State v. Rozerick E. Mattox , 373 Wis. 2d 122 ( 2017 )


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    2017 WI 9
    SUPREME COURT            OF   WISCONSIN
    CASE NO.:              2015AP158-CR
    COMPLETE TITLE:        State of Wisconsin,
    Plaintiff-Respondent,
    v.
    Rozerick E. Mattox,
    Defendant-Appellant.
    ON CERTIFICATION FROM THE COURT OF APPEALS
    OPINION FILED:         February 14, 2017
    SUBMITTED ON BRIEFS:
    ORAL ARGUMENT:         October 26, 2016
    SOURCE OF APPEAL:
    COURT:              Circuit
    COUNTY:             Waukesha
    JUDGE:              Jennifer Dorow
    JUSTICES:
    CONCURRED:
    DISSENTED:          ABRAHAMSON, J., joined by BRADLEY, A. W., J.
    dissent (Opinion filed).
    NOT PARTICIPATING:
    ATTORNEYS:
    For the defendant-appellant, there was a brief and oral
    argument by Leon W. Todd, assistant state public defender.
    For the plaintiff-respondent the cause was argued by Luke
    N. Berg, deputy solicitor general, with whom on the brief was
    Misha Tseytlin, solicitor general and Brad D. Schimel, attorney
    general.
    
    2017 WI 9
                                                                        NOTICE
    This opinion is subject to further
    editing and modification.   The final
    version will appear in the bound
    volume of the official reports.
    No.       2015AP158-CR
    (L.C. No.    2013CF471)
    STATE OF WISCONSIN                                :              IN SUPREME COURT
    State of Wisconsin,
    Plaintiff-Respondent,                                      FILED
    v.                                                            FEB 14, 2017
    Rozerick E. Mattox,                                                    Diane M. Fremgen
    Clerk of Supreme Court
    Defendant-Appellant.
    APPEAL from a judgment of the Circuit Court for Waukesha
    County, Jennifer Dorow, Judge.           Affirmed.
    ¶1      REBECCA     GRASSL   BRADLEY,      J.     The      court    of    appeals
    certified     this   case    to    the   court    to     determine       whether      the
    admission of a toxicology report through a medical examiner's
    testimony violated Rozerick E. Mattox's Sixth Amendment right to
    confrontation.       After a bench trial,1 Mattox was convicted of
    1
    The     Honorable      Jennifer    R.     Dorow      of     Waukesha       County
    presided.
    No.        2015AP158-CR
    first-degree reckless homicide for delivering heroin that caused
    S.L.'s death.2          Specifically, the certified question asks:
    Does it violate a defendant's rights under the
    Confrontation Clause of the Sixth Amendment to the
    United States Constitution for the State to introduce
    at trial a toxicology report identifying certain drugs
    in a deceased victim's system and/or testimony of a
    medical examiner basing his/her cause-of-death opinion
    in part on the information set forth in such a report,
    if the author of the report does not testify and is
    not otherwise made available for examination by the
    defendant?
    ¶2        The certification explains that two recent court of
    appeals          decisions     reached       opposite      conclusions         in      heroin
    overdose homicide cases involving toxicology reports.                               See State
    v. Heine, 
    2014 WI App 32
    , 
    354 Wis. 2d 1
    , 
    844 N.W.2d 409
    ; State
    v. VanDyke, 
    2015 WI App 30
    , 
    361 Wis. 2d 738
    , 
    863 N.W.2d 626
    .
    During the underlying trials in both                       Heine      and   VanDyke, the
    toxicology reports were used during testimony by the medical
    examiners         who   performed         the    autopsies      and    relied         on   the
    toxicology reports to determine the cause of death in each case.
    The    lab       analyst     who    signed      the   toxicology      reports        did   not
    testify.          In Heine, the court of appeals held the toxicology
    report could be used without violating the confrontation right.
    Id.,       
    354 Wis. 2d 1
    ,        ¶¶1,   15.       But   in   VanDyke,       it    held   the
    2
    Mattox was convicted under Wis. Stat. § 940.02(2)(a)(2011-
    12), which defines first-degree reckless homicide in pertinent
    part   as:   "Whoever  causes   the   death   of  another   human
    being . . . [b]y manufacture, distribution or delivery, in
    violation of s. 961.41, of a controlled substance . . . if
    another human being uses the controlled substance . . . and dies
    as a result of that use."
    2
    No.     2015AP158-CR
    toxicology report was "testimonial"; therefore, according to the
    court of appeals, the report's admission through the medical
    examiner's      testimony       violated     the        Confrontation      Clause      under
    Crawford     v.    Washington,        
    541 U.S. 36
        (2004)    (admission       of
    "testimonial"          out-of-court       statements          without     affording       the
    defendant       the     opportunity         to     cross-examine          the     declarant
    violates the Confrontation Clause).                       VanDyke, 
    361 Wis. 2d 738
    ,
    ¶¶14-17.     The certification notes that neither Heine nor VanDyke
    sought review in this court but that "a supreme court decision
    could lay this issue to rest for the bench and bar."
    ¶3      We answer the certified question in the negative and
    therefore overrule VanDyke.                 Admitting this type of toxicology
    report and the medical examiner's related testimony does not
    violate a defendant's confrontation right because the toxicology
    report    was     not    "testimonial"       under       the    primary    purpose       test
    recently set forth by the United States Supreme Court in Ohio v.
    Clark,    135     S.    Ct.    2173   (2015).           Under    that    test,    when    the
    statement's primary purpose is something other than to "creat[e]
    an out-of-court substitute for trial testimony" its admission
    does not implicate the Confrontation Clause.                           
    Id. at 2180,
    2183
    (quoting Michigan v. Bryant, 
    562 U.S. 344
    , 358 (2011)).
    ¶4      The primary purpose of the toxicology report in this
    case was to assist the medical examiner in determining the cause
    of death.         All objective indicators show the report was not
    created for an evidentiary purpose:                       (1) the medical examiner
    testified she requested the toxicology analysis as a part of her
    autopsy    protocol;          (2)   the   toxicology          report     was    not   sworn,
    3
    No.     2015AP158-CR
    certified, or in the form of an affidavit and it comprised only
    numerals quantifying the concentration of substances contained
    in S.L.'s blood, urine, and tissue samples without any analysis
    or interpretation of those numbers; (3) the police were not
    involved in the autopsy or toxicology requests; (4) the report
    was not requested by or reported directly to law enforcement;
    (5) according to the record, the analyst who signed the report
    had no knowledge the report related to a crime; and (6) the
    report did not give an opinion on the cause of death or any
    element of the crime for which Mattox was charged.                     Accordingly,
    the admission and use at trial of this toxicology report did not
    violate Mattox's Sixth Amendment right to confrontation.3                         We
    affirm the judgment convicting Mattox.
    I.   BACKGROUND
    ¶5    At    about    2:30    a.m.   on   February    15,     2013,     S.L.'s
    roommate wanted to talk to S.L. and tried to get S.L. to open
    his   locked     bedroom   door.       After   receiving   no     response,      the
    roommate broke open the door to the bedroom, where he found S.L.
    deceased.
    ¶6    City of Waukesha police and a Waukesha County deputy
    medical examiner came to the apartment.             They found S.L. hunched
    over on the bedroom floor with drug paraphernalia on a chair
    nearby.     They also found some non-prescription ibuprofen and
    3
    Mattox does not raise any other ground for possible
    exclusion of the toxicology report; thus, our review is limited
    to whether its admission violated the Confrontation Clause.
    4
    No.     2015AP158-CR
    prescription       Clonazepam,         a    drug     used     to     treat      anxiety.
    Waukesha County Deputy Medical Examiner, Nichol Wayd, spoke with
    police at the scene to get background facts, took pictures, and
    transported S.L.'s body to the morgue for an autopsy.
    ¶7         After the body was removed from the scene, the police,
    under    the    supervision       of     City   of   Waukesha       Detective        Thomas
    Casey,    collected        the    drug     paraphernalia       from     S.L.'s        room,
    including       multiple     syringes       (one     of     which    had      been     used
    recently), a small metal cooker, a tourniquet, and some cotton
    balls.    These items were submitted to the State Crime Lab for
    analysis.
    ¶8         On February 15, 2013, Dr. Zelda Okia, an associate
    medical examiner for Waukesha County, performed the autopsy on
    S.L.'s body in order to determine the cause of death.                                  The
    autopsy protocol included examining the body and collecting and
    sending biological samples to a toxicology lab.                             The Waukesha
    County Medical Examiner's Office used the St. Louis University
    toxicology lab because a board certified toxicologist runs the
    lab and Waukesha County does not have the equipment to conduct
    its own toxicology tests.                During the autopsy, Dr. Okia noted
    pulmonary edema, cerebral edema, 13 recent needle puncture marks
    in S.L.'s arms, and elevation in the weight of his lungs——all
    signs    indicating       death    caused       by   drug    overdose.         Dr.    Okia
    collected samples of S.L.'s blood, urine, and tissue near the
    injection sites, as well as one control tissue sample.                          She sent
    these    samples     to     the     toxicology        lab    with     the      following
    information:        (1) S.L.'s name, age, weight, and race; (2) a
    5
    No.   2015AP158-CR
    history reading "Found unresponsive at Home"; (3) a listing of
    medications      available   as   "Clonazepam,   Ibuprofen";     and    (4)    a
    request to "Please test all above specimens" for "Alcohol" and
    "General Unknown."       The lab received the specimens on February
    19, 2013, and the toxicology report was completed on March 13,
    2013.
    ¶9     The     toxicology     report,   which   is   attached      in   the
    Appendix, lists the substances for which each sample was tested,
    as well as either the word "negative" or "positive."                A number
    appears next to any substance identified within the sample.                   As
    pertinent here, the toxicology report indicates the following:
    The blood sample contained:
        "0.61 MICROGRAMS/ML" of total morphine;
        "LESS THAN 0.05 MICROGRAMS/ML" of "6-MONOACETYLMORPHINE";
    and
        "0.27 MICROGRAMS/ML" of free morphine.
    The urine sample contained:
        "0.74 MICROGRAMS/ML" of codeine;
        "GREATER THAN 4 MICROGRAMS/ML" of morphine;
        "2.5 MICROGRAMS/ML" of "6-MONOACETYLMORPHINE"; and
        "0.13 MICROGRAMS/ML" of hydromorphone.
    The tissue samples, including the control sample, all contained
    measurable amounts of morphine:
        "0.28 MICROGRAMS/GM" in "Antecubital vein and fat";
        "0.14 MICROGRAMS/GM" in "Right anterior forearm vein and
    fat";
    6
    No.    2015AP158-CR
        "0.16 MICROGRAMS/GM" in "Right ventral forearm vein and
    fat";
        "0.11 MIRCROGRAMS/GM" in "Right anterior forearm vein and
    fat"; and
        "0.14 MIRCROGRAMS/GM" in "Left antecubital vein and fat."
    Dr. Christopher Long signed the toxicology report but the report
    was not sworn or certified and does not contain any affidavit-
    like assertions.        The report does not explain the significance
    of any of the numbers nor does it provide an interpretation of
    the chemical levels.
    ¶10    Upon     receiving     the       toxicology      report,      Dr.      Okia
    completed her autopsy report.                 Although the autopsy report is
    not dated, it must have been completed after March 13, 2013,
    because it lists the blood sample morphine quantities from the
    toxicology report.           Dr. Okia's autopsy report concludes that
    S.L.'s cause of death was "Acute Heroin Intoxication."                              The
    autopsy report does not indicate any police involvement with the
    autopsy or the toxicology lab.                The police were not involved in
    requesting, sending, or receiving the biological samples from or
    to the toxicology lab.
    ¶11    The     City    of    Waukesha        Police     investigation         into
    S.L.'s     death    proceeded     independently      from     the    county     medical
    examiner's office.           The only connection in this record between
    the medical examiner's office and the police is the fact that
    both responded to the scene and together notified S.L.'s next of
    kin   of     his    death.        Dr.   Wayd       also     sent    to    police    her
    investigative        report,      which       is    required        in    all      State
    7
    No.   2015AP158-CR
    investigations and routinely produced.               The report contains a
    summary of the medical examiner's observations from the scene
    and     it   documents    the   notification    of    S.L.'s     next   of    kin
    regarding his death.
    ¶12     The    independent   police   investigation      resulted      in   a
    conclusion by law enforcement that S.L. died from an overdose of
    heroin supplied by Mattox.         The State Crime Lab certified, in an
    October 2013 report, that the recently used syringe and metal
    cooker police collected from S.L.'s apartment tested positive
    for the presence of heroin.           Cell phone and financial records,
    bank video surveillance, and interviews with S.L.'s family and
    friends enabled police to retrace S.L.'s steps the day before
    his death.          This led police to S.L.'s friend, Terry Tibbits.
    Ten days after S.L.'s death, the police spoke with Tibbits, who
    admitted he helped S.L. buy heroin from Mattox mid-morning on
    February 14, 2013.        Video surveillance from a bank ATM confirmed
    Tibbits' report that the two withdrew $100 from S.L.'s bank
    account shortly before meeting with Mattox.             Tibbits told police
    he gave $80 of S.L.'s ATM withdrawal to Mattox in exchange for a
    half gram of heroin.            After the heroin purchase, Tibbits and
    S.L. immediately used 25 percent of the half gram, and S.L. kept
    the rest.       The police learned from Tibbits that he regularly
    bought heroin from Mattox, a fact police confirmed when Tibbits
    arranged for a controlled buy of heroin from Mattox on March 8,
    2013.        After the controlled buy, police arrested Mattox for
    selling heroin.         During police questioning, Mattox admitted he
    sold Tibbits heroin two to three times a week, but claimed he
    8
    No.     2015AP158-CR
    did    not   remember      whether     Tibbits       bought     heroin    from     him    on
    February 14, 2013.
    ¶13    The police obtained cell phone records for Tibbits,
    Mattox,      and   S.L.,      which    supported      the     details     Tibbits       told
    police.       From      additional      interviews      with     S.L.'s       family     and
    friends, police learned that S.L. was a heroin addict, had been
    arrested for heroin possession earlier that month, and had a
    court      appearance      related     to   that       arrest     the     afternoon       of
    February 14, 2013.              Police also learned that S.L.'s regular
    heroin supplier was in jail and S.L. had been trying to stop
    using heroin.
    ¶14    After     being    charged        in    April     2013     with     reckless
    homicide for S.L.'s death, Mattox pled not guilty and the case
    was tried to the court.               At trial, Mattox did not deny that he
    regularly sold heroin to Tibbits, but he insisted he had not
    done so on February 14, 2013.               He did not dispute that S.L. died
    from ingesting heroin; rather, he argued that S.L. bought the
    deadly heroin from some other heroin dealer.
    ¶15    At trial, Dr. Okia explained the autopsy procedure in
    a    suspected     overdose     situation       where    the     cause    of     death    is
    unknown.      The procedure requires collecting biological specimens
    to    be   sent    to   the    toxicology       lab    for    analysis.          When    the
    prosecutor asked Dr. Okia about the toxicology report, Mattox
    objected to its admission on the grounds that it violated his
    9
    No.    2015AP158-CR
    right    to     confrontation.4          The    circuit       court     overruled       the
    objection,      holding     that   the    toxicology         report    was    admissible
    under    Wis.    Stat.     § 907.03      (2011-12)5     as    a   basis      for   expert
    opinion testimony and because it was not being admitted for its
    truth or to prove an element of the crime.                        The circuit court
    limited the admission of the report accordingly.
    ¶16      Dr.    Okia     testified         that    her       cause       of    death
    determination       was    based   on    her    observations       made      during     the
    autopsy as well as the toxicology results she reviewed.                                 She
    testified:
       0.61 micrograms per milliliters of morphine in the blood
    is a fatal amount; although the toxicology report did not
    state this, she knew it from her training and experience.
       Less       than    0.05   micrograms          per     milliliters         of    6-
    monoacetylmorphine         (6-MAM      for    short)     in    the    blood     is
    specific for heroin; it means the morphine in the blood
    came from heroin and could not have come from any other
    substance.
    4
    Mattox did not object to the admission of the lab reports
    finding the presence of heroin on the drug paraphernalia
    collected from S.L.'s bedroom and finding that the substance
    seized during the March 8, 2013 controlled drug buy was heroin.
    He stipulated to the admission of those Wisconsin State Crime
    Lab reports without requiring the lab analysts to testify at
    trial.
    5
    All subsequent references to the Wisconsin Statutes are to
    the 2013-14 version unless otherwise indicated.
    10
    No.     2015AP158-CR
         0.27 micrograms per milliliters of free morphine in the
    blood is "actual active morphine" and is a fatal amount;
    the toxicology report did not explain this but she knew
    it from her training and experience.
    ¶17       Dr. Okia also testified about the other numbers in the
    toxicology report.            She explained that the codeine in S.L.'s
    urine    is   a     contaminant     often    found   in     heroin       cases    because
    codeine is used to manufacture heroin.                     She further explained,
    however, that substances detected in urine indicate the presence
    of the substances but cannot be used to determine the cause of
    death because "urine typically concentrates the drugs."                               She
    looks only for "active drugs in the blood" in assessing cause of
    death.
    ¶18       The circuit court found Mattox guilty.                     He appealed to
    the court of appeals, claiming that admission of the toxicology
    report, without testimony at trial by the analyst who signed it,
    violated      his    right   to    confrontation.          The    court     of    appeals
    certified the case to this court, and we accepted it for review.
    II.    ANALYSIS
    A.   Standard of Review
    ¶19       Whether the admission of the toxicology report and the
    medical    examiner's        testimony      based   upon    it    violates        Mattox's
    Sixth     Amendment      right     to    confrontation       is      a     question    of
    constitutional law subject to independent review.                          See State v.
    Williams, 
    2002 WI 58
    , ¶7, 
    253 Wis. 2d 99
    , 
    644 N.W.2d 919
    .
    ¶20       Both     the    Sixth      Amendment    to     the         United    States
    Constitution and the Wisconsin Constitution guarantee a criminal
    11
    No.    2015AP158-CR
    defendant the right to confront witnesses who testify against
    the defendant at trial.          See U.S. Const. amend. VI; Wis. Const.
    art. 1, § 7.6       "We generally apply United States Supreme Court
    precedent when interpreting these clauses."                  State v. Jensen,
    
