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FETALİST PATIENT CONSENT FORM

INTRODUCTION

FetalİST is the doctor of the future that combines the art of health and the engineering of the data. It focuses on congenital problems that could be detected and treated during the fetal period. It touches the patient with the warm and kind hands of a physician and collaborates with the doctors in the field. It shares the experiences worldwide in the most updated form. In 2015, the Global Burden of Disease study highlighted that congenital anomalies have risen to become the 5th leading cause of death in children under 5-years of age globally. Almost a third of infant deaths worldwide are attributed to congenital anomalies. This equates to approximately half a million deaths from congenital anomalies each year, 97% of which are in low- and middle-income countries (LMICs). This is likely to be an underestimation of the actual number of deaths due to under-diagnosis of neonates with congenital anomalies who die in the community and a lack of death certification in many LMICs. You are being asked to give permission about your health data to be used in further analysis for the improvement of the algorithm currently used. Before agreeing to give permission for your data to be used, it is important that you read and understand the following explanations. It describes, in words that can be understood by a lay person, the purpose, procedures, benefits, risks and discomforts of this permission and the precautions that will be taken. THE TEAM This algorithm has been created and validated by the members of FetalİST Company who are doctors and engineers in the field. THE VISION FetalIST will be the leader in improving child health. THE MISSION FetalİST has a mission to enable its knowledge and experience to be available all children worldwide. HOW LONG WILL YOUR DATA BE IN THE SYSTEM? Your data will be saved anonymously forever. If the company is shut down, any data that enables the identification of the patient will be deleted. WHAT KIND OF DATA IS SAVED? Your personal data processed by The Company is categorized according to (i) the Law for Protection of Personal Data (“Law”); and (ii) General Data Protection Regulation (“GDPR”) as provided for in the following. Unless expressly stated otherwise, the terms "personal data" under the terms and conditions of this Consent Form shall cover the following information. • Identity and Contact Information: name, surname, phone, birthdate, gender, address, workplace information, e-mail address • Information About the User, User Transaction Data and Financial Information: membership data, membership ID number, data on the date and time of using The Company services, reasons for communication with The Company, terms you use when searching at the Site and filtering preferences, preferences, pages you have visited, errors during use. • Transaction Security Information: log in credential information, password information • Marketing Information: reports and evaluations showing your habits and likes, notifications, targeting information, and information on cookie records, etc. • Complaint Management Information: Complaints you make through the Site • Risk Management Information: IP address • User generated Information: shared photos, shared reports Data anonymized under Articles 3 and 7 of the Law will not be considered as personal data in accordance with the provisions of the said law and the processing of such data will be conducted without being bound with the provisions of this Privacy Policy. Please apply to the Company whether your data is being processed.

WHAT IS THE PURPOSE OF USE OF YOUR DATA?

Personal data you share with The Company may be processed for making your membership registration on the Site, updating the membership registration, conducting commercial activities including improvement of the services offered by The Company and providing new services through the Site, and providing you with information on these activities, determining and implementing commercial and business strategies, ensuring legal and commercial security of the persons who are in business relationship with The Company and providing necessary information to you and fulfilling responsibilities arising from the nature of these activities to allow you to utilize the services provided through the Site. Such personal information may be used to communicate with you or to improve your experience on the Site (such as managing the communication management process, conducting research on customer satisfaction, etc.), and also to perform internal reporting and business development, and to make various statistical evaluations without disclosing your identity, to create database and perform market research. This information can be processed, stored and transmitted to third parties by The Company for the purposes of direct marketing, digital marketing, remarketing, targeting, profiling and analysis, and you may be contacted for promotion, maintenance and support activities on various applications, products via the aforementioned information. The Company will also be able to process and share your personal data with third parties, pursuant to Articles 5 and 8 of the Law, and/or in the presence of exceptions under the applicable law, without obtaining your consent as Data Owner. Such conditions mainly include: • If clearly prescribed in the law, • If necessary to protect the life or physical integrity of a person or third parties, where the person is unable to explain his consent or the consent of such person is not legally accepted, • If the processing of personal data is required for performance or execution of an agreement between the Data Owner and The Company, • If it is compulsory for The Company to fulfill its legal obligations, • If it has been revealed to the public by the Data Owner, • If its compulsory for the establishment, use or protection of a right, • Data must be processed for the legitimate interests of The Company, provided that it does not jeopardize fundamental rights and freedoms of the Data Owner. As mentioned above, The Company will be able to use cookies and transmit data to third parties for processing purposes only to the extent required by such third party to generate analysis services based on the data in question. The technical communication files mentioned above are the small text files that the Site sends to the browser of the Data Owner for storage in the main memory. The technical communication file makes the use of the Site more convenient by storing status and preference settings for the website. The technical communication file is designed and used for helping to generate statistical information on the number of people who use internet sites in what proportion of the time, the number of times a person visits a website, the number of times they have visited a particular website, the amount of time they have stayed at the site; and to dynamically generate advertisements and content from user pages specially designed for users. The technical communication file is not designed to receive any other personal data from the main memory. Most browsers are configured to accept the technical communication file by default; however, users can always change the browser settings so that the technical communication file is blocked or a notification is made upon receiving a technical communication file. THE METHOD AND LEGAL REASON OF COLLECTING YOUR PERSONAL DATA Your personal data are obtained and processed by Company through Company website and its affiliated websites, with entirely or partly automatic methods, or non-automatic/physical methods provided that it is part of a data recording system, depending on your type of communication with the Company. Your personal data are processed with your explicit consent as per Article 5/1. Additionally, should conditions provide, your personal data may be processed in order to conclude, execute and terminate a relevant contract with you, if any, as per Article 5/2/c; in order for the Company to be able to perform its legal obligations such as storing commercial electronic communications as per Article 5/2/ç; in case data processing is mandatory for the establishment, exercise, or protection of any right as per Article 5/2/e; and in case data processing is mandatory for the legitimate interests of the data controller provided that this processing shall not violate the fundamental rights and freedoms of the data subjects as per Article 5/2/f. To Which Parties and For What Purposes Your Personal Data May Be Transferred Your personal data may be shared with and transferred to ongoing business partners, intermediary service providers, real or legal entities that provides various services, suppliers and consultants, for purposes such as fulfilling the abovementioned data processing Purposes, sending electronic mails, processing, storing and protecting data, in line with legal limitations and to the extent of the necessity and purpose of such transfer, in line with the abovementioned Purposes and in accordance with the Articles 8 and 9 of the Law. Personal data may be transferred to real or legal entities residing in Turkey as well as abroad on the condition that they shall be processed in Turkey or processed and stored outside Turkey (to countries that have sufficient measures regarding the protection of personal data and/or to countries falling short of such measures provided that the conditions specified by the Personal Data Protection Law shall be satisfied). Furthermore, personal data may be shared with public bodies or institutions authorized to demand and obtain such data out of legal necessity.

