SDPI CGP Diabetes Prevention Program ADPF1a List of PHI Identifiers
List of Personal Health Information Identifiers
that Must Not Be On Data Sent to the Coordinating Center
Data sent to the Coordinating Center cannot include any of the following 18
fields of information:
geographic subdivisions smaller than a state (tribe is ok)
date of birth** and date of death
electronic mail addresses
social security numbers
medical record numbers
health plan beneficiary numbers
account numbers, certificate/license numbers
vehicle identifiers and serial numbers (including license plate numbers)
device identifiers and serial numbers
URLs, IP address numbers
biometric identifiers (including finger and voice prints)
full face photographic images and any comparable images
any other unique identifying number, characteristic or code.
** For all subjects over 89 years of age, all elements of dates including year
indicative of their age cannot be used; however, age can be aggregated into a
category of age 90 or older.
None of these identifiers should be forwarded to the Coordinating Center. These
should be removed from all data collection documents and email correspondence.
They should also be removed from all other forms submitted to the Coordinating
Center such as Serious Adverse Event Forms (date of death is ok on this form);
and Incident Report Forms.
G: Data Core\Manual + Forms CURRENT\DP appendices\e96177e2-9e83-430b-ab99-aa17cc98711b.doce96177e2-
Last revised 12/10/11