‖ and dated June 8, 2006.
    In terms of formality, Dr. Bolduc‘s autopsy report comports closely with
    the court‘s description of ―testimonial‖ in Bullcoming, supra, 564 U.S. __ [
    131 S.Ct. 2705
    ]. There, the analyst‘s certificate, although unsworn, was ― ‗formalized‘
    in a signed document, [citation], headed a ‗report,‘ ‖ and these attendant
    formalities were found ―more than adequate to qualify [the analyst‘s] assertions as
    testimonial.‖ (Id. at p. __ [131 S.Ct. at p. 2717].) Although Dr. Bolduc‘s
    ―Coroner‘s Autopsy Report,‖ is not certified, it is signed and dated. It is
    manifestly an official report, prepared by Dr. Bolduc as an agent of the Sheriff-
    Coroner and in compliance with the Government Code. I believe the document
    and the circumstances of its preparation reveal that the statements at issue here are
    sufficiently formal to satisfy that prong of the Supreme Court‘s testimonial test.
    B. Dr. Bolduc’s Recorded Observations Satisfy the Primary Purpose Test
    In Williams, supra, 567 U.S. __ [
    132 S.Ct. 2221
    ], all members of the
    Supreme Court agreed that the primary purpose for which a statement is made is
    an important prong of the testimonial test. Beginning with Crawford, 
    supra,
     
    541 U.S. 36
    , the high court has declined to provide a firm definition of ―testimonial.‖
    In Williams, three different formulations were given.
    Justice Alito, for the plurality, wrote that even if the Cellmark report had
    been introduced for its truth, it was not testimonial because it was not prepared for
    ―the primary purpose of accusing a targeted individual.‖ (Williams, supra, 567
    U.S. at p. __ [132 S.Ct. at p. 2243] (plur. opn. of Alito, J.).) This formulation
    garnered a total of four votes, as Justice Alito was joined by Chief Justice Roberts
    and Justices Kennedy and Breyer. (Id. at p. __ [132 S.Ct. at p. 2227].). Under the
    13
    plurality‘s definition, a statement is not testimonial unless it was made to accuse a
    specific person.
    Justice Thomas rejected that definition. He agreed that for a statement to
    qualify as testimonial, it must be made with a requisite primary purpose, which he
    described thusly: ―[F]or a statement to be testimonial within the meaning of the
    Confrontation Clause, the declarant must primarily intend to establish some fact
    with the understanding that his statement may be used in a criminal prosecution.‖
    (Williams, supra, 567 U.S. at p. __ [132 S.Ct. at p. 2261] (conc. opn. of Thomas,
    J.).)6 He criticized the accusatory statement concept newly formulated by the
    plurality because it ―lacks any grounding in constitutional text, in history, or in
    logic.‖ (Williams, at p. __ [132 S.Ct. at p. 2262].)
    Justice Kagan, in a dissent joined by Justices Scalia, Ginsburg, and
    Sotomayor, also rejected the plurality‘s definition of the primary purpose test.
    Justice Kagan wrote, ―Where that test comes from is anyone‘s guess. Justice
    Thomas rightly shows that it derives neither from the text nor from the history of
    the Confrontation Clause. [Citation.] And it has no basis in our precedents. We
    have previously asked whether a statement was made for the primary purpose of
    establishing ‗past events potentially relevant to later criminal prosecution‘—in
    other words, for the purpose of providing evidence. Davis, 
    547 U.S., at 822
    , 
    126 S.Ct. 2266
    ; see also Bullcoming, 564 U.S., at __, 131 S.Ct., at 2705; Bryant, 562
    U.S., at ___,___, 
    131 S.Ct. 1143
    , at p. 1157; Melendez-Diaz, 
    557 U.S., at 310-311
    ,
    
    129 S.Ct. 2527
    ; Crawford, 
    541 U.S., at 51-52
    , 
    124 S.Ct. 1354
    . None of our cases
    6      Justice Thomas cautioned that such a test must be coupled with the
    solemnity requirement. Otherwise ―it sweeps into the ambit of the Confrontation
    Clause statements that lack formality and solemnity and is thus ‗disconnected
    from history.‘ ‖ (Williams, supra, 567 U.S. at p. __ [132 S.Ct. at p. 2261] (conc.
    opn. of Thomas, J.).)
