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**This is an old revision of the document!**

Patient Identifier

  1. A national system of unique patient identifier shall be identified. The lack of it poses difficult challenges for PHIE. A non-unique, out-of-date, or incorrect identifier can cause 2 types of errors:
    a. False Negative- failure to find a patient's information when it in fact exists.
    b. False Positive- finding information that is not, in fact, for the patient.
  2. For highly communicable diseases and patients with special health conditions such as but not limited to HIV, Ebola, MERS-COV, special codes shall be given and additional important documents shall be signed by the patient, attending physician and head of the health facility.

When shall de-identification happen.
1. De-identification shall be done upon contact to the Primary Health Care Provider. The PHCP shall transmit information from patient's records to PHIE as shared health record or as part of PHIE's data warehouse. If the patient consents, the patient's health record may be processed in PHIE without the need of de-identification. If the patient does not consent to participate in PHIE, the patient's health information shall be de-identified, containing only information necessary for immediate statistical reference.
2. Only de-identified health information shall be stored in the PHIE Data Warehouse.

References:

  • Hosek S., Straus S. (2013). Patient Privacy, Consent and Identity Management in Health Information Exchange. Issues for the Military Health System. Santa Monica, CA: RAND Corporation.

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See Also