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多方主體平行享有醫(yī)療數(shù)據(jù)產(chǎn)權(quán)的制度設(shè)計(jì)
網(wǎng)絡(luò)安全與數(shù)據(jù)治理
劉云,玄立杰
清華大學(xué)智能法治研究院
摘要: 隨著醫(yī)療活動(dòng)的數(shù)字化、智能化發(fā)展,原本作為診療活動(dòng)副產(chǎn)品的醫(yī)療數(shù)據(jù),日益具備獨(dú)立的數(shù)據(jù)財(cái)產(chǎn)價(jià)值,患者、醫(yī)療機(jī)構(gòu)、行業(yè)其他機(jī)構(gòu)都具有參與數(shù)據(jù)財(cái)產(chǎn)權(quán)分配的資格。將醫(yī)療數(shù)據(jù)劃分為提供型、觀察型和加工型三類數(shù)據(jù),依據(jù)“數(shù)據(jù)二十條”提出的數(shù)據(jù)產(chǎn)權(quán)結(jié)構(gòu)性分置方案,構(gòu)建了分類確權(quán)授權(quán)制度。患者對(duì)于由其促成產(chǎn)生的提供型數(shù)據(jù)具有完整數(shù)據(jù)持有權(quán)、使用權(quán)和經(jīng)營(yíng)權(quán),醫(yī)療機(jī)構(gòu)可以通過(guò)授權(quán)協(xié)議的方式繼受取得相應(yīng)的數(shù)據(jù)產(chǎn)權(quán)。患者、醫(yī)療機(jī)構(gòu)可以平行享有觀察型數(shù)據(jù)的財(cái)產(chǎn)權(quán),并可以分別獨(dú)立地行使相應(yīng)的數(shù)據(jù)權(quán)利,其條件是不損害對(duì)方的合法利益。醫(yī)療機(jī)構(gòu)和其他行業(yè)機(jī)構(gòu)可以基于衍生創(chuàng)造取得加工型數(shù)據(jù)的財(cái)產(chǎn)權(quán),同時(shí)也有必要在未來(lái)的立法中將國(guó)家機(jī)構(gòu)的共享決定、授權(quán)運(yùn)營(yíng)決定作為法定取得數(shù)據(jù)財(cái)產(chǎn)權(quán)的方式。
中圖分類號(hào):D922.16;D922.17文獻(xiàn)標(biāo)識(shí)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(shù)據(jù)產(chǎn)權(quán)的制度設(shè)計(jì)[J].網(wǎng)絡(luò)安全與數(shù)據(jù)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(dòng)的數(shù)字化、智能化發(fā)展,醫(yī)療數(shù)據(jù)不再僅僅是診療活動(dòng)的副產(chǎn)品,而是通過(guò)數(shù)據(jù)驅(qū)動(dòng)發(fā)揮著改善患者健康、促進(jìn)醫(yī)療機(jī)構(gòu)診療水平提升、推動(dòng)藥企新藥研發(fā)、提升政府部門傳染病監(jiān)測(cè)預(yù)警等多元資源價(jià)值。國(guó)家數(shù)據(jù)局等十七部門發(fā)布《“數(shù)據(jù)要素×”三年行動(dòng)計(jì)劃(2024—2026年)》明確將醫(yī)療健康確定為重點(diǎn)領(lǐng)域,推動(dòng)醫(yī)療數(shù)據(jù)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(kāi)展醫(yī)療數(shù)據(jù)流通試點(diǎn),涵蓋骨科治療數(shù)據(jù)資產(chǎn)化、大模型訓(xùn)練等場(chǎng)景。2024年試點(diǎn)擴(kuò)大至22家醫(yī)院,年底已有部分醫(yī)院完成數(shù)據(jù)交易項(xiàng)目。此類實(shí)踐推動(dòng)了醫(yī)療數(shù)據(jù)從資源到資產(chǎn)的轉(zhuǎn)化,為數(shù)據(jù)流通奠定了基礎(chǔ)。與此同時(shí),絕大多數(shù)醫(yī)療機(jī)構(gòu)依然對(duì)自身哪些數(shù)據(jù)可以形成數(shù)據(jù)產(chǎn)品缺乏指引,醫(yī)療數(shù)據(jù)之上承載的患者個(gè)人信息、不同機(jī)構(gòu)之間的利益協(xié)調(diào)問(wèn)題阻礙了醫(yī)療機(jī)構(gòu)參與數(shù)據(jù)流通交易的積極性,一系列的障礙最終都引出一個(gè)根本性的問(wèn)題:醫(yī)療數(shù)據(jù)如何確權(quán)?本文探討醫(yī)療機(jī)構(gòu)、患者和行業(yè)其他機(jī)構(gòu)在醫(yī)療數(shù)據(jù)生成過(guò)程中所發(fā)揮的作用,在“數(shù)據(jù)二十條”確定的方向上探索多方平行享有醫(yī)療數(shù)據(jù)產(chǎn)權(quán)的制度方案。


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作者信息:

劉云,玄立杰

(清華大學(xué)智能法治研究院,北京100084)


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