    2007 WI 26
    , ¶13, 
    299 Wis. 2d 267
    , 
    727 N.W.2d 518
    (2007).
    B.    Precedent
    ¶21     This case presents an issue of first impression that
    neither   this     court   nor   the    United     States   Supreme   Court    has
    directly addressed.        Since the Supreme Court decided Crawford v.
    Washington, 
    541 U.S. 36
    (2004), we have issued only two opinions
    involving    the     application       of    the   Confrontation      Clause    to
    forensic lab reports, and neither opinion involved a toxicology
    report requested by the medical examiner as a part of an autopsy
    to determine the cause of death where a crime had not yet been
    uncovered.    See State v. Griep, 
    2015 WI 40
    , 
    361 Wis. 2d 657
    , 
    863 N.W.2d 567
    ; State v. Deadwiller, 
    2013 WI 75
    , 
    350 Wis. 2d 138
    ,
    
    834 N.W.2d 362
    .
    ¶22     Griep    involved a drunk-driving prosecution where an
    expert witness relied on a blood alcohol lab report certified by
    an analyst who was not available to testify at trial.                          The
    report was not admitted, but an expert witness reviewed the lab
    6
    The Sixth Amendment to the United States Constitution
    provides:   "In all criminal prosecutions, the accused shall
    enjoy the right . . . to be confronted with the witnesses
    against him . . . ."   Article I, Section 7 of the Wisconsin
    Constitution states: "In all criminal prosecutions the accused
    shall enjoy the right . . . to meet the witnesses face to
    face . . . ."
    12
    No.     2015AP158-CR
    report and testified about the blood alcohol result it reported.
    We held Griep's confrontation right was not violated because the
    expert merely reviewed the lab report to form an independent
    opinion     to    which       the     expert      testified.         See     Griep,     
    361 Wis. 2d 657
    , ¶¶1-3.             The holding in Griep did not depend on
    whether the report itself was testimonial because the report was
    not admitted into evidence.
    ¶23     Deadwiller involved a sexual assault prosecution where
    an expert witness used a DNA profile created by an out-of-state
    lab using vaginal and cervical swabs from the victim to form an
    independent conclusion.               Deadwiller, 
    350 Wis. 2d 138
    , ¶¶1, 40.
    Deadwiller       challenged         the   testimony       of   the   State    Crime     Lab
    analyst who entered the DNA profile into the DNA database and
    found it matched Deadwiller.                
    Id., ¶40. Relying
    on Williams v.
    Illinois, 567 U.S. ___, 
    132 S. Ct. 2221
    (2012), a plurality
    opinion     with      facts         substantially      identical       to     those      in
    Deadwiller, we determined no confrontation violation occurred.
    Deadwiller,        
    360 Wis. 2d 138
    ,            ¶¶1-2.         Significantly,         the
    defendant in Deadwiller did not contest the very fact supported
    by the DNA profile——that he had intercourse with the victims——
    rather,    the     defendant        testified      that    the    victims     consented.
    
