CDMP Fundamentals • 100 Questions • 90 Minutes
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🔒 18 PHI Identifiers You Must Protect

HIPAA defines exactly 18 types of information that, when associated with health data, make it 'individually identifiable' and therefore Protected Health Information. To de-identify data using the Safe Harbor method, ALL 18 of these identifiers must be removed. As a database professional, you need to know every single one of these so you can find them in your client's systems, classify them, and ensure they are properly protected.

1

Names

Full name, last name, first name, maiden name, or any other name by which a person is known. This includes legal names, nicknames, and aliases used in healthcare records.

John A. Smith Jane Doe-Rodriguez Patient known as 'Bobby'

Found in: EHR systems (patient demographics), Billing records, Insurance claims, Appointment schedules, Lab orders and results, Prescription databases

2

Geographic Data Smaller Than a State

Any geographic subdivision smaller than a state, including street address, city, county, precinct, and ZIP code. ZIP codes CAN be included if only the first 3 digits are used AND the geographic area covered by those 3 digits has a population of more than 20,000. If the population is 20,000 or fewer, the 3-digit ZIP must be changed to 000.

123 Main Street, Springfield, IL 62704 County: Cook ZIP: 90210 (must be truncated to 902xx for de-identification)

Found in: Patient registration systems, Billing addresses, Provider directories, Referral records, Home health visit logs

3

Dates Related to an Individual

All dates (except year) directly related to an individual, including birth date, admission date, discharge date, date of death, and all ages over 89 (which must be aggregated into a single '90 or over' category). Years alone are generally permitted.

DOB: 03/15/1980 Admission date: 01/10/2024 Age: 92 (must be listed as 90+)

Found in: EHR demographic fields, Admission/discharge records, Lab specimen collection dates, Prescription fill dates, Appointment systems

4

Telephone Numbers

All telephone numbers associated with a patient, including home, work, mobile, and emergency contact numbers.

(555) 123-4567 Cell: 555-987-6543 Emergency contact: 555-111-2222

Found in: Patient registration forms, Contact databases, Appointment reminder systems, Emergency contact fields in EHR, Telehealth platforms

5

Fax Numbers

All fax numbers associated with a patient. Despite being considered outdated in many industries, fax remains widely used in healthcare for transmitting records between providers.

Fax: (555) 123-4568 Provider office fax listed in patient records

Found in: Provider communication logs, Referral records, Prescription records, Insurance correspondence, Legacy contact databases

6

Email Addresses

All email addresses associated with a patient, including personal and work email addresses used for patient portal access, appointment reminders, or any other healthcare communication.

john.smith@email.com jsmith@workplace.org patient_portal_login@hospital.com

Found in: Patient portal systems, Appointment reminder platforms, Secure messaging systems, Registration databases, Patient communication logs

7

Social Security Numbers

Social Security Numbers (SSNs) of patients. Many legacy healthcare systems collected SSNs as a primary identifier. Modern best practice is to avoid collecting SSNs unless absolutely necessary for billing or insurance purposes.

SSN: 123-45-6789 Social Security field in legacy patient registration system

Found in: Legacy patient registration systems, Insurance enrollment databases, Medicaid/Medicare records, Billing systems, Financial assistance applications

8

Medical Record Numbers

Any number assigned by a healthcare provider to identify a patient's medical record within their system. These are unique identifiers created by the organization specifically for tracking patient records.

MRN: 00123456 Medical Record #: HOS-2024-78901 Chart Number: C-55431

Found in: EHR systems (primary key), Lab information systems, Radiology systems, Pathology databases, Paper chart filing systems

9

Health Plan Beneficiary Numbers

Numbers assigned by health insurance plans to identify their members. This includes insurance ID numbers, member IDs, subscriber IDs, and policy numbers.

Insurance ID: BCBS-987654321 Member ID: UHC00123456 Medicaid ID: IL-2024-78901

Found in: Insurance eligibility systems, Claims databases, Billing records, Referral authorization systems, Patient registration insurance fields

10

Account Numbers

Financial account numbers associated with a patient, including hospital account numbers, billing account numbers, and any other account identifiers used in the financial management of a patient's healthcare.

