<html xmlns:v="urn:schemas-microsoft-com:vml" xmlns:o="urn:schemas-microsoft-com:office:office" xmlns:w="urn:schemas-microsoft-com:office:word" xmlns:m="http://schemas.microsoft.com/office/2004/12/omml" xmlns="http://www.w3.org/TR/REC-html40">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=us-ascii">
<meta name="Generator" content="Microsoft Word 15 (filtered medium)">
<style><!--
/* Font Definitions */
@font-face
{font-family:"Cambria Math";
panose-1:2 4 5 3 5 4 6 3 2 4;}
@font-face
{font-family:Calibri;
panose-1:2 15 5 2 2 2 4 3 2 4;}
@font-face
{font-family:"Calibri Light";
panose-1:2 15 3 2 2 2 4 3 2 4;}
/* Style Definitions */
p.MsoNormal, li.MsoNormal, div.MsoNormal
{margin:0in;
font-size:11.0pt;
font-family:"Calibri",sans-serif;
mso-ligatures:standardcontextual;}
span.EmailStyle17
{mso-style-type:personal-compose;
font-family:"Calibri",sans-serif;
color:windowtext;}
.MsoChpDefault
{mso-style-type:export-only;}
@page WordSection1
{size:8.5in 11.0in;
margin:1.0in 1.0in 1.0in 1.0in;}
div.WordSection1
{page:WordSection1;}
--></style><!--[if gte mso 9]><xml>
<o:shapedefaults v:ext="edit" spidmax="1026" />
</xml><![endif]--><!--[if gte mso 9]><xml>
<o:shapelayout v:ext="edit">
<o:idmap v:ext="edit" data="1" />
</o:shapelayout></xml><![endif]-->
</head>
<body lang="EN-US" link="#0563C1" vlink="#954F72" style="word-wrap:break-word">
<div class="WordSection1">
<p class="MsoNormal">Greetings All,<o:p></o:p></p>
<p class="MsoNormal">Sincere thanks for taking a moment to discuss a core issue at the center of an upcoming submission of a permissive open source License developed at Mass General Brigham hospital system to support scientific and clinical research and development
conducted within MGB, or a similarly situated Academic Medical Center. <o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">The license (included in text below) was developed to align explicit institutional licensing policies of proprietary and open science / source licenses, adding needed clarity to the MIT license popular in this space which currently remains
silent regarding issues the healthcare community believes to be critical including restrictions on: Protected Health Information / Personal Information, Implied Warranties, Representations, Liability for Any Damages, and Endorsement / Mark Rights.
<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">Most controversial (and the core focus of this thread) in the Academic Medical Center space is the issue of patent rights, especially in the post COVID, cash strapped world of health care / research. Mass General Brigham, for example,
is a national leader in innovation, investing nearly $15 million per year to secure and maintain patent protection for the inventions of its staff. Statistically, MGB has filed patent applications on roughly 50% of the disclosures it received during the past
five years. Thus, although AMC’s are aligned on the concepts behind OSD : <u><span style="color:black">6. No Discrimination Against Fields of Endeavor, 7. Distribution of License, and 9. License Must Not Restrict Other Software</span></u><span style="color:black">,
their role as frequent defender of patent rights that provide valuable revenue that lowers the price of patient care, puts the issue of granting patent rights front and center in open source licensing.
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:black"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="color:black">Looking at the Apache 2.0 license’s approach, MGB’s long time stance has been to restrict it’s use across the system due to patent overreach and the litigious nature of some in the community.
