Informed consent policy

Inform consent, permissions and releases must be obtained where authors wish to include case details or other personal information or images of patients and any other individuals in an SPPH, LLC publication to comply with all applicable laws and regulations concerning the privacy and/or security of personal information, including, but not limited to, the Health Insurance Portability and Accountability Act of 1996 ("HIPAA") and other U.S. federal and state laws relating to privacy and security of personally identifiable information, the General Data Protection Regulation (GDPR) (EU) 2016/679 and member state implementing legislation, Canada's Personal Information Protection and Electronic Documents Act, India's Information Technology Act and related Privacy Rules, (together "Data Protection and Privacy Laws").


The authors' responsibility to ensure that It is the responsibility of the author to ensure that each individual, or the individual's legal guardian or another person with legal authority to act on the individual's behalf who appears in any photograph, image, illustration, or case report (or in any other identifiable form) is made aware in advance of the fact that such photographs are being taken or photograph, image, illustration or report is being made, and of all the purposes for which they might be used. That individual, legal guardian, or person with legal authority must give his/her explicit written consent if such consent is made subject to any conditions (for example, adopting measures to prevent personal identification of the person concerned). The author must retain written consents, and copies of the consents or evidence that such consents have been obtained must be provided to SPPH, LLC on request. The form of written consent should comply with each requirement of all applicable Data Protection and Privacy Laws. Care should be taken with obtaining consent where children are concerned (where a child has special needs or learning disabilities), where an individual's head or face appears, or where reference is made to an individual's name or other personal details. In the case of a child, if parents or guardians disagree on using the images of that child, then consent should be deemed not to have been given, and those images should not be used. It is also important to ensure that only images of children in suitable dress are used to reduce the risk of images being used inappropriately. Even if consent has been obtained, care must be taken to ensure that the individual concern’s portrayal and captioning are respectful.


Patients' and research subjects' names, initials, hospital or social security numbers, dates of birth, or other personal or identifying information should not be used. Images of patients or research subjects should not be used unless the information is essential for scientific purposes, and explicit permission has been given as part of the consent. Even where consent has been given, identifying details should be omitted if they are not essential. If identifying characteristics are altered to protect anonymity, authors should provide assurances that such alterations do not distort scientific meaning.


Formal consents are not required for the use of entirely anonymized images from which the individual cannot be identified- for example, x-rays, ultrasound images, pathology slides, or laparoscopic images, provided that these do not contain any identifying marks and are not accompanied by text that might identify the individual concerned.

If consent has not been obtained, it is generally not sufficient to anonymize a photograph simply by using eye bars or blurring the individual's face.