¶ 1 Daniel James Conner (“Defendant”) was convicted of first-degree murder and sentenced to life in prison with the possibility of parole after twenty-five years. On appeal, Defendant argues the trial court erred by denying his pretrial motion for production of the victim’s medical records and, at trial, admitting improper other-act evidence. For the following reasons, we affirm.
¶ 2 On December 11, 2002, Todd T., (“victim”), an intellectually and emotionally challenged young man, was found dead inside his apartment. An autopsy revealed that he had been stabbed or cut at least eighty-four times. The injuries included several incisions to his throat, stab wounds to his back, cuts on his face and arms, the near severance of one finger, and numerous wounds to the chest, at least one of which resulted in the collapse of a lung. The cause of death was loss of blood with a possible component of respiratory failure due to bleeding into the lung cavity.
¶ 3 Blood spots on the victim’s clothing and saliva from a cigarette butt found at the scene were matched to Defendant through DNA testing. When questioned by the police, Defendant initially denied being at the victim’s apartment or knowing anything about the stabbing. Later in the interview, however, Defendant admitted to the stabbing, but claimed he acted in self-defense.
¶ 4 Prior to trial, Defendant moved to compel discovery of “any and all medical treatment, counseling, psychological and/or psychiatric records” of the victim. Defendant argued that the information “may be exculpatory and will likely solidify the Defendant’s position that the decedent was the initial aggressor.”
¶ 5 The victim’s parents and the prosecutor objected to the request 1 and indicated that they did not have possession of the requested records, the request was precluded by the Victims’ Bill of Rights, Ariz. Const, art. 2, § 2.1; A.R.S. §§ 13-4401, -4438 (2002), the records were subject to the physician-patient and other statutory privileges, and the records were not material to Defendant’s self-defense claim and would not be admissible at trial. Following a hearing, the trial court denied Defendant’s motion. Defendant was subsequently convicted after trial to a jury.
DISCUSSION
I. The Trial Court Did Not Err in Denying Defendant’s Request for the Victim’s Medical Records.
¶ 6 “[W]hether a criminal defendant is entitled to discovery of certain evidence[, including medical records,] is a matter within the trial court’s discretion.”
State v. Tyler,
¶ 7 On appeal, Defendant does not contest that the victim’s medical records are protected by both the Victims’ Bill of Rights and the physician-patient privilege. However, he relies on
State ex rel Romley v. Superior Court (Roper),
¶ 8
Roper,
however, did not authorize a wholesale production of the victim’s medical records to the defendant. In
Roper,
the defendant was charged with aggravated assault for stabbing her husband.
Id.
at 237,
¶ 9 Upon accepting jurisdiction, we noted that the resolution of the question required a careful balancing of the defendant’s federal and state constitutional rights to a fair trial with the victim’s constitutional right to be free from pretrial discovery initiated by the defendant.
Id.
at 236,
¶ 10 In doing so, we authorized some infringement, limited to the extent required by the nature of an
in camera
review, on both the victim’s right to be free of discovery under the Victim’s Bill of Rights and the victim’s physician-patient privilege in any documents in which that right had not been waived. Nevertheless, we did so in the context of a reasonable possibility that the information sought by the defendant included information to which she was entitled as a matter of due process, and to which her victim husband had arguably waived his physician-patient privilege as to her by including her in some of his treatment sessions.
See, e.g., Bain v. Superior Court,
¶ 11 By contrast, in this case, Defendant presented no sufficiently specific basis to require that the victim provide medical records to the trial court for an in camera review. Here the Defendant makes no showing that the victim’s physician-patient privilege may have been waived as to him, nor does he make any otherwise adequate showing that the information sought might contain materials necessary to fully present his justification defense or to the cross-examination of witnesses. In the absence of either showing, the trial court did not err by declining to order production of the documents to the defense or infringing on the victim’s constitutional and statutory rights.
A. The Justification Defense
¶ 12 Due process requires that the defendant receive “ ‘a meaningful opportunity to present a complete defense.’ ”
Holmes v. South Carolina,
¶ 13 When the Defendant raises a justification defense, he is entitled to offer at
1. The Victim’s Specific Violent Acts.
¶ 14 Arizona courts have long held that a homicide defendant who offers a defense of justification “should be permitted to introduce evidence of specific acts of violence by the deceased if the defendant either observed the acts himself or was informed of the acts before the homicide.”