    14
    has ever suggested that, in addition, the statement must be meant to accuse a
    previously identified individual; indeed, in Melendez–Diaz, we rejected a related
    argument that laboratory ‗analysts are not subject to confrontation because they
    are not ―accusatory‖ witnesses.‘ 
    557 U.S., at 313
    , 
    129 S.Ct. 2527
    .‖ (Williams,
    supra, 567 U.S. at pp. __-__ [132 S.Ct. at pp. 2273-2274] (dis. opn. of Kagan, J.).)
    In Williams, supra, 567 U.S. __ [
    132 S.Ct. 2221
    ], the high court failed to
    articulate any reasoning accepted by a majority of that court. ― ‗When a
    fragmented Court decides a case and no single rationale explaining the result
    enjoys the assent of five Justices, ―the holding of the Court may be viewed as that
    position taken by those Members who concurred in the judgment on the narrowest
    grounds . . . .‖ ‘ (Marks v. United States (1977) 
    430 U.S. 188
    , 193.)‖ (Del Monte
    v. Wilson (1992) 
    1 Cal.4th 1009
    , 1023.) ―This rule only works in instances where
    ‗one opinion can meaningfully be regarded as ―narrower‖ than another — only
    when one opinion is a logical subset of other, broader opinions,‘ King v.
    Palmer, . . . 
    950 F.2d 771
    , 781 (D.C.Cir. 1991) (en banc), that is to say, only when
    that narrow opinion is the common denominator representing the position
    approved by at least five justices. When it is not possible to discover a single
    standard that legitimately constitutes the narrowest ground for a decision on that
    issue, there is then no law of the land because no one standard commands the
    support of a majority of the Supreme Court. [Citation.] [¶] . . . The only binding
    aspect of such a splintered decision is its specific result . . . .‖ (U.S. v. Alcan
    Aluminum Corp. (2d Cir. 2003) 
    315 F.3d 179
    , 189.)
    As Justice Kagan wrote in Williams, supra, 567 U.S. __ [
    132 S.Ct. 2221
    ],
    ― . . . I call Justice Alito‘s opinion ‗the plurality,‘ because that is the conventional
    term for it. But in all except its disposition, his opinion is a dissent: Five Justices
    specifically reject every aspect of its reasoning and every paragraph of its
    explication.‖ (Id. at p. __ [132 S.Ct. at p. 2265] (dis. opn. of Kagan, J.).)
    15
    Because the high court failed to articulate any reasoning carrying a majority
    of that court, Williams provides no authoritative reasoning for us to follow.
    Nevertheless, despite the fractured voting, Williams represents the first time that
    all nine justices agree that primary purpose is a significant part of the
    ―testimonial‖ analysis. So how do we determine whether the ―primary purpose‖
    for which a statement was given satisfies that prong of the testimonial test?
    We must apply the high court‘s binding decisions in this area. The four
    dissenting justices in Williams continue to adhere to the primary purpose test
    articulated in Davis, supra, 
    547 U.S. 813
    . (See Williams, supra, 567 U.S. at p. __
    [132 S.Ct. at p. 2274] (dis. opn. of Kagan, J.).) As set out above, ante at page 5,
    Justice Thomas provides a definition slightly different from that endorsed by the
    dissenters. While future developments may clarify whether those differences
    result in a legally significant distinction, the similarity between the two
    formulations is sufficient to consider them together here.
