which of the following is not a hipaa identifier
Identifiers are HIPAA standards that will create a uniform and centralized way to designate an employer, provider, health plan or patient in electronic transactions. 67 FR 53182, 53233-53234 (Aug. 14, 2002)). This category corresponds to any unique features that are not explicitly enumerated in the Safe Harbor list (A-Q), but could be used to identify a particular individual. a. The re-identification provision in §164.514(c) does not preclude the transformation of PHI into values derived by cryptographic hash functions using the expert determination method, provided the keys associated with such functions are not disclosed, including to the recipients of the de-identified information. Features such as birth date and gender are strongly independently replicable—the individual will always have the same birth date -- whereas ZIP code of residence is less so because an individual may relocate. Satisfying either method would demonstrate that a covered entity has met the standard in §164.514(a) above. An adequate plan has been proposed to protect the identifiers from improper use and disclosure; ii. Which of the following examples would Not be a HIPAA standards- covered transaction? For instance, a patient’s age may be reported as a random value within a 5-year window of the actual age. The following provides a survey of potential approaches. In general, the expert will adjust certain features or values in the data to ensure that unique, identifiable elements no longer, or are not expected to, exist. As can be seen, there are many different disclosure risk reduction techniques that can be applied to health information. This agreement may contain a number of clauses designed to protect the data, such as prohibiting re-identification.30 Of course, the use of a data use agreement does not substitute for any of the specific requirements of the Expert Determination Method. If they are considered a covered entity under HIPAA; Question 9 - Which of the following is NOT true regarding a Business Associate contract: Is required between a Covered Entity and Business Associate if PHI will be shared between the two The following are considered identifiers under the HIPAA safe harbor rule: (A) Names; (B) All geographic subdivisions smaller than a State, including street address, city, county, precinct, zip code, and their equivalent geocodes, except for the initial three digits of a zip code if, according to the current publicly available data from the Bureau of the Census: Content last reviewed on November 6, 2015, U.S. Department of Health & Human Services, has sub items, Covered Entities & Business Associates, Other Administrative Simplification Rules, Covered Entities, Business Associates, and PHI. Table 6, as well as a value of k equal to 2, is meant to serve as a simple example for illustrative purposes only. Finally, the expert will evaluate the identifiability of the resulting health information to confirm that the risk is no more than very small when disclosed to the anticipated recipients. That leads to the question, which of the following would be considered PHI HIPAA? It does not provide sufficient detail in statistical or scientific methods to serve as a substitute for working with an expert in de-identification. Understanding how to secure protected health information (PHI) and what constitutes PHI is a large portion of what it means to be HIPAA compliant. This guidance will be updated when the Census makes new information available. A hash function that is designed to achieve certain security properties. Identifiers. Stakeholder input suggests that a process may require several iterations until the expert and data managers agree upon an acceptable solution. True b. Medical records are comprised of a wide range of structured and unstructured (also known as “free text”) documents. on the HIPAA Privacy Rule's De-Identification Standard. If a communication contains any of these identifiers, or parts of the identifier, such as initials, the data is to be considered “identified”. Because of the ill-defined nature of ZIP code boundaries, the Census Bureau has no file (crosswalk) showing the relationship between US Census Bureau geography and U.S. (ii) Documents the methods and results of the analysis that justify such determination, Yes. (Of course, the expert must also reduce the risk that the data sets could be combined with prior versions of the de-identified dataset or with other publically available datasets to identify an individual.) By inspecting the data set, it is clear to the expert that there is at least one 25 year old male in the population, but the expert does not know if there are more. This is because a record can only be linked between the data set and the population to which it is being compared if it is unique in both. For instance, voter registration registries are free in the state of North Carolina, but cost over $15,000 in the state of Wisconsin. Frequently Asked Questions for Professionals - Please see the HIPAA FAQs for additional guidance on health information privacy topics. Similarly, the final digit in each ZIP Code is within +/- 3 of the original ZIP Code. In structured documents, it is relatively clear which fields contain the identifiers that must be removed following the Safe Harbor method. The first two rows (i.e., shaded light gray) and last two rows (i.e., shaded dark gray) correspond to patient records with the same combination of generalized and suppressed values for Age, Gender, and ZIP Code. 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