    Id., ¶36. Neither
    Griep nor Deadwiller is squarely on point
    here.
    ¶24     Likewise, the Supreme Court has not yet addressed the
    issue     presented      in    this       case.       Unquestionably,         the     Court
    substantially       changed          confrontation         jurisprudence       when      it
    decided Crawford in 2004.                 See 
    Clark, 135 S. Ct. at 2179
    .                The
    13
    No.     2015AP158-CR
    Crawford       Court        overruled          the     Confrontation            Clause        test
    articulated in Ohio v. Roberts, 
    448 U.S. 56
    (1980), which had
    allowed        admission       of        out-of-court              statements      exhibiting
    "adequate indicia of reliability" if the statement either fell
    "within        a      firmly       rooted           hearsay        exception"       or        bore
    "particularized guarantees of trustworthiness."                                See 
    Crawford, 541 U.S. at 40
    ; 
    Clark, 135 S. Ct. at 2179
    (quoting 
    Roberts, 448 U.S. at 66
    ).         Crawford      returned       confrontation           law     to    its
    original meaning and held a defendant's right to confrontation
    is violated if the trial court receives into evidence out-of-
    court statements by someone who does not testify at the trial if
    those statements are "testimonial" and the defendant has not had
    "a     prior       opportunity"          to     cross-examine           the      out-of-court
    declarant.         
    Crawford, 541 U.S. at 68
    .                   The Crawford Court did
    not provide a comprehensive definition of "testimonial," but it
    concluded that, "at a minimum," "testimonial" statements include
    "prior testimony at a preliminary hearing, before a grand jury,
    or at a former trial and . . . police interrogations" because
    these are the types of evidence "at which the Confrontation
    Clause       was      directed."              
    Id. Crawford's definition
          of
    "testimonial"         required      the       statement       to    have   some    degree      of
    formality.            See    
    id. at 51.
             Post-Crawford,          confrontation
    challenges begin with an analysis of whether the out-of-court
    statements used against a defendant are "testimonial."                                   If the
    statements are not testimonial, the Confrontation Clause is not
    implicated.
    14
    No.   2015AP158-CR
    ¶25    Since       Crawford,       the    Supreme       Court     decided     several
    confrontation cases in a variety of contexts and further defined
    whether statements are or are not "testimonial."                            See Davis v.
    Washington,         
    547 U.S. 813
    ,      822    (2006)       (establishing         that
    statements           "are        nontestimonial              when        made . . . under
    circumstances objectively indicating that the primary purpose of
    the interrogation is to enable police assistance to meet an
    ongoing       emergency"           (emphasis          added));        Melendez-Diaz         v.
    Massachusetts,        
    557 U.S. 305
    ,     310-11       (2009)     (concluding       that
    affidavit-like            certifications,            which     proved     the      fact     in
    question——that a seized substance was cocaine——were testimonial
    because      they    were      "functionally          identical     to    live,    in-court
    testimony,        doing     'precisely        what     a     witness     does   on   direct
    examination'" (quoting 
    Davis, 547 U.S. at 830
    )); Michigan v.
    Bryant, 
    562 U.S. 344
    , 377-78 (2011) (holding that statements
    made   by     a     dying      shooting      victim     were     nontestimonial       where
    informal     nature       of    police       questioning       demonstrated       officers'
    primary purpose of assessing the situation and responding to
    ongoing emergency); Bullcoming v. New Mexico, 
    564 U.S. 647
    , 664-
    65 (2011) (treating a lab report regarding defendant's blood-
    alcohol content as testimonial because, despite the absence of
    notarization, the author's certification was a formal, signed
    report "created solely for an 'evidentiary purpose' . . . [and]
    made in aid of a police investigation" (quoting 
    Melendez-Diaz, 557 U.S. at 311
    )); Williams v. Illinois, 567 U.S. ___, 132 S.
    Ct. 2221, 2243 (2012) (plurality opinion) (concluding that DNA
    profile generated from sexual assault victim's vaginal swabs was
    15
    No.   2015AP158-CR
    not testimonial because its "primary purpose . . . was not to
    accuse [the suspect] or to create evidence for use at trial");
    Ohio v. Clark, 
    135 S. Ct. 2173
    , 2181 (2015) (determining that
    child abuse victim's statements to teacher were not testimonial
    because the informal questions at a school were asked with a
    primary     purpose   as    a   "concerned      citizen . . . talk[ing]          to   a
    child who might be the victim of abuse," not "to gather evidence
    for . . . prosecution").
    C.     Application
    ¶26    Three    of    these     Supreme    Court    cases      discussed    the
    Confrontation Clause within the context of forensic lab reports:
    Melendez-Diaz, Bullcoming, and Williams.                 Melendez-Diaz involved
    cocaine     drug    dealing     where   the    challenged    evidence      comprised
    "affidavits     reporting       the   results    of    forensic     analysis     which
    showed that material seized by the police and connected to the
    defendant     was    cocaine."        
    Melendez-Diaz, 557 U.S. at 307-08
    .
    Bullcoming involved a drunk-driving arrest where the forensic
    lab report was created at the request of and for the "aid of a
    police investigation," "solely for an 'evidentiary purpose.'"
    
    Bullcoming, 564 U.S. at 651
    , 664 (quoting 
    Melendez-Diaz, 551 U.S. at 311
    ).          The lab report certified Bullcoming's blood-
    alcohol concentration, the chain of custody of the blood sample,
    the qualifications of the analyst, the lab procedures, and that
    all procedures had been followed.               
    Id. at 653.
            The Court held
    both lab reports were testimonial and their admission, without
    the   opportunity      to     cross-examine      the     authors,     violated    the
    16
    No.    2015AP158-CR
    Confrontation         Clause.         See    
    Melendez-Diaz, 557 U.S. at 311
    ;
    Bullcoming, 564 U.S at 663-65.
    ¶27     Melendez-Diaz          and    Bullcoming        do     not     control       here
    because the lab report and its evidentiary use in Mattox's case
    bear no resemblance to the reports or their use in Melendez-Diaz
    or Bullcoming.          First, the forensic reports in Melendez-Diaz and
    Bullcoming were requested by police following the seizure of
    evidence       from    a    criminal       suspect,      and   the    lab     reports       were
    specifically created for use against the suspects in criminal
    prosecutions.               See      
    Melendez-Diaz, 557 U.S. at 310-11
    ;
    
    Bullcoming, 564 U.S. at 651
    , 664-65.                      Second, the Melendez-Diaz
    and Bullcoming reports satisfied the formality factor because
    each     report       was    affidavit-like         or    certified——providing               the
    functional equivalent of trial testimony——significantly, about
    an element of the crime in each case.                          In Melendez-Diaz, the
    Supreme Court concluded that "[t]he Sixth Amendment does not
    permit the prosecution to prove its case via ex parte out-of
    court affidavits."               
    Melendez-Diaz, 557 U.S. at 329
    .
    ¶28     Here,       the    medical    examiner      took      biological         samples
    during an autopsy of a decedent who died of unknown causes.
    The police did not seize the tested evidence from Mattox, who
    was not suspected of committing a crime when the samples were
    taken.       The toxicology report was not requested by the police or
    solicited for the purpose of generating evidence against Mattox.
    At the time the medical examiner sent the samples for testing,
    there was no defendant against whom to generate evidence because
    there    was    no     known      crime.      The   medical         examiner      was   simply
    17
    No.    2015AP158-CR
    looking for information to determine the cause of death and
    submitted the biological samples to the toxicology lab pursuant
    to autopsy protocols.              The police were not involved in sending
    the     samples      to    the     lab      or    generating          evidence    against    a
    defendant with respect to the autopsy, and the record is devoid
    of any suggestion that the medical examiner was working as an
    agent    of    the    police      in       an    active   criminal       investigation      to
    develop evidence for use in a criminal prosecution.
    ¶29     Further, the toxicology report in this case lists the
    concentration        of     the     various           substances       present    in   S.L.'s
    biological samples sent for testing.                       The numbers in the report
    relate    to    S.L.,      not     Mattox.             Unlike     in    Melendez-Diaz       and
    Bullcoming, the analyst who signed the report was not acting as
    a witness against Mattox and was not offering testimony with the
    primary purpose of saying that the heroin Mattox sold to S.L.
    killed him.          The toxicology report does not even contain the
    word     "heroin,"        and     the      report      does     not     accuse    Mattox     of
    anything.       Based on these significant differences, Melendez-Diaz
    and Bullcoming are easily distinguishable.
    ¶30     Williams is the third Supreme Court case addressing
    confrontation rights where a forensic lab report was used at
    trial without the testimony of the author of the report.                                    The
    Williams      case    involved         a    sexual      assault    where    the    defendant
    claimed that use of a DNA profile violated his confrontation
    rights.        See 
    Williams, 132 S. Ct. at 2227
    .                           A four-Justice
    plurality concluded the DNA report was not testimonial because
    it had been prepared not "for the primary purpose of accusing a
    18
    No.     2015AP158-CR
    targeted individual" but to "catch a dangerous rapist who was
    still at large."          
    Id. at 2243.
           Because Williams does not have
    precedential value except in a case with substantially similar
    facts, it does not apply here.               See Griep, 
    361 Wis. 2d 657
    , ¶39.
    ¶31   Thus, none of the Supreme Court's confrontation cases
    specifically discuss the Confrontation Clause within the context
    of the issue presented here:                  whether a toxicology report——
    prepared at the medical examiner's request as a part of the
    autopsy protocol in a drug overdose death——constitutes testimony
    in a homicide prosecution against the dealer who supplied the
    heroin responsible for the fatal overdose.
    ¶32   Ohio v. Clark, 
    135 S. Ct. 2173
    , guides our review.
    Although Clark did not involve a toxicology report prepared as a
    part of an autopsy, it pronounces the controlling principles in
    determining whether an out-of-court statement is "testimonial"
    and   therefore     subject       to   the    Confrontation    Clause.              Clark
    reaffirms the primary purpose test:                 the dispositive "question
    is    whether,     in     light    of    all     the   circumstances,              viewed
    objectively,       the     'primary      purpose'      of   the     [out-of-court
    statement] was to creat[e] an out-of-court substitute for trial
    testimony."       
    Clark, 135 S. Ct. at 2180
    (quoting 
    Bryant, 562 U.S. at 358
    ).    The primary purpose test decides whether the declarant
    is acting as a witness against the defendant, see Clark, 135 S.
    Ct. at 2185 (Scalia, J., concurring), by considering whether the
    primary purpose of the out-of-court statement "was to gather
    evidence    for    [the    defendant's]        prosecution."        
    Id. at 2181.
    Clark   instructs        that   some    factors    relevant    in       the    primary
    19
    No.     2015AP158-CR
    purpose analysis include:        (1) the formality/informality of the
    situation producing the out-of-court statement; (2) whether the
    statement is given to law enforcement or a non-law enforcement
    individual; (3) the age of the declarant7 and (4) the context in
    which the statement was given.      
    Id. at 2180-82.
    ¶33    In order to decide whether the declarant in this case—
    —the analyst who signed the toxicology report——was acting as a
    witness against Mattox, we must apply the primary purpose test.
    We start by examining the purpose of the toxicology report.               Dr.
    Okia testified that, as a routine part of her autopsy protocol
    in suspected overdose cases, she collects biological specimens
    and sends them to the toxicology lab for testing to determine
    what substances, if any, are present in a decedent's blood,
    urine, and tissue.       The reason for the testing is to inform the
    medical examiner's opinion as to the cause of death.               Thus, the
    primary purpose of the toxicology report here was to provide
    information   to   the   medical   examiner   as   part   of    the   autopsy
    protocol, not to establish certain toxicology levels in order to
    prove an element of a criminal charge.         Indeed, no charges were
    pending or contemplated against Mattox at the time the medical
    examiner   requested      this   toxicology   report.           Because   the
    toxicology report was not intended to substitute for testimony
    7
    This factor, though pertinent in Ohio v. Clark, 
    135 S. Ct. 2173
    , 2181 (2015), is not applicable here and will not be
    discussed.
    20
    No.     2015AP158-CR
    in a criminal prosecution, the report's primary purpose very
    clearly is not testimonial.
    ¶34     Another        factor         to    consider      in     making        the    primary
    purpose    determination            is    the    "informality        of   the       situation."
    
