State of Iowa v. Trent D. Smith ( 2014 )


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  •                     IN THE COURT OF APPEALS OF IOWA
    No. 13-1202
    Filed November 13, 2014
    STATE OF IOWA,
    Plaintiff-Appellee,
    vs.
    TRENT D. SMITH,
    Defendant-Appellant.
    ________________________________________________________________
    Appeal from the Iowa District Court for Black Hawk County, Jeffrey L.
    Harris, District Associate Judge.
    A defendant appeals his convictions for domestic abuse assault causing
    bodily injury and domestic abuse assault. AFFIRMED.
    Mark C. Smith, State Appellate Defender, and Melinda J. Nye, Assistant
    Appellate Defender, for appellant.
    Thomas J. Miller, Attorney General, Jean C. Pettinger, Assistant Attorney
    General, Thomas J. Ferguson, County Attorney, and Jeremy Westendorf,
    Assistant County Attorney, for appellee.
    Considered by Tabor, P.J., Mullins, J., and Mahan, S.J.*
    *Senior judge assigned by order pursuant to Iowa Code section 602.9206 (2013).
    2
    TABOR, P.J.
    As “happens often in domestic violence” cases, assault victim Mary Dean
    recanted her allegation that Trent Daniel Smith, the father of her child, was her
    attacker.   In light of her recantation, the prosecution resorted to proving the
    identity of Dean’s assailant through her out-of-court statements. Hearing those
    statements, the jury convicted Smith of two counts of domestic abuse assault.
    On appeal, Smith raises hearsay challenges to the admission of Dean’s
    statements to police officers and to emergency room personnel.
    We agree with Smith’s challenge regarding Dean’s audiotaped statements
    to the officers. The district court improperly allowed the jury to hear a segment of
    the recording during which Dean identifies Smith as her attacker. That recorded
    identification was offered for the truth of the matter asserted and did not fall
    within the hearsay exception for excited utterances. Iowa Rs. Evid. 5.801(c),
    5.803(2). But we find Smith was not prejudiced by the erroneous admission
    because the jury received the same information from a nurse and a doctor who
    saw Dean in the emergency room.          The medical professionals testified the
    domestic nature of the assault was pertinent to their diagnosis and treatment.
    Accordingly, we find Dean’s disclosures to those professionals were admissible
    under the hearsay exception under Iowa Rule of Evidence 5.803(4).
    In addition, we conclude Dean’s sentences and convictions should merge
    as indicated by the district court’s oral sentence pronouncement.
    3
    I.     Background facts and proceedings
    The following facts, as presented to the jury, are relevant to our analysis of
    Smith’s two hearsay claims.
    Smith and Dean have a six-year-old daughter in common. In the early
    morning hours of June 9, 2012, Dean—who was home with her daughter—called
    911 asking for help. Her plea to the 911 operator was laconic: “Just get here
    thank you please.” Dean and her daughter were waiting in the car outside the
    house when Waterloo Police Officers John Heuer and Luke LaMere responded
    to the call.
    Dean initially told the police she had been attacked by an unknown
    assailant. She reported being hit from behind, knocked down, and kicked in the
    head and arms while on the floor. The police found no one in the house. After a
    series of questions from Officer LaMere, Dean eventually confirmed that Smith,
    the father of her child, was the person who assaulted her. Dean also told the
    officer that Smith called her “a dirty whore.”
    The officers took Dean to Allen Memorial Hospital in Waterloo. She was
    seen in the emergency room by nurse Trisha Knipper and Dr. Robert Mott.
    Screening tools used in the emergency department included questions about
    domestic violence. The nurse recorded Dean’s answers on her medical chart,
    indicating the patient felt afraid and threatened by someone close to her and had
    been hurt by someone. Dean told the nurse she was assaulted by “her baby’s
    daddy” and reported she was in significant pain. Dean also told Dr. Mott she was
    attacked by the father of her child.       Dr. Mott diagnosed Dean as having a
    4
    concussion, a cervical strain, and contusions to her face and upper arm. After
    discharge from the hospital, the police prepared a statement for Dean to sign, but
    she refused.