    The primary purpose test of Davis was again applied by the Supreme Court
    majority in Bryant, supra, 562 U.S. __ [
    131 S.Ct. 1143
    ]. The court further
    explained that ―[a]n objective analysis of the circumstances of an encounter and
    the statements and actions of the parties to it provides the most accurate
    assessment of the ‗primary purpose of the interrogation.‘ The circumstances in
    which an encounter occurs . . . are clearly matters of objective fact.‖ (Bryant,
    supra, at p. __ [131 S.Ct. at p. 1156].)7
    7       In Bullcoming, 
    supra,
     564 U.S. __ [
    131 S.Ct. 2705
    ], Justice Ginsburg,
    writing for the majority, included this footnote: ―To rank as ‗testimonial,‘ a
    statement must have a ‗primary purpose‘ of ‗establish[ing] or prov[ing] past
    events potentially relevant to later criminal prosecution.‘ ‖ (Id. at p. __ [131 S. Ct.
    at p. 2714, fn. 6], quoting Davis, 
    supra,
     547 U.S. at p. 822.) Justice Thomas, a
    member of the majority, did not join in the footnote.
    16
    In view of the binding precedent of the high court, I suggest the appropriate
    inquiry is whether, viewed objectively, a sufficiently formal statement was made
    for the primary purpose of establishing or proving past facts for possible use in a
    criminal trial.
    Turning to Dr. Bolduc‘s autopsy, the majority states: ―The usefulness of
    autopsy reports, including the one at issue here, is not limited to criminal
    investigations and prosecution; such reports serve many other equally important
    purposes.‖ (Maj. opn., ante, at p. 14.)
    Such a blanket approach is not supported by controlling precedent. While
    some autopsies may be conducted for purposes unrelated to a criminal
    prosecution, other autopsies conducted under different circumstances may well
    result in the production of testimonial statements. In Bryant, 
    supra,
     562 U.S. __
    [
    131 S.Ct. 1143
    ], Justice Sotomayor, writing for the majority, notes that the
    primary purpose for which a statement is made will often be highly fact
    dependent.8 Indeed, the primary purpose may change as events evolve. The
    Bryant court, citing Davis, 
    supra,
     547 U.S. at page 828, pointed out that a
    conversation initially concerning the need for emergency assistance may evolve to
    produce testimonial statements.9 Further, a statement may be made or recorded
    8      For example, the majority noted, ―[W]hether an emergency exists and is
    ongoing is a highly context-dependent inquiry.‖ (Bryant, supra, 562 U.S. at p. __
    [131 S.Ct. at p. 1158].) ―In determining whether a declarant‘s statements are
    testimonial, courts should look to all of the relevant circumstances.‖ (Id. at p. __
    [131 S.Ct. at p. 1162].)
    9      As the majority explained in Bryant: ―This evolution may occur if, for
    example, a declarant provides police with information that makes clear that what
    appeared to be an emergency is not or is no longer an emergency or that what
    appeared to be a public threat is actually a private dispute. It could also occur if a
    perpetrator is disarmed, surrenders, is apprehended, or, as in Davis, flees with little
    prospect of posing a threat to the public. Trial courts can determine in the first
    (Footnote continued on next page.)
    17
    for multiple purposes. (See Bryant, 
    supra,
     at p. __ [131 S.Ct. at p. 1161].)
    However, it is the primary purpose that must be determined and that determination
    will drive the analysis.
    Thus, the question is whether this autopsy report was made for the primary
    purpose of establishing past facts for possible use in a criminal trial. Answering
    that question, ―we objectively evaluate the circumstances‖ in which the report was
    generated. (Bryant, 
    supra,
     562 U.S. at p. __ [131 S.Ct. at p. 1156].)
    An objective consideration of this autopsy report reveals the following. Dr.
    Bolduc‘s autopsy of Pina‘s body took place over two days during a homicide
    investigation. There is no dispute that the victim, whose body was discovered in
    her parked car after a police search, was a homicide victim. The report reveals
    that homicide detective Robert Faine was present throughout the autopsy. It
    indicates that, at various times during the second day of the procedure, another
    police officer, an evidence technician, and a Department of Justice representative
    were also present. Faine testified at the preliminary hearing that he told Dr.
