North Dakota Code § 28-01-46

Expert opinion required to maintain an action based upon alleged medical
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negligence except in obvious cases.
Any action for injury or death alleging professional negligence by a physician, nurse, 
hospital, or nursing, basic, or assisted living facility licensed by this state or by any other health 
care organization, including an ambulatory surgery center or group of physicians operating a 
clinic or outpatient care facility, must be dismissed without prejudice on motion unless the 
plaintiff serves upon the defendant an affidavit containing an admissible expert opinion to 
support a prima facie case of professional negligence within three months of the 
commencement of the action. The court may set a later date for serving the affidavit for good 
cause shown by the plaintiff if the plaintiff's request for an extension of time is made before the 
expiration of the three-month period following commencement of the action. The expert's 
affidavit must identify the name and business address of the expert, indicate the expert's field of 
expertise, and contain a brief summary of the basis for the expert's opinion. This section does 
not apply to unintentional failure to remove a foreign substance from within the body of a 
patient, or performance of a medical procedure upon the wrong patient, organ, limb, or other 
part of the patient's body, or other obvious occurrence.

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