POLICY

Clinical Photography and Medical Imaging Policy

Purpose

Clinical photography and medical imaging are important components of modern dermatological care.

Drummond Dermatology uses clinical photographs and dermatoscopic images to assist diagnosis, monitor skin conditions over time, evaluate treatment outcomes and maintain accurate medical records.

This policy explains how images are collected, used, stored and protected.

This policy should be read in conjunction with the Practice Privacy Policy and Telehealth Policy.

Why Clinical Photographs Are Taken

Clinical photographs and medical images may be taken to:

  • Assist diagnosis of skin conditions
  • Monitor changes in skin lesions over time
  • Assess treatment response
  • Document clinical findings
  • Facilitate communication with other healthcare practitioners involved in your care
  • Maintain an accurate medical record

Photographs often provide valuable information that cannot be adequately documented through written descriptions alone.

Types of Images Collected

Images may include:

  • Clinical photographs
  • Dermatoscopic images
  • Sequential digital dermoscopic imaging
  • Total body photography
  • Procedural photographs
  • Clinical photographs submitted by patients
  • Images obtained during telehealth consultations

Consent

Drummond Dermatology respects patient autonomy and privacy.

Patients will generally be informed before photographs are taken.

Consent may be:

  • Verbal
  • Written
  • Implied through participation in the consultation

Patients may decline photography.

However, refusal may limit the ability to:

  • Diagnose certain conditions
  • Monitor skin lesions accurately
  • Assess treatment outcomes
  • Provide optimal clinical care

The decision whether photography is clinically necessary remains a matter of professional judgement.

Photography of Children

For children and young people, consent will generally be obtained from:

  • A parent
  • Legal guardian
  • Person authorised to make healthcare decisions

Where appropriate, the child’s wishes and understanding will also be considered.

The dignity and privacy of children will always be respected.

Sensitive Body Areas

Extra care is taken when photographing sensitive areas of the body.

Photographs of genital, perianal, breast or other sensitive areas will only be taken where clinically necessary.

Patients may request:

  • The presence of a support person
  • Additional explanation regarding the purpose of photography

Such requests will be accommodated whenever possible.

Medical Record Status

Clinical photographs and dermatoscopic images form part of the medical record.

As medical records, images:

  • Must be retained in accordance with legal requirements
  • May be reviewed during future consultations
  • Cannot generally be deleted at the request of a patient
  • May be required for ongoing clinical care, medicolegal purposes or regulatory obligations

Medical records are retained in accordance with Australian legal requirements.

Use for Clinical Care

Clinical photographs may be viewed by:

  • Dr Catherine Drummond
  • Authorised practice staff performing administrative functions
  • Other healthcare practitioners involved in your care

Images may be included in:

  • Referral letters
  • Specialist correspondence
  • Reports to treating practitioners

where clinically relevant.

Where possible, secure healthcare communication systems will be used.

Images Provided by Patients

Patients may occasionally send photographs to the practice by email or other approved methods.

Patients should be aware that:

  • Email is not a secure form of communication
  • Electronic transmission carries privacy risks
  • Image quality may not be adequate for diagnosis

Images voluntarily provided by patients may be incorporated into the medical record.

Submission of photographs constitutes consent for their use in clinical assessment and record keeping.

Telehealth and Clinical Photography

Photographs submitted before or during telehealth consultations may assist assessment.

However:

  • Image quality may be insufficient
  • Important clinical findings may not be visible
  • Physical examination cannot be performed

A face-to-face consultation may still be required.

Teaching, Research and Publication

Clinical images will not be used for:

  • Teaching
  • Research
  • Publications
  • Presentations
  • Marketing
  • Social media

without separate specific consent.

Patients may decline consent for these purposes without any impact on their clinical care.

Consent for clinical care does not imply consent for teaching, publication or research.

Storage and Security

Clinical photographs are stored within secure medical record systems and protected by:

  • Password-controlled access
  • User-specific access permissions
  • Multi-factor authentication where available
  • Secure cloud-based storage systems
  • Practice cybersecurity measures

Access is restricted to authorised persons.

The practice takes reasonable steps to protect images from misuse, loss, unauthorised access, modification or disclosure.

Privacy and Confidentiality

Clinical photographs are treated as confidential health information.

Images are managed in accordance with:

  • Privacy Act 1988 (Cth)
  • Australian Privacy Principles
  • Relevant health records legislation
  • Practice Privacy Policy

Images will not be disclosed except:

  • For clinical purposes
  • With patient consent
  • Where required or authorised by law

Retention of Images

Clinical photographs are retained as part of the medical record for the periods required by law.

Generally:

  • Adult records are retained for at least seven years after the last clinical entry.
  • Records relating to children are retained until at least the patient’s twenty-fifth birthday.

Images may be retained longer where clinically or legally necessary.

Questions and Concerns

Patients who have concerns regarding clinical photography are encouraged to discuss them with Dr Catherine Drummond before photographs are taken.

The practice will endeavour to answer questions and address concerns while maintaining appropriate clinical standards.

Related Policies

Policy Information

Policy: Clinical Photography and Medical Imaging Policy
Version: 2.0
Effective Date: 1 June 2026
Review Date: 1 June 2028
Approved By: Dr Catherine Drummond
Related Legislation: Privacy Act 1988 (Cth), Australian Privacy Principles

 

Drummond Dermatology

Suite 16, Francis Chambers
40-42 Corinna St, Phillip ACT 2606

The best way to contact us is via email

Office Hours
Monday: Closed
Tuesdays and Thursdays: 9.00am – 4.00pm
Wednesdays: 9.00am – 3.00pm
Friday: 9.00am – 2.00pm

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Drummond Dermatology pays respect to all First Nations Australians on whose traditional lands we meet and work, and whose cultures are among the oldest continuing cultures in human history.