    Clark, 135 S. Ct. at 2180
    (quoting 
    Bryant, 562 U.S. at 377
    ).                                          A
    formal out-of-court statement is considered more likely to be
    testimonial, and an informal one is considered less likely to be
    testimonial.          As   a    part       of    this      analysis,      Clark      looked          at
    whether the statements at issue were given to law enforcement
    officers    or    non-law        enforcement           individuals.           
    Id. at 2181.
    Clark   stopped       short         of    adopting      a    "categorical          rule"           that
    statements       to    non-law            enforcement        individuals           will        never
    implicate    the      Confrontation             Clause,     but    the    Court      held          that
    statements to persons other than law enforcement officers were
    "much   less     likely     to       be    testimonial        than    statements              to   law
    enforcement officers."               
    Id. The toxicology
    report at issue in
    Mattox's case was not prepared for or given to law enforcement,
    making it much less likely to be testimonial.                                   Although the
    toxicology       report        is    "formal"         in     the     sense      that          it    is
    typewritten, titled, and signed, this slight formality does not
    imply a testimonial purpose in a way that traditionally formal
    attestations, such as notarization or certification, might.
    ¶35     The facts in the record provide additional context,
    which Clark teaches is "highly relevant" to the primary purpose
    analysis in confrontation cases.                      See 
    Clark, 135 S. Ct. at 2182
    .
    The declarant created the report at the request of the medical
    examiner, not the police, to provide the medical examiner with
    21
    No.     2015AP158-CR
    the numerical concentration of substances, if any, present in
    the decedent's biological samples.                      The report was generated to
    help the medical examiner determine S.L.'s cause of death, not
    to help the police produce evidence for a criminal prosecution.
    Nothing      in     the    record      suggests       the   declarant      knew    that    the
    police were conducting a simultaneous investigation into S.L.'s
    death or that the police would eventually conclude that a crime
    occurred.           To the contrary, the information provided to the
    toxicology lab declarant gave no indication that S.L.'s death
    would prompt a homicide prosecution or that police were involved
    in any way.             The specimens came from the medical examiner's
    office with information that S.L. was found "unresponsive at
    home" with Clonazepam and ibuprofen nearby.                             Under Wis. Stat.
    §§ 979.02 and 979.04, a medical examiner has broad, independent
    discretion to conduct an autopsy "for the purpose of inquiring
    how the person died" if there are "unexplained or suspicious
    circumstances"            accompanying     the    death,          see   also    Scarpaci       v.
    Milwaukee Cty., 
    96 Wis. 2d 663
    , 684, 
    292 N.W.2d 816
    (1980), and,
    as the State points out, homicides account for "less than one
    percent"       of    the        1300   deaths     the       Waukesha      County     Medical
    Examiner's Office investigates each year.
    ¶36     Context shows the primary purpose of the toxicology
    report was to provide the medical examiner with the results of
    tests performed on the biological specimens of an individual who
    died   for     unknown       reasons.       It    was       not    to   aid    police     in   a
    criminal investigation or to prove an element of a later-charged
    crime;    it      was     not    created   as     a    substitute       for     out-of-court
    22
    No.     2015AP158-CR
    testimony to prove Mattox killed S.L.                     Mattox did not dispute
    any fact conveyed by the toxicology report, instead basing his
    defense on the theory that S.L. bought the heroin that killed
    him from another dealer.            A toxicology report used as a partial
    foundation        for      a    medical         examiner's      cause        of      death
    determination——a report lacking any accusation or basis therefor
    against the defendant——is not the type of evidence "at which the
    Confrontation Clause was directed."                    See 
    Crawford, 541 U.S. at 68
    .
    ¶37    Applying all the pertinent Clark factors in this case
    results in a single conclusion:                  the toxicology report in this
    case was not "testimonial" because its primary purpose was to
    identify     the       concentration       of     the     tested     substances        in
    biological samples sent by the medical examiner as a part of her
    autopsy     to    determine     the      cause    of    death——not      to    create     a
    substitute       for    out-of-court      testimony      or    to   gather        evidence
    against Mattox for prosecution.                  Use of this toxicology report
    during trial did not infringe Mattox's confrontation right.
    D.     General Declaration on Autopsies and Toxicology Reports
    ¶38    The State asks this court to declare that, in general,
    admitting autopsy reports and any underlying toxicology reports
    will not violate a defendant's confrontation right because these
    types of reports do not generate testimonial evidence.                                The
    State     asserts       this   is   so    because       the   primary      purpose     of
    autopsies is to determine cause of death and not to generate
    evidence against a criminal defendant.                        Although the Supreme
    Court has not declared this to be the law, the State cites a
    23
    No.    2015AP158-CR
    variety     of   court       decisions       supporting           its    proposition.          See
    United    States       v.    James,    
    712 F.3d 79
    ,     87-102       (2d   Cir.    2013)
    ("autopsy report was not testimonial because it was not prepared
    primarily to create a record for use at a criminal trial");
    People    v.     Leach,      
    2012 IL 111534
    ,        ¶¶76-138,      
    980 N.E.2d 570
    (autopsy report not testimonial because it was not "prepared for
    the primary purpose of accusing a targeted individual" or for
    "providing evidence in a criminal case" (citations omitted));
    State v. Maxwell, 2014-Ohio-1019, ¶¶54-65, 
    9 N.E.3d 930
    (autopsy
    reports are not testimonial because "they are created 'for the
    primary purpose of documenting cause of death for public records
    and public health'" (quoting Carolyn Zabrycki, Comment, Toward a
    Definition of "Testimonial": How Autopsy Reports Do Not Embody
    the Qualities of a Testimonial Statement, 96 Calif. L. Rev.
    1093, 1130 (2008))).                The State acknowledges that some courts
    have held autopsies "testimonial," but the State asserts this
    occurred     only      under       special    circumstances,             such    as     when   law
    enforcement       is    physically         present          at    the    autopsy       or    leans
    heavily     on   the    medical       examiner         to    produce       reports      favoring
    prosecution against a criminal defendant.                                See, e.g., United
    States    v.     Moore,      
    651 F.3d 30
    ,     73     (D.C.       Cir.    2011)      (ruling
    autopsy report testimonial where police "observed the autopsies"
    and   "participated           in     the     creation        of     reports");         State    v.
    Navarette, 
    294 P.3d 435
    , 440 (N.M. 2013) (ruling autopsy report
    testimonial where "two police officers attended the autopsy").
    ¶39      We decline the State's request.                      The medical examiner
    who   performed        the    autopsy      in    this       case    testified         at    trial,
    24
    No.    2015AP158-CR
    eliminating           any     confrontation        argument       with     respect       to     the
    autopsy         report       itself.        A    declaration      on     autopsies       is     not
    presented under the circumstances in this case.
    ¶40       We do declare a general rule with respect to the type
    of toxicology report at issue here.                         When a medical examiner——
    unilaterally           and     not     in   conjunction       with       law     enforcement——
    requests        a   toxicology         report     while    performing          an     autopsy      to
    determine the cause of death, admitting the toxicology report
    generally will not violate the Confrontation Clause when the
    toxicology report contains solely a numerical account of the
    concentration of substances within a decedent's blood, urine,
    and tissue.           The primary purpose of toxicology reports generated
    and used under circumstances similar to those presented in this
    case       is   not     to    generate      evidence       against     a   defendant          in    a
    criminal        prosecution          but    to    assist    the    medical           examiner      in
    determining the cause of death.                        Because admission of this type
    of toxicology report bears no "resemblance to the historical
    practices that the Confrontation Clause aimed to eliminate,"8
    such reports generally will not be "testimonial" and therefore
    will not trigger confrontation concerns.
    III.      CONCLUSION
    ¶41       This    case    presented         an    issue    of     first       impression:
    whether an out-of-state toxicology report requested by a medical
    examiner as a part of the routine autopsy protocol in a drug
    8
    Michigan v. Bryant, 
    562 U.S. 344
    , 379 (2011) (Thomas, J.,
    concurring in the judgment).
    25
    No.    2015AP158-CR
    overdose death constitutes testimonial evidence in the resulting
    homicide prosecution against the drug dealer who supplied the
    heroin   responsible    for    the   fatal   overdose.      Guided    by    the
    Supreme Court's most recent confrontation case, Ohio v. Clark,
    