    The State charged Smith with two counts: (1) domestic abuse assault with
    intent to commit serious injury, an aggravated misdemeanor in violation of Iowa
    Code section 708.2A(2)(c) (2011), and (2) domestic abuse assault causing bodily
    injury, a serious misdemeanor in violation of section 708.2A(2)(b). A jury trial
    began on April 2, 2013. The State played for the jury the 911 recording and a
    thirty-five-minute audio-recording of Dean speaking to police,1 as well as offering
    testimony from police officers and the emergency room nurse and doctor.
    The State also presented expert testimony from an advocate for domestic
    abuse victims. Seeds of Hope employee Barbara Rindels offered her opinion
    that “often in domestic violence” cases, victims will recant because they love the
    abuser and hope he will change or are scared of the abuser and fear reprisal if
    they testify against him.
    The prosecution called Dean to testify, but only asked her background
    information about her relationship with Smith and the child they had in common.
    Dean retook the stand in the defense case, testifying she lied about Smith to both
    the police and the hospital staff because she was intoxicated that night.2
    1
    The recording also has video from a dashboard camera, but does not show Dean or
    the crime scene. In addition, the sound quality is very poor because the officer’s
    conversation with Dean outside the car is competing with the pop music radio station
    playing inside the car.
    2
    The testimony of the emergency room doctor contradicted her assertion of being under
    the influence of alcohol.
    5
    On the first count, the jury found Smith guilty of a lesser included offense
    of simple misdemeanor domestic abuse assault. On the second count, jurors
    found him guilty of domestic abuse assault causing bodily injury, as charged.
    The court sentenced Smith to one year in jail, suspending ninety-five days. The
    court also imposed a fine of $315 plus a surcharge and court costs. The court
    placed Smith on probation for one year and ordered him to complete the
    batterers’ education program.
    In his appeal, Smith claims the district court improperly admitted hearsay
    testimony and seeks a new trial.
    II.      Analysis of hearsay claims
    We review Smith’s hearsay challenges for correction of errors at law. See
    State v. Thompson, 
    836 N.W.2d 470
    , 476 (Iowa 2013). Hearsay is defined as an
    out-of-court statement offered to prove the truth of the matter asserted. Iowa R.
    Evid. 5.801(c). Hearsay statements cannot be presented to the jury unless they
    fall within an exception or exclusion under the rules of evidence or another
    provision. See State v. Newell, 710 N .W.2d 6, 18 (Iowa 2006). If the district
    court wrongly admits hearsay evidence over a proper objection, we presume the
    defendant suffered prejudice unless the record shows “the hearsay evidence did
    not affect the jury’s finding of guilt.” State v. Elliot, 
    806 N.W.2d 660
    , 667 (Iowa
    2011).
    Smith flags two hearsay rulings he believes to be in error. First, he claims
    the court mistakenly overruled his objection to police officer testimony and an
    audio-tape exhibit which relayed to the jury Dean’s allegations that Smith struck
    6
    and kicked her.     Second, Smith contends the court erred in overruling his
    objection to testimony from emergency room personnel repeating Dean’s
    identification of Smith as her assailant. We will address each claim in turn.
    A. Statements to police
    After officers responded to Dean’s 911 call, they spoke with her outside of
    her home.    The conversation was recorded using the audio capability of the
    squad car “dash cam.” Dean initially told police she had gone upstairs in her
    home, heard a noise at the door, went back downstairs, and was attacked from
    behind. She claimed not to have seen her attacker. The officers were skeptical
    of her account and continued to ask Dean questions. Eventually, Officer LaMere
    asked Dean, “What’s his last name, Trent what?” She responded, “Trent Daniel.”
    After checking with dispatch, the officers learned Dean’s ex-boyfriend was
    named Trenton Daniel Smith. Dean then confirmed Smith had assaulted her.
