Re: [Wikimedia-l] Radiological images

2013-09-18 Thread Joseph Chirum
hello

can somebody please remind me when and where the meta irc meeting is tomorrow ?

thank you

Joseph Chirum





 From: James Heilman jmh...@gmail.com
To: wikimedia-l@lists.wikimedia.org 
Sent: Tuesday, September 17, 2013 8:56 PM
Subject: Re: [Wikimedia-l] Radiological images
 

To address the issue of needing patient consent for release of X-rays in
publications the General Medical Council in the UK says ethically it is NOT
required.


   1. 10. Consent to make the recordings listed below will be implicit in
   the consent given to the investigation or treatment, and does not need to
   be obtained separately.


   - Images of internal organs or structures
   - Images of pathology slides
   - Laparoscopic and endoscopic images
   - Recordings of organ functions
   - Ultrasound images
   - X-rays


   1. 12. You may disclose or use any of the recordings listed in paragraph
   10 for secondary purposes without seeking consent provided that, before
   use, the recordings are anonymised for example, by the removal or coding of
   any identifying marks such as writing in the margins of an X-ray
(see paragraph
   17 http://www.gmc-uk.org/guidance/ethical_guidance/7842.asp). Further
   advice on anonymising information is available from the Information
   Commissioner’s
Office.7http://www.gmc-uk.org/guidance/ethical_guidance/7840.asp#7

Per http://www.gmc-uk.org/guidance/ethical_guidance/7840.asp

-- 
James Heilman
MD, CCFP-EM, Wikipedian

The Wikipedia Open Textbook of Medicine
www.opentextbookofmedicine.com
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Re: [Wikimedia-l] Radiological images

2013-09-18 Thread Oliver Keyes
On Tue, Sep 17, 2013 at 9:48 PM, James Salsman jsals...@gmail.com wrote:


 For those of you who treat WP:IAR as if it is not policy, how do you
 look yourselves in the mirror?


Pretty easily. Absent substantial changes in mass, the speed of light is a
constant.

If we could try to discuss things without histrionics, please, that would
be better.
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Re: [Wikimedia-l] Radiological images

2013-09-18 Thread James Heilman
 So what does the rest of the publishing industry do? For content that is
author-supplied it is up to them [the authors] to sort out permissions and
copyright. The journals, with their impeccable ethical standards, simple
get the authors to sign a form and wash their hands of it. I have signed
these forms a few dozens times without much though. And no I did not
request permission from the X-ray tech. In fact it is often not possible to
determine who the tech was as that actually pushed the button as there are
a lot of student techs in the department.

-- 
James Heilman
MD, CCFP-EM, Wikipedian

The Wikipedia Open Textbook of Medicine
www.opentextbookofmedicine.com
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Re: [Wikimedia-l] Radiological images

2013-09-18 Thread Peter Southwood

Someone else's problem - therefore not a problem?

I also think that deleting useful images just because it is possible to 
imagine a dispute without any evidence that such a dispute has ever occurred 
goes against the concept of freedom of information


I call on the WMF to take this matter very seriously and declare a policy 
before any mass deletion starts


Cheers,
Petyer Southwood

- Original Message - 
From: James Salsman jsals...@gmail.com

To: Wikimedia Mailing List wikimedia-l@lists.wikimedia.org
Sent: Wednesday, September 18, 2013 6:48 AM
Subject: Re: [Wikimedia-l] Radiological images



So, there has never been a copyright or privacy dispute involving any
actual radiology image, nor has anyone been able to find any evidence
of a hint of any such dispute. The law is silent on the question
because there has never been such a dispute.

Yet some people want to delete hundreds of such images, profoundly
harming the quality of the encyclopedia, on the theory that some day
their might be such a dispute.

For those of you who treat WP:IAR as if it is not policy, how do you
look yourselves in the mirror?

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Re: [Wikimedia-l] Radiological images

2013-09-18 Thread Peter Southwood
Not really, the speed of light varies considerably in materials with 
different refractive indices, which is about as relevant as the original 
statement.

Cheers,
Peter
- Original Message - 
From: Oliver Keyes ironho...@gmail.com

To: Wikimedia Mailing List wikimedia-l@lists.wikimedia.org
Sent: Wednesday, September 18, 2013 8:49 AM
Subject: Re: [Wikimedia-l] Radiological images



On Tue, Sep 17, 2013 at 9:48 PM, James Salsman jsals...@gmail.com wrote:



For those of you who treat WP:IAR as if it is not policy, how do you
look yourselves in the mirror?