    135 S. Ct. 2173
    , which requires application of the "primary
    purpose" test, we conclude the toxicology report here is not
    "testimonial" and its use at trial therefore did not infringe
    upon Mattox's confrontation right.             We overrule the court of
    appeals' decision in State v. VanDyke, 
    361 Wis. 2d 738
    , because
    the court of appeals erroneously held a substantially similar
    toxicology report to be "testimonial."          
    Id., ¶17. ¶42
       We decline the State's request to declare all autopsy
    reports,   absent    special   circumstances,     to   be   non-testimonial
    because that is not the issue presented here.               We do, however,
    hold that all toxicology reports similar to the one here——solely
    identifying    the     concentration      of    substances        present    in
    biological samples sent by the medical examiner as a part of an
    autopsy protocol——are generally non-testimonial when requested
    by a medical examiner and not at the impetus of law enforcement.
    The primary purpose of these toxicology reports is not to create
    evidence against a defendant in a criminal prosecution; rather,
    the principal purpose is to provide information to the medical
    examiner searching for the cause of death. Because there was
    nothing "testimonial" about the toxicology report used during
    Mattox's trial, the confrontation rights of the defendant were
    not infringed.
    26
    No.    2015AP158-CR
    By      the   Court.—The   judgment   of   the   circuit   court    is
    affirmed.
    27
    No.   2015AP158-CR
    APPENDIX
    28
    No.   2015AP158-CR
    29
    No.   2015AP158-CR
    30
    No.    2015AP158-CR.ssa
    ¶43    SHIRLEY      S.   ABRAHAMSON,            J.      (dissenting).          Circuit
    courts      across    the      state     frequently            address       the    question
    presented in the instant case:                        "How does the Confrontation
    Clause apply to the panoply of                    crime       laboratory reports            and
    underlying technical statements written by (or otherwise made
    by) laboratory technicians?"1
    ¶44    This    question       lies         at     the       intersection       of     the
    Confrontation Clause and the rules of evidence.                              Answering the
    question requires the application of the Confrontation Clause to
    numerous types of laboratory reports and witnesses testifying
    about or relying on reports they did not produce.2
    ¶45    "Testimonial         statements           of     witnesses       absent       from
    trial"    violate    a    defendant's        confrontation           right     unless      "the
    declarant is unavailable, and only where the defendant has had a
    prior opportunity to cross-examine."                          Crawford v. Washington,
    
    541 U.S. 36
    ,   59     (2004).          Crawford          substantially         changed
    confrontation law.
    ¶46    Since   Crawford,         the   United         State    Supreme       Court    has
    progressively        defined       whether            out-of-court          statements       of
    different types and in different contexts are testimonial. Some
    might say that the United States Supreme Court cases defining
    testimonial are in disarray, and this disarray is reflected in
    opinions being rendered across the country.
    1
    State v. Deadwiller, 
    2013 WI 75
    , ¶47, 
    350 Wis. 2d 138
    , 
    834 N.W.2d 362
    (Abrahamson, C.J., concurring).
    2
    Deadwiller,          
    350 Wis. 2d 138
    ,             ¶51     (Abrahamson,          C.J.,
    concurring).
    1
    No.   2015AP158-CR.ssa
    ¶47   The    instant    case   involves        an   autopsy     report    and   a
    toxicology report. The autopsy report was admitted in evidence.
    The medical examiner who produced the report testified and was
    subject to examination and cross-examination about the autopsy
    report.    The admission of the autopsy report in evidence does
    not present a confrontation issue.
    ¶48   By contrast, the toxicology report was admitted into
    evidence by the circuit court, which stated that the toxicology
    report was not being "offered to prove any element that is at
    issue in this particular case in terms of what substance was
    delivered."      The toxicology report was prepared at the request
    of   the   medical       examiner    by       an   independent,       out-of-state
    laboratory.      No witness testified about the preparation of the
    toxicology     report.       The    medical        examiner    referred       to   the
    toxicology report in her testimony about the autopsy and her
    opinion about the cause of death.3
    ¶49   On appeal, however, the parties, the certification by
    the court of appeals, and the majority opinion apparently are
    inconsistent     in   how   they    characterize         the   admission      of   the
    toxicology report in evidence.                Although the majority opinion
    mentions that the circuit court did not admit the toxicology
    report for its truth, majority op., ¶15, the majority opinion is
    3
    See Williams v. Illinois, 
    132 S. Ct. 2221
    (2012)
    (plurality opinion) (No Sixth Amendment violation exists when
    "[a]n expert witness referred to the report not to prove the
    truth of the matter asserted in the report, i.e., that the
    report contained an accurate profile of the perpetrator's DNA,
    but only to establish that the report contained a DNA profile
    that matched the DNA profile deduced from petitioner's blood.").
    2
    No.    2015AP158-CR.ssa
    not    clear    in    how   it    treats    the    admission     of        the    toxicology
    report.        Compare majority op., ¶15 ("[T]he toxicology report
    "was admissible under Wis. Stat. § 907.03 (2011-12) as a basis
    for    expert        opinion     testimony . . . ."),           ¶19        ("Whether         the
    admission of the toxicology report and the medical examiner's
    testimony based upon it violates Mattox's Sixth Amendment right
    to    confrontation . . . .); ¶41                ("[W]e conclude the toxicology
    report here is not 'testimonial' and its use at trial therefore
    did not infringe upon Mattox's confrontation right.").
    ¶50     What    is   clear    in    the    majority     opinion           is   that   it
    adopts     a    primary     purpose       test    for    determining         whether         the
    toxicology report, a forensic report, is testimonial under the
    confrontation clause.
    ¶51     The    majority      opinion       at    ¶32   (emphasis           added      and
    internal       citations         omitted)        asserts      that     it        takes       its
    formulation of the primary purpose test from Ohio v. Clark, 
    135 S. Ct. 2173
    (2015), and states the test as follows:
    [T]he dispositive "question is whether, in light of
    all   the   circumstances,  viewed   objectively,  the
    "primary purpose" of the [out-of-court statement] was
    to creat[e] an out-of-court substitute for trial
    testimony." . . .    The primary purpose test decides
    whether the declarant is acting as a witness against
    the defendant . . . by considering whether the primary
    purpose of the out-of-court statement "was to gather
    evidence for [the defendant's] prosecution."4
    
    4 Ohio v
    . Clark, 
    135 S. Ct. 2173
    (2015), involves a
    traditional out-of-court declarant's statement. It does not
    address forensic reports.
    (continued)
    3
    No.    2015AP158-CR.ssa
    ¶52   The      majority      opinion's      approach        presents        two
    difficulties, however——difficulties the majority opinion masks.
    • Although      the     majority      opinion    states     that        Clark
    "pronounces the controlling principles in determining
    whether an out-of-court statement is 'testimonial,'"
    majority op., ¶32, the majority opinion's statement of
    Clark's primary purpose test is not fully faithful to
    Clark.      The     majority    opinion,     without    explanation,
    cherry-picks        what   might     be    characterized        as    the
    narrowest formulation of Clark's primary purpose test
    and severely        limits the definition of "testimonial"
    for purposes of the confrontation clause.
    In Clark, the United States Supreme Court held that a
    child's statement to her teacher, which asserted that her
    mother's boyfriend was abusing her, was nontestimonial.     The
    statement was nontestimonial because the child was too young to
    have the primary purpose to accuse the defendant and made the
    statements in the context of an ongoing emergency (his mother's
    boyfriend's abuse).   
    Clark, 135 S. Ct. at 2184
    (Scalia, J.,
    concurring).
    Justice Scalia, who wrote Crawford v. Washington, 
    541 U.S. 36
    (2004), beginning a new era in confrontation law, concurred
    in Clark, declaring that the majority in the United States
    Supreme Court is "shoveling fresh dirt upon the Sixth Amendment
    right of confrontation so recently rescued from the grave in
    Crawford v. Washington . . . ."    
    Clark, 135 S. Ct. at 2184
    (2015) (Scalia, J., concurring).
    The majority opinion also gleans from the Clark opinion the
    following factors relevant in the primary purpose analysis:
    "(1) The formality/informality of the situation producing the
    out-of-court statement; (2) whether the statement is given to
    law enforcement or a non-law enforcement individual; (3) the age
    of the declarant and (4) the context in which the statement was
    given." Majority op., ¶32 (footnote omitted).
    4
    No.    2015AP158-CR.ssa
    • Although         all        nine     justices           of    the        United       States
    Supreme        Court       (as    of       the    Court's         last    forays      into
    defining "testimonial") agree that whether an out of
    court statement is testimonial depends (at least to an
    extent)        on    the     primary         purpose        of     the    out-of-court
    statement, the United States Supreme Court justices
    have      not       uniformly          or    consistently           formulated             the
    primary purpose test.                      Different primary purpose tests
    are      set    forth        by     different           justices         in     different
    contexts.            Slight differences in the formulation of
    the      primary          purpose       test      can       lead    a     court       to    a
    different conclusion regarding the testimonial nature
    of out-of-court statements.
    ¶53   The majority opinion is not fully faithful to Clark
    because it does not reveal or apply a primary purpose test that
    Clark derives from confrontation cases.                                 Clark declares that
    "[statements] are testimonial when the circumstances objectively
    indicate . . . that the primary purpose of the interrogation is
    to establish or prove past events potentially relevant to later
    criminal prosecution."                
    Clark, 135 S. Ct. at 2180
    (quoting Davis
    v.    Washington,      
    547 U.S. 813
          (2006)).           I     refer       to     this
    formulation     of    the       primary       purpose         test      as     the    "potentially
    relevant" test.
    ¶54   The United States Supreme Court cases demonstrate that
    the    justices      are        not    necessarily            in     agreement            about        the
    formulation of the primary purpose test.                                 I therefore examine
    the   Court's      confrontation              cases      to    set       forth        the    various
    5
    No.    2015AP158-CR.ssa
    formulations         of      the     primary       purpose     test,       including    the
    "potentially relevant" test.
    ¶55       I   begin     with     the        Crawford     case,       the    seminal
    confrontation clause case.5
    ¶56       Although      Crawford        did     not      conclusively        define
    "testimonial," the Court did set forth three "formulations of
    [the] core class of testimonial' statements," which appear to
    have influenced later formulations of the primary purpose test:
    [E]x parte in-court testimony or its functional
    equivalent——that is, . . . pretrial statements that
    declarants   would reasonably   expect to   be used
    prosecutorially.
    