</span><span style="color:black">MGB has historically taken issue with Apache and like licenses with express patent grants e.g.: “…Contributor hereby grants to You a perpetual, worldwide, non-exclusive, no-charge, royalty-free, irrevocable patent license to
make, have made, use, offer to sell, sell, import, and otherwise transfer the Work, where such license applies only to those patent claims licensable by such Contributor that are necessarily infringed by their Contribution(s) alone or by combination of their
Contribution(s) with the Work to which such Contribution(s) was submitted… “ <o:p>
</o:p></span></p>
<p class="MsoNormal"><span style="color:black">“Patent claims that are necessarily infringed by their Contribution alone…” is a broad net, potentially expanding patent licenses to patents not expressly transferred with the Open Source Work via broad patent
claims, Doctrine of Equivalents, Reasonable Interchangeability, Inventions with high invention to replication ratios, and other methods with which courts commonly expand the limits of patent infringement. Thus this express language causes a chilling effect
on MGB and other like-minded patent portfolio owners who are exposed to creative interpretations of infringing Open Source code, that arguably may include implied licenses to other patented IP (not necessary for OS distribution of the work) that is part of
MGB’s portfolio.<o:p></o:p></span></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">The proposed MGB approach utilizes an implied “use” grant similar to BSD-3 but alters the Apache language to not include “any express or implied license to any invention, patentable subject matter, or patent, of any kind or nature, nor
in any jurisdiction in the world that is not necessary to exploit the [use] rights granted in Section 2.” The thought is, if its necessary to exploit the patent rights to use the licensed works, Licensees possess the rights, but this is a more appropriate
standard than “if it infringes on a patent, you have rights to that patent.” <o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">Is this approach likely to be considered a violation of OSD 6,7 or 9?
<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">Any discussion or thoughts here are much appreciated. Happy to answer any questions the group may have.
<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">Marvin Barksdale<o:p></o:p></p>
<div style="mso-element:para-border-div;border:none;border-bottom:solid windowtext 1.5pt;padding:0in 0in 1.0pt 0in">
<p class="MsoNormal" style="border:none;padding:0in"><o:p> </o:p></p>
</div>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal" align="center" style="margin-bottom:7.5pt;text-align:center;background:white">
<b><span style="font-size:14.0pt;font-family:"Times New Roman",serif;color:black;mso-ligatures:none">MGB OPEN SOURCE LICENSE
</span></b><b><span style="font-size:14.0pt;font-family:"Times New Roman",serif;mso-ligatures:none"><o:p></o:p></span></b></p>
<p class="MsoNormal" align="center" style="margin-bottom:7.5pt;text-align:center;background:white">
<b><span style="font-size:14.0pt;font-family:"Times New Roman",serif;color:black;mso-ligatures:none">(For use, reproduction, modification, and distribution of modifications)</span></b><b><span style="font-size:14.0pt;font-family:"Times New Roman",serif;mso-ligatures:none"><o:p></o:p></span></b></p>
<p class="MsoNormal" style="margin-bottom:6.0pt;text-align:justify;background:white">
<a name="definitions"><b><u><span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black;mso-ligatures:none">1. Definitions</span></u></b></a><span style="mso-bookmark:definitions"></span><span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black;mso-ligatures:none">.</span><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-ligatures:none"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:6.0pt;text-align:justify;text-indent:.25in;background:white">
<span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black;mso-ligatures:none">“<b>Contribution</b>” shall mean any work of authorship, including the original version of the Work and any modifications or additions to that Work or Derivative
Works thereof, that is intentionally submitted to Licensor for inclusion in the Work by the copyright owner or by an individual or Legal Entity authorized to submit on behalf of the copyright owner. For the purposes of this definition, “<b>submitted</b>” means
any form of electronic, verbal, or written communication sent to Licensor or its representatives, including but not limited to communication on electronic mailing lists, source code control systems, and issue tracking systems that are managed by, or on behalf
of, Licensor for the purpose of discussing and improving the Work, but excluding communication that is conspicuously marked or otherwise designated in writing by the copyright owner as “<b>Not a Contribution.</b>”</span><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-ligatures:none"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:6.0pt;text-align:justify;text-indent:.25in;background:white">
<span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black;mso-ligatures:none">“<b>Contributor</b>” shall mean Licensor and any individual or Legal Entity on behalf of whom a Contribution has been received by Licensor and subsequently incorporated
within the Work.</span><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-ligatures:none"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:6.0pt;text-align:justify;text-indent:.25in;background:white">
<span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black;mso-ligatures:none">“<b>Derivative Works</b>” shall mean any work, whether in Source or Object form, or in text or non-code form, that is based on (or derived from) the Work and for
which the editorial revisions, annotations, elaborations, or other modifications represent, as a whole, an original work of authorship. For the purposes of this License, Derivative Works shall not include works that remain separable from, or merely link (or
bind by name) to the interfaces of, the Work and Derivative Works thereof.</span><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-ligatures:none"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:6.0pt;text-align:justify;text-indent:.25in;background:white">
<span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black;mso-ligatures:none">“<b>Legal Entity</b>” shall mean the union of the acting entity and all other entities that control, are controlled by, or are under common control with that entity.
