Table 1.
Mechanism of Disclosure | HIPAA Section [8] | Minimum Necessary 164.502(b) | Accounting of Disclosures | Identifiers Allowed | Address | Dates | Approach |
---|---|---|---|---|---|---|---|
Required by law | 164.512(a) | No | Yes | All | Full | All | 1 |
Public health activity | 164.512(b) | Yes | Yes | All | Full | All | 2 |
De-identification | 164.514(b) | No | No | Code not derived from patient identifiers | 3-digit zip code in most areas | Year only | 3, 6 |
Research with IRB waiver | 164.512(i) | Yes | Yes | All | Full | All | 4 |
Limited data set | 164.514(e) | Yes | No | Code that may be derived from patient identifiers (e.g., perfect one-way hash) [20] | 5-digit zip code | All | 5 |
HIPAA = Health Insurance Portability and Accountability Act.