    The State offered evidence of Dean’s out-of-court statements identifying
    Smith as the person who assaulted her through the testimonies of Officer Heuer
    and Officer LaMere. Before resting its case, the State also played for the jury the
    tape recording of Dean’s conversation with the officers. On appeal, Smith claims
    the district court erred in overruling his hearsay objections to this evidence.
    The State presses two arguments in response.             First, it argues the
    evidence was not entered to prove the truth of the matter asserted. See Iowa R.
    Evid. 5.801(c).   Instead, the State claims the recording was offered to show
    Dean’s reluctance to reveal the identity of her attacker and to show the officers’
    7
    responsive conduct. Second, the State argues these statements fell under the
    hearsay exception for excited utterances. See Iowa R. Evid. 5.803(2).
    We turn first to the claim the evidence was not offered for the truth of the
    matter asserted. Smith concedes Dean’s initial statements on the recording,
    which did not implicate him, may have been offered to show her bias to protect
    him. But he insists the statements identifying him as the perpetrator were offered
    to prove the facts asserted. We agree. In analyzing the admissibility of an out-
    of-court statement, “we look at the real purpose for the offered testimony, not just
    the purposes urged by the prosecutor.” State v. Elliott, 
    806 N.W.2d 660
    , 668
    (Iowa 2011) (quoting State v. Sowder, 
    394 N.W.2d 368
    , 371 (Iowa 1986)). An
    officer may explain the steps of his investigation by stating he took them in
    response to a complaint without running afoul of the hearsay rule, but if the
    officer’s testimony turns more specific “by repeating definite complaints of a
    particular crime by the accused, this is so likely to be misused by the jury as
    evidence of the fact asserted that it should be excluded as hearsay.” State v.
    Doughty, 
    359 N.W.2d 439
    , 442 (Iowa 1984) (citing McCormick’s Handbook on
    the Law of Evidence § 248, at 587 (2d ed. E. Cleary 1972)).
    Here, Smith’s identity was an essential element of the State’s case, and
    the State did not question Dean about her identification of Smith during its case
    in chief because of her recantation. See State v. Tracy, 
    482 N.W.2d 675
    , 679
    (Iowa 1992) (finding reversible error when “the State places a witness on the
    stand who it expects to give unfavorable testimony solely for the purpose of
    introducing otherwise inadmissible evidence”). Accordingly, we find her out-of-
    8
    court identification of Smith as her assailant was being offered for its truth, and
    thus constituted hearsay.
    The next question is whether Dean’s hearsay statements to the officers
    fell within the scope of the excited utterance exception. An excited utterance is a
    statement relating to a startling event or condition made while the declarant was
    under the stress of the event. Iowa R. Evid. 5.803(2); State v. Richards, 
    809 N.W.2d 80
    , 95 (Iowa 2012). We assess the admissibility of a statement under
    the excited utterance exception based on the following factors:
    (1) the time lapse between the event and the statement, (2) the
    extent to which questioning elicited the statements that otherwise
    would not have been volunteered, (3) the age and condition of the
    declarant, (4) the characteristics of the event being described, and
    (5) the subject matter of the statement.
    State v. Atwood, 
    602 N.W.2d 775
    , 782 (Iowa 1999).
    In this case, the time lapse between the event and the statements at issue
    was roughly two hours.      That stretch of time is not outside the realm of
    admissibility.   See 
    id. at 782–83
    (allowing statement made two and one-half
    hours after startling event). Dean was an adult—twenty-nine years old at the
    time of trial—but the record shows she remained upset and fearful at the time of
    the interview with police. The excited-utterance exception can be invoked even
    when the declarant is in the process of calming down and is “able to act rationally
    and function in a relatively normal manner.” See State v. Mateer, 
    383 N.W.2d 533
    , 536 (Iowa 1986). Moreover, the subject matter of Dean’s statement was a
    traumatic event.
