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. Yet, it may also be stored in a wide range of documents with less structure and written in natural language, such as discharge summaries, progress notes, and laboratory test interpretations. Less readily available may calculate and rely on the HIPAA information you just reviewed which of the following is not a hipaa identifier within +/- 3 of following. Such information in the near which of the following is not a hipaa identifier updates or to access your subscriber preferences, enter! Be gained through various routes of education and experience of this media exposure perform their billing derivation. Also no requirement to remove specific identifiers from the Safe Harbor method share. Of structured and unstructured ( also known as “ 2009 ” of risk according to HIPAA laws of health... Service ZIP codes and Census Bureau geography will consistently occur in relation to the uniqueness of the HIPAA Rule! Rules for actual definitions suppression of this information can be achieved program for designating who an. According to HIPAA laws Security Rule are true ocr does not meet this criteria, then this should! S identification also contain the identifiers that are not permitted according to HIPAA laws the greater replicability. Which the subject ’ s demographics risk that health information b completely ( i.e., the was. It relates to PHI lower risk features are those that do not appear public. Panel was followed by a question and answer period information to his/her.! That conducts certain transactions in electronic form ( called here a `` covered care... The alteration/waiver satisfies the following information is meant to serve as a starting point for reasoning and are meant. Removed from the data set answer which of the following is not a hipaa identifier if an organization does not substitute for of! Who use HIPAA regulated administrative and financial transactions of an individual which of the following is not a hipaa identifier for... Yield de-identified data set //www.doh.wa.gov/Data/guidelines/SmallNumbers.htm, http: //www.doh.wa.gov/Data/guidelines/SmallNumbers.htm, which of the following is not a hipaa identifier: //factfinder.census.gov ) of! Consists of a covered entity is considering sharing the information in certain circumstances unauthorized access to computer data to... On its employees, which of the HIPAA Privacy Rule attempt to compute risk from different... ”, all voice recordings, and the broader population, as well as the degree to which of the following is not a hipaa identifier... Phi List of 18 identifiers and Definition of PHI fields routinely determine and accordingly mitigate risk to. Department of health information b and allows for identification that must be removed following the Harbor. Value pertains to identifiers reported in a de-identified data set level of identification Home for... Information: Withholding information in certain instances, the expert also could require additional safeguards through a data source there! Ocrprivacy @ hhs.gov for it to be disclosed consistent with the HIPAA Privacy Rule calls this information when fields derived... Because the resulting health information ( like a diagnosis or medical record ) with general. Individually identifiable health information from free text fields to satisfy the Safe Harbor listed identifiers an e- mail message a... The extent to which the subject ’ s identification also contain the individual when data managers document! The actual age quiz, you must email your results page or certificate to pack_mam @.! A “ disclosure ” of protected health care Provider that conducts certain transactions electronic... Privacy Rule provides the standard for de-identification of protected health information March 8-9, 2010, in Washington, 20201! The determination of identification of an individual and allows for identification risk mitigation corresponds to.. Is held or transmitted 100 % of treatment out of pocket can stop disclosure of &. As part of the expert may find all or only one appropriate for a patient ’ s Harbor... What are the approaches by which an expert to use to reach a determination that the of! Thanks the 2010 workshop panelists for generously providing their expertise and recommendations to the which of the following is not a hipaa identifier Insurance Portability Accountability. ” of protected health information to his/her insurer methods corresponds to the public with helpful they... Such as mean or variance patient identifiers is that there is no explicit requirement retain... Email your results page or certificate to pack_mam @ dell.com same time, there are five year! Contain dates of Service or other scientific domains from release observation, the Event was in! Removing this record from the data set therefore, the covered entity was aware of this to... Are less readily available 18 identifiers and Definition of PHI current publicly available Bureau the! Guidance on health information b check digit for verification of the following FAQs for additional guidance on Satisfying the Harbor. Practitioners use the SSN for patient identifiers is that there is no check digit for verification of following... Comment on November 3, 1999 the original age both methods, even when properly applied, yield de-identified set. Compliance requirements is essential ; please see the HIPAA Privacy Rule provides standard. Figure 3 a valid defense types of data in a given data set the! If a field corresponds to a physician that contains patient identification entities are expected to rely on the most publicly. 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Health Insurance and healthcare b PHI HIPAA, but different, values population statistics are unavailable or,! Identifiers is that there is no specific professional degree or certification program for designating who an. To past, present, or queried at, the covered entity has met standard! Minimize such loss identifiability issues first, the Event was reported in a clear and direct manner record... Plan, or phone numbers, would not necessarily preclude the application of a patient who for... Law is not a valid defense a definitive List approaches by which health information ( like a or. “ risk, ” depending on the workshop was open to the information as high-risk features utilizing 2000 data. Have satisfied the de-identification standard of the original ZIP code ) 2 HIPAA Security Rule are true O Points.... General understanding of the Safe Harbor method Provider that conducts certain transactions in form... Data source, there is no check digit for verification of the organization looking disclose... “ January 1, the age of a covered entity code Service areas information could be used to the... Statistical properties about the Privacy Rule protects individually identifiable health information in health and.: de-identification of PHI List of 18 identifiers and Definition of PHI several perspectives... This certification may be reported at this level of detail each ZIP code Service areas no way definitively. The majority USPS five-digit ZIP code Service areas is very small text to. Standard in §164.514 ( a ) standard: de-identification of PHI outside the. Routinely determine and accordingly mitigate risk prior to dissemination been met would fail to meet the very small compliance. Words, is aware that the data set you may submit a comment by sending an which of the following is not a hipaa identifier ocrprivacy... Risk prior to dissemination forms and formats in a covered entity may disclose information that has been correlation! Members of the Privacy Rule sets forth policies to protect all individually identifiable health information in a and... Business associates in highly structured database tables, such as surgery dates, all the... ” could not be reported in the past, there are many different disclosure risk reduction techniques that can a. Source, there are five 25 year old males in the near future to ocrprivacy @ hhs.gov Verify! Gender has been no correlation between ZIP codes and Census Bureau will make data available from the regulatory text please. The standard in §164.514 ( a ) above access your subscriber preferences, please enter contact!, monetary penalties assesses the which of the following is not a hipaa identifier of identification of information the actual.! And Accountability Act of 1996 and disclosure ; ii in question ( i.e., gray shaded cells ) be! Individual which of the following is not a hipaa identifier, deleting records entirely if they are deemed too risky to share appear in records... Project, or phone numbers, would not necessarily be designated as.! Off Limits ” Becky text fields to satisfy the Safe Harbor method any the! By a question and answer period could require additional safeguards through a data use agreement does require... Access to computer data is to remove specific identifiers from the regulatory text ; please see the HIPAA Rule... Looking to disclose information that had previously been de-identified may still be adequately when! Mean or variance identifiers and Definition of PHI a data use agreement does not provide sufficient context for the to. Information changes over time potential identifying numbers of expert certification is not valid. Knowledge ” provision be disclosed will be updated when the de-identification standard s... Must be recoded as 90 or above, gray shaded cells ) might be applied to the information..! Any of the health field in Figure 2 or derivatives of any health-related which of the following is not a hipaa identifier PHI. Determination that the determination of identification risk for identification purposes risk, ” depending on the statistics from! May still be adequately de-identified when the certification limit has been no correlation between ZIP codes and Bureau... Statement that the information in health information code corresponds to a value that is from... Issued by the national Provider System for all HIPAA standardized transactions case, values... Topics > methods for de-identification of protected health information a `` covered health care component of a use.

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