    Crawford, 541 U.S. at 51
    (quoting Brief for Petitioner Michael
    Crawford).
    [E]xtrajudicial      statements . . . contained    in
    formalized testimonial materials, such as affidavits,
    depositions, prior testimony, or confessions.
    
    Crawford, 541 U.S. at 51
    (quoting White v. Illinois, 
    502 U.S. 346
    ,       365   (Thomas,      J.,    concurring       in     part   &     concurring    in
    judgment).
    [S]tatements 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.
    5
    Crawford v. Washington, 
    541 U.S. 36
    (2004), involved an
    assault and attempted murder case.         At trial, the State
    introduced an incriminating recorded statement made by the
    defendant's wife (she did not testify because of marital
    privilege). The Court held that the State's use of the recorded
    statement violated the Confrontation Clause.
    6
    No.    2015AP158-CR.ssa
    
    Crawford, 541 U.S. at 52
           (quoting    Brief    for    Amicus    Curiae
    National Association of Criminal Defense Lawyers).6
    ¶57    Then,     in    Davis      v.     Washington,       
    547 U.S. 813
    ,    822
    (2006),7    Justice    Scalia         stated      the   primary       purpose    test   as
    follows:
    [Statements] are testimonial when the circumstances
    objectively indicate . . . that the primary purpose of
    the interrogation is to establish or prove past events
    potentially relevant to later criminal prosecution.
    
    Davis, 547 U.S. at 822
    .
    ¶58    In     Michigan      v.    Bryant,      
    562 U.S. 344
        (2011),8      the
    primary    purpose    inquiry         was    described    using       Justice    Scalia's
    "potentially relevant" formulation of the primary purpose test
    as follows:
    [Statements]       are testimonial when the circumstances
    objectively          indicate    that . . . the   primary
    6
    See State v. Manuel, 
    2005 WI 75
    , ¶37, 
    281 Wis. 2d 554
    , 
    697 N.W.2d 811
    (stating these three formulations).
    7
    Davis v. Washington, 
    547 U.S. 813
    , 822 (2006), involved
    two cases consolidated on appeal.     Each involved out-of-court
    statements made by domestic abuse victims and then used at
    trial.   One case (Davis v. Washington) held nontestimonial a
    domestic abuse victim's statements made to a 911 operator during
    an altercation with her boyfriend.    The second case (Hammon v.
    Indiana) held testimonial an affidavit written by a domestic
    abuse victim with the assistance of law enforcement.
    8
    Michigan v. Bryant, 
    562 U.S. 344
    , involved a statement
    made to law enforcement by a shooting victim lying mortally
    wounded in a parking lot.   The victim died shortly thereafter,
    but his statement was later used at trial; the petitioner was
    convicted of second-degree murder at trial. The Court held that
    the statement identifying, describing, and locating the shooter
    were not testimonial statements because they had a "primary
    purpose . . . to enable police assistance to meet an ongoing
    emergency." 
    Bryant, 562 U.S. at 349
    .
    7
    No.    2015AP158-CR.ssa
    purpose . . . is to establish or prove past events
    potentially relevant to later criminal prosecution.
    
    Bryant, 562 U.S. at 356
      (quoting     
    Davis, 547 U.S. at 822
    ).
    Justice Sotomayor, writing for the majority in Bryant, stated
    the test as follows:
    When, as in Davis, the primary purpose of an
    interrogation is to respond to an "ongoing emergency,"
    its purpose is not to create a record for trial and
    thus is not within the scope of the Clause. But there
    may be    other   circumstances, aside from ongoing
    emergencies, when a statement is not procured with a
    primary purpose of creating an out-of-court substitute
    for trial testimony.
    
    Bryant, 562 U.S. at 358
    .
    ¶59    In   Melendez-Diaz      v.       Massachusetts,      
    557 U.S. 305
    (2009),9 the Court considered the testimonial nature of forensic
    reports for the first time since Crawford.                 Melendez-Diaz stated
    the primary purpose test as follows:
    [Statements   are   testimonial   when] "made under
    circumstances which would lead an objective witness
    reasonably to believe that the statement would be
    available for use at a later trial."
    
    Melendez-Diaz, 557 U.S. at 311
    (quoting 
    Crawford, 541 U.S. at 52
    ).
    9
    In Melendez-Diaz v. Massachusetts, 
    557 U.S. 305
    , 310
    (2009), the trial court admitted certificates of state crime
    laboratory analysis that concluded that the drugs seized were
    cocaine.   The Court held that admission of these certificates
    without in-person testimony by the analyst violated the
    defendant's confrontation right.
    8
    No.   2015AP158-CR.ssa
    ¶60   In Bullcoming v. New Mexico, 
    564 U.S. 647
    (2011),10
    another case involving a forensic report, the primary purpose
    inquiry    was   described   in   "potentially   relevant"    terms    as
    follows:
    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."
    
    Bullcoming, 564 U.S. at 659
    n.6 (quoting 
    Davis, 547 U.S. at 822
    ).11    Concurring in Bullcoming, Justice Sotomayor stated the
    primary purpose test as follows:
    10
    Bullcoming v. New Mexico, 
    564 U.S. 647
    (2011), involved a
    forensic laboratory report certifying that the defendant had a
    blood-alcohol concentration that was above the legal limit. The
    analyst who prepared the report was on unpaid leave, so the
    State attempted to use the testimony of another analyst to
    validate the report. Over the petitioner's objection, the trial
    court admitted the report into evidence.     The Court held that
    admitting this report violated the defendant's confrontation
    rights because the preparing analyst did not testify.
    11
    The Bullcoming court explicitly rejected the argument
    that the report of the forensic lab analyst is nontestimonial
    because the analysts are "mere scriveners" who transcribe
    results from machines but do not interpret or exercise
    independent judgment.   
    Bullcoming, 564 U.S. at 659
    . Instead,
    Justice Ginsburg explained:
    [The analyst] certified [in the report] that he
    received Bullcoming's blood sample intact with the
    seal unbroken, that he checked to make sure that the
    forensic   report    number   and  the   sample   number
    "correspond[ed],"     and   that    he   performed    on
    Bullcoming's sample a particular test, adhering to a
    precise protocol.    He further represented, by leaving
    the "[r]emarks" section of the report blank, that no
    "circumstance     or    condition. . . affect[ed]    the
    integrity of the sample or . . . the validity of the
    analysis."    These representations, relating to past
    events and human actions not revealed in raw, machine-
    produced data, are meet for cross-examination.
    (continued)
    9
    No.    2015AP158-CR.ssa
    To determine if a statement is testimonial, we must
    decide whether it has "a primary purpose of creating
    an out-of-court substitute for trial testimony."
    
    Bullcoming, 564 U.S. at 669
    (Sotomayor, J., concurring) (quoting
    
    Bryant, 562 U.S. at 357
    ).
    ¶61    In Williams v. Illinois, 
    132 S. Ct. 2221
    (2012)12, the
    Court's   third   case   involving   a    forensic   report,    the   primary
    purpose was described as follows:
    In identifying the primary purpose of an            out-of-court
    statement, we apply an objective test.              We look for
    the primary purpose that a reasonable              person would
    have ascribed to the statement, taking             into account
    all of the surrounding circumstances.
    . . . .
    Here, the primary purpose of the . . . report, viewed
    objectively, was not to accuse petitioner or to create
    evidence for use at trial.
    
    Williams, 132 S. Ct. at 2243
    .
    ¶62    The dissent in Williams criticized this formulation of
    the primary purpose test as devoid of support in either the text
    
    Bullcoming, 564 U.S. at 660
    (internal citations omitted).
    The Court also noted that "the comparative reliability of
    an analyst's testimonial report drawn from machine-produced data
    does not overcome the Sixth Amendment bar."      
    Bullcoming, 564 U.S. at 661
    (2011).
    Finally, the Bullcoming Court reiterated that the Sixth
    Amendment confrontation right could not be diminished for the
    sake of administrative or prosecutorial convenience.
    
    12 Will. v
    . Illinois, 
    132 S. Ct. 2221
    (2012), involved a
    bench trial for rape.   A forensic specialist testified that a
    sample of petitioner's blood matched a DNA profile collected
    through a vaginal swab and analyzed by an independent
    laboratory.
    10
    No.    2015AP158-CR.ssa
    or the history of the Sixth Amendment's confrontation right.
    Justice Kagan wrote that no case has ever suggested that the
    statement       must    be   meant   to    accuse      a    previously      identified
    individual.            Williams,     132    S.   Ct.       at   2273     (Kagan,     J.,
    dissenting).          Justice Kagan reiterated that the primary purpose
    test    using    the    "potentially       relevant"       standard    is   proper   as
    follows:
    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. . . . None of our cases has ever suggested
    that, in addition, the statement must be meant to
    accuse a previously identified individual . . . .
    