    9
    Notwithstanding those circumstances, we find the most telling factor in this
    case is the extent to which Dean’s declarations were elicited by the officers’
    questioning.   We recognize not all statements prompted by questions are
    automatically disqualified from the excited utterance exception. State v. Harper,
    
    770 N.W.2d 316
    , 320 (Iowa 2009) (finding excited utterances in response to
    physician asking victim “what had happened”).       But here, Dean’s statements
    identifying Smith as her attacker were the product of persistent police questioning
    and would not have otherwise been volunteered. Dean was asked far more than
    “what happened?” Officer Lamere had to pose several different inquiries to get
    the name “Trent Daniel.” Given the extent of the police questioning, we find
    Dean’s statements were not admissible under the excited utterance exception.
    See State v. Cagley, 
    638 N.W.2d 678
    , 681–82 (Iowa 2001) (upholding trial
    court’s exclusion of statements offered as excited utterances, in part, because
    they were in response to questions by police).
    Our determination that Dean’s statements to police were improperly
    admitted is not the end of the inquiry. “In considering whether the admission of
    hearsay is reversible error, we have held that notwithstanding the presumption of
    prejudice from the admission of such evidence, the erroneously admitted hearsay
    will not be considered prejudicial if substantially the same evidence is properly in
    the record.” State v. Newell, 
    710 N.W.2d 6
    , 19 (Iowa 2006). The admission of
    hearsay statements can be harmless if other sources duplicate the testimony.
    State v. Johnson, 
    272 N.W.2d 480
    , 482-83 (Iowa 1978).
    10
    Our supreme court has examined when the cumulative nature of hearsay
    evidence may render its improper admission to be non-prejudicial. 
    Elliott, 806 N.W.2d at 669
    . In Elliott, the court stated:
    One way to show the tainted evidence did not have an impact on
    the jury’s verdict is to show the tainted evidence was merely
    cumulative. If the record contains cumulative evidence in the form
    of testimony, the hearsay testimony’s trustworthiness must
    overcome the presumption of prejudice.          We measure the
    trustworthiness of the hearsay testimony based on the
    trustworthiness of the corroborating testimony.
    
    Id. (citations omitted).
    Dean’s hearsay statements to police were cumulative of her later
    statements to an emergency room nurse and doctor, which we find in the next
    division of this decision to be admissible under the hearsay exception for
    statements made for the purposes of medical diagnoses and treatment. See
    Iowa R. Evid. 5.803(4).     The United States Supreme Court has recognized
    statements made in the course of receiving medical care as having been “made
    in contexts that provide substantial guarantees of their trustworthiness.” White v.
    Illinois, 
    502 U.S. 346
    , 355 (1992); but see United States v. Bercier, 
    506 F.3d 625
    (8th Cir. 2007) (finding victim’s hearsay statements to treating physician were
    prejudicial to defendant, but noting the government did not offer them under the
    exception for medical diagnosis and treatment). Because Dean’s statements to
    the nurse and doctor constituted trustworthy corroboration, we find Smith was not
    prejudiced by admission of Dean’s hearsay statements to police.
    B. Statements to medical professionals
    After interviewing Dean at her house, the officers took her to the
    emergency room because she was experiencing significant pain. Smith argues
    11
    Dean’s statements to a nurse and doctor at the emergency room also should
    have been excluded as hearsay. The State believes statements were admissible
    under rule 5.803(4).      That rule provides the following statements are not
    excludable even though the declarant is available as a witness:
    Statements made for purposes of medical diagnosis or treatment
    and describing medical history, or past or present symptoms, pain,
    or sensations, or the inception or general character of the cause or
    external source thereof insofar as reasonably pertinent to diagnosis
    or treatment.
    Iowa R. Evid. 5.803(4).
    Emergency room nurse Trisha Knipper evaluated Dean’s condition when
    she came to the hospital at about 2 a.m. on June 9, 2012. Knipper testified it
    was part of her job to document complaints, diagnoses, and treatment. The
    nurse asked Dean what happened, and Dean said “she was assaulted by her
    baby’s daddy around midnight.”      Knipper testified that as a nurse she asks
    patients about possible domestic violence situations as part of the hospital’s
    general screening process. The nurse testified she asks if the patient “feels safe
    where they live” and if there is “any domestic violence going on.” As part of this
    screening process, Dean told the nurse that she was afraid of someone close to
    her and had been “physically hurt by her baby’s daddy.” Knipper also testified
    that in addition to pain medications, Dean was prescribed an anti-anxiety
    medication to help her relax.
