To simplify a definition of what is considered PHI under HIPAA: health information is any information relating a patient´s condition, the past, present, or future provision of healthcare, or payment thereof. More about what is Considered PHI under HIPAA “Is created or received by a health care provider, health plan, public health authority, employer, life insurer, school or university, or health care clearinghouse and relates to the past, present, or future physical or mental health or condition of an individual the provision of health care to an individual or the past, present, or future payment for the provision of health care to an individual.”įrom here, we need to progress to the definition of individually identifiable health information which states “individually identifiable health information is a subset of health information, including demographic information collected from an individual is created or received by a health care provider, health plan, employer, or health care clearinghouse and that identifies the individual or can be used to identify the individual.”įinally, we move onto the definition of protected health information, which states “protected health information means individually identifiable health information transmitted by electronic media, maintained in electronic media, or transmitted or maintained in any other form or medium”. According to this section, health information means any information, including genetic information, whether oral or recorded in any form or medium, that: To best explain what is really considered PHI under HIPAA compliance rules, it is necessary to review the definitions section of the Administrative Simplification Regulations ( §160.103) starting with health information. What is Really Considered PHI Under HIPAA Rules? Some define PHI as patient health data (it isn´t), as the 18 HIPAA identifiers (it´s not those either), or as a phrase coined by the HIPAA Act of 1996 to describe identifiable information in medical records (close – except the term Protected Health Information was not used in relation to HIPAA until 1999). In a healthcare environment, you are likely to hear health information referred to as protected health information or PHI, but what is considered PHI under HIPAA? PHI is defined as different things by different sources.
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