For the purposes of this definition, “<b>control</b>” means (i) the power, direct or indirect, to cause the direction or management of such entity, whether by contract or otherwise, or (ii) ownership of fifty percent (50%) or more of the outstanding voting
shares of such entity, or (iii) beneficial ownership of such entity.</span><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-ligatures:none"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:6.0pt;text-align:justify;text-indent:.25in;background:white">
<span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black;mso-ligatures:none">“<b>License</b>” shall mean the terms and conditions for use, reproduction, and distribution as defined by Sections 1 through 13 of this document.</span><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-ligatures:none"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:6.0pt;text-align:justify;text-indent:.25in;background:white">
<span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black;mso-ligatures:none">“<b>Licensor</b>” shall mean the copyright owner or entity authorized by the copyright owner that is granting the License.</span><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-ligatures:none"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:6.0pt;text-align:justify;text-indent:.25in;background:white">
<span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black;mso-ligatures:none">“<b>Object</b>” form shall mean any form resulting from mechanical transformation or translation of a Source form, including but not limited to compiled object
code, generated documentation, and conversions to other media types.</span><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-ligatures:none"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:6.0pt;text-align:justify;text-indent:.25in;background:white">
<span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black;mso-ligatures:none">“<b>Source</b>” form shall mean the preferred form for making modifications, including but not limited to software source code, documentation source, and configuration
files.</span><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-ligatures:none"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:6.0pt;text-align:justify;text-indent:.25in;background:white">
<span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black;mso-ligatures:none">“<b>You</b>” (or “<b>Your</b>”) shall mean an individual or Legal Entity exercising permissions granted by this License.</span><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-ligatures:none"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:6.0pt;text-align:justify;text-indent:.25in;background:white">
<span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black;mso-ligatures:none">“<b>Work</b>” shall mean the work of authorship, whether in Source or Object form, data, graphs, models, or in text or non-code form, made available under the
License, as may be indicated by a copyright notice included in or attached to the work (an example of such notice is provided in Section 5(b), below).</span><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-ligatures:none"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:6.0pt;text-align:justify;background:white">
<a name="copyright"><b><u><span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black;mso-ligatures:none">2. Grant of License</span></u></b></a><span style="mso-bookmark:copyright"></span><span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black;mso-ligatures:none">.
Subject to the terms and conditions of this License, each Contributor hereby grants to You a perpetual, worldwide, non-exclusive, no-charge, royalty-free, irrevocable license to use, reproduce, prepare Derivative Works of, publicly display, publicly perform,
sublicense, and to distribute the Work, and Derivative Works, in Source or Object form.
</span><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-ligatures:none"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:6.0pt;text-align:justify;background:white">
<a name="patent"><b><u><span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black;mso-ligatures:none">3. No Patent Litigation</span></u></b></a><span style="mso-bookmark:patent"></span><span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black;mso-ligatures:none">.
