ATIENZA vs. BOARD OF MEDICINE and EDITHA SIOSON G.R. No.

177407 February 9, 2011

FACTS:

Due to her lumbar pains, private respondent Editha Sioson went to Rizal Medical Center for check-up. The
tests revealed that her right kidney is normal. It was ascertained, however, that her left kidney is non-
functioning and non-visualizing. Thus, she underwent kidney operation.

On February 18, 2000, private respondent’s husband, filed a complaint for gross negligence and/or
incompetence before the BOM against the doctors who allegedly participated in the fateful kidney operation
and petitioner Atienza.

It was alleged in the complaint that the gross negligence and/or incompetence committed by the said doctors,
including petitioner, consists of the removal of private respondent’s fully functional right kidney, instead of
the left non-functioning and non-visualizing kidney.

After complainant presented his evidence, private respondent Editha Sioson, filed her formal offer of
documentary evidence. Attached to the formal offer of documentary evidence are her Exhibits “A” to “D,”
which were all photocopies, which she offered for the purpose of proving that her kidneys were both in their
proper anatomical locations at the time she was operated.

Petitioner argues that the exhibits formally offered in evidence by Editha: (1) violate the best evidence rule; (2)
have not been properly identified and authenticated; (3) are completely hearsay; and (4) are incompetent to
prove their purpose.

ISSUE:

Whether or not the exhibits are admissible evidence.

RULING:

To begin with, it is well-settled that the rules of evidence are not strictly applied in proceedings before
administrative bodies such as the BOM. Although trial courts are enjoined to observe strict enforcement of the
rules of evidence, in connection with evidence which may appear to be of doubtful relevancy, incompetency,
or admissibility, we have held that:

From the foregoing, we emphasize the distinction between the admissibility of evidence and the probative
weight to be accorded the same pieces of evidence. PNOC Shipping and Transport Corporation v. Court of
Appeals teach:

Admissibility of evidence refers to the question of whether or not the circumstance (or evidence) is to be
considered at all. On the other hand, the probative value of evidence refers to the question of whether or not it
proves an issue.
Second, petitioner’s insistence that the admission of Editha’s exhibits violated his substantive rights leading to
the loss of his medical license is misplaced. Petitioner mistakenly relies on Section 20, Article I of the
Professional Regulation Commission Rules of Procedure, which reads:

Section 20. Administrative investigation shall be conducted in accordance with these Rules. The Rules of Court
shall only apply in these proceedings by analogy or on a suppletory character and whenever practicable and
convenient. Technical errors in the admission of evidence which do not prejudice the substantive rights of
either party shall not vitiate the proceedings.

The subject of inquiry in this case is whether respondent doctors are liable for gross negligence in removing
the right functioning kidney of Editha instead of the left non-functioning kidney, not its proper anatomical
locations. As previously discussed, the proper anatomical locations of Editha’s kidneys at the time of her
operation at the RMC may be established not only through the exhibits offered in evidence.

Finally, these exhibits do not constitute hearsay evidence of the anatomical locations of Editha’s kidneys. In
fact, the introduction of secondary evidence, such as copies of the exhibits, is allowed. Ultimately, since the
originals cannot be produced, the BOM properly admitted Editha’s formal offer of evidence and, thereafter,
the BOM shall determine the probative value thereof when it decides the case.
 ATIENZA vs. BOARD OF MEDICINE and EDITHA SIOSON G.R. No. 177407 February 9, 2011
Admissibility of Evidence
JANUARY 15, 2018
Facts:

1. Due to her lumbar pains, private respondent Editha Sioson went to Rizal Medical Center (RMC) for check-
up on February 1995.

2. Sometime in 1999, due to the same problem, she was referred to Dr. Pedro Lantin III of RMC who,
accordingly, ordered several diagnostic laboratory tests. She underwent kidney operation after the tests
revealed that her left kidney is non-functioning and non-visualizing.

3. Private respondent’s husband Romeo Sioson then filed a complaint for gross negligence and/or
incompetence before the Board of Medicine for the removal of Editha’s fully functional right kidney, instead of
the left, against the doctors who allegedly participated in the kidney operation, namely: Dr. Judd dela Vega,
Dr. Pedro Lantin, III, Dr. Gerardo Antonio Florendo and petitioner Rico Rommel Atienza.