    Dean also saw Dr. Robert Mott at the emergency room. Dr. Mott testified
    Dean reported that she “was attacked by the father of her child.” He also testified
    12
    that knowing what had happened to a patient was “key” for providing the
    necessary treatment.
    On appeal, Smith accepts that Dean’s statements to medical personnel
    describing “that she’d been assaulted and kicked in the head would fall under the
    medical treatment and diagnosis exception,” but argues “her statement
    identifying Smith as her attacker would not.” He cites the general principle that
    statements attributing blame or identifying persons inflicting an injury do not
    satisfy the standard for medical pertinence under rule 5.803(4) in most cases.
    See 7 Laurie Kratzky Doré, Iowa Practice Series, Evidence § 5.803:4, n.20
    (2013) (acknowledging “Iowa has expansively construed” a hearsay exception for
    victims of child abuse regarding the identity of their abuser); see also McCormick
    on Evidence § 277 (6th ed. 2006) (“Descriptions of cause are similarly allowed if
    they are medically pertinent, but statements of fault are unlikely to qualify.”).
    In response, the State directs us to the two-part test for admissibility of
    statements under rule 5.803(4) set out in State v. Tracy, 
    482 N.W.2d 675
    , 681
    (Iowa 1992) (quoting United States v. Renville, 
    779 F.2d 430
    , 436 (8th Cir.
    1985)). First, the motive in making the statement must be consistent with the
    purposes of promoting treatment. 
    Id. Second, the
    content of the statement must
    be such as is reasonably relied on by a physician in treatment or diagnosis. 
    Id. Both Tracy
    and Renville involved child abuse victims.
    In Renville, the court noted nothing in the record indicated the child’s
    motive in making the statements to her physician was other than as a patient
    responding to a doctor’s questioning for prospective 
    treatment. 779 F.2d at 439
    .
    13
    The harder question was whether the content of the child’s statement—including
    the identity of the alleged abuser—was reasonably relied upon by a physician in
    treatment or diagnosis.      The Renville court determined the identity was
    “reasonably pertinent to diagnosis or treatment” when the child abuser was a
    member of the victim’s immediate household. 
    Id. at 436–37.
    Our supreme court adopted the Renville holding, providing the following
    analysis:
    Since child abuse often involves more than physical injury, the
    physician must be attentive to treating the emotional and
    psychological injuries which accompany this offense.          To
    adequately treat these emotional and psychological injuries, the
    physician will often times need to ascertain the identity of the
    abuser. Moreover, as Renville further notes, physicians have an
    obligation to prevent “an abused child from being returned to an
    environment in which he or she cannot be adequately protected
    from recurrent abuse.”
    
    Tracy, 482 N.W.2d at 681
    (internal citation omitted).
    The State asks us to extend the application of Tracy to adult domestic
    violence victims, reasoning: “Although an adult is not dependent on health
    professionals for relief from the abuse to the same extent as a child, domestic
    violence can severely compromise an adult’s autonomy.” Ten years ago, in an
    unpublished decision, a three-member panel of our court declined a similar
    invitation. See Donald v. State, No. 03-1087, 
    2004 WL 1813742
    , at *4–5 (Iowa
    Ct. App. Aug. 11, 2004) (holding “the rule in Tracy should not be expanded to
    permit the admission into evidence of statements made by an adult victim
    identifying her abuser by name as statements-for-purposes-of-medical-diagnosis
    exception to hearsay”).
    14
    Today we reach a different conclusion regarding the extension of Tracy.
    In Donald, the statements at issue were made by an adult sexual abuse victim
    and the record did not show the defendant had ever been a member of her
    household.      