    Bolduc about the position and appearance of Pina‘s body in the car. Dr. Bolduc‘s
    autopsy report relates: ―This woman, dressed in pajamas and socks, was found on
    the rear floorboard of her SUV covered by a blanket. The windows were closed
    and the doors were locked.‖ The report also notes: ―History from police
    Detective Faine that someone confessed to manually strangling the deceased from
    the front and putting the body in her SUV and driving around for a while.‖ In
    (Footnote continued from previous page.)
    instance when any transition from nontestimonial to testimonial occurs, and
    exclude ‗the portions of any statement that have become testimonial, as they do,
    for example, with unduly prejudicial portions of otherwise admissible evidence.‘ ‖
    (Bryant, supra, 562 U.S. at pp. __-__ [131 S.Ct at pp. 1159-1160, fn. omitted].)
    18
    light of all these circumstances, I conclude that when Dr. Bolduc wrote this
    autopsy report, his primary purpose was to make the statements at issue to
    establish facts for possible use in a criminal trial.10
    While Justice Werdegar joins the majority opinion, she writes separately to
    explain in more detail why Dr. Bolduc‘s statements are not testimonial. The
    explanation offered is problematic.
    First, on the issue of formality, the concurrence relies on standards
    attributed to the National Association of Medical Examiners (NAME Standards).
    Those standards appear nowhere in the record. The trial court did not rely on
    them. No statute mentions them. We cannot determine from this record whether
    those standards are widely accepted in California. We have no basis to conclude
    those standards are implicated in this case.
    On the primary purpose question, the concurrence asserts there is a
    ―consensus‖ that a statement is more testimonial ―to the extent it was produced
    under circumstances making it likely to be used in place of live testimony at a
    future criminal trial.‖ (Conc. opn. of Werdegar, J., ante, at p. 5.) It is inaccurate
    to say there is a consensus among the justices as to the definition of ―primary
    purpose.‖ The definition has been formulated variously in Crawford and
    subsequent cases. As noted, three different formulations are contained in the
    Williams opinion alone.
    10     I note that because defendant had already confessed to strangling Pina at
    the time Dr. Bolduc prepared his autopsy report, the primary purpose formulation
    embraced by the Williams plurality is also satisfied. The autopsy statements were
    made for the primary purpose of accusing a targeted individual, the confessing
    defendant. (See Williams, supra, 567 U.S. at p. __ [132 S.Ct. at p. 2242] (plur.
    opn. of Alito, J.).)
    19
    The precise phrasing of the test is important, even if the high court has yet
    to agree upon one. Articulating the test in different ways gives rise to confusion. I
    suggest it is unwise for us to try and synthesize the court‘s many formulations to
    urge there is a consensus, where plainly one does not exist.
    The concurrence again places heavy reliance on the NAME Standards to
    conclude that a medical examiner may make a ― ‗neutral and objective medical
    assessment,‘ ‖ when doing an autopsy. (Conc. opn. of Werdegar, J., ante, at p. 6.)
    Regardless of how an association may characterize what some medical examiners
    may generally do, the question before us is what this doctor did, and for what
    primary purpose he wrote this autopsy report. There is no evidence in this record
    that Dr. Bolduc followed the NAME Standards, or relied on them in any way. As
    explained in the majority opinion (ante, at pp. 3-4) the pretrial evidentiary hearing
    contains assertions that Dr. Bolduc was fired as a coroner in Kern County, did not
    reveal that fact in his resume, and resigned his coroner‘s position in Orange
    County ― ‗under a cloud.‘ ‖ Dr. Lawrence acknowledged at that hearing that
    prosecutors in several counties refused to use him as an expert witness.
    The concurrence‘s statement that there is no indication that Dr. Bolduc
    ―was guided in his conduct and documentation of the autopsy by anything other
    than professional medical practices and standards‖ (conc. opn. of Werdegar, J.,
    ante, at p. 9) rests on complete speculation. Indeed, it is precisely those questions
    that could have been pursued during his cross-examination had the prosecution not
    declined to call Dr. Bolduc as a witness.
    C. Prejudicial Effect of the Error
    The majority notes that Dr. Lawrence did not say whether his description of
    Pina‘s body at the time of the autopsy was based solely on the autopsy
    photographs, solely on Dr. Bolduc‘s autopsy report, or on a combination of the
    two. (Maj. opn., ante, at p. 5.) The existence of multiple sources is important.
