Informed consent and clinical file. In 1985 LUIMO organized in Ischia, an International Forum concerning the relationship among Homeopathic Medicine practice, the medical deontology code and the European law.

Anticipating the regulatory tendencies of Medicine, the forum established at least two actions essential to the correct exercise of Homeopathy, suggesting those actions to be taken by every doctor exercising Medicine.

The first action is the obligation to register anamnesis, diagnosis and prognosis in a unique clinical file clearly structured and able to document and verify the case. A highly structured clinical file is, since its birth, a tool used by every physician at LUIMO. At LUIMO we call it biopathographic protocol because, for reasons linked to education, it is important for the student (but also for the experienced homeopath) to link pure experimentation data (Materia Medica) to the patient clinical symptoms. This operation corresponds, in fact, to the application of the "simila" principle.
The second action proposed to the medical community, whatever treatment might be proposed to the patient (conventional, unconventional, extra conventional or mixed treatment, and independently from any kind of scientific, ethical or deontological validation), was to register on the clinical file, after having explained the proposed treatment clearly and extensively to the suffering patient, a reference to the patient written informed consent. And that the patient in his full choice freedom, can renounce to this treatment if at any time wants to leave from it.
Coherently, the biopathographic protocol has an area where it is possible to signal the patient written informed consent.

In the Italian Parliament, stimulated by the cases of Eluana Englaro and Piero Welbi, many groups are proposing laws concerning informed consent, anticipated will declaration to avoid therapeutic obstinacy, as well as palliative cures and pain care (here the text in Italian).
In one of the laws proposed, with the first signature of prof. Ignazio Marino – actually discussed in the Health and Hygiene Senate Commission - the use of the clinical file, of the informed consent and the will declaration, is mandatory.
Moreover, what has taken actually our attention is that in this law proposal, it is required to the physician to refer in the first page of the clinical file the reference to the informed consent and the anticipated will declaration.
This was quite satisfactory for us at LUIMO. Systematically, at LUIMO, we classify directly our clinical cases trough the informed consent progressive number. These are small tools that permit the physician responsibility and allow the patient to be conscious about the way the physician will operate.
We are happy and proud that our work at LUIMO, our Forums, and our attitude of responsibility, is, although with paleontological times, attentively followed, even by Academic Medicine.

1) Law proposal n. 10, "Disposizioni in materia di consenso informato e di dichiarazioni di volontà anticipate nei trattamenti sanitari al fine di evitare l'accanimento terapeutico, nonché in materia di cure palliative e di terapia del dolore". Prof. Ignazio Roberto MARINO et al.