    Id. By contrast
    in this case, Dean and Smith had an ongoing
    domestic relationship based on having a child in common.            See Iowa Code
    § 236.2(2)(c) (defining domestic abuse as assault between parents of the same
    minor child).     Their continuing contact was documented by Officer LaMere’s
    testimony he had been to Dean’s home on a call about nine months earlier and
    Smith had been there. Our supreme court has recognized “domestic violence is
    a pattern of behavior, with each episode connected to the others.” See 
    Richards, 809 N.W.2d at 93
    (quoting State v. Taylor, 
    689 N.W.2d 116
    , 129 n.6 (Iowa
    2004)).   The court also has allowed expert testimony on “battered women’s
    syndrome” to explain “that continued exposure to domestic abuse leads to a
    feeling of helplessness, where the victim often begins to believe what she is
    being told by her abuser, i.e., that she is ignorant, stupid, ugly, a terrible mother,
    etc. The victim feels trapped and unable to leave,” the abusive relationship. See
    State v. Rodriquez, 
    636 N.W.2d 234
    , 245 (Iowa 2001). These realizations about
    domestic violence show that, like child abuse, it is accompanied by emotional
    and psychological injuries.        To adequately treat these emotional and
    psychological injuries, medical professionals need to ascertain the identity of the
    abuser.
    Also in Donald, there was no evidence the emergency room nurse and
    doctor who testified relied on the patient’s identification of the perpetrator as part
    15
    of their diagnoses or treatment. 
    2004 WL 1813742
    , at *5. Again by contrast in
    this case, nurse Knipper and Dr. Mott testified information about the domestic
    abuse assault was critical to their diagnosis and treatment. Knipper explained
    the screening questions about intimate violence were even institutionalized as
    part of the hospital’s intake forms. The medications prescribed also indicate the
    medical professionals were treating Dean’s physical and psychological condition.
    Our conclusion that the identity of a domestic abuse assailant can be
    medically pertinent to the declarant’s diagnoses and treatment has been reached
    by several other jurisdictions. See, e.g., United States v. Joe, 
    8 F.3d 1488
    , 1495
    (10th Cir. 1993) (holding statement by estranged wife to physician that her
    husband raped her was reasonably pertinent to her proper treatment); Oldman v.
    State, 
    998 P.2d 957
    , 962 (Wyo. 2000) (admitting adult victim’s statement to
    emergency room physician that her husband had beaten and bit her, finding “no
    logical reason” for not applying Tenth Circuit’s rationale in Joe to “non-sexual,
    traumatic abuse within a family or household, since sexual abuse is simply a
    particular kind of physical abuse”); Commonwealth v. O’Connor, 6 N.Mar.I. 125,
    129 (N. Mar. I. 2000) (noting “in spousal abuse cases, the perpetrator’s identity
    may be essential to diagnosis and treatment of, for example, situational
    depression); Moore v. City of Leeds, 
    1 So. 3d 145
    , 150 (Ala. Crim. App. 2008)
    (concluding adult victim’s statement to physician that her injury resulted from
    altercation with her husband was admissible because identity of perpetrator was
    related to treatment of emotional and psychological injuries suffered by victim);
    Nash v. State, 
    754 N.E.2d 1021
    , 1025 (Ind. Ct. App. 2001) (concluding victim’s
    16
    statement of identity was reasonably pertinent to the effort of the emergency
    room staff in treating her, to identifying the underlying cause of the sexual abuse
    and in seeking to prevent further domestic abuse); People v. Pham, 
    987 N.Y.S.2d 687
    , 690–91 (N.Y. App. Div. 2014) (holding “[d]etails of the abuse, even
    including the perpetrator’s identity, may be relevant to diagnosis and treatment
    when the assault occurs within a domestic violence relationship because the
    medical provider must consider the victim’s safety when creating a discharge
    plan and gauging the patient’s psychological needs”); State v. Moses, 
    119 P.3d 906
    , 911 (Wash. Ct. App. 2005) (recognizing exception to general rule that
    statements attributing fault are not relevant to diagnosis or treatment for domestic
    violence cases because the identity of the abuser is pertinent and necessary to
    the victim’s treatment); but see Johnson v. State, 
    579 P.2d 20
    , 22 (Alaska 1978)
    (holding statements by severely beaten wife, who eventually died from her
    injuries, identifying husband as assailant did not relate to her diagnosis or
    treatment).