    Williams, 132 S. Ct. at 2273-74
    (Kagan, J., dissenting) (quoting
    
    Davis, 547 U.S. at 822
    ; citing 
    Bullcoming, 131 S. Ct. at 2716
    –
    17; 
    Bryant, 131 S. Ct. at 1157
    , 1165; 
    Melendez–Diaz, 557 U.S. at 310-11
    ; 
    Crawford, 541 U.S. at 51
    –52)
    ¶63   These several formulations of the primary purpose test
    are informative and illustrate that the U.S. Supreme Court has
    not    adopted    a    single,     definitive    formulation       of    the   primary
    purpose test.
    ¶64   The "potentially relevant" test, however, is the most
    prevalent in the Court's cases,13 and is helpful in the instant
    13
    See People v. Lopez, 
    286 P.3d 469
    , 490 (Cal. 2012) (Liu,
    J., dissenting) (the "potentially relevant" formulation of the
    primary purpose test is the "most faithful to the high court's
    authoritative pronouncements in prior cases going back to
    Crawford.").
    For a discussion of hearsay, constitutional confrontation,
    and due process, see 2 McCormick on Evidence § 252 (Kenneth S.
    Broun ed., 7th ed. 2013 & Supp. 2016).
    11
    No.   2015AP158-CR.ssa
    case:        "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."
    
    Bullcoming, 564 U.S. at 659
    , n.6 (quoting 
    Davis, 547 U.S. at 822
    .
    ¶65     In applying the various formulations of the primary
    purpose       test,      I    would    look       first       and    foremost    to    the    three
    United States Supreme Court cases involving forensic reports:
    Melendez-Diaz v. Massachusetts, 
    557 U.S. 305
    (2009), Bullcoming
    v. New Mexico, 
    564 U.S. 647
    (2011), and Williams v. Illinois,
    
    132 S. Ct. 2221
    (2012).
    ¶66     In the first two of these three cases, the United
    States Supreme Court concluded that the forensic reports were
    testimonial         and       did     bear    a        resemblance       to    the     historical
    practices that the confrontation clause aims to eliminate.                                      The
    third       case    did      not    produce       a    majority       opinion    and    has   been
    subject       to    a     variety      of     interpretations,            but    may     hold    no
    precedential value except in cases with identical facts. See
    majority op., ¶30 (explaining the limited precedential value of
    Williams v. Illinois).
    ¶67     Clark involves a traditional out-of-court declarant's
    statement, not a forensic report.                          Clark does not address these
    three       prior    Supreme        Court     cases        involving      the    confrontation
    clause       and        forensic       reports.14               The     majority        opinion's
    14
    The three United States Supreme Court forensic report
    cases, however, are lost along the way as Clark does not cite
    Bullcoming, Melendez-Diaz, or Williams and does not address
    forensic reports.
    12
    No.   2015AP158-CR.ssa
    application of the primary purpose test fails to consider the
    guidance    that   these   prior   three    cases     dealing       with   forensic
    reports offer.
    ¶68    The    "potentially         relevant"     test       was       used     in
    Bullcoming,    which   involves     a     forensic    report,       as     does    the
    instant case. The forensic report in the instant case is similar
    to the forensic tests used to determine whether a substance is a
    controlled substance.         See, e.g., Melendez-Diaz, 
    557 U.S. 305
    (holding    testimonial    an   analyst's       report    that      substance      was
    cocaine).
    ¶69    With little success, the majority opinion attempts to
    distinguish Melendez-Diaz and Bullcoming because the toxicology
    report in the instant case            "lists the concentrations of the
    various substances present in S.L.'s biological samples sent for
    testing," so "the analyst who signed the report was not acting
    as a witness against Mattox . . . ."            Majority op., ¶29.
    ¶70    This   argument     appears    to    be   similar       to    the     "mere
    scrivener"     argument     already       rejected       in    Bullcoming.          The
    Bullcoming court explicitly rejected the argument that forensic
    lab analysts' reports are nontestimonial because the analysts
    are "mere scriveners" who transcribe results from machines but
    do not interpret or exercise independent judgment.                       
    Bullcoming, 564 U.S. at 659
    .15
    15
    Justice Ginsburg explained:
    [The analyst] certified [in the report] that he
    received Bullcoming's blood sample intact with the
    seal unbroken, that he checked to make sure that the
    forensic   report  number   and  the  sample  number
    (continued)
    13
    No.    2015AP158-CR.ssa
    ¶71    The "potentially relevant" test seems in keeping with
    the    purpose      of    the        confrontation        clause:          "[T]he     Clause's
    ultimate     goal    is        to    ensure     reliability        of     evidence . . . by
    testing in the crucible of cross-examination."                                  
    Crawford, 541 U.S. at 61
    .          And the "principal evil at which the Clause was
    directed . . . [was] use of ex parte examinations as evidence
    against the accused."                
    Crawford, 541 U.S. at 50
    .                 In the instant
    case, the toxicology report is a form of ex parte examination
    insofar as the report was prepared outside of the circuit court
    or    the    defendant's            presence.         Because      the     State     used   the
    toxicology report as evidence against the defendant, he had the
    right   to    test       the    reliability          of   the     report       through   cross-
    examination.
    ¶72    Furthermore, the "potentially relevant" formulation of
    primary purpose seems to fit the circumstances of the instant
    case.        "None       of     [the     Court's]         cases     has    ever      suggested
    that . . . the statement must be meant to accuse a previously
    "correspond[ed],"    and    that   he    performed  on
    Bullcoming's sample a particular test, adhering to a
    precise protocol.   He further represented, by leaving
    the "[r]emarks" section of the report blank, that no
    "circumstance    or    condition . . . affect[ed]  the
    integrity of the sample or . . . the validity of the
    analysis." These representations, relating to past
    events and human actions not revealed in raw, machine-
    produced data, are meet for cross-examination.
    
    Bullcoming, 564 U.S. at 660
    (internal citations omitted).
    The Court also noted that "the comparative reliability of
    an analyst's testimonial report drawn from machine-produced data
    does not overcome the Sixth Amendment bar."      
    Bullcoming, 564 U.S. at 661
    .
    14
    No.      2015AP158-CR.ssa
    identified individual . . . ."               
    Williams, 132 S. Ct. at 2274
    (Kagan, J., dissenting).         Even though the toxicology report was
    not about Mattox, it could be (and was) used against Mattox.
    ¶73   The majority opinion does not explain why it ignores
    the "potentially relevant" formulation of the primary purpose
    test and how the "potentially relevant" formulation would apply
    in the instant case.         Instead, the majority states and applies a
    primary     purpose    test     that    limits     "testimonial"        to    those
    statements    that    create    "an    out-of-court    substitute       for   trial
    testimony" in which the declarant "act[s] as a witness against
    the   defendant."      The     majority      opinion   looks   to    whether    the
    "primary purpose of the out-of-court statement was to gather
    evidence for the defendant's prosecution."                 Majority op., ¶32
    (emphasis added).16
    16
    Although the majority says that Clark "pronounces the
    controlling principles in determining whether an out-of-court
    statement is 'testimonial,'" majority op., ¶32, the majority's
    restatement of the primarily purpose test is not fully faithful
    to Clark. Clark actually uses the language "the primary purpose
    of the interrogation is to establish or prove past events
    potentially relevant to later criminal prosecution." 
    Clark, 135 S. Ct. at 2180
    (emphasis added).
    Because Clark uses "potentially relevant," I do the same.
    The majority's language, "to create an out-of-court substitute
    for trial testimony," implies a higher Sixth Amendment bar.
    15
    No.     2015AP158-CR.ssa
    ¶74    The     question    is    whether     this     formulation            of     the
    primary      purpose    test     comports    with   the     bulk    of    the       Court's
    confrontation cases.           It does not.17
    ¶75    The    majority     opinion    should     refocus     its       inquiry       to
    include as a primary purpose whether the toxicology report had a
    primary      purpose      of     establishing       "past      events         potentially
    relevant to later criminal prosecution."                       
    Davis, 547 U.S. at 822
    .
    ¶76    Applying the "potentially relevant" formulation in the
    instant case, as well as the other formulations of the primary
    purpose test, I conclude that the toxicology report's primary
    purpose was to establish whether S.L. died of a heroin overdose,
    a fact that was "potentially relevant to later prosecution."
    ¶77    When the Waukesha Medical Examiner's Office requested
    a toxicology report conducted with samples taken from S.L., the
    report's primary purpose was to aid in determining the cause of
    S.L.'s       death——a     fact     "potentially         relevant"        to     a        later
    prosecution.         While external signs at the scene of the death, as
    well    as    those     discovered     during     the     autopsy,       suggested          an
    overdose, the toxicology report was needed to determine what
    type    of    drug    caused     the   overdose.        When    the      circumstances
    surrounding the report are considered, the "primary purpose" of
    17
    "None of our cases 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.'"
    
    Williams, 132 S. Ct. at 2274
    (Kagan, J., dissenting) (quoting
    
    Melendez-Diaz, 557 U.S. at 313
    .
    16
    No.   2015AP158-CR.ssa
    the toxicology report was arguably to "establish or prove past
    events       potentially        relevant    to        later        criminal        prosecution."
    