Pretty easily. Absent substantial changes in mass, the speed of light is a
constant.

If we could try to discuss things without histrionics, please, that would
be better.
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Re: [Wikimedia-l] Radiological images

2013-09-18 Thread Jane Darnell
Just chiming in here because I have uploaded some x-ray images in the
past and was wondering about public domain artworks - lots of research
on attribution of art is based on x-ray images, and I just assumed it
was OK - uncopyrightable image of PD work

2013/9/18, Peter Southwood peter.southw...@telkomsa.net:
 Not really, the speed of light varies considerably in materials with
 different refractive indices, which is about as relevant as the original
 statement.
 Cheers,
 Peter
 - Original Message -
 From: Oliver Keyes ironho...@gmail.com
 To: Wikimedia Mailing List wikimedia-l@lists.wikimedia.org
 Sent: Wednesday, September 18, 2013 8:49 AM
 Subject: Re: [Wikimedia-l] Radiological images


 On Tue, Sep 17, 2013 at 9:48 PM, James Salsman jsals...@gmail.com wrote:


 For those of you who treat WP:IAR as if it is not policy, how do you
 look yourselves in the mirror?


 Pretty easily. Absent substantial changes in mass, the speed of light is a
 constant.

 If we could try to discuss things without histrionics, please, that would
 be better.
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Re: [Wikimedia-l] Radiological images

2013-09-17 Thread Nathan
Maybe they don't own the images outright from a legal perspective, but
certainly ethics (and particularly medical ethics) is moving in the
direction of securing permission from the subject of the images before
they are used for purposes other than treatment. Documenting this kind
of permission in a format like Commons is going to be tough, but that
could be resolved with a policy of only using images published by an
organization known to pursue permission where feasible.

On Tue, Sep 17, 2013 at 9:15 AM, Mathias Schindler
mathias.schind...@gmail.com wrote:
 On Tue, Sep 17, 2013 at 1:06 PM, James Heilman jmh...@gmail.com wrote:
 My concern is that if we are going to be both super cautious and assume
 that X-rays are copyrightable than we will need to get permission from all
 9 potential copyright holders (ordering physician, patient, radiologist,
 hospital, government, X-ray tech, machine manufacturer, software
 programmer and the Queen of English in my jurisdiction, shareholders of
 hospitals in other jurisdictions).

 Out of the 9 categories of potential copyright holders, we should be
 able to eliminate patients as they are not an active part of the
 creation process and there is no transfer of copyright to them.

 Mathias

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Re: [Wikimedia-l] Radiological images

2013-09-17 Thread Mathias Schindler
On Tue, Sep 17, 2013 at 3:21 PM, Nathan nawr...@gmail.com wrote:
 Maybe they don't own the images outright from a legal perspective, but
 certainly ethics (and particularly medical ethics)

They do not own it from a copyright perspective. I did not speak about
other applicable laws protecting doctor-patient confidentiality or
privacy of patients.

Mathias

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Re: [Wikimedia-l] Radiological images

2013-09-17 Thread Petr Kadlec
On Tue, Sep 17, 2013 at 4:02 AM, Asaf Bartov abar...@wikimedia.org wrote:

 IANAL, but my interpretation would be that X-rays are not copyrightable,
 since they are not creative works, period.


Note that e.g. in the Czech Republic, “[a] photograph or a work produced by
a process similar to photography” has lower threshold on
originality/creativity; it is protected “if it is original in the sense
that it is the author’s own intellectual creation” (while a work of another
types needs to be “a unique outcome of the creative activity of the
author”). And this is language from the European Copyright Duration
Directive (Article 6: “Photographs which are original in the sense that
they are the author's own intellectual creation shall be protected in
accordance with Article 1. No other criteria shall be applied to determine
their eligibility for protection.”), so other EU countries probably have
similar legal constructions.

It might be debatable whether medical X-ray images are, in fact,
“photographs or works produced by a process similar to photography” (while
“traditional” X-ray images probably are, I would argue CT pictures are
not), and whether they are “the author’s own intellectual creation” at all.