Hospital Account #: ACCT-2024-001234 Billing Account: 9876543210 Patient Financial ID: FIN-00789

Found in: Hospital billing systems, Patient financial services databases, Collection agency records, Payment processing systems, Financial assistance records

11

Certificate/License Numbers

Any certificate or license numbers associated with a patient. This can include professional licenses, driver's licenses, or other identifying certificates that appear in healthcare records.

Driver's License: IL-S123-4567-8901 Professional License: RN-2024-456789 Birth Certificate: 2024-BC-001234

Found in: Patient identification records, Workers' compensation files, Motor vehicle accident records, Insurance application databases, Identity verification logs

12

Vehicle Identifiers and Serial Numbers

Vehicle identifiers and serial numbers, including license plate numbers and vehicle identification numbers (VINs), when they appear in healthcare records (typically in accident or injury records).

VIN: 1HGCM82633A123456 License Plate: IL ABC 1234 Vehicle involved in MVA records

Found in: Emergency department trauma records, Motor vehicle accident reports, Workers' compensation files, Insurance claim narratives, Police report references in medical records

13

Device Identifiers and Serial Numbers

Identifiers and serial numbers for medical devices implanted in or associated with a patient. This includes pacemakers, insulin pumps, prosthetics, and any other device with a unique serial number.

Pacemaker Serial: MDT-2024-PM-456789 Insulin Pump ID: IP-123456 Prosthetic Device #: ORT-2024-789

Found in: Surgical records, Medical device registries, Implant tracking databases, EHR device sections, Recall notification systems

14

Web URLs (Universal Resource Locators)

Web addresses associated with a patient, such as personal websites, social media profiles, or any URLs that appear in healthcare records and can be linked to an individual patient.

https://www.johnsmith-personal.com Patient portal URL with embedded patient ID CaringBridge page: www.caringbridge.org/visit/johnsmith

Found in: Patient portal systems, Social worker referral notes, Mental health intake forms, Patient-provided information fields, Telehealth session logs

15

IP (Internet Protocol) Addresses

IP addresses associated with a patient's access to healthcare systems. In the age of telehealth and patient portals, IP addresses are increasingly common in healthcare system logs and can be used to identify or locate individuals.

IPv4: 192.168.1.100 IPv6: 2001:0db8:85a3:0000:0000:8a2e:0370:7334 Telehealth session source IP

Found in: Patient portal access logs, Telehealth platform logs, EHR audit trails, Secure messaging system logs, Online appointment scheduling systems

16

Biometric Identifiers

Biometric identifiers including finger and voice prints, retinal scans, facial recognition data, and any other unique biological measurement used to identify a patient. These are increasingly used for patient identification at check-in kiosks and for secure access to records.

Fingerprint scan for patient check-in Voice print for phone-based patient verification Palm vein scan for identity verification

Found in: Patient identity verification systems, Biometric check-in kiosks, Security access systems in healthcare facilities, Behavioral health monitoring systems, Research databases with biological samples

17

Full-Face Photographs and Comparable Images

Full-face photographic images and any comparable images that could identify a patient. This includes photos taken for identification, clinical photos (wound photos, dermatology images), and any images where the patient's face or identifying features are visible.

Patient ID photo in registration system Clinical dermatology photograph showing face Wound care progress photos with identifying features

Found in: Patient registration photo systems, Clinical photography databases, Dermatology image libraries, Plastic surgery before/after records, Security camera footage linked to patient visits

18

Any Other Unique Identifying Number, Characteristic, or Code

Any other unique identifying number, characteristic, or code that could be used to identify an individual. This is a catch-all category that covers any identifier not listed above. It does NOT include codes assigned by the researcher for re-identification purposes in a de-identified dataset, as long as the code is not derived from the patient's actual identifiers.

Unique patient identifier assigned by a research study Genetic sequence data that uniquely identifies a person A custom patient tracking code derived from a combination of birth date and initials

Found in: Research databases, Clinical trial management systems, Genetic/genomic databases, Custom patient tracking systems, Cross-institutional patient matching systems