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Patient Information to Remove when Discussing Previous Patient Experiences

Protected Health Information (PHI): Information in any format that identifies the individual, including demographic information collected from an individual that can reasonably be used to identify the individual. Additionally, PHI is information created or received by a health care provider, health plan, employer, or health care clearinghouse; and relates to the past, present, or future physical or mental health or condition of an individual.
 
De-identified : Information that has certain identifiers (see “identifiers” below) MUST be removed so that it is no longer considered Protected Health Information.
 
Identifiers: Under the HIPAA Privacy Rule “identifiers” (which MUST be removed) include the following:
 
1. Names
 
2. Geographic subdivisions smaller than a state (except the first three digits of a zip code if the geographic unit formed by combining all zip codes with the same three initial digits contains more than 20,000 people and the initial three digits of a zip code for all such geographic units containing 20,000 or fewer people is changed to 000).
 
3. All elements of dates (except year) for dates directly related to an individual, including birth date, admission date, discharge date, and date of death and all ages over 89 and all elements of dates (including year) indicative of such age (except that such ages and elements may be aggregated into a single category of age 90 or older)
 
4. Telephone numbers
 
5. Fax numbers
 
6. Electronic mail addresses
 
7. Social security numbers
 
8. Medical record numbers
 
9. Health plan beneficiary numbers
 
10. Account numbers
 
11. Certificate/license numbers
 
12. Vehicle identifiers and serial numbers, including license plate numbers
 
13. Device identifiers and serial numbers
 
14. Web Universal Resource Locators (URLs)
 
15. Internet Protocol (IP) address numbers
 
16. Biometric identifiers, including finger and voice prints
 
17. Full face photographic images and any comparable images
 
18. Any other unique identifying number, characteristic, or code (excluding a random identifier code for the subject that is not related to or derived from any existing identifier).