This License does not include any express or implied license to any invention, patentable subject matter, or patent, of any kind or nature, nor in any jurisdiction in the world that is not necessary to exploit the rights granted in Section 2. If You institute
patent litigation against any entity (including a cross-claim or counterclaim in a lawsuit) alleging that the Work or a Contribution incorporated within the Work constitutes direct or contributory patent infringement, then any patent licenses granted to You
relative to the Work shall terminate as of the date such litigation is filed.</span><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-ligatures:none"><o:p></o:p></span></p>
<p class="MsoNormal" style="text-align:justify;background:white"><a name="redistribution"><b><u><span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black;mso-ligatures:none">4. Redistribution</span></u></b></a><span style="mso-bookmark:redistribution"></span><span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black;mso-ligatures:none">.
You may reproduce and distribute copies of the Work or Derivative Works thereof in any medium, with or without modifications, and in Source or Object form, provided that You meet the following conditions:</span><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-ligatures:none"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-left:.5in;text-align:justify;text-indent:-.25in;background:white">
<span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black;mso-ligatures:none">(a) You must give any other recipients of the Work or Derivative Works a copy of this License; and</span><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-ligatures:none"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-left:.5in;text-align:justify;text-indent:-.25in;background:white">
<span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black;mso-ligatures:none">(b) You must cause any modified files to carry prominent notices stating that You changed the files; and</span><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-ligatures:none"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-left:.5in;text-align:justify;text-indent:-.25in;background:white">
<span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black;mso-ligatures:none">(c) You must retain, in the Source form of any Derivative Works (and screens generated by the Object form) that You distribute, all copyright, patent, trademark,
and attribution notices from the Source form of the Work, excluding those notices that do not pertain to any part of the Derivative Works; and</span><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-ligatures:none"><o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:6.0pt;margin-left:.5in;text-align:justify;text-indent:-.25in;background:white">
<span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black;mso-ligatures:none">(d) You must follow the attribution and copyright notice requirements of this License.</span><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-ligatures:none"><o:p></o:p></span></p>
<p class="MsoNormal" style="text-align:justify;background:white"><b><u><span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black;mso-ligatures:none">5. Attribution and Copyright Notice</span></u></b><span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black;mso-ligatures:none">.
</span><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-ligatures:none"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-left:.5in;text-align:justify;text-indent:-.25in;background:white">
<span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black;mso-ligatures:none">(a) If the Work includes a “<b>NOTICE</b>” text file as part of its distribution, then any Derivative Works that You distribute must include a readable copy of
the attribution notices contained within such NOTICE file, excluding those notices that do not pertain to any part of the Derivative Works, in at least one of the following places: within a NOTICE text file distributed as part of the Derivative Works; within
the Source form or documentation, if provided along with the Derivative Works; or, within a display generated by the Derivative Works, if and wherever such third-party notices normally appear. The contents of the NOTICE file are for informational purposes
only and do not modify the License. You may add Your own attribution notices within Derivative Works that You distribute, alongside or as an addendum to the NOTICE text from the Work, provided that such additional attribution notices cannot be construed as
modifying the License.</span><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-ligatures:none"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-left:.5in;text-align:justify;text-indent:-.25in;background:white">
<span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black;mso-ligatures:none">(b) In marketing Your Derivative Work, You, and Your sublicensee as applicable, shall acknowledge Licensor by conspicuously marking any promotional materials and
any portion of the Software included with or integrated into Derivative Work You sublicense with the conspicuous following statement and attribution, or conspicuously including a permanent link to such a statement:
<i>Dr. Abe Albert, Dr. Betty Bonnet, Dr. Charlie Caplin Copyright © 202_ [LICENSOR NAME]. Licensed with permission. Portions of this software may also be subject to other copyrights.</i></span><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-ligatures:none"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-left:.5in;text-align:justify;text-indent:-.25in;background:white">
<span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black;mso-ligatures:none">(c) You may add Your own copyright and attribution statement to Your modifications and may provide additional or different license terms and conditions for use,
reproduction, or distribution of Your modifications, or for any such Derivative Works as a whole, provided Your use, reproduction, and distribution of the Work and Your Derivative Work otherwise complies with this License.</span><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-ligatures:none"><o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:6.0pt;margin-left:.5in;text-align:justify;text-indent:-.25in;background:white">
<span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black;mso-ligatures:none">(d) For purposes of determining attribution, the conduct of a scientific experiment or other research project has many components, including formulation of a hypothesis,
development or application of methods, collection of data, analysis of results and creation of a public description of the work. To the degree that contributions to any of these components require not only technical skills but also intellectual input, they
are appropriately recognized by authorship.</span><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-ligatures:none"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:6.0pt;text-align:justify;background:white">
<a name="contributions"><b><u><span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black;mso-ligatures:none">6. Submission of Contributions</span></u></b></a><span style="mso-bookmark:contributions"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black;mso-ligatures:none">.