-- [[cs:User:Mormegil | Petr Kadlec]]
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Re: [Wikimedia-l] Radiological images

2013-09-17 Thread Risker
In many jurisdictions, there are specific privacy laws that address the
rights of patients to control access to *any* information about them,
whether identifying or not, and requirements that any use of patient
information, whether anonymized or not, must be done with the consent of
the patient unless specifically legislated.  This has nothing at all to do
with copyright.  A surprisingly large number of studies, tissue samples,
and so on *are* actually pretty easily identifiable.  In many cases,
patient consent is required in order to use information for research or
educational purposes; those participating in research have to sign fairly
extensive consent agreements that often include a clause about how their
information will be shared.

I'd suggest practitioners themselves ought to be quite cautious before
uploading such images, and ensure that they have had a very specific
discussion with their institution, and received *in writing* authorization
for uploading.  It is spectacularly wonderful that the physicians amongst
us have such a strong desire to educate, and it would be horrible if
someone lost privileges at their institution (and possibly their
license) over such a benevolent gesture. Don't just call your professional
association - have the discussion with the institution, and get things in
writing and actively pursue an institutional policy on the educational use
of medical images.

Risker




On 17 September 2013 09:21, Nathan nawr...@gmail.com wrote:

 Maybe they don't own the images outright from a legal perspective, but
 certainly ethics (and particularly medical ethics) is moving in the
 direction of securing permission from the subject of the images before
 they are used for purposes other than treatment. Documenting this kind
 of permission in a format like Commons is going to be tough, but that
 could be resolved with a policy of only using images published by an
 organization known to pursue permission where feasible.

 On Tue, Sep 17, 2013 at 9:15 AM, Mathias Schindler
 mathias.schind...@gmail.com wrote:
  On Tue, Sep 17, 2013 at 1:06 PM, James Heilman jmh...@gmail.com wrote:
  My concern is that if we are going to be both super cautious and assume
  that X-rays are copyrightable than we will need to get permission from
 all
  9 potential copyright holders (ordering physician, patient, radiologist,
  hospital, government, X-ray tech, machine manufacturer, software
  programmer and the Queen of English in my jurisdiction, shareholders of
  hospitals in other jurisdictions).
 
  Out of the 9 categories of potential copyright holders, we should be
  able to eliminate patients as they are not an active part of the
  creation process and there is no transfer of copyright to them.
 
  Mathias
 
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Re: [Wikimedia-l] Radiological images

2013-09-17 Thread Katie Chan

On 17/09/2013 17:47, Erlend Bjørtvedt wrote:

I took CR scanning recently, and reflected on who would be the right
copyrightholder.

The manufacturer of the machine (Siemens) - certainly not, that would be
like Nikon and Canon holding rights to all photos on Commons...

The hospital - certainly not, since there ar eindividuals running the
machine who are closer to the rights.


Those individuals, in the case of the operators would probably / could 
well come under work for hire.



The operators - well in the case of CR there are two, and they only push a
button (i.e., not artistic). They are Remote from the Object, do not see
it, and do not Direct the skanner (camera) to adjust or improve the final
image.


Someone taking a photograph using a point and shoot compact camera also 
only push a button, yet the law have no problem with assigning copyright 
to the photographer.



The patient - the only real candidate in my view. While as a patient you
are alone With the machine, the only one present in the room, and you move
to get Your body in the right position (i.,e., you are the primary agent to
make the image successful).

Erlend, Oslo


Katie

--
Katie Chan
Any views or opinions presented in this e-mail are solely those of the author 
and do not necessarily represent the view of any organisation the author is 
associated with or employed by.


Experience is a good school but the fees are high.
 - Heinrich Heine


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Re: [Wikimedia-l] Radiological images

2013-09-17 Thread Erlend Bjørtvedt
When we speak of CT or MR, the machine is in both cases operated by (at
least) two persons. It seems that they perform different tasks (the
machines are big and complex). It also seems that the operation of both
persons is necessary for the images to be taken.

Quite apart from the question of who actually takes the image, the question
of creative / artistic work is interesting. Is an x-ray image artistic, or
is it part of a clinical process. The same really goes With the geologicing
surveying image of a sea bottom taken by a geo-service vessel, the
machines being operated by a number of crew. First question is who of
them took the image, the next question is whether or not the geological
mapping image is artistic at all. I think it's not.

Erlend


2013/9/17 Joseph Chirum sundog...@yahoo.com

 In my opinion, the patient is the copyright holder.  for these reasons
 mentioned by Erlend.  The hospital is an institution, and the photographer
 is an employee.  Therefore the patient is the consumer, and thus the
 patron, in turn forming an agreement as to the subject matter, and thus the
 content of the original work of technical craft, if not Art.  Artist's
 rights are thus rendered irrelevent if not Art, thus the traditional
 copyright structure of said work.

