Vayre Pierre
Bull Acad Natl Med. 2005 May;189(5):979-92.
The cause-effect relationship is a cornerstone of legal decisions. In the medical sphere, the expert charged with determining the attributability of adverse effects must take into account both the likely pathophysiological mechanism and the chronology, based on common sense. When proven by the expert, attributability--a medical concept--allows the judge to determine the legal implications. The expert report should describe the incriminated actions and their observed adverse effects, distinguish what is clearly false from what is probably true, state only what is certain, and clearly identify any doubts.
因果关系是法律判决的基石。在医学领域，负责确定不良反应可归因性的专家必须基于常识，兼顾可能的病理生理机制和时间顺序。当专家证明了可归因性（一个医学概念）后，法官就能确定其法律影响。专家报告应描述涉案行为及其观察到的不良反应，区分明显虚假与可能真实的内容，只陈述确定的事实，并明确指出任何疑问。
