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Template for PHI De-Identification Requests

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Written by Drew Salisbury
Updated over 6 months ago

Purpose:

Support the process of removing identifiable information from PHI for purposes like research, while ensuring compliance with HIPAA’s de-identification standards under §164.514(b).

Instructions:

  • Outline criteria for de-identification, including statistical analysis or removal of identifiers.

  • Provide fields to document the purpose of de-identification and its scope.

  • Retain completed templates securely for six years.

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