    The Supreme Court of Minnesota considered the admissibility of
    statements by an injured woman to her treating nurse identifying the father of her
    children as her assailant in State v. Robinson, 
    718 N.W.2d 400
    , 405 (Minn.
    2006).     The court declined to adopt a categorical rule of admissibility for
    statements of identification by victims of domestic abuse, explaining as follows:
    We are not able to determine . . . the notion that the identification of
    the perpetrator of domestic violence is reasonably pertinent to
    medical diagnosis and treatment is generally accepted in the
    medical profession. . . . We can speculate that the medical
    profession may have evolved to recognize the importance of
    treating the whole person of a victim of domestic violence, including
    17
    the emotional and psychological effects of past violence and the
    potential of future violence. But we can do no more than speculate.
    The record before us contains no medical expert testimony on the
    scope of the customary treatment of a victim of domestic violence
    or whether the identity of the domestic abuser is reasonably
    pertinent to that treatment.
    
    Robinson, 718 N.W.2d at 406
    .          The Minnesota court did not foreclose the
    possibility that it “might in the future adopt a properly limited categorical rule of
    admissibility under the medical exception to hearsay for statements of
    identification by victims of domestic violence” if it was presented with sufficient
    evidentiary foundation. 
    Id. at 407.
    Our decision that the district court properly allowed Dean’s statements to
    the emergency room nurse and doctor under rule 5.803(4) is not a categorical
    rule of admissibility for all identification statements in cases of domestic violence.
    As indicated above, we are persuaded by the testimony of nurse Knipper and Dr.
    Mott that the identity of Dean’s assailant as the father of her child was pertinent
    to their medical diagnosis and treatment of Dean.            On the first step for
    admissibility, we find Dean’s motive in giving information to the emergency room
    nurse and doctor was consistent with promoting the treatment of her injuries. On
    the second step, we find the content of her statements, including the
    identification of her child’s father as her assailant, was reasonably relied upon for
    diagnoses and treatment decisions by the medical professionals in this case.
    Accordingly, we find no error in the district court’s admission of Dean’s
    statements at the hospital.
    18
    Finally, we find the hearsay evidence admitted under rule 5.803(4) through
    the doctor and nurse meets the degree of trustworthiness described in Elliott as
    necessary to corroborate Dean’s identification of Smith as her attacker.
    III.   Merging convictions
    Smith claims the district court erred by entering an illegal sentence when
    the district court merged only the sentences and not the convictions of domestic
    abuse assault and domestic abuse assault causing bodily injury.            The State
    agrees we should vacate the conviction for the lesser included offense of simple
    misdemeanor domestic abuse assault.         Violations of the merger doctrine are
    reviewed for corrections of legal errors. State v. Rodriquez, 
    636 N.W.2d 234
    ,
    246 (Iowa 2001).
    During the oral pronouncement of Smith’s sentence, the district court
    stated:
    It is the sentence of this court, pursuant to Iowa Code section
    903.1, that on the offense of Assault Domestic Abuse Causing
    Bodily Injury, which merges with the offense of Assault Domestic
    Abuse, you shall be confined in the Black Hawk County Jail for a
    term not to exceed 365 days, all of which shall be fully suspended
    during periods of your good behavior, except for 270 days.
    But in the written sentencing order, the district court only merged the offenses
    “for sentencing purposes.”    The parties agree “where there is a discrepancy
    between the oral pronouncement of sentence and the written judgment and
    commitment, the oral pronouncement of sentence controls.” State v. Hess, 
    533 N.W.2d 525
    , 528 (Iowa 1995). Therefore, we merge Smith’s convictions and
    sentences.
    AFFIRMED.