Any Contribution intentionally submitted for inclusion in the Work by You to Licensor shall be under and subject to the terms and conditions of this License, without any other terms or conditions. You shall require, and shall be deemed to have required, that
all Your sublicensees agreed in writing to be bound by the applicable terms and conditions of this License.</span></span><span style="mso-bookmark:contributions"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-ligatures:none"><o:p></o:p></span></span></p>
<p class="MsoNormal" style="margin-bottom:6.0pt;text-align:justify;background:white">
<span style="mso-bookmark:contributions"><a name="trademarks"><b><u><span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black;mso-ligatures:none">7. Included Data; Personal Information</span></u></b></a></span><span style="mso-bookmark:trademarks"></span><span style="mso-bookmark:contributions"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black;mso-ligatures:none">.
The Work may include data, graphs, and models, and if so You may use and modify the data, graphs, and models. However, You have no license to any protected health information (PHI), or other personal information collected by or included by Licensor, whether
or not de-identified or aggregated. Licensor has no obligation under this License to provide any such personal information, or to validate any data generated by the use of the Work. For purposes of this License “<b>personal information</b>” means any information
relating to an identified or identifiable natural person, including PHI. Licensor has attempted to
</span></span><span style="mso-bookmark:contributions"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black">delete all copies of such personal information in the data, and will undertake to ensure that the Work does not contain any
data with personal information. If despite Licensor’s efforts in this regard, You identify any personal information in the data, You agree not to use such personal information and to promptly delete all copies of such personal information in Your possession,
use or control, and to inform Licensor promptly of the foregoing so that it can remove such personal data from future transmissions of the Work.</span></span><span style="mso-bookmark:contributions"></span><span style="mso-bookmark:contributions"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-ligatures:none"><o:p></o:p></span></span></p>
<p class="MsoNormal" style="margin-bottom:6.0pt;text-align:justify;background:white">
<span style="mso-bookmark:contributions"><b><u><span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black;mso-ligatures:none">8. No Implied Rights.</span></u></b></span><span style="mso-bookmark:contributions"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black;mso-ligatures:none">
Except for the limited rights and license expressly granted under this License, nothing in this License grants, by implication, waiver, estoppel, or otherwise, to You, or to any third-party, any intellectual property rights, or other right, title, or interest,
in or to any of the Work, or to any intellectual property rights of Licensor, any other Contributor, or any third party. You acknowledge and agree that the rights granted by Licensor under this License may not include all third-party rights, or software, necessary
to use or distribute the Work licensed under this License. You are responsible for obtaining and maintaining Your own licenses, at its own cost and expense, to any such third-party rights.</span></span><span style="mso-bookmark:contributions"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-ligatures:none"><o:p></o:p></span></span></p>
<p class="MsoNormal" style="margin-bottom:6.0pt;text-align:justify;background:white">
<span style="mso-bookmark:contributions"><b><u><span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black;mso-ligatures:none">9. Disclaimer of Warranties</span></u></b></span><span style="mso-bookmark:contributions"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black;mso-ligatures:none">.
