A Dutch doctor has been acquitted of all charges for the euthanasia of an elderly patient with dementia.

Judges at the Hague District Court found that the patient had expressly requested euthanasia at an earlier stage in her disease, and the doctor had acted carefully on the basis of her will and in accordance with the law in the case, consulting other doctors and the patient’s family.

The case was seen as a test for the legal boundaries of euthanasia cases in the Netherlands, where assisted suicide and mercy killing are allowed by law under restricted conditions when overseen by medical professionals, including when a patient is experiencing unbearable suffering with no hope of recovery and wishes to die.

The trial centered around a 74-year-old woman who had been diagnosed with Alzheimer’s disease four years before her death.