    Clark, 135 S. Ct. at 2179
    -80 (emphasis added).
    ¶78     The report was "made for the purpose of establishing
    or proving some fact," 
    Melendez-Diaz, 557 U.S. at 310-11
    , and
    that        fact    was     "potentially             relevant           to     later        criminal
    prosecution."            Clark, 135 S. Ct at 2180.                      That fact being, of
    course, that S.L.'s death was caused by an overdose of heroin——a
    fact    that,       at   that    time,    Dr.        Okia    surely          considered       to   be
    relevant to a later criminal prosecution.
    ¶79     Remember,        S.L.'s    death        was        the    subject       of    a     law
    enforcement         investigation        from    the        outset.           When    Dr.    Okia's
    colleague, Deputy Medical Examiner Nichol Wayd,18 arrived at the
    scene of S.L.'s death in the predawn hours of February 2, 2013,
    after being called to the scene by law enforcement, she was
    briefed by law enforcement before investigating the death.                                       Wayd
    also    had    to    wait   for    a     detective          to    arrive       before       touching
    anything at the scene of the death.                              At trial, the prosecutor
    asked about what Wayd does with death-related evidence when she
    investigates a death.             Wayd responded:
    18
    Nichol Wayd was a "deputy medical examiner/investigator
    for the Waukesha County Medical Examiner's Office."           She
    testified at Mattox's trial. Part of her testimony involved her
    qualifications and her qualification as an expert "in the field
    of crime scene investigations" (emphasis added). Significantly,
    she has special training "in the area of crime scene
    investigations involving drug overdoses" and is a "diplomate" of
    and member of "the American Board of Medicolegal Death
    Investigators."    In addition to testifying at trial, Wayd
    prepared an "Investigative Report" that was admitted at trial.
    17
    No.   2015AP158-CR.ssa
    It   depends   on   the   circumstances.     In   this
    circumstance, I was asked to wait for the detectives
    to arrive before I touched anything that could
    potentially   need  to   be  preserved,   so  in  this
    situation, I did not touch any evidence in the room or
    even in the residence for that matter, so I stood by,
    waited for the detectives to arrive . . . .
    Once the detective arrived, the detective and the deputy medical
    examiner     investigated    S.L.'s      room    and       the     deputy       medical
    examiner   did    a   preliminary      examination      of       the     body    before
    transporting it to the morgue.              Even at this early stage, the
    detective's      presence    indicates       that    law         enforcement       were
    conducting a law enforcement investigation of S.L.'s death.
    ¶80    Dr.    Okia    performed     an    autopsy       the        next     morning.
    Before conducting the autopsy of S.L.'s body, Dr. Okia would
    presumably     have      reviewed     the     deputy       medical            examiner's
    "Investigative Report" or another document to apprise herself of
    the situation surrounding S.L.'s death.                    She must have noted
    that S.L.'s death occurred under suspicious circumstances (he
    was, after all, an apparently healthy 27-year-old found dead),
    suggesting that the death may have been the result of a crime.
    ¶81    By her examination of the body (and review of the
    report's discussion of the evidence obtained in S.L.'s room,
    such as syringes), Dr. Okia must have suspected that S.L. died
    because of a drug overdose and that there might be a homicide
    charge against the deliverer of a controlled substance.                            Wis.
    Stat.   § 940.02(2)(a).             Therefore,      when     she        ordered     the
    toxicology report, her primary purpose was to determine whether
    an illegal drug caused an overdose.
    18
    No.   2015AP158-CR.ssa
    ¶82   Ultimately, Dr. Okia would use the toxicology report
    as   a    basis       for   her    conclusion       that       S.L.    died          of   a    heroin
    overdose.        Establishing that S.L. died from heroin was essential
    to   the       prosecution's         charge      against           Mattox:           homicide       by
    distribution of a controlled substance.                            Dr. Okia testified that
    the signs of overdose discovered through her examination were
    consistent          with    the      signs     of       an     over-the-counter                 opiate
    overdose.
    ¶83   Surely, under these facts, the toxicology report was
    "prepared        in     connection        with      a    criminal          investigation            or
    prosecution . . . [and]              therefore          within       the     compass           of   the
    Confrontation Clause."               
    Bullcoming, 564 U.S. at 658-59
    .
    ¶84   It     bears       repeating      that        law     enforcement           and      the
    Waukesha       Medical      Examiner's        Office         worked    together           from      the
    beginning.
    ¶85   The      close        legal       relationship              between             medical
    examiners, law enforcement, and district attorneys in Wisconsin
    also evidences a testimonial purpose.
    ¶86   In      Wisconsin,         medical        examiners           work         in     close
    conjunction with law enforcement pursuant to Wis. Stat. ch. 979
    when investigating deaths and their duties overlap with those of
    law enforcement.            By statute, police must immediately notify the
    medical        examiner       when    a    death        occurs       under       a    variety        of
    19
    No.   2015AP158-CR.ssa
    circumstances, including suspected homicides or other suspicious
    circumstances.   Wis. Stat. § 979.01(1g).19
    ¶87    Furthermore, the resulting toxicology report helped to
    prove a fact (cause of death) that was "potentially relevant" to
    a future prosecution, even if not yet commenced.           Clark, 135 S.
    Ct. at 2179.
    19
    Medical examiners (or district attorneys) may order
    autopsies "in cases where an inquest might be had as provided in
    s. 979.04 . . . ."    Wis. Stat. § 979.02.      Inquests may be
    ordered if
    there is reason to believe from the circumstances
    surrounding the death that felony murder, first−degree
    or 2nd−degree intentional homicide, first−degree or
    2nd−degree reckless homicide, homicide by negligent
    handling of dangerous weapon, explosives or fire,
    homicide by negligent operation of vehicle, homicide
    resulting from negligent control of a vicious animal
    or homicide by intoxicated user of a vehicle or
    firearm may have been committed, or that death may
    have been due to suicide or unexplained or suspicious
    circumstances . . . .
    Wis. Stat. § 979.04(2) (emphasis added).
    See   Olejnik   v.   England,   
    147 F. Supp. 3d 763
      (W.D.    Wis.
    2015):
    [A] medical examiner acts outside his jurisdiction
    when he orders or conducts an autopsy either without
    having made a subjective determination that there is
    any reason to believe that any of the statutory
    circumstances justifying an autopsy exists or having
    made a subjective determination that there is no
    reason   to  believe   that   any   of  the statutory
    circumstances justifying an autopsy exists.
    
    Olejnik, 147 F. Supp. 3d at 775
    (quoting Scarpaci v. Milwaukee
    Cty., 
    96 Wis. 2d 663
    , 
    292 N.W.2d 816
    (1980)).
    20
    No.    2015AP158-CR.ssa
    ¶88    I turn from the majority opinion's analysis of primary
    purpose      to    additional       factors      set     forth    in      Clark     that
    demonstrate that the toxicology report is nontestimonial.                            See
    majority op., ¶¶32, 35-37.
    ¶89    In the instant case, the pertinent factors are the
    statement's        context    and    formality,          including      whether      the
    statement was given to law enforcement.                   Because I have already
    discussed     context    as   part    of    my    application      of    the    primary
    purpose test——which the majority seems to do, as well, majority
    op., ¶¶33, 35, 36——I consider the formality of the toxicology
    report.
    ¶90    Although the majority tries to downplay the formality
    of the toxicology report, see majority op., ¶34, the toxicology
    report's formality is functionally equivalent to that of the
    forensic report in Bullcoming.
    ¶91    The    toxicology      "report"       is    a   "signed      document[s]
    providing the results of forensic testing designed to "'prove[e]
    some fact' in a criminal proceeding."                    
    Williams, 132 S. Ct. at 2266
    (Kagan, J., dissenting) (discussing Bullcoming).                          And like
    the   report       in   Bullcoming,        the    toxicology      report's        formal
    certification is limited to a signature by the analyst on a
    formal      document    entitled      "St.       Louis    University       Toxicology
    Laboratory Report."           Although Waukesha County did not have to
    produce at trial "everyone who laid hands on the evidence,"
    
    Melendez-Diaz, 129 S. Ct. at 2532
    , n.1, the defendant Mattox had
    a right to confront someone who helped produce the toxicology
    report or could give an independent opinion of the report.
    21
    No.     2015AP158-CR.ssa
    ¶92     The analyst's signature on this sort of document is an
    important indicium of formality because it certifies a constant
    chain of custody, integrity of the processes used by the St.
    Louis University Laboratory, and, overall, the accuracy of the
    report's    contents——that            is,     the     signature         certifies      the
    assertions contained in the report regarding levels of toxicity
    contained in S.L.'s blood and tissue samples.                        See 
    Bullcoming, 564 U.S. at 661
    -62.
    ¶93     I     conclude     that     the      majority       opinion     erroneously
    classifies the report as non-testimonial.                      Dr. Okia ordered the
    toxicology report in circumstances indicating that the autopsy
    she was conducting might be potentially relevant to a later
    criminal prosecution.          Indeed, she ordered the toxicology report
    pursuant to the quasi-law enforcement role set forth for medical
    examiners in Wis. Stat. § 979.04(2).
    ¶94     Finally,      like   in     Bullcoming        and    Melendez-Diaz,        the
    problem with the toxicology report's admission was that it was
    used to prove a fact at trial, but no one was able to testify
    about the processes used at the testing facility.
    ¶95     The     majority     opinion's          flawed      application       of   the
    primary purpose test has not provided a "Crawford boundary,"
    where   courts      may   find    a     "logical          stopping      place     between
    requiring   the     prosecution        to   call     as    a    witness     one   of   the
    laboratory experts who worked on the matter and requiring the
    prosecution to call all of the laboratory experts who did so."
    
    Williams, 132 S. Ct. at 2246
    , 2248 (Breyer, J., concurring).
    22
    No.    2015AP158-CR.ssa
    ¶96   Moreover,       the      majority       opinion      goes    further       than
    applying the primary purpose test and other factors to the facts
    of the instant case.          It sets forth a general rule:                 Toxicology
    reports ordered in circumstances similar to those presented in
    the instant case are non-testimonial.                    Majority op., ¶¶40, 42.
    ¶97   The majority opinion's general rule is unwarranted.
    The   primary     purpose     test      is    necessarily     fact-specific.            The
    majority opinion should not attempt to issue a bright-line rule
    covering all cases under the auspices of a fact-driven test.
    Future cases will differ from the instant case in one aspect or
    another, but the majority opinion's bright-line rule may not
    respect these differences.
    ¶98   Finally,     although        this      court   has   declared       that    "we
    believe     a   broad    definition           of   testimonial      is    required      to
    guarantee that the right to confrontation is preserved," State
    v.    Jensen,     
    2007 WI 26
    ,    ¶24,      
    299 Wis. 2d 267
    ,      284,       
    727 N.W.2d 518
    , 527, the majority opinion provides, instead, a broad
    definition of "nontestimonial."
    ¶99   The    demands     of       the    Confrontation       Clause       were   not
    satisfied in the instant case.                     No witness was available for
    cross-examination who could testify to the means by which the
    toxicology      report   was       produced        or    could    give    his    or     her
    independent opinion of the data.                    See State v. Griep, 
    2015 WI 40
    , 
    361 Wis. 2d 657
    , 
    863 N.W.2d 567
    ; State v. VanDyke, 2015 WI
    App 30, 
    361 Wis. 2d 738
    , 
    863 N.W.2d 919
    .
    ¶100 For these reasons, I respectfully dissent.
    23
    No.   2015AP158-CR.ssa
    ¶101 I   am   authorized   to    state   that   Justice   ANN   WALSH
    BRADLEY joins this dissenting opinion.
    24
    No.   2015AP158-CR.ssa
    1