 Joe Chirum



 
  From: Katie Chan k...@ktchan.info
 To: wikimedia-l@lists.wikimedia.org
 Sent: Tuesday, September 17, 2013 10:28 AM
 Subject: Re: [Wikimedia-l] Radiological images


 On 17/09/2013 17:47, Erlend Bjørtvedt wrote:
  I took CR scanning recently, and reflected on who would be the right
  copyrightholder.
 
  The manufacturer of the machine (Siemens) - certainly not, that would be
  like Nikon and Canon holding rights to all photos on Commons...
 
  The hospital - certainly not, since there ar eindividuals running the
  machine who are closer to the rights.

 Those individuals, in the case of the operators would probably / could
 well come under work for hire.

  The operators - well in the case of CR there are two, and they only push
 a
  button (i.e., not artistic). They are Remote from the Object, do not see
  it, and do not Direct the skanner (camera) to adjust or improve the
 final
  image.

 Someone taking a photograph using a point and shoot compact camera also
 only push a button, yet the law have no problem with assigning copyright
 to the photographer.

  The patient - the only real candidate in my view. While as a patient you
  are alone With the machine, the only one present in the room, and you
 move
  to get Your body in the right position (i.,e., you are the primary agent
 to
  make the image successful).
 
  Erlend, Oslo

 Katie

 --
 Katie Chan
 Any views or opinions presented in this e-mail are solely those of the
 author and do not necessarily represent the view of any organisation the
 author is associated with or employed by.


 Experience is a good school but the fees are high.
   - Heinrich Heine


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-- 
*Erlend Bjørtvedt*
Nestleder, Wikimedia Norge
Vice chairman, Wikimedia Norway
Mob: +47 - 9225 9227
 http://no.wikimedia.org http://no.wikimedia.org/wiki/About_us
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Re: [Wikimedia-l] Radiological images

2013-09-17 Thread Joseph Chirum
furthermore , when radiological images are concerned, they are protected from 
distribution by HIPPA privacy regulations and laws.  Also leaning in the favor 
of the patient as far as rights go concerning images.





 From: Katie Chan k...@ktchan.info
To: wikimedia-l@lists.wikimedia.org 
Sent: Tuesday, September 17, 2013 10:28 AM
Subject: Re: [Wikimedia-l] Radiological images
 

On 17/09/2013 17:47, Erlend Bjørtvedt wrote:
 I took CR scanning recently, and reflected on who would be the right
 copyrightholder.

 The manufacturer of the machine (Siemens) - certainly not, that would be
 like Nikon and Canon holding rights to all photos on Commons...

 The hospital - certainly not, since there ar eindividuals running the
 machine who are closer to the rights.

Those individuals, in the case of the operators would probably / could 
well come under work for hire.

 The operators - well in the case of CR there are two, and they only push a
 button (i.e., not artistic). They are Remote from the Object, do not see
 it, and do not Direct the skanner (camera) to adjust or improve the final
 image.

Someone taking a photograph using a point and shoot compact camera also 
only push a button, yet the law have no problem with assigning copyright 
to the photographer.

 The patient - the only real candidate in my view. While as a patient you
 are alone With the machine, the only one present in the room, and you move
 to get Your body in the right position (i.,e., you are the primary agent to
 make the image successful).

 Erlend, Oslo

Katie

-- 
Katie Chan
Any views or opinions presented in this e-mail are solely those of the author 
and do not necessarily represent the view of any organisation the author is 
associated with or employed by.


Experience is a good school but the fees are high.
      - Heinrich Heine


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Re: [Wikimedia-l] Radiological images

2013-09-17 Thread Joseph Chirum
In my opinion, the patient is the copyright holder.  for these reasons 
mentioned by Erlend.  The hospital is an institution, and the photographer is 
an employee.  Therefore the patient is the consumer, and thus the patron, in 
turn forming an agreement as to the subject matter, and thus the content of the 
original work of technical craft, if not Art.  Artist's rights are thus 
rendered irrelevent if not Art, thus the traditional copyright structure of 
said work.

Joe Chirum




 From: Katie Chan k...@ktchan.info
To: wikimedia-l@lists.wikimedia.org 
Sent: Tuesday, September 17, 2013 10:28 AM
Subject: Re: [Wikimedia-l] Radiological images
 

On 17/09/2013 17:47, Erlend Bjørtvedt wrote:
 I took CR scanning recently, and reflected on who would be the right
 copyrightholder.

