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Protected health information

Mohammad Rakib Amin
November 21, 2016
51

Protected health information

Protected health information
Source: https://en.wikipedia.org

Mohammad Rakib Amin

November 21, 2016
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  1. Protected health information (PHI) Protected health information (PHI) under US

    law is any information about health status, provision of health care, or payment for health care that is created or collected by a "Covered Entity" (or a Business Associate of a Covered Entity), and can be linked to a specific individual.
  2. PHI and HIPAA - With certain exceptions, the Privacy Rule

    protects a subset of individually identifiable health information, known as protected health information or PHI, that is held or maintained by covered entities or their business associates acting for the covered entity. - The Privacy Rule does not protect individually identifiable health information that is held or maintained by entities other than covered entities or business associates that create, use, or receive such information on behalf of the covered entity.
  3. PHIs Under the US Health Insurance Portability and Accountability Act

    (HIPAA), PHI that is linked based on the following list of 18 identifiers must be treated with special care:
  4. a. Basic Information • Names • Email addresses • Dates

    (other than year) directly related to an individual • Biometric identifiers, including finger, retinal and voice prints • Full face photographic images and any comparable images
  5. b. Numbers • Phone numbers • Fax numbers • Social

    Security numbers • Medical record numbers • Health insurance beneficiary numbers • Account numbers • Certificate/license numbers • Vehicle identifiers and serial numbers, including license plate numbers • Device identifiers and serial numbers
  6. c. Geographic Location All geographical identifiers smaller than a state,

    except for the initial three digits of a zip code if, according to the current publicly available data from the Bureau of the Census: 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
  7. d. Virtual Identifiers • Web Uniform Resource Locators (URLs) •

    Internet Protocol (IP) address numbers • Biometric identifiers, including finger, retinal and voice prints
  8. e. And the one where everything went fuzzy Any other

    unique identifying number, characteristic, or code except the unique code assigned by the investigator to code the data Just kiddin’. This statement puts no vagueness on the actual identification of PHI(s), a unique identifying number can be used to trace someone, so is a PHI and so on.
  9. So, which one is PHI, which one’s not? • voice

    prints • URLs • IMEI • license numbers • any comparable images -- are all PHIs • Year in a date • the initial 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 -- aren’t PHIs, at least not yet
  10. Covered Entities In general, US law governing PHI applies to

    data collected in the course of providing and paying for health care. It is important to understand that the source of the data is as relevant as the data itself when determining if something is PHI under US law. For example, you may observe someone on the street with an obvious medical condition such as an amputation. US law does NOT restrict you from using or sharing that information. However, if you had obtained information about the amputation exclusively from a protected source, such as from an electronic medical record, the data would be protected.
  11. Please remember these. Wikipedia does an excellent job. Nonetheless, you

    need to check with your organization information security team and make sure you understand the full extent of HIPAA and PHI that falls under it. For more see: https://www.hhs.gov/hipaa/for-professionals/security/laws-regulations/