THE Work LICENSED TO You UNDER THIS License IS PROVIDED BY Licensor AND Contributors “AS IS” AND WITHOUT ANY EXPRESS OR IMPLIED WARRANTIES, INCLUDING, BUT NOT LIMITED TO, THE WARRANTIES OF TITLE, MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, CONFORMANCE
WITH SAMPLES OR DEMONSTRATIONS, </span></span><span style="mso-bookmark:contributions"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black">VALIDITY OF LICENSED INTELLECTUAL PROPERTY, COMPATIBILITY WITH ANY SOFTWARE OR SYSTEMS, AND
THE ABSENCE OF LATENT OR OTHER DEFECTS, WHETHER OR NOT DISCOVERABLE, AND HEREBY DISCLAIMS THE SAME</span></span><span style="mso-bookmark:contributions"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black;mso-ligatures:none">. IN
NO EVENT SHALL Licensor AND SUBSEQUENT Contributors BE LIABLE FOR ANY DIRECT, INDIRECT, INCIDENTAL, SPECIAL, EXEMPLARY, OR CONSEQUENTIAL DAMAGES (INCLUDING, BUT NOT LIMITED TO, PROCUREMENT OF SUBSTITUTE GOODS OR SERVICES; LOSS OF USE, DATA, OR PROFITS; OR
BUSINESS INTERRUPTION) HOWEVER CAUSED AND ON ANY THEORY OF LIABILITY, WHETHER IN CONTRACT, STRICT LIABILITY, OR TORT (INCLUDING NEGLIGENCE OR OTHERWISE) ARISING IN ANY WAY OUT OF THE USE OF THE WORK, EVEN IF ADVISED OF THE POSSIBILITY OF SUCH DAMAGE. Licensor
MAKES NO WARRANTY OR REPRESENTATION (i) REGARDING THE VALIDITY OR SCOPE OF ANY OF THE LICENSED INTELLECTUAL PROPERTY, AND (ii) THAT THE EXPLOITATION OF THE LICENSED INTELLECTUAL PROPERTY OR THE SOFTWARE OR DOCUMENTATION, OR THAT ANY SOFTWARE OR DOCUMENTATION
WILL NOT INFRINGE ANY PATENTS OR OTHER INTELLECTUAL PROPERTY RIGHTS OF LICENSOR OR OF ANY THIRD PARTY. You are solely responsible for determining the appropriateness of using or redistributing the Work and assume any risks associated with Your exercise of
permissions under this License.</span></span><span style="mso-bookmark:contributions"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-ligatures:none"><o:p></o:p></span></span></p>
<p class="MsoNormal" style="margin-bottom:6.0pt;text-align:justify;background:white">
<span style="mso-bookmark:contributions"><b><u><span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black;mso-ligatures:none">10. No Trademark or Name License</span></u></b></span><span style="mso-bookmark:contributions"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black;mso-ligatures:none">.
This License does not grant permission to use the trade names, trademarks, service marks, or product names of the Licensor, except as required for reasonable and customary use in describing the origin of the Work and reproducing the content of the NOTICE file.
Except as provided in the preceding sentence, You shall not use any mark or name of Licensor, or anything confusingly similar thereto or to any Internet website or Universal Resource Locator of Licensor, nor any name of any trustee, director, officer, staff
member, employee, student or agent of Licensor, or any adaptation thereof in any advertising, promotional or sales literature, publicity or in any document employed to obtain funds or financing without the prior express written approval, in each instance,
of Licensor and any individual whose name is to be used or mentioned.</span></span><span style="mso-bookmark:contributions"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-ligatures:none"><o:p></o:p></span></span></p>
<p class="MsoNormal" style="margin-bottom:6.0pt;text-align:justify;background:white">
<span style="mso-bookmark:contributions"><b><u><span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black;mso-ligatures:none">11.