4. After Romeo Sioson presented his evidence, Editha filed her formal offer of documentary evidence, which
consisted of certified photocopies of X-Ray request forms where interpretation of the ultrasound results were
written, for the purpose of proving that her kidneys were both in their proper anatomical locations at the time
she was operated.

5. Petitioner filed his comments/objections to Editha’s formal offer of exhibits, alleging that said exhibits are
inadmissible because the same are mere photocopies, not properly identified and authenticated, intended to
establish matters which are hearsay, and incompetent to prove the purpose for which they are offered.

6. The formal offer of documentary exhibits of private respondent was admitted by the BOM. Petitioner moved
for reconsideration of the Order, which was denied on the ground that BOM should first admit the evidence
being offered so that it can determine its probative value when it decides the case, and later on determine
whether the evidence is relevant or not.

7. Disagreeing with the BOM, Atienza filed a petition for certiorari with the CA. The CA dismissed the petition
for certiorari for lack of merit. Hence, the present petition for review on certiorari.

Issue:

W/N the exhibits are inadmissible in evidence

Held:

No. Petition denied. To begin with, it is well-settled that the rules of evidence are not strictly applied in
proceedings before administrative bodies such as the BOM. Although trial courts are enjoined to observe strict
enforcement of the rules of evidence, in connection with evidence which may appear to be of doubtful
relevancy, incompetency, or admissibility, we have held that, “it is the safest policy to be liberal, not rejecting
them on doubtful or technical grounds, but admitting them unless plainly irrelevant, immaterial or
incompetent, for the reason that their rejection places them beyond the consideration of the court, if they are
thereafter found relevant or competent; on the other hand, their admission, if they turn out later to be
irrelevant or incompetent, can easily be remedied by completely discarding them or ignoring them.”
Admissibility of evidence refers to the question of whether or not the circumstance (or evidence) is to be
considered at all. On the other hand, the probative value of evidence refers to the question of whether or not it
proves an issue.

Second, petitioner’s insistence that the admission of Editha’s exhibits violated his substantive rights leading to
the loss of his medical license is misplaced in light of Section 20, Article I of the Professional Regulation
Commission Rules of Procedure. As pointed out by the appellate court, the admission of the exhibits did not
prejudice the substantive rights of petitioner because, at any rate, the fact sought to be proved thereby, that the
two kidneys of Editha were in their proper anatomical locations at the time she was operated on, is presumed
under Section 3, Rule 131 of the Rules of Court on Disputable presumptions.
The exhibits are certified photocopies of X-ray Request Forms filed in connection with Editha’s medical case,
which contained handwritten entries interpreting the results of the examination. The fact sought to be
established by the admission of Editha’s exhibits, that her “kidneys were both in their proper anatomical
locations at the time” of her operation, need not be proved as it is covered by mandatory judicial notice. These
exhibits do not constitute hearsay evidence of the anatomical locations of Editha’s kidneys because the position
and removal may still be established through a belated ultrasound or x-ray of her abdominal area.

Contrary to the assertion of petitioner, the best evidence rule is also inapplicable. Section 3 of Rule 130
provides:

1. Best Evidence Rule

Sec. 3. Original document must be produced; exceptions. – When the subject of inquiry is the contents of a document, no
evidence shall be admissible other than the original document itself, except in the following cases:

(a) When the original has been lost or destroyed, or cannot be produced in court, without bad faith on the part of the
offeror;

(b) When the original is in the custody or under the control of the party against whom the evidence is offered, and the
latter fails to produce it after reasonable notice;

(c) When the original consists of numerous accounts or other documents which cannot be examined in court
without great loss of time and the fact sought to be established from them is only the general result of the whole; and

(d) When the original is a public record in the custody of a public officer or is recorded in a public office.

The subject of inquiry in this case is whether respondent doctors before the BOM are liable for gross negligence
in removing the right functioning kidney of Editha instead of the left non-functioning kidney, not the proper
anatomical locations of Editha’s kidneys. As previously discussed, the proper anatomical locations of Editha’s
kidneys at the time of her operation at the RMC may be established not only through the exhibits offered in
evidence.

In fact, the introduction of secondary evidence, such as copies of the exhibits, is allowed, especially as one of
the witnesses testified that the Records Office of RMC no longer had the originals of the exhibits “because [it]
transferred from the previous building, x x x to the new building” and ultimately, the originals cannot be
produced.