State v. Taylor,
¶ 15 As the trial court noted in refusing Defendant’s pre-trial request for the victim’s medical records here, however, Defendant claimed no knowledge of any violent tendencies of the victim or any violent acts committed by him prior to the Defendant’s altercation with the victim. Thus, other acts of violence that may have been reflected in victim’s medical records would not have been admissible for purposes of establishing Defendant’s justification defense because Defendant would not have been influenced by them when deciding to use deadly force in responding to the victim in their escalating conflict.
See, e.g., Taylor,
¶ 16 At trial Defendant did testify at some length about his escalating conflict with the victim, the victim’s violent acts during the altercation, and Defendant’s use of force that resulted in the victim’s death. Thus he was allowed to testify as to those specific acts of the victim “as would legitimately reflect upon the conduct or motives of the parties at the time of the affray.”
Zamora,
¶ 17 We are aware that in comparatively rare cases the need to guarantee due process to a defendant can override generally applicable procedural or evidentiary rules and statutes if those rules are arbitrary.
See, e.g., Holmes,
547 U.S. at---,
2. The Victim’s Aggressive Character.
¶ 18 Other than presenting evidence of specific acts of violence, a defendant may present evidence of a trait of the victim’s character “by testimony as to reputation or by testimony in the form of an opinion.” Ariz. R. Evid. 405. Nevertheless, pursuant to the physician-patient privilege, a defendant may not seek to establish a victim’s character trait through the testimony of the victim’s doctor, or psychologist, or by using the victim’s medical records without the victim’s consent. A.R.S. § 13-4062(4) (2002) (“A person shall not be examined in the following cases: A physician ... without consent of the physician’s patient, as to any information acquired in attending the patient which was necessary to enable the physician ... to prescribe or act for the patient.”); A.R.S. § 32-2085 (2002) (“Unless the client waives the psychologist-client privilege in writing or in court testimony, a psychologist shall not ... divulge information that is received by reason of the confidential nature of the psychologist’s practice.”) Once the privilege attaches it prohibits “not only testimonial disclosures in court but also pretrial discovery of information within the scope of the privilege.”
Bain,
¶ 19 As the transcript of the trial demonstrates, however, Defendant was able to present testimony that the victim had a character trait that caused him to become more easily agitated and aggressive when not on medication. During their testimony on cross-examination the victim’s parents and another friend of the victim testified that the victim had a history of mental illness including depression and some traits of paranoia and that he tended to be more agitated and aggressive when he was not on his medication. 4 Defendant further offered evidence suggesting that the victim was not taking his prescribed medication at the time of his altercation with Defendant. The State did not contest these points.
¶ 20 Defendant also presumably could have called additional appropriate witnesses to opine as to whether the victim had a character trait for violence or aggressiveness. Or, he could have testified or called others to testify, assuming such testimony existed, that “the witness has heard others in the relevant community speak about the victim’s character, and that the community generally speaks of the victim as a violent [or aggressive] person.”
Zamora,
¶ 21 To the extent Defendant’s brief could be broadly read to argue that he was deprived of due process because he was prevented from presenting additional reputation or opinion testimony about traits of the victim’s character due to the trial court’s pretrial refusal to order that all of the victim’s medical records be turned over to him, we disagree. Because the state is obliged by the
¶22 Nevertheless, consistent with due process, when the defendant demonstrates a sufficient potential need for additional information not in the possession of the prosecutor, the trial court may order third parties to produce it so long as, in the exercise of the court’s discretion, the defendant (1) “has substantial need in the preparation of the defendant’s ease for material or information ... and, (2), the defendant is unable without undue hardship to obtain the substantial equivalent by other means.” Ariz. R. Crim P. 15.1(g). However, in a case such as this in which ordering any production of the information sought would also infringe on a victim’s constitutional and statutory privileges, before the Court could order an in camera production of the materials for its review, the defendant would have to demonstrate that his “substantial need” for the information would, at least potentially, amount to one of constitutional dimension. Assuming that these prerequisites are met, the trial court is then justified in ordering a production of the sought information for its in camera review in which it can then carefully balance the competing rights to the information sought in context. If the court then determines any disclosure is necessary, it may then carefully circumscribe the disclosure to the extent permissible consistent with the defendant’s exercise of the constitutional right to a fair trial.