    20
    Autopsy photographs are not hearsay. Hearsay is an out-of-court
    ―statement.‖ (See Evid. Code, § 1200.) Evidence Code section 225 defines
    ―statement‖ as oral or written verbal expression or nonverbal conduct of a person.
    Only people can generate hearsay. Machines, animals, chemical reactions cannot.
    (See Simons, Cal. Evidence Manual (2012 ed.) §2.2, pp. 74-75.) Therefore, to the
    extent Dr. Lawrence had used properly authenticated autopsy photographs to
    explain his testimony, he would not have disclosed testimonial hearsay.11
    On this record, supplemented by our review of the judicially noticed
    autopsy record, it cannot be determined if the autopsy photographs would have
    independently supported Dr. Lawrence‘s testimony. The photographs were not
    admitted in evidence, and Dr. Bolduc‘s report did not mention them other than to
    note that ―[m]ultiple photographs are taken.‖ Defendant objected to Dr.
    Lawrence‘s testimony as hearsay. It was the prosecution‘s burden, as proponent
    of the challenged evidence, to establish its admissibility. (See Pen. Code, § 1096.)
    It failed to do so.
    When the erroneous admission of evidence against a criminal defendant
    violates a right under the federal Constitution, the judgment must be reversed
    unless the prosecution shows beyond a reasonable doubt that the result would have
    been the same notwithstanding the error. (Chapman v. California (1967) 
    386 U.S. 18
    , 24.) Applying that test here, I conclude that the erroneously admitted
    testimony of Dr. Lawrence was prejudicial.
    As the Court of Appeal explained, Dr. Lawrence‘s opinion that Pina was
    strangled for at least two minutes was a crucial part of the prosecution‘s case:
    ―While defendant admitted strangling Pina to death, he said he did so only after he
    11    I assume Detective Faine, who attended the autopsy, could have
    authenticated the autopsy photographs.
    21
    was provoked to the point of losing control and argued he was guilty of at most
    voluntary manslaughter. The prosecution‘s argument that defendant was guilty of
    intentional murder, and not voluntary manslaughter, was based in large part on the
    theory that during the time it took for defendant to strangle Pina, what may have
    begun as passion shaded into intent. The only evidence offered by the prosecution
    in support of this theory was Dr. Lawrence‘s testimony that Pina was strangled for
    at least two minutes before she died, which he based on Dr. Bolduc‘s report. The
    prosecutor relied on that testimony during her closing argument in arguing
    defendant was guilty of murder and not voluntary manslaughter.‖
    Dr. Lawrence description of Pina‘s body, drawn from the hearsay contained
    in Dr. Bolduc‘s autopsy report, violated defendant‘s right to confront and cross-
    examine Dr. Bolduc. Had the trial court excluded that description, there would
    have been no evidence supporting Dr. Lawrence‘s opinion regarding the length of
    Pina‘s strangulation.12 Without such evidence, the jury might have rejected the
    prosecutor‘s argument (maj. opn., ante, at p. 6) that defendant could not have
    killed Pina in the heat of passion because any such passion would have dissipated
    during the two minutes it took to strangle her.
    I would affirm the judgment of the Court of Appeal.
    In reaching this conclusion I note that various Supreme Court justices have
    written at length describing how the court‘s Crawford jurisprudence has created
    serious and complicated problems, the full significance of which continues to
    12    Dr. Lawrence might have testified that he could base his opinion on
    nonhearsay photographs. He did not. Had he done so, his claims that the
    photographs were sufficient for that purpose would have been subject to cross-
    examination as well as being potentially rebuttable by independent defense
    evidence to the contrary.
    22
    evolve.13 As Justice Alito observed in Williams, ―Experience might yet show that
    the holdings [in Crawford‘s progeny] should be reconsidered for the reasons,
    among others, expressed in the dissents the decisions produced.‖ (Williams,
    supra, 567 U.S. at p. __, fn. 13 [132 S.Ct. at p. 2242, fn. 13] (plur. opn. of Alito,
    J.).)
