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Common HIPAA definitions
| HHS |
The US Department of
Health and Human Services - the authors of HIPAA Administrative
Simplification regulations |
| Health Care Provider |
Health care provider means
a provider of services (as
defined in section 1861(u) of the Act,
42 U.S.C. 1395x(u)), a provider of medical
or health services (as defined in section
1861(s) of the Act, 42 U.S.C. 1395x(s)),
and any other person or organization
who furnishes, bills, or is paid for
health care in the normal course of business. |
| Health Information |
Health information means
any information, whether oral
or recorded in any form or medium,
that:
(1) 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
(2) 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. |
| HIPAA |
Health Insurance
Portability and Accountability Act |
| Individually
Identifiable Health Information |
Individually identifiable health information is
information that is a subset of health information,
including demographic information
collected from an individual, and:
(1) Is created or received by a health care provider,
health plan, employer, or health care clearinghouse;
and
(2) 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;
and
(i) That identifies the individual; or
(ii) With respect to which there is a reasonable
basis to believe the information can
be used to identify the individual. |
| OCR |
The US Office of Civil
Rights - responsible for enforcement of the HIPAA Privacy regulations |
| Protected Health
Information |
Protected health information means
individually identifiable health
information:
(1) Except as provided in paragraph (2) of this
definition, that is:
(i) Transmitted by electronic media;
(ii) Maintained in any medium described in
the definition of electronic
media at §162.103 of this
subchapter; or
(iii) Transmitted or maintained in any other
form or medium.
(2) Protected health
information excludes
individually identifiable health
information in:
(i) Education records covered by the Family
Educational Rights and Privacy Act, as
amended, 20 U.S.C. 1232g;
(ii) Records described at 20 U.S.C. 1232g(a)(4)(B)(iv);
and
(iii) Employment records held by a covered
entity in its role as employer. |
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