Open Decision Ledger · Criminal law
Diagnosis certificates in assault cases and what counts as bodily injury
Supreme Court, Dec. 4, 2025, 2025Do11886 (judgment)
Case name: 상해
Official text on the National Law Information Center
Question
In a criminal case, how should the evidentiary weight of a medical certificate of injury be assessed where it was issued mainly on the complainant's subjective complaints of pain, and what standard governs whether the accused's act damaged bodily integrity or impaired physiological function?
Holding
A medical certificate of injury may be strong evidence alongside the complainant's statement, but the existence and causation of the injury must still be proved beyond reasonable doubt, and where there are circumstances casting doubt on the certificate's objectivity and reliability, its weight must be assessed with great care. Where such a certificate was issued mainly on the complainant's subjective complaints of pain, the court must look at the timing of the diagnosis and issue, the circumstances of issue, whether the recorded site and degree match the claimed cause, the basis on which the doctor issued it, and the motive, timing and course of the later treatment, and judge the weight by logic and experience. Bodily injury means damage to the victim's bodily integrity or an impairment of physiological function; extremely minor wounds that would ordinarily arise in daily life, heal without treatment and leave no hindrance to daily activities are not injury, and the question is judged by the victim's concrete physical and mental condition, such as age, sex and build.
Summary of the holding, verbatim
형사사건에서 상해진단서는 피해자의 진술과 함께 피고인의 범죄사실을 증명하는 유력한 증거가 될 수 있다. 그러나 상해 사실의 존재 및 인과관계 역시 합리적 의심이 없는 정도의 증명에 이르러야 인정할 수 있으므로, 상해진단서의 객관성과 신빙성을 의심할 만한 사정이 있는 때에는 그 증명력을 판단하는 데 매우 신중해야 한다.
Unofficial English translation
In a criminal case, a certificate of injury, together with the victim's statements, may become powerful evidence proving the defendant's criminal facts. However, the existence of the fact of injury and causation must likewise be established by proof to the degree that there is no reasonable doubt before they may be recognized; therefore, where there are circumstances that cast doubt on the objectivity and credibility of the certificate of injury, one must be extremely cautious in assessing its probative value.
Disposition
Reversed and remanded Stated in the decision
원심판결을 파기하고, 사건을 창원지방법원에 환송한다.
Unofficial English translation
The judgment of the court below is reversed, and the case is remanded to the Changwon District Court.
Form of the test
Circumstances weighed Stated in the decision
의사가 진단서를 발급한 근거 등을 두루 살피는 것 외에도, 피해자가 상해 사건 이후 진료를 받은 시점, 진료를 받게 된 동기와 경위, 그 후의 진료 경과 등을 면밀히 살펴 논리와 경험법칙에 따라 그 증명력을 판단해야 한다.
Unofficial English translation
In addition to comprehensively examining the grounds on which the physician issued the certificate and the like, one must closely examine the point in time at which the victim received medical treatment after the injury incident, the motive and circumstances that led to the receipt of medical treatment, and the subsequent course of treatment, and must assess its probative value in accordance with logic and the rules of experience.
Factors
- 상해 사실의 존재 및 인과관계 역시 합리적 의심이 없는 정도의 증명에 이르러야 인정할 수 있으므로
- 상해진단서가 주로 피해자의 주관적인 통증 호소 등에 의존하여 의학적 가능성만으로 발급된 때에는
- 진단일자 및 진단서 작성일자가 상해 발생 시점과 시간상으로 근접하고 진단서 발급 경위에 특별히 신빙성을 의심할 만한 사정은 없는지
- 진단서에 기재된 상해 부위 및 정도가 피해자가 주장하는 상해의 원인 내지 경위와 일치하는지
- 피해자의 연령, 성별, 체격 등 신체·정신상의 구체적 상태를 기준으로 판단해야 한다
Unofficial English translation
• the existence of the fact of injury and causation must likewise be established by proof to the degree that there is no reasonable doubt before they may be recognized
• where a certificate of injury has been issued on the basis merely of medical possibility, relying mainly on the victim's subjective complaints of pain and the like
• whether the date of diagnosis and the date of preparation of the certificate are temporally close to the time the injury occurred, and whether there are no particular circumstances warranting doubt as to the credibility of the circumstances under which the certificate was issued
• whether the site and degree of the injury stated in the certificate accord with the cause or circumstances of the injury claimed by the victim
• must be determined on the basis of the victim's specific physical and mental condition, such as age, sex, and physique
Relation to precedent
Follows earlier decisions Stated in the decision
대법원 2016. 11. 25. 선고 2016도15018 판결(공2017상, 68)
Unofficial English translation
Supreme Court Decision 2016Do15018 decided November 25, 2016 (Gong 2017 Sang, 68)
Decisions referred to
[1][2] 대법원 2016. 11. 25. 선고 2016도15018 판결(공2017상, 68)
Burden of proof
Not addressed Not in the decision
Open question and revisit condition
Where a medical certificate was issued long after the incident but the circumstances of issue and the course of treatment are otherwise unremarkable, what evidence is needed before its evidentiary weight can still be recognised?