 The manufacturer of the machine (Siemens) - certainly not, that would be
 like Nikon and Canon holding rights to all photos on Commons...

 The hospital - certainly not, since there ar eindividuals running the
 machine who are closer to the rights.

Those individuals, in the case of the operators would probably / could 
well come under work for hire.

 The operators - well in the case of CR there are two, and they only push a
 button (i.e., not artistic). They are Remote from the Object, do not see
 it, and do not Direct the skanner (camera) to adjust or improve the final
 image.

Someone taking a photograph using a point and shoot compact camera also 
only push a button, yet the law have no problem with assigning copyright 
to the photographer.

 The patient - the only real candidate in my view. While as a patient you
 are alone With the machine, the only one present in the room, and you move
 to get Your body in the right position (i.,e., you are the primary agent to
 make the image successful).

 Erlend, Oslo

Katie

-- 
Katie Chan
Any views or opinions presented in this e-mail are solely those of the author 
and do not necessarily represent the view of any organisation the author is 
associated with or employed by.


Experience is a good school but the fees are high.
      - Heinrich Heine


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Re: [Wikimedia-l] Radiological images

2013-09-17 Thread Joseph Chirum


The purpose of radiological images is not to make money in the market, nor to 
benefit in the arena of copyright holdings, but rather to provide knowledge 
which is of benefit to specialists and researchers in the field.



 From: Erlend Bjørtvedt erl...@wikimedia.no
To: Joseph Chirum sundog...@yahoo.com; Wikimedia Mailing List 
wikimedia-l@lists.wikimedia.org 
Sent: Tuesday, September 17, 2013 12:14 PM
Subject: Re: [Wikimedia-l] Radiological images
 


When we speak of CT or MR, the machine is in both cases operated by (at least) 
two persons. It seems that they perform different tasks (the machines are big 
and complex). It also seems that the operation of both persons is necessary for 
the images to be taken.
 
Quite apart from the question of who actually takes the image, the question of 
creative / artistic work is interesting. Is an x-ray image artistic, or is it 
part of a clinical process. The same really goes With the geologicing surveying 
image of a sea bottom taken by a geo-service vessel, the machines being 
operated by a number of crew. First question is who of them took the image, the 
next question is whether or not the geological mapping image is artistic at 
all. I think it's not.
 
Erlend



2013/9/17 Joseph Chirum sundog...@yahoo.com

In my opinion, the patient is the copyright holder.  for these reasons 
mentioned by Erlend.  The hospital is an institution, and the photographer is 
an employee.  Therefore the patient is the consumer, and thus the patron, in 
turn forming an agreement as to the subject matter, and thus the content of the 
original work of technical craft, if not Art.  Artist's rights are thus 
rendered irrelevent if not Art, thus the traditional copyright structure of 
said work.

Joe Chirum




 From: Katie Chan k...@ktchan.info
To: wikimedia-l@lists.wikimedia.org
Sent: Tuesday, September 17, 2013 10:28 AM
Subject: Re: [Wikimedia-l] Radiological images


On 17/09/2013 17:47, Erlend Bjørtvedt wrote:
 I took CR scanning recently, and reflected on who would be the right
 copyrightholder.

 The manufacturer of the machine (Siemens) - certainly not, that would be
 like Nikon and Canon holding rights to all photos on Commons...

 The hospital - certainly not, since there ar eindividuals running the
 machine who are closer to the rights.

Those individuals, in the case of the operators would probably / could
well come under work for hire.

 The operators - well in the case of CR there are two, and they only push a
 button (i.e., not artistic). They are Remote from the Object, do not see
 it, and do not Direct the skanner (camera) to adjust or improve the final
 image.

Someone taking a photograph using a point and shoot compact camera also
only push a button, yet the law have no problem with assigning copyright
to the photographer.

 The patient - the only real candidate in my view. While as a patient you
 are alone With the machine, the only one present in the room, and you move
 to get Your body in the right position (i.,e., you are the primary agent to
 make the image successful).

 Erlend, Oslo

Katie

--
Katie Chan
Any views or opinions presented in this e-mail are solely those of the author 
and do not necessarily represent the view of any organisation the author is 
associated with or employed by.


