Sayligil Omur, Ozden Hilmi
Dr. Omur Sayligil, Department of History of Medicine and Ethics, Eskisehir Osmangazi University Faculty of Medicine, Eskisehir, Turkey, T: +902222392979, F: +902222290170,
Ann Saudi Med. 2014 Sep-Oct;34(5):433-6. doi: 10.5144/0256-4947.2014.433.
Qadi registers are important documents for Ottoman medical history re.search. "Sharia Court Records (Ser'iyye Sicilleri)" are notebooks that include the records that qadis kept with regard to their decisions and deeds. These registers are the only authentic sources from which to acquire information on rural life, away from the center of the town, and to understand the daily practices of the Ottoman society. The objective of this study is to provide evidence for the fact that the concept of informed consent on medical interventions, and hence the written consent documents arranged between patients and physicians, dates back to older times in our history when compared to the Western world.
A large number of Ser'iyye (Sharia Court) record originals have been surveyed. The consent form registered as A-40. 221a in Ser'iyye (Sharia Court) Records found in Bursa has been presented here as the earliest consent document found by the authors. Transcription of the original document has been performed and analyzed. The aforementioned consent form dates back to 26/Dhu al-Qi'dah/933 (August 24, 1524).
The original version of the referenced consent document is the earliest consent document presented so far to the best of the authors' knowledge; it was found in Bursa Ser'iyye Records and evaluated accordingly.
Based on the document, it is argued that the history of consent forms dates back about 500 years.
Obtaining consent in scientific research from human beings was considered to have originated from the Nuremberg Code (1949). However, with this study, it has been shown that the concept of informed consent was already present in the Ottoman Period, during the 16th century, and that the original consent document dates back to 1524, pertaining to a surgical intervention.
卡迪登记簿是奥斯曼医学史研究的重要文献。“沙里亚法庭记录（Ser'iyye Sicilleri）”是笔记本，其中包含卡迪记录的关于其决策和行为的内容。这些登记簿是获取城镇中心以外农村生活信息以及了解奥斯曼社会日常实践的唯一可靠来源。本研究的目的是提供证据，证明与西方世界相比，医疗干预的知情同意概念以及患者与医生之间安排的书面同意文件在我们历史上可追溯到更早时期。
对大量沙里亚法庭记录原件进行了调查。在布尔萨发现的沙里亚法庭记录中登记为A - 40. 221a的同意书在此作为作者发现的最早同意文件呈现。对原始文件进行了转录和分析。上述同意书可追溯到933年斋月26日（1524年8月24日）。
据作者所知，所引用的同意文件的原始版本是迄今为止呈现的最早同意文件；它在布尔萨沙里亚法庭记录中被发现并据此进行评估。
基于该文件，有人认为同意书的历史可追溯到约500年前。
在科学研究中从人类获取同意被认为起源于《纽伦堡法典》（1949年）。然而，通过本研究表明，知情同意概念在16世纪的奥斯曼时期就已存在，并且原始同意文件可追溯到1524年，与一次外科手术干预有关。
