Responsible use of MIMIC data with online services like GPT

We have received inquiries regarding the use of credentialed data (MIMIC-III, MIMIC-IV, MIMIC-CXR) with online services such as GPT. The PhysioNet Credentialed Data Use Agreement explicitly prohibits sharing access to the data with third parties, including sending it through APIs provided by companies like OpenAI, or using it in online platforms like ChatGPT.

If you are interested in using the GPT family of models, we suggest using one of the following services:

• Azure OpenAI service. You'll need to opt out of human review of the data via this form. Reasons for opting out are: 1) you are processing sensitive data where the likelihood of harmful outputs and/or misuse is low, and 2) you do not have the right to permit Microsoft to process the data for abuse detection due to the data use agreement you have signed.
• Amazon Bedrock. Bedrock provides options for fine-tuning foundation models using private labeled data. After creating a copy of a base foundation model for exclusive use, data is not shared back to the base model for training.
• Google's Gemini via Vertex AI on Google Cloud Platform. Gemini doesn't use your prompts or its responses as data to train its models. If making use of additional features offered through the Gemini for Google Cloud Trusted Tester Program, you should obtain the appropriate opt-outs for data sharing, or otherwise not perform tasks that require the sharing of data.

If you have any questions about this policy, feel free to reach out: https://physionet.org/about/#contact_us