The retrial judgment of the Changwon District Court after this remand, and any later decision refining how the circumstances casting doubt on a certificate of injury are weighed, would require this entry to be read again. A change to Article 257(1) of the Criminal Act would do the same.
Cross-family AI independent reading & axis check
7 of 8 axes matched GPT-6 Astra (OpenAI, codex CLI) · 2026-10-24
A reader from another model family (GPT-6 Astra), given the official text but not the primary reading, agreed on 7 of the 8 axes; the readings differed on axis 8 (open question and revisit condition).
Axis 8 (Open question and revisit condition): Primary “Where a medical certificate was issued long after the incident but the circumstances of issue and the course of treatment are otherwise unremarkable, what evidence is needed before its evidentiary weight can still be recognised?” vs Independent “What additional evidence would suffice to establish injury and causation beyond reasonable doubt when a certificate rests primarily on subjective pain complaints?”
The primary asks what evidence supports a substantially delayed certificate with otherwise ordinary issuance and treatment, while the independent asks what supplements a certificate based mainly on subjective pain.
형사사건에서 상해진단서는 피해자의 진술과 함께 피고인의 범죄사실을 증명하는 유력한 증거가 될 수 있다. 그러나 상해 사실의 존재 및 인과관계 역시 합리적 의심이 없는 정도의 증명에 이르러야 인정할 수 있으므로, 상해진단서의 객관성과 신빙성을 의심할 만한 사정이 있는 때에는 그 증명력을 판단하는 데 매우 신중해야 한다.Raw responses and comparison record: Protocol · Blind readings (JSONL) · Axis comparison (JSONL) · SHA-256 (JSON)
Lower-court contrast & scope of application
Lower-court reading vs. Supreme Court holding
Lower-court context: The Changwon District Court, in its judgment of 8 July 2025 (2023No2604), found that the accused had inflicted injury on the complainant on the strength of the complainant's statement, the statements of witnesses and the medical certificate of injury, and left unchanged the first-instance judgment convicting the accused under Article 257(1) of the Criminal Act.
Supreme Court standard: The Supreme Court held that the certificate had been issued about one year and three months after the incident, apparently so that the complainant could answer a complaint lodged by the accused's father, that the doctor who had treated the complainant that day testified that he did not recall the treatment and issued the certificate from the medical records, and that those records listed several injuries without showing which site had been treated. It also noted that the complainant never returned for treatment of the shin, that no record could be found that the complainant had bought or taken the prescribed medicine, that the complainant had not complained of pain to anyone nearby and had not photographed the wounds, so the certificate was not enough to find the alleged contusion beyond reasonable doubt. It reversed the judgment below for misapprehending the law on 'bodily injury' and failing to conduct the necessary deliberation.
Distinguishing conditions
- A case in which the medical certificate was issued close in time to the incident, the circumstances of issue give no reason to doubt its reliability, and the recorded site and degree of injury match the claimed cause of injury.
- A case in which the wound accompanying the violence is not extremely minor, so that treatment was needed and daily activity was hindered.
- A case in which, judged by the complainant's concrete physical and mental condition, the wound damaged bodily integrity or impaired physiological function.
