多方主體平行享有醫(yī)療數據產權的制度設計
網絡安全與數據治理
劉云,玄立杰
清華大學智能法治研究院
摘要: 隨著醫(yī)療活動的數字化、智能化發(fā)展,原本作為診療活動副產品的醫(yī)療數據,日益具備獨立的數據財產價值,患者、醫(yī)療機構、行業(yè)其他機構都具有參與數據財產權分配的資格。將醫(yī)療數據劃分為提供型、觀察型和加工型三類數據,依據“數據二十條”提出的數據產權結構性分置方案,構建了分類確權授權制度。患者對于由其促成產生的提供型數據具有完整數據持有權、使用權和經營權,醫(yī)療機構可以通過授權協(xié)議的方式繼受取得相應的數據產權。患者、醫(yī)療機構可以平行享有觀察型數據的財產權,并可以分別獨立地行使相應的數據權利,其條件是不損害對方的合法利益。醫(yī)療機構和其他行業(yè)機構可以基于衍生創(chuàng)造取得加工型數據的財產權,同時也有必要在未來的立法中將國家機構的共享決定、授權運營決定作為法定取得數據財產權的方式。
中圖分類號:D922.16;D922.17文獻標識碼:ADOI:10.19358/j.issn.2097-1788.2025.05.008
引用格式:劉云,玄立杰. 多方主體平行享有醫(yī)療數據產權的制度設計[J].網絡安全與數據治理,2025,44(5):49-56,63.
引用格式:劉云,玄立杰. 多方主體平行享有醫(yī)療數據產權的制度設計[J].網絡安全與數據治理,2025,44(5):49-56,63.
A systematic design for parallel entitlement to medical data property rights among multiple subjects
Liu Yun,Xuan Lijie
Institute for Studies on Artificial Intelligence and Law, Tsinghua University
Abstract: With the digital and intelligent development of medical activities, medical data, which was originally a by-product of diagnosis and treatment activities has increasingly acquired independent data property value. Patients, medical institutions, and other industry institutions all have the qualifications to participate in the allocation of data property rights. This paper divides medical data into three categories: provision-type, observation-type, and processing-type data. Based on the structural separation scheme of data property rights proposed in the "Twenty Provisions on Data", a classified system for confirming and authorizing property rights is constructed. Patients have complete data holding rights, usage rights, and operational rights over provision-type data generated through their contributions. Medical institutions can acquire corresponding data property rights through authorization agreements. Patients and medical institutions can parallelly enjoy property rights over observation-type data and independently exercise corresponding data rights, provided that they do not harm the legitimate interests of the other party. Medical institutions and other industry institutions can acquire property rights over processing-type data based on derivative creation. At the same time, it is necessary to include the sharing decisions and authorized operation decisions of state institutions as statutory methods of acquiring data property rights in future legislation.
Key words : medical data; data property rights; public data; patients′ personal information
引言
隨著醫(yī)療活動的數字化、智能化發(fā)展,醫(yī)療數據不再僅僅是診療活動的副產品,而是通過數據驅動發(fā)揮著改善患者健康、促進醫(yī)療機構診療水平提升、推動藥企新藥研發(fā)、提升政府部門傳染病監(jiān)測預警等多元資源價值。國家數據局等十七部門發(fā)布《“數據要素×”三年行動計劃(2024—2026年)》明確將醫(yī)療健康確定為重點領域,推動醫(yī)療數據在臨床決策、藥物研發(fā)、健康管理等方面的流通利用。北京市在2023年選取安定醫(yī)院、安貞醫(yī)院等6家三甲醫(yī)院開展醫(yī)療數據流通試點,涵蓋骨科治療數據資產化、大模型訓練等場景。2024年試點擴大至22家醫(yī)院,年底已有部分醫(yī)院完成數據交易項目。此類實踐推動了醫(yī)療數據從資源到資產的轉化,為數據流通奠定了基礎。與此同時,絕大多數醫(yī)療機構依然對自身哪些數據可以形成數據產品缺乏指引,醫(yī)療數據之上承載的患者個人信息、不同機構之間的利益協(xié)調問題阻礙了醫(yī)療機構參與數據流通交易的積極性,一系列的障礙最終都引出一個根本性的問題:醫(yī)療數據如何確權?本文探討醫(yī)療機構、患者和行業(yè)其他機構在醫(yī)療數據生成過程中所發(fā)揮的作用,在“數據二十條”確定的方向上探索多方平行享有醫(yī)療數據產權的制度方案。
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作者信息:
劉云,玄立杰
(清華大學智能法治研究院,北京100084)
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