Experience is a good school but the fees are high.
      - Heinrich Heine


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Vice chairman, Wikimedia Norway
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Re: [Wikimedia-l] Radiological images

2013-09-17 Thread Nathan
On Tue, Sep 17, 2013 at 4:48 PM, Joseph Chirum sundog...@yahoo.com wrote:
 If it were Art, the copyright would be clearly defined.  If it is technical 
 craft in the medical field, such images fall unto another category all 
 together.  Any display of such images would need the patient consent to be 
 HIPPA compliant, or other agreement binding.

It's just not that simple, unfortunately. HIPAA applies to personally
identifying information; I think it'd be easy to argue that the
presumption on imagery, devoid of identifying accompanying text, is
that it is de facto de-identified and thus exempt from HIPAA scrutiny.

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Re: [Wikimedia-l] Radiological images

2013-09-17 Thread Joseph Chirum
If it were Art, the copyright would be clearly defined.  If it is technical 
craft in the medical field, such images fall unto another category all 
together.  Any display of such images would need the patient consent to be 
HIPPA compliant, or other agreement binding.




 From: Nathan nawr...@gmail.com
To: Wikimedia Mailing List wikimedia-l@lists.wikimedia.org 
Sent: Tuesday, September 17, 2013 12:33 PM
Subject: Re: [Wikimedia-l] Radiological images
 

I think the question of who owns the copyright is just plain unsettled
law. Debating it here isn't going to resolve an issue that is, in the
legal realm, unresolved. My own guess is that the organization
employing the people performing the imaging likely owns the copyright
barring agreements otherwise, but the circumstances vary so much that
only an image by image analysis of the legal conditions that apply
will resolve ownership for any particular image.

But quite apart from the legal issues, there are ethical
considerations that shouldn't be ignored for the sake of expediency.
While an x-ray or CT or other image may not fall under HIPAA (because
it isn't generally personally identifying), it is still an image of a
human being who ought to - and in some jurisdictions may by law - have
some control over its use.

What James Heilman appeared to be seeking was a quick response
affirming that x-rays can be used freely without encumbrance by
concerns over ownership or permission. Despite his ultimatum that he
would take his considerable energy and effort elsewhere, it doesn't
seem like he's going to get that from contributors to this thread.

That doesn't mean there is no possible solution. If we use images
garnered from journals, institutions and repositories with rigorous
patient consent rules, and treat those from other sources carefully, I
imagine that encyclopedia editors will find an adequate number of
images to properly illustrate articles. But that would have to take
place under an EDP, and I don't see Commons getting around the issue
of ownership until the legal landscape is more settled.

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Re: [Wikimedia-l] Radiological images

2013-09-17 Thread Nathan
I think the question of who owns the copyright is just plain unsettled
law. Debating it here isn't going to resolve an issue that is, in the
legal realm, unresolved. My own guess is that the organization
employing the people performing the imaging likely owns the copyright
barring agreements otherwise, but the circumstances vary so much that
only an image by image analysis of the legal conditions that apply
will resolve ownership for any particular image.

But quite apart from the legal issues, there are ethical
considerations that shouldn't be ignored for the sake of expediency.
While an x-ray or CT or other image may not fall under HIPAA (because
it isn't generally personally identifying), it is still an image of a
human being who ought to - and in some jurisdictions may by law - have
some control over its use.

What James Heilman appeared to be seeking was a quick response
affirming that x-rays can be used freely without encumbrance by
concerns over ownership or permission. Despite his ultimatum that he
would take his considerable energy and effort elsewhere, it doesn't
seem like he's going to get that from contributors to this thread.

That doesn't mean there is no possible solution. If we use images
garnered from journals, institutions and repositories with rigorous
patient consent rules, and treat those from other sources carefully, I
imagine that encyclopedia editors will find an adequate number of
images to properly illustrate articles. But that would have to take
place under an EDP, and I don't see Commons getting around the issue
of ownership until the legal landscape is more settled.

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Re: [Wikimedia-l] Radiological images

2013-09-17 Thread Joseph Chirum


Perhaps if all parties are in agreement, the image can be entered into the 
Public Domain.  The goal of this would be to aid researchers and scientists.  
The images cannot be stuck in limbo forever, so by setting them into the public 
domain, they become non-copyrightable if HIPPA is exempt, thus withholding 
personally identifying information of the images.