Record verification notes
Set the certificate against the whole course of events rather than the certificate alone: when it was issued and on what basis, whether the complainant sought treatment at the time and afterwards, whether any material record shows the prescribed medicine was obtained and taken, and whether the complainant told anyone about the pain. Then test the recorded site and degree of injury against the claimed cause and against any pre-existing condition, and judge the wound against the complainant's own age, sex and build.
From the official text
Points at issue
[1] 형사사건에서 상해진단서의 증명력 및 상해진단서가 주로 피해자의 주관적인 통증 호소 등에 의존하여 의학적 가능성만으로 발급된 경우, 그 증명력을 판단하는 방법 [2] 상해죄에서 상해의 의미 및 신체의 완전성을 훼손하거나 생리적 기능에 장애를 초래하였는지 판단하는 기준
Unofficial English translation
[1] In a criminal case, the probative value of a certificate of injury, and, where a certificate of injury has been issued on the basis merely of medical possibility, relying mainly on the victim's subjective complaints of pain and the like, the method of assessing its probative value [2] The meaning of injury in the crime of inflicting bodily injury, and the criteria for determining whether the integrity of the body has been impaired or a disturbance of physiological function has been caused
Summary of the holding
[1] 형사사건에서 상해진단서는 피해자의 진술과 함께 피고인의 범죄사실을 증명하는 유력한 증거가 될 수 있다. 그러나 상해 사실의 존재 및 인과관계 역시 합리적 의심이 없는 정도의 증명에 이르러야 인정할 수 있으므로, 상해진단서의 객관성과 신빙성을 의심할 만한 사정이 있는 때에는 그 증명력을 판단하는 데 매우 신중해야 한다. 특히 상해진단서가 주로 피해자의 주관적인 통증 호소 등에 의존하여 의학적 가능성만으로 발급된 때에는, 진단일자 및 진단서 작성일자가 상해 발생 시점과 시간상으로 근접하고 진단서 발급 경위에 특별히 신빙성을 의심할 만한 사정은 없는지, 진단서에 기재된 상해 부위 및 정도가 피해자가 주장하는 상해의 원인 내지 경위와 일치하는지, 피해자가 호소하는 불편이 기왕에 존재하던 신체 이상과 무관한 새로운 원인으로 생겼다고 단정할 수 있는지, 의사가 진단서를 발급한 근거 등을 두루 살피는 것 외에도, 피해자가 상해 사건 이후 진료를 받은 시점, 진료를 받게 된 동기와 경위, 그 후의 진료 경과 등을 면밀히 살펴 논리와 경험법칙에 따라 그 증명력을 판단해야 한다. [2] 상해죄의 상해는 피해자의 신체의 완전성을 훼손하거나 생리적 기능에 장애를 초래하는 것을 의미한다. 폭행에 수반된 상처가 극히 경미하여 폭행이 없어도 일상생활 중 통상 발생할 수 있는 상처나 불편 정도이고, 굳이 치료할 필요 없이 자연적으로 치유되며 일상생활을 하는 데 지장이 없는 경우에는 상해죄의 상해라고 할 수 없다. 신체의 완전성을 훼손하거나 생리적 기능에 장애를 초래하였는지는 객관적·일률적으로 판단할 것이 아니라 피해자의 연령, 성별, 체격 등 신체·정신상의 구체적 상태를 기준으로 판단해야 한다.
Order
원심판결을 파기하고, 사건을 창원지방법원에 환송한다.
Unofficial English translation
The judgment of the court below is reversed, and the case is remanded to the Changwon District Court.
Provisions referred to
[1] 형법 제257조 제1항, 형사소송법 제308조 / [2] 형법 제257조 제1항
Read 2026-10-24 · Cross-read 2026-10-24. All quotes matched against the official text. The Chinese-character placeholders the court used for anonymised parties are given in their Korean readings, and parenthetical Chinese-character glosses are omitted.
Every entry is published only after all quotes have been matched character by character against the official text, and audited by an independent second reading from a different model family across all eight axes. Both agreed axes and text-grounded interpretive divergences are recorded openly. The ledger is a research record, not an assessment of the court or advice on any matter.
Back to the ledger