¶23 In the instant case, in Defendant’s motion to compel, he told the court that the police records demonstrated that the victim’s parents, in their respective interviews with the police, disclosed the mental and emotional challenges of their son particularly when he was not on his medication. Defendant then requested the compelled disclosure of all of the victim’s medical records because “[Defendant] wishes to hire an expert witness to examine those records and to possibly give an opinion at trial as to the victim’s actions as described by the Defendant and quite possibly as described by the Decedent’s parents and to full [sic] present his theory of defense.” As has been detailed above, an expert witness would not be allowed to testify as to “the victim’s actions.” While Defendant himself was allowed to testify as to all of the victim’s actions at the time of the altercation, neither he nor anyone else would have been allowed to testify as to any of the victim’s violent acts prior to the altercation because Defendant was not aware of any such acts prior to his deadly encounter with the victim. And, to the extent the parents discussed with the police the victim’s mental and emotional challenges, that would not permit an expert to testify as to the victim’s actions. Defendant in his motion did not seek access to only that information in the victim’s medical records that would be necessary to assist an expert in opining as to whether the victim had a relevant character trait and that he would not otherwise be able to obtain. Nor in light of the likely testimony of the victim’s parents and Defendant is it apparent that the evidence sought would not be otherwise available.
¶ 24 At any rate, even assuming Defendant could have otherwise complied with the requisites for disclosure as to some of victim’s medical records, he asked for the complete and direct disclosure of all of the victim’s medical records. The unlimited nature of this request provided a sufficient basis upon which the trial court could have denied the motion as presented without abusing its discretion. Once the trial court denied Defendant’s motion, Defendant never subsequently renewed the motion on more specific grounds. The trial court made it clear that to the extent Defendant wanted to offer evidence of a character trait of the accused he could do so through reputation or opinion testimony. Defendant did so. He was thus
¶ 25 And, as we have already noted, there is no alternate basis, as there may have been in Roper, to compel disclosure of the victim’s medical records based on a finding that the victim had waived all or part of his privilege in his treatment records with respect to Defendant. Thus, given the facts presented, it was not error for the trial court to refuse to review the victim’s medical records in camera.
B. Cross-Examination
¶ 26 Although Defendant asserts that he also needed pre-trial discovery of the victim’s medical records to cross-examine the witnesses against him, he does not support this argument. Although in
Roper
we recognized that a defendant might need pre-trial access to the victim’s medical records both to impeach the victim’s ability to perceive events and cross-examine the victim to establish the defendant’s justification defense through the victim’s testimony,
¶ 27 In Roper, the defendant had the right to call the victim as a witness at trial. Here, the victim was deceased and could not have testified at trial. Because the victim did not testify, there was no reason to discredit his ability to actually perceive events. And, because Defendant claimed no past knowledge of the victim’s violent tendencies, as the defendant did in Roper, any evidence of past violent acts was, at any rate, inadmissible at trial.
¶28 Further, as we recognized in
Roper,
for the most part, “confrontation clause rights are
trial
rights that do not afford criminal defendants a right to pretrial discovery.”
Id.
at 240,
II. The Trial Court Did Not Err in Permitting the State to Introduce Evidence Regarding the Burglary or the Check-Cashing Scheme.
¶ 29 Prior to trial, the State gave notice of its intent to introduce evidence to establish that the parents and friends of the victim suspected that Defendant was involved in a burglary of the victim’s apartment. During the hearing on the admissibility of this evidence, Defendant made an additional motion to also preclude evidence that the victim’s mother suspected that Defendant was involved in a separate check-cashing scheme that defrauded the victim. The trial court ultimately permitted evidence on both of these matters because it ruled the evidence was relevant to rebut Defendant’s testimony that he and the victim were friends and Defendant was welcome at the victim’s apartment. Defendant contends the trial court abused its discretion in admitting evidence regarding both the burglary and the cheek-cashing scheme. We disagree.
¶ 30 As a general rule, “all relevant evidence is admissible.” Ariz. R. Evid. 402. Relevant evidence is evidence that has any tendency to make the existence of any fact in dispute more or less probable. Ariz. R. Evid. 401. Relevant evidence may be excluded, however, “if its probative value is substantially outweighed by the danger of unfair prejudice, confusion of the issues, or misleading to the jury, or by considerations of undue delay, waste of time, or needless presentation of cumulative evidence.” Ariz. R. Evid. 403.
¶ 31 One exception to the general rule of admissibility is set forth in Arizona Rule of Evidence 404(b). This rule states:
Except as provided in Rule 404(c) evidence of other crimes, wrongs, or acts is not admissible to prove the character of a person in order to show action in conformity therewith. It may, however, be admissible for other purposes, such as proof of motive, opportunity, intent, preparation, plan, knowledge, identity, or absence of mistake or accident.