</span></u></b></span><b><u><span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black;mso-ligatures:none">Limitation of Liability</span></u></b><a name="no-liability"></a><span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black;mso-ligatures:none">.
</span><span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black">IN NO EVENT SHALL Licensor OR ANY Contributor, OR ANY OF THEIR AFFILIATES OR ANY OF THEIR RESPECTIVE TRUSTEES, DIRECTORS, OFFICERS, MEDICAL OR PROFESSIONAL STAFF, EMPLOYEES,
STUDENTS, VOLUNTEERS, AGENTS, AND/OR ATTORNEYS BE LIABLE TO You, OR ANY Contributor, OR ANY OF THEIR AFFILIATES, SUBCONTRACTORS, CUSTOMERS, SUBLICENSEES OR DISTRIBUTORS FOR INDIRECT, SPECIAL, INCIDENTAL OR CONSEQUENTIAL DAMAGES OF ANY KIND ARISING IN ANY WAY
OUT OF THIS License OR RIGHTS GRANTED HEREUNDER, HOWEVER CAUSED INCLUDING ON ANY THEORY OF LIABILITY, INCLUDING WITHOUT LIMITATION ECONOMIC DAMAGES OR INJURY TO PROPERTY OR LOST PROFITS, REGARDLESS OF WHETHER You OR ANY Contributor SHALL BE ADVISED, SHALL
HAVE OTHER REASON TO KNOW, OR IN FACT SHALL KNOW, OF THE POSSIBILITY OF ANY OF THE FOREGOING. SUBJECT IN ANY EVENT TO THE LIMITATIONS IN THE FOREGOING SENTENCE, THE LIABILITY OF You AND Your AFFILIATES OR ANY OF THEIR RESPECTIVE TRUSTEES, DIRECTORS, OFFICERS,
MEDICAL OR PROFESSIONAL STAFF, STUDENTS, VOLUNTEERS, EMPLOYEES, AGENTS AND ATTORNEYS, AND THEIR RESPECTIVE SUCCESSORS, HEIRS AND ASSIGNS, WITH RESPECT TO ANY AND ALL SUITS, ACTIONS, LEGAL PROCEEDINGS, CLAIMS, DEMANDS, DAMAGES, COSTS AND EXPENSES ARISING OUT
OF THE PERFORMANCE OR NON-PERFORMANCE OF ANY OBLIGATION UNDER THIS License WHETHER BASED ON CONTRACT, WARRANTY, TORT (INCLUDING WITHOUT LIMITATION NEGLIGENCE), STRICT LIABILITY, STATUTORY OR OTHERWISE SHALL NOT EXCEED IN THE AGGREGATE A SUM EQUAL TO THE TOTAL
AMOUNTS PAID TO Licensor OR THE Contributor, AS THE CASE MAY BE, UNDER THIS License. THE FOREGOING LIMITATION APPLIES NOTWITHSTANDING THE FAILURE OF ANY AGREED OR OTHER REMEDY OF ITS ESSENTIAL PURPOSE.</span><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-ligatures:none"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:6.0pt;text-align:justify;background:white">
<a name="additional"><b><u><span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black;mso-ligatures:none">12. Accepting Warranty or Additional Liability</span></u></b></a><span style="mso-bookmark:additional"></span><span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black;mso-ligatures:none">.
