An integrated health record (IHR) that enables clinical data to be shared at a
national level has profound implications for medical research. Data that have
been useful primarily within a single clinic will instead be free to move
rapidly around a national network infrastructure. This raises challenges for
technologists, clinical practice, and for the governance of these data. This
article considers one specific issue that is currently poorly understood: how
intellectual property (IP) relates to the sharing of medical data for research
on large-scale electronic networks. Based on an understanding of current
practices, this article presents recommendations for the governance of IP in an
integrated health record.