A. The Burglary Evidence
¶33 The evidence relating to the burglary that occurred at the victim’s apartment is not true other-act evidence as contemplated by Rule 404(b). The prosecution introduced evidence that family and friends of the victim had told him they believed Defendant had burglarized his apartment. But the purpose for offering the evidence was not to establish that Defendant committed the burglary, but rather to show that the victim had been warned to stay away from Defendant and that Defendant was therefore not welcome at the victim’s apartment. Such evidence was relevant to the victim’s state of mind and rebutted Defendant’s testimony that he was a friend with the victim and welcome at his apartment. After considering the proposed testimony, the trial court ruled that evidence of what the victim had been told about the burglary was relevant to explaining the victim’s behavior. To avoid prejudice to Defendant, the court instructed the jury that there was no evidence that Defendant had in fact burglarized the apartment.
¶ 34 Under these circumstances, there was no abuse of discretion by the tiial court in admitting this evidence as relevant to the victim’s state of mind under Rules 401 and 402, as not unduly prejudicial under Rule 403 and as not excluded by Rule 404(b). Accordingly, there was no error in the admission of this evidence.
¶ 35 Defendant further contends that, even if the evidence concerning the burglary was properly admitted, the issue of the burglary improperly expanded during the trial to the extent that it became far more prejudicial than probative. Defendant’s argument arises from the testimony of Defendant’s former girlfriend about his whereabouts on the date of the burglary. Defendant acknowledges, however, that his counsel initiated the questioning in this area and therefore “opened the door” to this line of inquiry.
See Pool v. Superior Court,
¶ 36 To qualify for relief on appeal for a fundamental error committed at trial “a defendant must establish both that fundamental error exists and that the error in his ease caused him prejudice.”
Id.
at ¶ 20,
B. The Check-Cashing Scheme
¶ 37 The mother of the victim regularly reviewed his financial transactions. She thus had become aware through losses in his checking account that, at the request of others, the victim had accepted for deposit in his account forged third-party checks. In exchange for the forged checks the victim had withdrawn cash from his account in the amount of the checks and given the money to the person who had requested the victim to cash the checks. As a result of the scheme, the victim had suffered a significant loss in his checking account. When the victim’s mother became aware of the loss, she informed the victim of what had occurred and advised him to stay away from anyone who had asked him to accept third-party checks in exchange for cash from the victim’s bank account. She further told him to “be very careful who he had in his home” and to “only have very close friends inside.”
¶38 At trial two witnesses testified that Defendant and others had asked the victim to cash fraudulent third-party cheeks for Defendant. In light of the victim’s mother’s testimony that she had warned her son to stay away from anyone who asked him to “cash” third-party checks, the evidence was offered to rebut Defendant’s testimony that he had been friends with the victim and welcome at his apartment and that the victim had acted irrationally and been paranoid in accusing Defendant of stealing money from him. This evidence again allowed the jury to reasonably conclude that Defendant was not a friend with the victim, was not welcome at his apartment, and the victim had a reason for accusing Defendant of stealing money from him. The jury could reasonably conclude that it had the effect on the victim’s state of mind for which it was offered, thus rebutting Defendant’s testimony.
See State v. Gulbrandson,
¶39 Further, the trial court expressly weighed the prejudicial effect of this evidence and found that it did not substantially outweigh its probative value given the nature of the defense presented. “Evidence is unfairly prejudicial only when it has an undue tendency to suggest a decision on an improper basis such as emotion, sympathy, or horror.”
Gulbrandson,
CONCLUSION
¶40 For the foregoing reasons, we conclude that Defendant was not deprived of his due process right to present a complete defense and the court did not err in admitting evidence related to the burglary of the victim’s apartment or the check-cashing scheme. Accordingly, we affirm Defendant’s conviction and sentence.
Notes
. When the victim dies as a result of a crime, Arizona Revised Statutes ("A.R.S.”) section 13-4401(19)(2001) specifies that the decedent’s parents are victims for purposes of the Victim’s Bill of Rights. A companion statute, A.R.S. § 13-4403(B) (2001), also permits the parents to represent the decedent in the exercise of his rights as a victim. It provides: ”[i]f a victim is ... deceased ... the court may appoint a lawful representative who is not a witness.”
. Although the existence of an aggressive character trait in the victim might be relevant to a justification defense, it is not an element of the defense.
State v. Williams,
. So long as private records remain privileged, they normally would not serve to establish a reputation. Defendant cannot gain access to that which is private by arguing that it is relevant because it serves to establish a community reputation.
. Behavior that results from a mental illness when appropriate medication is not taken would qualify as "a pertinent trait of character offered by the accused,” and thus admissible pursuant to Arizona Rules of Evidence 404(a)(2).
See, e.g., State v. Williams,
. The State argues that a Rule 404(b) analysis is not necessary because the evidence regarding both the burglary and the check-cashing scheme is "intrinsic” to the murder charge. Rule 404(b) applies only to “extrinsic” evidence.
Dickens,