While redistributing the Work or Derivative Works thereof, You may choose to offer, and charge a fee for, acceptance of support, warranty, indemnity, or other liability obligations and/or rights consistent with this License. However, in accepting such obligations,
You may act only on Your own behalf and on Your sole responsibility, not on behalf of any other Contributor, and only if in Your license to Your sublicensees You also agree with each sublicensee to indemnify, defend, and hold each Contributor harmless form
any liability incurred by, or claims asserted against, each Contributor by reason of your accepting any such warranty or additional liability. You agree to be responsible to Licensor and liable for the acts and omissions of Your sublicensees that constitute
a breach of this License as if such acts or omissions were Your acts or omissions, and You shall be responsible for and indemnify Contributors for You and Your sublicensee’s compliance with this License. Your indemnification obligations under this License
mean that You, at Your </span><span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black">sole expense, shall indemnify, defend and hold harmless all Contributors and their owners, members and affiliates, sublicensees, subcontractors, and
distributors and each of their respective trustees, directors, officers, medical and professional staff, employees, students, volunteers, attorneys, and agents and their respective successors, heirs and assigns (the “<b>Indemnitees</b>”), against any and all
liability, damage (including direct, indirect, consequential and special damages), loss or expense (including reasonable attorneys’ fees and expenses)(each a “<b>Loss</b>”), incurred by or imposed upon the Indemnitees or any one of them in connection with
any third-party claims, suits, actions, investigations, demands, or judgments relating to or arising from, in whole or part: (i) any theory of contractual or product liability (including, but not limited to, actions in the form of contract, tort, warranty,
or strict liability) concerning the Software or any licensed product, product, process or service made, used, or sold or performed pursuant to any right or license granted under this License, or (ii) any claim by a third-party that any product, process or
service made, used, sold, or performed of or through You pursuant to any right or license granted under this License infringes any patent, copyright, trademark, trade secret, or other intellectual property, or breach of Your or Your sublicensees obligations
under this License; except to the extent You can demonstrate by clear and convincing evidence that a Loss as described in this Section directly results from the gross negligence or intentional misconduct of Contributors.
<a name="_Hlk173337683"></a></span><span style="mso-bookmark:_Hlk173337683"><span style="font-size:12.0pt;font-family:"Times New Roman",serif"><o:p></o:p></span></span></p>
<p class="MsoNormal" style="margin-bottom:6.0pt;text-align:justify;background:white">
<span style="mso-bookmark:_Hlk173337683"><b><u><span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black">13. Interpretation.</span></u></b></span><span style="mso-bookmark:_Hlk173337683"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black">
The section and other headings are for convenience of reference only and shall not be definitive of the interpretation of this License. Whenever the context reasonably permits, the singular shall include the plural, the plural shall include the singular, and
the whole shall include any part thereof.</span></span><span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black"> Any waiver of this License must be in writing and any waiver of one event shall not be construed as a waiver of subsequent
events. If any provision of this License is invalid or unenforceable under applicable law, such provision shall be limited, narrowed, construed and altered as necessary to render it valid, but only to the extent necessary to achieve such validity. If necessary,
the invalid provision shall be eliminated from this License. The remaining provisions shall remain in full force and effect. You may not assign or transfer this License.</span><span style="font-size:12.0pt;font-family:"Times New Roman",serif"><o:p></o:p></span></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><b><span style="font-family:"Calibri Light",sans-serif;color:#009CA6;mso-ligatures:none">__________________</span></b><span style="mso-ligatures:none"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:16.0pt;font-family:"Calibri Light",sans-serif;color:black;mso-ligatures:none">Marvin Barksdale, JD</span><span style="mso-ligatures:none"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="mso-ligatures:none"><o:p> </o:p></span></p>
</div>
<p class="MsoNormal">The information in this e-mail is intended only for the person to whom it is addressed. If you believe this e-mail was sent to you in error and the e-mail contains patient information, please contact the Mass General Brigham Compliance HelpLine at <a href="https://www.massgeneralbrigham.org/complianceline">https://www.massgeneralbrigham.org/complianceline</a> .</p><br>
<p class="MsoNormal">Please note that this e-mail is not secure
(encrypted). If you do not wish to continue communication over
unencrypted e-mail, please notify the sender of this message immediately. Continuing to send or respond to e-mail after receiving this message means you
understand and accept this risk and wish to continue to communicate over
unencrypted e-mail. </p></body>
</html>