 From: Nathan nawr...@gmail.com
To: Joseph Chirum sundog...@yahoo.com; Wikimedia Mailing List 
wikimedia-l@lists.wikimedia.org 
Sent: Tuesday, September 17, 2013 2:02 PM
Subject: Re: [Wikimedia-l] Radiological images
 

On Tue, Sep 17, 2013 at 4:48 PM, Joseph Chirum sundog...@yahoo.com wrote:
 If it were Art, the copyright would be clearly defined.  If it is technical 
 craft in the medical field, such images fall unto another category all 
 together.  Any display of such images would need the patient consent to be 
 HIPPA compliant, or other agreement binding.

It's just not that simple, unfortunately. HIPAA applies to personally
identifying information; I think it'd be easy to argue that the
presumption on imagery, devoid of identifying accompanying text, is
that it is de facto de-identified and thus exempt from HIPAA scrutiny.
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Re: [Wikimedia-l] Radiological images

2013-09-17 Thread Andrew Gray
As often, I agree entirely with Risker - ethics and privacy are as big an
issue here as copyright and we need to be able to give a clear declaration
that both aspects are okay.

That said, I think Nathan has spotted a way forward - OA journals might be
the way to square this circle. Three points:

a) Medicine (thanks in part to our friends at the Wellcome and similar
groups) has been very active in adopting open access publication;
b) many gold (paid) open access uses a Wikipedia-compatible license, and
many funding mandates now require it;
c) most reputable journals now have robust ethics  subject-consent
policies and so we can work on the basis that images published in them will
be ethically usable;

Putting these three together, we might well have some good sources without
needing to develop our own ethical-clearance process. Searching for just
license-compliant OA articles is not yet a solved easy problem, but at
least we have somewhere to start looking.

Andrew.

On 17 September 2013 17:15, Risker risker...@gmail.com wrote:
 In many jurisdictions, there are specific privacy laws that address the
 rights of patients to control access to *any* information about them,
 whether identifying or not, and requirements that any use of patient
 information, whether anonymized or not, must be done with the consent of
 the patient unless specifically legislated. This has nothing at all to do
 with copyright. A surprisingly large number of studies, tissue samples,
 and so on *are* actually pretty easily identifiable. In many cases,
 patient consent is required in order to use information for research or
 educational purposes; those participating in research have to sign fairly
 extensive consent agreements that often include a clause about how their
 information will be shared.

 I'd suggest practitioners themselves ought to be quite cautious before
 uploading such images, and ensure that they have had a very specific
 discussion with their institution, and received *in writing* authorization
 for uploading. It is spectacularly wonderful that the physicians amongst
 us have such a strong desire to educate, and it would be horrible if
 someone lost privileges at their institution (and possibly their
 license) over such a benevolent gesture. Don't just call your professional
 association - have the discussion with the institution, and get things in
 writing and actively pursue an institutional policy on the educational use
 of medical images.

 Risker




 On 17 September 2013 09:21, Nathan nawr...@gmail.com wrote:

 Maybe they don't own the images outright from a legal perspective, but
 certainly ethics (and particularly medical ethics) is moving in the
 direction of securing permission from the subject of the images before
 they are used for purposes other than treatment. Documenting this kind
 of permission in a format like Commons is going to be tough, but that
 could be resolved with a policy of only using images published by an
 organization known to pursue permission where feasible.

 On Tue, Sep 17, 2013 at 9:15 AM, Mathias Schindler
 mathias.schind...@gmail.com wrote:
  On Tue, Sep 17, 2013 at 1:06 PM, James Heilman jmh...@gmail.com
wrote:
  My concern is that if we are going to be both super cautious and
assume
  that X-rays are copyrightable than we will need to get permission from
 all
  9 potential copyright holders (ordering physician, patient,
radiologist,
  hospital, government, X-ray tech, machine manufacturer, software
  programmer and the Queen of English in my jurisdiction, shareholders
of
  hospitals in other jurisdictions).
 
  Out of the 9 categories of potential copyright holders, we should be
  able to eliminate patients as they are not an active part of the
  creation process and there is no transfer of copyright to them.
 
  Mathias
 
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andrew.g...@dunelm.org.uk
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Re: [Wikimedia-l] Radiological images

2013-09-17 Thread Andrew Gray
It was certainly my understanding that most major medical journals
have much better ethical clearance for publication of patient images
than they did ten or twenty years ago. This isn't my field, so quite
likely I've got the wrong end of the stick, but is it that only a few
journals are sufficiently rigorous, or that their form of rigour
doesn't match what we'd need?

