Redaction checklist for medical records

Medical redaction is identifier-driven. Here's the 18-point checklist Safe Harbor expects.

A research collaborator needs clinical data from your records. The clinical content is what matters; HIPAA-protected identifiers have to go. Here's the checklist Safe Harbor expects.

Names and direct identifiers

- Patient name (first, last, middle, nicknames). - Names of relatives, employers, household members. - Account numbers (medical record number, visit number, billing). - Certificate/license numbers (insurance policy, driving license). - Device identifiers and serial numbers (implanted devices, monitors). - Biometric identifiers (fingerprints, voice prints, retinal scans). - Full-face photos and comparable images.

Contact and location

- Geographic subdivisions smaller than state (street, city, county, ZIP for areas with fewer than 20,000 people). - Telephone numbers (mobile, home, work). - Fax numbers. - Email addresses. - IP addresses and URLs (case-by-case).

Dates and other numbers

- All elements of dates (except year) related to the individual: birth, admission, discharge, death. - Vehicle identifiers (licence plate, VIN). - Any other unique identifying number, characteristic or code.

Note: year alone is generally acceptable; full dates aren't unless the recipient is the patient.

Technical verification

- Use a true-redaction tool (Flint, Acrobat Redact). - Verify select-and-copy returns nothing in redacted regions. - Search for known patient name and MRN — should return no hits. - Strip metadata (author, title, comments, system fingerprints). - For scanned records, OCR first then redact text layer and image regions together.

For research releases, document the Safe Harbor process and certify de-identification under HIPAA.

FAQ

Is partial year acceptable?

Year alone is generally acceptable under Safe Harbor for individuals over 89; for those under 89, year is permitted. Day and month must go.

Can I leave city if it's a major city?

ZIP codes can be retained if the geographic unit has at least 20,000 people. Smaller localities must be removed.

What about Expert Determination?

An alternative to Safe Harbor — a statistician certifies that re-identification risk is very small. More permissive on retained identifiers but requires expert review.

Are clinical findings considered identifiers?

Generally no — clinical content (diagnoses, medications, results) is the data being shared. Identifiers tie it to a person; those must be removed.

Eighteen identifiers, one checklist. Redact systematically in Flint and document the process.

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Redaction Checklist for Medical Records | Flint — Flint PDF