WHAT ARE THE RISKS AND DISCOMFORTS?

Since the identifying data will be kept separately out of the server, you personally do not have any risk of loosing your data. HOW WILL INFORMATION ABOUT YOUR CHILD BE KEPT PRIVATE AND CONFIDENTIAL? FetalİST will take the following precautionary measures to protect your privacy and confidentiality of your data and/or medical records. All data abstracted from your medical records will be entered into a password protected, cloud database and kept strictly confidential. All data management and analysis will be accomplished by the artificial intelligence algorithm. None of the information will be disclosed that would identify you. A copy of this consent form will be included in your records. By signing this consent form you are giving permission fro representatives of FetalİST to inspect your data. WHO DO YOU CALL IF YOU HAVE QUESTIONS OR PROBLEMS? For questions, concerns, or complaints about using FetalİST, you can contact team via email (info@fetal.ist). A member of the team will answer your questions you may have any time. AUTHORIZATION FOR USE/DISCLOSURE OF HEALTH INFORMATION In order to be evaluated via FetalİST you must give your permission/authorization to use and disclose your protected health information. WHAT PROTECTED HEALTH INFORMATION WILL BE USED? FetalİST will need to use your protected health information to reach a diagnosis. This protected health information will come from the data you entered and the documents you uploaded to the system. The types of information that will be used from these records include: • Laboratory test results, diagnosis, and medications • Reports and notes from clinical and research observations • Imaging (USG scans, MRI scans, x-rays, etc.) studies and reports • If applicable, information concerning HIV testing or the treatment of AIDS or AIDS-related conditions, drug or alcohol abuse, drug-related conditions, alcoholism, and/or psychiatric/psychological conditions (but not psychotherapy notes). HOW WILL YOU KNOW THAT YOUR PROTECTED HEALTH INFORMATION IS NOT MISUSED? The team members of FetalİST that receive your protected health information are limited how they can use your protected health information. Moreover, they are bounded by national and international privacy laws to protect your protected health information. RIGHTS OF DATA SUBJECT UNDER THE LAW ARTICLE 11 As personal data owners, you are entitled • to learn whether or not your personal data have been processed; • to request information as to processing if your data have been processed; • to learn the purpose of processing of the personal data and whether data are used in accordance with their purpose; • to know the third parties in the country or abroad to whom personal data have been transferred; • to request rectification in case personal data are processed incompletely or inaccurately; • to request deletion or destruction of personal data within the framework of the conditions set forth under article 7; • to request notification of the operations made as per indents (d) and (e) to third parties to whom personal data have been transferred; • to object to occurrence of any result that is to your detriment by means of analysis of personal data exclusively through automated systems; • to request compensation for the damages in case the person incurs damages due to unlawful processing of personal data by applying to the Company. As personal data owners, in case you deliver your claims related to your rights to the Company, your claim will be concluded as soon as possible or, at the latest, within 30 (thirty) days depending on the nature of the claim. In case this transaction brings an extra cost, a compensation will be requested from you as per the rates determined by the Personal Data Protection Board. CAN YOU CHANGE YOUR MIND? Unfortunately, for the system to be evaluate your data to reach a diagnosis you need to keep your data in the system forever. However, if you still wish to withdraw your protected health information from the system you can still contact with FetalİST (info@fetal.ist). Each query will be evaluated in a case base. WILL THIS PERMISSION EXPIRE? Your permission will not expire unless the company will shut down.

SIGNATURES

The patient has read the information given above and had enough time to consider if he/she wants to share his/her protected health information to be evaluated by FetalİST. You will receive a copy of this signed document for your records. Please type your name, date of birth and date of today.

INTERNATIONAL DATA TRANSFER

Your personal data may be shared with and transferred to ongoing business partners, intermediary service providers, real or legal entities that provides various services, suppliers and consultants, for purposes such as fulfilling the abovementioned data processing Purposes, sending electronic mails, processing, storing and protecting data, in line with legal limitations and to the extent of the necessity and purpose of such transfer, in line with the abovementioned Purposes and in accordance with the Articles 8 and 9 of the Law. Personal data may be transferred to international real or legal entities and processed and stored internationally (to countries that have sufficient measures regarding the protection of personal data and/or to countries falling short of such measures provided that the conditions specified by the Personal Data Protection Law shall be satisfied).