On the second point - these discussions seem to me to be saying it's
a very complicated environment - ethically, legally, perhaps
practically, all these things are making it difficult for us to know
how we can say something is safe. If we have the opportunity to hand
the problem to someone else who makes the material available to us,
that seems pretty beneficial to me.

It's not perfect, but there already contexts where Commons is
primarily full of professionally published material - the ones where
we cannot easily get non-professional stuff. (Most of our pictures of
military operations are taken from professionally published resources,
for example, because the many issues surrounding going into warzones
tends to discourage most people not paid to do so.)

If it turns out, once the lawyers have chewed it over, that the
copyright/ethical clearance/whatever situation around these images can
be made clear and unencumbered, great. Everyone wins, and I think we'd
all be happy if there was a clear and convincing just go for it. But
if it turns out to be sufficiently complicated that it's going to be
very difficult for Commons to do suitable levels of due diligence,
then it might well be that we're faced with a choice of externally -
professionally - cleared, or almost nothing.

Andrew.

On 18 September 2013 02:29, James Heilman jmh...@gmail.com wrote:
 Per c) most reputable journals now have robust ethics 
 subject-consent policies
 and so we can work on the basis that images published in them will be
 ethically usable

 If this were true, which it isn't by the way, than that would mean that
 commons is only a repository for professionally published material. Sort of
 defeats the purpose of commons in a way.

 --
 James Heilman
 MD, CCFP-EM, Wikipedian

 The Wikipedia Open Textbook of Medicine
 www.opentextbookofmedicine.com
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Re: [Wikimedia-l] Radiological images

2013-09-17 Thread James Heilman
So with issues around subject consent does this mean all images of people (
including those of their genitals ) should be removed from commons unless
they have been previously published in a high quality open source journal?
OTRS is really not sufficient if we are going to require a proper consent
process. We need witnesses and identifying documentation. We need all
up-loaders to use real names. We will need a system to verify the identity
of all up-loaders and the subjects of the images in question.

-- 
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MD, CCFP-EM, Wikipedian

The Wikipedia Open Textbook of Medicine
www.opentextbookofmedicine.com
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Re: [Wikimedia-l] Radiological images

2013-09-17 Thread Risker
On 17 September 2013 23:56, James Heilman jmh...@gmail.com wrote:

 To address the issue of needing patient consent for release of X-rays in
 publications the General Medical Council in the UK says ethically it is NOT
 required.


1. 10. Consent to make the recordings listed below will be implicit in
the consent given to the investigation or treatment, and does not need
 to
be obtained separately.


- Images of internal organs or structures
- Images of pathology slides
- Laparoscopic and endoscopic images
- Recordings of organ functions
- Ultrasound images
- X-rays


1. 12. You may disclose or use any of the recordings listed in paragraph
10 for secondary purposes without seeking consent provided that, before
use, the recordings are anonymised for example, by the removal or
 coding of
any identifying marks such as writing in the margins of an X-ray
 (see paragraph
17 http://www.gmc-uk.org/guidance/ethical_guidance/7842.asp). Further
advice on anonymising information is available from the Information
Commissioner’s
 Office.7http://www.gmc-uk.org/guidance/ethical_guidance/7840.asp#7

 Per http://www.gmc-uk.org/guidance/ethical_guidance/7840.asp

 --
 James Heilman
 MD, CCFP-EM, Wikipedian


That works for the UK, probably.  However, it doesn't work in other
places.  There's good reason to believe that legislation  about patient
consent (and its interpretation by the courths) is every bit as varied
between jurisdictions as is legislation about copyright.  Case law is still
developing significantly in this area; it's only in the past 20-30 years
that patients have been acknowledged to have some rights about the use of
their personal health information, even in the Western world where
personal autonomy is a more entrenched philosophy.

And I'd not necessarily bet on individual institutions taking a different
position than the Medical Council, either.

Risker/Anne
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Re: [Wikimedia-l] Radiological images

2013-09-17 Thread James Salsman
So, there has never been a copyright or privacy dispute involving any
actual radiology image, nor has anyone been able to find any evidence
of a hint of any such dispute. The law is silent on the question
because there has never been such a dispute.

Yet some people want to delete hundreds of such images, profoundly
harming the quality of the encyclopedia, on the theory that some day
their might be such a dispute.

For those of you who treat WP:IAR as if it is not policy, how do you
look yourselves in the mirror?

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