    Application of Supreme Court precedent is further complicated by the fact
    that the tests propounded are expressed in various formulations and are modified
    in ensuing opinions with shifting levels of agreement among the justices. As
    Justice Breyer pointed out in his Williams concurrence: ―Answering the
    underlying general question . . . , and doing so soon, is important. Trial judges in
    both federal and state courts apply and interpret hearsay rules as part of their daily
    trial work. . . . Obviously, judges, prosecutors, and defense lawyers have to know,
    in as definitive a form as possible, what the Constitution requires so that they can
    try their cases accordingly. [¶] The several different opinions filed today embody
    several serious, but different, approaches to the difficult general question. Yet
    none fully deals with the underlying question as to how, after Crawford,
    Confrontation Clause ‗testimonial statement‘ requirements apply . . . .‖ (Williams,
    supra, 567 U.S. at p. __ [132 S.Ct. at p. 2248] (conc. opn. of Breyer, J.).) The
    problem is reflected in the various opinions our court offers here.
    13     See, for example, the concurring opinion of Chief Justice Rehnquist, joined
    by Justice O‘Connor in Crawford, 
    supra,
     541 U.S. at pages 69-76; the dissenting
    opinion of Justice Kennedy, joined by Chief Justice Roberts, and Justices Breyer
    and Alito, in Melendez-Diaz, 
    supra,
     557 U.S. at pages 330-357; and the
    concurring opinion of Justice Breyer in Williams, supra, 567 U.S. at pages __-__
    [132 S.Ct. at pages 2244-2255].
    23
    Nevertheless, a majority of the Supreme Court has propounded a series of
    rules founded squarely on a federal constitutional guarantee. Lower courts must
    conscientiously apply those constitutionally mandated principles, as best we can
    discern them, whether or not we agree with their wisdom or their logic.
    CORRIGAN, J.
    I CONCUR:
    LIU, J.
    24
    See next page for addresses and telephone numbers for counsel who argued in Supreme Court.
    Name of Opinion People v. Dungo
    __________________________________________________________________________________
    Unpublished Opinion
    Original Appeal
    Original Proceeding
    Review Granted XXX 
    176 Cal.App.4th 1388
    Rehearing Granted
    __________________________________________________________________________________
    Opinion No. S176886
    Date Filed: October 15, 2012
    __________________________________________________________________________________
    Court: Superior
    County: San Joaquin
    Judge: Charlotte J. Orcutt
    __________________________________________________________________________________
    Counsel:
    Ann Hopkins, under appointment by the Supreme Court, for Defendant and Appellant.
    Bartell & Hensel, Donald J. Bartell, Lara J. Gressley; and John N. Aquilina for California DUI Lawyers
    Association and California Attorneys for Criminal Justice as Amici Curiae on behalf of Defendant and
    Appellant.
    Edmund G. Brown, Jr., and Kamala D. Harris, Attorneys General, Dane R. Gillette, Chief Assistant
    Attorney General, Michael P. Farrell, Assistant Attorney General, David A. Rhodes and Daniel E.
    Bernstein, Deputy Attorneys General; James P. Willett, District Attorney, Edward J. Busuttil, Assistant
    District Attorney, and Ronald J. Freitas, Deputy District Attorney, for Plaintiff and Respondent.
    W. Scott Thorpe; and Albert C. Locher, Assistant District Attorney (Sacramento) for California District
    Attorneys Association as Amicus Curiae on behalf of Plaintiff and Respondent.
    Dolores A. Carr, District Attorney (San Jose) and John Chase, Deputy District Attorney, for California
    Association of Crime Laboratory Directors as Amicus Curiae on behalf of Plaintiff and Respondent.
    Counsel who argued in Supreme Court (not intended for publication with opinion):
    Ann Hopkins
    P.O. Box 23711
    Oakland, CA 94623
    (510) 530-8774
    Ronald J. Freitas
    Deputy District Attorney
    222 East Weber, Room 202
    Stockton, CA 95202
    (209) 468-2400